Edgewood Surgical Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,271

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,282

• Breast MRI

  SSP RA011

  up to

  $610

• Breast Ultrasound

  SSP RA012

  up to

  $283

• Bronchoscopy

  SSP PU000

  up to

  $3,052

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,345

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,337

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,217

• Colonoscopy

  SSP GA002

  up to

  $1,901

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,737

• CT

  SSP RA001

  up to

  $603

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $677

• Delivery - Cesarean

  SSP OB002

  up to

  $13,584

• Delivery - Vaginal

  SSP OB001

  up to

  $8,825

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,235

• Fetal MRI

  SSP RA006

  up to

  $445

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $877

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $742

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $7,241

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,758

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $10,900

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,812

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $4,927

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $7,394

• MRI with Contrast

  SSP RA007

  up to

  $600

• MRI without Contrast

  SSP RA005

  up to

  $530

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,127

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,321

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,068

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,089

• Ultrasound

  SSP RA008

  up to

  $245

• X-Ray

  SSP RA000

  up to

  $185