Citizens Medical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $3,271

• Breast MRI

  SSP RA011

  up to

  $2,642

• Breast Ultrasound

  SSP RA012

  up to

  $476

• Bronchoscopy

  SSP PU000

  up to

  $3,860

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,820

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,051

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,131

• Colonoscopy

  SSP GA002

  up to

  $7,323

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,689

• CT

  SSP RA001

  up to

  $3,189

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,859

• Delivery - Cesarean

  SSP OB002

  up to

  $12,829

• Delivery - Vaginal

  SSP OB001

  up to

  $11,506

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,579

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,468

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $753

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $12,934

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $12,281

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,329

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $15,726

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $14,816

• Mammogram

  SSP RA010

  up to

  $556

• MRI with Contrast

  SSP RA007

  up to

  $4,018

• MRI without Contrast

  SSP RA005

  up to

  $2,830

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,640

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $13,927

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $8,921

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,254

• Ultrasound

  SSP RA008

  up to

  $993

• X-Ray

  SSP RA000

  up to

  $1,056