Ontario Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $14,819

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,315

• Breast MRI

  SSP RA011

  up to

  $2,194

• Breast Ultrasound

  SSP RA012

  up to

  $265

• Bronchoscopy

  SSP PU000

  up to

  $6,998

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,735

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,564

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,604

• Colonoscopy

  SSP GA002

  up to

  $13,667

• Colonoscopy via Stoma

  SSP GA000

  up to

  $16,775

• CT

  SSP RA001

  up to

  $3,854

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,156

• Delivery - Cesarean

  SSP OB002

  up to

  $13,738

• Delivery - Vaginal

  SSP OB001

  up to

  $13,403

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $25,631

• Fetal MRI

  SSP RA006

  up to

  $731

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,020

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $11,793

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $11,470

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $16,294

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,340

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $13,733

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $15,327

• Mammogram

  SSP RA010

  up to

  $269

• MRI with Contrast

  SSP RA007

  up to

  $4,262

• MRI without Contrast

  SSP RA005

  up to

  $4,878

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,542

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $15,565

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,457

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,285

• Ultrasound

  SSP RA008

  up to

  $967

• X-Ray

  SSP RA000

  up to

  $940