Atlantic General Hospital

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,236

• Breast MRI

  SSP RA011

  up to

  $2,253

• Breast Ultrasound

  SSP RA012

  up to

  $344

• Bronchoscopy

  SSP PU000

  up to

  $6,656

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,345

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,375

• Colonoscopy

  SSP GA002

  up to

  $5,659

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,250

• CT

  SSP RA001

  up to

  $1,478

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,323

• Delivery - Cesarean

  SSP OB002

  up to

  $16,062

• Delivery - Vaginal

  SSP OB001

  up to

  $12,039

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,982

• Fetal MRI

  SSP RA006

  up to

  $1,355

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $916

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,103

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $7,385

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,191

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $16,423

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,672

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $12,423

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $11,201

• Mammogram

  SSP RA010

  up to

  $313

• MRI with Contrast

  SSP RA007

  up to

  $2,442

• MRI without Contrast

  SSP RA005

  up to

  $1,784

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,314

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $13,975

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,466

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,909

• Ultrasound

  SSP RA008

  up to

  $733

• X-Ray

  SSP RA000

  up to

  $529