IU Health Tipton Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $12,338

• Breast MRI

  SSP RA011

  up to

  $1,705

• Breast Ultrasound

  SSP RA012

  up to

  $680

• Bronchoscopy

  SSP PU000

  up to

  $9,149

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,503

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,126

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,335

• Colonoscopy

  SSP GA002

  up to

  $6,102

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,668

• CT

  SSP RA001

  up to

  $2,265

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,921

• Delivery - Cesarean

  SSP OB002

  up to

  $10,434

• Delivery - Vaginal

  SSP OB001

  up to

  $9,885

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $6,062

• Fetal MRI

  SSP RA006

  up to

  $1,230

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $4,379

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,144

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $34,403

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $34,343

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $26,843

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,368

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $15,616

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $17,146

• Mammogram

  SSP RA010

  up to

  $1,437

• MRI with Contrast

  SSP RA007

  up to

  $4,207

• MRI without Contrast

  SSP RA005

  up to

  $2,599

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $9,487

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $15,517

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $6,548

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,695

• Ultrasound

  SSP RA008

  up to

  $3,269

• X-Ray

  SSP RA000

  up to

  $1,214