Prisma Health North Greenville Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $10,347

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,199

• Breast Ultrasound

  SSP RA012

  up to

  $869

• Bronchoscopy

  SSP PU000

  up to

  $4,042

• Carpal Tunnel Repair

  SSP NU002

  up to

  $12,548

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $7,533

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,643

• Colonoscopy

  SSP GA002

  up to

  $9,578

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,983

• CT

  SSP RA001

  up to

  $3,008

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,217

• Delivery - Cesarean

  SSP OB002

  up to

  $36,038

• Delivery - Vaginal

  SSP OB001

  up to

  $24,992

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,214

• Fetal MRI

  SSP RA006

  up to

  $1,007

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,501

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,401

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $26,376

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $17,081

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $39,332

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $11,514

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $22,824

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $32,486

• Mammogram

  SSP RA010

  up to

  $605

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $8,997

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $35,062

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $10,047

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $9,892

• Ultrasound

  SSP RA008

  up to

  $1,090

• X-Ray

  SSP RA000

  up to

  $918