Braxton County Memorial Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,480

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,491

• Breast MRI

  SSP RA011

  up to

  $3,878

• Breast Ultrasound

  SSP RA012

  up to

  $728

• Bronchoscopy

  SSP PU000

  up to

  $6,385

• Carpal Tunnel Repair

  SSP NU002

  up to

  $5,008

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $10,394

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,260

• Colonoscopy

  SSP GA002

  up to

  $4,520

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,892

• CT

  SSP RA001

  up to

  $2,706

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,176

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,189

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,874

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,246

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $17,753

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $17,270

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,631

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $9,317

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $18,246

• Mammogram

  SSP RA010

  up to

  $540

• MRI with Contrast

  SSP RA007

  up to

  $2,892

• MRI without Contrast

  SSP RA005

  up to

  $2,391

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,293

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $37,890

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $9,342

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,270

• Ultrasound

  SSP RA008

  up to

  $872

• X-Ray

  SSP RA000

  up to

  $680