Joint Township District Memorial Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $14,787

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,153

• Breast MRI

  SSP RA011

  up to

  $3,179

• Breast Ultrasound

  SSP RA012

  up to

  $1,077

• Bronchoscopy

  SSP PU000

  up to

  $10,060

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,539

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,409

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,485

• Colonoscopy

  SSP GA002

  up to

  $6,950

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,867

• CT

  SSP RA001

  up to

  $2,596

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,029

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,986

• Fetal MRI

  SSP RA006

  up to

  $714

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,658

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,808

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $11,575

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,160

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $15,805

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,310

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $13,475

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $15,227

• Mammogram

  SSP RA010

  up to

  $480

• MRI with Contrast

  SSP RA007

  up to

  $3,839

• MRI without Contrast

  SSP RA005

  up to

  $3,097

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,931

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $15,114

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,346

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,173

• Ultrasound

  SSP RA008

  up to

  $1,270

• X-Ray

  SSP RA000

  up to

  $708