HSHS GOOD SHEPHERD HOSPITAL - Price Transparency,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Site,Svc_Cd,HCPC/Cpt_Cd,CDM_Svc_Descr,Rev_Cd, Quantity/Units , Hospital_gross_Charge , Self_Pay_Chg , Minimum_Negotiated_Chg , Maximum_Negotiated_Chg , AETNA , AETNA MEDICARE , BCBS EXCHANGE , BCBS ILLINOIS PPO , BLUE CROSS BLUE SHIELD OUT OF STATE , CELTIC INSURANCE COMPANY , CIEBA CARE , CIGNA , CLAIM DOC , CLEAR SPRING HEALTH MEDICARE ADV , COMPSYCH , HEALTH ALLIANCE , HEALTH ALLIANCE MEDICARE , HEALTHLINK , HEALTHSCOPE , HFN , HOPETRUST , HUMANA , HUMANA MEDICARE ADVANTAGE , LIVE360 HSHS PLAN , MULTIPLAN , PREFERRED PLAN INC , PROVIDER NETWORK OF AMERICA , UHC CATERPILLAR , UNITED HEALTHCARE , UNITED HEALTHCARE MEDICARE , WELLFIRST HSHS GOOD SHEPHERD HOSPITAL (ACU),1,N/A,FLAGYL (METROnidAZOLE) : 500MG/100ML NS,250,1 ,$99.00 ,$64.35 ,$64.35 ,$89.15 ,$79.20 , N/A ,$78.45 ,$89.15 ,$89.15 , N/A ,$84.15 ,$73.26 , N/A , N/A , N/A ,$82.57 , N/A ,$81.77 ,$79.20 ,$89.10 , N/A ,$84.15 , N/A ,$84.15 ,$84.15 ,$89.10 ,$89.10 ,$77.72 ,$81.77 , N/A ,$64.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),10,N/A,NF-RENVELA ORAL TABLET 800MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),100,N/A,NF-LOTREL CAPSULE 5MG-10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),100100,N/A,SAMPLE ONLY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),10022400,N/A,*****INACTIVATE*****,732,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),1003040,N/A,POTASSIUM CHLORIDE INJECTION 2MEQ/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),10049590,49590,REPAIR SPIGELIAN HERNIA,360,1 ,"$4,778.57 ","$3,106.07 ","$2,880.48 ","$7,201.19 ","$3,822.86 ","$2,880.48 ","$3,786.54 ","$4,303.10 ","$4,303.10 ","$5,472.91 ","$4,061.78 ","$3,536.14 ","$7,201.19 ","$2,880.48 ", N/A ,"$3,985.33 ","$2,880.48 ","$3,947.10 ","$3,822.86 ","$4,300.71 ","$4,778.57 ","$4,061.78 ","$3,084.99 ","$4,061.78 ","$4,061.78 ","$4,300.71 ","$4,300.71 ","$3,751.18 ","$3,947.10 ","$3,084.99 ","$3,106.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),101,N/A,NF-ALENDRONATE SOD ORAL TABLET 35MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),102,N/A,NF-GEODON CAPSULE 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),103,N/A,NF-PHENOBARBITAL ORAL TABLET 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),104,N/A,NF-TRIVORA-28 TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),105,N/A,NF-DETROL LA ORAL CAPSULE ER 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),10500413,N/A,TELEMETRY,110,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),10549562,49561,REP INIT INCIS/VENTRAL HERNIA INCAR /STR,360,1 ,"$9,505.94 ","$6,178.86 ","$2,880.48 ","$8,560.10 ","$7,604.75 ","$2,880.48 ","$7,532.51 ","$8,560.10 ","$8,560.10 ","$5,472.91 ","$8,080.05 ","$7,034.40 ","$7,201.19 ","$2,880.48 ", N/A ,"$7,927.95 ","$2,880.48 ","$7,851.91 ","$7,604.75 ","$8,555.35 ","$7,201.19 ","$8,080.05 ","$3,084.99 ","$8,080.05 ","$8,080.05 ","$8,555.35 ","$8,555.35 ","$7,462.16 ","$7,851.91 ","$3,084.99 ","$6,178.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),106,N/A,NF-THEOPHYLLINE 12HR ORAL CAP ER 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),107,N/A,NF-TRAZODONE HYDROCHLORIDE TABLET 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),108,N/A,NF-DICYCLOMINE HCL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),109,N/A,"NF-NYSTATIN OINT 100,000U/1GM",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),11,N/A,NF-CYANOCOBALAMIN INJECTION 1000MCG/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),110,N/A,NF-REVLIMID CAP 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),11000999,N/A,<=CARDIAC REHAB=>,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),111,N/A,NF-MULTAQ ORAL TABLET 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),11110700,N/A,CPRH INIT EVALUATION,940,1 ,$67.10 ,$43.62 ,$43.62 ,$60.42 ,$53.68 , N/A ,$53.17 ,$60.42 ,$60.42 , N/A ,$57.04 ,$49.65 , N/A , N/A , N/A ,$55.96 , N/A ,$55.42 ,$53.68 ,$60.39 , N/A ,$57.04 , N/A ,$57.04 ,$57.04 ,$60.39 ,$60.39 ,$52.67 ,$55.42 , N/A ,$43.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110702,N/A,CPRH PHYSICAL COND EXER 3,460,1 ,$7.61 ,$4.95 ,$4.95 ,$6.85 ,$6.09 , N/A ,$6.03 ,$6.85 ,$6.85 , N/A ,$6.47 ,$5.63 , N/A , N/A , N/A ,$6.35 , N/A ,$6.29 ,$6.09 ,$6.85 , N/A ,$6.47 , N/A ,$6.47 ,$6.47 ,$6.85 ,$6.85 ,$5.97 ,$6.29 , N/A ,$4.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110718,N/A,CPRH CARD REHAB 1,943,1 ,$67.10 ,$43.62 ,$43.62 ,$60.42 ,$53.68 , N/A ,$53.17 ,$60.42 ,$60.42 , N/A ,$57.04 ,$49.65 , N/A , N/A , N/A ,$55.96 , N/A ,$55.42 ,$53.68 ,$60.39 , N/A ,$57.04 , N/A ,$57.04 ,$57.04 ,$60.39 ,$60.39 ,$52.67 ,$55.42 , N/A ,$43.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110726,93798,CPRH CARD REHAB 2,943,1 ,$123.06 ,$79.99 ,$79.99 ,$262.54 ,$98.45 ,$105.02 ,$97.51 ,$110.82 ,$110.82 ,$199.53 ,$104.60 ,$91.06 ,$262.54 ,$105.02 , N/A ,$102.63 ,$105.02 ,$101.65 ,$98.45 ,$110.75 ,$123.06 ,$104.60 ,$112.47 ,$104.60 ,$104.60 ,$110.75 ,$110.75 ,$96.60 ,$101.65 ,$112.47 ,$79.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110734,N/A,CPRH CARD REHAB 3,943,1 ,$6.77 ,$4.40 ,$4.40 ,$6.10 ,$5.42 , N/A ,$5.36 ,$6.10 ,$6.10 , N/A ,$5.75 ,$5.01 , N/A , N/A , N/A ,$5.65 , N/A ,$5.59 ,$5.42 ,$6.09 , N/A ,$5.75 , N/A ,$5.75 ,$5.75 ,$6.09 ,$6.09 ,$5.31 ,$5.59 , N/A ,$4.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110735,N/A,CARDIAC REHAB 3 1WK,943,1 ,$13.13 ,$8.53 ,$8.53 ,$11.82 ,$10.50 , N/A ,$10.40 ,$11.82 ,$11.82 , N/A ,$11.16 ,$9.72 , N/A , N/A , N/A ,$10.95 , N/A ,$10.85 ,$10.50 ,$11.82 , N/A ,$11.16 , N/A ,$11.16 ,$11.16 ,$11.82 ,$11.82 ,$10.31 ,$10.85 , N/A ,$8.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110736,N/A,CARDIAC REHAB 3 2 WK,943,1 ,$26.25 ,$17.06 ,$17.06 ,$23.64 ,$21.00 , N/A ,$20.80 ,$23.64 ,$23.64 , N/A ,$22.31 ,$19.43 , N/A , N/A , N/A ,$21.89 , N/A ,$21.68 ,$21.00 ,$23.63 , N/A ,$22.31 , N/A ,$22.31 ,$22.31 ,$23.63 ,$23.63 ,$20.61 ,$21.68 , N/A ,$17.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110737,N/A,CARDIAC REHAB 3 MONTH,943,1 ,$52.50 ,$34.13 ,$34.13 ,$47.28 ,$42.00 , N/A ,$41.60 ,$47.28 ,$47.28 , N/A ,$44.63 ,$38.85 , N/A , N/A , N/A ,$43.79 , N/A ,$43.37 ,$42.00 ,$47.25 , N/A ,$44.63 , N/A ,$44.63 ,$44.63 ,$47.25 ,$47.25 ,$41.21 ,$43.37 , N/A ,$34.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110738,N/A,COUPLES RATE FOR CARDIAC REHAB PHASE 3,943,1 ,$39.38 ,$25.60 ,$25.60 ,$35.46 ,$31.50 , N/A ,$31.20 ,$35.46 ,$35.46 , N/A ,$33.47 ,$29.14 , N/A , N/A , N/A ,$32.84 , N/A ,$32.53 ,$31.50 ,$35.44 , N/A ,$33.47 , N/A ,$33.47 ,$33.47 ,$35.44 ,$35.44 ,$30.91 ,$32.53 , N/A ,$25.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110742,N/A,CPRH PULM REHAB 1,460,1 ,$75.40 ,$49.01 ,$49.01 ,$67.90 ,$60.32 , N/A ,$59.75 ,$67.90 ,$67.90 , N/A ,$64.09 ,$55.80 , N/A , N/A , N/A ,$62.88 , N/A ,$62.28 ,$60.32 ,$67.86 , N/A ,$64.09 , N/A ,$64.09 ,$64.09 ,$67.86 ,$67.86 ,$59.19 ,$62.28 , N/A ,$49.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110759,G0239,CPRH PULM REHAB 2,460,1 ,$138.30 ,$89.90 ,$30.62 ,$124.54 ,$110.64 ,$30.62 ,$109.59 ,$124.54 ,$124.54 ,$58.18 ,$117.56 ,$102.34 ,$76.55 ,$30.62 , N/A ,$115.34 ,$30.62 ,$114.24 ,$110.64 ,$124.47 ,$76.55 ,$117.56 ,$32.79 ,$117.56 ,$117.56 ,$124.47 ,$124.47 ,$108.57 ,$114.24 ,$32.79 ,$89.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110767,N/A,CPRH PULM REHAB 3,460,1 ,$7.61 ,$4.95 ,$4.95 ,$6.85 ,$6.09 , N/A ,$6.03 ,$6.85 ,$6.85 , N/A ,$6.47 ,$5.63 , N/A , N/A , N/A ,$6.35 , N/A ,$6.29 ,$6.09 ,$6.85 , N/A ,$6.47 , N/A ,$6.47 ,$6.47 ,$6.85 ,$6.85 ,$5.97 ,$6.29 , N/A ,$4.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110768,N/A,PULMONARY REHAB 1 WK,460,1 ,$14.75 ,$9.59 ,$9.59 ,$13.28 ,$11.80 , N/A ,$11.69 ,$13.28 ,$13.28 , N/A ,$12.54 ,$10.92 , N/A , N/A , N/A ,$12.30 , N/A ,$12.18 ,$11.80 ,$13.28 , N/A ,$12.54 , N/A ,$12.54 ,$12.54 ,$13.28 ,$13.28 ,$11.58 ,$12.18 , N/A ,$9.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110769,N/A,PULMONARY REHAB 3 2WK,460,1 ,$29.50 ,$19.18 ,$19.18 ,$26.56 ,$23.60 , N/A ,$23.38 ,$26.56 ,$26.56 , N/A ,$25.08 ,$21.83 , N/A , N/A , N/A ,$24.60 , N/A ,$24.37 ,$23.60 ,$26.55 , N/A ,$25.08 , N/A ,$25.08 ,$25.08 ,$26.55 ,$26.55 ,$23.16 ,$24.37 , N/A ,$19.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110770,N/A,PULMONARY REHAB 3 MONTH,460,1 ,$59.00 ,$38.35 ,$38.35 ,$53.13 ,$47.20 , N/A ,$46.75 ,$53.13 ,$53.13 , N/A ,$50.15 ,$43.66 , N/A , N/A , N/A ,$49.21 , N/A ,$48.73 ,$47.20 ,$53.10 , N/A ,$50.15 , N/A ,$50.15 ,$50.15 ,$53.10 ,$53.10 ,$46.32 ,$48.73 , N/A ,$38.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110775,99201,CPRH INIT EVAL/PULMONARY,460,1 ,$75.40 ,$49.01 ,$49.01 ,$67.90 ,$60.32 , N/A ,$59.75 ,$67.90 ,$67.90 , N/A ,$64.09 ,$55.80 , N/A , N/A , N/A ,$62.88 , N/A ,$62.28 ,$60.32 ,$67.86 , N/A ,$64.09 , N/A ,$64.09 ,$64.09 ,$67.86 ,$67.86 ,$59.19 ,$62.28 , N/A ,$49.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110783,94761,CPRH EXERCISE OXIMETRY,460,1 ,$58.41 ,$37.97 ,$37.97 ,$52.60 ,$46.73 , N/A ,$46.28 ,$52.60 ,$52.60 , N/A ,$49.65 ,$43.22 , N/A , N/A , N/A ,$48.71 , N/A ,$48.25 ,$46.73 ,$52.57 , N/A ,$49.65 , N/A ,$49.65 ,$49.65 ,$52.57 ,$52.57 ,$45.85 ,$48.25 , N/A ,$37.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110791,94150,CPRH VITAL CAP/PEAK FLOWS,460,1 ,$58.41 ,$37.97 ,$37.97 ,$315.68 ,$46.73 ,$126.27 ,$46.28 ,$52.60 ,$52.60 ,$239.91 ,$49.65 ,$43.22 ,$315.68 ,$126.27 , N/A ,$48.71 ,$126.27 ,$48.25 ,$46.73 ,$52.57 ,$58.41 ,$49.65 ,$58.41 ,$49.65 ,$49.65 ,$52.57 ,$52.57 ,$45.85 ,$48.25 ,$58.41 ,$37.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110809,94770,CPRH END-TIDAL CO2,460,1 ,$58.41 ,$37.97 ,$37.97 ,$52.60 ,$46.73 , N/A ,$46.28 ,$52.60 ,$52.60 , N/A ,$49.65 ,$43.22 , N/A , N/A , N/A ,$48.71 , N/A ,$48.25 ,$46.73 ,$52.57 , N/A ,$49.65 , N/A ,$49.65 ,$49.65 ,$52.57 ,$52.57 ,$45.85 ,$48.25 , N/A ,$37.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),11110999,N/A,CPRH<=CARDIAC REHAB=>,943,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),112,N/A,NF-SODIUM CHLORIDE OPHTH SOLUTION 5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),113,N/A,NF-LIPITOR ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),114,N/A,10,120,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),115,N/A,NF-NAMENDA ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),116,N/A,NF-CRESTOR TAB 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),117,N/A,NF-FEMARA TAB 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),118,N/A,NF-CYCLOPHOSPHAMIDE ORAL TABLET 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),119,N/A,NF-PRESERVISION AREDS ORAL LIQUID CAPSUL,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),12,N/A,NF-LORCET 10/650 TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),120,N/A,NF-MILK OF MAGNESIA LIQUID 400MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),12099999,N/A,VAC UNIT RENTAL,291,1 ,$103.10 ,$67.02 ,$67.02 ,$92.84 ,$82.48 , N/A ,$81.70 ,$92.84 ,$92.84 , N/A ,$87.64 ,$76.29 , N/A , N/A , N/A ,$85.99 , N/A ,$85.16 ,$82.48 ,$92.79 , N/A ,$87.64 , N/A ,$87.64 ,$87.64 ,$92.79 ,$92.79 ,$80.93 ,$85.16 , N/A ,$67.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),121,N/A,NF-PROBIOTIC FORMULA ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),122,N/A,NF-VALIUM TABLET 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),123,N/A,NF-ALBUTEROL HFA INH AER PWD 0.09MG/1ACT,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),124,N/A,NF-FAMOTIDINE ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),125,N/A,NF-MULTIVITAMIN AND IRON TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),126,N/A,NF-TERAZOSIN HCL CAP 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),127,N/A,NF-ACTOS ORAL TABLET 45MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),128,N/A,NF-AMARYL TAB 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),129,N/A,NF-BUMETANIDE TABLET 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),13,N/A,NF-SENOKOT S TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),130,N/A,NF-IMDUR TABLET 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),131,N/A,NF-ASPIRIN ORAL TABLET 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),132,N/A,NF-CARVEDILOL ORAL TABLET 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),133,N/A,NF-LOVASTATIN ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),134,N/A,NF-COZAAR ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),135,N/A,NF-TAZTIA XT 24 HR ORAL CAP ER 360MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),136,N/A,NF-HYDROCHLOROTHIAZIDE TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),137,N/A,NF-KLOR-CON/25 SUSPENSION 25MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),138,N/A,NF-TOPROL XL ORAL TAB ER 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),139,N/A,NF-VYTORIN ORAL TABLET 10MG-20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),14,N/A,NF-DESYREL DIVIDOSE TABLET 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),140,N/A,NF-HYDROCODONE BITART/ACET TAB 10MG-650M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),141,N/A,NF-LIPITOR TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),142,N/A,NF-NAPROXEN TABLET 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),143,N/A,NF-AMBIEN CR EXTENDED-RELEASE TABLET 12.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),144,N/A,NF-ASPIRIN ADULT LOW STRENGTH TABLET 81M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),145,N/A,NF-MECLIZINE HCL TABLET 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),146,N/A,NF-LOSARTAN POTASSIUM ORAL TABLET 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),147,N/A,NF-SERTRALINE HYDROCHLORIDE TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),148,N/A,NF-VISTARIL CAPSULE 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),149,N/A,NF-AMITRIPTYLINE ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15,N/A,NF-PRESERVISION ORAL LIQUID CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),150,N/A,NF-CYMBALTA ORAL CAPSULE DR 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15001780,C1780,INTRAOCULAR LENS,278,1 ,"$2,835.00 ","$1,842.75 ","$1,842.75 ","$2,552.92 ","$2,268.00 ", N/A ,"$2,246.45 ","$2,552.92 ","$2,552.92 ", N/A ,"$2,409.75 ","$2,097.90 ", N/A , N/A , N/A ,"$2,364.39 ", N/A ,"$2,341.71 ","$2,268.00 ","$2,551.50 ", N/A ,"$2,409.75 ", N/A ,"$2,409.75 ","$2,409.75 ","$2,551.50 ","$2,551.50 ","$2,225.48 ","$2,341.71 ", N/A ,"$1,842.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15001910,0191T,INSERTION OF ANTERIOR DRAINAGE DEVICE,360,1 ,"$3,818.33 ","$2,481.91 ","$2,481.91 ","$8,862.32 ","$3,054.66 ","$3,544.93 ","$3,025.64 ","$3,438.41 ","$3,438.41 ","$6,735.36 ","$3,245.58 ","$2,825.56 ","$8,862.32 ","$3,544.93 ", N/A ,"$3,184.49 ","$3,544.93 ","$3,153.94 ","$3,054.66 ","$3,436.50 ","$3,818.33 ","$3,245.58 ","$3,796.62 ","$3,245.58 ","$3,245.58 ","$3,436.50 ","$3,436.50 ","$2,997.39 ","$3,153.94 ","$3,796.62 ","$2,481.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15002787,V2787,ASTIGMATISM CORRECTING IOL,360,1 ,$997.50 ,$648.38 ,$648.38 ,$997.50 ,$798.00 , N/A ,$790.42 ,$898.25 ,$898.25 ,$997.50 ,$847.88 ,$738.15 , N/A , N/A , N/A ,$831.92 , N/A ,$823.94 ,$798.00 ,$897.75 ,$997.50 ,$847.88 , N/A ,$847.88 ,$847.88 ,$897.75 ,$897.75 ,$783.04 ,$823.94 , N/A ,$648.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),15002788,V2788,PRESBYTOPIA CORRECTING LENS,360,1 ,$283.50 ,$184.28 ,$184.28 ,$255.29 ,$226.80 , N/A ,$224.65 ,$255.29 ,$255.29 , N/A ,$240.98 ,$209.79 , N/A , N/A , N/A ,$236.44 , N/A ,$234.17 ,$226.80 ,$255.15 , N/A ,$240.98 , N/A ,$240.98 ,$240.98 ,$255.15 ,$255.15 ,$222.55 ,$234.17 , N/A ,$184.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),15003760,0376T,EACH INDIVIDUAL DEVICE INSERTION,360,1 ,"$3,818.33 ","$2,481.91 ","$2,481.91 ","$3,438.41 ","$3,054.66 ", N/A ,"$3,025.64 ","$3,438.41 ","$3,438.41 ", N/A ,"$3,245.58 ","$2,825.56 ", N/A , N/A , N/A ,"$3,184.49 ", N/A ,"$3,153.94 ","$3,054.66 ","$3,436.50 ", N/A ,"$3,245.58 ", N/A ,"$3,245.58 ","$3,245.58 ","$3,436.50 ","$3,436.50 ","$2,997.39 ","$3,153.94 ", N/A ,"$2,481.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15007325,J7325,"HYALURONAN OR DERIVATIVE, SYNVISC OR SYN",636,1 ,$100.79 ,$65.51 ,$10.89 ,$90.76 ,$80.63 ,$10.89 ,$79.87 ,$90.76 ,$90.76 ,$20.68 ,$85.67 ,$74.58 ,$27.21 ,$10.89 , N/A ,$84.06 ,$10.89 ,$83.25 ,$80.63 ,$90.71 ,$27.21 ,$85.67 ,$10.89 ,$85.67 ,$85.67 ,$90.71 ,$90.71 ,$79.12 ,$83.25 ,$10.89 ,$65.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),15010081,10081,I AND D PILONIDAL CYST COMPLICATED,360,1 ,"$3,279.44 ","$2,131.64 ",$562.78 ,"$2,953.14 ","$2,623.55 ",$562.78 ,"$2,598.63 ","$2,953.14 ","$2,953.14 ","$1,069.29 ","$2,787.52 ","$2,426.79 ","$1,406.96 ",$562.78 , N/A ,"$2,735.05 ",$562.78 ,"$2,708.82 ","$2,623.55 ","$2,951.50 ","$1,406.96 ","$2,787.52 ",$602.74 ,"$2,787.52 ","$2,787.52 ","$2,951.50 ","$2,951.50 ","$2,574.36 ","$2,708.82 ",$602.74 ,"$2,131.64 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15010121,10121,INC AND REM FB SUBQ COMPLICATED,360,1 ,"$2,143.93 ","$1,393.55 ","$1,273.11 ","$3,182.77 ","$1,715.14 ","$1,273.11 ","$1,698.85 ","$1,930.61 ","$1,930.61 ","$2,418.91 ","$1,822.34 ","$1,586.51 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,788.04 ","$1,273.11 ","$1,770.89 ","$1,715.14 ","$1,929.54 ","$2,143.93 ","$1,822.34 ","$1,363.50 ","$1,822.34 ","$1,822.34 ","$1,929.54 ","$1,929.54 ","$1,682.99 ","$1,770.89 ","$1,363.50 ","$1,393.55 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15010180,10180,I AND D POST OP WOUND COMPLEX,360,1 ,"$1,084.27 ",$704.78 ,$704.78 ,"$5,361.20 ",$867.42 ,"$2,144.48 ",$859.18 ,$976.39 ,$976.39 ,"$4,074.51 ",$921.63 ,$802.36 ,"$5,361.20 ","$2,144.48 ", N/A ,$904.28 ,"$2,144.48 ",$895.61 ,$867.42 ,$975.84 ,"$1,084.27 ",$921.63 ,"$1,084.27 ",$921.63 ,$921.63 ,$975.84 ,$975.84 ,$851.15 ,$895.61 ,"$1,084.27 ",$704.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),15010289,G0289,"ANTHROSCOPY, KNEE, SURGICAL FOR REMOVAL",360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15011012,11012,"DEBRIDE SKIN SUBG MUSCLE FASCIA,BONE",360,1 ,"$4,672.65 ","$3,037.22 ","$2,144.48 ","$5,361.20 ","$3,738.12 ","$2,144.48 ","$3,702.61 ","$4,207.72 ","$4,207.72 ","$4,074.51 ","$3,971.75 ","$3,457.76 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,896.99 ","$2,144.48 ","$3,859.61 ","$3,738.12 ","$4,205.39 ","$4,672.65 ","$3,971.75 ","$2,296.74 ","$3,971.75 ","$3,971.75 ","$4,205.39 ","$4,205.39 ","$3,668.03 ","$3,859.61 ","$2,296.74 ","$3,037.22 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15011040,11004,DEBRIDE SKIN PARTIAL THICKNESS,360,1 ,$579.16 ,$376.45 ,$376.45 ,$521.53 ,$463.33 , N/A ,$458.93 ,$521.53 ,$521.53 , N/A ,$492.29 ,$428.58 , N/A , N/A , N/A ,$483.02 , N/A ,$478.39 ,$463.33 ,$521.24 , N/A ,$492.29 , N/A ,$492.29 ,$492.29 ,$521.24 ,$521.24 ,$454.64 ,$478.39 , N/A ,$376.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),15011043,11043,"DEBRIDEMENT SKIN, SUBQ TISSUE AND MUSCLE",360,1 ,"$1,650.95 ","$1,073.12 ",$474.29 ,"$1,486.68 ","$1,320.76 ",$474.29 ,"$1,308.21 ","$1,486.68 ","$1,486.68 ",$901.15 ,"$1,403.31 ","$1,221.70 ","$1,185.73 ",$474.29 , N/A ,"$1,376.89 ",$474.29 ,"$1,363.68 ","$1,320.76 ","$1,485.86 ","$1,185.73 ","$1,403.31 ",$507.96 ,"$1,403.31 ","$1,403.31 ","$1,485.86 ","$1,485.86 ","$1,296.00 ","$1,363.68 ",$507.96 ,"$1,073.12 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15011044,11044,DEBRIDE OF SKIN SUBQ TISS MUSCLE/BONE,360,1 ,"$2,719.82 ","$1,767.88 ","$1,273.11 ","$3,182.77 ","$2,175.86 ","$1,273.11 ","$2,155.19 ","$2,449.20 ","$2,449.20 ","$2,418.91 ","$2,311.85 ","$2,012.67 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,268.33 ","$1,273.11 ","$2,246.57 ","$2,175.86 ","$2,447.84 ","$2,719.82 ","$2,311.85 ","$1,363.50 ","$2,311.85 ","$2,311.85 ","$2,447.84 ","$2,447.84 ","$2,135.06 ","$2,246.57 ","$1,363.50 ","$1,767.