Summers County ARH Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $2,406

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,112

• Breast MRI

  SSP RA011

  up to

  $1,576

• Breast Ultrasound

  SSP RA012

  up to

  $326

• Bronchoscopy

  SSP PU000

  up to

  $2,723

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,832

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,880

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,696

• Colonoscopy

  SSP GA002

  up to

  $2,660

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,662

• CT

  SSP RA001

  up to

  $698

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $731

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,850

• Fetal MRI

  SSP RA006

  up to

  $766

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,396

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $955

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,711

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,777

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $4,498

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,454

• Mammogram

  SSP RA010

  up to

  $391

• MRI with Contrast

  SSP RA007

  up to

  $736

• MRI without Contrast

  SSP RA005

  up to

  $1,299

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,138

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,834

• Ultrasound

  SSP RA008

  up to

  $367

• X-Ray

  SSP RA000

  up to

  $212