Saint Annes Hospital

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $2,149

• Breast Ultrasound

  SSP RA012

  up to

  $610

• Bronchoscopy

  SSP PU000

  up to

  $2,333

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,300

• Colonoscopy

  SSP GA002

  up to

  $2,300

• CT

  SSP RA001

  up to

  $1,588

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,610

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,300

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,435

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,300

• MRI with Contrast

  SSP RA007

  up to

  $2,528

• MRI without Contrast

  SSP RA005

  up to

  $1,613

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,471

• Ultrasound

  SSP RA008

  up to

  $628

• X-Ray

  SSP RA000

  up to

  $755