Richland Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,649

• Breast MRI

  SSP RA011

  up to

  $1,530

• Breast Ultrasound

  SSP RA012

  up to

  $797

• Bronchoscopy

  SSP PU000

  up to

  $12,942

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,748

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,871

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,728

• Colonoscopy

  SSP GA002

  up to

  $3,052

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,103

• CT

  SSP RA001

  up to

  $3,500

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,051

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,831

• Fetal MRI

  SSP RA006

  up to

  $941

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $664

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,845

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $5,534

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,020

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $11,770

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,492

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $7,478

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,521

• Mammogram

  SSP RA010

  up to

  $839

• MRI with Contrast

  SSP RA007

  up to

  $3,731

• MRI without Contrast

  SSP RA005

  up to

  $3,770

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,319

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,967

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,343

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,233

• Ultrasound

  SSP RA008

  up to

  $1,343

• X-Ray

  SSP RA000

  up to

  $850