Lucile Packard Childrens Hospital Stanford

Provider Information

Services

• Breast Ultrasound

  SSP RA012

  up to

  $1,127

• Bronchoscopy

  SSP PU000

  up to

  $3,946

• CT

  SSP RA001

  up to

  $6,989

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $8,842

• Fetal MRI

  SSP RA006

  up to

  $6,147

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,297

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $802

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $963

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $12,127

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $1,296

• MRI with Contrast

  SSP RA007

  up to

  $7,818

• MRI without Contrast

  SSP RA005

  up to

  $6,147

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,959

• Ultrasound

  SSP RA008

  up to

  $2,671

• X-Ray

  SSP RA000

  up to

  $1,966