Carle Hoopeston Regional Health Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $5,849

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,398

• Breast MRI

  SSP RA011

  up to

  $2,362

• Breast Ultrasound

  SSP RA012

  up to

  $867

• Bronchoscopy

  SSP PU000

  up to

  $3,202

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,268

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,099

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,531

• Colonoscopy

  SSP GA002

  up to

  $4,053

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,001

• CT

  SSP RA001

  up to

  $5,656

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $6,375

• Delivery - Cesarean

  SSP OB002

  up to

  $16,466

• Delivery - Vaginal

  SSP OB001

  up to

  $15,669

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,281

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $813

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,266

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,484

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,586

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $10,880

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,210

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $7,298

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $5,995

• Mammogram

  SSP RA010

  up to

  $794

• MRI with Contrast

  SSP RA007

  up to

  $6,410

• MRI without Contrast

  SSP RA005

  up to

  $6,196

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,678

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,329

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $6,242

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,349

• Ultrasound

  SSP RA008

  up to

  $1,503

• X-Ray

  SSP RA000

  up to

  $1,114