Mercy Hospital Washington

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $7,280

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $673

• Breast MRI

  SSP RA011

  up to

  $2,038

• Breast Ultrasound

  SSP RA012

  up to

  $363

• Bronchoscopy

  SSP PU000

  up to

  $8,685

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,673

• Colonoscopy

  SSP GA002

  up to

  $5,694

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,430

• CT

  SSP RA001

  up to

  $1,726

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,915

• Delivery - Cesarean

  SSP OB002

  up to

  $11,016

• Delivery - Vaginal

  SSP OB001

  up to

  $9,183

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $6,384

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,970

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $834

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $9,613

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $7,232

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,673

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $15,938

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,707

• Mammogram

  SSP RA010

  up to

  $386

• MRI with Contrast

  SSP RA007

  up to

  $2,074

• MRI without Contrast

  SSP RA005

  up to

  $1,882

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,080

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $16,711

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,871

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,566

• Ultrasound

  SSP RA008

  up to

  $1,175

• X-Ray

  SSP RA000

  up to

  $641