▸ Hospital · IL · CCN 141301
Kirby Medical Center
1000 MEDICAL CENTER DRIVE, MONTICELLO, IL, 61856
16 bedsCritical Access Hospitals2
Compliance grade
A
100/100
Procedures tracked
154
of 209 target codes
Payers
13
with negotiated rates
Rates published
57,718
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 13 | $622 | $373.2 | $118.81 | $397.46 | $609.56 |
| Psychiatric eval with medical services | CPT | 90792 | 13 | $641 | $384.6 | $121.08 | $409.6 | $628.18 |
| Psychotherapy 30 minutes | CPT | 90832 | 13 | $515 | $309 | $45.71 | $329.09 | $504.7 |
| Psychotherapy 45 minutes | CPT | 90834 | 13 | $515 | $309 | $120.71 | $329.09 | $504.7 |
| Psychotherapy 60 minutes | CPT | 90837 | 13 | $515 | $309 | $159.65 | $329.09 | $504.7 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 5 | — | — | $86.2 | $88.36 | $186.95 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 13 | $462 | $277.2 | $11.02 | $147.52 | $452.76 |
| ED visit level 2 | CPT | 99282 | 13 | $835 | $501 | $28.1 | $264.03 | $818.3 |
| ED visit level 3 | CPT | 99283 | 13 | $1,414 | $848.4 | $47.83 | $447.11 | $1,385.72 |
| ED visit level 4 | CPT | 99284 | 13 | $2,261 | $1,356.6 | $81.43 | $721.94 | $2,215.78 |
| ED visit level 5 | CPT | 99285 | 13 | $2,869 | $1,721.4 | $118.01 | $910.8 | $2,811.62 |
| Critical care, first hour | CPT | 99291 | 13 | $4,236 | $2,541.6 | $141.57 | $1,339.42 | $4,151.28 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 13 | $3,183 | $1,909.8 | $50.4 | $996.6 | $3,119.34 |
| CT head with contrast | CPT | 70460 | 13 | $3,634 | $2,180.4 | $66.8 | $1,137.81 | $3,561.32 |
| CT head with and without contrast | CPT | 70470 | 13 | $3,848 | $2,308.8 | $63.4 | $1,204.81 | $3,771.04 |
| CT neck with contrast | CPT | 70491 | 13 | $3,570 | $2,142 | $81.6 | $1,117.77 | $3,498.6 |
| MRI brain without contrast | CPT | 70551 | 13 | $4,845 | $2,907 | $87.6 | $1,516.97 | $4,748.1 |
| MRI brain with contrast | CPT | 70552 | 5 | — | — | $157.64 | $249.12 | $499.46 |
| MRI brain with and without contrast | CPT | 70553 | 13 | $6,688 | $4,012.8 | $135.6 | $2,094.02 | $6,554.24 |
| Chest X-ray single view | CPT | 71045 | 13 | $489 | $293.4 | $11.61 | $153.11 | $479.22 |
| Chest X-ray 2 views | CPT | 71046 | 13 | $592 | $355.2 | $13.83 | $187.19 | $580.16 |
| Chest X-ray 3 views | CPT | 71047 | 13 | $622 | $373.2 | $15.2 | $194.75 | $609.56 |
| CT chest without contrast | CPT | 71250 | 13 | $3,164 | $1,898.4 | $64 | $990.65 | $3,100.72 |
| CT chest with contrast | CPT | 71260 | 13 | $3,813 | $2,287.8 | $76.6 | $1,193.85 | $3,736.74 |
| CT chest with and without contrast | CPT | 71270 | 13 | $4,398 | $2,638.8 | $94.49 | $1,377.02 | $4,310.04 |
| MRI chest without contrast | CPT | 71550 | 13 | $4,689 | $2,813.4 | $128.96 | $1,468.13 | $4,595.22 |
| MRI chest with contrast | CPT | 71551 | 5 | — | — | $152.76 | $288.59 | $688.29 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $6,688 | $4,012.8 | $109.2 | $2,094.02 | $6,554.24 |
| Lumbosacral spine X-ray | CPT | 72100 | 13 | $701 | $420.6 | $14.25 | $219.49 | $686.98 |
