Columbia Memorial Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,736

• Breast MRI

  SSP RA011

  up to

  $799

• Breast Ultrasound

  SSP RA012

  up to

  $335

• Bronchoscopy

  SSP PU000

  up to

  $4,591

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,426

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,477

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,469

• Colonoscopy

  SSP GA002

  up to

  $3,759

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,573

• CT

  SSP RA001

  up to

  $625

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $796

• Delivery - Cesarean

  SSP OB002

  up to

  $30,059

• Delivery - Vaginal

  SSP OB001

  up to

  $19,528

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,232

• Fetal MRI

  SSP RA006

  up to

  $523

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,254

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,202

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $6,005

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,717

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $7,809

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,996

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $5,253

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $6,139

• Mammogram

  SSP RA010

  up to

  $330

• MRI with Contrast

  SSP RA007

  up to

  $779

• MRI without Contrast

  SSP RA005

  up to

  $606

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,539

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $7,348

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,093

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,130

• Ultrasound

  SSP RA008

  up to

  $607

• X-Ray

  SSP RA000

  up to

  $253