Milford Valley Memorial Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $21,500

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,152

• Breast MRI

  SSP RA011

  up to

  $5,095

• Breast Ultrasound

  SSP RA012

  up to

  $965

• Bronchoscopy

  SSP PU000

  up to

  $3,147

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,761

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,244

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,875

• Colonoscopy

  SSP GA002

  up to

  $11,846

• CT

  SSP RA001

  up to

  $3,892

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,103

• Delivery - Cesarean

  SSP OB002

  up to

  $20,056

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,147

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,111

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,693

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $15,513

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,366

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $40,210

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $13,937

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $22,323

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $26,570

• Mammogram

  SSP RA010

  up to

  $1,017

• MRI with Contrast

  SSP RA007

  up to

  $5,034

• MRI without Contrast

  SSP RA005

  up to

  $3,909

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,021

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $27,227

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,320

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $8,258

• Ultrasound

  SSP RA008

  up to

  $1,440

• X-Ray

  SSP RA000

  up to

  $1,770