Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$3,404 - $4,826
from 4 insurers ยท median $4,826
Typical for a hospital with this service line
Indiana University Health ยท Monticello, IN
33
In-network payers
312
Disclosed rate categories
25
Beds
4
Care quality
Iu Health White Hospital is a 25-bed voluntary non-profit - private hospital in Monticello, IN, affiliated with Indiana University Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 312 disclosed rate categories.
CCN (Medicare provider number)
151312
NPI
1710983945
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Care Quality
4
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 Iu Health White 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.
Digestive procedures
CPT 43239
$3,404 - $4,826
from 4 insurers ยท median $4,826
Typical for a hospital with this service line
Childbirth ยท Inpatient
MS-DRG 807
$4,068
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 45380
$5,000 - $5,000
from 3 insurers ยท median $5,000
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$212 - $2,228
from 4 insurers ยท median $1,923
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,065 - $4,250
from 4 insurers ยท median $4,250
Typical for a hospital with this service line
CT imaging
CPT 74177
$598 - $725
from 4 insurers ยท median $725
Typical for a hospital with this service line
CT imaging
CPT 70450
$520 - $725
from 4 insurers ยท median $662
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$705 - $6,069
from 4 insurers ยท median $5,454
Hospital reports nuclear medicine services to CMS
Medicine & Surgery
CPT 47562
$15,510 - $15,510
from 3 insurers ยท median $15,510
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$4,252 - $4,603
from 4 insurers ยท median $4,603
Typical for a hospital with this service line
Childbirth ยท Inpatient
MS-DRG 788
$4,068
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Gynecology
CPT 58571
$44,382
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,506 - $6,133
from 3 insurers ยท median $6,133
Typical for a hospital with this service line
CT imaging
CPT 74176
$598 - $725
from 4 insurers ยท median $725
Typical for a hospital with this service line
Medicine & Surgery
CPT 29826
$9,612 - $18,951
from 3 insurers ยท median $18,951
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$116 - $200
from 4 insurers ยท median $200
Typical for a hospital with this service line
Mammography
CPT 77067
$175 - $175
from 4 insurers ยท median $175
Typical for a hospital with this service line
CT imaging
CPT 71275
$653 - $725
from 4 insurers ยท median $725
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$30,000 - $30,000
from 3 insurers ยท median $30,000
Typical for a hospital with this service line
MRI imaging
CPT 70553
$540 - $925
from 4 insurers ยท median $925
Typical for a hospital with this service line
Gynecology
CPT 58661
$25,427
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,099 - $9,660
from 4 insurers ยท median $5,828
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$6,979 - $6,979
from 3 insurers ยท median $6,979
Typical for a hospital with this service line
MRI imaging
CPT 72148
$694 - $925
from 4 insurers ยท median $925
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 | 331% | 7 | 3 |
| Insurer B* | 24 | 324% | 15 | 7 |
| Insurer C* | 20 | 297% | 1 | 5 |
| Insurer D* | 20 | 245% | 8 | 10 |
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 Iu Health White Hospital.
720 South Sixth Street, Monticello, IN 47960
(574) 583-7111
About Iu Health White Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Iu Health White Hospital range from $540 to $925 across 4 insurers. UnitedHealthcare's rate is $925. The median at nearby comparable hospitals is $848. 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 Iu Health White Hospital range from $598 to $725 across 4 insurers. Cigna's rate is $725. The median at nearby comparable hospitals is $2,308. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Iu Health White Hospital range from $5,000 to $5,000 across 3 insurers. Blue Cross Blue Shield's rate is $5,000. The median at nearby comparable hospitals is $2,887. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Iu Health White Hospital range from $4,068 to $4,068 across 1 insurers. Blue Cross Blue Shield's rate is $4,068. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Iu Health White Hospital range from $175 to $175 across 4 insurers. Aetna's rate is $175. The median at nearby comparable hospitals is $225. What a patient pays depends on their plan's deductible, coinsurance and network status.
Iu Health White Hospital has 25 beds. Facility type: Critical Access Hospital.
Iu Health White Hospital is located at 720 South Sixth Street, Monticello, IN 47960. Its main phone number is (574) 583-7111.
Iu Health White Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 151312.
The National Provider Identifier (NPI) on file for Iu Health White Hospital is 1710983945.
Iu Health White Hospital is affiliated with Indiana University Health.
Iu Health White Hospital lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
312 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