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15011055,11055,PARING/ CUTTING BEN LES; 1 LES,360,1 ,$270.15 ,$175.60 ,$162.46 ,$406.16 ,$216.12 ,$162.46 ,$214.07 ,$243.27 ,$243.27 ,$308.68 ,$229.63 ,$199.91 ,$406.16 ,$162.46 , N/A ,$225.31 ,$162.46 ,$223.14 ,$216.12 ,$243.14 ,$270.15 ,$229.63 ,$174.00 ,$229.63 ,$229.63 ,$243.14 ,$243.14 ,$212.07 ,$223.14 ,$174.00 ,$175.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),15011100,11100,BIOPSY OF SKIN SINGLE LESION,360,1 ,$229.75 ,$149.34 ,$149.34 ,$206.89 ,$183.80 , N/A ,$182.05 ,$206.89 ,$206.89 , N/A ,$195.29 ,$170.02 , N/A , N/A , N/A ,$191.61 , N/A ,$189.77 ,$183.80 ,$206.78 , N/A ,$195.29 , N/A ,$195.29 ,$195.29 ,$206.78 ,$206.78 ,$180.35 ,$189.77 , N/A ,$149.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),15011104,11104,PUNCH BIOPSY OF SKIN,360,1 ,$299.25 ,$194.51 ,$194.51 ,$782.32 ,$239.40 ,$312.93 ,$237.13 ,$269.47 ,$269.47 ,$594.57 ,$254.36 ,$221.45 ,$782.32 ,$312.93 , N/A ,$249.57 ,$312.93 ,$247.18 ,$239.40 ,$269.33 ,$299.25 ,$254.36 ,$299.25 ,$254.36 ,$254.36 ,$269.33 ,$269.33 ,$234.91 ,$247.18 ,$299.25 ,$194.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),15011201,11201,SKIN TAG REMOVAL ADDN EA 10,360,1 ,$270.15 ,$175.60 ,$175.60 ,$243.27 ,$216.12 , N/A ,$214.07 ,$243.27 ,$243.27 , N/A ,$229.63 ,$199.91 , N/A , N/A , N/A ,$225.31 , N/A ,$223.14 ,$216.12 ,$243.14 , N/A ,$229.63 , N/A ,$229.63 ,$229.63 ,$243.14 ,$243.14 ,$212.07 ,$223.14 , N/A ,$175.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),15011308,11308,SHAVE SKIN LES OVER 2.O SC/NK/HDS/FT/GEN,360,1 ,$591.39 ,$384.40 ,$312.93 ,$782.32 ,$473.11 ,$312.93 ,$468.62 ,$532.55 ,$532.55 ,$594.57 ,$502.68 ,$437.63 ,$782.32 ,$312.93 , N/A ,$493.22 ,$312.93 ,$488.49 ,$473.11 ,$532.25 ,$591.39 ,$502.68 ,$335.15 ,$502.68 ,$502.68 ,$532.25 ,$532.25 ,$464.24 ,$488.49 ,$335.15 ,$384.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),15011450,11450,EXC SKIN AND SUBQ TISS FOR HIDRAD AX W/SIMPL,360,1 ,"$3,893.93 ","$2,531.05 ","$2,144.48 ","$5,361.20 ","$3,115.14 ","$2,144.48 ","$3,085.55 ","$3,506.48 ","$3,506.48 ","$4,074.51 ","$3,309.84 ","$2,881.51 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,247.54 ","$2,144.48 ","$3,216.39 ","$3,115.14 ","$3,504.54 ","$3,893.93 ","$3,309.84 ","$2,296.74 ","$3,309.84 ","$3,309.84 ","$3,504.54 ","$3,504.54 ","$3,056.74 ","$3,216.39 ","$2,296.74 ","$2,531.05 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15011719,11719,"NAILS, TRIMMING",360,1 ,$170.10 ,$110.57 ,$50.36 ,$153.18 ,$136.08 ,$50.36 ,$134.79 ,$153.18 ,$153.18 ,$95.69 ,$144.59 ,$125.87 ,$125.91 ,$50.36 , N/A ,$141.86 ,$50.36 ,$140.50 ,$136.08 ,$153.09 ,$125.91 ,$144.59 ,$53.94 ,$144.59 ,$144.59 ,$153.09 ,$153.09 ,$133.53 ,$140.50 ,$53.94 ,$110.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),15011771,11771,EXC PILONIDAL CYST SINUS EXTENSIVE,360,1 ,"$3,750.69 ","$2,437.95 ","$2,144.48 ","$5,361.20 ","$3,000.55 ","$2,144.48 ","$2,972.05 ","$3,377.50 ","$3,377.50 ","$4,074.51 ","$3,188.09 ","$2,775.51 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,128.08 ","$2,144.48 ","$3,098.07 ","$3,000.55 ","$3,375.62 ","$3,750.69 ","$3,188.09 ","$2,296.74 ","$3,188.09 ","$3,188.09 ","$3,375.62 ","$3,375.62 ","$2,944.29 ","$3,098.07 ","$2,296.74 ","$2,437.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15011920,11920,"TATTOO, INTRADERMAL 6CM OR LESS",360,1 ,"$3,504.91 ","$2,278.19 ",$474.29 ,"$3,156.17 ","$2,803.93 ",$474.29 ,"$2,777.29 ","$3,156.17 ","$3,156.17 ",$901.15 ,"$2,979.17 ","$2,593.63 ","$1,185.73 ",$474.29 , N/A ,"$2,923.09 ",$474.29 ,"$2,895.06 ","$2,803.93 ","$3,154.42 ","$1,185.73 ","$2,979.17 ",$507.96 ,"$2,979.17 ","$2,979.17 ","$3,154.42 ","$3,154.42 ","$2,751.35 ","$2,895.06 ",$507.96 ,"$2,278.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15011921,11921,"TATTOO, INTRADERMAL INTRO OF INSOL PGMNT",360,1 ,"$3,504.91 ","$2,278.19 ",$474.29 ,"$3,156.17 ","$2,803.93 ",$474.29 ,"$2,777.29 ","$3,156.17 ","$3,156.17 ",$901.15 ,"$2,979.17 ","$2,593.63 ","$1,185.73 ",$474.29 , N/A ,"$2,923.09 ",$474.29 ,"$2,895.06 ","$2,803.93 ","$3,154.42 ","$1,185.73 ","$2,979.17 ",$507.96 ,"$2,979.17 ","$2,979.17 ","$3,154.42 ","$3,154.42 ","$2,751.35 ","$2,895.06 ",$507.96 ,"$2,278.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15012002,12002,SIMPL REPR SCLP/TRUNK; 2.6-7.5 CM,360,1 ,$593.48 ,$385.76 ,$162.46 ,$534.43 ,$474.78 ,$162.46 ,$470.27 ,$534.43 ,$534.43 ,$308.68 ,$504.46 ,$439.18 ,$406.16 ,$162.46 , N/A ,$494.96 ,$162.46 ,$490.21 ,$474.78 ,$534.13 ,$406.16 ,$504.46 ,$174.00 ,$504.46 ,$504.46 ,$534.13 ,$534.13 ,$465.88 ,$490.21 ,$174.00 ,$385.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),15012031,12031,LAYERED CLO SCALP AX TRUNK EXT TO 2.5,360,1 ,$559.83 ,$363.89 ,$312.93 ,$782.32 ,$447.86 ,$312.93 ,$443.61 ,$504.13 ,$504.13 ,$594.57 ,$475.86 ,$414.27 ,$782.32 ,$312.93 , N/A ,$466.90 ,$312.93 ,$462.42 ,$447.86 ,$503.85 ,$559.83 ,$475.86 ,$335.15 ,$475.86 ,$475.86 ,$503.85 ,$503.85 ,$439.47 ,$462.42 ,$335.15 ,$363.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),15012032,12032,LAYER CLO SCLP/TRUNC 2.6-7.5CM,360,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),15012041,12041,"REPAIR INTERMEDIATE OF NECK,HANDS,FEET,O",360,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),15012042,12042,LAYER CLO HAND/NECK/FT/GENIT:2.6-7.5CM,360,1 ,$593.48 ,$385.76 ,$312.93 ,$782.32 ,$474.78 ,$312.93 ,$470.27 ,$534.43 ,$534.43 ,$594.57 ,$504.46 ,$439.18 ,$782.32 ,$312.93 , N/A ,$494.96 ,$312.93 ,$490.21 ,$474.78 ,$534.13 ,$593.48 ,$504.46 ,$335.15 ,$504.46 ,$504.46 ,$534.13 ,$534.13 ,$465.88 ,$490.21 ,$335.15 ,$385.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),15012051,12051,"INTERMEDIATE CLO 215cm or less-Face,Ears",360,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),15012052,12052,LAYER CLO FACE/LIPS;2.6 TO 5.0 CM,360,1 ,$593.48 ,$385.76 ,$312.93 ,$782.32 ,$474.78 ,$312.93 ,$470.27 ,$534.43 ,$534.43 ,$594.57 ,$504.46 ,$439.18 ,$782.32 ,$312.93 , N/A ,$494.96 ,$312.93 ,$490.21 ,$474.78 ,$534.13 ,$593.48 ,$504.46 ,$335.15 ,$504.46 ,$504.46 ,$534.13 ,$534.13 ,$465.88 ,$490.21 ,$335.15 ,$385.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),15013120,23120,OPEN CLAVICULECTOMY; PARTIAL RIGHT,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15015050,15050,"GRAFT, MINIMAL",360,1 ,"$1,655.22 ","$1,075.89 ",$474.29 ,"$1,490.53 ","$1,324.18 ",$474.29 ,"$1,311.60 ","$1,490.53 ","$1,490.53 ",$901.15 ,"$1,406.94 ","$1,224.86 ","$1,185.73 ",$474.29 , N/A ,"$1,380.45 ",$474.29 ,"$1,367.21 ","$1,324.18 ","$1,489.70 ","$1,185.73 ","$1,406.94 ",$507.96 ,"$1,406.94 ","$1,406.94 ","$1,489.70 ","$1,489.70 ","$1,299.35 ","$1,367.21 ",$507.96 ,"$1,075.89 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15015839,15839,EX EXC SKIN AND SUBQ TISSUE INCLUDES LIPEC,360,1 ,"$5,622.18 ","$3,654.42 ","$2,144.48 ","$5,361.20 ","$4,497.74 ","$2,144.48 ","$4,455.02 ","$5,062.77 ","$5,062.77 ","$4,074.51 ","$4,778.85 ","$4,160.41 ","$5,361.20 ","$2,144.48 ", N/A ,"$4,688.90 ","$2,144.48 ","$4,643.92 ","$4,497.74 ","$5,059.96 ","$5,361.20 ","$4,778.85 ","$2,296.74 ","$4,778.85 ","$4,778.85 ","$5,059.96 ","$5,059.96 ","$4,413.41 ","$4,643.92 ","$2,296.74 ","$3,654.42 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15017110,17110,DESTRUCTION OF BENIGN LESIONS,360,1 ,$290.67 ,$188.94 ,$162.46 ,$406.16 ,$232.54 ,$162.46 ,$230.33 ,$261.75 ,$261.75 ,$308.68 ,$247.07 ,$215.10 ,$406.16 ,$162.46 , N/A ,$242.42 ,$162.46 ,$240.09 ,$232.54 ,$261.60 ,$290.67 ,$247.07 ,$174.00 ,$247.07 ,$247.07 ,$261.60 ,$261.60 ,$228.18 ,$240.09 ,$174.00 ,$188.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),15018580,28750,"ARTHRODESIS, GREAT TOE, METATARSOPHALANG",360,1 ,"$3,543.75 ","$2,303.44 ","$2,303.44 ","$14,171.94 ","$2,835.00 ","$5,668.78 ","$2,808.07 ","$3,191.15 ","$3,191.15 ","$10,770.68 ","$3,012.19 ","$2,622.38 ","$14,171.94 ","$5,668.78 ", N/A ,"$2,955.49 ","$5,668.78 ","$2,927.14 ","$2,835.00 ","$3,189.38 ","$3,543.75 ","$3,012.19 ","$3,543.75 ","$3,012.19 ","$3,012.19 ","$3,189.38 ","$3,189.38 ","$2,781.84 ","$2,927.14 ","$3,543.75 ","$2,303.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019020,19020,INCISION OF BREAST LESION LT,360,1 ,"$3,137.90 ","$2,039.64 ","$1,273.11 ","$3,182.77 ","$2,510.32 ","$1,273.11 ","$2,486.47 ","$2,825.68 ","$2,825.68 ","$2,418.91 ","$2,667.22 ","$2,322.05 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,617.01 ","$1,273.11 ","$2,591.91 ","$2,510.32 ","$2,824.11 ","$3,137.90 ","$2,667.22 ","$1,363.50 ","$2,667.22 ","$2,667.22 ","$2,824.11 ","$2,824.11 ","$2,463.25 ","$2,591.91 ","$1,363.50 ","$2,039.64 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019101,19101,BREAST BX/OPEN (INCISIONAL)LT,360,1 ,"$4,336.01 ","$2,818.41 ","$2,818.41 ","$7,143.12 ","$3,468.81 ","$2,857.25 ","$3,435.85 ","$3,904.58 ","$3,904.58 ","$5,428.77 ","$3,685.61 ","$3,208.65 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,616.23 ","$2,857.25 ","$3,581.54 ","$3,468.81 ","$3,902.41 ","$4,336.01 ","$3,685.61 ","$3,060.11 ","$3,685.61 ","$3,685.61 ","$3,902.41 ","$3,902.41 ","$3,403.77 ","$3,581.54 ","$3,060.11 ","$2,818.41 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019102,19081,BX BREAST PERCUT/IMAGE LT,360,1 ,"$1,852.79 ","$1,204.31 ","$1,204.31 ","$3,182.77 ","$1,482.23 ","$1,273.11 ","$1,468.15 ","$1,668.44 ","$1,668.44 ","$2,418.91 ","$1,574.87 ","$1,371.06 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,545.23 ","$1,273.11 ","$1,530.40 ","$1,482.23 ","$1,667.51 ","$1,852.79 ","$1,574.87 ","$1,363.50 ","$1,574.87 ","$1,574.87 ","$1,667.51 ","$1,667.51 ","$1,454.44 ","$1,530.40 ","$1,363.50 ","$1,204.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019120,19120,NIPPLE EX AND DUCT LESION LT,360,1 ,"$4,336.01 ","$2,818.41 ","$2,818.41 ","$7,143.12 ","$3,468.81 ","$2,857.25 ","$3,435.85 ","$3,904.58 ","$3,904.58 ","$5,428.77 ","$3,685.61 ","$3,208.65 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,616.23 ","$2,857.25 ","$3,581.54 ","$3,468.81 ","$3,902.41 ","$4,336.01 ","$3,685.61 ","$3,060.11 ","$3,685.61 ","$3,685.61 ","$3,902.41 ","$3,902.41 ","$3,403.77 ","$3,581.54 ","$3,060.11 ","$2,818.41 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019125,19125,"LESION, BREAST W/RAD MARKER LT",360,1 ,"$4,615.66 ","$3,000.18 ","$2,857.25 ","$7,143.12 ","$3,692.53 ","$2,857.25 ","$3,657.45 ","$4,156.40 ","$4,156.40 ","$5,428.77 ","$3,923.31 ","$3,415.59 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,849.46 ","$2,857.25 ","$3,812.54 ","$3,692.53 ","$4,154.09 ","$4,615.66 ","$3,923.31 ","$3,060.11 ","$3,923.31 ","$3,923.31 ","$4,154.09 ","$4,154.09 ","$3,623.29 ","$3,812.54 ","$3,060.11 ","$3,000.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019140,19300,"MASTECTOMY,GYNOMASTIA RT",360,1 ,"$3,932.80 ","$2,556.32 ","$2,556.32 ","$7,143.12 ","$3,146.24 ","$2,857.25 ","$3,116.35 ","$3,541.49 ","$3,541.49 ","$5,428.77 ","$3,342.88 ","$2,910.27 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,279.96 ","$2,857.25 ","$3,248.49 ","$3,146.24 ","$3,539.52 ","$3,932.80 ","$3,342.88 ","$3,060.11 ","$3,342.88 ","$3,342.88 ","$3,539.52 ","$3,539.52 ","$3,087.25 ","$3,248.49 ","$3,060.11 ","$2,556.32 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019160,19301,"MASTECTOMY, PARTIAL (LUMPECTOMY)",360,1 ,"$3,932.80 ","$2,556.32 ","$2,556.32 ","$7,143.12 ","$3,146.24 ","$2,857.25 ","$3,116.35 ","$3,541.49 ","$3,541.49 ","$5,428.77 ","$3,342.88 ","$2,910.27 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,279.96 ","$2,857.25 ","$3,248.49 ","$3,146.24 ","$3,539.52 ","$3,932.80 ","$3,342.88 ","$3,060.11 ","$3,342.88 ","$3,342.88 ","$3,539.52 ","$3,539.52 ","$3,087.25 ","$3,248.49 ","$3,060.11 ","$2,556.32 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019162,19302,"MASTECTOMY,PARTIAL W/AXILLA LYMPHADENECT",360,1 ,"$9,815.68 ","$6,380.19 ","$5,007.33 ","$12,518.33 ","$7,852.54 ","$5,007.33 ","$7,777.94 ","$8,839.02 ","$8,839.02 ","$9,513.93 ","$8,343.33 ","$7,263.60 ","$12,518.33 ","$5,007.33 ", N/A ,"$8,186.28 ","$5,007.33 ","$8,107.75 ","$7,852.54 ","$8,834.11 ","$9,815.68 ","$8,343.33 ","$5,362.85 ","$8,343.33 ","$8,343.33 ","$8,834.11 ","$8,834.11 ","$7,705.31 ","$8,107.75 ","$5,362.85 ","$6,380.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019180,19303,"REMOVAL OF BREAST, LT",360,1 ,"$6,828.09 ","$4,438.26 ","$4,438.26 ","$12,518.33 ","$5,462.47 ","$5,007.33 ","$5,410.58 ","$6,148.70 ","$6,148.70 ","$9,513.93 ","$5,803.88 ","$5,052.79 ","$12,518.33 ","$5,007.33 ", N/A ,"$5,694.63 ","$5,007.33 ","$5,640.00 ","$5,462.47 ","$6,145.28 ","$6,828.09 ","$5,803.88 ","$5,362.85 ","$5,803.88 ","$5,803.88 ","$6,145.28 ","$6,145.28 ","$5,360.05 ","$5,640.00 ","$5,362.85 ","$4,438.26 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019240,19307,MASTECTOMY MODIFIED RADICAL,360,1 ,"$11,608.64 ","$7,545.62 ","$5,007.33 ","$12,518.33 ","$9,286.91 ","$5,007.33 ","$9,198.69 ","$10,453.58 ","$10,453.58 ","$9,513.93 ","$9,867.34 ","$8,590.39 ","$12,518.33 ","$5,007.33 ", N/A ,"$9,681.61 ","$5,007.33 ","$9,588.74 ","$9,286.91 ","$10,447.78 ","$11,608.64 ","$9,867.34 ","$5,362.85 ","$9,867.34 ","$9,867.34 ","$10,447.78 ","$10,447.78 ","$9,112.78 ","$9,588.74 ","$5,362.85 ","$7,545.62 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15019873,29873,KNEE ARTHROSCOPY/LT WITH LATERAL RELEASE,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15020240,20240,"BIOPSY, BONE OPEN SUPERFICIAL",360,1 , N/A , N/A ,"$2,144.48 ","$5,361.20 ", N/A ,"$2,144.48 ", N/A , N/A , N/A ,"$4,074.51 ", N/A , N/A ,"$5,361.20 ","$2,144.48 ", N/A , N/A ,"$2,144.48 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15020610,20610,DRAIN/INJECT JOINT/BURSA,360,1 ,$641.64 ,$417.07 ,$236.32 ,$590.79 ,$513.31 ,$236.32 ,$508.44 ,$577.80 ,$577.80 ,$449.00 ,$545.39 ,$474.81 ,$590.79 ,$236.32 , N/A ,$535.13 ,$236.32 ,$529.99 ,$513.31 ,$577.48 ,$590.79 ,$545.39 ,$253.10 ,$545.39 ,$545.39 ,$577.48 ,$577.48 ,$503.69 ,$529.99 ,$253.10 ,$417.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),15020670,20670,REM OF IMPLANT SUPERFICIAL,360,1 ,"$3,289.49 ","$2,138.17 ","$1,273.11 ","$3,182.77 ","$2,631.59 ","$1,273.11 ","$2,606.59 ","$2,962.19 ","$2,962.19 ","$2,418.91 ","$2,796.07 ","$2,434.22 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,743.43 ","$1,273.11 ","$2,717.12 ","$2,631.59 ","$2,960.54 ","$3,182.77 ","$2,796.07 ","$1,363.50 ","$2,796.07 ","$2,796.07 ","$2,960.54 ","$2,960.54 ","$2,582.25 ","$2,717.12 ","$1,363.50 ","$2,138.17 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15020999,20999,UNLISTED PROCEDURE MUSCULOSKETETAL SYSTE,360,1 ,"$3,597.79 ","$2,338.56 ",$186.57 ,"$3,239.81 ","$2,878.23 ",$186.57 ,"$2,850.89 ","$3,239.81 ","$3,239.81 ",$354.48 ,"$3,058.12 ","$2,662.36 ",$466.42 ,$186.57 , N/A ,"$3,000.56 ",$186.57 ,"$2,971.77 ","$2,878.23 ","$3,238.01 ",$466.42 ,"$3,058.12 ",$199.82 ,"$3,058.12 ","$3,058.12 ","$3,238.01 ","$3,238.01 ","$2,824.27 ","$2,971.77 ",$199.82 ,"$2,338.56 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15021013,21013,EXC TUMOR SFT TIS FACE SCALP<2CM,360,1 ,"$1,316.48 ",$855.71 ,$855.71 ,"$3,182.77 ","$1,053.18 ","$1,273.11 ","$1,043.18 ","$1,185.49 ","$1,185.49 ","$2,418.91 ","$1,119.01 ",$974.20 ,"$3,182.77 ","$1,273.11 ", N/A ,"$1,097.94 ","$1,273.11 ","$1,087.41 ","$1,053.18 ","$1,184.83 ","$1,316.48 ","$1,119.01 ","$1,316.48 ","$1,119.01 ","$1,119.01 ","$1,184.83 ","$1,184.83 ","$1,033.44 ","$1,087.41 ","$1,316.48 ",$855.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),15021014,21014,EXC TUMOR SFT TIS FACE SCALP>2CM,360,1 ,"$2,237.15 ","$1,454.15 ","$1,454.15 ","$5,361.20 ","$1,789.72 ","$2,144.48 ","$1,772.72 ","$2,014.55 ","$2,014.55 ","$4,074.51 ","$1,901.58 ","$1,655.49 ","$5,361.20 ","$2,144.48 ", N/A ,"$1,865.78 ","$2,144.48 ","$1,847.89 ","$1,789.72 ","$2,013.44 ","$2,237.15 ","$1,901.58 ","$2,237.15 ","$1,901.58 ","$1,901.58 ","$2,013.44 ","$2,013.44 ","$1,756.16 ","$1,847.89 ","$2,237.15 ","$1,454.15 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15021550,21550,BIOPSY OF SOFT TISSUE OF NECK OR THORAX,360,1 ,"$4,556.39 ","$2,961.65 ","$1,273.11 ","$4,103.03 ","$3,645.11 ","$1,273.11 ","$3,610.48 ","$4,103.03 ","$4,103.03 ","$2,418.91 ","$3,872.93 ","$3,371.73 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,800.03 ","$1,273.11 ","$3,763.58 ","$3,645.11 ","$4,100.75 ","$3,182.77 ","$3,872.93 ","$1,363.50 ","$3,872.93 ","$3,872.93 ","$4,100.75 ","$4,100.75 ","$3,576.77 ","$3,763.58 ","$1,363.50 ","$2,961.65 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15021552,21552,EXC TUMOR SOFT TISS NECK >3CM,360,1 ,"$1,438.31 ",$934.90 ,$934.90 ,"$5,361.20 ","$1,150.65 ","$2,144.48 ","$1,139.72 ","$1,295.20 ","$1,295.20 ","$4,074.51 ","$1,222.56 ","$1,064.35 ","$5,361.20 ","$2,144.48 ", N/A ,"$1,199.55 ","$2,144.48 ","$1,188.04 ","$1,150.65 ","$1,294.48 ","$1,438.31 ","$1,222.56 ","$1,438.31 ","$1,222.56 ","$1,222.56 ","$1,294.48 ","$1,294.48 ","$1,129.07 ","$1,188.04 ","$1,438.31 ",$934.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),15021555,21555,EXCISION TUMOR SOFT TISSUE NECK/THORAX,360,1 ,"$3,963.79 ","$2,576.46 ","$1,273.11 ","$3,569.39 ","$3,171.03 ","$1,273.11 ","$3,140.91 ","$3,569.39 ","$3,569.39 ","$2,418.91 ","$3,369.22 ","$2,933.20 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,305.80 ","$1,273.11 ","$3,274.09 ","$3,171.03 ","$3,567.41 ","$3,182.77 ","$3,369.22 ","$1,363.50 ","$3,369.22 ","$3,369.22 ","$3,567.41 ","$3,567.41 ","$3,111.58 ","$3,274.09 ","$1,363.50 ","$2,576.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15021556,21012,EXCISION TUMOR SOFT TISSUE FACE OR SCALP,360,1 ,"$3,963.79 ","$2,576.46 ","$1,273.11 ","$3,569.39 ","$3,171.03 ","$1,273.11 ","$3,140.91 ","$3,569.39 ","$3,569.39 ","$2,418.91 ","$3,369.22 ","$2,933.20 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,305.80 ","$1,273.11 ","$3,274.09 ","$3,171.03 ","$3,567.41 ","$3,182.77 ","$3,369.22 ","$1,363.50 ","$3,369.22 ","$3,369.22 ","$3,567.41 ","$3,567.41 ","$3,111.58 ","$3,274.09 ","$1,363.50 ","$2,576.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15021931,21931,EXC SOFT TUMOR BACK/FLANK 3CM OR GREATER,360,1 ,"$5,107.63 ","$3,319.96 ","$1,273.11 ","$4,599.42 ","$4,086.10 ","$1,273.11 ","$4,047.29 ","$4,599.42 ","$4,599.42 ","$2,418.91 ","$4,341.49 ","$3,779.65 ","$3,182.77 ","$1,273.11 ", N/A ,"$4,259.76 ","$1,273.11 ","$4,218.90 ","$4,086.10 ","$4,596.87 ","$3,182.77 ","$4,341.49 ","$1,363.50 ","$4,341.49 ","$4,341.49 ","$4,596.87 ","$4,596.87 ","$4,009.49 ","$4,218.90 ","$1,363.50 ","$3,319.96 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15022792,27792,"TREATMENT OF ANKLE FRACTURE, RT",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15022900,22900,"LESION, ABD WALL REMOVAL",360,1 ,"$4,010.38 ","$2,606.75 ","$2,144.48 ","$5,361.20 ","$3,208.30 ","$2,144.48 ","$3,177.83 ","$3,611.35 ","$3,611.35 ","$4,074.51 ","$3,408.82 ","$2,967.68 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,344.66 ","$2,144.48 ","$3,312.57 ","$3,208.30 ","$3,609.34 ","$4,010.38 ","$3,408.82 ","$2,296.74 ","$3,408.82 ","$3,408.82 ","$3,609.34 ","$3,609.34 ","$3,148.15 ","$3,312.57 ","$2,296.74 ","$2,606.