Mercy Health - Allen Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $7,054

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,600

• Breast MRI

  SSP RA011

  up to

  $1,105

• Breast Ultrasound

  SSP RA012

  up to

  $382

• Bronchoscopy

  SSP PU000

  up to

  $6,523

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,971

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,850

• Colonoscopy

  SSP GA002

  up to

  $3,353

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,843

• CT

  SSP RA001

  up to

  $1,680

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,466

• Delivery - Cesarean

  SSP OB002

  up to

  $26,597

• Delivery - Vaginal

  SSP OB001

  up to

  $17,278

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,542

• Fetal MRI

  SSP RA006

  up to

  $409

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $793

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,079

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $8,247

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $5,546

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $16,061

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $3,506

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $7,103

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $7,371

• Mammogram

  SSP RA010

  up to

  $302

• MRI with Contrast

  SSP RA007

  up to

  $1,258

• MRI without Contrast

  SSP RA005

  up to

  $1,249

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,230

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,595

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,551

• Ultrasound

  SSP RA008

  up to

  $338

• X-Ray

  SSP RA000

  up to

  $293