Ochsner LSU Health Shreveport - St Mary Medical Center

Provider Information

Services

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $438

• Breast MRI

  SSP RA011

  up to

  $662

• Breast Ultrasound

  SSP RA012

  up to

  $122

• Bronchoscopy

  SSP PU000

  up to

  $998

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $1,166

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $598

• Colonoscopy

  SSP GA002

  up to

  $610

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,409

• CT

  SSP RA001

  up to

  $603

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $859

• Delivery - Cesarean

  SSP OB002

  up to

  $11,358

• Delivery - Vaginal

  SSP OB001

  up to

  $11,755

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $610

• Fetal MRI

  SSP RA006

  up to

  $259

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,240

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $485

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $4,752

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $4,165

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $21,101

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $5,536

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $10,464

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,155

• Mammogram

  SSP RA010

  up to

  $117

• MRI with Contrast

  SSP RA007

  up to

  $790

• MRI without Contrast

  SSP RA005

  up to

  $571

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $617

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $17,920

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,789

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,347

• Ultrasound

  SSP RA008

  up to

  $262

• X-Ray

  SSP RA000

  up to

  $179