Mercy Hospital Northwest Arkansas

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,666

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,286

• Breast MRI

  SSP RA011

  up to

  $1,311

• Breast Ultrasound

  SSP RA012

  up to

  $289

• Bronchoscopy

  SSP PU000

  up to

  $15,434

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,126

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,278

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,776

• Colonoscopy

  SSP GA002

  up to

  $2,814

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,919

• CT

  SSP RA001

  up to

  $1,030

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $883

• Delivery - Cesarean

  SSP OB002

  up to

  $17,524

• Delivery - Vaginal

  SSP OB001

  up to

  $11,385

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,318

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $603

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $605

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $14,605

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,765

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $18,660

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,610

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $11,536

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,715

• Mammogram

  SSP RA010

  up to

  $354

• MRI with Contrast

  SSP RA007

  up to

  $1,301

• MRI without Contrast

  SSP RA005

  up to

  $1,323

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,942

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $14,101

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,703

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,357

• Ultrasound

  SSP RA008

  up to

  $646

• X-Ray

  SSP RA000

  up to

  $481