IU Health Tipton Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $13,086

• Breast MRI

  SSP RA011

  up to

  $1,115

• Breast Ultrasound

  SSP RA012

  up to

  $521

• Bronchoscopy

  SSP PU000

  up to

  $9,598

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,834

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,613

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,378

• Colonoscopy

  SSP GA002

  up to

  $5,199

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,627

• CT

  SSP RA001

  up to

  $1,094

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $988

• Delivery - Cesarean

  SSP OB002

  up to

  $11,030

• Delivery - Vaginal

  SSP OB001

  up to

  $9,644

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,703

• Fetal MRI

  SSP RA006

  up to

  $1,078

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $4,594

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $5,790

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $16,764

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $11,433

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $27,949

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,988

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $16,483

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $18,189

• Mammogram

  SSP RA010

  up to

  $318

• MRI with Contrast

  SSP RA007

  up to

  $1,098

• MRI without Contrast

  SSP RA005

  up to

  $1,196

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $9,397

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $16,388

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,253

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,585

• Ultrasound

  SSP RA008

  up to

  $832

• X-Ray

  SSP RA000

  up to

  $687