Novant Health Presbyterian Medical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $1,369

• Breast MRI

  SSP RA011

  up to

  $2,966

• Breast Ultrasound

  SSP RA012

  up to

  $521

• Bronchoscopy

  SSP PU000

  up to

  $4,096

• Carpal Tunnel Repair

  SSP NU002

  up to

  $1,216

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $6,119

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $2,541

• Colonoscopy

  SSP GA002

  up to

  $2,990

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,468

• CT

  SSP RA001

  up to

  $2,227

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,922

• Delivery - Cesarean

  SSP OB002

  up to

  $35,073

• Delivery - Vaginal

  SSP OB001

  up to

  $22,785

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $8,165

• Fetal MRI

  SSP RA006

  up to

  $696

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $945

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,217

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $13,831

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $15,180

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $47,802

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $9,661

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $11,343

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $9,212

• Mammogram

  SSP RA010

  up to

  $404

• MRI with Contrast

  SSP RA007

  up to

  $3,062

• MRI without Contrast

  SSP RA005

  up to

  $2,380

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,688

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $17,627

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $8,138

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,075

• Ultrasound

  SSP RA008

  up to

  $1,251

• X-Ray

  SSP RA000

  up to

  $1,542