St Lukes University Hospital - Bethlehem

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $21,841

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,634

• Breast MRI

  SSP RA011

  up to

  $3,593

• Breast Ultrasound

  SSP RA012

  up to

  $396

• Bronchoscopy

  SSP PU000

  up to

  $4,660

• Carpal Tunnel Repair

  SSP NU002

  up to

  $9,052

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $12,178

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $5,639

• Colonoscopy

  SSP GA002

  up to

  $5,288

• Colonoscopy via Stoma

  SSP GA000

  up to

  $4,887

• CT

  SSP RA001

  up to

  $2,503

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,538

• Delivery - Vaginal

  SSP OB001

  up to

  $15,596

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $4,725

• Fetal MRI

  SSP RA006

  up to

  $2,083

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $2,408

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $2,959

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $10,017

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $10,403

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $15,238

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $6,655

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $9,853

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $17,902

• Mammogram

  SSP RA010

  up to

  $410

• MRI with Contrast

  SSP RA007

  up to

  $2,769

• MRI without Contrast

  SSP RA005

  up to

  $1,985

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $5,539

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $11,399

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $7,901

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $7,766

• Ultrasound

  SSP RA008

  up to

  $1,051

• X-Ray

  SSP RA000

  up to

  $478