VCU Medical Center Critical Care Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $6,261

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,968

• Breast MRI

  SSP RA011

  up to

  $3,946

• Breast Ultrasound

  SSP RA012

  up to

  $1,275

• Bronchoscopy

  SSP PU000

  up to

  $7,153

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,015

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $14,479

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $5,522

• Colonoscopy

  SSP GA002

  up to

  $5,484

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,950

• CT

  SSP RA001

  up to

  $4,539

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $6,373

• Delivery - Cesarean

  SSP OB002

  up to

  $28,496

• Delivery - Vaginal

  SSP OB001

  up to

  $17,863

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,081

• Fetal MRI

  SSP RA006

  up to

  $1,636

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,651

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,025

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $28,758

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $21,958

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $57,350

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $21,447

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $21,229

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $32,286

• Mammogram

  SSP RA010

  up to

  $1,129

• MRI with Contrast

  SSP RA007

  up to

  $6,211

• MRI without Contrast

  SSP RA005

  up to

  $4,023

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,259

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $31,498

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $17,183

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $16,807

• Ultrasound

  SSP RA008

  up to

  $1,446

• X-Ray

  SSP RA000

  up to

  $1,098