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15022903,22903,EXC TUMOR SOFT TISSUE ABD >3CM,360,1 ,"$2,409.28 ","$1,566.03 ","$1,566.03 ","$5,361.20 ","$1,927.42 ","$2,144.48 ","$1,909.11 ","$2,169.56 ","$2,169.56 ","$4,074.51 ","$2,047.89 ","$1,782.87 ","$5,361.20 ","$2,144.48 ", N/A ,"$2,009.34 ","$2,144.48 ","$1,990.07 ","$1,927.42 ","$2,168.35 ","$2,409.28 ","$2,047.89 ","$2,296.74 ","$2,047.89 ","$2,047.89 ","$2,168.35 ","$2,168.35 ","$1,891.28 ","$1,990.07 ","$2,296.74 ","$1,566.03 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15023030,23030,"INCISION AND DRAINAGE, SHOULDER AREA, AB",360,1 , N/A , N/A ,"$2,144.48 ","$5,361.20 ", N/A ,"$2,144.48 ", N/A , N/A , N/A ,"$4,074.51 ", N/A , N/A ,"$5,361.20 ","$2,144.48 ", N/A , N/A ,"$2,144.48 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15023066,23066,"BIOPSY SHOULDER, DEEP",360,1 ,"$3,893.93 ","$2,531.05 ","$2,144.48 ","$5,361.20 ","$3,115.14 ","$2,144.48 ","$3,085.55 ","$3,506.48 ","$3,506.48 ","$4,074.51 ","$3,309.84 ","$2,881.51 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,247.54 ","$2,144.48 ","$3,216.39 ","$3,115.14 ","$3,504.54 ","$3,893.93 ","$3,309.84 ","$2,296.74 ","$3,309.84 ","$3,309.84 ","$3,504.54 ","$3,504.54 ","$3,056.74 ","$3,216.39 ","$2,296.74 ","$2,531.05 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15023071,23071,"EXC SOFT TISS TUMOR SHLDR, 3CM OR GREATE",360,1 ,"$3,289.49 ","$2,138.17 ","$1,273.11 ","$3,182.77 ","$2,631.59 ","$1,273.11 ","$2,606.59 ","$2,962.19 ","$2,962.19 ","$2,418.91 ","$2,796.07 ","$2,434.22 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,743.43 ","$1,273.11 ","$2,717.12 ","$2,631.59 ","$2,960.54 ","$3,182.77 ","$2,796.07 ","$1,363.50 ","$2,796.07 ","$2,796.07 ","$2,960.54 ","$2,960.54 ","$2,582.25 ","$2,717.12 ","$1,363.50 ","$2,138.17 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15023073,23073,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER",360,1 , N/A , N/A ,"$2,144.48 ","$5,361.20 ", N/A ,"$2,144.48 ", N/A , N/A , N/A ,"$4,074.51 ", N/A , N/A ,"$5,361.20 ","$2,144.48 ", N/A , N/A ,"$2,144.48 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15023075,23075,EXC SOFT TISS TUMOR SHLDR SUBQ,360,1 ,"$3,289.49 ","$2,138.17 ","$1,273.11 ","$3,182.77 ","$2,631.59 ","$1,273.11 ","$2,606.59 ","$2,962.19 ","$2,962.19 ","$2,418.91 ","$2,796.07 ","$2,434.22 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,743.43 ","$1,273.11 ","$2,717.12 ","$2,631.59 ","$2,960.54 ","$3,182.77 ","$2,796.07 ","$1,363.50 ","$2,796.07 ","$2,796.07 ","$2,960.54 ","$2,960.54 ","$2,582.25 ","$2,717.12 ","$1,363.50 ","$2,138.17 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15023120,23120,OPEN CLAVICULECTOMY; PARTIAL LEFT,360,1 ,"$5,565.00 ","$3,617.25 ","$2,561.06 ","$6,402.65 ","$4,452.00 ","$2,561.06 ","$4,409.71 ","$5,011.28 ","$5,011.28 ","$4,866.01 ","$4,730.25 ","$4,118.10 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,641.21 ","$2,561.06 ","$4,596.69 ","$4,452.00 ","$5,008.50 ","$5,565.00 ","$4,730.25 ","$2,742.89 ","$4,730.25 ","$4,730.25 ","$5,008.50 ","$5,008.50 ","$4,368.53 ","$4,596.69 ","$2,742.89 ","$3,617.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15023130,23130,REM SHOULDER BONE/ PARTIAL,360,1 ,"$7,752.39 ","$5,039.05 ","$2,561.06 ","$6,981.03 ","$6,201.91 ","$2,561.06 ","$6,142.99 ","$6,981.03 ","$6,981.03 ","$4,866.01 ","$6,589.53 ","$5,736.77 ","$6,402.65 ","$2,561.06 ", N/A ,"$6,465.49 ","$2,561.06 ","$6,403.47 ","$6,201.91 ","$6,977.15 ","$6,402.65 ","$6,589.53 ","$2,742.89 ","$6,589.53 ","$6,589.53 ","$6,977.15 ","$6,977.15 ","$6,085.63 ","$6,403.47 ","$2,742.89 ","$5,039.05 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15023140,23140,EXCISION OR CURETTAGE OF BONE CYST OR BE,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15023180,23180,"PARTIAL EXCISION, BONE, CLAVICAL",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15023410,23410,REPR RUPT MUSC TEN CUFF OPEN AND ACUTE,360,1 ,"$10,042.69 ","$6,527.75 ","$5,668.78 ","$14,171.94 ","$8,034.15 ","$5,668.78 ","$7,957.83 ","$9,043.44 ","$9,043.44 ","$10,770.68 ","$8,536.29 ","$7,431.59 ","$14,171.94 ","$5,668.78 ", N/A ,"$8,375.60 ","$5,668.78 ","$8,295.26 ","$8,034.15 ","$9,038.42 ","$10,042.69 ","$8,536.29 ","$6,071.26 ","$8,536.29 ","$8,536.29 ","$9,038.42 ","$9,038.42 ","$7,883.51 ","$8,295.26 ","$6,071.26 ","$6,527.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15023412,N/A,"ROTATOR CUFF REPAIR, OPEN CHRONIC",360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15023430,23430,"TENODESIS, BICEPS",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15023450,23450,REPAIR SHLDR CAPSULE ANTERIOR,360,1 ,"$10,042.69 ","$6,527.75 ","$5,668.78 ","$14,171.94 ","$8,034.15 ","$5,668.78 ","$7,957.83 ","$9,043.44 ","$9,043.44 ","$10,770.68 ","$8,536.29 ","$7,431.59 ","$14,171.94 ","$5,668.78 ", N/A ,"$8,375.60 ","$5,668.78 ","$8,295.26 ","$8,034.15 ","$9,038.42 ","$10,042.69 ","$8,536.29 ","$6,071.26 ","$8,536.29 ","$8,536.29 ","$9,038.42 ","$9,038.42 ","$7,883.51 ","$8,295.26 ","$6,071.26 ","$6,527.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15023472,23472,SHOULDER TOTAL ARTHROPLASTY,360,1 , N/A , N/A ,"$11,142.89 ","$27,857.22 ", N/A ,"$11,142.89 ", N/A , N/A , N/A ,"$21,171.49 ", N/A , N/A ,"$27,857.22 ","$11,142.89 ", N/A , N/A ,"$11,142.89 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15023700,23700,FIXATION OF SHOULDER RT,360,1 ,"$3,397.31 ","$2,208.25 ","$1,259.85 ","$3,149.64 ","$2,717.85 ","$1,259.85 ","$2,692.03 ","$3,059.28 ","$3,059.28 ","$2,393.72 ","$2,887.71 ","$2,514.01 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,833.36 ","$1,259.85 ","$2,806.18 ","$2,717.85 ","$3,057.58 ","$3,149.64 ","$2,887.71 ","$1,349.30 ","$2,887.71 ","$2,887.71 ","$3,057.58 ","$3,057.58 ","$2,666.89 ","$2,806.18 ","$1,349.30 ","$2,208.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15024075,24075,"EXC TUMOR, SOFT TISSUE UPPER ARM/ELBO RT",360,1 ,"$3,350.69 ","$2,177.95 ","$1,273.11 ","$3,182.77 ","$2,680.55 ","$1,273.11 ","$2,655.09 ","$3,017.30 ","$3,017.30 ","$2,418.91 ","$2,848.09 ","$2,479.51 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,794.48 ","$1,273.11 ","$2,767.67 ","$2,680.55 ","$3,015.62 ","$3,182.77 ","$2,848.09 ","$1,363.50 ","$2,848.09 ","$2,848.09 ","$3,015.62 ","$3,015.62 ","$2,630.29 ","$2,767.67 ","$1,363.50 ","$2,177.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15024076,24076,"EXC TUMOR,DEEP SFT TISS^ARM,ELBO AREA LT",360,1 ,"$4,346.77 ","$2,825.40 ","$2,144.48 ","$5,361.20 ","$3,477.42 ","$2,144.48 ","$3,444.38 ","$3,914.27 ","$3,914.27 ","$4,074.51 ","$3,694.75 ","$3,216.61 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,625.21 ","$2,144.48 ","$3,590.43 ","$3,477.42 ","$3,912.09 ","$4,346.77 ","$3,694.75 ","$2,296.74 ","$3,694.75 ","$3,694.75 ","$3,912.09 ","$3,912.09 ","$3,412.21 ","$3,590.43 ","$2,296.74 ","$2,825.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15024105,24105,"REMOVAL ELBOW BURSA, LT",360,1 ,"$4,716.35 ","$3,065.63 ","$2,561.06 ","$6,402.65 ","$3,773.08 ","$2,561.06 ","$3,737.24 ","$4,247.07 ","$4,247.07 ","$4,866.01 ","$4,008.90 ","$3,490.10 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,933.44 ","$2,561.06 ","$3,895.71 ","$3,773.08 ","$4,244.72 ","$4,716.35 ","$4,008.90 ","$2,742.89 ","$4,008.90 ","$4,008.90 ","$4,244.72 ","$4,244.72 ","$3,702.33 ","$3,895.71 ","$2,742.89 ","$3,065.63 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15024356,24356,FASCIOTOMY LAT OR MED W PART OSTECTOM LT,360,1 ,"$4,533.10 ","$2,946.52 ","$2,946.52 ","$4,082.06 ","$3,626.48 ", N/A ,"$3,592.03 ","$4,082.06 ","$4,082.06 ", N/A ,"$3,853.14 ","$3,354.49 ", N/A , N/A , N/A ,"$3,780.61 ", N/A ,"$3,744.34 ","$3,626.48 ","$4,079.79 ", N/A ,"$3,853.14 ", N/A ,"$3,853.14 ","$3,853.14 ","$4,079.79 ","$4,079.79 ","$3,558.48 ","$3,744.34 ", N/A ,"$2,946.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15024357,24357,"TENOTOMY, ELBOW, LATER OR MEDIAL",360,1 ,"$7,455.00 ","$4,845.75 ","$2,561.06 ","$6,713.23 ","$5,964.00 ","$2,561.06 ","$5,907.34 ","$6,713.23 ","$6,713.23 ","$4,866.01 ","$6,336.75 ","$5,516.70 ","$6,402.65 ","$2,561.06 ", N/A ,"$6,217.47 ","$2,561.06 ","$6,157.83 ","$5,964.00 ","$6,709.50 ","$6,402.65 ","$6,336.75 ","$2,742.89 ","$6,336.75 ","$6,336.75 ","$6,709.50 ","$6,709.50 ","$5,852.18 ","$6,157.83 ","$2,742.89 ","$4,845.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15024685,24685,"ORIF, OLECRANON PROCESS",360,1 ,"$6,355.08 ","$4,130.80 ","$4,130.80 ","$14,171.94 ","$5,084.06 ","$5,668.78 ","$5,035.77 ","$5,722.75 ","$5,722.75 ","$10,770.68 ","$5,401.82 ","$4,702.76 ","$14,171.94 ","$5,668.78 ", N/A ,"$5,300.14 ","$5,668.78 ","$5,249.30 ","$5,084.06 ","$5,719.57 ","$6,355.08 ","$5,401.82 ","$6,071.26 ","$5,401.82 ","$5,401.82 ","$5,719.57 ","$5,719.57 ","$4,988.74 ","$5,249.30 ","$6,071.26 ","$4,130.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15025000,25000,"INCISION, EXTENSOR TENDON SHEATH WRIST",360,1 , N/A , N/A ,"$1,259.85 ","$3,149.64 ", N/A ,"$1,259.85 ", N/A , N/A , N/A ,"$2,393.72 ", N/A , N/A ,"$3,149.64 ","$1,259.85 ", N/A , N/A ,"$1,259.85 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15025071,25071,"REMOVAL OF TUMOR, SOFT TISSUE FOREARM OR",360,1 , N/A , N/A ,"$1,273.11 ","$3,182.77 ", N/A ,"$1,273.11 ", N/A , N/A , N/A ,"$2,418.91 ", N/A , N/A ,"$3,182.77 ","$1,273.11 ", N/A , N/A ,"$1,273.11 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15025075,25075,EXC TUMOR SOFT TISS SUBQ WRIST/FOREARM,360,1 ,"$2,661.35 ","$1,729.88 ","$1,273.11 ","$3,182.77 ","$2,129.08 ","$1,273.11 ","$2,108.85 ","$2,396.55 ","$2,396.55 ","$2,418.91 ","$2,262.15 ","$1,969.40 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,219.57 ","$1,273.11 ","$2,198.28 ","$2,129.08 ","$2,395.22 ","$2,661.35 ","$2,262.15 ","$1,363.50 ","$2,262.15 ","$2,262.15 ","$2,395.22 ","$2,395.22 ","$2,089.16 ","$2,198.28 ","$1,363.50 ","$1,729.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15025076,25076,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM",360,1 , N/A , N/A ,"$1,273.11 ","$3,182.77 ", N/A ,"$1,273.11 ", N/A , N/A , N/A ,"$2,418.91 ", N/A , N/A ,"$3,182.77 ","$1,273.11 ", N/A , N/A ,"$1,273.11 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15025111,25111,EXC CYST WRIST PRIMARY LT,360,1 ,"$3,674.13 ","$2,388.18 ","$1,259.85 ","$3,308.55 ","$2,939.30 ","$1,259.85 ","$2,911.38 ","$3,308.55 ","$3,308.55 ","$2,393.72 ","$3,123.01 ","$2,718.86 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,064.22 ","$1,259.85 ","$3,034.83 ","$2,939.30 ","$3,306.72 ","$3,149.64 ","$3,123.01 ","$1,349.30 ","$3,123.01 ","$3,123.01 ","$3,306.72 ","$3,306.72 ","$2,884.19 ","$3,034.83 ","$1,349.30 ","$2,388.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15025118,25118,"EXC WRIST EXTENSOR TEND SHEATH,SINGLE LT",360,1 ,"$5,591.10 ","$3,634.22 ","$1,259.85 ","$5,034.79 ","$4,472.88 ","$1,259.85 ","$4,430.39 ","$5,034.79 ","$5,034.79 ","$2,393.72 ","$4,752.44 ","$4,137.41 ","$3,149.64 ","$1,259.85 ", N/A ,"$4,662.98 ","$1,259.85 ","$4,618.25 ","$4,472.88 ","$5,031.99 ","$3,149.64 ","$4,752.44 ","$1,349.30 ","$4,752.44 ","$4,752.44 ","$5,031.99 ","$5,031.99 ","$4,389.01 ","$4,618.25 ","$1,349.30 ","$3,634.22 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15025295,25295,RELEASE WRIST/FOREARM EA TENDON,360,1 ,"$4,309.83 ","$2,801.39 ","$2,561.06 ","$6,402.65 ","$3,447.86 ","$2,561.06 ","$3,415.11 ","$3,881.00 ","$3,881.00 ","$4,866.01 ","$3,663.36 ","$3,189.27 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,594.40 ","$2,561.06 ","$3,559.92 ","$3,447.86 ","$3,878.85 ","$4,309.83 ","$3,663.36 ","$2,742.89 ","$3,663.36 ","$3,663.36 ","$3,878.85 ","$3,878.85 ","$3,383.22 ","$3,559.92 ","$2,742.89 ","$2,801.39 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15025310,25310,"TENDON TRF,EXTEN/FLEX EA",360,1 ,"$7,752.39 ","$5,039.05 ","$2,561.06 ","$6,981.03 ","$6,201.91 ","$2,561.06 ","$6,142.99 ","$6,981.03 ","$6,981.03 ","$4,866.01 ","$6,589.53 ","$5,736.77 ","$6,402.65 ","$2,561.06 ", N/A ,"$6,465.49 ","$2,561.06 ","$6,403.47 ","$6,201.91 ","$6,977.15 ","$6,402.65 ","$6,589.53 ","$2,742.89 ","$6,589.53 ","$6,589.53 ","$6,977.15 ","$6,977.15 ","$6,085.63 ","$6,403.47 ","$2,742.89 ","$5,039.05 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15025565,25565,"FX, CLSD TX RADIAL/ULNA W MANIP LT",360,1 ,"$3,824.43 ","$2,485.88 ","$1,259.85 ","$3,443.90 ","$3,059.54 ","$1,259.85 ","$3,030.48 ","$3,443.90 ","$3,443.90 ","$2,393.72 ","$3,250.77 ","$2,830.08 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,189.57 ","$1,259.85 ","$3,158.98 ","$3,059.54 ","$3,441.99 ","$3,149.64 ","$3,250.77 ","$1,349.30 ","$3,250.77 ","$3,250.77 ","$3,441.99 ","$3,441.99 ","$3,002.18 ","$3,158.98 ","$1,349.30 ","$2,485.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15025605,25605,CLO TX DIST RAD FX W/MANIP LT,360,1 ,"$3,942.63 ","$2,562.71 ","$1,259.85 ","$3,550.34 ","$3,154.10 ","$1,259.85 ","$3,124.14 ","$3,550.34 ","$3,550.34 ","$2,393.72 ","$3,351.24 ","$2,917.55 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,288.15 ","$1,259.85 ","$3,256.61 ","$3,154.10 ","$3,548.37 ","$3,149.64 ","$3,351.24 ","$1,349.30 ","$3,351.24 ","$3,351.24 ","$3,548.37 ","$3,548.37 ","$3,094.96 ","$3,256.61 ","$1,349.30 ","$2,562.71 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15025620,25600,ORIF WRIST FX (COLLES FX),360,1 ,"$6,355.08 ","$4,130.80 ",$186.57 ,"$5,722.75 ","$5,084.06 ",$186.57 ,"$5,035.77 ","$5,722.75 ","$5,722.75 ",$354.48 ,"$5,401.82 ","$4,702.76 ",$466.42 ,$186.57 , N/A ,"$5,300.14 ",$186.57 ,"$5,249.30 ","$5,084.06 ","$5,719.57 ",$466.42 ,"$5,401.82 ",$199.82 ,"$5,401.82 ","$5,401.82 ","$5,719.57 ","$5,719.57 ","$4,988.74 ","$5,249.30 ",$199.82 ,"$4,130.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15026010,26010,"I AND D FINGER, SIMPLE",360,1 ,"$1,012.79 ",$658.31 ,$162.46 ,$912.02 ,$810.23 ,$162.46 ,$802.53 ,$912.02 ,$912.02 ,$308.68 ,$860.87 ,$749.46 ,$406.16 ,$162.46 , N/A ,$844.67 ,$162.46 ,$836.56 ,$810.23 ,$911.51 ,$406.16 ,$860.87 ,$174.00 ,$860.87 ,$860.87 ,$911.51 ,$911.51 ,$795.04 ,$836.56 ,$174.00 ,$658.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),15026034,26034,I AND D DEEP FINGER (BONE),360,1 ,"$3,649.31 ","$2,372.05 ","$1,259.85 ","$3,286.20 ","$2,919.45 ","$1,259.85 ","$2,891.71 ","$3,286.20 ","$3,286.20 ","$2,393.72 ","$3,101.91 ","$2,700.49 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,043.52 ","$1,259.85 ","$3,014.33 ","$2,919.45 ","$3,284.38 ","$3,149.64 ","$3,101.91 ","$1,349.30 ","$3,101.91 ","$3,101.91 ","$3,284.38 ","$3,284.38 ","$2,864.71 ","$3,014.33 ","$1,349.30 ","$2,372.05 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15026055,26055,TRIGGER FINGER RELEASE RT,360,1 ,"$3,332.52 ","$2,166.14 ","$1,259.85 ","$3,149.64 ","$2,666.02 ","$1,259.85 ","$2,640.69 ","$3,000.93 ","$3,000.93 ","$2,393.72 ","$2,832.64 ","$2,466.06 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,779.32 ","$1,259.85 ","$2,752.66 ","$2,666.02 ","$2,999.27 ","$3,149.64 ","$2,832.64 ","$1,349.30 ","$2,832.64 ","$2,832.64 ","$2,999.27 ","$2,999.27 ","$2,616.03 ","$2,752.66 ","$1,349.30 ","$2,166.14 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15026115,26115,"EXC HAND OR FINGER, TUMOR,SUBQ",360,1 ,"$3,775.17 ","$2,453.86 ","$1,273.11 ","$3,399.54 ","$3,020.14 ","$1,273.11 ","$2,991.44 ","$3,399.54 ","$3,399.54 ","$2,418.91 ","$3,208.89 ","$2,793.63 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,148.49 ","$1,273.11 ","$3,118.29 ","$3,020.14 ","$3,397.65 ","$3,182.77 ","$3,208.89 ","$1,363.50 ","$3,208.89 ","$3,208.89 ","$3,397.65 ","$3,397.65 ","$2,963.51 ","$3,118.29 ","$1,363.50 ","$2,453.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15026160,26160,"LESION, HAND OR FINGER LT/RT",360,1 , N/A , N/A ,"$1,259.85 ","$3,149.64 ", N/A ,"$1,259.85 ", N/A , N/A , N/A ,"$2,393.72 ", N/A , N/A ,"$3,149.64 ","$1,259.85 ", N/A , N/A ,"$1,259.85 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15026410,26410,REPAIR EXT TENDON W/O FREE GRAFT,360,1 ,"$3,173.95 ","$2,063.07 ","$1,259.85 ","$3,149.64 ","$2,539.16 ","$1,259.85 ","$2,515.04 ","$2,858.14 ","$2,858.14 ","$2,393.72 ","$2,697.86 ","$2,348.72 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,647.07 ","$1,259.85 ","$2,621.68 ","$2,539.16 ","$2,856.56 ","$3,149.64 ","$2,697.86 ","$1,349.30 ","$2,697.86 ","$2,697.86 ","$2,856.56 ","$2,856.56 ","$2,491.55 ","$2,621.68 ","$1,349.30 ","$2,063.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15026418,26418,REPR EXTEN TENDON FGR W/O FREEGRAFT IA T,360,1 ,"$2,936.68 ","$1,908.84 ","$1,259.85 ","$3,149.64 ","$2,349.34 ","$1,259.85 ","$2,327.03 ","$2,644.48 ","$2,644.48 ","$2,393.72 ","$2,496.18 ","$2,173.14 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,449.19 ","$1,259.85 ","$2,425.70 ","$2,349.34 ","$2,643.01 ","$2,936.68 ","$2,496.18 ","$1,349.30 ","$2,496.18 ","$2,496.18 ","$2,643.01 ","$2,643.01 ","$2,305.29 ","$2,425.70 ","$1,349.30 ","$1,908.84 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15026520,26520,"CAPSULECTOMY OR CAPULOTOMY, METACARPPHAL",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15026536,26536,ARTHROPLASTY/W PROSTHETIC IMPLANT EA JT,360,1 ,"$8,235.15 ","$5,352.85 ","$5,352.85 ","$14,171.94 ","$6,588.12 ","$5,668.78 ","$6,525.53 ","$7,415.75 ","$7,415.75 ","$10,770.68 ","$6,999.88 ","$6,094.01 ","$14,171.94 ","$5,668.78 ", N/A ,"$6,868.12 ","$5,668.78 ","$6,802.23 ","$6,588.12 ","$7,411.64 ","$8,235.15 ","$6,999.88 ","$6,071.26 ","$6,999.88 ","$6,999.88 ","$7,411.64 ","$7,411.64 ","$6,464.59 ","$6,802.23 ","$6,071.26 ","$5,352.85 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15026615,26615,"OPEN TREATMENT OF METACARPAL FRACTURE, S",360,1 ,"$7,455.00 ","$4,845.75 ","$2,561.06 ","$6,713.23 ","$5,964.00 ","$2,561.06 ","$5,907.34 ","$6,713.23 ","$6,713.23 ","$4,866.01 ","$6,336.75 ","$5,516.70 ","$6,402.65 ","$2,561.06 ", N/A ,"$6,217.47 ","$2,561.06 ","$6,157.83 ","$5,964.00 ","$6,709.50 ","$6,402.65 ","$6,336.75 ","$2,742.89 ","$6,336.75 ","$6,336.75 ","$6,709.50 ","$6,709.50 ","$5,852.18 ","$6,157.83 ","$2,742.89 ","$4,845.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15026765,26765,ORIF DIST PHALNYX FRACT FINGER/THUMB,360,1 ,"$6,355.08 ","$4,130.80 ","$2,561.06 ","$6,402.65 ","$5,084.06 ","$2,561.06 ","$5,035.77 ","$5,722.75 ","$5,722.75 ","$4,866.01 ","$5,401.82 ","$4,702.76 ","$6,402.65 ","$2,561.06 ", N/A ,"$5,300.14 ","$2,561.06 ","$5,249.30 ","$5,084.06 ","$5,719.57 ","$6,355.08 ","$5,401.82 ","$2,742.89 ","$5,401.82 ","$5,401.82 ","$5,719.57 ","$5,719.57 ","$4,988.74 ","$5,249.30 ","$2,742.89 ","$4,130.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027041,27041,"BX SOFT TISS/PELVIS, HIP, DEEP SUBFAS/IM",360,1 ,"$5,790.76 ","$3,763.99 ","$1,273.11 ","$5,214.58 ","$4,632.61 ","$1,273.11 ","$4,588.60 ","$5,214.58 ","$5,214.58 ","$2,418.91 ","$4,922.15 ","$4,285.16 ","$3,182.77 ","$1,273.11 ", N/A ,"$4,829.49 ","$1,273.11 ","$4,783.17 ","$4,632.61 ","$5,211.68 ","$3,182.77 ","$4,922.15 ","$1,363.50 ","$4,922.15 ","$4,922.15 ","$5,211.68 ","$5,211.68 ","$4,545.75 ","$4,783.17 ","$1,363.50 ","$3,763.99 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027043,27043,"EXCISION TUMOR,SOFT PELVIS,HIP AREA",360,1 ,"$3,178.78 ","$2,066.21 ","$2,066.21 ","$5,361.20 ","$2,543.02 ","$2,144.48 ","$2,518.87 ","$2,862.49 ","$2,862.49 ","$4,074.51 ","$2,701.96 ","$2,352.30 ","$5,361.20 ","$2,144.48 ", N/A ,"$2,651.10 ","$2,144.48 ","$2,625.67 ","$2,543.02 ","$2,860.90 ","$3,178.78 ","$2,701.96 ","$2,296.74 ","$2,701.96 ","$2,701.96 ","$2,860.90 ","$2,860.90 ","$2,495.34 ","$2,625.67 ","$2,296.74 ","$2,066.21 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027047,27047,"EXCISION TUMOR, PELVIS,HIP AREA, SUB Q",360,1 ,"$4,928.40 ","$3,203.46 ","$2,144.48 ","$5,361.20 ","$3,942.72 ","$2,144.48 ","$3,905.26 ","$4,438.02 ","$4,438.02 ","$4,074.51 ","$4,189.14 ","$3,647.02 ","$5,361.20 ","$2,144.48 ", N/A ,"$4,110.29 ","$2,144.48 ","$4,070.86 ","$3,942.72 ","$4,435.56 ","$4,928.40 ","$4,189.14 ","$2,296.74 ","$4,189.14 ","$4,189.14 ","$4,435.56 ","$4,435.56 ","$3,868.79 ","$4,070.86 ","$2,296.74 ","$3,203.