Seattle Childrens Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,934

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,651

• Breast MRI

  SSP RA011

  up to

  $3,193

• Breast Ultrasound

  SSP RA012

  up to

  $750

• Bronchoscopy

  SSP PU000

  up to

  $6,475

• Carpal Tunnel Repair

  SSP NU002

  up to

  $8,852

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $10,940

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,112

• Colonoscopy

  SSP GA002

  up to

  $5,190

• Colonoscopy via Stoma

  SSP GA000

  up to

  $8,665

• CT

  SSP RA001

  up to

  $4,713

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $6,189

• Delivery - Cesarean

  SSP OB002

  up to

  $37,625

• Delivery - Vaginal

  SSP OB001

  up to

  $31,849

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $6,171

• Fetal MRI

  SSP RA006

  up to

  $5,042

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,392

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,777

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $32,478

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $31,088

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $42,483

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $21,608

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $27,891

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $33,430

• Mammogram

  SSP RA010

  up to

  $549

• MRI with Contrast

  SSP RA007

  up to

  $12,013

• MRI without Contrast

  SSP RA005

  up to

  $7,644

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,492

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $34,728

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,652

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $13,094

• Ultrasound

  SSP RA008

  up to

  $1,507

• X-Ray

  SSP RA000

  up to

  $1,386