Memorial Regional Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $32,245

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $5,268

• Breast MRI

  SSP RA011

  up to

  $1,088

• Breast Ultrasound

  SSP RA012

  up to

  $1,047

• Bronchoscopy

  SSP PU000

  up to

  $4,377

• Carpal Tunnel Repair

  SSP NU002

  up to

  $14,545

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $13,918

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $8,315

• Colonoscopy

  SSP GA002

  up to

  $6,666

• Colonoscopy via Stoma

  SSP GA000

  up to

  $6,470

• CT

  SSP RA001

  up to

  $5,352

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,759

• Delivery - Cesarean

  SSP OB002

  up to

  $16,581

• Delivery - Vaginal

  SSP OB001

  up to

  $36,465

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $6,300

• Fetal MRI

  SSP RA006

  up to

  $1,120

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,653

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,607

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $59,340

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $33,845

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $29,851

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $41,719

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $62,007

• Mammogram

  SSP RA010

  up to

  $1,638

• MRI with Contrast

  SSP RA007

  up to

  $1,100

• MRI without Contrast

  SSP RA005

  up to

  $2,971

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $14,751

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $74,924

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $19,483

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $27,673

• Ultrasound

  SSP RA008

  up to

  $2,215

• X-Ray

  SSP RA000

  up to

  $1,706