Mayo Clinic Hospital - Methodist Campus

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $33,709

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,689

• Breast MRI

  SSP RA011

  up to

  $3,579

• Breast Ultrasound

  SSP RA012

  up to

  $823

• Bronchoscopy

  SSP PU000

  up to

  $7,779

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,502

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $9,274

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,639

• Colonoscopy

  SSP GA002

  up to

  $8,075

• Colonoscopy via Stoma

  SSP GA000

  up to

  $7,112

• CT

  SSP RA001

  up to

  $2,327

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,938

• Delivery - Cesarean

  SSP OB002

  up to

  $96,312

• Delivery - Vaginal

  SSP OB001

  up to

  $34,444

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $6,984

• Fetal MRI

  SSP RA006

  up to

  $1,678

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,340

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,854

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $24,675

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $19,513

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $38,653

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $13,571

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $26,399

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $29,726

• Mammogram

  SSP RA010

  up to

  $755

• MRI with Contrast

  SSP RA007

  up to

  $3,092

• MRI without Contrast

  SSP RA005

  up to

  $2,512

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,899

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $33,514

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $11,517

• Ultrasound

  SSP RA008

  up to

  $907

• X-Ray

  SSP RA000

  up to

  $876