CMS Price Transparency Data

Prosthetic fitting and training

Facility: Kirby Medical Center

Billing Code: 97761 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 0.8× the $40 Medicare rate · typically $29–$40
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $40 Fair price $34 This hospital $39

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $39

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

A fair price for a Prosthetic fitting and training is about $34 (about 0.8× the $40 Medicare rate). Kirby Medical Center charges insurers about $39 — 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 $25 - $39 62%
Blue Cross Blue Shieldmajor $31 - $39 77%
Aetnamajor $39 - $45 97%
Humanamajor $53 131%
Meridian $39 97%
Molina $40 99%
WellCare $39 97%
+ 1 smaller / regional plan $52
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