CHA Everett Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,092

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,108

• Breast MRI

  SSP RA011

  up to

  $768

• Breast Ultrasound

  SSP RA012

  up to

  $264

• Bronchoscopy

  SSP PU000

  up to

  $3,574

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,527

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,763

• Colonoscopy

  SSP GA002

  up to

  $2,761

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,925

• CT

  SSP RA001

  up to

  $1,260

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,293

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,017

• Fetal MRI

  SSP RA006

  up to

  $552

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,434

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,539

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $10,280

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,577

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,145

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $5,377

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $6,612

• Mammogram

  SSP RA010

  up to

  $430

• MRI with Contrast

  SSP RA007

  up to

  $705

• MRI without Contrast

  SSP RA005

  up to

  $816

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,601

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,685

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,061

• Ultrasound

  SSP RA008

  up to

  $517

• X-Ray

  SSP RA000

  up to

  $281