Astria Toppenish Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $1,544

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $560

• Breast MRI

  SSP RA011

  up to

  $2,256

• Breast Ultrasound

  SSP RA012

  up to

  $467

• Bronchoscopy

  SSP PU000

  up to

  $657

• Carpal Tunnel Repair

  SSP NU002

  up to

  $945

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,093

• Colonoscopy

  SSP GA002

  up to

  $1,626

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,556

• CT

  SSP RA001

  up to

  $4,087

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,980

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,994

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $306

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $558

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,045

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $1,345

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $1,060

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $1,802

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $1,355

• Mammogram

  SSP RA010

  up to

  $674

• MRI with Contrast

  SSP RA007

  up to

  $1,064

• MRI without Contrast

  SSP RA005

  up to

  $2,235

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,929

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $1,995

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $427

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $444

• Ultrasound

  SSP RA008

  up to

  $912

• X-Ray

  SSP RA000

  up to

  $1,648