East Jefferson Ambulatory Surgery Center

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $271

• Bronchoscopy

  SSP PU000

  up to

  $1,873

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,510

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,345

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,632

• Colonoscopy

  SSP GA002

  up to

  $1,233

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,191

• CT

  SSP RA001

  up to

  $700

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $642

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $760

• Fetal MRI

  SSP RA006

  up to

  $488

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $678

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $3,744

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $2,902

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $7,084

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $3,409

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,413

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $3,907

• MRI with Contrast

  SSP RA007

  up to

  $805

• MRI without Contrast

  SSP RA005

  up to

  $741

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $913

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $6,341

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $1,940

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,006

• Ultrasound

  SSP RA008

  up to

  $232

• X-Ray

  SSP RA000

  up to

  $159