Bear River Valley Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,876

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,644

• Breast MRI

  SSP RA011

  up to

  $5,969

• Breast Ultrasound

  SSP RA012

  up to

  $2,494

• Bronchoscopy

  SSP PU000

  up to

  $1,285

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,638

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,130

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,576

• Colonoscopy

  SSP GA002

  up to

  $3,837

• CT

  SSP RA001

  up to

  $6,390

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,367

• Delivery - Cesarean

  SSP OB002

  up to

  $14,874

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,098

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,994

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,471

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,924

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,232

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $13,443

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,992

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $7,026

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,461

• Mammogram

  SSP RA010

  up to

  $478

• MRI with Contrast

  SSP RA007

  up to

  $1,656

• MRI without Contrast

  SSP RA005

  up to

  $5,293

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,610

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $17,532

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,870

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,923

• Ultrasound

  SSP RA008

  up to

  $1,249

• X-Ray

  SSP RA000

  up to

  $1,692