Mary Rutan Hospital

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,710

• Colonoscopy

  SSP GA002

  up to

  $1,569

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,175

• CT

  SSP RA001

  up to

  $3,386

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,093

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,738

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,536

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $832

• Mammogram

  SSP RA010

  up to

  $614

• MRI with Contrast

  SSP RA007

  up to

  $3,610

• MRI without Contrast

  SSP RA005

  up to

  $2,216

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,769

• Ultrasound

  SSP RA008

  up to

  $1,310

• X-Ray

  SSP RA000

  up to

  $918