Charlotte Hungerford Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $5,763

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,211

• Breast MRI

  SSP RA011

  up to

  $2,144

• Breast Ultrasound

  SSP RA012

  up to

  $407

• Bronchoscopy

  SSP PU000

  up to

  $5,717

• Carpal Tunnel Repair

  SSP NU002

  up to

  $5,722

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,156

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,273

• Colonoscopy

  SSP GA002

  up to

  $4,415

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,083

• CT

  SSP RA001

  up to

  $846

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $939

• Delivery - Cesarean

  SSP OB002

  up to

  $14,538

• Delivery - Vaginal

  SSP OB001

  up to

  $9,929

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,730

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,071

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,213

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $7,382

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $9,273

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $9,079

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,469

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $6,264

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,252

• Mammogram

  SSP RA010

  up to

  $491

• MRI with Contrast

  SSP RA007

  up to

  $1,349

• MRI without Contrast

  SSP RA005

  up to

  $1,111

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,947

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $8,629

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,790

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,821

• Ultrasound

  SSP RA008

  up to

  $461

• X-Ray

  SSP RA000

  up to

  $477