| CT cervical spine without contrast | CPT | 72125 | 13 | $3,860 | $2,316 | $59.2 | $1,208.57 | $3,782.8 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $3,675 | $2,205 | $59.2 | $1,150.65 | $3,601.5 |
| CT lumbar spine without contrast | CPT | 72131 | 13 | $4,145 | $2,487 | $59.2 | $1,297.8 | $4,062.1 |
| MRI cervical spine without contrast | CPT | 72141 | 13 | $5,119 | $3,071.4 | $87.6 | $1,602.76 | $5,016.62 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $5,246 | $3,147.6 | $87.6 | $1,642.53 | $5,141.08 |
| MRI lumbar spine without contrast | CPT | 72148 | 13 | $4,797 | $2,878.2 | $87.6 | $1,501.94 | $4,701.06 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 5 | — | — | $157.64 | $249.56 | $498.98 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $6,613 | $3,967.8 | $135.6 | $2,070.53 | $6,480.74 |
| MRI lumbar spine with contrast | CPT | 72158 | 13 | $6,716 | $4,029.6 | $135.6 | $2,102.78 | $6,581.68 |
| CT pelvis without contrast | CPT | 72192 | 13 | $3,379 | $2,027.4 | $64.6 | $1,047.49 | $3,311.42 |
| CT pelvis with contrast | CPT | 72193 | 13 | $4,087 | $2,452.2 | $68.6 | $1,279.64 | $4,005.26 |
| Shoulder X-ray | CPT | 73030 | 13 | $637 | $382.2 | $12.03 | $199.45 | $624.26 |
| Humerus X-ray | CPT | 73060 | 13 | $570 | $342 | $10.71 | $178.47 | $558.6 |
| Hand X-ray 3 views | CPT | 73130 | 13 | $615 | $369 | $11.16 | $192.56 | $602.7 |
| MRI upper extremity joint without contrast | CPT | 73221 | 13 | $4,262 | $2,557.2 | $80 | $1,334.43 | $4,176.76 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 13 | $5,663 | $3,397.8 | $104.4 | $3,255.84 | $5,549.74 |
| Knee X-ray 1-2 views | CPT | 73560 | 13 | $530 | $318 | $10.71 | $165.95 | $519.4 |
| Ankle X-ray 3 views | CPT | 73610 | 13 | $594 | $356.4 | $11.16 | $185.98 | $582.12 |
| MRI lower extremity joint without contrast | CPT | 73721 | 13 | $4,833 | $2,899.8 | $80 | $1,513.21 | $4,736.34 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 13 | $6,461 | $3,876.6 | $104.4 | $2,042.97 | $6,331.78 |
| CT abdomen without contrast | CPT | 74150 | 13 | $3,389 | $2,033.4 | $70.4 | $1,061.1 | $3,321.22 |
| CT abdomen with contrast | CPT | 74160 | 13 | $3,142 | $1,885.2 | $75.2 | $983.76 | $3,079.16 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $4,806 | $2,883.6 | $82.8 | $1,504.76 | $4,709.88 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 13 | $6,260 | $3,756 | $103 | $1,960.01 | $6,134.8 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $7,018 | $4,210.8 | $107.8 | $2,197.34 | $6,877.64 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $8,312 | $4,987.2 | $119 | $2,602.49 | $8,145.76 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $4,612 | $2,767.2 | $86.4 | $1,444.02 | $4,519.76 |
| MRI abdomen with and without contrast | CPT | 74183 | 13 | $6,966 | $4,179.6 | $130.2 | $2,181.06 | $6,826.68 |
| Abdominal ultrasound complete | CPT | 76700 | 13 | $1,829 | $1,097.4 | $48 | $572.66 | $1,792.42 |
| Abdominal ultrasound limited | CPT | 76705 | 13 | $1,232 | $739.2 | $37.68 | $385.74 | $1,207.36 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 13 | $1,289 | $773.4 | $43.8 | $403.59 | $1,263.22 |
