Virginia Mason Medical Center

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $3,784

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,030

• Breast MRI

  SSP RA011

  up to

  $1,154

• Breast Ultrasound

  SSP RA012

  up to

  $333

• Bronchoscopy

  SSP PU000

  up to

  $2,624

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,987

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,176

• Colonoscopy

  SSP GA002

  up to

  $2,125

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,206

• CT

  SSP RA001

  up to

  $1,339

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,130

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,982

• Fetal MRI

  SSP RA006

  up to

  $398

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,027

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $649

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $11,659

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $8,452

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $8,429

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $7,921

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $4,773

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $11,010

• Mammogram

  SSP RA010

  up to

  $284

• MRI with Contrast

  SSP RA007

  up to

  $1,878

• MRI without Contrast

  SSP RA005

  up to

  $1,288

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,257

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,510

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $6,523

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,467

• Ultrasound

  SSP RA008

  up to

  $808

• X-Ray

  SSP RA000

  up to

  $458