Forbes Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $349

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,372

• Breast MRI

  SSP RA011

  up to

  $2,101

• Breast Ultrasound

  SSP RA012

  up to

  $560

• Bronchoscopy

  SSP PU000

  up to

  $4,842

• Carpal Tunnel Repair

  SSP NU002

  up to

  $322

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $451

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,494

• Colonoscopy

  SSP GA002

  up to

  $158

• Colonoscopy via Stoma

  SSP GA000

  up to

  $137

• CT

  SSP RA001

  up to

  $872

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $987

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $108

• Fetal MRI

  SSP RA006

  up to

  $88

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,976

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $842

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $352

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $394

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $631

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $220

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $430

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $441

• Mammogram

  SSP RA010

  up to

  $429

• MRI with Contrast

  SSP RA007

  up to

  $3,760

• MRI without Contrast

  SSP RA005

  up to

  $2,037

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,550

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $663

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $182

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $189

• Ultrasound

  SSP RA008

  up to

  $560

• X-Ray

  SSP RA000

  up to

  $744