Norton Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $3,075

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,678

• Breast MRI

  SSP RA011

  up to

  $1,088

• Breast Ultrasound

  SSP RA012

  up to

  $649

• Bronchoscopy

  SSP PU000

  up to

  $6,507

• Carpal Tunnel Repair

  SSP NU002

  up to

  $3,007

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,159

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,077

• Colonoscopy

  SSP GA002

  up to

  $2,872

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,158

• CT

  SSP RA001

  up to

  $889

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,105

• Delivery - Cesarean

  SSP OB002

  up to

  $24,314

• Delivery - Vaginal

  SSP OB001

  up to

  $15,795

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,462

• Fetal MRI

  SSP RA006

  up to

  $1,050

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,850

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,532

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $5,884

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $3,778

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $3,790

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $4,240

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,209

• Mammogram

  SSP RA010

  up to

  $406

• MRI with Contrast

  SSP RA007

  up to

  $1,075

• MRI without Contrast

  SSP RA005

  up to

  $1,142

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,852

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $15,313

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,601

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $3,852

• Ultrasound

  SSP RA008

  up to

  $2,008

• X-Ray

  SSP RA000

  up to

  $540