St Michael Medical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,121

• Breast MRI

  SSP RA011

  up to

  $2,738

• Bronchoscopy

  SSP PU000

  up to

  $1,419

• CT

  SSP RA001

  up to

  $2,915

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,979

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,447

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,180

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $526

• Mammogram

  SSP RA010

  up to

  $509

• MRI with Contrast

  SSP RA007

  up to

  $4,654

• MRI without Contrast

  SSP RA005

  up to

  $3,022

• Ultrasound

  SSP RA008

  up to

  $900

• X-Ray

  SSP RA000

  up to

  $1,659