West Tennessee Healthcare Henry County Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $5,484

• Breast MRI

  SSP RA011

  up to

  $1,911

• Breast Ultrasound

  SSP RA012

  up to

  $511

• Bronchoscopy

  SSP PU000

  up to

  $3,873

• Carpal Tunnel Repair

  SSP NU002

  up to

  $5,443

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $4,515

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $1,787

• Colonoscopy

  SSP GA002

  up to

  $3,195

• Colonoscopy via Stoma

  SSP GA000

  up to

  $2,759

• CT

  SSP RA001

  up to

  $1,865

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $1,715

• Delivery - Cesarean

  SSP OB002

  up to

  $18,969

• Delivery - Vaginal

  SSP OB001

  up to

  $12,323

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,437

• Fetal MRI

  SSP RA006

  up to

  $1,863

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,557

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $796

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $8,850

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $5,581

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $10,765

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,073

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $6,063

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $8,955

• Mammogram

  SSP RA010

  up to

  $321

• MRI with Contrast

  SSP RA007

  up to

  $1,883

• MRI without Contrast

  SSP RA005

  up to

  $1,953

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,018

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,251

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,081

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $4,150

• Ultrasound

  SSP RA008

  up to

  $575

• X-Ray

  SSP RA000

  up to

  $267