Bethesda North Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $9,018

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,630

• Breast MRI

  SSP RA011

  up to

  $1,501

• Breast Ultrasound

  SSP RA012

  up to

  $561

• Bronchoscopy

  SSP PU000

  up to

  $3,607

• Carpal Tunnel Repair

  SSP NU002

  up to

  $5,093

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $8,076

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,101

• Colonoscopy

  SSP GA002

  up to

  $4,978

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,256

• CT

  SSP RA001

  up to

  $552

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,688

• Delivery - Cesarean

  SSP OB002

  up to

  $25,267

• Delivery - Vaginal

  SSP OB001

  up to

  $16,415

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,663

• Fetal MRI

  SSP RA006

  up to

  $519

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $466

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $752

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $11,893

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $11,236

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $22,255

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,097

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $19,877

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $11,951

• Mammogram

  SSP RA010

  up to

  $446

• MRI with Contrast

  SSP RA007

  up to

  $536

• MRI without Contrast

  SSP RA005

  up to

  $1,904

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,632

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $17,627

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $6,785

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,171

• Ultrasound

  SSP RA008

  up to

  $512

• X-Ray

  SSP RA000

  up to

  $468