Rutland Regional Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $15,872

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,464

• Breast MRI

  SSP RA011

  up to

  $2,146

• Breast Ultrasound

  SSP RA012

  up to

  $564

• Bronchoscopy

  SSP PU000

  up to

  $4,141

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,659

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,478

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,160

• Colonoscopy

  SSP GA002

  up to

  $2,044

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,942

• CT

  SSP RA001

  up to

  $4,078

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $6,283

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,547

• Fetal MRI

  SSP RA006

  up to

  $1,188

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,077

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,530

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $25,504

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $15,686

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $8,403

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,997

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $13,494

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $20,869

• Mammogram

  SSP RA010

  up to

  $821

• MRI with Contrast

  SSP RA007

  up to

  $5,553

• MRI without Contrast

  SSP RA005

  up to

  $4,467

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,016

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $27,846

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,583

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $10,982

• Ultrasound

  SSP RA008

  up to

  $1,413

• X-Ray

  SSP RA000

  up to

  $1,081