Beloit Health System · Beloit, WI
33
In-network payers
260
Disclosed rate categories
90
Beds
3
Care quality
Beloit Memorial Hospital is a 90-bed voluntary non-profit - private hospital in Beloit, WI, affiliated with Beloit Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 260 disclosed rate categories.
CCN (Medicare provider number)
520100
NPI
1982780094
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
90
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Beloit Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$669 - $6,458
from 4 insurers · median $3,868
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,043 - $10,189
from 2 insurers · median $9,116
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,244 - $13,785
from 2 insurers · median $13,514
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Ear, nose and throat
CPT 69436
$2,871 - $4,676
from 3 insurers · median $3,583
22 Medicare claims in Level 3 ENT Procedures (CMS 2024)
MRI imaging
CPT 70553
$808 - $6,322
from 4 insurers · median $4,306
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,905 - $3,346
from 4 insurers · median $2,571
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,384 - $11,250
from 4 insurers · median $3,800
13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 70450
$252 - $1,681
from 2 insurers · median $966
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,154 - $15,680
from 3 insurers · median $12,635
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$148,202 - $204,385
from 2 insurers · median $176,294
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74176
$386 - $4,864
from 3 insurers · median $2,148
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,875 - $9,040
from 4 insurers · median $7,597
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$382 - $2,148
from 3 insurers · median $2,012
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$464 - $4,796
from 4 insurers · median $3,647
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$320 - $392
from 4 insurers · median $334
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,496 - $9,898
from 3 insurers · median $4,103
270 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$1,045 - $6,446
from 4 insurers · median $3,947
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$84 - $506
from 4 insurers · median $372
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,154 - $14,002
from 3 insurers · median $12,635
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,555 - $5,789
from 4 insurers · median $3,383
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$528 - $4,360
from 4 insurers · median $3,516
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,154 - $32,346
from 3 insurers · median $18,649
12 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70551
$482 - $4,847
from 4 insurers · median $3,674
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,071 - $9,120
from 4 insurers · median $3,070
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 13 | 599% | 8 | 3 |
| Insurer B* | 21 | 485% | 17 | 2 |
| Insurer C* | 23 | 369% | 7 | 11 |
| Insurer D* | 24 | 198% | 7 | 12 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Beloit Memorial Hospital.
1969 West Hart Road, Beloit, WI 53511
(608) 364-5011
The nearest hospitals of similar type and size. Their rates are compared with Beloit Memorial Hospital for the same insurers and services above.
Ssm Health St. Mary S Hospital - Janesville
▲ Rates typically 35% higher than Beloit Memorial Hospital (22 services)
Aurora Lakeland Medical Center
Rates about the same as Beloit Memorial Hospital (21 services)
Fort Atkinson Memorial Hospital
▼ Rates typically 43% lower than Beloit Memorial Hospital (22 services)
Monroe Clinic Hospital
▲ Rates typically 6% higher than Beloit Memorial Hospital (22 services)
Northwestern Medicine Woodstock Hospital
▼ Rates typically 13% lower than Beloit Memorial Hospital (22 services)
Fhn Memorial Hospital
▼ Rates typically 21% lower than Beloit Memorial Hospital (21 services)
St. Nicholas Hospital
Mercyhealth Hospital And Trauma Center–Janesville
Orthopaedic Hospital Of Wisconsin
Aurora Medical Center Oshkosh
About Beloit Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Beloit Memorial Hospital range from $808 to $6,322 across 4 insurers. Blue Cross Blue Shield's rate is $808. The median at nearby comparable hospitals is $4,900. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Beloit Memorial Hospital range from $669 to $6,458 across 4 insurers. Aetna's rate is $5,588. The median at nearby comparable hospitals is $4,164. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Beloit Memorial Hospital range from $2,555 to $5,789 across 4 insurers. Aetna's rate is $5,789. The median at nearby comparable hospitals is $4,234. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Beloit Memorial Hospital range from $8,043 to $10,189 across 2 insurers. Blue Cross Blue Shield's rate is $8,043. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Beloit Memorial Hospital range from $320 to $392 across 4 insurers. Blue Cross Blue Shield's rate is $334. The median at nearby comparable hospitals is $325. What a patient pays depends on their plan's deductible, coinsurance and network status.
Beloit Memorial Hospital has 90 beds. Facility type: Short Term Acute Care Hospital.
Beloit Memorial Hospital is located at 1969 West Hart Road, Beloit, WI 53511. Its main phone number is (608) 364-5011.
Beloit Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 520100.
The National Provider Identifier (NPI) on file for Beloit Memorial Hospital is 1982780094.
Beloit Memorial Hospital is affiliated with Beloit Health System.
Beloit Memorial Hospital lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
260 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers