Billing

How to pay your bill

To make the billing process simple and convenient, there are several ways you can pay your bill.

Payment expectations

• Out-of-pocket costs, copayment, co-insurance or deductible are due prior to outpatient services or at check in.

• Payment of your full account balance is due 21 days after receiving your first bill. If you cannot pay in full, payment plans can be arranged through Patient Business Services.

Additional resources

• Understanding your bill (pdf)

• Entender la cobertura de su seguro médico y lo que usted debe pagar de su bolsillo (pdf)

A hospital-owned clinic, also known as a provider-based clinic, is considered an extension of the hospital. Therefore, the clinic must meet strict patient safety standards and follow regulatory requirements of the Centers for Medicare, Medicaid and The Joint Commission. Appointments at these locations are subject to something called a facility fee. Both governmental bodies and commercial insurers direct that facility fees are billed separately from the physician’s or provider’s professional fees.

Patients who receive care in a hospital-owned clinic will see professional charges and hospital/clinic charges listed separately on billing statements.

When care is received at a non-hospital clinic, all charges can be combined into one bill, so there is no facility fee.

Signs are posted in all clinics that require a facility fee. You can also refer to the billing practices brochure that is given to all new patients or contact our billing office with questions.

The following might have a facility fee:

Illinois locations

• 2404 Charles St Clinic X-Rays

• Belvidere Hospital (1625 S State St, Belvidere)

• Clinics at Byron Clinic (230 W Blackhawk Dr, Byron), including:

  • Byron Clinic Laboratory

  • Byron Clinic X-Rays

• N Alpine Rd Clinic (1253 N Alpine Rd, Rockford)

• Clinics at N Bell School Rd Medical Center (3505 N Bell School Rd, Rockford), including:

  • N Bell School Rd Medical Center Laboratory

  • N Bell School Rd Medical Center X-Rays

• N Mulford Rd Immediate Care (3773 N Mulford Rd, Rockford)

• Orthopedics and Sports Medicine (8451 Orth Rd, Roscoe)

• Roscoe Clinic (4282 E Rockton Rd, Suite 100, Roscoe), including:

  • Physical Therapy

  • Laboratory

  • Radiology

  • Mammography

• SwedishAmerican Hospital (1401 E State St, Rockford)

• UW Health | Carbone Cancer Center Rockford (3535 N Bell School Rd, Rockford)

• Villagreen View Clinic (6861 Villagreen View, Rockford)

• Women and Children’s Hospital and Clinics (1350 Charles St, Rockford)

• Clinics at 1340 Charles St Clinic, including:

  • Lundholm Orthopedics, Ste 100

  • Heart Institute, Ste 300

  • Rockford Vascular Surgery, Ste 200

  • Neurosurgery-Headache Medicine, Ste 400

  • Breast Health Center, Ste 201

  • Infectious Disease, Ste 404

  • General Surgery, Ste 405

• Clinics at 9th St Clinic, including:

  • Outpatient Therapy, Ste 101

  • Pediatric Therapy and Adult Speech Therapy, Ste 302

  • Sleep Disorders Center, Ste 301

• Clinics at 1415 E State St Clinic, including:

  • Diabetes Self-Management Center, Ste 700

  • Wound Care and Hyperbaric Clinic, Ste 609

Wisconsin locations

• 1 S Park St Medical Center (excludes Madison Surgery Center)

• American Family Children's Hospital Clinics (1675 Highland Ave.)

• American Family Children’s Hospital Clinics (2275 Deming Way)

• Behavioral Health Youth and Family (122 E. Olin Ave.)

• Digestive Health Center (750 University Row)

• E Terrace Dr Medical Center (formerly East Clinic) (5249 E. Terrace Dr.)

• East Madison Hospital (4602 Eastpark Blvd.)

• Eastpark Medical Center (4621 Eastpark Blvd.)

• Junction Rd Medical Center (451 Junction Rd.)

• Kidney Clinic (3034 Fish Hatchery Rd.)

• Pain Management Clinic (1102 S. Park St.)

• Science Dr Medical Center (621 Science Dr.)

• University Ave Rehabilitation Clinic (6630 University Ave.)

• Union Corners Clinic Physical Therapy (2402 Winnebago St.)

• University Hospital (600 Highland Ave.)

• University Station Clinic (2880 University Ave.)

• UW Carbone Cancer Center (600 Highland Ave.)

• Waisman Center (1500 Highland Ave.)

  • Exception: Autism treatment programs

Price estimates

UW Health can provide a price estimate of what a procedure or treatment will cost, based on total charges for the same services, and how much you may be responsible for paying based on your insurance coverage. Please note that final charges may be different based on the actual services received and supplies used.

An estimate is the predicted amount your medical services will cost you. This includes information on what total charges have been in the past for this same service, as well as, what your personal out of pocket costs could be based on your insurance benefits.

Create your own estimate

You can create your own price estimate for common procedures and services. This feature is available for both MyChart and non-MyChart users.

Create an estimate through MyChart

MyChart users can create their own estimate for many common services. This will be linked to your patient record. To create an estimate:

• Log into your MyChart account

• Click on Billing

• Select Estimates

Create a guest estimate

If you do not have a MyChart account, you can request an estimate for common procedures and services on as a guest. This estimate will not be linked to your patient record.

Make a guest estimate

UW Health proactively provides some estimates prior to services. You may receive this estimate via MyChart or in the US mail.

Other pricing options

For services in Wisconsin, if you are unable to create your own estimate via MyChart or Guest Estimate, you may call UW Health's Priceline team at (608) 263-1507 for assistance.

You will be given a price estimate or range, rather than a specific quote, as the final charges are based on a variety of factors related to the clinical service provided, the diagnoses associated with those services and supplies used. While it is possible to estimate these, it is not possible to precisely define these until after the service has been provided.

