Washington County Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $15,525

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,930

• Breast MRI

  SSP RA011

  up to

  $3,849

• Breast Ultrasound

  SSP RA012

  up to

  $646

• Bronchoscopy

  SSP PU000

  up to

  $4,183

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,917

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $2,137

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,792

• Colonoscopy

  SSP GA002

  up to

  $2,570

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,386

• CT

  SSP RA001

  up to

  $3,086

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,525

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,794

• Fetal MRI

  SSP RA006

  up to

  $2,118

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,504

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,922

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $18,858

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,616

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $47,611

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,920

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $13,024

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $14,690

• Mammogram

  SSP RA010

  up to

  $494

• MRI with Contrast

  SSP RA007

  up to

  $3,756

• MRI without Contrast

  SSP RA005

  up to

  $3,156

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,284

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $31,945

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,663

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,090

• Ultrasound

  SSP RA008

  up to

  $1,059

• X-Ray

  SSP RA000

  up to

  $584