Concord Hospital

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $376

• Breast MRI

  SSP RA011

  up to

  $2,139

• Breast Ultrasound

  SSP RA012

  up to

  $144

• Bronchoscopy

  SSP PU000

  up to

  $1,148

• Carpal Tunnel Repair

  SSP NU002

  up to

  $405

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $701

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $488

• Colonoscopy

  SSP GA002

  up to

  $300

• Colonoscopy via Stoma

  SSP GA000

  up to

  $267

• CT

  SSP RA001

  up to

  $1,860

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,517

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $243

• Fetal MRI

  SSP RA006

  up to

  $189

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $133

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $484

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $604

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $1,701

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $949

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $1,963

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $607

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $1,111

• Mammogram

  SSP RA010

  up to

  $281

• MRI with Contrast

  SSP RA007

  up to

  $2,431

• MRI without Contrast

  SSP RA005

  up to

  $1,847

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,580

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $986

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $267

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $276

• Ultrasound

  SSP RA008

  up to

  $424

• X-Ray

  SSP RA000

  up to

  $363