Clark Regional Medical Center

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $415

• Breast Ultrasound

  SSP RA012

  up to

  $705

• Bronchoscopy

  SSP PU000

  up to

  $4,164

• Carpal Tunnel Repair

  SSP NU002

  up to

  $5,298

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,184

• Colonoscopy

  SSP GA002

  up to

  $3,650

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,776

• CT

  SSP RA001

  up to

  $2,622

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,781

• Delivery - Cesarean

  SSP OB002

  up to

  $17,008

• Delivery - Vaginal

  SSP OB001

  up to

  $12,567

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,728

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $925

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $435

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $21,338

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $16,071

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,476

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $7,614

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,321

• Mammogram

  SSP RA010

  up to

  $339

• MRI with Contrast

  SSP RA007

  up to

  $2,666

• MRI without Contrast

  SSP RA005

  up to

  $2,000

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,364

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $2,837

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,891

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,423

• Ultrasound

  SSP RA008

  up to

  $1,016

• X-Ray

  SSP RA000

  up to

  $787