Kirby Medical Center
1000 Medical Center Drive
Monticello, IL 61856
Critical Access Hospitals
Overview
- CCN141301
Procedures & prices
- 5% DEXTROSE IN LAC RINGERSJ7121$12cashGross $200 payers
- RINGERS LACTATE INFUSIONJ7120$12cashGross $200 payers
- HC DUP-SCAN XTRC ART UNI/LMTD STD93882$15cashGross $780 payers
- Anes hrna rpr upr abd nos00750$16cashGross $270 payers
- Anes all px nrv musc sho&ax01610$16cashGross $270 payers
- Anes all px nrv msc kne&/pop01320$16cashGross $270 payers
- Anes rpr rpt achilles tendon01472$16cashGross $270 payers
- Anes clsd px lower l/a/f01462$16cashGross $270 payers
- HC DEVELOPMENTAL SCREEN W/SCORE GP96110$16cashGross $270 payers
- IIV3 VACC NO PRSV 0.5 ML IM90656$16cashGross $270 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| 5% DEXTROSE IN LAC RINGERS | J7121 | $12 | $20 | — | 0 |
| RINGERS LACTATE INFUSION | J7120 | $12 | $20 | — | 0 |
| HC DUP-SCAN XTRC ART UNI/LMTD STD | 93882 | $15 | $78 | — | 0 |
| Anes hrna rpr upr abd nos | 00750 | $16 | $27 | — | 0 |
| Anes all px nrv musc sho&ax | 01610 | $16 | $27 | — | 0 |
| Anes all px nrv msc kne&/pop | 01320 | $16 | $27 | — | 0 |
| Anes rpr rpt achilles tendon | 01472 | $16 | $27 | — | 0 |
| Anes clsd px lower l/a/f | 01462 | $16 | $27 | — | 0 |
| HC DEVELOPMENTAL SCREEN W/SCORE GP | 96110 | $16 | $27 | — | 0 |
| IIV3 VACC NO PRSV 0.5 ML IM | 90656 | $16 | $27 | — | 0 |
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