Catholic Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,076

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,421

• Breast MRI

  SSP RA011

  up to

  $2,832

• Breast Ultrasound

  SSP RA012

  up to

  $748

• Bronchoscopy

  SSP PU000

  up to

  $2,403

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $9,395

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,014

• Colonoscopy

  SSP GA002

  up to

  $6,256

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,796

• CT

  SSP RA001

  up to

  $1,343

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,759

• Delivery - Cesarean

  SSP OB002

  up to

  $26,262

• Delivery - Vaginal

  SSP OB001

  up to

  $17,061

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,318

• Fetal MRI

  SSP RA006

  up to

  $2,805

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,853

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,590

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $19,864

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $13,887

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $22,062

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,099

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $16,012

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $15,547

• Mammogram

  SSP RA010

  up to

  $864

• MRI with Contrast

  SSP RA007

  up to

  $2,824

• MRI without Contrast

  SSP RA005

  up to

  $2,926

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,273

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $15,393

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $11,136

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $10,924

• Ultrasound

  SSP RA008

  up to

  $1,129

• X-Ray

  SSP RA000

  up to

  $1,396