Emerson Hospital

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,426

• Breast MRI

  SSP RA011

  up to

  $3,434

• Breast Ultrasound

  SSP RA012

  up to

  $213

• Bronchoscopy

  SSP PU000

  up to

  $2,247

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,794

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $6,176

• Colonoscopy

  SSP GA002

  up to

  $2,247

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,247

• CT

  SSP RA001

  up to

  $2,791

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,966

• Delivery - Cesarean

  SSP OB002

  up to

  $10,318

• Delivery - Vaginal

  SSP OB001

  up to

  $10,934

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,247

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $576

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,525

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $9,355

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,540

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $5,948

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $9,152

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,584

• Mammogram

  SSP RA010

  up to

  $540

• MRI with Contrast

  SSP RA007

  up to

  $2,678

• MRI without Contrast

  SSP RA005

  up to

  $2,478

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,125

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,211

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,926

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,391

• Ultrasound

  SSP RA008

  up to

  $1,443

• X-Ray

  SSP RA000

  up to

  $899