Providence Medical Center
Critical Access Hospital
1200 Providence Road, Wayne, NE 68787
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Provider Information
| Name | Providence Medical Center |
|---|---|
| Address | 1200 Providence Road, Wayne, NE 68787 |
| Phone | (402) 375-3800 |
| Medicare Provider ID | 281345 |
| National Provider ID (NPI) | 1801867494 |
| Website | https://providencekc.com/ |
| Provider Type | Critical Access Hospital |
| Beds | 21 |
Services
-
Articular Finger Fracture Repair - Surgical
SSP MS019
up to
$1,957
-
Breast MRI
SSP RA011
up to
$328
-
Breast Ultrasound
SSP RA012
up to
$130
-
Bronchoscopy
SSP PU000
up to
$2,108
-
Carpal Tunnel Repair
SSP NU002
up to
$1,957
-
Cataract Removal with Intraocular Lens Insertion
SSP OP000
up to
$2,789
-
Colonoscopy
SSP GA002
up to
$1,441
-
Colonoscopy via Stoma
SSP GA000
up to
$1,441
-
CT
SSP RA001
up to
$436
-
CT of Abdomen and Pelvis
SSP RA004
up to
$491
-
Delivery - Cesarean
SSP OB002
up to
$12,595
-
Esophagogastroduodenoscopy, Simple
SSP GA007
up to
$1,146
-
Fine Needle Aspiration Biopsy with Ultrasound Guidance
SSP DE003
up to
$860
-
Forearm/Wrist Repair - Non-Surgical
SSP MS010
up to
$293
-
Hernia Repair - Laparoscopic
SSP GA010
up to
$7,135
-
Hernia Repair - Non-Laparoscopic
SSP GA011
up to
$4,315
-
Hysteroscopy with Surgical Procedure
SSP RE003
up to
$6,036
-
Knee Repair - Arthroscopic
SSP MS006
up to
$3,967
-
Laparoscopic Surgery of Ovaries and/or Fallopian Tubes
SSP RE004
up to
$7,135
-
Mammogram
SSP RA010
up to
$127
-
MRI with Contrast
SSP RA007
up to
$436
-
MRI without Contrast
SSP RA005
up to
$295
-
Percutaneous Breast Biopsy
SSP DE000
up to
$1,981
-
Shoulder Repair, Complex - Arthroscopic
SSP MS005
up to
$8,736
-
Tonsil and Adenoid Removal (Child Under 12)
SSP EN000
up to
$7,234
-
Tonsil and/or Adenoid Removal
SSP EN004
up to
$3,966
-
Ultrasound
SSP RA008
up to
$130
-
X-Ray
SSP RA000
up to
$130