Capital Health Regional Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $9,199

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $6,989

• Breast MRI

  SSP RA011

  up to

  $7,825

• Breast Ultrasound

  SSP RA012

  up to

  $342

• Bronchoscopy

  SSP PU000

  up to

  $6,542

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,629

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $8,463

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,383

• Colonoscopy

  SSP GA002

  up to

  $4,912

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,641

• CT

  SSP RA001

  up to

  $854

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $962

• Delivery - Cesarean

  SSP OB002

  up to

  $12,277

• Delivery - Vaginal

  SSP OB001

  up to

  $12,277

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,590

• Fetal MRI

  SSP RA006

  up to

  $1,017

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,804

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,863

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $20,180

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $13,032

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $17,151

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,608

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $9,731

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $16,257

• Mammogram

  SSP RA010

  up to

  $444

• MRI with Contrast

  SSP RA007

  up to

  $947

• MRI without Contrast

  SSP RA005

  up to

  $1,810

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $12,399

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $15,766

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $11,498

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $8,510

• Ultrasound

  SSP RA008

  up to

  $402

• X-Ray

  SSP RA000

  up to

  $2,043