Mayo Clinic Health System - Chippewa Valley in Bloomer

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $5,744

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $3,647

• Breast MRI

  SSP RA011

  up to

  $4,690

• Breast Ultrasound

  SSP RA012

  up to

  $806

• Bronchoscopy

  SSP PU000

  up to

  $4,435

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,828

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,324

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $5,636

• Colonoscopy

  SSP GA002

  up to

  $4,739

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,410

• CT

  SSP RA001

  up to

  $2,794

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,538

• Delivery - Cesarean

  SSP OB002

  up to

  $25,795

• Delivery - Vaginal

  SSP OB001

  up to

  $21,032

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,512

• Fetal MRI

  SSP RA006

  up to

  $2,730

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,711

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,444

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $15,024

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,860

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $14,274

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,443

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $8,144

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,202

• Mammogram

  SSP RA010

  up to

  $614

• MRI with Contrast

  SSP RA007

  up to

  $3,311

• MRI without Contrast

  SSP RA005

  up to

  $2,805

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,255

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $17,210

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $8,485

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,720

• Ultrasound

  SSP RA008

  up to

  $921

• X-Ray

  SSP RA000

  up to

  $601