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027048,27048,"EXC TUMOR PELVIS,HIP DEEP SUBFAS IM RT",360,1 ,"$4,435.53 ","$2,883.09 ","$2,144.48 ","$5,361.20 ","$3,548.42 ","$2,144.48 ","$3,514.71 ","$3,994.19 ","$3,994.19 ","$4,074.51 ","$3,770.20 ","$3,282.29 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,699.23 ","$2,144.48 ","$3,663.75 ","$3,548.42 ","$3,991.98 ","$4,435.53 ","$3,770.20 ","$2,296.74 ","$3,770.20 ","$3,770.20 ","$3,991.98 ","$3,991.98 ","$3,481.89 ","$3,663.75 ","$2,296.74 ","$2,883.09 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027125,27125,PART HIP REPLACE W/WO BIPOLAR PROSTH LT,360,1 ,"$10,842.43 ","$7,047.58 ","$7,047.58 ","$27,857.22 ","$8,673.94 ","$11,142.89 ","$8,591.54 ","$9,763.61 ","$9,763.61 ","$21,171.49 ","$9,216.07 ","$8,023.40 ","$27,857.22 ","$11,142.89 ", N/A ,"$9,042.59 ","$11,142.89 ","$8,955.85 ","$8,673.94 ","$9,758.19 ","$10,842.43 ","$9,216.07 ","$10,842.43 ","$9,216.07 ","$9,216.07 ","$9,758.19 ","$9,758.19 ","$8,511.31 ","$8,955.85 ","$10,842.43 ","$7,047.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027130,27130,HIP TOTAL ARTHROPLASTY,360,1 , N/A , N/A ,"$11,142.89 ","$27,857.22 ", N/A ,"$11,142.89 ", N/A , N/A , N/A ,"$21,171.49 ", N/A , N/A ,"$27,857.22 ","$11,142.89 ", N/A , N/A ,"$11,142.89 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027244,27244,"ORJF, FEMUR / PLATE AND SCREW RT",360,1 ,"$11,347.61 ","$7,375.95 ","$5,668.78 ","$14,171.94 ","$9,078.09 ","$5,668.78 ","$8,991.85 ","$10,218.52 ","$10,218.52 ","$10,770.68 ","$9,645.47 ","$8,397.23 ","$14,171.94 ","$5,668.78 ", N/A ,"$9,463.91 ","$5,668.78 ","$9,373.13 ","$9,078.09 ","$10,212.85 ","$11,347.61 ","$9,645.47 ","$6,071.26 ","$9,645.47 ","$9,645.47 ","$10,212.85 ","$10,212.85 ","$8,907.87 ","$9,373.13 ","$6,071.26 ","$7,375.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027252,27252,CLOSED HIP REDUCTION / W ANES,360,1 ,"$6,838.10 ","$4,444.77 ","$1,259.85 ","$6,157.71 ","$5,470.48 ","$1,259.85 ","$5,418.51 ","$6,157.71 ","$6,157.71 ","$2,393.72 ","$5,812.39 ","$5,060.19 ","$3,149.64 ","$1,259.85 ", N/A ,"$5,702.98 ","$1,259.85 ","$5,648.27 ","$5,470.48 ","$6,154.29 ","$3,149.64 ","$5,812.39 ","$1,349.30 ","$5,812.39 ","$5,812.39 ","$6,154.29 ","$6,154.29 ","$5,367.91 ","$5,648.27 ","$1,349.30 ","$4,444.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027265,27265,CLOSD TX POST HIP ARTHRO DIS W/O ANES RT,360,1 ,"$1,057.82 ",$687.58 ,$186.57 ,$952.57 ,$846.26 ,$186.57 ,$838.22 ,$952.57 ,$952.57 ,$354.48 ,$899.15 ,$782.79 ,$466.42 ,$186.57 , N/A ,$882.22 ,$186.57 ,$873.76 ,$846.26 ,$952.04 ,$466.42 ,$899.15 ,$199.82 ,$899.15 ,$899.15 ,$952.04 ,$952.04 ,$830.39 ,$873.76 ,$199.82 ,$687.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),15027301,27301,"I AND D DEEP ABCESS,BURSA OR HEMA THIGH/KNEE",360,1 ,"$4,649.40 ","$3,022.11 ","$2,144.48 ","$5,361.20 ","$3,719.52 ","$2,144.48 ","$3,684.18 ","$4,186.78 ","$4,186.78 ","$4,074.51 ","$3,951.99 ","$3,440.56 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,877.60 ","$2,144.48 ","$3,840.40 ","$3,719.52 ","$4,184.46 ","$4,649.40 ","$3,951.99 ","$2,296.74 ","$3,951.99 ","$3,951.99 ","$4,184.46 ","$4,184.46 ","$3,649.78 ","$3,840.40 ","$2,296.74 ","$3,022.11 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027323,27323,BX SOFT TISS THIGH/ KNEE SUPERF,360,1 ,"$1,601.33 ","$1,040.86 ","$1,040.86 ","$3,182.77 ","$1,281.06 ","$1,273.11 ","$1,268.89 ","$1,442.00 ","$1,442.00 ","$2,418.91 ","$1,361.13 ","$1,184.98 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,335.51 ","$1,273.11 ","$1,322.70 ","$1,281.06 ","$1,441.20 ","$1,601.33 ","$1,361.13 ","$1,363.50 ","$1,361.13 ","$1,361.13 ","$1,441.20 ","$1,441.20 ","$1,257.04 ","$1,322.70 ","$1,363.50 ","$1,040.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027324,27324,"BX THIGH OR KNEE SUBQ TISSUE,DEEP RT",360,1 ,"$3,775.17 ","$2,453.86 ","$2,144.48 ","$5,361.20 ","$3,020.14 ","$2,144.48 ","$2,991.44 ","$3,399.54 ","$3,399.54 ","$4,074.51 ","$3,208.89 ","$2,793.63 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,148.49 ","$2,144.48 ","$3,118.29 ","$3,020.14 ","$3,397.65 ","$3,775.17 ","$3,208.89 ","$2,296.74 ","$3,208.89 ","$3,208.89 ","$3,397.65 ","$3,397.65 ","$2,963.51 ","$3,118.29 ","$2,296.74 ","$2,453.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027327,27327,LESION/REM OF THIGH OR KNEE SUBQ,360,1 ,"$3,963.79 ","$2,576.46 ","$1,273.11 ","$3,569.39 ","$3,171.03 ","$1,273.11 ","$3,140.91 ","$3,569.39 ","$3,569.39 ","$2,418.91 ","$3,369.22 ","$2,933.20 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,305.80 ","$1,273.11 ","$3,274.09 ","$3,171.03 ","$3,567.41 ","$3,182.77 ","$3,369.22 ","$1,363.50 ","$3,369.22 ","$3,369.22 ","$3,567.41 ","$3,567.41 ","$3,111.58 ","$3,274.09 ","$1,363.50 ","$2,576.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027328,27328,"EXC TUMOR THIGH OR KNEE,DEEP SUBFAS/IM",360,1 ,"$3,775.17 ","$2,453.86 ","$2,144.48 ","$5,361.20 ","$3,020.14 ","$2,144.48 ","$2,991.44 ","$3,399.54 ","$3,399.54 ","$4,074.51 ","$3,208.89 ","$2,793.63 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,148.49 ","$2,144.48 ","$3,118.29 ","$3,020.14 ","$3,397.65 ","$3,775.17 ","$3,208.89 ","$2,296.74 ","$3,208.89 ","$3,208.89 ","$3,397.65 ","$3,397.65 ","$2,963.51 ","$3,118.29 ","$2,296.74 ","$2,453.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027337,27337,EXC TUMOR SOFT TISSUE THIGH KNEE > 3CM,360,1 ,"$3,699.93 ","$2,404.95 ","$2,144.48 ","$5,361.20 ","$2,959.94 ","$2,144.48 ","$2,931.82 ","$3,331.79 ","$3,331.79 ","$4,074.51 ","$3,144.94 ","$2,737.95 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,085.74 ","$2,144.48 ","$3,056.14 ","$2,959.94 ","$3,329.94 ","$3,699.93 ","$3,144.94 ","$2,296.74 ","$3,144.94 ","$3,144.94 ","$3,329.94 ","$3,329.94 ","$2,904.45 ","$3,056.14 ","$2,296.74 ","$2,404.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027339,27339,"EXCISION TUMOR, SOFT TISSUE THIGH/KNEE",360,1 ,"$5,057.16 ","$3,287.15 ","$2,144.48 ","$5,361.20 ","$4,045.73 ","$2,144.48 ","$4,007.29 ","$4,553.97 ","$4,553.97 ","$4,074.51 ","$4,298.59 ","$3,742.30 ","$5,361.20 ","$2,144.48 ", N/A ,"$4,217.67 ","$2,144.48 ","$4,177.21 ","$4,045.73 ","$4,551.44 ","$5,057.16 ","$4,298.59 ","$2,296.74 ","$4,298.59 ","$4,298.59 ","$4,551.44 ","$4,551.44 ","$3,969.87 ","$4,177.21 ","$2,296.74 ","$3,287.15 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027360,27360,"PATRIAL EXCISION BONE, FEMUR, TIBIA FIBU",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027405,27405,REPAIR PRIMARY TORN LIG/CAPSULE KNEE LFT,360,1 ,"$10,042.69 ","$6,527.75 ","$5,668.78 ","$14,171.94 ","$8,034.15 ","$5,668.78 ","$7,957.83 ","$9,043.44 ","$9,043.44 ","$10,770.68 ","$8,536.29 ","$7,431.59 ","$14,171.94 ","$5,668.78 ", N/A ,"$8,375.60 ","$5,668.78 ","$8,295.26 ","$8,034.15 ","$9,038.42 ","$10,042.69 ","$8,536.29 ","$6,071.26 ","$8,536.29 ","$8,536.29 ","$9,038.42 ","$9,038.42 ","$7,883.51 ","$8,295.26 ","$6,071.26 ","$6,527.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027415,27415,"OSTEOCHONDRAL ALLOGRAFT, KNEE OPEN LEFT",360,1 ,"$5,555.17 ","$3,610.86 ","$3,610.86 ","$27,857.22 ","$4,444.14 ","$11,142.89 ","$4,401.92 ","$5,002.43 ","$5,002.43 ","$21,171.49 ","$4,721.89 ","$4,110.83 ","$27,857.22 ","$11,142.89 ", N/A ,"$4,633.01 ","$11,142.89 ","$4,588.57 ","$4,444.14 ","$4,999.65 ","$5,555.17 ","$4,721.89 ","$5,555.17 ","$4,721.89 ","$4,721.89 ","$4,999.65 ","$4,999.65 ","$4,360.81 ","$4,588.57 ","$5,555.17 ","$3,610.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027441,27441,"ARTHRO, KNEE, TIBIAL PLATEAU WITH DEBRID",360,1 , N/A , N/A ,"$11,142.89 ","$27,857.22 ", N/A ,"$11,142.89 ", N/A , N/A , N/A ,"$21,171.49 ", N/A , N/A ,"$27,857.22 ","$11,142.89 ", N/A , N/A ,"$11,142.89 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027447,27447,TOTAL KNEE ARTHROPLASTY,360,1 , N/A , N/A ,"$11,142.89 ","$27,857.22 ", N/A ,"$11,142.89 ", N/A , N/A , N/A ,"$21,171.49 ", N/A , N/A ,"$27,857.22 ","$11,142.89 ", N/A , N/A ,"$11,142.89 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027603,27603,"I AND D LEG OR ANK,DEEP ABCESS OR HEMATOMA",360,1 ,"$3,370.75 ","$2,190.99 ","$2,144.48 ","$5,361.20 ","$2,696.60 ","$2,144.48 ","$2,670.98 ","$3,035.36 ","$3,035.36 ","$4,074.51 ","$2,865.14 ","$2,494.36 ","$5,361.20 ","$2,144.48 ", N/A ,"$2,811.21 ","$2,144.48 ","$2,784.24 ","$2,696.60 ","$3,033.68 ","$3,370.75 ","$2,865.14 ","$2,296.74 ","$2,865.14 ","$2,865.14 ","$3,033.68 ","$3,033.68 ","$2,646.04 ","$2,784.24 ","$2,296.74 ","$2,190.99 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027613,27613,BX SOFT TISS LWR LEG/ ANKLE; SUPERFICIAL,360,1 ,"$2,143.93 ","$1,393.55 ","$1,273.11 ","$3,182.77 ","$1,715.14 ","$1,273.11 ","$1,698.85 ","$1,930.61 ","$1,930.61 ","$2,418.91 ","$1,822.34 ","$1,586.51 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,788.04 ","$1,273.11 ","$1,770.89 ","$1,715.14 ","$1,929.54 ","$2,143.93 ","$1,822.34 ","$1,363.50 ","$1,822.34 ","$1,822.34 ","$1,929.54 ","$1,929.54 ","$1,682.99 ","$1,770.89 ","$1,363.50 ","$1,393.55 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027630,27630,EXCISION LESION TENDON SHEATH LEG/ANK,360,1 ,"$2,916.92 ","$1,896.00 ","$1,896.00 ","$6,402.65 ","$2,333.54 ","$2,561.06 ","$2,311.37 ","$2,626.69 ","$2,626.69 ","$4,866.01 ","$2,479.38 ","$2,158.52 ","$6,402.65 ","$2,561.06 ", N/A ,"$2,432.71 ","$2,561.06 ","$2,409.38 ","$2,333.54 ","$2,625.23 ","$2,916.92 ","$2,479.38 ","$2,742.89 ","$2,479.38 ","$2,479.38 ","$2,625.23 ","$2,625.23 ","$2,289.78 ","$2,409.38 ","$2,742.89 ","$1,896.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027650,27650,"REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, R",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027652,27652,ACHILLES TENDON REPAIR WITH GRAFT,360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027654,27654,"ANTHROSCOPY, SUBTALAR JOINT, SURGICAL, W",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027687,27687,GASTROCNEMIUS RECESSION,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027704,27704,"REMOVAL ANKLE IMPLANT, RT",360,1 ,"$5,265.32 ","$3,422.46 ","$2,561.06 ","$6,402.65 ","$4,212.26 ","$2,561.06 ","$4,172.24 ","$4,741.42 ","$4,741.42 ","$4,866.01 ","$4,475.52 ","$3,896.34 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,391.28 ","$2,561.06 ","$4,349.15 ","$4,212.26 ","$4,738.79 ","$5,265.32 ","$4,475.52 ","$2,742.89 ","$4,475.52 ","$4,475.52 ","$4,738.79 ","$4,738.79 ","$4,133.28 ","$4,349.15 ","$2,742.89 ","$3,422.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027792,27792,"TREATMENT OF ANKLE FRACTURE, LT",360,1 ,"$6,672.96 ","$4,337.42 ","$4,337.42 ","$14,171.94 ","$5,338.37 ","$5,668.78 ","$5,287.65 ","$6,009.00 ","$6,009.00 ","$10,770.68 ","$5,672.02 ","$4,937.99 ","$14,171.94 ","$5,668.78 ", N/A ,"$5,565.25 ","$5,668.78 ","$5,511.87 ","$5,338.37 ","$6,005.66 ","$6,672.96 ","$5,672.02 ","$6,071.26 ","$5,672.02 ","$5,672.02 ","$6,005.66 ","$6,005.66 ","$5,238.27 ","$5,511.87 ","$6,071.26 ","$4,337.42 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027814,27814,ORIF ANKLE FX RT,360,1 ,"$7,206.51 ","$4,684.23 ","$4,684.23 ","$14,171.94 ","$5,765.21 ","$5,668.78 ","$5,710.44 ","$6,489.46 ","$6,489.46 ","$10,770.68 ","$6,125.53 ","$5,332.82 ","$14,171.94 ","$5,668.78 ", N/A ,"$6,010.23 ","$5,668.78 ","$5,952.58 ","$5,765.21 ","$6,485.86 ","$7,206.51 ","$6,125.53 ","$6,071.26 ","$6,125.53 ","$6,125.53 ","$6,485.86 ","$6,485.86 ","$5,657.11 ","$5,952.58 ","$6,071.26 ","$4,684.23 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15027831,27831,CLOSED TREATMENT OF PROXIMAL TIBIOFIBULA,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15027880,27880,"AMPUTATION, LOWER LEG THRU TIB AND FIB RT",360,1 ,"$6,899.66 ","$4,484.78 ","$4,484.78 ","$35,895.30 ","$5,519.73 ","$14,358.12 ","$5,467.29 ","$6,213.14 ","$6,213.14 ","$27,280.43 ","$5,864.71 ","$5,105.75 ","$35,895.30 ","$14,358.12 ", N/A ,"$5,754.32 ","$14,358.12 ","$5,699.12 ","$5,519.73 ","$6,209.69 ","$6,899.66 ","$5,864.71 ","$6,899.66 ","$5,864.71 ","$5,864.71 ","$6,209.69 ","$6,209.69 ","$5,416.23 ","$5,699.12 ","$6,899.66 ","$4,484.78 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028008,28008,INCISION OF FOOT FASCIA,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028010,28010,TENOTOMY PERCUTAN TOE SGL TENDON,360,1 ,"$4,411.45 ","$2,867.44 ","$1,259.85 ","$3,972.51 ","$3,529.16 ","$1,259.85 ","$3,495.63 ","$3,972.51 ","$3,972.51 ","$2,393.72 ","$3,749.73 ","$3,264.47 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,679.15 ","$1,259.85 ","$3,643.86 ","$3,529.16 ","$3,970.31 ","$3,149.64 ","$3,749.73 ","$1,349.30 ","$3,749.73 ","$3,749.73 ","$3,970.31 ","$3,970.31 ","$3,462.99 ","$3,643.86 ","$1,349.30 ","$2,867.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028024,28024,I AND D TOE INTERPHALANGEAL JOINT,360,1 ,"$4,201.50 ","$2,730.98 ","$1,259.85 ","$3,783.45 ","$3,361.20 ","$1,259.85 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$2,393.72 ","$3,571.28 ","$3,109.11 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,504.05 ","$1,259.85 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$3,149.64 ","$3,571.28 ","$1,349.30 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$1,349.30 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028043,28043,EXCISION TUMOR FOOT SUBQ TISSUE,360,1 ,"$3,881.07 ","$2,522.70 ","$1,273.11 ","$3,494.90 ","$3,104.86 ","$1,273.11 ","$3,075.36 ","$3,494.90 ","$3,494.90 ","$2,418.91 ","$3,298.91 ","$2,871.99 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,236.81 ","$1,273.11 ","$3,205.76 ","$3,104.86 ","$3,492.96 ","$3,182.77 ","$3,298.91 ","$1,363.50 ","$3,298.91 ","$3,298.91 ","$3,492.96 ","$3,492.96 ","$3,046.64 ","$3,205.76 ","$1,363.50 ","$2,522.70 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028072,28072,"SYNOVECTOMY, METATARSOPHALANGEAL JOIN",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028080,28080,"NEUROMA EXCISION,EA",360,1 ,"$4,411.45 ","$2,867.44 ","$1,259.85 ","$3,972.51 ","$3,529.16 ","$1,259.85 ","$3,495.63 ","$3,972.51 ","$3,972.51 ","$2,393.72 ","$3,749.73 ","$3,264.47 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,679.15 ","$1,259.85 ","$3,643.86 ","$3,529.16 ","$3,970.31 ","$3,149.64 ","$3,749.73 ","$1,349.30 ","$3,749.73 ","$3,749.73 ","$3,970.31 ","$3,970.31 ","$3,462.99 ","$3,643.86 ","$1,349.30 ","$2,867.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028092,28092,EXC OR CURET OF BONE CYST OR BEN TUM/TOE,360,1 ,"$4,411.45 ","$2,867.44 ","$1,259.85 ","$3,972.51 ","$3,529.16 ","$1,259.85 ","$3,495.63 ","$3,972.51 ","$3,972.51 ","$2,393.72 ","$3,749.73 ","$3,264.47 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,679.15 ","$1,259.85 ","$3,643.86 ","$3,529.16 ","$3,970.31 ","$3,149.64 ","$3,749.73 ","$1,349.30 ","$3,749.73 ","$3,749.73 ","$3,970.31 ","$3,970.31 ","$3,462.99 ","$3,643.86 ","$1,349.30 ","$2,867.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028110,28110,"OSTECTOMY, PARTIAL 5TH METATARSAL",360,1 ,"$5,555.17 ","$3,610.86 ","$2,561.06 ","$6,402.65 ","$4,444.14 ","$2,561.06 ","$4,401.92 ","$5,002.43 ","$5,002.43 ","$4,866.01 ","$4,721.89 ","$4,110.83 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,633.01 ","$2,561.06 ","$4,588.57 ","$4,444.14 ","$4,999.65 ","$5,555.17 ","$4,721.89 ","$2,742.89 ","$4,721.89 ","$4,721.89 ","$4,999.65 ","$4,999.65 ","$4,360.81 ","$4,588.57 ","$2,742.89 ","$3,610.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028112,28112,"OSTECTOMY COMPLETE,2ND,3RD,4TH META HEAD",360,1 ,"$4,201.50 ","$2,730.98 ","$2,561.06 ","$6,402.65 ","$3,361.20 ","$2,561.06 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$4,866.01 ","$3,571.28 ","$3,109.11 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,504.05 ","$2,561.06 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$4,201.50 ","$3,571.28 ","$2,742.89 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$2,742.89 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028119,28119,HEEL SPUR REMOVAL,360,1 ,"$3,137.90 ","$2,039.64 ","$2,039.64 ","$6,402.65 ","$2,510.32 ","$2,561.06 ","$2,486.47 ","$2,825.68 ","$2,825.68 ","$4,866.01 ","$2,667.22 ","$2,322.05 ","$6,402.65 ","$2,561.06 ", N/A ,"$2,617.01 ","$2,561.06 ","$2,591.91 ","$2,510.32 ","$2,824.11 ","$3,137.90 ","$2,667.22 ","$2,742.89 ","$2,667.22 ","$2,667.22 ","$2,824.11 ","$2,824.11 ","$2,463.25 ","$2,591.91 ","$2,742.89 ","$2,039.64 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028122,28122,PARTIAL EXCISION BONE OR METATARSAL BONE,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028124,28124,"PARTIAL EXCISION BONE, PHALANX OF TOE",360,1 ,"$4,411.45 ","$2,867.44 ","$2,561.06 ","$6,402.65 ","$3,529.16 ","$2,561.06 ","$3,495.63 ","$3,972.51 ","$3,972.51 ","$4,866.01 ","$3,749.73 ","$3,264.47 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,679.15 ","$2,561.06 ","$3,643.86 ","$3,529.16 ","$3,970.31 ","$4,411.45 ","$3,749.73 ","$2,742.89 ","$3,749.73 ","$3,749.73 ","$3,970.31 ","$3,970.31 ","$3,462.99 ","$3,643.86 ","$2,742.89 ","$2,867.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028153,28153,"RESECTION, PARTIAL OR COMPLETE, PHALANGE",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028190,28190,"REMOVE FOREIGN BODY FOOT, SUBQ",450,1 , N/A , N/A ,$562.78 ,"$1,406.96 ", N/A ,$562.78 , N/A , N/A , N/A ,"$1,069.29 ", N/A , N/A ,"$1,406.96 ",$562.78 , N/A , N/A ,$562.78 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028192,28192,"FOREIGN BODY REMOVAL FOOT, LT",360,1 ,"$1,527.70 ",$993.01 ,$993.01 ,"$3,182.77 ","$1,222.16 ","$1,273.11 ","$1,210.55 ","$1,375.69 ","$1,375.69 ","$2,418.91 ","$1,298.55 ","$1,130.50 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,274.10 ","$1,273.11 ","$1,261.88 ","$1,222.16 ","$1,374.93 ","$1,527.70 ","$1,298.55 ","$1,363.50 ","$1,298.55 ","$1,298.55 ","$1,374.93 ","$1,374.93 ","$1,199.24 ","$1,261.88 ","$1,363.50 ",$993.