Stanford Health Care - ValleyCare

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $1,891

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,362

• Breast MRI

  SSP RA011

  up to

  $7,231

• Breast Ultrasound

  SSP RA012

  up to

  $670

• Bronchoscopy

  SSP PU000

  up to

  $6,163

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,466

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,349

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,571

• Colonoscopy

  SSP GA002

  up to

  $4,798

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,011

• CT

  SSP RA001

  up to

  $7,053

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $7,710

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,410

• Fetal MRI

  SSP RA006

  up to

  $1,238

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,051

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,926

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,683

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $1,521

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $3,881

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $5,787

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $2,620

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $2,041

• Mammogram

  SSP RA010

  up to

  $616

• MRI with Contrast

  SSP RA007

  up to

  $6,788

• MRI without Contrast

  SSP RA005

  up to

  $4,710

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,449

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $2,788

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $738

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $771

• Ultrasound

  SSP RA008

  up to

  $1,438

• X-Ray

  SSP RA000

  up to

  $1,098