Ohio State University Wexner Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $31,338

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,608

• Breast MRI

  SSP RA011

  up to

  $2,416

• Breast Ultrasound

  SSP RA012

  up to

  $503

• Bronchoscopy

  SSP PU000

  up to

  $3,417

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,303

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,158

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,121

• Colonoscopy

  SSP GA002

  up to

  $3,132

• Colonoscopy via Stoma

  SSP GA000

  up to

  $6,399

• CT

  SSP RA001

  up to

  $805

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,369

• Delivery - Cesarean

  SSP OB002

  up to

  $35,052

• Delivery - Vaginal

  SSP OB001

  up to

  $22,772

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,829

• Fetal MRI

  SSP RA006

  up to

  $1,369

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,514

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $742

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $23,515

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $16,403

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $31,327

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $15,250

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $16,942

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $15,198

• Mammogram

  SSP RA010

  up to

  $596

• MRI with Contrast

  SSP RA007

  up to

  $852

• MRI without Contrast

  SSP RA005

  up to

  $935

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,081

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $27,039

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $6,746

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $10,524

• Ultrasound

  SSP RA008

  up to

  $522

• X-Ray

  SSP RA000

  up to

  $410