Rochester General Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $3,884

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,909

• Breast MRI

  SSP RA011

  up to

  $2,081

• Breast Ultrasound

  SSP RA012

  up to

  $270

• Bronchoscopy

  SSP PU000

  up to

  $5,579

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,841

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,462

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,137

• Colonoscopy

  SSP GA002

  up to

  $3,117

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,181

• CT

  SSP RA001

  up to

  $1,106

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $984

• Delivery - Cesarean

  SSP OB002

  up to

  $22,103

• Delivery - Vaginal

  SSP OB001

  up to

  $14,359

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,972

• Fetal MRI

  SSP RA006

  up to

  $515

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,875

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,818

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $5,592

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $7,098

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $5,102

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $5,038

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,578

• Mammogram

  SSP RA010

  up to

  $450

• MRI with Contrast

  SSP RA007

  up to

  $833

• MRI without Contrast

  SSP RA005

  up to

  $1,098

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,974

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $6,703

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,999

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,643

• Ultrasound

  SSP RA008

  up to

  $516

• X-Ray

  SSP RA000

  up to

  $305