CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$4,770 - $6,755
from 4 insurers · median $5,212
Typical for a hospital with this service line
Monticello, IL
34
In-network payers
139
Disclosed rate categories
16
Beds
Kirby Hospital is a 16-bed voluntary non-profit - private hospital in Monticello, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 139 disclosed rate categories.
CCN (Medicare provider number)
141301
NPI
1730179847
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
16
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Kirby Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$4,770 - $6,755
from 4 insurers · median $5,212
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,445 - $4,825
from 4 insurers · median $4,127
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,521 - $3,571
from 4 insurers · median $2,755
Typical for a hospital with this service line
CT imaging
CPT 71260
$3,046 - $3,445
from 2 insurers · median $3,245
Typical for a hospital with this service line
MRI imaging
CPT 70553
$128 - $6,755
from 4 insurers · median $4,862
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,750 - $3,445
from 2 insurers · median $2,598
Typical for a hospital with this service line
Mammography
CPT 77067
$505 - $719
from 4 insurers · median $551
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$6,821 - $9,554
from 4 insurers · median $7,376
Hospital reports pet scan services to CMS
X-ray and bone density
CPT 71046
$413 - $579
from 4 insurers · median $447
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,925 - $4,400
from 3 insurers · median $3,790
Typical for a hospital with this service line
MRI imaging
CPT 70551
$3,392 - $4,400
from 3 insurers · median $3,790
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$4,961 - $6,948
from 4 insurers · median $5,363
Hospital reports pet scan services to CMS
Digestive procedures
CPT 45385
$2,624 - $3,071
from 2 insurers · median $2,848
Typical for a hospital with this service line
MRI imaging
CPT 73721
$3,383 - $4,400
from 3 insurers · median $3,790
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,188 - $4,118
from 2 insurers · median $3,153
Typical for a hospital with this service line
Ultrasound
CPT 76705
$758 - $1,062
from 4 insurers · median $846
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$4,118
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,010 - $2,174
from 2 insurers · median $1,592
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,500 - $10,356
from 2 insurers · median $6,928
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$758 - $1,062
from 4 insurers · median $922
Typical for a hospital with this service line
Ultrasound
CPT 76642
$586 - $833
from 4 insurers · median $725
Typical for a hospital with this service line
Ultrasound
CPT 76830
$758 - $1,062
from 4 insurers · median $822
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$551 - $772
from 4 insurers · median $607
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$4,574 - $6,406
from 4 insurers · median $4,979
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 857% | 8 | 0 |
| Insurer B* | 19 | 710% | 7 | 3 |
| Insurer C* | 24 | 630% | 23 | 0 |
| Insurer D* | 21 | 605% | 7 | 3 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Kirby Hospital.
1000 Medical Center Drive, Monticello, IL 61856
(217) 762-2115
About Kirby Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Kirby Hospital range from $128 to $6,755 across 4 insurers. Cigna's rate is $128. The median at nearby comparable hospitals is $5,292. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Kirby Hospital range from $4,770 to $6,755 across 4 insurers. Aetna's rate is $4,770. The median at nearby comparable hospitals is $5,261. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Kirby Hospital range from $2,624 to $3,071 across 2 insurers. Aetna's rate is $3,071. The median at nearby comparable hospitals is $441. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Kirby Hospital range from $505 to $719 across 4 insurers. UnitedHealthcare's rate is $510. The median at nearby comparable hospitals is $137. What a patient pays depends on their plan's deductible, coinsurance and network status.
Kirby Hospital has 16 beds. Facility type: Critical Access Hospital.
Kirby Hospital is located at 1000 Medical Center Drive, Monticello, IL 61856. Its main phone number is (217) 762-2115.
Kirby Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 141301.
The National Provider Identifier (NPI) on file for Kirby Hospital is 1730179847.
Kirby Hospital lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
139 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers