Memorial Hermann Surgical Hospital Kingwood

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $5,137

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $5,076

• Breast MRI

  SSP RA011

  up to

  $2,166

• Breast Ultrasound

  SSP RA012

  up to

  $503

• Bronchoscopy

  SSP PU000

  up to

  $5,732

• Carpal Tunnel Repair

  SSP NU002

  up to

  $5,092

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,426

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,975

• Colonoscopy

  SSP GA002

  up to

  $5,285

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,025

• CT

  SSP RA001

  up to

  $1,698

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,273

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,802

• Fetal MRI

  SSP RA006

  up to

  $2,118

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $928

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $5,066

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $9,032

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,746

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $10,973

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,927

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $8,953

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,211

• Mammogram

  SSP RA010

  up to

  $395

• MRI with Contrast

  SSP RA007

  up to

  $2,223

• MRI without Contrast

  SSP RA005

  up to

  $2,218

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,904

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,999

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $8,717

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,986

• Ultrasound

  SSP RA008

  up to

  $1,588

• X-Ray

  SSP RA000

  up to

  $1,711