Fort Sanders Regional Medical Center

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $747

• Breast Ultrasound

  SSP RA012

  up to

  $147

• CT

  SSP RA001

  up to

  $810

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,227

• Fetal MRI

  SSP RA006

  up to

  $523

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $608

• Mammogram

  SSP RA010

  up to

  $108

• MRI with Contrast

  SSP RA007

  up to

  $896

• MRI without Contrast

  SSP RA005

  up to

  $729

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,433

• Ultrasound

  SSP RA008

  up to

  $277

• X-Ray

  SSP RA000

  up to

  $200