Memorial Hospital
Critical Access Hospital
1454 North County Road 2050, Carthage, IL 62321
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Provider Information
| Name | Memorial Hospital |
|---|---|
| Address | 1454 North County Road 2050, Carthage, IL 62321 |
| Phone | (217) 357-8500 |
| Medicare Provider ID | 141305 |
| National Provider ID (NPI) | 1730139031 |
| Website | http://www.mhtlc.org/ |
| Provider Type | Critical Access Hospital |
| Beds | 18 |
Services
-
Breast Ultrasound
SSP RA012
up to
$519
-
Carpal Tunnel Repair
SSP NU002
up to
$3,632
-
Cataract Removal with Intraocular Lens Insertion
SSP OP000
up to
$5,951
-
Colonoscopy
SSP GA002
up to
$3,130
-
Colonoscopy via Stoma
SSP GA000
up to
$2,066
-
CT
SSP RA001
up to
$4,110
-
CT of Abdomen and Pelvis
SSP RA004
up to
$6,297
-
Esophagogastroduodenoscopy, Simple
SSP GA007
up to
$1,816
-
Forearm/Wrist Repair - Non-Surgical
SSP MS010
up to
$421
-
Hernia Repair - Laparoscopic
SSP GA010
up to
$3,513
-
Hernia Repair - Non-Laparoscopic
SSP GA011
up to
$4,238
-
Hysteroscopy with Surgical Procedure
SSP RE003
up to
$5,218
-
Knee Repair - Arthroscopic
SSP MS006
up to
$7,539
-
Laparoscopic Surgery of Ovaries and/or Fallopian Tubes
SSP RE004
up to
$5,478
-
Mammogram
SSP RA010
up to
$400
-
MRI with Contrast
SSP RA007
up to
$5,572
-
MRI without Contrast
SSP RA005
up to
$3,716
-
Percutaneous Breast Biopsy
SSP DE000
up to
$3,302
-
Shoulder Repair, Complex - Arthroscopic
SSP MS005
up to
$5,118
-
Tonsil and Adenoid Removal (Child Under 12)
SSP EN000
up to
$1,762
-
Tonsil and/or Adenoid Removal
SSP EN004
up to
$1,950
-
Ultrasound
SSP RA008
up to
$1,054
-
X-Ray
SSP RA000
up to
$742