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),15028208,28208,"REPAIR, TENDON, EXTENSOR, FOOT; PRI LEFT",360,1 ,"$4,201.50 ","$2,730.98 ","$2,561.06 ","$6,402.65 ","$3,361.20 ","$2,561.06 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$4,866.01 ","$3,571.28 ","$3,109.11 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,504.05 ","$2,561.06 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$4,201.50 ","$3,571.28 ","$2,742.89 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$2,742.89 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028230,28230,"TENOTOMY, OPEN, TENDOND FLEXOR, LEFT",360,1 ,"$4,201.50 ","$2,730.98 ","$1,259.85 ","$3,783.45 ","$3,361.20 ","$1,259.85 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$2,393.72 ","$3,571.28 ","$3,109.11 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,504.05 ","$1,259.85 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$3,149.64 ","$3,571.28 ","$1,349.30 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$1,349.30 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028232,28234,TENOTOMY OPEN TOE SINGLE TENDON LEFT,360,1 ,"$4,201.50 ","$2,730.98 ","$1,259.85 ","$3,783.45 ","$3,361.20 ","$1,259.85 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$2,393.72 ","$3,571.28 ","$3,109.11 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,504.05 ","$1,259.85 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$3,149.64 ","$3,571.28 ","$1,349.30 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$1,349.30 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028234,28234,TENOTOMY OPEN EXT FT OR TOE EA TENDON RT,360,1 ,"$4,201.50 ","$2,730.98 ","$1,259.85 ","$3,783.45 ","$3,361.20 ","$1,259.85 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$2,393.72 ","$3,571.28 ","$3,109.11 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,504.05 ","$1,259.85 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$3,149.64 ","$3,571.28 ","$1,349.30 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$1,349.30 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028240,28240,TENOTOMY/ RELEASE OF BIG TOE,360,1 ,$0.01 ,$0.01 ,$0.01 ,"$6,402.65 ",$0.01 ,"$2,561.06 ",$0.01 ,$0.01 ,$0.01 ,"$4,866.01 ",$0.01 ,$0.01 ,"$6,402.65 ","$2,561.06 ", N/A ,$0.01 ,"$2,561.06 ",$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),15028270,28270,"RELEASE OF FOOT CONTRACTURE, LT",360,1 ,"$4,632.08 ","$3,010.85 ","$2,561.06 ","$6,402.65 ","$3,705.66 ","$2,561.06 ","$3,670.46 ","$4,171.19 ","$4,171.19 ","$4,866.01 ","$3,937.27 ","$3,427.74 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,863.15 ","$2,561.06 ","$3,826.10 ","$3,705.66 ","$4,168.87 ","$4,632.08 ","$3,937.27 ","$2,742.89 ","$3,937.27 ","$3,937.27 ","$4,168.87 ","$4,168.87 ","$3,636.18 ","$3,826.10 ","$2,742.89 ","$3,010.85 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028272,28272,CAPSULOTOMY INTERPHALANGEAL JOINT,360,1 , N/A , N/A ,"$1,259.85 ","$3,149.64 ", N/A ,"$1,259.85 ", N/A , N/A , N/A ,"$2,393.72 ", N/A , N/A ,"$3,149.64 ","$1,259.85 ", N/A , N/A ,"$1,259.85 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028285,28285,HAMMERTOE REPAIR LEFT FT 5TH DIGIT,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028288,28288,"PARTIAL REMOVAL OF FOOT BONE, LT",360,1 ,"$5,303.35 ","$3,447.18 ","$2,561.06 ","$6,402.65 ","$4,242.68 ","$2,561.06 ","$4,202.37 ","$4,775.67 ","$4,775.67 ","$4,866.01 ","$4,507.85 ","$3,924.48 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,422.99 ","$2,561.06 ","$4,380.57 ","$4,242.68 ","$4,773.02 ","$5,303.35 ","$4,507.85 ","$2,742.89 ","$4,507.85 ","$4,507.85 ","$4,773.02 ","$4,773.02 ","$4,163.13 ","$4,380.57 ","$2,742.89 ","$3,447.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028290,28292,BUNIONECTOMY,360,1 ,"$6,124.31 ","$3,980.80 ","$2,561.06 ","$6,402.65 ","$4,899.45 ","$2,561.06 ","$4,852.90 ","$5,514.94 ","$5,514.94 ","$4,866.01 ","$5,205.66 ","$4,531.99 ","$6,402.65 ","$2,561.06 ", N/A ,"$5,107.67 ","$2,561.06 ","$5,058.68 ","$4,899.45 ","$5,511.88 ","$6,124.31 ","$5,205.66 ","$2,742.89 ","$5,205.66 ","$5,205.66 ","$5,511.88 ","$5,511.88 ","$4,807.58 ","$5,058.68 ","$2,742.89 ","$3,980.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028297,28297,CORRECTION HALLUX VALGUS BUIONECTOMY,360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028298,28298,HALLUX VALGUS CORRECTION WITH PROXIMAL O,360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028306,28306,"OSTEOTOMY W OR W/O LENGTHENING, SHORTEN",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028310,28310,"OSTEOTOMY 1ST TOE,SHORTEN,ANGLE, ETC RT",360,1 ,"$4,201.50 ","$2,730.98 ","$2,730.98 ","$14,171.94 ","$3,361.20 ","$5,668.78 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$10,770.68 ","$3,571.28 ","$3,109.11 ","$14,171.94 ","$5,668.78 ", N/A ,"$3,504.05 ","$5,668.78 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$4,201.50 ","$3,571.28 ","$4,201.50 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$4,201.50 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028313,28313,"RECONST LEFT, ANGULAR DEFROMITY OF TOE",360,1 ,"$4,201.50 ","$2,730.98 ","$2,561.06 ","$6,402.65 ","$3,361.20 ","$2,561.06 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$4,866.01 ","$3,571.28 ","$3,109.11 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,504.05 ","$2,561.06 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$4,201.50 ","$3,571.28 ","$2,742.89 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$2,742.89 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028665,28665,CLOSED TREATMENT OF INTERPHALANGEAL JOIN,360,1 , N/A , N/A ,$218.22 ,$545.55 , N/A ,$218.22 , N/A , N/A , N/A ,$414.62 , N/A , N/A ,$545.55 ,$218.22 , N/A , N/A ,$218.22 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028750,28750,"ARTHRODESIS, GREAT TOE, METATARSOPHALANG",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028760,28760,ARTHRODESIS WITH EXST HJALLUCISU LONGUS,360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15028825,28825,AMPUTATION TOE/PARTIAL,360,1 ,"$4,453.59 ","$2,894.83 ","$2,561.06 ","$6,402.65 ","$3,562.87 ","$2,561.06 ","$3,529.02 ","$4,010.46 ","$4,010.46 ","$4,866.01 ","$3,785.55 ","$3,295.66 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,714.29 ","$2,561.06 ","$3,678.67 ","$3,562.87 ","$4,008.23 ","$4,453.59 ","$3,785.55 ","$2,742.89 ","$3,785.55 ","$3,785.55 ","$4,008.23 ","$4,008.23 ","$3,496.07 ","$3,678.67 ","$2,742.89 ","$2,894.83 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15028899,28899,UNLISTED PROCEDURE FOR FOOT AND TOES,450,1 , N/A , N/A ,$186.57 ,$466.42 , N/A ,$186.57 , N/A , N/A , N/A ,$354.48 , N/A , N/A ,$466.42 ,$186.57 , N/A , N/A ,$186.57 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029065,29065,CAST APPL SHOULDER TO HAND LT,360,1 ,$132.90 ,$86.39 ,$86.39 ,$545.55 ,$106.32 ,$218.22 ,$105.31 ,$119.68 ,$119.68 ,$414.62 ,$112.97 ,$98.35 ,$545.55 ,$218.22 , N/A ,$110.84 ,$218.22 ,$109.78 ,$106.32 ,$119.61 ,$132.90 ,$112.97 ,$132.90 ,$112.97 ,$112.97 ,$119.61 ,$119.61 ,$104.33 ,$109.78 ,$132.90 ,$86.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),15029130,29130,APPL FINGER SPLINT STATIC,360,1 ,$265.62 ,$172.65 ,$101.30 ,$253.24 ,$212.50 ,$101.30 ,$210.48 ,$239.19 ,$239.19 ,$192.46 ,$225.78 ,$196.56 ,$253.24 ,$101.30 , N/A ,$221.53 ,$101.30 ,$219.40 ,$212.50 ,$239.06 ,$253.24 ,$225.78 ,$108.49 ,$225.78 ,$225.78 ,$239.06 ,$239.06 ,$208.51 ,$219.40 ,$108.49 ,$172.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),15029807,29807,"ANTHROSCOPY, SHOULDER, SURGICAL, CAPSULO",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029822,29822,"ARTHRO, SHOULDER, SURGICAL: CAPSULORRPHA",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029823,29823,"SHLDR ARTHRO/SURG DEBRIDEMENT,EXTEN LT",360,1 ,"$6,559.57 ","$4,263.72 ","$2,561.06 ","$6,402.65 ","$5,247.66 ","$2,561.06 ","$5,197.80 ","$5,906.89 ","$5,906.89 ","$4,866.01 ","$5,575.63 ","$4,854.08 ","$6,402.65 ","$2,561.06 ", N/A ,"$5,470.68 ","$2,561.06 ","$5,418.20 ","$5,247.66 ","$5,903.61 ","$6,402.65 ","$5,575.63 ","$2,742.89 ","$5,575.63 ","$5,575.63 ","$5,903.61 ","$5,903.61 ","$5,149.26 ","$5,418.20 ","$2,742.89 ","$4,263.72 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15029825,29825,"ANTHROSCOPY, SHOULDER, DISTAL CLAVIC",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029826,29826,"SHOULDER ARTH, PARTIAL ACROMIOPLASTY LT",360,1 ,"$6,887.63 ","$4,476.96 ","$4,476.96 ","$6,202.31 ","$5,510.10 ", N/A ,"$5,457.76 ","$6,202.31 ","$6,202.31 ", N/A ,"$5,854.49 ","$5,096.85 ", N/A , N/A , N/A ,"$5,744.28 ", N/A ,"$5,689.18 ","$5,510.10 ","$6,198.87 ", N/A ,"$5,854.49 ", N/A ,"$5,854.49 ","$5,854.49 ","$6,198.87 ","$6,198.87 ","$5,406.79 ","$5,689.18 ", N/A ,"$4,476.96 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15029827,29827,"ARTHROSCOPY SHLDR,DIST CAPSUL/R CUFF REP",360,1 ,"$6,720.00 ","$4,368.00 ","$4,368.00 ","$14,171.94 ","$5,376.00 ","$5,668.78 ","$5,324.93 ","$6,051.36 ","$6,051.36 ","$10,770.68 ","$5,712.00 ","$4,972.80 ","$14,171.94 ","$5,668.78 ", N/A ,"$5,604.48 ","$5,668.78 ","$5,550.72 ","$5,376.00 ","$6,048.00 ","$6,720.00 ","$5,712.00 ","$6,071.26 ","$5,712.00 ","$5,712.00 ","$6,048.00 ","$6,048.00 ","$5,275.20 ","$5,550.72 ","$6,071.26 ","$4,368.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15029828,29828,BICEPS TENODESIS,360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029830,29830,"ANTHROSCOPY, ELBOW, DIAGNOSTIC, WITH OR",360,1 ,"$7,455.00 ","$4,845.75 ","$2,561.06 ","$6,713.23 ","$5,964.00 ","$2,561.06 ","$5,907.34 ","$6,713.23 ","$6,713.23 ","$4,866.01 ","$6,336.75 ","$5,516.70 ","$6,402.65 ","$2,561.06 ", N/A ,"$6,217.47 ","$2,561.06 ","$6,157.83 ","$5,964.00 ","$6,709.50 ","$6,402.65 ","$6,336.75 ","$2,742.89 ","$6,336.75 ","$6,336.75 ","$6,709.50 ","$6,709.50 ","$5,852.18 ","$6,157.83 ","$2,742.89 ","$4,845.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15029831,29881,ANTHROSCOPIC TO OPEN SHOULDER SURG,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029867,29867,OSTEOCHONDRAL ALLOGRAFT,360,1 , N/A , N/A ,"$11,142.89 ","$27,857.22 ", N/A ,"$11,142.89 ", N/A , N/A , N/A ,"$21,171.49 ", N/A , N/A ,"$27,857.22 ","$11,142.89 ", N/A , N/A ,"$11,142.89 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029870,29870,KNEE ARTHROSCOPY/LT W/WO SYN BX,360,1 ,"$6,559.57 ","$4,263.72 ","$2,561.06 ","$6,402.65 ","$5,247.66 ","$2,561.06 ","$5,197.80 ","$5,906.89 ","$5,906.89 ","$4,866.01 ","$5,575.63 ","$4,854.08 ","$6,402.65 ","$2,561.06 ", N/A ,"$5,470.68 ","$2,561.06 ","$5,418.20 ","$5,247.66 ","$5,903.61 ","$6,402.65 ","$5,575.63 ","$2,742.89 ","$5,575.63 ","$5,575.63 ","$5,903.61 ","$5,903.61 ","$5,149.26 ","$5,418.20 ","$2,742.89 ","$4,263.72 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15029873,29873,KNEE ARTHROSCOPY/RT WITH LATERAL RELEASE,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029874,29874,"ANTHROSCOPY, KNEE SURGICAL LAVAGE AND DR",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029875,29875,KNEE ARTHROSCOPY/SURGERY SYNOVECTOMY LTD,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029880,29880,"ANTHROSCOPY, KNEE, DIAGNOSTIC, WITH OR W",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029881,29881,"SYNOVECTOMY, LIMITED WITH MEDISECTOMY ME",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029882,29882,"ANTHROSCOPY, KNEE, SURGICAL,INFECTION",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029888,29888,ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE,360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029904,29904,"ANTHROSCOPY, SUBTALAR JOINT, SURGICAL, W",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15029999,29999,"UNLISTED PROCEDURE, ARTHROSCOPY",360,1 , N/A , N/A ,$186.57 ,$466.42 , N/A ,$186.57 , N/A , N/A , N/A ,$354.48 , N/A , N/A ,$466.42 ,$186.57 , N/A , N/A ,$186.57 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15032000,32554,THORACENTESIS,360,1 ,$916.71 ,$595.86 ,$490.08 ,"$1,225.20 ",$733.37 ,$490.08 ,$726.40 ,$825.50 ,$825.50 ,$931.15 ,$779.20 ,$678.37 ,"$1,225.20 ",$490.08 , N/A ,$764.54 ,$490.08 ,$757.20 ,$733.37 ,$825.04 ,$916.71 ,$779.20 ,$524.88 ,$779.20 ,$779.20 ,$825.04 ,$825.04 ,$719.62 ,$757.20 ,$524.88 ,$595.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),15032002,32550,CHEST TUBE PLACEMENT W/WO WATER SEAL,360,1 ,"$1,441.55 ",$937.01 ,$937.01 ,"$7,201.19 ","$1,153.24 ","$2,880.48 ","$1,142.28 ","$1,298.12 ","$1,298.12 ","$5,472.91 ","$1,225.32 ","$1,066.75 ","$7,201.19 ","$2,880.48 ", N/A ,"$1,202.25 ","$2,880.48 ","$1,190.72 ","$1,153.24 ","$1,297.40 ","$1,441.55 ","$1,225.32 ","$1,441.55 ","$1,225.32 ","$1,225.32 ","$1,297.40 ","$1,297.40 ","$1,131.62 ","$1,190.72 ","$1,441.55 ",$937.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),15033212,33212,"INSERT OF PULSE GENERATOR ONLY,AT OR VEN",360,1 ,"$18,481.23 ","$12,012.80 ","$7,376.78 ","$18,441.95 ","$14,784.98 ","$7,376.78 ","$14,644.53 ","$16,642.35 ","$16,642.35 ","$14,015.88 ","$15,709.05 ","$13,676.11 ","$18,441.95 ","$7,376.78 ", N/A ,"$15,413.35 ","$7,376.78 ","$15,265.50 ","$14,784.98 ","$16,633.11 ","$18,441.95 ","$15,709.05 ","$7,900.53 ","$15,709.05 ","$15,709.05 ","$16,633.11 ","$16,633.11 ","$14,507.77 ","$15,265.50 ","$7,900.53 ","$12,012.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15035568,N/A,ERROR,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15036556,36569,INSERT OF PICC LINE ADULT,360,1 ,"$1,154.60 ",$750.49 ,$750.49 ,"$3,180.83 ",$923.68 ,"$1,272.33 ",$914.91 ,"$1,039.72 ","$1,039.72 ","$2,417.43 ",$981.41 ,$854.40 ,"$3,180.83 ","$1,272.33 ", N/A ,$962.94 ,"$1,272.33 ",$953.70 ,$923.68 ,"$1,039.14 ","$1,154.60 ",$981.41 ,"$1,154.60 ",$981.41 ,$981.41 ,"$1,039.14 ","$1,039.14 ",$906.36 ,$953.70 ,"$1,154.60 ",$750.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),15036558,36557,INSERT OF TUNNELED CENT VEN CATH <5 YRS,360,1 ,"$2,076.62 ","$1,349.80 ","$1,349.80 ","$10,791.05 ","$1,661.30 ","$4,316.42 ","$1,645.51 ","$1,870.00 ","$1,870.00 ","$8,201.20 ","$1,765.13 ","$1,536.70 ","$10,791.05 ","$4,316.42 ", N/A ,"$1,731.90 ","$4,316.42 ","$1,715.29 ","$1,661.30 ","$1,868.96 ","$2,076.62 ","$1,765.13 ","$2,076.62 ","$1,765.13 ","$1,765.13 ","$1,868.96 ","$1,868.96 ","$1,630.15 ","$1,715.29 ","$2,076.62 ","$1,349.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15036561,36561,INSERT OF CENT VENOUS ACCESS 5YRS >,360,1 ,"$1,940.60 ","$1,261.39 ","$1,261.39 ","$6,473.36 ","$1,552.48 ","$2,589.34 ","$1,537.73 ","$1,747.51 ","$1,747.51 ","$4,919.75 ","$1,649.51 ","$1,436.04 ","$6,473.36 ","$2,589.34 ", N/A ,"$1,618.46 ","$2,589.34 ","$1,602.94 ","$1,552.48 ","$1,746.54 ","$1,940.60 ","$1,649.51 ","$1,940.60 ","$1,649.51 ","$1,649.51 ","$1,746.54 ","$1,746.54 ","$1,523.37 ","$1,602.94 ","$1,940.60 ","$1,261.39 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15036580,36580,REPLACE NON TUNNELED CV CATH,360,1 ,"$1,034.92 ",$672.70 ,$672.70 ,"$3,180.83 ",$827.94 ,"$1,272.33 ",$820.07 ,$931.95 ,$931.95 ,"$2,417.43 ",$879.68 ,$765.84 ,"$3,180.83 ","$1,272.33 ", N/A ,$863.12 ,"$1,272.33 ",$854.84 ,$827.94 ,$931.43 ,"$1,034.92 ",$879.68 ,"$1,034.92 ",$879.68 ,$879.68 ,$931.43 ,$931.43 ,$812.41 ,$854.84 ,"$1,034.92 ",$672.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),15036581,36581,REPLACE TUNNELED CV CATH,360,1 ,"$1,034.92 ",$672.70 ,$672.70 ,"$6,473.36 ",$827.94 ,"$2,589.34 ",$820.07 ,$931.95 ,$931.95 ,"$4,919.75 ",$879.68 ,$765.84 ,"$6,473.36 ","$2,589.34 ", N/A ,$863.12 ,"$2,589.34 ",$854.84 ,$827.94 ,$931.43 ,"$1,034.92 ",$879.68 ,"$1,034.92 ",$879.68 ,$879.68 ,$931.43 ,$931.43 ,$812.41 ,$854.84 ,"$1,034.92 ",$672.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),15036582,36582,REPLACE TUNNELED CV CATH W/PORT,360,1 ,"$1,034.92 ",$672.70 ,$672.70 ,"$6,473.36 ",$827.94 ,"$2,589.34 ",$820.07 ,$931.95 ,$931.95 ,"$4,919.75 ",$879.68 ,$765.84 ,"$6,473.36 ","$2,589.34 ", N/A ,$863.12 ,"$2,589.34 ",$854.84 ,$827.94 ,$931.43 ,"$1,034.92 ",$879.68 ,"$1,034.92 ",$879.68 ,$879.68 ,$931.43 ,$931.43 ,$812.41 ,$854.84 ,"$1,034.92 ",$672.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),15036589,36589,REM TUNNELED CENT VEN CATH W/O SUBQ PORT,360,1 ,$788.57 ,$512.57 ,$490.08 ,"$1,225.20 ",$630.86 ,$490.08 ,$624.86 ,$710.11 ,$710.11 ,$931.15 ,$670.28 ,$583.54 ,"$1,225.20 ",$490.08 , N/A ,$657.67 ,$490.08 ,$651.36 ,$630.86 ,$709.71 ,$788.57 ,$670.28 ,$524.88 ,$670.28 ,$670.28 ,$709.71 ,$709.71 ,$619.03 ,$651.36 ,$524.88 ,$512.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),15038500,38500,BX OR EXC LYMPH NODES OPEN SUPERFICIAL,360,1 ,"$4,358.73 ","$2,833.17 ","$2,833.17 ","$7,143.12 ","$3,486.98 ","$2,857.25 ","$3,453.86 ","$3,925.04 ","$3,925.04 ","$5,428.77 ","$3,704.92 ","$3,225.46 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,635.18 ","$2,857.25 ","$3,600.31 ","$3,486.98 ","$3,922.86 ","$4,358.73 ","$3,704.92 ","$3,060.11 ","$3,704.92 ","$3,704.92 ","$3,922.86 ","$3,922.86 ","$3,421.60 ","$3,600.31 ","$3,060.11 ","$2,833.17 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15038525,38525,"BX/EX LYNPH NODES OPEN,DEEP ANX NODES",360,1 ,"$4,312.37 ","$2,803.04 ","$2,803.04 ","$7,143.12 ","$3,449.90 ","$2,857.25 ","$3,417.12 ","$3,883.29 ","$3,883.29 ","$5,428.77 ","$3,665.51 ","$3,191.15 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,596.52 ","$2,857.25 ","$3,562.02 ","$3,449.90 ","$3,881.13 ","$4,312.37 ","$3,665.51 ","$3,060.11 ","$3,665.51 ","$3,665.51 ","$3,881.13 ","$3,881.13 ","$3,385.21 ","$3,562.02 ","$3,060.11 ","$2,803.04 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15038550,38550,EX CYSTIC HYDROMA AX OR CERV WO DEEP NEU,360,1 ,"$4,829.81 ","$3,139.38 ","$2,857.25 ","$7,143.12 ","$3,863.85 ","$2,857.25 ","$3,827.14 ","$4,349.24 ","$4,349.24 ","$5,428.77 ","$4,105.34 ","$3,574.06 ","$7,143.12 ","$2,857.25 ", N/A ,"$4,028.06 ","$2,857.25 ","$3,989.42 ","$3,863.85 ","$4,346.83 ","$4,829.81 ","$4,105.34 ","$3,060.11 ","$4,105.34 ","$4,105.34 ","$4,346.83 ","$4,346.83 ","$3,791.40 ","$3,989.42 ","$3,060.11 ","$3,139.38 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15038724,38724,CERVICAL LYMPHADEMECTOMY MOD RAD DISECT,360,1 ,"$10,369.40 ","$6,740.11 ","$6,740.11 ","$9,337.64 ","$8,295.52 ", N/A ,"$8,216.71 ","$9,337.64 ","$9,337.64 ", N/A ,"$8,813.99 ","$7,673.36 ", N/A , N/A , N/A ,"$8,648.08 ", N/A ,"$8,565.12 ","$8,295.52 ","$9,332.46 ", N/A ,"$8,813.99 ", N/A ,"$8,813.99 ","$8,813.99 ","$9,332.46 ","$9,332.46 ","$8,139.98 ","$8,565.12 ", N/A ,"$6,740.11 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15038740,38740,AXILLARY NODE EXC SUPERFICIAL,360,1 ,"$7,208.80 ","$4,685.72 ","$4,578.89 ","$11,447.22 ","$5,767.04 ","$4,578.89 ","$5,712.25 ","$6,491.52 ","$6,491.52 ","$8,699.89 ","$6,127.48 ","$5,334.51 ","$11,447.22 ","$4,578.89 ", N/A ,"$6,012.14 ","$4,578.89 ","$5,954.47 ","$5,767.04 ","$6,487.92 ","$7,208.80 ","$6,127.48 ","$4,903.99 ","$6,127.48 ","$6,127.48 ","$6,487.92 ","$6,487.92 ","$5,658.91 ","$5,954.47 ","$4,903.99 ","$4,685.72 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15038760,38760,INGUINOFEMORAL LYMPHA SUPERFICIAL INC CL,360,1 ,"$4,216.20 ","$2,740.53 ","$2,740.53 ","$12,518.33 ","$3,372.96 ","$5,007.33 ","$3,340.92 ","$3,796.69 ","$3,796.69 ","$9,513.93 ","$3,583.77 ","$3,119.99 ","$12,518.33 ","$5,007.33 ", N/A ,"$3,516.31 ","$5,007.33 ","$3,482.58 ","$3,372.96 ","$3,794.58 ","$4,216.20 ","$3,583.77 ","$4,216.20 ","$3,583.77 ","$3,583.77 ","$3,794.58 ","$3,794.58 ","$3,309.72 ","$3,482.58 ","$4,216.20 ","$2,740.53 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15038792,38792,INJ PROC IDENTIFICATION OF SENTINEL MODE,360,1 ,$219.24 ,$142.51 ,$142.51 ,$853.08 ,$175.39 ,$341.23 ,$173.73 ,$197.43 ,$197.43 ,$648.34 ,$186.35 ,$162.24 ,$853.08 ,$341.23 , N/A ,$182.85 ,$341.23 ,$181.09 ,$175.39 ,$197.32 ,$219.24 ,$186.35 ,$219.24 ,$186.35 ,$186.35 ,$197.32 ,$197.32 ,$172.10 ,$181.09 ,$219.24 ,$142.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),15038999,38999,UNLISTED PROC HEMIC OR LYMPHATIC SYSTEM,360,1 ,"$2,557.07 ","$1,662.10 ",$359.28 ,"$2,302.64 ","$2,045.66 ",$359.28 ,"$2,026.22 ","$2,302.64 ","$2,302.64 ",$682.62 ,"$2,173.51 ","$1,892.23 ",$898.19 ,$359.28 , N/A ,"$2,132.60 ",$359.28 ,"$2,112.14 ","$2,045.66 ","$2,301.36 ",$898.19 ,"$2,173.51 ",$384.78 ,"$2,173.51 ","$2,173.51 ","$2,301.36 ","$2,301.36 ","$2,007.30 ","$2,112.14 ",$384.78 ,"$1,662.10 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15040020,96372,INJECTION IM/SQ,450,1 ,$100.79 ,$65.51 ,$56.07 ,$140.18 ,$80.63 ,$56.07 ,$79.87 ,$90.76 ,$90.76 ,$106.54 ,$85.67 ,$74.58 ,$140.18 ,$56.07 , N/A ,$84.06 ,$56.07 ,$83.25 ,$80.63 ,$90.71 ,$100.79 ,$85.67 ,$60.05 ,$85.67 ,$85.67 ,$90.71 ,$90.71 ,$79.12 ,$83.25 ,$60.05 ,$65.