Cincinnati Childrens Burnet Campus

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $2,080

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,308

• Breast Ultrasound

  SSP RA012

  up to

  $180

• Bronchoscopy

  SSP PU000

  up to

  $618

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,902

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,171

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,417

• Colonoscopy

  SSP GA002

  up to

  $1,618

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,281

• CT

  SSP RA001

  up to

  $1,693

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,486

• Delivery - Cesarean

  SSP OB002

  up to

  $28,942

• Delivery - Vaginal

  SSP OB001

  up to

  $12,872

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $704

• Fetal MRI

  SSP RA006

  up to

  $1,909

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $292

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,027

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,690

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $1,952

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $3,710

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $1,444

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $2,317

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $2,653

• MRI with Contrast

  SSP RA007

  up to

  $2,924

• MRI without Contrast

  SSP RA005

  up to

  $2,282

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $3,978

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $937

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $1,017

• Ultrasound

  SSP RA008

  up to

  $533

• X-Ray

  SSP RA000

  up to

  $271