Cincinnati Childrens Liberty Campus

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $37,748

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,885

• Breast MRI

  SSP RA011

  up to

  $3,087

• Breast Ultrasound

  SSP RA012

  up to

  $913

• Bronchoscopy

  SSP PU000

  up to

  $3,357

• Carpal Tunnel Repair

  SSP NU002

  up to

  $9,136

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,206

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,067

• Colonoscopy

  SSP GA002

  up to

  $5,895

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,973

• CT

  SSP RA001

  up to

  $1,220

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,346

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,757

• Fetal MRI

  SSP RA006

  up to

  $1,321

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $617

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,756

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $28,487

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $22,972

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $39,786

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $16,331

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $16,913

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,537

• Mammogram

  SSP RA010

  up to

  $722

• MRI with Contrast

  SSP RA007

  up to

  $1,146

• MRI without Contrast

  SSP RA005

  up to

  $1,133

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,585

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $35,404

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $9,873

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $8,758

• Ultrasound

  SSP RA008

  up to

  $1,268

• X-Ray

  SSP RA000

  up to

  $701