M Health Fairview Bethesda Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $12,387

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $3,287

• Breast MRI

  SSP RA011

  up to

  $2,191

• Breast Ultrasound

  SSP RA012

  up to

  $740

• Bronchoscopy

  SSP PU000

  up to

  $4,555

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,223

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,714

• Colonoscopy

  SSP GA002

  up to

  $3,227

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,891

• CT

  SSP RA001

  up to

  $1,465

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,763

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,496

• Fetal MRI

  SSP RA006

  up to

  $1,250

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,352

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,143

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $9,121

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $7,563

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $16,628

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $5,281

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $11,370

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,381

• Mammogram

  SSP RA010

  up to

  $591

• MRI with Contrast

  SSP RA007

  up to

  $3,411

• MRI without Contrast

  SSP RA005

  up to

  $2,610

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,292

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $13,608

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,352

• Ultrasound

  SSP RA008

  up to

  $883

• X-Ray

  SSP RA000

  up to

  $569