UHS Wilson Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $13,364

• Breast MRI

  SSP RA011

  up to

  $1,615

• Breast Ultrasound

  SSP RA012

  up to

  $648

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $12,456

• Colonoscopy

  SSP GA002

  up to

  $7,582

• Colonoscopy via Stoma

  SSP GA000

  up to

  $7,185

• CT

  SSP RA001

  up to

  $1,389

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,727

• Delivery - Cesarean

  SSP OB002

  up to

  $17,429

• Delivery - Vaginal

  SSP OB001

  up to

  $23,049

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,874

• Fetal MRI

  SSP RA006

  up to

  $945

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,931

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $21,068

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $31,121

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $42,025

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,812

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $14,652

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $21,393

• MRI with Contrast

  SSP RA007

  up to

  $1,391

• MRI without Contrast

  SSP RA005

  up to

  $1,244

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $8,741

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $40,858

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $18,095

• Ultrasound

  SSP RA008

  up to

  $619

• X-Ray

  SSP RA000

  up to

  $566