MercyOne Dubuque Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $21,136

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,298

• Breast MRI

  SSP RA011

  up to

  $4,539

• Breast Ultrasound

  SSP RA012

  up to

  $912

• Bronchoscopy

  SSP PU000

  up to

  $2,193

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,813

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,547

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,345

• Colonoscopy

  SSP GA002

  up to

  $8,330

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,768

• CT

  SSP RA001

  up to

  $3,992

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,642

• Delivery - Cesarean

  SSP OB002

  up to

  $17,781

• Delivery - Vaginal

  SSP OB001

  up to

  $17,296

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $6,012

• Fetal MRI

  SSP RA006

  up to

  $3,357

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,528

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $838

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $15,306

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $12,953

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,147

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,596

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $13,114

• Mammogram

  SSP RA010

  up to

  $616

• MRI with Contrast

  SSP RA007

  up to

  $8,285

• MRI without Contrast

  SSP RA005

  up to

  $6,411

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,424

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $20,116

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,941

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,659

• Ultrasound

  SSP RA008

  up to

  $1,478

• X-Ray

  SSP RA000

  up to

  $774