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),15040520,40520,EX LESION WITH LINEAR CLOSURE,360,1 ,"$3,409.33 ","$2,216.06 ","$2,216.06 ","$6,189.99 ","$2,727.46 ","$2,476.00 ","$2,701.55 ","$3,070.10 ","$3,070.10 ","$4,704.39 ","$2,897.93 ","$2,522.90 ","$6,189.99 ","$2,476.00 ", N/A ,"$2,843.38 ","$2,476.00 ","$2,816.11 ","$2,727.46 ","$3,068.40 ","$3,409.33 ","$2,897.93 ","$2,651.79 ","$2,897.93 ","$2,897.93 ","$3,068.40 ","$3,068.40 ","$2,676.32 ","$2,816.11 ","$2,651.79 ","$2,216.06 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15043202,43202,ESOPHAGOSCOPY / BIOPSY,360,1 ,"$1,971.47 ","$1,281.46 ","$1,281.46 ","$3,675.96 ","$1,577.18 ","$1,470.38 ","$1,562.19 ","$1,775.31 ","$1,775.31 ","$2,793.73 ","$1,675.75 ","$1,458.89 ","$3,675.96 ","$1,470.38 ", N/A ,"$1,644.21 ","$1,470.38 ","$1,628.43 ","$1,577.18 ","$1,774.32 ","$1,971.47 ","$1,675.75 ","$1,574.78 ","$1,675.75 ","$1,675.75 ","$1,774.32 ","$1,774.32 ","$1,547.60 ","$1,628.43 ","$1,574.78 ","$1,281.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15043220,43220,ESOPHAGOSCOPY / BALLOON DILATION,360,1 ,"$1,971.47 ","$1,281.46 ","$1,281.46 ","$3,675.96 ","$1,577.18 ","$1,470.38 ","$1,562.19 ","$1,775.31 ","$1,775.31 ","$2,793.73 ","$1,675.75 ","$1,458.89 ","$3,675.96 ","$1,470.38 ", N/A ,"$1,644.21 ","$1,470.38 ","$1,628.43 ","$1,577.18 ","$1,774.32 ","$1,971.47 ","$1,675.75 ","$1,574.78 ","$1,675.75 ","$1,675.75 ","$1,774.32 ","$1,774.32 ","$1,547.60 ","$1,628.43 ","$1,574.78 ","$1,281.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15043246,43246,"EGD, G-TUBE PLACEMENT",360,1 ,"$2,806.73 ","$1,824.37 ","$1,470.38 ","$3,675.96 ","$2,245.38 ","$1,470.38 ","$2,224.05 ","$2,527.46 ","$2,527.46 ","$2,793.73 ","$2,385.72 ","$2,076.98 ","$3,675.96 ","$1,470.38 ", N/A ,"$2,340.81 ","$1,470.38 ","$2,318.36 ","$2,245.38 ","$2,526.06 ","$2,806.73 ","$2,385.72 ","$1,574.78 ","$2,385.72 ","$2,385.72 ","$2,526.06 ","$2,526.06 ","$2,203.28 ","$2,318.36 ","$1,574.78 ","$1,824.37 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15043247,43247,EGD FOREIGN BODY REMOVAL,360,1 ,"$2,301.44 ","$1,495.94 ",$732.56 ,"$2,072.45 ","$1,841.15 ",$732.56 ,"$1,823.66 ","$2,072.45 ","$2,072.45 ","$1,391.86 ","$1,956.22 ","$1,703.07 ","$1,831.40 ",$732.56 , N/A ,"$1,919.40 ",$732.56 ,"$1,900.99 ","$1,841.15 ","$2,071.30 ","$1,831.40 ","$1,956.22 ",$784.57 ,"$1,956.22 ","$1,956.22 ","$2,071.30 ","$2,071.30 ","$1,806.63 ","$1,900.99 ",$784.57 ,"$1,495.94 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15043251,43251,UPPER GI ENDO/W REM TUM/POLYP/OTHER LESI,360,1 ,"$2,434.60 ","$1,582.49 ","$1,470.38 ","$3,675.96 ","$1,947.68 ","$1,470.38 ","$1,929.18 ","$2,192.36 ","$2,192.36 ","$2,793.73 ","$2,069.41 ","$1,801.60 ","$3,675.96 ","$1,470.38 ", N/A ,"$2,030.46 ","$1,470.38 ","$2,010.98 ","$1,947.68 ","$2,191.14 ","$2,434.60 ","$2,069.41 ","$1,574.78 ","$2,069.41 ","$2,069.41 ","$2,191.14 ","$2,191.14 ","$1,911.16 ","$2,010.98 ","$1,574.78 ","$1,582.49 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15043255,43255,"EGD, CONTROL BLEEDING",360,1 ,"$3,330.00 ","$2,164.50 ","$1,470.38 ","$3,675.96 ","$2,664.00 ","$1,470.38 ","$2,638.69 ","$2,998.67 ","$2,998.67 ","$2,793.73 ","$2,830.50 ","$2,464.20 ","$3,675.96 ","$1,470.38 ", N/A ,"$2,777.22 ","$1,470.38 ","$2,750.58 ","$2,664.00 ","$2,997.00 ","$3,330.00 ","$2,830.50 ","$1,574.78 ","$2,830.50 ","$2,830.50 ","$2,997.00 ","$2,997.00 ","$2,614.05 ","$2,750.58 ","$1,574.78 ","$2,164.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15043270,43270,"ABLATION OF TUMORS, POLYS, LEISONS",360,1 ,"$1,148.69 ",$746.65 ,$746.65 ,"$3,675.96 ",$918.95 ,"$1,470.38 ",$910.22 ,"$1,034.40 ","$1,034.40 ","$2,793.73 ",$976.39 ,$850.03 ,"$3,675.96 ","$1,470.38 ", N/A ,$958.01 ,"$1,470.38 ",$948.82 ,$918.95 ,"$1,033.82 ","$1,148.69 ",$976.39 ,"$1,148.69 ",$976.39 ,$976.39 ,"$1,033.82 ","$1,033.82 ",$901.72 ,$948.82 ,"$1,148.69 ",$746.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),15043760,43760,CHANGE GASTROSTOMY TUBE,360,1 ,$768.42 ,$499.47 ,$499.47 ,$691.96 ,$614.74 , N/A ,$608.90 ,$691.96 ,$691.96 , N/A ,$653.16 ,$568.63 , N/A , N/A , N/A ,$640.86 , N/A ,$634.71 ,$614.74 ,$691.58 , N/A ,$653.16 , N/A ,$653.16 ,$653.16 ,$691.58 ,$691.58 ,$603.21 ,$634.71 , N/A ,$499.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),15043761,N/A,REPOSIT GASTRIC FEED TUBE THRU DUOD,450,1 ,$576.42 ,$374.67 ,$374.67 ,$519.07 ,$461.14 , N/A ,$456.76 ,$519.07 ,$519.07 , N/A ,$489.96 ,$426.55 , N/A , N/A , N/A ,$480.73 , N/A ,$476.12 ,$461.14 ,$518.78 , N/A ,$489.96 , N/A ,$489.96 ,$489.96 ,$518.78 ,$518.78 ,$452.49 ,$476.12 , N/A ,$374.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),15043870,43870,"CLOSURE OF GASTOTOMY, SURGICAL",360,1 , N/A , N/A ,"$2,787.62 ","$6,969.06 ", N/A ,"$2,787.62 ", N/A , N/A , N/A ,"$5,296.48 ", N/A , N/A ,"$6,969.06 ","$2,787.62 ", N/A , N/A ,"$2,787.62 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15044015,44015,"J-TUBE PLACEMENT, ANY METHOD",360,1 ,"$1,675.66 ","$1,089.18 ","$1,089.18 ","$1,508.93 ","$1,340.53 ", N/A ,"$1,327.79 ","$1,508.93 ","$1,508.93 ", N/A ,"$1,424.31 ","$1,239.99 ", N/A , N/A , N/A ,"$1,397.50 ", N/A ,"$1,384.10 ","$1,340.53 ","$1,508.09 ", N/A ,"$1,424.31 ", N/A ,"$1,424.31 ","$1,424.31 ","$1,508.09 ","$1,508.09 ","$1,315.39 ","$1,384.10 ", N/A ,"$1,089.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15044110,44110,OPEN REMOVALOF LEISON OF INTENSTINE,360,1 ,"$2,435.23 ","$1,582.90 ","$1,582.90 ","$2,192.92 ","$1,948.18 ", N/A ,"$1,929.68 ","$2,192.92 ","$2,192.92 ", N/A ,"$2,069.95 ","$1,802.07 ", N/A , N/A , N/A ,"$2,030.98 ", N/A ,"$2,011.50 ","$1,948.18 ","$2,191.71 ", N/A ,"$2,069.95 ", N/A ,"$2,069.95 ","$2,069.95 ","$2,191.71 ","$2,191.71 ","$1,911.66 ","$2,011.50 ", N/A ,"$1,582.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15044120,44120,SMALL BOWEL RESECTION,360,1 ,"$11,744.09 ","$7,633.66 ","$7,633.66 ","$10,575.55 ","$9,395.27 ", N/A ,"$9,306.02 ","$10,575.55 ","$10,575.55 ", N/A ,"$9,982.48 ","$8,690.63 ", N/A , N/A , N/A ,"$9,794.57 ", N/A ,"$9,700.62 ","$9,395.27 ","$10,569.68 ", N/A ,"$9,982.48 ", N/A ,"$9,982.48 ","$9,982.48 ","$10,569.68 ","$10,569.68 ","$9,219.11 ","$9,700.62 ", N/A ,"$7,633.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15044121,44121,"SMALL BOWEL RESECTION, ADDN.",360,1 ,"$3,074.17 ","$1,998.21 ","$1,998.21 ","$2,768.29 ","$2,459.34 ", N/A ,"$2,435.97 ","$2,768.29 ","$2,768.29 ", N/A ,"$2,613.04 ","$2,274.89 ", N/A , N/A , N/A ,"$2,563.86 ", N/A ,"$2,539.26 ","$2,459.34 ","$2,766.75 ", N/A ,"$2,613.04 ", N/A ,"$2,613.04 ","$2,613.04 ","$2,766.75 ","$2,766.75 ","$2,413.22 ","$2,539.26 ", N/A ,"$1,998.21 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15044139,44139,MOBILIZATION OF SPLENIC FLEXURE,360,1 ,"$1,552.34 ","$1,009.02 ","$1,009.02 ","$1,397.88 ","$1,241.87 ", N/A ,"$1,230.07 ","$1,397.88 ","$1,397.88 ", N/A ,"$1,319.49 ","$1,148.73 ", N/A , N/A , N/A ,"$1,294.65 ", N/A ,"$1,282.23 ","$1,241.87 ","$1,397.11 ", N/A ,"$1,319.49 ", N/A ,"$1,319.49 ","$1,319.49 ","$1,397.11 ","$1,397.11 ","$1,218.59 ","$1,282.23 ", N/A ,"$1,009.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15044620,44620,CLOSURE OF ENTEROSTOMY LG OR SM INTESTIN,360,1 ,"$9,055.84 ","$5,886.30 ","$5,886.30 ","$8,154.78 ","$7,244.67 ", N/A ,"$7,175.85 ","$8,154.78 ","$8,154.78 ", N/A ,"$7,697.46 ","$6,701.32 ", N/A , N/A , N/A ,"$7,552.57 ", N/A ,"$7,480.12 ","$7,244.67 ","$8,150.26 ", N/A ,"$7,697.46 ", N/A ,"$7,697.46 ","$7,697.46 ","$8,150.26 ","$8,150.26 ","$7,108.83 ","$7,480.12 ", N/A ,"$5,886.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15044701,44701,"COLONIC LAVAGE, ADD ON",360,1 ,$147.84 ,$96.10 ,$96.10 ,$133.13 ,$118.27 , N/A ,$117.15 ,$133.13 ,$133.13 , N/A ,$125.66 ,$109.40 , N/A , N/A , N/A ,$123.30 , N/A ,$122.12 ,$118.27 ,$133.06 , N/A ,$125.66 , N/A ,$125.66 ,$125.66 ,$133.06 ,$133.06 ,$116.05 ,$122.12 , N/A ,$96.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),15045100,45100,"BX OF ANORECTAL WALL, ANAL APPROACH",360,1 ,"$2,013.46 ","$1,308.75 ","$1,308.75 ","$5,527.19 ","$1,610.77 ","$2,210.88 ","$1,595.47 ","$1,813.12 ","$1,813.12 ","$4,200.67 ","$1,711.44 ","$1,489.96 ","$5,527.19 ","$2,210.88 ", N/A ,"$1,679.23 ","$2,210.88 ","$1,663.12 ","$1,610.77 ","$1,812.11 ","$2,013.46 ","$1,711.44 ","$2,013.46 ","$1,711.44 ","$1,711.44 ","$1,812.11 ","$1,812.11 ","$1,580.57 ","$1,663.12 ","$2,013.46 ","$1,308.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15045280,46280,SURG TRTMNT OF ANAL FISTULA COMPLICATED,360,1 ,"$4,139.91 ","$2,690.94 ","$2,210.88 ","$5,527.19 ","$3,311.93 ","$2,210.88 ","$3,280.46 ","$3,727.99 ","$3,727.99 ","$4,200.67 ","$3,518.92 ","$3,063.53 ","$5,527.19 ","$2,210.88 ", N/A ,"$3,452.68 ","$2,210.88 ","$3,419.57 ","$3,311.93 ","$3,725.92 ","$4,139.91 ","$3,518.92 ","$2,367.85 ","$3,518.92 ","$3,518.92 ","$3,725.92 ","$3,725.92 ","$3,249.83 ","$3,419.57 ","$2,367.85 ","$2,690.94 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15045300,45300,"PROCTOSIGMOIDSCOPY, RIGID, DIAGNOSTIC",360,1 ,$782.13 ,$508.38 ,$508.38 ,"$1,795.32 ",$625.70 ,$718.13 ,$619.76 ,$704.31 ,$704.31 ,"$1,364.44 ",$664.81 ,$578.78 ,"$1,795.32 ",$718.13 , N/A ,$652.30 ,$718.13 ,$646.04 ,$625.70 ,$703.92 ,$782.13 ,$664.81 ,$769.11 ,$664.81 ,$664.81 ,$703.92 ,$703.92 ,$613.97 ,$646.04 ,$769.11 ,$508.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),15045305,45305,"PROCTOSIGMOIDSCOPY, FLEX W/ BIOPSY",360,1 ,"$3,423.13 ","$2,225.03 ",$938.28 ,"$3,082.53 ","$2,738.50 ",$938.28 ,"$2,712.49 ","$3,082.53 ","$3,082.53 ","$1,782.74 ","$2,909.66 ","$2,533.12 ","$2,345.71 ",$938.28 , N/A ,"$2,854.89 ",$938.28 ,"$2,827.51 ","$2,738.50 ","$3,080.82 ","$2,345.71 ","$2,909.66 ","$1,004.90 ","$2,909.66 ","$2,909.66 ","$3,080.82 ","$3,080.82 ","$2,687.16 ","$2,827.51 ","$1,004.90 ","$2,225.03 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15045339,45346,SIGMOIDOSCOPY W/ABLATION,360,1 ,"$2,824.86 ","$1,836.16 ",$938.28 ,"$2,543.79 ","$2,259.89 ",$938.28 ,"$2,238.42 ","$2,543.79 ","$2,543.79 ","$1,782.74 ","$2,401.13 ","$2,090.40 ","$2,345.71 ",$938.28 , N/A ,"$2,355.93 ",$938.28 ,"$2,333.33 ","$2,259.89 ","$2,542.37 ","$2,345.71 ","$2,401.13 ","$1,004.90 ","$2,401.13 ","$2,401.13 ","$2,542.37 ","$2,542.37 ","$2,217.52 ","$2,333.33 ","$1,004.90 ","$1,836.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15045381,45381,COLONOSCOPY W/INJ FOR TATTOO,360,1 ,"$3,383.80 ","$2,199.47 ",$938.28 ,"$3,047.11 ","$2,707.04 ",$938.28 ,"$2,681.32 ","$3,047.11 ","$3,047.11 ","$1,782.74 ","$2,876.23 ","$2,504.01 ","$2,345.71 ",$938.28 , N/A ,"$2,822.09 ",$938.28 ,"$2,795.02 ","$2,707.04 ","$3,045.42 ","$2,345.71 ","$2,876.23 ","$1,004.90 ","$2,876.23 ","$2,876.23 ","$3,045.42 ","$3,045.42 ","$2,656.28 ","$2,795.02 ","$1,004.90 ","$2,199.47 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15045398,45398,COLONOSCOPY W/ BAND LIGATION OF HEMORRHO,360,1 ,"$3,260.11 ","$2,119.07 ",$938.28 ,"$2,935.73 ","$2,608.09 ",$938.28 ,"$2,583.31 ","$2,935.73 ","$2,935.73 ","$1,782.74 ","$2,771.09 ","$2,412.48 ","$2,345.71 ",$938.28 , N/A ,"$2,718.93 ",$938.28 ,"$2,692.85 ","$2,608.09 ","$2,934.10 ","$2,345.71 ","$2,771.09 ","$1,004.90 ","$2,771.09 ","$2,771.09 ","$2,934.10 ","$2,934.10 ","$2,559.19 ","$2,692.85 ","$1,004.90 ","$2,119.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15045905,45905,DILAT ANAL SPHINC UNDER ANESTHESIA,360,1 ,"$3,696.21 ","$2,402.54 ",$938.28 ,"$3,328.44 ","$2,956.97 ",$938.28 ,"$2,928.88 ","$3,328.44 ","$3,328.44 ","$1,782.74 ","$3,141.78 ","$2,735.20 ","$2,345.71 ",$938.28 , N/A ,"$3,082.64 ",$938.28 ,"$3,053.07 ","$2,956.97 ","$3,326.59 ","$2,345.71 ","$3,141.78 ","$1,004.90 ","$3,141.78 ","$3,141.78 ","$3,326.59 ","$3,326.59 ","$2,901.52 ","$3,053.07 ","$1,004.90 ","$2,402.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046030,46030,"REMOVAL OF ANAL SETON, OTHER MARKER",360,1 ,"$4,139.91 ","$2,690.94 ",$938.28 ,"$3,727.99 ","$3,311.93 ",$938.28 ,"$3,280.46 ","$3,727.99 ","$3,727.99 ","$1,782.74 ","$3,518.92 ","$3,063.53 ","$2,345.71 ",$938.28 , N/A ,"$3,452.68 ",$938.28 ,"$3,419.57 ","$3,311.93 ","$3,725.92 ","$2,345.71 ","$3,518.92 ","$1,004.90 ","$3,518.92 ","$3,518.92 ","$3,725.92 ","$3,725.92 ","$3,249.83 ","$3,419.57 ","$1,004.90 ","$2,690.94 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046040,46040,I AND D RECTAL ABCESS,360,1 ,"$73,932.67 ","$48,056.24 ","$11,724.71 ","$66,576.37 ","$59,146.14 ","$11,724.71 ","$58,584.25 ","$66,576.37 ","$66,576.37 ","$11,830.27 ","$62,842.77 ","$54,710.18 ","$11,900.65 ","$11,724.71 ", N/A ,"$61,659.85 ","$11,724.71 ","$61,068.39 ","$59,146.14 ","$66,539.40 ","$11,900.65 ","$62,842.77 ","$11,733.04 ","$62,842.77 ","$62,842.77 ","$66,539.40 ","$66,539.40 ","$58,037.15 ","$61,068.39 ","$11,733.04 ","$48,056.24 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046060,46060,I AND D ISCHIORECTAL OR INTRAMUR ABCESS/FIST,360,1 ,"$4,906.24 ","$3,189.06 ","$2,210.88 ","$5,527.19 ","$3,924.99 ","$2,210.88 ","$3,887.70 ","$4,418.07 ","$4,418.07 ","$4,200.67 ","$4,170.30 ","$3,630.62 ","$5,527.19 ","$2,210.88 ", N/A ,"$4,091.80 ","$2,210.88 ","$4,052.55 ","$3,924.99 ","$4,415.62 ","$4,906.24 ","$4,170.30 ","$2,367.85 ","$4,170.30 ","$4,170.30 ","$4,415.62 ","$4,415.62 ","$3,851.40 ","$4,052.55 ","$2,367.85 ","$3,189.06 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046080,46080,SPHINCTEROTOMY ANAL DIV OF SPHINCTER,360,1 ,"$3,696.21 ","$2,402.54 ","$2,210.88 ","$5,527.19 ","$2,956.97 ","$2,210.88 ","$2,928.88 ","$3,328.44 ","$3,328.44 ","$4,200.67 ","$3,141.78 ","$2,735.20 ","$5,527.19 ","$2,210.88 ", N/A ,"$3,082.64 ","$2,210.88 ","$3,053.07 ","$2,956.97 ","$3,326.59 ","$3,696.21 ","$3,141.78 ","$2,367.85 ","$3,141.78 ","$3,141.78 ","$3,326.59 ","$3,326.59 ","$2,901.52 ","$3,053.07 ","$2,367.85 ","$2,402.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046221,46221,LIGATION OF HEMORRHOID(S),360,1 ,"$1,508.57 ",$980.57 ,$718.13 ,"$1,795.32 ","$1,206.86 ",$718.13 ,"$1,195.39 ","$1,358.47 ","$1,358.47 ","$1,364.44 ","$1,282.28 ","$1,116.34 ","$1,795.32 ",$718.13 , N/A ,"$1,258.15 ",$718.13 ,"$1,246.08 ","$1,206.86 ","$1,357.71 ","$1,508.57 ","$1,282.28 ",$769.11 ,"$1,282.28 ","$1,282.28 ","$1,357.71 ","$1,357.71 ","$1,184.23 ","$1,246.08 ",$769.11 ,$980.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),15046230,46230,"EXC MULT EXTERNAL PAPILLAE/TAGS, ANUS",360,1 ,"$3,246.98 ","$2,110.54 ","$2,110.54 ","$5,527.19 ","$2,597.58 ","$2,210.88 ","$2,572.91 ","$2,923.91 ","$2,923.91 ","$4,200.67 ","$2,759.93 ","$2,402.77 ","$5,527.19 ","$2,210.88 ", N/A ,"$2,707.98 ","$2,210.88 ","$2,682.01 ","$2,597.58 ","$2,922.28 ","$3,246.98 ","$2,759.93 ","$2,367.85 ","$2,759.93 ","$2,759.93 ","$2,922.28 ","$2,922.28 ","$2,548.88 ","$2,682.01 ","$2,367.85 ","$2,110.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046260,46260,"HEMORRHOIDECTOMY, INT AND EXT 2 OR + GRP",360,1 ,"$2,538.33 ","$1,649.91 ","$1,649.91 ","$5,527.19 ","$2,030.66 ","$2,210.88 ","$2,011.37 ","$2,285.77 ","$2,285.77 ","$4,200.67 ","$2,157.58 ","$1,878.36 ","$5,527.19 ","$2,210.88 ", N/A ,"$2,116.97 ","$2,210.88 ","$2,096.66 ","$2,030.66 ","$2,284.50 ","$2,538.33 ","$2,157.58 ","$2,367.85 ","$2,157.58 ","$2,157.58 ","$2,284.50 ","$2,284.50 ","$1,992.59 ","$2,096.66 ","$2,367.85 ","$1,649.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046275,46275,"FISTULOTOMY, INTERSPHINCTERIC",360,1 ,"$5,151.50 ","$3,348.48 ","$2,210.88 ","$5,527.19 ","$4,121.20 ","$2,210.88 ","$4,082.05 ","$4,638.93 ","$4,638.93 ","$4,200.67 ","$4,378.78 ","$3,812.11 ","$5,527.19 ","$2,210.88 ", N/A ,"$4,296.35 ","$2,210.88 ","$4,255.14 ","$4,121.20 ","$4,636.35 ","$5,151.50 ","$4,378.78 ","$2,367.85 ","$4,378.78 ","$4,378.78 ","$4,636.35 ","$4,636.35 ","$4,043.93 ","$4,255.14 ","$2,367.85 ","$3,348.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046320,46320,"EXC THROMBUSED HEMORRHOID, EXTERNAL",360,1 ,$688.35 ,$447.43 ,$447.43 ,"$2,345.71 ",$550.68 ,$938.28 ,$545.45 ,$619.86 ,$619.86 ,"$1,782.74 ",$585.10 ,$509.38 ,"$2,345.71 ",$938.28 , N/A ,$574.08 ,$938.28 ,$568.58 ,$550.68 ,$619.52 ,$688.35 ,$585.10 ,$688.35 ,$585.10 ,$585.10 ,$619.52 ,$619.52 ,$540.35 ,$568.58 ,$688.35 ,$447.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),15046600,46615,"HEMORRHOIDS, DESTRUCTION",360,1 ,$657.97 ,$427.68 ,$427.68 ,"$5,527.19 ",$526.38 ,"$2,210.88 ",$521.38 ,$592.50 ,$592.50 ,"$4,200.67 ",$559.27 ,$486.90 ,"$5,527.19 ","$2,210.88 ", N/A ,$548.75 ,"$2,210.88 ",$543.48 ,$526.38 ,$592.17 ,$657.97 ,$559.27 ,$657.97 ,$559.27 ,$559.27 ,$592.17 ,$592.17 ,$516.51 ,$543.48 ,$657.97 ,$427.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),15046606,46606,"ANOSCOPY, WITH BIOPSY",360,1 ,"$2,546.90 ","$1,655.49 ",$938.28 ,"$2,345.71 ","$2,037.52 ",$938.28 ,"$2,018.16 ","$2,293.48 ","$2,293.48 ","$1,782.74 ","$2,164.87 ","$1,884.71 ","$2,345.71 ",$938.28 , N/A ,"$2,124.11 ",$938.28 ,"$2,103.74 ","$2,037.52 ","$2,292.21 ","$2,345.71 ","$2,164.87 ","$1,004.90 ","$2,164.87 ","$2,164.87 ","$2,292.21 ","$2,292.21 ","$1,999.32 ","$2,103.74 ","$1,004.90 ","$1,655.49 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046615,46615,ABLATION POLYP TUMOR LESIONS IN ANUS,360,1 ,"$1,687.35 ","$1,096.78 ","$1,096.78 ","$5,527.19 ","$1,349.88 ","$2,210.88 ","$1,337.06 ","$1,519.46 ","$1,519.46 ","$4,200.67 ","$1,434.25 ","$1,248.64 ","$5,527.19 ","$2,210.88 ", N/A ,"$1,407.25 ","$2,210.88 ","$1,393.75 ","$1,349.88 ","$1,518.62 ","$1,687.35 ","$1,434.25 ","$1,687.35 ","$1,434.25 ","$1,434.25 ","$1,518.62 ","$1,518.62 ","$1,324.57 ","$1,393.75 ","$1,687.35 ","$1,096.78 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046910,46910,DESTRUCT ELECTRODESICCATION,360,1 ,"$2,715.34 ","$1,764.97 ","$1,552.13 ","$3,880.32 ","$2,172.27 ","$1,552.13 ","$2,151.64 ","$2,445.16 ","$2,445.16 ","$2,949.04 ","$2,308.04 ","$2,009.35 ","$3,880.32 ","$1,552.13 ", N/A ,"$2,264.59 ","$1,552.13 ","$2,242.87 ","$2,172.27 ","$2,443.81 ","$2,715.34 ","$2,308.04 ","$1,662.33 ","$2,308.04 ","$2,308.04 ","$2,443.81 ","$2,443.81 ","$2,131.54 ","$2,242.87 ","$1,662.33 ","$1,764.97 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15046947,46947,"PPH, HEMORRHOIDOPEXY",360,1 ,"$7,146.12 ","$4,644.98 ","$2,210.88 ","$6,435.08 ","$5,716.90 ","$2,210.88 ","$5,662.59 ","$6,435.08 ","$6,435.08 ","$4,200.67 ","$6,074.20 ","$5,288.13 ","$5,527.19 ","$2,210.88 ", N/A ,"$5,959.86 ","$2,210.88 ","$5,902.70 ","$5,716.90 ","$6,431.51 ","$5,527.19 ","$6,074.20 ","$2,367.85 ","$6,074.20 ","$6,074.20 ","$6,431.51 ","$6,431.51 ","$5,609.70 ","$5,902.70 ","$2,367.85 ","$4,644.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15047379,47379,"UNLISTED LAPAROSCOPIC PROCEDURE, LIVER",360,1 ,$817.41 ,$531.32 ,$531.32 ,"$11,447.22 ",$653.93 ,"$4,578.89 ",$647.72 ,$736.08 ,$736.08 ,"$8,699.89 ",$694.80 ,$604.88 ,"$11,447.22 ","$4,578.89 ", N/A ,$681.72 ,"$4,578.89 ",$675.18 ,$653.93 ,$735.67 ,$817.41 ,$694.80 ,$817.41 ,$694.80 ,$694.80 ,$735.67 ,$735.67 ,$641.67 ,$675.18 ,$817.41 ,$531.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),15049085,49999,FOREIGN BODY/ABDOMEN(PERITONEAL),360,1 ,"$8,388.29 ","$5,452.39 ",$732.56 ,"$7,553.66 ","$6,710.63 ",$732.56 ,"$6,646.88 ","$7,553.66 ","$7,553.66 ","$1,391.86 ","$7,130.05 ","$6,207.33 ","$1,831.40 ",$732.56 , N/A ,"$6,995.83 ",$732.56 ,"$6,928.73 ","$6,710.63 ","$7,549.46 ","$1,831.40 ","$7,130.05 ",$784.57 ,"$7,130.05 ","$7,130.05 ","$7,549.46 ","$7,549.46 ","$6,584.81 ","$6,928.73 ",$784.57 ,"$5,452.39 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049250,49250,EXCISION OF UMBILICUS,360,1 ,"$5,667.65 ","$3,683.97 ","$2,880.48 ","$7,201.19 ","$4,534.12 ","$2,880.48 ","$4,491.05 ","$5,103.72 ","$5,103.72 ","$5,472.91 ","$4,817.50 ","$4,194.06 ","$7,201.19 ","$2,880.48 ", N/A ,"$4,726.82 ","$2,880.48 ","$4,681.48 ","$4,534.12 ","$5,100.89 ","$5,667.65 ","$4,817.50 ","$3,084.99 ","$4,817.50 ","$4,817.50 ","$5,100.89 ","$5,100.89 ","$4,449.11 ","$4,681.48 ","$3,084.99 ","$3,683.97 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049255,49255,OMENTECTOMY,360,1 ,"$7,684.52 ","$4,994.94 ","$2,880.48 ","$7,201.19 ","$6,147.62 ","$2,880.48 ","$6,089.21 ","$6,919.91 ","$6,919.91 ","$5,472.91 ","$6,531.84 ","$5,686.54 ","$7,201.19 ","$2,880.48 ", N/A ,"$6,408.89 ","$2,880.48 ","$6,347.41 ","$6,147.62 ","$6,916.07 ","$7,201.19 ","$6,531.84 ","$3,084.99 ","$6,531.84 ","$6,531.84 ","$6,916.07 ","$6,916.07 ","$6,032.35 ","$6,347.41 ","$3,084.99 ","$4,994.94 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049505,49505,"INGUINAL HERNIA, NEW LT",360,1 ,"$6,988.88 ","$4,542.77 ","$2,880.48 ","$7,201.19 ","$5,591.10 ","$2,880.48 ","$5,537.99 ","$6,293.49 ","$6,293.49 ","$5,472.91 ","$5,940.55 ","$5,171.77 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,828.73 ","$2,880.48 ","$5,772.81 ","$5,591.10 ","$6,289.99 ","$6,988.88 ","$5,940.55 ","$3,084.99 ","$5,940.55 ","$5,940.55 ","$6,289.99 ","$6,289.99 ","$5,486.27 ","$5,772.81 ","$3,084.99 ","$4,542.