Supplies, drugs & other prices at White Mountain Regional Medical Center
Springerville, AZ · every code in this section with a posted price and a Medicare benchmark.
16 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $33.01 | $57.92 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $33.01 | $57.92 | 0.7× |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$47.01–$56.11 | $82.47–$98.44 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $1,594.15 | $2,796.75 | 1.6× |
| Colorectal scrn; hi risk ind (G0105) | $1,608.54 | $2,822 | 1.6× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$63.98–$122.57 | $112.24–$215.03 | varies |
| Drug test def 8-14 classes (G0481) | $179.19 | $314.36 | 1.1× |
| Initial preventive exam (G0402) | $84.51 | $148.27 | 0.6× |
| Inj for sacroiliac jt anesth (G0260) | $1,038.53 | $1,821.99 | 1.4× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $1,696.70 | $2,976.66 | 0.5× |
| Obtaining screen pap smear (Q0091) | $10.70 | $18.77 | 0.3× |
| Ppps, initial visit (G0438) | $282.36 | $495.36 | 1.6× |
| Ppps, subseq visit (G0439) | $77.51 | $135.99 | 0.6× |
| Removal of sinus tarsi implant (0510T) | $1,682.98 | $2,952.59 | 0.5× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$1,508.12–$2,488.78 | $2,645.83–$4,366.28 | varies |
| Trim nail(s) (G0127) | $12.83 | $22.50 | 0.2× |
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.