Girard Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $8,783

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,379

• Breast MRI

  SSP RA011

  up to

  $1,598

• Breast Ultrasound

  SSP RA012

  up to

  $636

• Bronchoscopy

  SSP PU000

  up to

  $3,810

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,129

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,185

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,256

• Colonoscopy

  SSP GA002

  up to

  $2,260

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,133

• CT

  SSP RA001

  up to

  $2,961

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,342

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,454

• Fetal MRI

  SSP RA006

  up to

  $1,012

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,789

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,618

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $7,461

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $6,057

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $23,647

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,927

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,697

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $11,066

• Mammogram

  SSP RA010

  up to

  $500

• MRI with Contrast

  SSP RA007

  up to

  $3,981

• MRI without Contrast

  SSP RA005

  up to

  $3,353

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,097

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,833

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,002

• Ultrasound

  SSP RA008

  up to

  $927

• X-Ray

  SSP RA000

  up to

  $875