The Valley Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $20,769

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $20,594

• Breast MRI

  SSP RA011

  up to

  $3,130

• Breast Ultrasound

  SSP RA012

  up to

  $245

• Bronchoscopy

  SSP PU000

  up to

  $21,147

• Carpal Tunnel Repair

  SSP NU002

  up to

  $20,714

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $20,980

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $20,749

• Colonoscopy

  SSP GA002

  up to

  $20,775

• Colonoscopy via Stoma

  SSP GA000

  up to

  $20,510

• CT

  SSP RA001

  up to

  $1,049

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $807

• Delivery - Cesarean

  SSP OB002

  up to

  $37,773

• Delivery - Vaginal

  SSP OB001

  up to

  $25,580

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $20,296

• Fetal MRI

  SSP RA006

  up to

  $471

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $1,393

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $20,669

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $20,844

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $23,249

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $20,645

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $21,509

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $20,936

• Mammogram

  SSP RA010

  up to

  $229

• MRI with Contrast

  SSP RA007

  up to

  $892

• MRI without Contrast

  SSP RA005

  up to

  $1,798

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $20,413

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $22,562

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $20,409

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $20,548

• Ultrasound

  SSP RA008

  up to

  $1,045

• X-Ray

  SSP RA000

  up to

  $473