Woodland Memorial Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $32,439

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $6,686

• Breast MRI

  SSP RA011

  up to

  $4,582

• Breast Ultrasound

  SSP RA012

  up to

  $706

• Bronchoscopy

  SSP PU000

  up to

  $3,035

• Carpal Tunnel Repair

  SSP NU002

  up to

  $16,098

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,047

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $6,613

• Colonoscopy

  SSP GA002

  up to

  $11,121

• Colonoscopy via Stoma

  SSP GA000

  up to

  $19,670

• CT

  SSP RA001

  up to

  $4,434

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,432

• Delivery - Cesarean

  SSP OB002

  up to

  $43,285

• Delivery - Vaginal

  SSP OB001

  up to

  $31,441

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $16,135

• Fetal MRI

  SSP RA006

  up to

  $2,157

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,205

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $6,726

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $44,759

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $20,955

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $46,824

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $23,429

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $39,997

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $45,278

• Mammogram

  SSP RA010

  up to

  $661

• MRI with Contrast

  SSP RA007

  up to

  $5,434

• MRI without Contrast

  SSP RA005

  up to

  $4,079

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,571

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $36,505

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,871

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $8,925

• Ultrasound

  SSP RA008

  up to

  $1,298

• X-Ray

  SSP RA000

  up to

  $805