Roane General Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,787

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,889

• Breast MRI

  SSP RA011

  up to

  $4,257

• Breast Ultrasound

  SSP RA012

  up to

  $1,077

• Bronchoscopy

  SSP PU000

  up to

  $6,830

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,380

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $12,191

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,635

• Colonoscopy

  SSP GA002

  up to

  $16,370

• Colonoscopy via Stoma

  SSP GA000

  up to

  $15,574

• CT

  SSP RA001

  up to

  $3,403

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,399

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $25,590

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,409

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,327

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $19,535

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $29,575

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $6,639

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $15,245

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $21,371

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $19,874

• Mammogram

  SSP RA010

  up to

  $794

• MRI with Contrast

  SSP RA007

  up to

  $5,832

• MRI without Contrast

  SSP RA005

  up to

  $3,745

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,784

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $60,423

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,245

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,967

• Ultrasound

  SSP RA008

  up to

  $951

• X-Ray

  SSP RA000

  up to

  $642