Mercy Hospital Perry

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,787

• Breast MRI

  SSP RA011

  up to

  $1,293

• Breast Ultrasound

  SSP RA012

  up to

  $701

• Bronchoscopy

  SSP PU000

  up to

  $7,555

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,610

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,436

• Colonoscopy

  SSP GA002

  up to

  $3,567

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,390

• CT

  SSP RA001

  up to

  $2,182

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,521

• Delivery - Cesarean

  SSP OB002

  up to

  $15,687

• Delivery - Vaginal

  SSP OB001

  up to

  $10,191

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,903

• Fetal MRI

  SSP RA006

  up to

  $804

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,682

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $538

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $5,881

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,041

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $13,576

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,290

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $21,563

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,609

• Mammogram

  SSP RA010

  up to

  $343

• MRI with Contrast

  SSP RA007

  up to

  $2,312

• MRI without Contrast

  SSP RA005

  up to

  $2,674

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,277

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $18,497

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,403

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,040

• Ultrasound

  SSP RA008

  up to

  $766

• X-Ray

  SSP RA000

  up to

  $589