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New patient office visit (about 60 minutes) in Rockford, IL costs $85 to $273. Here's every hospital's price.

2 hospitals in the Rockford, IL metro area publish a cash price for new patient office visit (about 60 minutes) (CPT 99205). We read their files every month so you don't have to.

Across the Rockford, IL metro area, 2 hospitals list a cash price for new patient office visit (about 60 minutes) (CPT 99205). The lowest is $85 at UW Health, the median is $85 and the highest is $273 at Saint Anthony Medical Center. The most expensive hospital lists 3.2 times the cheapest for the same code.

The Rockford, IL median of $85 is 68% below the national median of $269 across 1126 US hospitals with a cash price for this code.

2 of these hospitals also publish the rates they negotiated with insurers, from $123 to $5,538. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between March 2026 and April 2026. 1 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$85
lowest cash price in Rockford, IL
UW Health · 5 mi
$85
median cash price
2 hospitals
3.2×
highest ÷ lowest
same procedure, same metro
2/3
hospitals with a cash price
1 don't · see who

Sorted by cash price

Hospital facility fee only
1
UW Health

Rockford · 5 mi · File Apr 2026

$85
list $531 · lowest of 6 lines
2
Saint Anthony Medical Center

Rockford · 5 mi · File Mar 2026

$273
list $455 · lowest of 18 lines
1

What's in the price

The hospital facility fee for CPT 99205. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 99205, in writing, and whether it covers facility, physician and anesthesia."

About new patient office visit (about 60 minutes)

CPT 99205 is the highest new-patient office visit level: about an hour, high complexity, typically a serious or complicated diagnosis, multiple chronic conditions, or decisions about major treatment. It is common in oncology, cardiology and neurology first visits.

What the price covers

When a hospital lists it, this is the price at a hospital-owned clinic or outpatient department, often with a facility fee on top of the clinician's fee. Any tests, imaging or procedures ordered are separate.

Why prices vary

Prices for the same visit level differ mainly by ownership: hospital-owned practices add facility fees; independent practices do not. Academic medical centers list the highest charges. Cash prices are usually far below the gross charge.

Questions to ask

  • What is the self-pay price for 99205 including any facility fee?
  • Could the visit be booked at an independent practice with the same specialist?
  • What is included, and what will be billed separately?

Hospitals in Rockford, IL without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask