Guthrie Troy Community Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $11,218

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,087

• Breast MRI

  SSP RA011

  up to

  $4,244

• Breast Ultrasound

  SSP RA012

  up to

  $851

• Bronchoscopy

  SSP PU000

  up to

  $4,342

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,760

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,076

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,381

• Colonoscopy

  SSP GA002

  up to

  $5,904

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,263

• CT

  SSP RA001

  up to

  $4,432

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,710

• Delivery - Cesarean

  SSP OB002

  up to

  $15,140

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,765

• Fetal MRI

  SSP RA006

  up to

  $467

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,691

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,923

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $11,417

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $6,716

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $16,687

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,747

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $6,030

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,810

• Mammogram

  SSP RA010

  up to

  $800

• MRI with Contrast

  SSP RA007

  up to

  $5,139

• MRI without Contrast

  SSP RA005

  up to

  $3,432

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,359

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $14,721

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,278

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,564

• Ultrasound

  SSP RA008

  up to

  $1,121

• X-Ray

  SSP RA000

  up to

  $1,131