Henry Ford Warren Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $3,087

• Breast MRI

  SSP RA011

  up to

  $5,150

• Breast Ultrasound

  SSP RA012

  up to

  $257

• Bronchoscopy

  SSP PU000

  up to

  $3,918

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,991

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,233

• Colonoscopy

  SSP GA002

  up to

  $3,935

• CT

  SSP RA001

  up to

  $1,567

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,721

• Delivery - Cesarean

  SSP OB002

  up to

  $15,522

• Delivery - Vaginal

  SSP OB001

  up to

  $10,084

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,606

• Fetal MRI

  SSP RA006

  up to

  $844

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,125

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $457

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $11,742

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $11,854

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,815

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $12,819

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,279

• Mammogram

  SSP RA010

  up to

  $493

• MRI with Contrast

  SSP RA007

  up to

  $1,881

• MRI without Contrast

  SSP RA005

  up to

  $2,010

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,721

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,280

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,734

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,322

• Ultrasound

  SSP RA008

  up to

  $534

• X-Ray

  SSP RA000

  up to

  $699