San Ramon Regional Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $9,929

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,496

• Breast MRI

  SSP RA011

  up to

  $557

• Breast Ultrasound

  SSP RA012

  up to

  $751

• Bronchoscopy

  SSP PU000

  up to

  $5,242

• Carpal Tunnel Repair

  SSP NU002

  up to

  $9,892

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,728

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,581

• Colonoscopy

  SSP GA002

  up to

  $4,100

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,817

• CT

  SSP RA001

  up to

  $7,701

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $13,815

• Delivery - Cesarean

  SSP OB002

  up to

  $16,816

• Delivery - Vaginal

  SSP OB001

  up to

  $10,762

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,406

• Fetal MRI

  SSP RA006

  up to

  $383

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,090

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,076

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $13,297

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,981

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $14,806

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $12,810

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,373

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $13,403

• Mammogram

  SSP RA010

  up to

  $1,222

• MRI with Contrast

  SSP RA007

  up to

  $13,361

• MRI without Contrast

  SSP RA005

  up to

  $10,051

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,879

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $14,406

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,418

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,470

• Ultrasound

  SSP RA008

  up to

  $2,746

• X-Ray

  SSP RA000

  up to

  $1,305