Bronson South Haven Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $1,761

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $3,395

• Breast MRI

  SSP RA011

  up to

  $1,740

• Breast Ultrasound

  SSP RA012

  up to

  $469

• Bronchoscopy

  SSP PU000

  up to

  $519

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,502

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $825

• Colonoscopy

  SSP GA002

  up to

  $1,158

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,097

• CT

  SSP RA001

  up to

  $1,765

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,547

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $789

• Fetal MRI

  SSP RA006

  up to

  $250

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $855

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $508

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,657

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $1,377

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $2,619

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $1,251

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $2,071

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $2,195

• Mammogram

  SSP RA010

  up to

  $344

• MRI with Contrast

  SSP RA007

  up to

  $2,533

• MRI without Contrast

  SSP RA005

  up to

  $1,838

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,301

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $2,719

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $727

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $463

• Ultrasound

  SSP RA008

  up to

  $1,401

• X-Ray

  SSP RA000

  up to

  $482