| Obstetric ultrasound first trimester | CPT | 76801 | 13 | $1,096 | $657.6 | $62.37 | $655.41 | $1,074.08 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 13 | $1,241 | $744.6 | $62.79 | $742.12 | $1,216.18 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 5 | — | — | $112.66 | $118.29 | $227.02 |
| Transvaginal ultrasound | CPT | 76830 | 13 | $1,090 | $654 | $40.8 | $341.28 | $1,068.2 |
| Pelvic ultrasound complete | CPT | 76856 | 13 | $1,347 | $808.2 | $40.8 | $421.75 | $1,320.06 |
| Scrotal ultrasound | CPT | 76870 | 13 | $1,261 | $756.6 | $37.8 | $394.82 | $1,235.78 |
| Diagnostic mammography unilateral | CPT | 77065 | 13 | $618 | $370.8 | $41.2 | $191.58 | $605.64 |
| Diagnostic mammography bilateral | CPT | 77066 | 13 | $742 | $445.2 | $51.6 | $230.02 | $727.16 |
| Screening mammography bilateral | CPT | 77067 | 13 | $721 | $432.6 | $45 | $223.51 | $706.58 |
| EKG complete | CPT | 93000 | 5 | — | — | $18.71 | $39.82 | $41.81 |
| EKG tracing only | CPT | 93005 | 13 | $458 | $274.8 | $7.99 | $292.66 | $448.84 |
| EKG interpretation only | CPT | 93010 | 9 | $67 | $40.2 | $10.72 | $38 | $60.3 |
| Transthoracic echocardiogram complete | CPT | 93306 | 13 | $3,601 | $2,160.6 | $86.4 | $1,127.48 | $3,528.98 |
| Transthoracic echocardiogram | CPT | 93307 | 5 | — | — | $69.35 | $88.54 | $210.44 |
| Stress echocardiogram | CPT | 93350 | 13 | $2,432 | $1,459.2 | $68 | $761.46 | $2,383.36 |
| inpatient | ||||||||
| Initial hospital care, low complexity | CPT | 99221 | 9 | $388 | $232.8 | $60.09 | $88.55 | $349.2 |
| Initial hospital care, moderate complexity | CPT | 99222 | 9 | $548 | $328.8 | $86.42 | $137.91 | $493.2 |
| Initial hospital care, high complexity | CPT | 99223 | 9 | $923 | $553.8 | $118.68 | $184.6 | $830.7 |
| Hospital discharge, <30 min | CPT | 99238 | 9 | $578 | $346.8 | $53.12 | $115.6 | $520.2 |
| Hospital discharge, >30 min | CPT | 99239 | 9 | $834 | $500.4 | $74.94 | $166.8 | $750.6 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 13 | $260 | $156 | $8.06 | $166.14 | $254.8 |
| General health panel | CPT | 80050 | 2 | — | — | $42.16 | $45 | $47.84 |
| Electrolyte panel | CPT | 80051 | 5 | — | — | $6.67 | $6.84 | $9.46 |
| Comprehensive metabolic panel | CPT | 80053 | 13 | $361 | $216.6 | $10.08 | $230.68 | $353.78 |
| Lipid panel | CPT | 80061 | 13 | $286 | $171.6 | $9.12 | $182.76 | $280.28 |
| Renal function panel | CPT | 80069 | 13 | $504 | $302.4 | $8.29 | $322.06 | $493.92 |
| Hepatic function panel | CPT | 80076 | 13 | $322 | $193.2 | $7.76 | $205.76 | $315.56 |
| Urinalysis non-automated | CPT | 81002 | 5 | — | — | $4.49 | $5.06 | $5.31 |
| Urinalysis automated | CPT | 81003 | 13 | $106 | $63.6 | $2.91 | $67.74 | $103.88 |
| Glucose quantitative | CPT | 82947 | 13 | $96 | $57.6 | $3.72 | $57.3 | $94.08 |
| Hemoglobin A1c | CPT | 83036 | 13 | $240 | $144 | $6.62 | $74.4 | $235.2 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 13 | $298 | $178.8 | $15.98 | $190.42 | $292.04 |
| Complete blood count with automated differential | CPT | 85025 | 13 | $182 | $109.2 | $10.02 | $116.3 | $178.36 |
