CMS Price Transparency Data

Physical therapy (gait training)

Facility: Kirby Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$28
about 1.0× the $29 Medicare rate · typically $23–$31
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
1.0× Medicare
Medicare pays $29 Fair price $28 This hospital $28

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 0 charge more and 3 charge less, among the 9 IL hospitals compared.

Cheapest $19 Priciest $28

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

A fair price for a Physical therapy (gait training) is about $28 (about 1.0× the $29 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 $21 - $28 72%
Blue Cross Blue Shieldmajor $19 - $28 65%
Aetnamajor $19 - $32 65%
Humanamajor $38 131%
Meridian $19 - $28 65%
Molina $20 - $29 69%
WellCare $28 96%
+ 1 smaller / regional plan $38
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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