Spring View Hospital

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $2,972

• Breast Ultrasound

  SSP RA012

  up to

  $1,000

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $5,354

• Colonoscopy

  SSP GA002

  up to

  $3,308

• CT

  SSP RA001

  up to

  $2,938

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $4,930

• Delivery - Cesarean

  SSP OB002

  up to

  $19,000

• Delivery - Vaginal

  SSP OB001

  up to

  $21,015

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,119

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $393

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $296

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $6,830

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $5,044

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $3,673

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $13,301

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $12,898

• Mammogram

  SSP RA010

  up to

  $416

• MRI with Contrast

  SSP RA007

  up to

  $4,150

• MRI without Contrast

  SSP RA005

  up to

  $3,966

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $4,421

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $11,155

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $5,110

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $5,180

• Ultrasound

  SSP RA008

  up to

  $1,146

• X-Ray

  SSP RA000

  up to

  $1,086