Van Buren County Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $12,996

• Breast MRI

  SSP RA011

  up to

  $1,572

• Breast Ultrasound

  SSP RA012

  up to

  $657

• Bronchoscopy

  SSP PU000

  up to

  $19,059

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,441

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,614

• Colonoscopy

  SSP GA002

  up to

  $4,965

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,900

• CT

  SSP RA001

  up to

  $3,036

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,321

• Delivery - Cesarean

  SSP OB002

  up to

  $8,773

• Delivery - Vaginal

  SSP OB001

  up to

  $10,271

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,187

• Fetal MRI

  SSP RA006

  up to

  $2,166

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,011

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,068

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $9,517

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,162

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,056

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $6,731

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,284

• Mammogram

  SSP RA010

  up to

  $355

• MRI with Contrast

  SSP RA007

  up to

  $4,280

• MRI without Contrast

  SSP RA005

  up to

  $3,731

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,121

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $15,388

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $3,782

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,279

• Ultrasound

  SSP RA008

  up to

  $1,137

• X-Ray

  SSP RA000

  up to

  $660