Novant Health Forsyth Medical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,326

• Breast MRI

  SSP RA011

  up to

  $3,292

• Breast Ultrasound

  SSP RA012

  up to

  $434

• Bronchoscopy

  SSP PU000

  up to

  $14,053

• Carpal Tunnel Repair

  SSP NU002

  up to

  $6,048

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,757

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,435

• Colonoscopy

  SSP GA002

  up to

  $2,698

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,525

• CT

  SSP RA001

  up to

  $2,066

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,221

• Delivery - Cesarean

  SSP OB002

  up to

  $24,682

• Delivery - Vaginal

  SSP OB001

  up to

  $23,275

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,751

• Fetal MRI

  SSP RA006

  up to

  $777

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,092

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,184

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $13,003

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $14,229

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $44,749

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,821

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $8,530

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $13,610

• Mammogram

  SSP RA010

  up to

  $435

• MRI with Contrast

  SSP RA007

  up to

  $2,829

• MRI without Contrast

  SSP RA005

  up to

  $2,133

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $2,271

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $13,428

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,631

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,002

• Ultrasound

  SSP RA008

  up to

  $1,426

• X-Ray

  SSP RA000

  up to

  $1,772