Parkridge Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $7,657

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,798

• Breast MRI

  SSP RA011

  up to

  $4,518

• Breast Ultrasound

  SSP RA012

  up to

  $306

• Bronchoscopy

  SSP PU000

  up to

  $11,156

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,533

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $10,790

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $10,518

• Colonoscopy

  SSP GA002

  up to

  $10,764

• Colonoscopy via Stoma

  SSP GA000

  up to

  $10,595

• CT

  SSP RA001

  up to

  $797

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,133

• Delivery - Cesarean

  SSP OB002

  up to

  $15,343

• Delivery - Vaginal

  SSP OB001

  up to

  $9,415

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $10,396

• Fetal MRI

  SSP RA006

  up to

  $1,007

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $10,290

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $6,725

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,757

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $9,494

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,551

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $8,205

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $6,776

• Mammogram

  SSP RA010

  up to

  $668

• MRI with Contrast

  SSP RA007

  up to

  $2,401

• MRI without Contrast

  SSP RA005

  up to

  $1,550

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $10,469

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,006

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,474

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $10,530

• Ultrasound

  SSP RA008

  up to

  $1,566

• X-Ray

  SSP RA000

  up to

  $897