CMS Price Transparency Data

Family therapy session

Facility: Kirby Medical Center

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 0.5× the $181 Medicare rate · typically $90–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $4 over the fair price · 0.6× Medicare
Medicare pays $181 Fair price $99 This hospital $103

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 2 charge more and 3 charge less, among the 9 IL hospitals compared.

Cheapest $65 Priciest $113

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

A fair price for a Family therapy session is about $99 (about 0.5× the $181 Medicare rate). Kirby Medical Center charges insurers about $103 — 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 $89 - $103 49%
Blue Cross Blue Shieldmajor $68 - $103 37%
Aetnamajor $68 - $148 37%
Humanamajor $137 76%
Meridian $68 - $103 37%
Molina $71 - $106 39%
WellCare $103 57%
+ 1 smaller / regional plan $139
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