Baylor Scott & White Medical Center - Uptown

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $2,223

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,310

• Breast MRI

  SSP RA011

  up to

  $1,525

• Breast Ultrasound

  SSP RA012

  up to

  $630

• Bronchoscopy

  SSP PU000

  up to

  $10,544

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,185

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,873

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,323

• Colonoscopy

  SSP GA002

  up to

  $5,788

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,112

• CT

  SSP RA001

  up to

  $2,045

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,373

• Delivery - Cesarean

  SSP OB002

  up to

  $22,220

• Delivery - Vaginal

  SSP OB001

  up to

  $13,635

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,236

• Fetal MRI

  SSP RA006

  up to

  $731

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $882

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,156

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $11,795

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,018

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $13,055

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,156

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $2,877

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,419

• Mammogram

  SSP RA010

  up to

  $663

• MRI with Contrast

  SSP RA007

  up to

  $2,476

• MRI without Contrast

  SSP RA005

  up to

  $1,919

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,711

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $16,516

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,380

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,324

• Ultrasound

  SSP RA008

  up to

  $583

• X-Ray

  SSP RA000

  up to

  $546