MetroWest Medical Center - Leonard Morse Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $8,955

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $3,065

• Breast MRI

  SSP RA011

  up to

  $5,032

• Breast Ultrasound

  SSP RA012

  up to

  $555

• Bronchoscopy

  SSP PU000

  up to

  $6,000

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,280

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,211

• Colonoscopy

  SSP GA002

  up to

  $3,335

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,002

• CT

  SSP RA001

  up to

  $2,353

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,479

• Delivery - Cesarean

  SSP OB002

  up to

  $18,171

• Delivery - Vaginal

  SSP OB001

  up to

  $18,171

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,742

• Fetal MRI

  SSP RA006

  up to

  $1,887

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,425

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $7,941

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $5,919

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $16,482

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,337

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,177

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $7,726

• Mammogram

  SSP RA010

  up to

  $852

• MRI with Contrast

  SSP RA007

  up to

  $2,563

• MRI without Contrast

  SSP RA005

  up to

  $2,663

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,903

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $12,812

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,681

• Ultrasound

  SSP RA008

  up to

  $987

• X-Ray

  SSP RA000

  up to

  $864