CaroMont Regional Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $12,966

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,577

• Breast MRI

  SSP RA011

  up to

  $1,073

• Breast Ultrasound

  SSP RA012

  up to

  $424

• Bronchoscopy

  SSP PU000

  up to

  $8,955

• Carpal Tunnel Repair

  SSP NU002

  up to

  $12,407

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $10,151

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,387

• Colonoscopy

  SSP GA002

  up to

  $7,574

• Colonoscopy via Stoma

  SSP GA000

  up to

  $7,256

• CT

  SSP RA001

  up to

  $711

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,105

• Delivery - Cesarean

  SSP OB002

  up to

  $43,933

• Delivery - Vaginal

  SSP OB001

  up to

  $28,541

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $6,839

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $4,204

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,801

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $17,723

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $13,026

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $19,471

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $16,949

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $13,481

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $17,846

• Mammogram

  SSP RA010

  up to

  $446

• MRI with Contrast

  SSP RA007

  up to

  $1,129

• MRI without Contrast

  SSP RA005

  up to

  $759

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $7,368

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $19,007

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $9,792

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,852

• Ultrasound

  SSP RA008

  up to

  $703

• X-Ray

  SSP RA000

  up to

  $366