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049507,49507,"INGUINAL HERNIA, INCARCERATED >5YR LT",360,1 ,"$6,613.47 ","$4,298.76 ","$2,880.48 ","$7,201.19 ","$5,290.78 ","$2,880.48 ","$5,240.51 ","$5,955.43 ","$5,955.43 ","$5,472.91 ","$5,621.45 ","$4,893.97 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,515.63 ","$2,880.48 ","$5,462.73 ","$5,290.78 ","$5,952.12 ","$6,613.47 ","$5,621.45 ","$3,084.99 ","$5,621.45 ","$5,621.45 ","$5,952.12 ","$5,952.12 ","$5,191.57 ","$5,462.73 ","$3,084.99 ","$4,298.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049520,49520,"REPAIR INGUINAL RECURRENT HERNIA, LT",360,1 ,"$6,987.51 ","$4,541.88 ","$2,880.48 ","$7,201.19 ","$5,590.01 ","$2,880.48 ","$5,536.90 ","$6,292.25 ","$6,292.25 ","$5,472.91 ","$5,939.38 ","$5,170.76 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,827.58 ","$2,880.48 ","$5,771.68 ","$5,590.01 ","$6,288.76 ","$6,987.51 ","$5,939.38 ","$3,084.99 ","$5,939.38 ","$5,939.38 ","$6,288.76 ","$6,288.76 ","$5,485.20 ","$5,771.68 ","$3,084.99 ","$4,541.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049521,49521,INCARC OR STRANG INDENT RPR RECUR ING LT,360,1 ,"$8,159.63 ","$5,303.76 ","$2,880.48 ","$7,347.75 ","$6,527.70 ","$2,880.48 ","$6,465.69 ","$7,347.75 ","$7,347.75 ","$5,472.91 ","$6,935.69 ","$6,038.13 ","$7,201.19 ","$2,880.48 ", N/A ,"$6,805.13 ","$2,880.48 ","$6,739.85 ","$6,527.70 ","$7,343.67 ","$7,201.19 ","$6,935.69 ","$3,084.99 ","$6,935.69 ","$6,935.69 ","$7,343.67 ","$7,343.67 ","$6,405.31 ","$6,739.85 ","$3,084.99 ","$5,303.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049525,49525,INGUINAL HERNIA REPAIR SLIDING,360,1 ,"$6,988.88 ","$4,542.77 ","$2,880.48 ","$7,201.19 ","$5,591.10 ","$2,880.48 ","$5,537.99 ","$6,293.49 ","$6,293.49 ","$5,472.91 ","$5,940.55 ","$5,171.77 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,828.73 ","$2,880.48 ","$5,772.81 ","$5,591.10 ","$6,289.99 ","$6,988.88 ","$5,940.55 ","$3,084.99 ","$5,940.55 ","$5,940.55 ","$6,289.99 ","$6,289.99 ","$5,486.27 ","$5,772.81 ","$3,084.99 ","$4,542.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049553,49553,FEMORAL HERNIA REPR/INCARCER OR STRANGUL,360,1 ,"$6,522.73 ","$4,239.77 ","$2,880.48 ","$7,201.19 ","$5,218.18 ","$2,880.48 ","$5,168.61 ","$5,873.72 ","$5,873.72 ","$5,472.91 ","$5,544.32 ","$4,826.82 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,439.96 ","$2,880.48 ","$5,387.78 ","$5,218.18 ","$5,870.46 ","$6,522.73 ","$5,544.32 ","$3,084.99 ","$5,544.32 ","$5,544.32 ","$5,870.46 ","$5,870.46 ","$5,120.34 ","$5,387.78 ","$3,084.99 ","$4,239.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049560,49560,REPAIR INITIAL INCISIONAL HERNIA,360,1 ,"$8,814.67 ","$5,729.54 ","$2,880.48 ","$7,937.61 ","$7,051.74 ","$2,880.48 ","$6,984.74 ","$7,937.61 ","$7,937.61 ","$5,472.91 ","$7,492.47 ","$6,522.86 ","$7,201.19 ","$2,880.48 ", N/A ,"$7,351.43 ","$2,880.48 ","$7,280.92 ","$7,051.74 ","$7,933.20 ","$7,201.19 ","$7,492.47 ","$3,084.99 ","$7,492.47 ","$7,492.47 ","$7,933.20 ","$7,933.20 ","$6,919.52 ","$7,280.92 ","$3,084.99 ","$5,729.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049561,49561,REP INIT INCIS HERNIA INCAR OR STRANG LT,360,1 ,"$9,505.94 ","$6,178.86 ","$2,880.48 ","$8,560.10 ","$7,604.75 ","$2,880.48 ","$7,532.51 ","$8,560.10 ","$8,560.10 ","$5,472.91 ","$8,080.05 ","$7,034.40 ","$7,201.19 ","$2,880.48 ", N/A ,"$7,927.95 ","$2,880.48 ","$7,851.91 ","$7,604.75 ","$8,555.35 ","$7,201.19 ","$8,080.05 ","$3,084.99 ","$8,080.05 ","$8,080.05 ","$8,555.35 ","$8,555.35 ","$7,462.16 ","$7,851.91 ","$3,084.99 ","$6,178.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049566,49565,REPAIR RECURRENT INCIS HERNIA,360,1 ,"$9,981.42 ","$6,487.92 ","$4,578.89 ","$11,447.22 ","$7,985.14 ","$4,578.89 ","$7,909.28 ","$8,988.27 ","$8,988.27 ","$8,699.89 ","$8,484.21 ","$7,386.25 ","$11,447.22 ","$4,578.89 ", N/A ,"$8,324.50 ","$4,578.89 ","$8,244.65 ","$7,985.14 ","$8,983.28 ","$9,981.42 ","$8,484.21 ","$4,903.99 ","$8,484.21 ","$8,484.21 ","$8,983.28 ","$8,983.28 ","$7,835.41 ","$8,244.65 ","$4,903.99 ","$6,487.92 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049568,49568,HERNIA REPAIR W/MESH,360,1 ,"$6,339.01 ","$4,120.36 ","$4,120.36 ","$5,708.28 ","$5,071.21 ", N/A ,"$5,023.03 ","$5,708.28 ","$5,708.28 ", N/A ,"$5,388.16 ","$4,690.87 ", N/A , N/A , N/A ,"$5,286.73 ", N/A ,"$5,236.02 ","$5,071.21 ","$5,705.11 ", N/A ,"$5,388.16 ", N/A ,"$5,388.16 ","$5,388.16 ","$5,705.11 ","$5,705.11 ","$4,976.12 ","$5,236.02 ", N/A ,"$4,120.36 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049570,49570,REPAIR EPIGASTRIC HERNIA,360,1 ,"$4,074.97 ","$2,648.73 ","$2,648.73 ","$7,201.19 ","$3,259.98 ","$2,880.48 ","$3,229.01 ","$3,669.51 ","$3,669.51 ","$5,472.91 ","$3,463.72 ","$3,015.48 ","$7,201.19 ","$2,880.48 ", N/A ,"$3,398.53 ","$2,880.48 ","$3,365.93 ","$3,259.98 ","$3,667.47 ","$4,074.97 ","$3,463.72 ","$3,084.99 ","$3,463.72 ","$3,463.72 ","$3,667.47 ","$3,667.47 ","$3,198.85 ","$3,365.93 ","$3,084.99 ","$2,648.73 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049572,49572,REPAIR EPIGASTRIC HERNIA REDUC INCAR/STR,360,1 ,"$3,947.55 ","$2,565.91 ","$2,565.91 ","$7,201.19 ","$3,158.04 ","$2,880.48 ","$3,128.04 ","$3,554.77 ","$3,554.77 ","$5,472.91 ","$3,355.42 ","$2,921.19 ","$7,201.19 ","$2,880.48 ", N/A ,"$3,292.26 ","$2,880.48 ","$3,260.68 ","$3,158.04 ","$3,552.80 ","$3,947.55 ","$3,355.42 ","$3,084.99 ","$3,355.42 ","$3,355.42 ","$3,552.80 ","$3,552.80 ","$3,098.83 ","$3,260.68 ","$3,084.99 ","$2,565.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049652,49652,LAP VENTRAL HERNIA,360,1 ,"$11,544.42 ","$7,503.87 ","$4,578.89 ","$11,447.22 ","$9,235.54 ","$4,578.89 ","$9,147.80 ","$10,395.75 ","$10,395.75 ","$8,699.89 ","$9,812.76 ","$8,542.87 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,628.05 ","$4,578.89 ","$9,535.69 ","$9,235.54 ","$10,389.98 ","$11,447.22 ","$9,812.76 ","$4,903.99 ","$9,812.76 ","$9,812.76 ","$10,389.98 ","$10,389.98 ","$9,062.37 ","$9,535.69 ","$4,903.99 ","$7,503.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15049999,49999,UNL PROC ABDOMEN PERITONEUM AND OMENTUM,360,1 ,"$1,376.72 ",$894.87 ,$732.56 ,"$1,831.40 ","$1,101.38 ",$732.56 ,"$1,090.91 ","$1,239.74 ","$1,239.74 ","$1,391.86 ","$1,170.21 ","$1,018.77 ","$1,831.40 ",$732.56 , N/A ,"$1,148.18 ",$732.56 ,"$1,137.17 ","$1,101.38 ","$1,239.05 ","$1,376.72 ","$1,170.21 ",$784.57 ,"$1,170.21 ","$1,170.21 ","$1,239.05 ","$1,239.05 ","$1,080.73 ","$1,137.17 ",$784.57 ,$894.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),15051324,19000,"PUNCTURE ASPIR OF CYST OF BREAST, RT",360,1 ,$828.70 ,$538.66 ,$538.66 ,"$1,406.96 ",$662.96 ,$562.78 ,$656.66 ,$746.24 ,$746.24 ,"$1,069.29 ",$704.40 ,$613.24 ,"$1,406.96 ",$562.78 , N/A ,$691.14 ,$562.78 ,$684.51 ,$662.96 ,$745.83 ,$828.70 ,$704.40 ,$602.74 ,$704.40 ,$704.40 ,$745.83 ,$745.83 ,$650.53 ,$684.51 ,$602.74 ,$538.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),15051726,51726,"CMG, COMPLEX",360,1 ,$612.31 ,$398.00 ,$240.81 ,$602.04 ,$489.85 ,$240.81 ,$485.19 ,$551.39 ,$551.39 ,$457.55 ,$520.46 ,$453.11 ,$602.04 ,$240.81 , N/A ,$510.67 ,$240.81 ,$505.77 ,$489.85 ,$551.08 ,$602.04 ,$520.46 ,$257.91 ,$520.46 ,$520.46 ,$551.08 ,$551.08 ,$480.66 ,$505.77 ,$257.91 ,$398.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),15051772,51772,"UPP, URETHERAL PRESSURE PROFILE",360,1 ,$612.31 ,$398.00 ,$398.00 ,$551.39 ,$489.85 , N/A ,$485.19 ,$551.39 ,$551.39 , N/A ,$520.46 ,$453.11 , N/A , N/A , N/A ,$510.67 , N/A ,$505.77 ,$489.85 ,$551.08 , N/A ,$520.46 , N/A ,$520.46 ,$520.46 ,$551.08 ,$551.08 ,$480.66 ,$505.77 , N/A ,$398.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),15052204,52204,CYSTOURETHROSCOPY W BIOPSY,360,1 ,"$4,502.95 ","$2,926.92 ","$1,622.37 ","$4,055.92 ","$3,602.36 ","$1,622.37 ","$3,568.14 ","$4,054.91 ","$4,054.91 ","$3,082.50 ","$3,827.51 ","$3,332.18 ","$4,055.92 ","$1,622.37 ", N/A ,"$3,755.46 ","$1,622.37 ","$3,719.44 ","$3,602.36 ","$4,052.66 ","$4,055.92 ","$3,827.51 ","$1,737.56 ","$3,827.51 ","$3,827.51 ","$4,052.66 ","$4,052.66 ","$3,534.82 ","$3,719.44 ","$1,737.56 ","$2,926.92 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15052234,52234,"CYSTO, WITH FULGERATION,SM BLADDER TUMOR",360,1 ,"$5,485.04 ","$3,565.28 ","$2,783.60 ","$6,958.99 ","$4,388.03 ","$2,783.60 ","$4,346.35 ","$4,939.28 ","$4,939.28 ","$5,288.83 ","$4,662.28 ","$4,058.93 ","$6,958.99 ","$2,783.60 ", N/A ,"$4,574.52 ","$2,783.60 ","$4,530.64 ","$4,388.03 ","$4,936.54 ","$5,485.04 ","$4,662.28 ","$2,981.23 ","$4,662.28 ","$4,662.28 ","$4,936.54 ","$4,936.54 ","$4,305.76 ","$4,530.64 ","$2,981.23 ","$3,565.28 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15054520,54520,"ORCHIECTOMY, SIMPLE (UNILATERAL)",360,1 ,"$5,174.76 ","$3,363.59 ","$2,783.60 ","$6,958.99 ","$4,139.81 ","$2,783.60 ","$4,100.48 ","$4,659.87 ","$4,659.87 ","$5,288.83 ","$4,398.55 ","$3,829.32 ","$6,958.99 ","$2,783.60 ", N/A ,"$4,315.75 ","$2,783.60 ","$4,274.35 ","$4,139.81 ","$4,657.28 ","$5,174.76 ","$4,398.55 ","$2,981.23 ","$4,398.55 ","$4,398.55 ","$4,657.28 ","$4,657.28 ","$4,062.19 ","$4,274.35 ","$2,981.23 ","$3,363.59 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15054700,54700,I AND D TESTES AND/OR SCROTAL SPACES,360,1 ,"$5,103.16 ","$3,317.05 ","$1,622.37 ","$4,595.40 ","$4,082.53 ","$1,622.37 ","$4,043.74 ","$4,595.40 ","$4,595.40 ","$3,082.50 ","$4,337.69 ","$3,776.34 ","$4,055.92 ","$1,622.37 ", N/A ,"$4,256.04 ","$1,622.37 ","$4,215.21 ","$4,082.53 ","$4,592.84 ","$4,055.92 ","$4,337.69 ","$1,737.56 ","$4,337.69 ","$4,337.69 ","$4,592.84 ","$4,592.84 ","$4,005.98 ","$4,215.21 ","$1,737.56 ","$3,317.05 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15055540,55540,EXCISION SPERMATIC CORD LIPOMA HERNIA RE,360,1 ,"$6,988.88 ","$4,542.77 ","$2,880.48 ","$7,201.19 ","$5,591.10 ","$2,880.48 ","$5,537.99 ","$6,293.49 ","$6,293.49 ","$5,472.91 ","$5,940.55 ","$5,171.77 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,828.73 ","$2,880.48 ","$5,772.81 ","$5,591.10 ","$6,289.99 ","$6,988.88 ","$5,940.55 ","$3,084.99 ","$5,940.55 ","$5,940.55 ","$6,289.99 ","$6,289.99 ","$5,486.27 ","$5,772.81 ","$3,084.99 ","$4,542.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15056405,56405,I AND D VULVA OR PERINEAL ABCESS,360,1 ,"$1,203.12 ",$782.03 ,$254.69 ,"$1,083.41 ",$962.50 ,$254.69 ,$953.35 ,"$1,083.41 ","$1,083.41 ",$483.92 ,"$1,022.65 ",$890.31 ,$636.74 ,$254.69 , N/A ,"$1,003.40 ",$254.69 ,$993.78 ,$962.50 ,"$1,082.81 ",$636.74 ,"$1,022.65 ",$272.78 ,"$1,022.65 ","$1,022.65 ","$1,082.81 ","$1,082.81 ",$944.45 ,$993.78 ,$272.78 ,$782.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),15056440,56440,MARSUP OF BARTHOLINS GLAND CYST,360,1 ,"$5,811.76 ","$3,777.64 ","$2,373.59 ","$5,933.96 ","$4,649.41 ","$2,373.59 ","$4,605.24 ","$5,233.49 ","$5,233.49 ","$4,509.81 ","$4,940.00 ","$4,300.70 ","$5,933.96 ","$2,373.59 ", N/A ,"$4,847.01 ","$2,373.59 ","$4,800.51 ","$4,649.41 ","$5,230.58 ","$5,811.76 ","$4,940.00 ","$2,542.11 ","$4,940.00 ","$4,940.00 ","$5,230.58 ","$5,230.58 ","$4,562.23 ","$4,800.51 ","$2,542.11 ","$3,777.64 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15056501,56501,I AND D PERINEUM MASS,360,1 ,"$2,765.98 ","$1,797.89 ","$1,552.13 ","$3,880.32 ","$2,212.78 ","$1,552.13 ","$2,191.76 ","$2,490.77 ","$2,490.77 ","$2,949.04 ","$2,351.08 ","$2,046.83 ","$3,880.32 ","$1,552.13 ", N/A ,"$2,306.83 ","$1,552.13 ","$2,284.70 ","$2,212.78 ","$2,489.38 ","$2,765.98 ","$2,351.08 ","$1,662.33 ","$2,351.08 ","$2,351.08 ","$2,489.38 ","$2,489.38 ","$2,171.29 ","$2,284.70 ","$1,662.33 ","$1,797.89 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15056605,56605,BIOPSY PERINEUM RT,360,1 ,"$1,200.57 ",$780.37 ,$573.13 ,"$1,432.84 ",$960.46 ,$573.13 ,$951.33 ,"$1,081.11 ","$1,081.11 ","$1,088.96 ","$1,020.48 ",$888.42 ,"$1,432.84 ",$573.13 , N/A ,"$1,001.28 ",$573.13 ,$991.67 ,$960.46 ,"$1,080.51 ","$1,200.57 ","$1,020.48 ",$613.83 ,"$1,020.48 ","$1,020.48 ","$1,080.51 ","$1,080.51 ",$942.45 ,$991.67 ,$613.83 ,$780.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),15056820,56820,EXAM OF VULVA W/SCOPE,761,1 ,$323.51 ,$210.28 ,$154.11 ,$385.28 ,$258.81 ,$154.11 ,$256.35 ,$291.32 ,$291.32 ,$292.81 ,$274.98 ,$239.40 ,$385.28 ,$154.11 , N/A ,$269.81 ,$154.11 ,$267.22 ,$258.81 ,$291.16 ,$323.51 ,$274.98 ,$165.05 ,$274.98 ,$274.98 ,$291.16 ,$291.16 ,$253.96 ,$267.22 ,$165.05 ,$210.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),15056821,56821,EXAM/BIOPSY OF VULVA W/SCOPE,761,1 ,$400.96 ,$260.62 ,$254.69 ,$636.74 ,$320.77 ,$254.69 ,$317.72 ,$361.06 ,$361.06 ,$483.92 ,$340.82 ,$296.71 ,$636.74 ,$254.69 , N/A ,$334.40 ,$254.69 ,$331.19 ,$320.77 ,$360.86 ,$400.96 ,$340.82 ,$272.78 ,$340.82 ,$340.82 ,$360.86 ,$360.86 ,$314.75 ,$331.19 ,$272.78 ,$260.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057061,57061,DESTRUCTION VAGINA LESION(S),360,1 ,"$4,520.16 ","$2,938.10 ","$2,373.59 ","$5,933.96 ","$3,616.13 ","$2,373.59 ","$3,581.77 ","$4,070.40 ","$4,070.40 ","$4,509.81 ","$3,842.14 ","$3,344.92 ","$5,933.96 ","$2,373.59 ", N/A ,"$3,769.81 ","$2,373.59 ","$3,733.65 ","$3,616.13 ","$4,068.14 ","$4,520.16 ","$3,842.14 ","$2,542.11 ","$3,842.14 ","$3,842.14 ","$4,068.14 ","$4,068.14 ","$3,548.33 ","$3,733.65 ","$2,542.11 ","$2,938.10 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15057100,57100,VAGINA EXAM AND BIOPSY W/ SCOPE BX,761,1 ,$776.25 ,$504.56 ,$504.56 ,"$1,432.84 ",$621.00 ,$573.13 ,$615.10 ,$699.01 ,$699.01 ,"$1,088.96 ",$659.81 ,$574.43 ,"$1,432.84 ",$573.13 , N/A ,$647.39 ,$573.13 ,$641.18 ,$621.00 ,$698.63 ,$776.25 ,$659.81 ,$613.83 ,$659.81 ,$659.81 ,$698.63 ,$698.63 ,$609.36 ,$641.18 ,$613.83 ,$504.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057150,57150,"TX FUNGOID INFECTION, VAGINA",360,1 ,$110.93 ,$72.10 ,$50.36 ,$125.91 ,$88.74 ,$50.36 ,$87.90 ,$99.89 ,$99.89 ,$95.69 ,$94.29 ,$82.09 ,$125.91 ,$50.36 , N/A ,$92.52 ,$50.36 ,$91.63 ,$88.74 ,$99.84 ,$110.93 ,$94.29 ,$53.94 ,$94.29 ,$94.29 ,$99.84 ,$99.84 ,$87.08 ,$91.63 ,$53.94 ,$72.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057180,57180,PACK FOR VAGINAL HEMORRHAGE,360,1 ,"$1,047.34 ",$680.77 ,$154.11 ,$943.13 ,$837.87 ,$154.11 ,$829.91 ,$943.13 ,$943.13 ,$292.81 ,$890.24 ,$775.03 ,$385.28 ,$154.11 , N/A ,$873.48 ,$154.11 ,$865.10 ,$837.87 ,$942.61 ,$385.28 ,$890.24 ,$165.05 ,$890.24 ,$890.24 ,$942.61 ,$942.61 ,$822.16 ,$865.10 ,$165.05 ,$680.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057200,57200,SUT REPR VAGINA COLPORRHAPHY,360,1 ,"$4,435.53 ","$2,883.09 ","$2,373.59 ","$5,933.96 ","$3,548.42 ","$2,373.59 ","$3,514.71 ","$3,994.19 ","$3,994.19 ","$4,509.81 ","$3,770.20 ","$3,282.29 ","$5,933.96 ","$2,373.59 ", N/A ,"$3,699.23 ","$2,373.59 ","$3,663.75 ","$3,548.42 ","$3,991.98 ","$4,435.53 ","$3,770.20 ","$2,542.11 ","$3,770.20 ","$3,770.20 ","$3,991.98 ","$3,991.98 ","$3,481.89 ","$3,663.75 ","$2,542.11 ","$2,883.09 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15057288,57288,BLADDER SLING,360,1 ,"$9,913.34 ","$6,443.67 ","$3,989.93 ","$9,974.82 ","$7,930.67 ","$3,989.93 ","$7,855.33 ","$8,926.96 ","$8,926.96 ","$7,580.86 ","$8,426.34 ","$7,335.87 ","$9,974.82 ","$3,989.93 ", N/A ,"$8,267.73 ","$3,989.93 ","$8,188.42 ","$7,930.67 ","$8,922.01 ","$9,913.34 ","$8,426.34 ","$4,273.21 ","$8,426.34 ","$8,426.34 ","$8,922.01 ","$8,922.01 ","$7,781.97 ","$8,188.42 ","$4,273.21 ","$6,443.67 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15057410,57410,VAGINA EXAM AND BIOPSY W/O SCOPE,761,1 ,$776.25 ,$504.56 ,$504.56 ,"$5,933.96 ",$621.00 ,"$2,373.59 ",$615.10 ,$699.01 ,$699.01 ,"$4,509.81 ",$659.81 ,$574.43 ,"$5,933.96 ","$2,373.59 ", N/A ,$647.39 ,"$2,373.59 ",$641.18 ,$621.00 ,$698.63 ,$776.25 ,$659.81 ,$776.25 ,$659.81 ,$659.81 ,$698.63 ,$698.63 ,$609.36 ,$641.18 ,$776.25 ,$504.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057420,57420,EXAM OF VAGINA W/SCOPE,761,1 ,$776.25 ,$504.56 ,$254.69 ,$699.01 ,$621.00 ,$254.69 ,$615.10 ,$699.01 ,$699.01 ,$483.92 ,$659.81 ,$574.43 ,$636.74 ,$254.69 , N/A ,$647.39 ,$254.69 ,$641.18 ,$621.00 ,$698.63 ,$636.74 ,$659.81 ,$272.78 ,$659.81 ,$659.81 ,$698.63 ,$698.63 ,$609.36 ,$641.18 ,$272.78 ,$504.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057421,57421,EXAM VAGINA W BX VAGINA/CERVIX/W SCOPE,761,1 ,$776.25 ,$504.56 ,$504.56 ,"$1,432.84 ",$621.00 ,$573.13 ,$615.10 ,$699.01 ,$699.01 ,"$1,088.96 ",$659.81 ,$574.43 ,"$1,432.84 ",$573.13 , N/A ,$647.39 ,$573.13 ,$641.18 ,$621.00 ,$698.63 ,$776.25 ,$659.81 ,$613.83 ,$659.81 ,$659.81 ,$698.63 ,$698.63 ,$609.36 ,$641.18 ,$613.83 ,$504.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057452,57410,EXAM OF VAGINA,761,1 ,$400.96 ,$260.62 ,$260.62 ,"$5,933.96 ",$320.77 ,"$2,373.59 ",$317.72 ,$361.06 ,$361.06 ,"$4,509.81 ",$340.82 ,$296.71 ,"$5,933.96 ","$2,373.59 ", N/A ,$334.40 ,"$2,373.59 ",$331.19 ,$320.77 ,$360.86 ,$400.96 ,$340.82 ,$400.96 ,$340.82 ,$340.82 ,$360.86 ,$360.86 ,$314.75 ,$331.19 ,$400.96 ,$260.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057454,57454,VAGINA EXAM AND BIOPSY W/ SCOPE,761,1 ,$776.25 ,$504.56 ,$254.69 ,$699.01 ,$621.00 ,$254.69 ,$615.10 ,$699.01 ,$699.01 ,$483.92 ,$659.81 ,$574.43 ,$636.74 ,$254.69 , N/A ,$647.39 ,$254.69 ,$641.18 ,$621.00 ,$698.63 ,$636.74 ,$659.81 ,$272.78 ,$659.81 ,$659.81 ,$698.63 ,$698.63 ,$609.36 ,$641.18 ,$272.78 ,$504.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057455,57455,BIOPSY OF CERVIX W/SCOPE,761,1 ,$776.25 ,$504.56 ,$254.69 ,$699.01 ,$621.00 ,$254.69 ,$615.10 ,$699.01 ,$699.01 ,$483.92 ,$659.81 ,$574.43 ,$636.74 ,$254.69 , N/A ,$647.39 ,$254.69 ,$641.18 ,$621.00 ,$698.63 ,$636.74 ,$659.81 ,$272.78 ,$659.81 ,$659.81 ,$698.63 ,$698.63 ,$609.36 ,$641.18 ,$272.78 ,$504.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),15057456,57456,ENDOCERV CURETTAGE W/SCOPE,761,1 ,$776.25 ,$504.56 ,$254.69 ,$699.01 ,$621.00 ,$254.69 ,$615.10 ,$699.01 ,$699.01 ,$483.92 ,$659.81 ,$574.43 ,$636.74 ,$254.69 , N/A ,$647.39 ,$254.69 ,$641.18 ,$621.00 ,$698.63 ,$636.74 ,$659.81 ,$272.78 ,$659.81 ,$659.81 ,$698.63 ,$698.63 ,$609.36 ,$641.18 ,$272.78 ,$504.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),15058110,58110,COLPOSCOPY BIOPSY,360,1 ,$348.76 ,$226.69 ,$226.69 ,$314.06 ,$279.01 , N/A ,$276.36 ,$314.06 ,$314.06 , N/A ,$296.45 ,$258.08 , N/A , N/A , N/A ,$290.87 , N/A ,$288.08 ,$279.01 ,$313.88 , N/A ,$296.45 , N/A ,$296.45 ,$296.45 ,$313.88 ,$313.88 ,$273.78 ,$288.08 , N/A ,$226.