Wright Memorial Hospital

Provider Information

Services

• Breast Ultrasound

  SSP RA012

  up to

  $300

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,834

• Colonoscopy

  SSP GA002

  up to

  $6,028

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,578

• CT

  SSP RA001

  up to

  $1,722

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,346

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,610

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,186

• Mammogram

  SSP RA010

  up to

  $247

• MRI with Contrast

  SSP RA007

  up to

  $2,208

• MRI without Contrast

  SSP RA005

  up to

  $1,728

• Ultrasound

  SSP RA008

  up to

  $645

• X-Ray

  SSP RA000

  up to

  $432