Saint Mary Hospital - Kankakee

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $3,489

• Breast MRI

  SSP RA011

  up to

  $483

• Breast Ultrasound

  SSP RA012

  up to

  $111

• Bronchoscopy

  SSP PU000

  up to

  $2,336

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,714

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,090

• Colonoscopy

  SSP GA002

  up to

  $1,276

• CT

  SSP RA001

  up to

  $241

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $544

• Delivery - Cesarean

  SSP OB002

  up to

  $16,590

• Delivery - Vaginal

  SSP OB001

  up to

  $11,256

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $967

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $953

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $263

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $7,906

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,782

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $9,680

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,689

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $4,396

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $7,906

• Mammogram

  SSP RA010

  up to

  $101

• MRI with Contrast

  SSP RA007

  up to

  $483

• MRI without Contrast

  SSP RA005

  up to

  $327

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,195

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,680

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $8,016

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,394

• Ultrasound

  SSP RA008

  up to

  $144

• X-Ray

  SSP RA000

  up to

  $144