Centra Specialty Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $21,140

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,382

• Breast MRI

  SSP RA011

  up to

  $2,387

• Bronchoscopy

  SSP PU000

  up to

  $8,033

• Carpal Tunnel Repair

  SSP NU002

  up to

  $8,719

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $10,846

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,771

• Colonoscopy

  SSP GA002

  up to

  $8,297

• Colonoscopy via Stoma

  SSP GA000

  up to

  $6,277

• CT

  SSP RA001

  up to

  $1,812

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,775

• Delivery - Cesarean

  SSP OB002

  up to

  $33,307

• Delivery - Vaginal

  SSP OB001

  up to

  $23,700

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $7,784

• Fetal MRI

  SSP RA006

  up to

  $1,119

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $848

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,771

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $27,808

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $17,706

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $36,387

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $12,237

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $22,267

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $23,437

• Mammogram

  SSP RA010

  up to

  $770

• MRI with Contrast

  SSP RA007

  up to

  $2,996

• MRI without Contrast

  SSP RA005

  up to

  $324

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,852

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $25,110

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,828

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $11,763

• Ultrasound

  SSP RA008

  up to

  $1,087

• X-Ray

  SSP RA000

  up to

  $965