Central Vermont Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $11,647

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,750

• Breast MRI

  SSP RA011

  up to

  $3,648

• Breast Ultrasound

  SSP RA012

  up to

  $1,255

• Bronchoscopy

  SSP PU000

  up to

  $2,996

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,471

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,791

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,347

• Colonoscopy

  SSP GA002

  up to

  $6,318

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,700

• CT

  SSP RA001

  up to

  $4,699

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,741

• Delivery - Cesarean

  SSP OB002

  up to

  $26,093

• Delivery - Vaginal

  SSP OB001

  up to

  $17,342

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,818

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,039

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $763

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $18,640

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $11,447

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $20,800

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,791

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $17,535

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $15,311

• Mammogram

  SSP RA010

  up to

  $991

• MRI with Contrast

  SSP RA007

  up to

  $6,118

• MRI without Contrast

  SSP RA005

  up to

  $4,243

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,360

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $20,690

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $10,382

• Ultrasound

  SSP RA008

  up to

  $1,297

• X-Ray

  SSP RA000

  up to

  $1,117