UM Health - Sparrow Clinton

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $625

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $87

• Breast MRI

  SSP RA011

  up to

  $191

• Breast Ultrasound

  SSP RA012

  up to

  $139

• Bronchoscopy

  SSP PU000

  up to

  $344

• Carpal Tunnel Repair

  SSP NU002

  up to

  $528

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $736

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $325

• Colonoscopy

  SSP GA002

  up to

  $481

• Colonoscopy via Stoma

  SSP GA000

  up to

  $432

• CT

  SSP RA001

  up to

  $739

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,235

• Delivery - Cesarean

  SSP OB002

  up to

  $8,775

• Delivery - Vaginal

  SSP OB001

  up to

  $7,033

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $526

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $198

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $149

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $287

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $641

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $1,429

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $356

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $771

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $716

• Mammogram

  SSP RA010

  up to

  $146

• MRI with Contrast

  SSP RA007

  up to

  $941

• MRI without Contrast

  SSP RA005

  up to

  $857

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $525

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $1,081

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $296

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $309

• Ultrasound

  SSP RA008

  up to

  $253

• X-Ray

  SSP RA000

  up to

  $114