Northside Hospital Duluth

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $7,917

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $6,918

• Breast MRI

  SSP RA011

  up to

  $2,519

• Breast Ultrasound

  SSP RA012

  up to

  $1,564

• Bronchoscopy

  SSP PU000

  up to

  $6,659

• Carpal Tunnel Repair

  SSP NU002

  up to

  $7,873

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $16,017

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $5,073

• Colonoscopy

  SSP GA002

  up to

  $7,061

• Colonoscopy via Stoma

  SSP GA000

  up to

  $5,106

• CT

  SSP RA001

  up to

  $1,808

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,968

• Delivery - Cesarean

  SSP OB002

  up to

  $17,419

• Delivery - Vaginal

  SSP OB001

  up to

  $15,171

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $6,681

• Fetal MRI

  SSP RA006

  up to

  $1,465

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $3,619

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $5,989

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $14,600

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,052

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $11,898

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $10,339

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,557

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $10,720

• Mammogram

  SSP RA010

  up to

  $440

• MRI with Contrast

  SSP RA007

  up to

  $2,471

• MRI without Contrast

  SSP RA005

  up to

  $2,551

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $6,722

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $12,035

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,683

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $10,412

• Ultrasound

  SSP RA008

  up to

  $1,286

• X-Ray

  SSP RA000

  up to

  $978