CMS Price Transparency Data

Extended office visit (prolonged)

Facility: Kirby Medical Center

Billing Code: G2212 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$29
about 0.9× the $34 Medicare rate · typically $25–$41
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $1 under the fair price · 0.8× Medicare
Medicare pays $34 Fair price $29 This hospital $28

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

One of the lower prices — 5 of 8 other IL hospitals charge more for the same procedure.

Cheapest $21 Priciest $31

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Extended office visit (prolonged) is about $29 (about 0.9× the $34 Medicare rate). Kirby Medical Center charges insurers about $28 — about the fair price. Located in Monticello, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $27 - $28 79%
Blue Cross Blue Shieldmajor $22 - $28 65%
Aetnamajor $28 - $46 82%
Humanamajor $42 123%
Meridian $28 82%
Molina $29 85%
WellCare $28 82%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Medical Center Drive, Monticello, IL 61856
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals