Mayo Clinic Hospital - Arizona

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $2,409

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,136

• Breast MRI

  SSP RA011

  up to

  $2,068

• Breast Ultrasound

  SSP RA012

  up to

  $314

• Bronchoscopy

  SSP PU000

  up to

  $4,925

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,601

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,560

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,178

• Colonoscopy

  SSP GA002

  up to

  $1,833

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,250

• CT

  SSP RA001

  up to

  $1,378

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,732

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,339

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,829

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,988

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $2,353

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $2,976

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $4,873

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,570

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,704

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $3,650

• Mammogram

  SSP RA010

  up to

  $447

• MRI with Contrast

  SSP RA007

  up to

  $2,546

• MRI without Contrast

  SSP RA005

  up to

  $2,189

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,361

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $4,745

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $724

• Ultrasound

  SSP RA008

  up to

  $722

• X-Ray

  SSP RA000

  up to

  $265