Warren General Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $9,633

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,855

• Breast MRI

  SSP RA011

  up to

  $1,128

• Breast Ultrasound

  SSP RA012

  up to

  $411

• Bronchoscopy

  SSP PU000

  up to

  $7,019

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,927

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,100

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,814

• Colonoscopy

  SSP GA002

  up to

  $4,530

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,149

• CT

  SSP RA001

  up to

  $1,141

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,167

• Delivery - Cesarean

  SSP OB002

  up to

  $18,145

• Delivery - Vaginal

  SSP OB001

  up to

  $11,788

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,937

• Fetal MRI

  SSP RA006

  up to

  $842

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,087

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,164

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $16,843

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,456

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $22,803

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $14,300

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,237

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $17,017

• Mammogram

  SSP RA010

  up to

  $259

• MRI with Contrast

  SSP RA007

  up to

  $1,142

• MRI without Contrast

  SSP RA005

  up to

  $938

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,427

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $22,042

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $16,850

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,424

• Ultrasound

  SSP RA008

  up to

  $421

• X-Ray

  SSP RA000

  up to

  $369