| Complete blood count without differential | CPT | 85027 | 13 | $149 | $89.4 | $8.34 | $95.21 | $146.02 |
| Urine culture bacterial | CPT | 87086 | 13 | $278 | $166.8 | $10.41 | $177.64 | $272.44 |
| Urine culture identification | CPT | 87088 | 13 | $277 | $166.2 | $7.87 | $177.01 | $271.46 |
| Tissue exam by pathologist level IV | CPT | 88305 | 13 | $623 | $373.8 | $44.06 | $367.92 | $610.54 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 5 | — | — | $32.79 | $33.38 | $65.7 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 5 | — | — | $1,790.56 | $1,835.33 | $3,353.09 |
| Vaginal delivery only | CPT | 59409 | 5 | — | — | $899.49 | $917.39 | $1,123.25 |
| Vaginal delivery with postpartum | CPT | 59410 | 5 | — | — | $899.49 | $921.98 | $1,515.11 |
| Routine obstetric care with C-section | CPT | 59510 | 5 | — | — | $1,991.06 | $2,040.84 | $3,752.2 |
| C-section delivery only | CPT | 59514 | 5 | — | — | $907.86 | $930.56 | $1,280.52 |
| C-section with postpartum | CPT | 59515 | 5 | — | — | $1,041.55 | $1,067.59 | $1,889.84 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 13 | $206 | $123.6 | $31.34 | $131.64 | $201.88 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 13 | $415 | $249 | $54.44 | $207.66 | $406.7 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 13 | $506 | $303.6 | $88.36 | $323.34 | $495.88 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 13 | $668 | $400.8 | $120.16 | $426.85 | $654.64 |
| Office visit, established patient, 5 min | CPT | 99211 | 13 | $427 | $256.2 | $8.21 | $170 | $418.46 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 13 | $427 | $256.2 | $23.6 | $126 | $418.46 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 13 | $427 | $256.2 | $40 | $137.8 | $418.46 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 13 | $567 | $340.2 | $55.6 | $194.6 | $510.3 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 13 | $773 | $463.8 | $95.05 | $321.72 | $695.7 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 9 | $2,122 | $1,273.2 | $115.22 | $424.4 | $1,909.8 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 9 | $2,122 | $1,273.2 | $130.31 | $424.4 | $1,909.8 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 5 | — | — | $53.25 | $54.58 | $81.32 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 9 | $2,122 | $1,273.2 | $67.91 | $424.4 | $1,909.8 |
| Colonoscopy diagnostic | CPT | 45378 | 9 | $2,652 | $1,591.2 | $134.13 | $399.33 | $2,386.8 |
| Colonoscopy with biopsy | CPT | 45380 | 9 | $2,652 | $1,591.2 | $188.57 | $530.4 | $2,386.8 |
| Colonoscopy with polyp removal | CPT | 45385 | 9 | $3,183 | $1,909.8 | $238.81 | $636.6 | $2,864.7 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 9 | $8,487 | $5,092.2 | $1,389.41 | $1,959.74 | $7,638.3 |
| Hip hemiarthroplasty | CPT | 27125 | 5 | — | — | $998.93 | $1,023.91 | $1,587.78 |
| Total hip replacement | CPT | 27130 | 9 | $7,426 | $4,455.6 | $1,237.62 | $1,745.64 | $6,683.4 |
