Bethesda Butler Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $9,625

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,923

• Breast MRI

  SSP RA011

  up to

  $1,775

• Breast Ultrasound

  SSP RA012

  up to

  $485

• Bronchoscopy

  SSP PU000

  up to

  $5,260

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,840

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $8,863

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,182

• Colonoscopy

  SSP GA002

  up to

  $5,584

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,670

• CT

  SSP RA001

  up to

  $1,057

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,081

• Delivery - Cesarean

  SSP OB002

  up to

  $25,267

• Delivery - Vaginal

  SSP OB001

  up to

  $13,354

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,895

• Fetal MRI

  SSP RA006

  up to

  $859

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $574

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,311

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $12,527

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $11,916

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $19,768

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,532

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $20,670

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,678

• Mammogram

  SSP RA010

  up to

  $558

• MRI with Contrast

  SSP RA007

  up to

  $872

• MRI without Contrast

  SSP RA005

  up to

  $1,698

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,003

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $20,041

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,097

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,502

• Ultrasound

  SSP RA008

  up to

  $879

• X-Ray

  SSP RA000

  up to

  $523