Genesis Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $26,243

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,081

• Breast MRI

  SSP RA011

  up to

  $7,065

• Breast Ultrasound

  SSP RA012

  up to

  $423

• Bronchoscopy

  SSP PU000

  up to

  $16,989

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,199

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $8,333

• Colonoscopy

  SSP GA002

  up to

  $9,778

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,446

• CT

  SSP RA001

  up to

  $1,823

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,631

• Delivery - Cesarean

  SSP OB002

  up to

  $21,060

• Delivery - Vaginal

  SSP OB001

  up to

  $21,893

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $7,016

• Fetal MRI

  SSP RA006

  up to

  $647

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,946

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $726

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $17,232

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $15,302

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,579

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $15,222

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $14,178

• Mammogram

  SSP RA010

  up to

  $1,511

• MRI with Contrast

  SSP RA007

  up to

  $2,429

• MRI without Contrast

  SSP RA005

  up to

  $2,989

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,052

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $25,144

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $8,201

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $8,143

• Ultrasound

  SSP RA008

  up to

  $1,546

• X-Ray

  SSP RA000

  up to

  $2,217