Roane Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $3,174

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,137

• Breast MRI

  SSP RA011

  up to

  $1,183

• Breast Ultrasound

  SSP RA012

  up to

  $267

• Bronchoscopy

  SSP PU000

  up to

  $3,668

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,127

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,496

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,011

• Colonoscopy

  SSP GA002

  up to

  $3,289

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,046

• CT

  SSP RA001

  up to

  $753

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $632

• Delivery - Cesarean

  SSP OB002

  up to

  $10,846

• Delivery - Vaginal

  SSP OB001

  up to

  $9,563

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,844

• Fetal MRI

  SSP RA006

  up to

  $1,588

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,724

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,947

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,853

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,967

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $11,822

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $3,216

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $5,225

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $4,170

• Mammogram

  SSP RA010

  up to

  $305

• MRI with Contrast

  SSP RA007

  up to

  $2,771

• MRI without Contrast

  SSP RA005

  up to

  $2,404

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,928

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $7,974

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,377

• Ultrasound

  SSP RA008

  up to

  $369

• X-Ray

  SSP RA000

  up to

  $775