Riverview Health Westfield Hospital

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $1,548

• Breast Ultrasound

  SSP RA012

  up to

  $412

• Bronchoscopy

  SSP PU000

  up to

  $3,706

• Colonoscopy

  SSP GA002

  up to

  $2,166

• CT

  SSP RA001

  up to

  $1,349

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,000

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,374

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,819

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $158

• Mammogram

  SSP RA010

  up to

  $379

• MRI with Contrast

  SSP RA007

  up to

  $2,532

• MRI without Contrast

  SSP RA005

  up to

  $2,562

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,476

• Ultrasound

  SSP RA008

  up to

  $774

• X-Ray

  SSP RA000

  up to

  $807