ThedaCare Medical Center - Shawano

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,761

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,662

• Breast MRI

  SSP RA011

  up to

  $2,737

• Breast Ultrasound

  SSP RA012

  up to

  $492

• Bronchoscopy

  SSP PU000

  up to

  $5,190

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,731

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,360

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,305

• Colonoscopy

  SSP GA002

  up to

  $4,100

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,902

• CT

  SSP RA001

  up to

  $2,146

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,004

• Delivery - Cesarean

  SSP OB002

  up to

  $25,231

• Delivery - Vaginal

  SSP OB001

  up to

  $16,391

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,458

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,128

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,729

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $9,433

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $6,813

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $11,033

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,437

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $7,244

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,569

• Mammogram

  SSP RA010

  up to

  $641

• MRI with Contrast

  SSP RA007

  up to

  $2,892

• MRI without Contrast

  SSP RA005

  up to

  $2,870

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,808

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,605

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,040

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,100

• Ultrasound

  SSP RA008

  up to

  $661

• X-Ray

  SSP RA000

  up to

  $428