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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Rockford Memorial Hospital

Mercy Health (WI) · Rockford, IL

2400 North Rockton Avenue, Rockford, IL 61103(815) 968-6861

3 of 5

CMS star rating

203

Beds

7,570

Inpatient discharges a year

$393.6M

Net patient revenue a year

32

In-network payers

About this hospital

Rockford Memorial Hospital is a 203-bed voluntary non-profit - private hospital in Rockford, IL, affiliated with Mercy Health (WI). Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 304 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
140239
NPI
1629118609
Health system
Mercy Health (WI)
Teaching
Major teaching hospital
County
Winnebago County
Metro area
Rockford, IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2012

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very High

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very High

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    3 of 5 stars

    • 258 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 44 services, including trauma care
    • 498 affiliated clinicians
    See doctors and services
  • Finances

    $393.6M net patient revenue

    • Operating margin on patient care -2.3%
    • $7.2M unreimbursed and uncompensated care
    • $32.5M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health Corporation

    • Private (not for profit)
    • Javon R Bea, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Rockford Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-2167847Javon Bea Hospital59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 54 more1629118609 Javon Bea Hospital1760075394 Javon Bea Hospital1811488109 Javon Bea Hospitaland 2 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2400 North Rockton Avenue, Rockford, IL 61103

(815) 968-6861

Get directions

Frequently asked questions

About Rockford Memorial Hospital's rates and hospital price transparency.

What is Rockford Memorial Hospital's CMS star rating?

Rockford Memorial Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Rockford Memorial Hospital a teaching hospital?

Yes. CMS counts 0.39 Medicare-funded residents per bed at Rockford Memorial Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Rockford Memorial Hospital for readmissions?

No. Rockford Memorial Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Rockford Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (110 discharges), pulmonary edema and respiratory failure (96 discharges), heart failure and shock with mcc (86 discharges).

What is Rockford Memorial Hospital's case mix index?

Rockford Memorial Hospital's Medicare case mix index is 1.95 for fiscal year 2027, higher than 75% of hospitals paid under the inpatient prospective payment system.

How many patients does Rockford Memorial Hospital admit?

Rockford Memorial Hospital reported 7,570 inpatient discharges and 46,510 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Rockford Memorial Hospital have?

Rockford Memorial Hospital reported 1,130 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Rockford Memorial Hospital make?

Rockford Memorial Hospital reported $393.6M in net patient revenue on $1.5B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -2.3%, and net income of $32.5M.

How much charity and uncompensated care does Rockford Memorial Hospital provide?

Rockford Memorial Hospital reported $7.2M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $4.3M of charity care at cost.

Who is the CEO of Rockford Memorial Hospital?

Rockford Memorial Hospital's Medicare enrollment lists Javon R Bea as President/ceo since 2016.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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