HealthAlliance Hospital Marys Ave Campus

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,141

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,149

• Breast MRI

  SSP RA011

  up to

  $801

• Breast Ultrasound

  SSP RA012

  up to

  $337

• Bronchoscopy

  SSP PU000

  up to

  $6,575

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,105

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,770

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,071

• Colonoscopy

  SSP GA002

  up to

  $5,713

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,260

• CT

  SSP RA001

  up to

  $626

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $797

• Delivery - Cesarean

  SSP OB002

  up to

  $47,318

• Delivery - Vaginal

  SSP OB001

  up to

  $30,740

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,942

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,780

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $4,129

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $7,713

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $6,151

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $9,806

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,500

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $6,763

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $7,827

• Mammogram

  SSP RA010

  up to

  $334

• MRI with Contrast

  SSP RA007

  up to

  $783

• MRI without Contrast

  SSP RA005

  up to

  $575

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,284

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,158

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,419

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,431

• Ultrasound

  SSP RA008

  up to

  $876

• X-Ray

  SSP RA000

  up to

  $259