Orthopaedic and Spine Specialists Orthopaedic Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $3,584

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,426

• Breast MRI

  SSP RA011

  up to

  $5,222

• Bronchoscopy

  SSP PU000

  up to

  $4,080

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,238

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,663

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,146

• Colonoscopy

  SSP GA002

  up to

  $2,293

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,335

• CT

  SSP RA001

  up to

  $5,355

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,280

• Delivery - Cesarean

  SSP OB002

  up to

  $19,670

• Delivery - Vaginal

  SSP OB001

  up to

  $23,158

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,270

• Fetal MRI

  SSP RA006

  up to

  $5,155

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,693

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $3,253

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $6,608

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $6,373

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $11,114

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,681

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $4,278

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $7,145

• MRI with Contrast

  SSP RA007

  up to

  $5,202

• MRI without Contrast

  SSP RA005

  up to

  $5,300

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,443

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,555

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,391

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,511