CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,949 - $3,737
from 4 insurers · median $3,515
Typical for a hospital with this service line
Springerville, AZ
31
In-network payers
210
Disclosed rate categories
21
Beds
White Mountain Regional Hospital is a 21-bed voluntary non-profit - private hospital in Springerville, AZ. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 210 disclosed rate categories.
CCN (Medicare provider number)
031315
NPI
1699766592
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
21
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 White Mountain Regional 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
$1,949 - $3,737
from 4 insurers · median $3,515
Typical for a hospital with this service line
CT imaging
CPT 70450
$793 - $1,589
from 4 insurers · median $1,450
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,598 - $2,781
from 4 insurers · median $2,779
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,435 - $2,803
from 4 insurers · median $2,443
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,825 - $3,629
from 4 insurers · median $2,955
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$579 - $1,594
from 4 insurers · median $1,182
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,946 - $2,306
from 4 insurers · median $2,306
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$308 - $347
from 4 insurers · median $309
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,296 - $2,440
from 4 insurers · median $2,371
Typical for a hospital with this service line
MRI imaging
CPT 72148
$367 - $2,502
from 4 insurers · median $2,495
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,644 - $2,819
from 4 insurers · median $2,075
Typical for a hospital with this service line
MRI imaging
CPT 73721
$367 - $2,474
from 4 insurers · median $2,473
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,236 - $2,376
from 4 insurers · median $2,296
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,017 - $1,646
from 4 insurers · median $1,065
Typical for a hospital with this service line
Ultrasound
CPT 76705
$422 - $674
from 4 insurers · median $588
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,014 - $3,955
from 3 insurers · median $2,083
Hospital reports nuclear medicine services to CMS
Laboratory and pathology
CPT 80053
$12 - $168
from 4 insurers · median $164
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,033 - $3,611
from 4 insurers · median $3,414
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$325 - $350
from 4 insurers · median $350
Typical for a hospital with this service line
Ultrasound
CPT 76536
$402 - $674
from 4 insurers · median $654
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$236 - $451
from 4 insurers · median $367
Typical for a hospital with this service line
Ultrasound
CPT 76856
$174 - $667
from 4 insurers · median $544
Typical for a hospital with this service line
Ultrasound
CPT 76700
$174 - $919
from 4 insurers · median $864
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$2,747 - $4,447
from 4 insurers · median $2,878
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* | 24 | 560% | 21 | 2 |
| Insurer B* | 24 | 553% | 16 | 4 |
| Insurer C* | 23 | 525% | 15 | 0 |
| Insurer D* | 24 | 218% | 12 | 9 |
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 White Mountain Regional Hospital.
118 South Mountain Avenue, Springerville, AZ 85938
(928) 333-4368
About White Mountain Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at White Mountain Regional Hospital range from $1,825 to $3,629 across 4 insurers. Blue Cross Blue Shield's rate is $3,128. The median at nearby comparable hospitals is $1,288. 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 White Mountain Regional Hospital range from $1,949 to $3,737 across 4 insurers. Aetna's rate is $3,513. The median at nearby comparable hospitals is $1,428. 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 White Mountain Regional Hospital range from $1,946 to $2,306 across 4 insurers. Blue Cross Blue Shield's rate is $1,946. The median at nearby comparable hospitals is $2,402. What a patient pays depends on their plan's deductible, coinsurance and network status.
White Mountain Regional Hospital has 21 beds. Facility type: Critical Access Hospital.
White Mountain Regional Hospital is located at 118 South Mountain Avenue, Springerville, AZ 85938. Its main phone number is (928) 333-4368.
White Mountain Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 031315.
The National Provider Identifier (NPI) on file for White Mountain Regional Hospital is 1699766592.
White Mountain Regional Hospital lists 31 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.
210 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.
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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.
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{
"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