Atrium Health Mercy

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,567

• Breast MRI

  SSP RA011

  up to

  $2,621

• Breast Ultrasound

  SSP RA012

  up to

  $698

• Bronchoscopy

  SSP PU000

  up to

  $10,890

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,286

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,256

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,639

• Colonoscopy

  SSP GA002

  up to

  $1,172

• CT

  SSP RA001

  up to

  $2,193

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,320

• Delivery - Cesarean

  SSP OB002

  up to

  $12,555

• Delivery - Vaginal

  SSP OB001

  up to

  $8,788

• Fetal MRI

  SSP RA006

  up to

  $1,249

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,300

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,427

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,167

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $9,612

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,229

• Mammogram

  SSP RA010

  up to

  $666

• MRI with Contrast

  SSP RA007

  up to

  $2,004

• MRI without Contrast

  SSP RA005

  up to

  $1,799

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,375

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $17,490

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,824

• Ultrasound

  SSP RA008

  up to

  $823

• X-Ray

  SSP RA000

  up to

  $629