Fort Sanders Regional Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $3,148

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,116

• Breast MRI

  SSP RA011

  up to

  $1,162

• Breast Ultrasound

  SSP RA012

  up to

  $255

• Bronchoscopy

  SSP PU000

  up to

  $3,656

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,105

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,351

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,990

• Colonoscopy

  SSP GA002

  up to

  $3,209

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,022

• CT

  SSP RA001

  up to

  $732

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $577

• Delivery - Cesarean

  SSP OB002

  up to

  $15,074

• Delivery - Vaginal

  SSP OB001

  up to

  $9,563

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,832

• Fetal MRI

  SSP RA006

  up to

  $1,588

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,723

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,923

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,812

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,951

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $16,801

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $2,997

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $5,200

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $4,051

• Mammogram

  SSP RA010

  up to

  $294

• MRI with Contrast

  SSP RA007

  up to

  $2,773

• MRI without Contrast

  SSP RA005

  up to

  $2,401

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,926

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $7,868

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,029

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,371

• Ultrasound

  SSP RA008

  up to

  $369

• X-Ray

  SSP RA000

  up to

  $771