| Total knee replacement | CPT | 27447 | 9 | $7,426 | $4,455.6 | $1,235.57 | $1,742.76 | $6,683.4 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | — | — | $945.88 | $969.53 | $1,970.67 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | — | — | $1,433.52 | $1,469.36 | $2,462.12 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 9 | $2,652 | $1,591.2 | $165.26 | $530.4 | $2,386.8 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 9 | $6,896 | $4,137.6 | $718.86 | $1,448.48 | $6,206.4 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 9 | $3,713 | $2,227.8 | $520.06 | $742.6 | $3,341.7 |
| ACL reconstruction | CPT | 29888 | 9 | $4,244 | $2,546.4 | $655.43 | $1,320.66 | $3,819.6 |
| CABG single arterial graft | CPT | 33533 | 5 | — | — | $1,816.38 | $1,861.79 | $3,100.4 |
| CABG 2 arterial grafts | CPT | 33534 | 5 | — | — | $2,134.47 | $2,187.83 | $3,640.62 |
| CABG 3 arterial grafts | CPT | 33535 | 5 | — | — | $2,332.67 | $2,390.99 | $4,050.42 |
| CABG 4+ arterial grafts | CPT | 33536 | 5 | — | — | $2,332.67 | $2,390.99 | $4,360.35 |
| Open appendectomy | CPT | 44950 | 5 | — | — | $441.06 | $452.09 | $966.18 |
| Laparoscopic appendectomy | CPT | 44970 | 9 | $4,244 | $2,546.4 | $412.8 | $848.8 | $3,819.6 |
| Laparoscopic cholecystectomy | CPT | 47562 | 9 | $4,244 | $2,546.4 | $630.41 | $913.44 | $3,819.6 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 9 | $4,244 | $2,546.4 | $493.09 | $993.56 | $3,819.6 |
| Lap inguinal hernia repair | CPT | 49650 | 9 | $3,713 | $2,227.8 | $376.6 | $742.6 | $3,341.7 |
| Total abdominal hysterectomy | CPT | 58150 | 5 | — | — | $751.84 | $770.64 | $1,384.7 |
| Vaginal hysterectomy | CPT | 58260 | 5 | — | — | $706.01 | $723.66 | $1,143.21 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 5 | — | — | $706.01 | $723.66 | $1,203.4 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 5 | — | — | $705.42 | $723.06 | $1,337.18 |
| Lap salpingo-oophorectomy | CPT | 58661 | 5 | — | — | $467.04 | $478.72 | $890.68 |
| Complex cataract surgery | CPT | 66982 | 5 | — | — | $571.73 | $586.03 | $1,107.36 |
| Cataract surgery with lens implant | CPT | 66984 | 5 | — | — | $497.8 | $510.25 | $808.02 |
| Intravitreal injection | CPT | 67028 | 5 | — | — | $84.43 | $86.54 | $137.21 |
| Vitrectomy mechanical | CPT | 67042 | 5 | — | — | $733.12 | $751.45 | $1,700.18 |
| PCI single major coronary artery | CPT | 92920 | 5 | — | — | $356.91 | $365.84 | $790.16 |
| PCI with drug-eluting stent | CPT | 92928 | 5 | — | — | $397.09 | $407.02 | $881.51 |
| PCI bypass graft | CPT | 92937 | 5 | — | — | $397.17 | $407.1 | $880.55 |
| Left heart catheterization | CPT | 93452 | 5 | — | — | $381.45 | $557.66 | $1,390.59 |
| Coronary angiography with cath | CPT | 93455 | 5 | — | — | $449.79 | $627.38 | $1,558.08 |
| Coronary angiography with bypass cath | CPT | 93458 | 5 | — | — | $476.04 | $648.35 | $1,608.36 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 154 | $249.34 |
| Humana | 154 | $384.71 |
| Blue Cross Blue Shield | 153 | $519.4 |
| meridian | 153 | $184.14 |
| Molina | 153 | $136.34 |
| health alliance | 113 | $345.24 |
| Multiplan | 113 | $510.7 |
| UnitedHealthcare | 113 | $270.55 |
| healthlink | 113 | $558 |
| Cigna | 90 | $668 |
| zelis (hfn) | 90 | $667.8 |
| WellCare | 90 | $226.77 |
| catepillar, inc. | 90 | $630.7 |