Maria Parham Medical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $872

• Breast MRI

  SSP RA011

  up to

  $4,559

• Breast Ultrasound

  SSP RA012

  up to

  $605

• Bronchoscopy

  SSP PU000

  up to

  $5,098

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,563

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $115

• Colonoscopy

  SSP GA002

  up to

  $4,045

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,671

• CT

  SSP RA001

  up to

  $2,851

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,611

• Delivery - Cesarean

  SSP OB002

  up to

  $43,337

• Delivery - Vaginal

  SSP OB001

  up to

  $17,345

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,128

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $821

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $6,757

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $17,584

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $14,562

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $12,455

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,038

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,980

• Mammogram

  SSP RA010

  up to

  $448

• MRI with Contrast

  SSP RA007

  up to

  $4,069

• MRI without Contrast

  SSP RA005

  up to

  $3,091

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,357

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $19,184

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $9,057

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,430

• Ultrasound

  SSP RA008

  up to

  $1,015

• X-Ray

  SSP RA000

  up to

  $693