Price transparency

Beginning in 2022, health care providers were required to disclose, upon request, certain charge and payment information for health care services, tests and procedures.

• For information on the quality of care at UW Hospitals and Clinics, please see the Wisconsin Collaborative for Healthcare Quality's website

• For information on the quality of care at UW Health SwedishAmerican Hospital and Clinics, please see the Health Transformation Collaborative website

• For information on the pricing of care at UW Hospitals and Clinics, please see the WHA For Transparency website

• For information on the pricing of care at UW Health SwedishAmerican Hospital and Clinics, please see the Illinois Hospital Report Card website

About pricing transparency

UW Health believes generating an estimate will provide a better value in understanding your potential out-of-pocket expenses. Please refer to UW Health’s Price Estimate page on MyChart or by calling (608) 263-1507.

Gross charge is for patient services with the use of a hospital chargemaster. The final gross charge amount may vary based on the actual services provided at that time.
Laboratory services are billed through the Hospital and the Hospital chargemaster should be referenced for pricing.

Not all listed medications are covered by all health plans, and some may require prior authorization. Actual medication charges will vary based on patient dose as prescribed by the provider in conjunction with the service being performed. The quantity and volumes below are representative and will vary based on actual dose given.

Additional resources

HealthCare Financial Management Consumer Guide

Our financial counselors can help you understand your insurance coverage and benefits, answer questions related to the cost of healthcare services and provide options on how you can pay your current and future medical bills. Patient financial resources (pdf)

To help us provide the best possible service to you, we encourage you to contact us as early as possible — before services are provided and costs are incurred.

For assistance, call (877) 278-6437 in Wisconsin or (800) 305-8010 in Illinois.

Financial counseling services 

• Creating estimates for upcoming services | Get an estimate

• Education on insurance terms and benefits (copayments, deductibles, networks, etc.)

• Developing a financial plan for satisfying current and future bills

• Setting up payment plans

• Linking patients to potential insurance options, such as Medicaid, Medicare or the healthcare insurance marketplace

• Identifying eligibility for UW Health’s Financial Assistance Program

Patient’s may be able to get financial help if they are not insured, underinsured, do not qualify for government assistance (for example Medicare or Medicaid) or it is hard to pay for care at UW Health.

How do I apply for financial assistance?

You can apply for financial assistance in the following ways:

• Through your MyChart account.

  • In MyChart, go to Menu > Billing > Billing Summary > Overview, details, payments and documents

• Filling out this form and uploading your supporting documents.

  • Llenando este formulario y cargando sus documentos de respaldo

• You can print out and complete the Financial Assistance Application (pdf) or Solicitud de asistencia financiera (pdf) and mail it along with supporting documentation to:
  
  UW Health Patient Business Services
  Attn: Financial Assistance Program
  PO Box 620993
  Middleton, WI 53562

Financial assistance policy and forms

• Financial Assistance Policy (pdf)

  • Póliza de Asistencia Financiera (pdf)
    

• Wisconsin - Financial Assistance Plain Language Summary (pdf)

  • Wisconsin - Resumen de la Norma de Asistencia Financiera (pdf)
    

• Northern Illinois - Financial Assistance Plain Language Summary (pdf)

  • Northern Illinois - Resumen de la Norma de Asistencia Financiera (pdf)
    

• Financial Assistance Policy: Attachment A - Wisconsin Amount Generally Billed (pdf)

  • Adjunto A - Wisconsin Monto Generalmente Facturado (pdf)
    

• Financial Assistance Policy: Attachment A - Northern Illinois Amount Generally Billed (pdf)

  • Adjunto A - Northern Illinois Monto Generalmente Facturado (pdf)
    

• Financial Assistance Policy: Attachment B - Categories of Service (pdf)

  • Adjunto B - Categorias de Servicio (pdf)
    

• Financial Assistance Policy: Attachment C - Revenue Cycle Contact Information (pdf)

  • Adjunto C - Información Contactos de Ciclo de Ingresos (pdf)
    

• Financial Assistance Policy: Attachment D - Wisconsin Adjustment Levels (pdf)

  • Adjunto D - Wisconsin Niveles de ajuste (pdf)

• Financial Assistance Policy: Attachment D - Northern Illinois Adjustment Levels (pdf)

  • Adjunto D - Northern Illinois Niveles de ajuste (pdf)
    

• Financial Assistance Policy: Attachment E - Eligible Providers/Facilities Other Than UW Health (pdf)

  • Adjunto E - Proveedores/Establecimientos Elegibles Distintos a UW Health (pdf)
    

• Financial Assistance Application (pdf)

  • Solicitud de asistencia financiera (pdf)
    

• Patient Billing and Collections Policy (pdf) | Payment Collections (pdf)

  • Póliza de Facturación y Cobro del Paciente (pdf)
    

• Self Employment Income Report (pdf)

  • Informe de ingresos del trabajo por cuenta propia (pdf)

Who may be eligible to receive financial assistance

The following guidelines help identify patients who may be eligible to receive financial assistance:

• The care is medically necessary

• UW Health is the appropriate provider for the level of care required by the patient

• Patient is unable to get county, state or federal aid for medical care

• Patient lives in UW Health’s primary service community, or UW Health is the closest facility to the patient's home that provides the sub-specialty care required

• Patient's family income is at or below 600 percent of the federal poverty level or patient has medical bills that add up to at least half of their yearly income. These patients will qualify for a reduction in their bills based on a sliding scale.

HealthConnect for Wisconsin patients

UW Health partners with United Way of Dane County to fund HealthConnect which helps lower-income Dane County residents with their health care premiums through the Marketplace.

Learn more about UW Health and the Affordable Care Act