Medical Center of Peach County

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $39,854

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,745

• Breast MRI

  SSP RA011

  up to

  $3,865

• Breast Ultrasound

  SSP RA012

  up to

  $655

• Bronchoscopy

  SSP PU000

  up to

  $3,991

• Carpal Tunnel Repair

  SSP NU002

  up to

  $8,682

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,538

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,194

• Colonoscopy

  SSP GA002

  up to

  $3,243

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,502

• CT

  SSP RA001

  up to

  $3,075

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,406

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,957

• Fetal MRI

  SSP RA006

  up to

  $1,392

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $769

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,079

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $18,524

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $11,225

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $54,391

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $12,247

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $15,124

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,382

• Mammogram

  SSP RA010

  up to

  $425

• MRI with Contrast

  SSP RA007

  up to

  $3,064

• MRI without Contrast

  SSP RA005

  up to

  $2,380

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,378

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $24,868

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,769

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,129

• Ultrasound

  SSP RA008

  up to

  $1,015

• X-Ray

  SSP RA000

  up to

  $772