Memorial Sloan Kettering Cancer Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $9,342

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $7,734

• Breast MRI

  SSP RA011

  up to

  $2,148

• Breast Ultrasound

  SSP RA012

  up to

  $694

• Bronchoscopy

  SSP PU000

  up to

  $8,122

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,811

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $8,116

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $7,605

• Colonoscopy

  SSP GA002

  up to

  $7,872

• Colonoscopy via Stoma

  SSP GA000

  up to

  $7,676

• CT

  SSP RA001

  up to

  $2,096

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,996

• Delivery - Cesarean

  SSP OB002

  up to

  $44,563

• Delivery - Vaginal

  SSP OB001

  up to

  $28,950

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,505

• Fetal MRI

  SSP RA006

  up to

  $1,909

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $5,445

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $5,947

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $13,052

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,428

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $20,619

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,179

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,055

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $13,153

• Mammogram

  SSP RA010

  up to

  $860

• MRI with Contrast

  SSP RA007

  up to

  $2,244

• MRI without Contrast

  SSP RA005

  up to

  $1,611

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $7,562

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $20,124

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $11,117

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,647

• Ultrasound

  SSP RA008

  up to

  $932

• X-Ray

  SSP RA000

  up to

  $508