White Mountain Regional Medical Center
Springerville, AZ · Critical Access Hospital
Posts prices for 51 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $2,474.96 | $4,342.04 | 0.6× |
| Shoulder arthroscopy with decompression (29826) range across 2 matching MRF lines |
$1,717.81–$3,038.40 | $3,013.70–$5,330.52 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 2 matching MRF lines |
$916.08–$2,880.42 | $1,607.16–$5,053.37 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,528.97 | $2,682.40 | 1.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$636.12–$1,571.36 | $1,116–$2,756.77 | varies |
| Diagnostic colonoscopy (45378) range across 3 matching MRF lines |
$543.87–$1,640.94 | $954.16–$2,878.85 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$652.05–$1,689.20 | $1,143.95–$2,963.51 | varies |
| Colonoscopy with lesion removal (45385) | $1,642.96 | $2,882.38 | 1.3× |
| Laparoscopic gallbladder removal (47562) range across 2 matching MRF lines |
$1,720.75–$4,243.95 | $3,018.86–$7,445.52 | varies |
| Inguinal hernia repair (age 5+) (49505) | $3,589.44 | $6,297.26 | 0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 4 matching MRF lines |
$249.97–$1,147.93 | $438.55–$2,013.92 | varies |
| After-cataract laser surgery (YAG capsulotomy) (66821) | $976.41 | $1,713 | 1.7× |
| Cataract removal with lens insertion (66984) | $2,573.14 | $4,514.28 | 1.0× |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$181.79–$1,131.87 | $318.93–$1,985.74 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$348.72–$1,785.05 | $611.79–$3,131.67 | varies |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$464.57–$1,981.32 | $815.04–$3,476 | varies |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$547.22–$1,981.32 | $960.03–$3,476 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$86.75–$383.61 | $152.19–$673 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$328.87–$1,782.39 | $576.96–$3,127 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$392.36–$1,372.98 | $688.35–$2,408.73 | varies |
| MRI lower-extremity joint without contrast (73721) range across 8 matching MRF lines |
$348.17–$1,762.98 | $610.83–$3,092.95 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$520.18–$2,505.84 | $912.60–$4,396.21 | varies |
| Ultrasound, abdomen complete (76700) range across 4 matching MRF lines |
$180.56–$616.17 | $316.77–$1,081 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 4 matching MRF lines |
$98.63–$478.23 | $173.03–$839 | varies |
| Ultrasound, transvaginal (76830) range across 4 matching MRF lines |
$76.29–$460.13 | $133.84–$807.25 | varies |
| Basic metabolic panel (80048) range across 4 matching MRF lines |
$71.90–$90.98 | $126.14–$159.62 | varies |
| Comprehensive metabolic panel (80053) range across 4 matching MRF lines |
$96.91–$964 | $170.02–$1,691.23 | varies |
| Lipid panel (80061) range across 4 matching MRF lines |
$84.52–$143.74 | $148.28–$252.17 | varies |
| Renal function panel (80069) | $86.07 | $151 | 9.9× |
| Hepatic function panel (80076) | $88.92 | $156 | 10.9× |
| Urinalysis, non-automated, with microscopy (81000) | $19.43 | $34.09 | 4.8× |
| Urinalysis, non-automated, without microscopy (81002) range across 6 matching MRF lines |
$3.97–$14.61 | $6.96–$25.64 | varies |
| PSA, total (84153) | $96.90 | $170 | 5.3× |
| Thyroid stimulating hormone (TSH) (84443) range across 4 matching MRF lines |
$93.94–$255.25 | $164.80–$447.80 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$48.35–$52.82 | $84.82–$92.67 | varies |
| CBC, automated (85027) | $39.58 | $69.44 | 6.1× |
| Prothrombin time (PT) (85610) range across 9 matching MRF lines |
$29.75–$62.13 | $52.20–$109 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$41.84–$52.97 | $73.41–$92.93 | varies |
| Psychotherapy, 30 minutes (90832) | $131.16 | $230.10 | 0.7× |
| Psychotherapy, 45 minutes (90834) | $173.14 | $303.75 | 0.9× |
| Psychotherapy, 60 minutes (90837) | $254.35 | $446.22 | 1.3× |
| Electrocardiogram (ECG), complete (93000) | $67.71 | $118.79 | 1.1× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$1,040.84–$2,618.07 | $1,826.04–$4,593.10 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 5 matching MRF lines |
$59.84–$75.62 | $104.99–$132.67 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 6 matching MRF lines |
$150.95–$234.59 | $264.83–$411.56 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 4 matching MRF lines |
$281.96–$356.95 | $494.67–$626.22 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 4 matching MRF lines |
$373.04–$448.36 | $654.45–$786.60 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 4 matching MRF lines |
$114.22–$194.48 | $200.38–$341.20 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) | $168.37 | $295.38 | 1.2× |
| Preventive visit, new patient (age 18–39) (99385) | $108.93 | $191.11 | — |
| Preventive visit, new patient (age 40–64) (99386) | $128.74 | $225.86 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 206 codes with posted prices and Medicare benchmarks
- Lab & pathology: 560 codes with posted prices and Medicare benchmarks
- Visits & medical services: 157 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 615 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 16 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 27.0 MB) ↓ — captured 2026-08-15
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.