CAMC General Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $1,609

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,716

• Breast MRI

  SSP RA011

  up to

  $6,342

• Breast Ultrasound

  SSP RA012

  up to

  $887

• Bronchoscopy

  SSP PU000

  up to

  $3,011

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,381

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $888

• Colonoscopy

  SSP GA002

  up to

  $2,057

• Colonoscopy via Stoma

  SSP GA000

  up to

  $822

• CT

  SSP RA001

  up to

  $5,143

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $7,116

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,742

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $708

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $854

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,186

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $6,009

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $3,819

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $1,160

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $1,905

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $1,920

• Mammogram

  SSP RA010

  up to

  $493

• MRI with Contrast

  SSP RA007

  up to

  $7,343

• MRI without Contrast

  SSP RA005

  up to

  $4,380

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,777

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $2,902

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $2,766

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $1,129

• Ultrasound

  SSP RA008

  up to

  $1,402

• X-Ray

  SSP RA000

  up to

  $842