Haymarket Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $16,390

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $767

• Breast MRI

  SSP RA011

  up to

  $7,299

• Breast Ultrasound

  SSP RA012

  up to

  $515

• Bronchoscopy

  SSP PU000

  up to

  $2,207

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,149

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,607

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $950

• Colonoscopy

  SSP GA002

  up to

  $1,794

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,686

• CT

  SSP RA001

  up to

  $3,499

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,358

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,614

• Fetal MRI

  SSP RA006

  up to

  $747

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,360

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,786

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $14,850

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $15,943

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $8,247

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,239

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,638

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $13,253

• Mammogram

  SSP RA010

  up to

  $487

• MRI with Contrast

  SSP RA007

  up to

  $3,369

• MRI without Contrast

  SSP RA005

  up to

  $4,438

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,267

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $12,428

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $2,659

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,741

• Ultrasound

  SSP RA008

  up to

  $1,234

• X-Ray

  SSP RA000

  up to

  $1,218