Akron Childrens Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $1,184

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $722

• Breast Ultrasound

  SSP RA012

  up to

  $100

• Bronchoscopy

  SSP PU000

  up to

  $655

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $1,576

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $730

• Colonoscopy

  SSP GA002

  up to

  $848

• Colonoscopy via Stoma

  SSP GA000

  up to

  $751

• CT

  SSP RA001

  up to

  $790

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $219

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $535

• Fetal MRI

  SSP RA006

  up to

  $181

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $259

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $709

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,181

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $980

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $2,116

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $1,343

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $1,504

• MRI with Contrast

  SSP RA007

  up to

  $592

• MRI without Contrast

  SSP RA005

  up to

  $213

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,531

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $2,209

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $556

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $581

• Ultrasound

  SSP RA008

  up to

  $163

• X-Ray

  SSP RA000

  up to

  $3,592