Scripps Clinic Jefferson Ambulatory Surgery Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,253

• Breast MRI

  SSP RA011

  up to

  $338

• Bronchoscopy

  SSP PU000

  up to

  $1,982

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,039

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,266

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,184

• Colonoscopy

  SSP GA002

  up to

  $2,367

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,684

• CT

  SSP RA001

  up to

  $1,301

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,460

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,654

• Fetal MRI

  SSP RA006

  up to

  $1,537

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $337

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,256

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $10,051

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $2,071

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $16,310

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,950

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,043

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,522

• MRI with Contrast

  SSP RA007

  up to

  $2,149

• MRI without Contrast

  SSP RA005

  up to

  $1,360

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,245

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $12,026

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,277

• Ultrasound

  SSP RA008

  up to

  $680

• X-Ray

  SSP RA000

  up to

  $284