Franklin County Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,376

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,304

• Breast MRI

  SSP RA011

  up to

  $1,374

• Breast Ultrasound

  SSP RA012

  up to

  $525

• Bronchoscopy

  SSP PU000

  up to

  $2,810

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,203

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,879

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,620

• Colonoscopy

  SSP GA002

  up to

  $3,228

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,343

• CT

  SSP RA001

  up to

  $2,117

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,597

• Delivery - Cesarean

  SSP OB002

  up to

  $16,671

• Delivery - Vaginal

  SSP OB001

  up to

  $13,196

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,803

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $601

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $913

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $8,875

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,378

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $17,985

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,986

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $9,260

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,028

• Mammogram

  SSP RA010

  up to

  $595

• MRI with Contrast

  SSP RA007

  up to

  $3,270

• MRI without Contrast

  SSP RA005

  up to

  $2,366

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,697

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $13,368

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,574

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,661

• Ultrasound

  SSP RA008

  up to

  $708

• X-Ray

  SSP RA000

  up to

  $549