Henry Ford Macomb Hospital - Clinton Township

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $803

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $494

• Breast MRI

  SSP RA011

  up to

  $482

• Breast Ultrasound

  SSP RA012

  up to

  $138

• Bronchoscopy

  SSP PU000

  up to

  $216

• Carpal Tunnel Repair

  SSP NU002

  up to

  $744

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $1,019

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $559

• Colonoscopy

  SSP GA002

  up to

  $361

• Colonoscopy via Stoma

  SSP GA000

  up to

  $320

• CT

  SSP RA001

  up to

  $164

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $113

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,010

• Fetal MRI

  SSP RA006

  up to

  $195

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $103

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $840

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $944

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $1,471

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $662

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $1,000

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $1,037

• Mammogram

  SSP RA010

  up to

  $65

• MRI with Contrast

  SSP RA007

  up to

  $166

• MRI without Contrast

  SSP RA005

  up to

  $162

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $248

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $1,551

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $418

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $436

• Ultrasound

  SSP RA008

  up to

  $138

• X-Ray

  SSP RA000

  up to

  $138