University of Illinois Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $1,006

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $612

• Breast MRI

  SSP RA011

  up to

  $5,329

• Breast Ultrasound

  SSP RA012

  up to

  $204

• Carpal Tunnel Repair

  SSP NU002

  up to

  $923

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $1,655

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $679

• Colonoscopy

  SSP GA002

  up to

  $968

• Colonoscopy via Stoma

  SSP GA000

  up to

  $914

• CT

  SSP RA001

  up to

  $2,342

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,016

• Delivery - Cesarean

  SSP OB002

  up to

  $41,957

• Delivery - Vaginal

  SSP OB001

  up to

  $39,410

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,786

• Fetal MRI

  SSP RA006

  up to

  $636

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,393

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $610

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $1,050

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $1,188

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $1,868

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $1,095

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $1,261

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $1,295

• Mammogram

  SSP RA010

  up to

  $612

• MRI with Contrast

  SSP RA007

  up to

  $1,957

• MRI without Contrast

  SSP RA005

  up to

  $2,040

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,688

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $1,953

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $513

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $536

• Ultrasound

  SSP RA008

  up to

  $832

• X-Ray

  SSP RA000

  up to

  $481