Cincinnati Childrens Liberty Campus

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $28,739

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,833

• Breast MRI

  SSP RA011

  up to

  $2,939

• Breast Ultrasound

  SSP RA012

  up to

  $978

• Bronchoscopy

  SSP PU000

  up to

  $3,357

• Carpal Tunnel Repair

  SSP NU002

  up to

  $10,262

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,576

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,933

• Colonoscopy

  SSP GA002

  up to

  $5,633

• Colonoscopy via Stoma

  SSP GA000

  up to

  $9,115

• CT

  SSP RA001

  up to

  $1,197

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,239

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,779

• Fetal MRI

  SSP RA006

  up to

  $1,274

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $729

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,756

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $26,925

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $21,727

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $37,805

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $15,428

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $16,011

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $11,861

• Mammogram

  SSP RA010

  up to

  $702

• MRI with Contrast

  SSP RA007

  up to

  $1,110

• MRI without Contrast

  SSP RA005

  up to

  $1,096

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,646

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $33,564

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $9,342

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $12,040

• Ultrasound

  SSP RA008

  up to

  $1,208

• X-Ray

  SSP RA000

  up to

  $726