Pacific Surgical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,055

• Breast MRI

  SSP RA011

  up to

  $261

• Bronchoscopy

  SSP PU000

  up to

  $3,680

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,679

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,400

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,722

• Colonoscopy

  SSP GA002

  up to

  $1,578

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,693

• CT

  SSP RA001

  up to

  $585

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $635

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $885

• Fetal MRI

  SSP RA006

  up to

  $351

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $525

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,040

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,177

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $3,548

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $7,711

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $3,411

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,450

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $4,458

• MRI with Contrast

  SSP RA007

  up to

  $619

• MRI without Contrast

  SSP RA005

  up to

  $514

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,110

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $6,910

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,967

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,298

• Ultrasound

  SSP RA008

  up to

  $249

• X-Ray

  SSP RA000

  up to

  $183