JW Ruby Memorial Hospital

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,331

• Breast MRI

  SSP RA011

  up to

  $2,163

• Breast Ultrasound

  SSP RA012

  up to

  $375

• Bronchoscopy

  SSP PU000

  up to

  $2,598

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,307

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,256

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,346

• Colonoscopy

  SSP GA002

  up to

  $1,606

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,448

• CT

  SSP RA001

  up to

  $1,716

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,694

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,051

• Fetal MRI

  SSP RA006

  up to

  $870

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,518

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $503

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $23,027

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $13,854

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $14,677

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,693

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $11,671

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $5,608

• Mammogram

  SSP RA010

  up to

  $304

• MRI with Contrast

  SSP RA007

  up to

  $4,316

• MRI without Contrast

  SSP RA005

  up to

  $1,831

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,591

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $14,258

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,306

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,619

• Ultrasound

  SSP RA008

  up to

  $720

• X-Ray

  SSP RA000

  up to

  $396