PeaceHealth Peace Island Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $5,676

• Breast MRI

  SSP RA011

  up to

  $1,223

• Breast Ultrasound

  SSP RA012

  up to

  $602

• Bronchoscopy

  SSP PU000

  up to

  $6,712

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,612

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,221

• Colonoscopy

  SSP GA002

  up to

  $5,060

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,160

• CT

  SSP RA001

  up to

  $4,091

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,962

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,958

• Fetal MRI

  SSP RA006

  up to

  $1,274

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $674

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,715

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $7,899

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,162

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $12,836

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $5,810

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $8,315

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,823

• Mammogram

  SSP RA010

  up to

  $487

• MRI with Contrast

  SSP RA007

  up to

  $4,734

• MRI without Contrast

  SSP RA005

  up to

  $4,153

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,527

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $12,598

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,475

• Ultrasound

  SSP RA008

  up to

  $1,373

• X-Ray

  SSP RA000

  up to

  $720