Catholic Medical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,298

• Breast MRI

  SSP RA011

  up to

  $5,349

• Breast Ultrasound

  SSP RA012

  up to

  $834

• Bronchoscopy

  SSP PU000

  up to

  $5,955

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,778

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $11,985

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,693

• Colonoscopy

  SSP GA002

  up to

  $5,056

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,657

• CT

  SSP RA001

  up to

  $4,741

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $6,006

• Delivery - Cesarean

  SSP OB002

  up to

  $28,806

• Delivery - Vaginal

  SSP OB001

  up to

  $15,183

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,998

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,079

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,966

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $27,967

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $20,358

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $14,509

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $17,948

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,929

• Mammogram

  SSP RA010

  up to

  $1,166

• MRI with Contrast

  SSP RA007

  up to

  $6,621

• MRI without Contrast

  SSP RA005

  up to

  $4,594

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,672

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $39,935

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $15,648

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $15,303

• Ultrasound

  SSP RA008

  up to

  $1,578

• X-Ray

  SSP RA000

  up to

  $1,957