Bellin Health Oconto Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $8,909

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $5,000

• Breast MRI

  SSP RA011

  up to

  $2,525

• Breast Ultrasound

  SSP RA012

  up to

  $511

• Bronchoscopy

  SSP PU000

  up to

  $7,766

• Carpal Tunnel Repair

  SSP NU002

  up to

  $5,044

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,168

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,682

• Colonoscopy

  SSP GA002

  up to

  $4,919

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,867

• CT

  SSP RA001

  up to

  $1,929

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,269

• Delivery - Cesarean

  SSP OB002

  up to

  $21,110

• Delivery - Vaginal

  SSP OB001

  up to

  $17,212

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,055

• Fetal MRI

  SSP RA006

  up to

  $2,326

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,953

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,321

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $14,967

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,180

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $23,165

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $13,034

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $9,891

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $15,808

• Mammogram

  SSP RA010

  up to

  $594

• MRI with Contrast

  SSP RA007

  up to

  $1,339

• MRI without Contrast

  SSP RA005

  up to

  $1,411

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,736

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $21,086

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $14,194

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $8,649

• Ultrasound

  SSP RA008

  up to

  $752

• X-Ray

  SSP RA000

  up to

  $521