Flaget Memorial Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $24,078

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,533

• Breast MRI

  SSP RA011

  up to

  $1,801

• Breast Ultrasound

  SSP RA012

  up to

  $855

• Bronchoscopy

  SSP PU000

  up to

  $4,229

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,344

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,081

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,724

• Colonoscopy

  SSP GA002

  up to

  $3,290

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,702

• CT

  SSP RA001

  up to

  $2,494

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,507

• Delivery - Cesarean

  SSP OB002

  up to

  $30,706

• Delivery - Vaginal

  SSP OB001

  up to

  $17,722

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,268

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,944

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,391

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $8,798

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $22,685

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $57,187

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $13,820

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $12,400

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $14,479

• Mammogram

  SSP RA010

  up to

  $451

• MRI with Contrast

  SSP RA007

  up to

  $4,208

• MRI without Contrast

  SSP RA005

  up to

  $3,973

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $12,712

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $21,339

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,651

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,379

• Ultrasound

  SSP RA008

  up to

  $2,302

• X-Ray

  SSP RA000

  up to

  $1,352