Ascension Columbia St Marys Womens Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $13,340

• Breast MRI

  SSP RA011

  up to

  $7,104

• Breast Ultrasound

  SSP RA012

  up to

  $761

• Bronchoscopy

  SSP PU000

  up to

  $5,295

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,918

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $9,991

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,173

• Colonoscopy

  SSP GA002

  up to

  $9,372

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,213

• CT

  SSP RA001

  up to

  $5,017

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,461

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $9,227

• Fetal MRI

  SSP RA006

  up to

  $958

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,255

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,096

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $38,010

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $18,866

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $29,762

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $53,229

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $14,583

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $23,454

• Mammogram

  SSP RA010

  up to

  $396

• MRI with Contrast

  SSP RA007

  up to

  $5,430

• MRI without Contrast

  SSP RA005

  up to

  $3,937

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,733

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $25,174

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $16,527

• Ultrasound

  SSP RA008

  up to

  $2,496

• X-Ray

  SSP RA000

  up to

  $956