The University of Tennessee Medical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,083

• Breast MRI

  SSP RA011

  up to

  $1,223

• Breast Ultrasound

  SSP RA012

  up to

  $404

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,293

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $1,812

• Colonoscopy

  SSP GA002

  up to

  $1,328

• Colonoscopy via Stoma

  SSP GA000

  up to

  $943

• CT

  SSP RA001

  up to

  $781

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,030

• Delivery - Cesarean

  SSP OB002

  up to

  $16,284

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $943

• Fetal MRI

  SSP RA006

  up to

  $1,267

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $639

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,014

• Mammogram

  SSP RA010

  up to

  $420

• MRI with Contrast

  SSP RA007

  up to

  $1,247

• MRI without Contrast

  SSP RA005

  up to

  $1,364

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,107

• Ultrasound

  SSP RA008

  up to

  $982

• X-Ray

  SSP RA000

  up to

  $542