Prisma Health Greenville Memorial Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $33,969

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $3,158

• Breast MRI

  SSP RA011

  up to

  $2,673

• Breast Ultrasound

  SSP RA012

  up to

  $680

• Bronchoscopy

  SSP PU000

  up to

  $2,867

• Carpal Tunnel Repair

  SSP NU002

  up to

  $11,718

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $16,692

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,690

• Colonoscopy

  SSP GA002

  up to

  $3,241

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,943

• CT

  SSP RA001

  up to

  $2,549

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,353

• Delivery - Cesarean

  SSP OB002

  up to

  $33,691

• Delivery - Vaginal

  SSP OB001

  up to

  $21,887

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,150

• Fetal MRI

  SSP RA006

  up to

  $2,654

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,879

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $983

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $39,637

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $24,121

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $58,358

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $22,757

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $46,407

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $22,696

• Mammogram

  SSP RA010

  up to

  $681

• MRI with Contrast

  SSP RA007

  up to

  $2,672

• MRI without Contrast

  SSP RA005

  up to

  $2,690

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,171

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $51,492

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,824

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $13,418

• Ultrasound

  SSP RA008

  up to

  $642

• X-Ray

  SSP RA000

  up to

  $597