Childrens Hospital of Michigan

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $3,384

• Breast Ultrasound

  SSP RA012

  up to

  $236

• Bronchoscopy

  SSP PU000

  up to

  $7,049

• CT

  SSP RA001

  up to

  $6,827

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,448

• Fetal MRI

  SSP RA006

  up to

  $3,778

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,896

• MRI with Contrast

  SSP RA007

  up to

  $10,763

• MRI without Contrast

  SSP RA005

  up to

  $5,794

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,653

• Ultrasound

  SSP RA008

  up to

  $1,481

• X-Ray

  SSP RA000

  up to

  $794