Timpanogos Regional Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $9,907

• Breast MRI

  SSP RA011

  up to

  $894

• Breast Ultrasound

  SSP RA012

  up to

  $474

• Bronchoscopy

  SSP PU000

  up to

  $1,414

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,642

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,905

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,221

• Colonoscopy

  SSP GA002

  up to

  $5,266

• CT

  SSP RA001

  up to

  $2,083

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,202

• Delivery - Cesarean

  SSP OB002

  up to

  $46,018

• Delivery - Vaginal

  SSP OB001

  up to

  $31,220

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,327

• Fetal MRI

  SSP RA006

  up to

  $880

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,101

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,115

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $8,963

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $6,163

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $18,710

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,401

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,322

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,260

• Mammogram

  SSP RA010

  up to

  $443

• MRI with Contrast

  SSP RA007

  up to

  $2,480

• MRI without Contrast

  SSP RA005

  up to

  $982

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,878

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $12,624

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,382

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,811

• Ultrasound

  SSP RA008

  up to

  $459

• X-Ray

  SSP RA000

  up to

  $412