Guttenberg Municipal Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $15,886

• Breast MRI

  SSP RA011

  up to

  $1,900

• Breast Ultrasound

  SSP RA012

  up to

  $1,163

• Bronchoscopy

  SSP PU000

  up to

  $3,641

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,907

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,187

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,514

• Colonoscopy

  SSP GA002

  up to

  $6,876

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,301

• CT

  SSP RA001

  up to

  $3,621

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,894

• Delivery - Cesarean

  SSP OB002

  up to

  $12,153

• Delivery - Vaginal

  SSP OB001

  up to

  $12,823

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,740

• Fetal MRI

  SSP RA006

  up to

  $2,522

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,206

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,067

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $11,566

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,855

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,582

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $4,578

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,966

• Mammogram

  SSP RA010

  up to

  $706

• MRI with Contrast

  SSP RA007

  up to

  $5,279

• MRI without Contrast

  SSP RA005

  up to

  $3,576

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,866

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $18,460

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,542

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,115

• Ultrasound

  SSP RA008

  up to

  $1,173

• X-Ray

  SSP RA000

  up to

  $611