UnityPoint Health - Trinity Muscatine

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $7,401

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,368

• Breast MRI

  SSP RA011

  up to

  $1,568

• Breast Ultrasound

  SSP RA012

  up to

  $555

• Bronchoscopy

  SSP PU000

  up to

  $3,308

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,296

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,322

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,636

• Colonoscopy

  SSP GA002

  up to

  $5,224

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,937

• CT

  SSP RA001

  up to

  $2,021

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,331

• Delivery - Vaginal

  SSP OB001

  up to

  $10,206

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,654

• Fetal MRI

  SSP RA006

  up to

  $2,059

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $963

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,297

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $9,338

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $7,989

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,732

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $6,561

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,059

• Mammogram

  SSP RA010

  up to

  $479

• MRI with Contrast

  SSP RA007

  up to

  $3,847

• MRI without Contrast

  SSP RA005

  up to

  $2,250

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,036

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $15,014

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,676

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,139

• Ultrasound

  SSP RA008

  up to

  $800

• X-Ray

  SSP RA000

  up to

  $448