CommonSpirit - Memorial Hospital - North Georgia

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,372

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $6,351

• Breast MRI

  SSP RA011

  up to

  $5,413

• Breast Ultrasound

  SSP RA012

  up to

  $3,090

• Bronchoscopy

  SSP PU000

  up to

  $7,685

• Carpal Tunnel Repair

  SSP NU002

  up to

  $16,052

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $15,620

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $6,088

• Colonoscopy

  SSP GA002

  up to

  $14,255

• Colonoscopy via Stoma

  SSP GA000

  up to

  $9,651

• CT

  SSP RA001

  up to

  $4,694

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,698

• Delivery - Cesarean

  SSP OB002

  up to

  $35,305

• Delivery - Vaginal

  SSP OB001

  up to

  $41,132

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $14,011

• Fetal MRI

  SSP RA006

  up to

  $2,093

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,355

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $6,295

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $31,916

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $21,837

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $40,101

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,253

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $30,285

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $28,029

• Mammogram

  SSP RA010

  up to

  $706

• MRI with Contrast

  SSP RA007

  up to

  $7,225

• MRI without Contrast

  SSP RA005

  up to

  $5,000

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $7,743

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $39,453

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,249

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $10,514

• Ultrasound

  SSP RA008

  up to

  $1,908

• X-Ray

  SSP RA000

  up to

  $1,562