Spartanburg Medical Center - Mary Black Campus

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $10,299

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $13,615

• Breast MRI

  SSP RA011

  up to

  $3,538

• Breast Ultrasound

  SSP RA012

  up to

  $796

• Bronchoscopy

  SSP PU000

  up to

  $5,851

• Carpal Tunnel Repair

  SSP NU002

  up to

  $12,493

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,719

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $13,427

• Colonoscopy

  SSP GA002

  up to

  $9,629

• Colonoscopy via Stoma

  SSP GA000

  up to

  $7,139

• CT

  SSP RA001

  up to

  $2,600

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,451

• Delivery - Cesarean

  SSP OB002

  up to

  $20,211

• Delivery - Vaginal

  SSP OB001

  up to

  $24,827

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,206

• Fetal MRI

  SSP RA006

  up to

  $1,865

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,332

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,000

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $20,244

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $19,482

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $32,892

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $20,016

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $33,870

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $26,445

• Mammogram

  SSP RA010

  up to

  $979

• MRI with Contrast

  SSP RA007

  up to

  $3,841

• MRI without Contrast

  SSP RA005

  up to

  $2,509

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $9,023

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $32,196

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,056

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,929

• Ultrasound

  SSP RA008

  up to

  $776

• X-Ray

  SSP RA000

  up to

  $681