OSF Sacred Heart Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,963

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,827

• Breast MRI

  SSP RA011

  up to

  $1,614

• Breast Ultrasound

  SSP RA012

  up to

  $1,068

• Bronchoscopy

  SSP PU000

  up to

  $7,074

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,859

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,112

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,734

• Colonoscopy

  SSP GA002

  up to

  $5,585

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,225

• CT

  SSP RA001

  up to

  $1,541

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,625

• Delivery - Cesarean

  SSP OB002

  up to

  $19,129

• Delivery - Vaginal

  SSP OB001

  up to

  $12,427

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,733

• Fetal MRI

  SSP RA006

  up to

  $1,681

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $4,446

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $4,864

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,971

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $5,006

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $7,391

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,885

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $5,638

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $5,100

• MRI with Contrast

  SSP RA007

  up to

  $1,492

• MRI without Contrast

  SSP RA005

  up to

  $1,777

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,263

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $6,278

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,651

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,727

• Ultrasound

  SSP RA008

  up to

  $1,026

• X-Ray

  SSP RA000

  up to

  $990