MercyOne Waterloo Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $20,484

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,209

• Breast MRI

  SSP RA011

  up to

  $3,544

• Breast Ultrasound

  SSP RA012

  up to

  $1,537

• Bronchoscopy

  SSP PU000

  up to

  $3,142

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,618

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,468

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,288

• Colonoscopy

  SSP GA002

  up to

  $8,133

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,754

• CT

  SSP RA001

  up to

  $4,131

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,105

• Delivery - Cesarean

  SSP OB002

  up to

  $15,826

• Delivery - Vaginal

  SSP OB001

  up to

  $16,978

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,843

• Fetal MRI

  SSP RA006

  up to

  $3,246

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $5,126

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $6,518

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $14,889

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $12,648

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,791

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,280

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,700

• Mammogram

  SSP RA010

  up to

  $671

• MRI with Contrast

  SSP RA007

  up to

  $5,887

• MRI without Contrast

  SSP RA005

  up to

  $5,155

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $9,532

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $19,560

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,882

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,600

• Ultrasound

  SSP RA008

  up to

  $1,049

• X-Ray

  SSP RA000

  up to

  $632