Norton West Louisville Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $2,279

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $2,592

• Breast MRI

  SSP RA011

  up to

  $1,059

• Breast Ultrasound

  SSP RA012

  up to

  $434

• Bronchoscopy

  SSP PU000

  up to

  $2,650

• Carpal Tunnel Repair

  SSP NU002

  up to

  $2,236

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $3,289

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,034

• Colonoscopy

  SSP GA002

  up to

  $2,179

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,544

• CT

  SSP RA001

  up to

  $880

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,061

• Delivery - Cesarean

  SSP OB002

  up to

  $9,224

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $1,732

• Fetal MRI

  SSP RA006

  up to

  $1,063

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,230

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,457

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,126

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $2,885

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $12,204

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $3,298

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $14,686

• Mammogram

  SSP RA010

  up to

  $418

• MRI with Contrast

  SSP RA007

  up to

  $1,050

• MRI without Contrast

  SSP RA005

  up to

  $1,126

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,081

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $14,758

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $6,774

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $2,851

• Ultrasound

  SSP RA008

  up to

  $2,009

• X-Ray

  SSP RA000

  up to

  $542