North Shore University Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,967

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,768

• Breast MRI

  SSP RA011

  up to

  $1,239

• Breast Ultrasound

  SSP RA012

  up to

  $381

• Bronchoscopy

  SSP PU000

  up to

  $5,143

• Carpal Tunnel Repair

  SSP NU002

  up to

  $4,929

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,266

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $4,709

• Colonoscopy

  SSP GA002

  up to

  $4,941

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,797

• CT

  SSP RA001

  up to

  $918

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,019

• Delivery - Cesarean

  SSP OB002

  up to

  $60,409

• Delivery - Vaginal

  SSP OB001

  up to

  $34,022

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,540

• Fetal MRI

  SSP RA006

  up to

  $827

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,843

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $4,896

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $9,377

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $5,099

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $13,981

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $22,752

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $5,636

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $23,053

• Mammogram

  SSP RA010

  up to

  $495

• MRI with Contrast

  SSP RA007

  up to

  $1,082

• MRI without Contrast

  SSP RA005

  up to

  $2,082

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,712

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $13,520

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $19,128

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $19,141

• Ultrasound

  SSP RA008

  up to

  $403

• X-Ray

  SSP RA000

  up to

  $258