Lake Cumberland Regional Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,829

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $138

• Breast MRI

  SSP RA011

  up to

  $1,800

• Breast Ultrasound

  SSP RA012

  up to

  $702

• Bronchoscopy

  SSP PU000

  up to

  $11,244

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,820

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $404

• Colonoscopy

  SSP GA002

  up to

  $7,396

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,272

• CT

  SSP RA001

  up to

  $3,577

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $5,557

• Delivery - Cesarean

  SSP OB002

  up to

  $14,327

• Delivery - Vaginal

  SSP OB001

  up to

  $15,076

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $5,393

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $938

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $185

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $13,160

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $14,344

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $12,734

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $16,463

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $21,789

• Mammogram

  SSP RA010

  up to

  $504

• MRI with Contrast

  SSP RA007

  up to

  $3,077

• MRI without Contrast

  SSP RA005

  up to

  $3,082

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,913

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $9,050

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $8,325

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $11,438

• Ultrasound

  SSP RA008

  up to

  $1,467

• X-Ray

  SSP RA000

  up to

  $982