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),15058350,58350,CHROMOTUBATION OF OVIDUCT INCL MATERIALS,360,1 ,"$4,649.40 ","$3,022.11 ","$3,022.11 ","$9,974.82 ","$3,719.52 ","$3,989.93 ","$3,684.18 ","$4,186.78 ","$4,186.78 ","$7,580.86 ","$3,951.99 ","$3,440.56 ","$9,974.82 ","$3,989.93 ", N/A ,"$3,877.60 ","$3,989.93 ","$3,840.40 ","$3,719.52 ","$4,184.46 ","$4,649.40 ","$3,951.99 ","$4,273.21 ","$3,951.99 ","$3,951.99 ","$4,184.46 ","$4,184.46 ","$3,649.78 ","$3,840.40 ","$4,273.21 ","$3,022.11 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15058673,58673,"LAPAROSCOPY, SALPINGOSTOMY/ASP FALL TUBE",360,1 ,"$10,994.63 ","$7,146.51 ","$4,578.89 ","$11,447.22 ","$8,795.70 ","$4,578.89 ","$8,712.14 ","$9,900.66 ","$9,900.66 ","$8,699.89 ","$9,345.44 ","$8,136.03 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,169.52 ","$4,578.89 ","$9,081.56 ","$8,795.70 ","$9,895.17 ","$10,994.63 ","$9,345.44 ","$4,903.99 ","$9,345.44 ","$9,345.44 ","$9,895.17 ","$9,895.17 ","$8,630.78 ","$9,081.56 ","$4,903.99 ","$7,146.51 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15058700,58700,SALPINGECTOMY,360,1 ,"$8,008.59 ","$5,205.58 ","$5,205.58 ","$7,211.74 ","$6,406.87 ", N/A ,"$6,346.01 ","$7,211.74 ","$7,211.74 ", N/A ,"$6,807.30 ","$5,926.36 ", N/A , N/A , N/A ,"$6,679.16 ", N/A ,"$6,615.10 ","$6,406.87 ","$7,207.73 ", N/A ,"$6,807.30 ", N/A ,"$6,807.30 ","$6,807.30 ","$7,207.73 ","$7,207.73 ","$6,286.74 ","$6,615.10 ", N/A ,"$5,205.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060002,28285,HAMMERTOE REPAIR LEFT FT 4TH DIGIT,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060003,28285,HAMMERTOE REPAIR RIGHT FT 4TH DIGIT,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060004,28285,HAMMERTOE REPAIR LEFT FT 3RD DIGIT,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060005,28285,HAMMERTOE REPAIR RIGHT FT 3RD DIGIT,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060009,11602,"LESION,MAL/TRUNK,ARMS,LEGS 1.2-2CM",360,1 ,"$1,591.79 ","$1,034.66 ",$312.93 ,"$1,433.41 ","$1,273.43 ",$312.93 ,"$1,261.33 ","$1,433.41 ","$1,433.41 ",$594.57 ,"$1,353.02 ","$1,177.92 ",$782.32 ,$312.93 , N/A ,"$1,327.55 ",$312.93 ,"$1,314.82 ","$1,273.43 ","$1,432.61 ",$782.32 ,"$1,353.02 ",$335.15 ,"$1,353.02 ","$1,353.02 ","$1,432.61 ","$1,432.61 ","$1,249.56 ","$1,314.82 ",$335.15 ,"$1,034.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060021,11443,"LESION, BEN 2. - 3.O CM",360,1 ,"$2,481.85 ","$1,613.20 ","$1,273.11 ","$3,182.77 ","$1,985.48 ","$1,273.11 ","$1,966.62 ","$2,234.91 ","$2,234.91 ","$2,418.91 ","$2,109.57 ","$1,836.57 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,069.86 ","$1,273.11 ","$2,050.01 ","$1,985.48 ","$2,233.67 ","$2,481.85 ","$2,109.57 ","$1,363.50 ","$2,109.57 ","$2,109.57 ","$2,233.67 ","$2,233.67 ","$1,948.25 ","$2,050.01 ","$1,363.50 ","$1,613.20 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060022,44340,COLOSTOMY REVISION,360,1 ,"$5,879.16 ","$3,821.45 ","$3,186.98 ","$7,967.46 ","$4,703.33 ","$3,186.98 ","$4,658.65 ","$5,294.18 ","$5,294.18 ","$6,055.27 ","$4,997.29 ","$4,350.58 ","$7,967.46 ","$3,186.98 ", N/A ,"$4,903.22 ","$3,186.98 ","$4,856.19 ","$4,703.33 ","$5,291.24 ","$5,879.16 ","$4,997.29 ","$3,413.26 ","$4,997.29 ","$4,997.29 ","$5,291.24 ","$5,291.24 ","$4,615.14 ","$4,856.19 ","$3,413.26 ","$3,821.45 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060025,11642,"LESION,MALIG 1.1 - 2CM",360,1 ,"$1,985.40 ","$1,290.51 ",$562.78 ,"$1,787.85 ","$1,588.32 ",$562.78 ,"$1,573.23 ","$1,787.85 ","$1,787.85 ","$1,069.29 ","$1,687.59 ","$1,469.20 ","$1,406.96 ",$562.78 , N/A ,"$1,655.82 ",$562.78 ,"$1,639.94 ","$1,588.32 ","$1,786.86 ","$1,406.96 ","$1,687.59 ",$602.74 ,"$1,687.59 ","$1,687.59 ","$1,786.86 ","$1,786.86 ","$1,558.54 ","$1,639.94 ",$602.74 ,"$1,290.51 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060031,11603,"LESION/MAL TRUNK, LEGS AND ARMS",360,1 ,"$2,527.14 ","$1,642.64 ",$562.78 ,"$2,275.69 ","$2,021.71 ",$562.78 ,"$2,002.51 ","$2,275.69 ","$2,275.69 ","$1,069.29 ","$2,148.07 ","$1,870.08 ","$1,406.96 ",$562.78 , N/A ,"$2,107.63 ",$562.78 ,"$2,087.42 ","$2,021.71 ","$2,274.43 ","$1,406.96 ","$2,148.07 ",$602.74 ,"$2,148.07 ","$2,148.07 ","$2,274.43 ","$2,274.43 ","$1,983.80 ","$2,087.42 ",$602.74 ,"$1,642.64 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060034,11406,"LESION/TRUNK,ARMS,LEGS OVER 4CM BENIGN",360,1 ,"$3,694.19 ","$2,401.22 ","$1,273.11 ","$3,326.62 ","$2,955.35 ","$1,273.11 ","$2,927.28 ","$3,326.62 ","$3,326.62 ","$2,418.91 ","$3,140.06 ","$2,733.70 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,080.95 ","$1,273.11 ","$3,051.40 ","$2,955.35 ","$3,324.77 ","$3,182.77 ","$3,140.06 ","$1,363.50 ","$3,140.06 ","$3,140.06 ","$3,324.77 ","$3,324.77 ","$2,899.94 ","$3,051.40 ","$1,363.50 ","$2,401.22 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060038,N/A,******INACTIVATE*****,360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15060051,11403,"LESION, BENIGN 2.1 - 3 CM",360,1 ,"$2,481.85 ","$1,613.20 ",$562.78 ,"$2,234.91 ","$1,985.48 ",$562.78 ,"$1,966.62 ","$2,234.91 ","$2,234.91 ","$1,069.29 ","$2,109.57 ","$1,836.57 ","$1,406.96 ",$562.78 , N/A ,"$2,069.86 ",$562.78 ,"$2,050.01 ","$1,985.48 ","$2,233.67 ","$1,406.96 ","$2,109.57 ",$602.74 ,"$2,109.57 ","$2,109.57 ","$2,233.67 ","$2,233.67 ","$1,948.25 ","$2,050.01 ",$602.74 ,"$1,613.20 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060063,66982,CATARACT RMVRT/LEN IN RT COMPLEX,360,1 ,"$2,373.97 ","$1,543.08 ","$1,543.08 ","$4,703.27 ","$1,899.18 ","$1,881.31 ","$1,881.13 ","$2,137.76 ","$2,137.76 ","$3,574.48 ","$2,017.87 ","$1,756.74 ","$4,703.27 ","$1,881.31 ", N/A ,"$1,979.89 ","$1,881.31 ","$1,960.90 ","$1,899.18 ","$2,136.57 ","$2,373.97 ","$2,017.87 ","$2,014.88 ","$2,017.87 ","$2,017.87 ","$2,136.57 ","$2,136.57 ","$1,863.57 ","$1,960.90 ","$2,014.88 ","$1,543.08 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060064,66984,CATARACT RMVL/LEN IN RT,360,1 ,"$6,848.97 ","$4,451.83 ","$1,881.31 ","$6,167.50 ","$5,479.18 ","$1,881.31 ","$5,427.12 ","$6,167.50 ","$6,167.50 ","$3,574.48 ","$5,821.62 ","$5,068.24 ","$4,703.27 ","$1,881.31 ", N/A ,"$5,712.04 ","$1,881.31 ","$5,657.25 ","$5,479.18 ","$6,164.07 ","$4,703.27 ","$5,821.62 ","$2,014.88 ","$5,821.62 ","$5,821.62 ","$6,164.07 ","$6,164.07 ","$5,376.44 ","$5,657.25 ","$2,014.88 ","$4,451.83 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060079,N/A,*******INACTIVATE******,360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15060121,11402,"LESION, TRUNK AND EXT 1.1 - 2 CM (BENIGN)",360,1 ,"$1,323.71 ",$860.41 ,$562.78 ,"$1,406.96 ","$1,058.97 ",$562.78 ,"$1,048.91 ","$1,192.00 ","$1,192.00 ","$1,069.29 ","$1,125.15 ",$979.55 ,"$1,406.96 ",$562.78 , N/A ,"$1,103.97 ",$562.78 ,"$1,093.38 ","$1,058.97 ","$1,191.34 ","$1,323.71 ","$1,125.15 ",$602.74 ,"$1,125.15 ","$1,125.15 ","$1,191.34 ","$1,191.34 ","$1,039.11 ","$1,093.38 ",$602.74 ,$860.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060123,49560,REPAIR INITIAL INCISIONAL HERNIA LT,360,1 ,"$8,814.67 ","$5,729.54 ","$2,880.48 ","$7,937.61 ","$7,051.74 ","$2,880.48 ","$6,984.74 ","$7,937.61 ","$7,937.61 ","$5,472.91 ","$7,492.47 ","$6,522.86 ","$7,201.19 ","$2,880.48 ", N/A ,"$7,351.43 ","$2,880.48 ","$7,280.92 ","$7,051.74 ","$7,933.20 ","$7,201.19 ","$7,492.47 ","$3,084.99 ","$7,492.47 ","$7,492.47 ","$7,933.20 ","$7,933.20 ","$6,919.52 ","$7,280.92 ","$3,084.99 ","$5,729.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060132,11404,"LESION/BEN/TRNK,ARMS,LEGS 3.1-4CM",360,1 ,"$2,481.85 ","$1,613.20 ","$1,273.11 ","$3,182.77 ","$1,985.48 ","$1,273.11 ","$1,966.62 ","$2,234.91 ","$2,234.91 ","$2,418.91 ","$2,109.57 ","$1,836.57 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,069.86 ","$1,273.11 ","$2,050.01 ","$1,985.48 ","$2,233.67 ","$2,481.85 ","$2,109.57 ","$1,363.50 ","$2,109.57 ","$2,109.57 ","$2,233.67 ","$2,233.67 ","$1,948.25 ","$2,050.01 ","$1,363.50 ","$1,613.20 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060133,54060,LESION(S) EXC/ PENIS,360,1 ,"$3,049.44 ","$1,982.14 ","$1,552.13 ","$3,880.32 ","$2,439.55 ","$1,552.13 ","$2,416.38 ","$2,746.02 ","$2,746.02 ","$2,949.04 ","$2,592.02 ","$2,256.59 ","$3,880.32 ","$1,552.13 ", N/A ,"$2,543.23 ","$1,552.13 ","$2,518.84 ","$2,439.55 ","$2,744.50 ","$3,049.44 ","$2,592.02 ","$1,662.33 ","$2,592.02 ","$2,592.02 ","$2,744.50 ","$2,744.50 ","$2,393.81 ","$2,518.84 ","$1,662.33 ","$1,982.14 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060135,64721,CARPAL TUNNEL RELEASE RT,360,1 ,"$4,281.75 ","$2,783.14 ","$1,587.44 ","$3,968.61 ","$3,425.40 ","$1,587.44 ","$3,392.86 ","$3,855.72 ","$3,855.72 ","$3,016.14 ","$3,639.49 ","$3,168.50 ","$3,968.61 ","$1,587.44 ", N/A ,"$3,570.98 ","$1,587.44 ","$3,536.73 ","$3,425.40 ","$3,853.58 ","$3,968.61 ","$3,639.49 ","$1,700.15 ","$3,639.49 ","$3,639.49 ","$3,853.58 ","$3,853.58 ","$3,361.17 ","$3,536.73 ","$1,700.15 ","$2,783.14 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060143,23076,LESION/ SHOULDER / REMOVE DEEP,360,1 ,"$5,536.87 ","$3,598.97 ","$2,144.48 ","$5,361.20 ","$4,429.50 ","$2,144.48 ","$4,387.42 ","$4,985.95 ","$4,985.95 ","$4,074.51 ","$4,706.34 ","$4,097.28 ","$5,361.20 ","$2,144.48 ", N/A ,"$4,617.75 ","$2,144.48 ","$4,573.45 ","$4,429.50 ","$4,983.18 ","$5,361.20 ","$4,706.34 ","$2,296.74 ","$4,706.34 ","$4,706.34 ","$4,983.18 ","$4,983.18 ","$4,346.44 ","$4,573.45 ","$2,296.74 ","$3,598.97 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060144,45331,SIGMOIDOSCOPY/ BIOPSY,360,1 ,$834.00 ,$542.10 ,$542.10 ,"$1,795.32 ",$667.20 ,$718.13 ,$660.86 ,$751.02 ,$751.02 ,"$1,364.44 ",$708.90 ,$617.16 ,"$1,795.32 ",$718.13 , N/A ,$695.56 ,$718.13 ,$688.88 ,$667.20 ,$750.60 ,$834.00 ,$708.90 ,$769.11 ,$708.90 ,$708.90 ,$750.60 ,$750.60 ,$654.69 ,$688.88 ,$769.11 ,$542.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060145,49585,UMBIL HERNIA REPAIR,360,1 ,"$6,988.88 ","$4,542.77 ","$2,880.48 ","$7,201.19 ","$5,591.10 ","$2,880.48 ","$5,537.99 ","$6,293.49 ","$6,293.49 ","$5,472.91 ","$5,940.55 ","$5,171.77 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,828.73 ","$2,880.48 ","$5,772.81 ","$5,591.10 ","$6,289.99 ","$6,988.88 ","$5,940.55 ","$3,084.99 ","$5,940.55 ","$5,940.55 ","$6,289.99 ","$6,289.99 ","$5,486.27 ","$5,772.81 ","$3,084.99 ","$4,542.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060148,49650,"LAP HERNIA, INGUINAL REPAIR",360,1 ,"$11,544.42 ","$7,503.87 ","$4,578.89 ","$11,447.22 ","$9,235.54 ","$4,578.89 ","$9,147.80 ","$10,395.75 ","$10,395.75 ","$8,699.89 ","$9,812.76 ","$8,542.87 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,628.05 ","$4,578.89 ","$9,535.69 ","$9,235.54 ","$10,389.98 ","$11,447.22 ","$9,812.76 ","$4,903.99 ","$9,812.76 ","$9,812.76 ","$10,389.98 ","$10,389.98 ","$9,062.37 ","$9,535.69 ","$4,903.99 ","$7,503.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060150,11750,NAIL EXCISION,360,1 ,"$1,417.73 ",$921.52 ,$312.93 ,"$1,276.67 ","$1,134.18 ",$312.93 ,"$1,123.41 ","$1,276.67 ","$1,276.67 ",$594.57 ,"$1,205.07 ","$1,049.12 ",$782.32 ,$312.93 , N/A ,"$1,182.39 ",$312.93 ,"$1,171.05 ","$1,134.18 ","$1,275.96 ",$782.32 ,"$1,205.07 ",$335.15 ,"$1,205.07 ","$1,205.07 ","$1,275.96 ","$1,275.96 ","$1,112.92 ","$1,171.05 ",$335.15 ,$921.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060151,67800,"LESION, EYELID, SINGLE",360,1 ,"$1,052.63 ",$684.21 ,$236.42 ,$947.89 ,$842.10 ,$236.42 ,$834.10 ,$947.89 ,$947.89 ,$449.19 ,$894.74 ,$778.95 ,$591.04 ,$236.42 , N/A ,$877.89 ,$236.42 ,$869.47 ,$842.10 ,$947.37 ,$591.04 ,$894.74 ,$253.20 ,$894.74 ,$894.74 ,$947.37 ,$947.37 ,$826.31 ,$869.47 ,$253.20 ,$684.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060154,58545,LAPAROSCOPY REM MYOMA (1-4),360,1 ,"$11,544.42 ","$7,503.87 ","$4,578.89 ","$11,447.22 ","$9,235.54 ","$4,578.89 ","$9,147.80 ","$10,395.75 ","$10,395.75 ","$8,699.89 ","$9,812.76 ","$8,542.87 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,628.05 ","$4,578.89 ","$9,535.69 ","$9,235.54 ","$10,389.98 ","$11,447.22 ","$9,812.76 ","$4,903.99 ","$9,812.76 ","$9,812.76 ","$10,389.98 ","$10,389.98 ","$9,062.37 ","$9,535.69 ","$4,903.99 ","$7,503.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060155,45385,"COLONOSOPY, SNARE",360,1 ,"$3,423.13 ","$2,225.03 ",$938.28 ,"$3,082.53 ","$2,738.50 ",$938.28 ,"$2,712.49 ","$3,082.53 ","$3,082.53 ","$1,782.74 ","$2,909.66 ","$2,533.12 ","$2,345.71 ",$938.28 , N/A ,"$2,854.89 ",$938.28 ,"$2,827.51 ","$2,738.50 ","$3,080.82 ","$2,345.71 ","$2,909.66 ","$1,004.90 ","$2,909.66 ","$2,909.66 ","$3,080.82 ","$3,080.82 ","$2,687.16 ","$2,827.51 ","$1,004.90 ","$2,225.03 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060164,45380,"COLONOSCOPY, BIOPSY",360,1 ,"$3,383.17 ","$2,199.06 ",$938.28 ,"$3,046.54 ","$2,706.54 ",$938.28 ,"$2,680.82 ","$3,046.54 ","$3,046.54 ","$1,782.74 ","$2,875.69 ","$2,503.55 ","$2,345.71 ",$938.28 , N/A ,"$2,821.56 ",$938.28 ,"$2,794.50 ","$2,706.54 ","$3,044.85 ","$2,345.71 ","$2,875.69 ","$1,004.90 ","$2,875.69 ","$2,875.69 ","$3,044.85 ","$3,044.85 ","$2,655.79 ","$2,794.50 ","$1,004.90 ","$2,199.06 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060165,45386,"COLONOSCOPY,DILITATION",360,1 ,"$2,478.20 ","$1,610.83 ",$938.28 ,"$2,345.71 ","$1,982.56 ",$938.28 ,"$1,963.73 ","$2,231.62 ","$2,231.62 ","$1,782.74 ","$2,106.47 ","$1,833.87 ","$2,345.71 ",$938.28 , N/A ,"$2,066.82 ",$938.28 ,"$2,046.99 ","$1,982.56 ","$2,230.38 ","$2,345.71 ","$2,106.47 ","$1,004.90 ","$2,106.47 ","$2,106.47 ","$2,230.38 ","$2,230.38 ","$1,945.39 ","$2,046.99 ","$1,004.90 ","$1,610.83 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060201,28090,"LESION, FOOT",360,1 ,"$4,863.76 ","$3,161.44 ","$1,259.85 ","$4,379.82 ","$3,891.01 ","$1,259.85 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$2,393.72 ","$4,134.20 ","$3,599.18 ","$3,149.64 ","$1,259.85 ", N/A ,"$4,056.38 ","$1,259.85 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$3,149.64 ","$4,134.20 ","$1,349.30 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$1,349.30 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060215,58660,LAPAROSCOPY/LYSIS OF ADHESIONS,360,1 ,"$11,544.42 ","$7,503.87 ","$4,578.89 ","$11,447.22 ","$9,235.54 ","$4,578.89 ","$9,147.80 ","$10,395.75 ","$10,395.75 ","$8,699.89 ","$9,812.76 ","$8,542.87 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,628.05 ","$4,578.89 ","$9,535.69 ","$9,235.54 ","$10,389.98 ","$11,447.22 ","$9,812.76 ","$4,903.99 ","$9,812.76 ","$9,812.76 ","$10,389.98 ","$10,389.98 ","$9,062.37 ","$9,535.69 ","$4,903.99 ","$7,503.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060222,11440,LESION/BEN/FACE/EAR/EYEL/NOSE/LIP.5CM/LE,360,1 ,"$1,323.71 ",$860.41 ,$562.78 ,"$1,406.96 ","$1,058.97 ",$562.78 ,"$1,048.91 ","$1,192.00 ","$1,192.00 ","$1,069.29 ","$1,125.15 ",$979.55 ,"$1,406.96 ",$562.78 , N/A ,"$1,103.97 ",$562.78 ,"$1,093.38 ","$1,058.97 ","$1,191.34 ","$1,323.71 ","$1,125.15 ",$602.74 ,"$1,125.15 ","$1,125.15 ","$1,191.34 ","$1,191.34 ","$1,039.11 ","$1,093.38 ",$602.74 ,$860.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060225,11442,"LESION/FACE,EARS,LIDS,NOSE,LIPS 1.1-2CM",360,1 ,"$1,423.47 ",$925.26 ,$562.78 ,"$1,406.96 ","$1,138.78 ",$562.78 ,"$1,127.96 ","$1,281.83 ","$1,281.83 ","$1,069.29 ","$1,209.95 ","$1,053.37 ","$1,406.96 ",$562.78 , N/A ,"$1,187.17 ",$562.78 ,"$1,175.79 ","$1,138.78 ","$1,281.12 ","$1,406.96 ","$1,209.95 ",$602.74 ,"$1,209.95 ","$1,209.95 ","$1,281.12 ","$1,281.12 ","$1,117.42 ","$1,175.79 ",$602.74 ,$925.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060231,43501,GASTROTOMY FOR BLEED,360,1 ,"$15,264.14 ","$9,921.69 ","$9,921.69 ","$13,745.36 ","$12,211.31 ", N/A ,"$12,095.30 ","$13,745.36 ","$13,745.36 ", N/A ,"$12,974.52 ","$11,295.46 ", N/A , N/A , N/A ,"$12,730.29 ", N/A ,"$12,608.18 ","$12,211.31 ","$13,737.73 ", N/A ,"$12,974.52 ", N/A ,"$12,974.52 ","$12,974.52 ","$13,737.73 ","$13,737.73 ","$11,982.35 ","$12,608.18 ", N/A ,"$9,921.69 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060233,11770,PILONIDAL CYST / REMOVAL,360,1 ,"$3,694.19 ","$2,401.22 ","$2,144.48 ","$5,361.20 ","$2,955.35 ","$2,144.48 ","$2,927.28 ","$3,326.62 ","$3,326.62 ","$4,074.51 ","$3,140.06 ","$2,733.70 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,080.95 ","$2,144.48 ","$3,051.40 ","$2,955.35 ","$3,324.77 ","$3,694.19 ","$3,140.06 ","$2,296.74 ","$3,140.06 ","$3,140.06 ","$3,324.77 ","$3,324.77 ","$2,899.94 ","$3,051.40 ","$2,296.74 ","$2,401.22 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060234,11641,LESION/MAL/FACE/EAR/EYEL/NOSE/LIP .6-1CM,360,1 ,"$1,860.06 ","$1,209.04 ",$562.78 ,"$1,674.98 ","$1,488.05 ",$562.78 ,"$1,473.91 ","$1,674.98 ","$1,674.98 ","$1,069.29 ","$1,581.05 ","$1,376.44 ","$1,406.96 ",$562.78 , N/A ,"$1,551.29 ",$562.78 ,"$1,536.41 ","$1,488.05 ","$1,674.05 ","$1,406.96 ","$1,581.05 ",$602.74 ,"$1,581.05 ","$1,581.05 ","$1,674.05 ","$1,674.05 ","$1,460.15 ","$1,536.41 ",$602.74 ,"$1,209.04 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060250,37609,TEMPORAL ARTERY PROCEDURE,360,1 ,"$2,481.85 ","$1,613.20 ","$1,273.11 ","$3,182.77 ","$1,985.48 ","$1,273.11 ","$1,966.62 ","$2,234.91 ","$2,234.91 ","$2,418.91 ","$2,109.57 ","$1,836.57 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,069.86 ","$1,273.11 ","$2,050.01 ","$1,985.48 ","$2,233.67 ","$2,481.85 ","$2,109.57 ","$1,363.50 ","$2,109.57 ","$2,109.57 ","$2,233.67 ","$2,233.67 ","$1,948.25 ","$2,050.01 ","$1,363.50 ","$1,613.20 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060266,49082,ABDOMINAL PARACENTESIS,360,1 ,"$1,264.12 ",$821.68 ,$732.56 ,"$1,831.40 ","$1,011.30 ",$732.56 ,"$1,001.69 ","$1,138.34 ","$1,138.34 ","$1,391.86 ","$1,074.50 ",$935.45 ,"$1,831.40 ",$732.56 , N/A ,"$1,054.28 ",$732.56 ,"$1,044.16 ","$1,011.30 ","$1,137.71 ","$1,264.12 ","$1,074.50 ",$784.57 ,"$1,074.50 ","$1,074.50 ","$1,137.71 ","$1,137.71 ",$992.33 ,"$1,044.16 ",$784.57 ,$821.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060321,45005,RECTAL ABCESS I AND D,360,1 ,"$1,123.88 ",$730.52 ,$730.52 ,"$2,345.71 ",$899.10 ,$938.28 ,$890.56 ,"$1,012.05 ","$1,012.05 ","$1,782.74 ",$955.30 ,$831.67 ,"$2,345.71 ",$938.28 , N/A ,$937.32 ,$938.28 ,$928.32 ,$899.10 ,"$1,011.49 ","$1,123.88 ",$955.30 ,"$1,004.90 ",$955.30 ,$955.30 ,"$1,011.49 ","$1,011.49 ",$882.25 ,$928.32 ,"$1,004.90 ",$730.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060322,11643,"LESION/MAL/FACE,EAR,EYELID,NOSE,LIP 2.1-",360,1 ,"$2,667.29 ","$1,733.74 ","$1,273.11 ","$3,182.77 ","$2,133.83 ","$1,273.11 ","$2,113.56 ","$2,401.89 ","$2,401.89 ","$2,418.91 ","$2,267.20 ","$1,973.79 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,224.52 ","$1,273.11 ","$2,203.18 ","$2,133.83 ","$2,400.56 ","$2,667.29 ","$2,267.20 ","$1,363.50 ","$2,267.20 ","$2,267.20 ","$2,400.56 ","$2,400.56 ","$2,093.82 ","$2,203.18 ","$1,363.50 ","$1,733.74 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060323,26210,LESION/FINGER,360,1 ,"$3,922.40 ","$2,549.56 ","$1,259.85 ","$3,532.12 ","$3,137.92 ","$1,259.85 ","$3,108.11 ","$3,532.12 ","$3,532.12 ","$2,393.72 ","$3,334.04 ","$2,902.58 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,271.28 ","$1,259.85 ","$3,239.90 ","$3,137.92 ","$3,530.16 ","$3,149.64 ","$3,334.04 ","$1,349.30 ","$3,334.04 ","$3,334.04 ","$3,530.16 ","$3,530.16 ","$3,079.08 ","$3,239.90 ","$1,349.30 ","$2,549.56 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060324,12035,LAYERED CLOSURE/WOUND 12.6-20.0 CM,360,1 ,"$1,078.43 ",$700.98 ,$312.93 ,$971.13 ,$862.74 ,$312.93 ,$854.55 ,$971.13 ,$971.13 ,$594.57 ,$916.67 ,$798.04 ,$782.32 ,$312.93 , N/A ,$899.41 ,$312.93 ,$890.78 ,$862.74 ,$970.59 ,$782.32 ,$916.67 ,$335.15 ,$916.67 ,$916.67 ,$970.59 ,$970.59 ,$846.57 ,$890.78 ,$335.15 ,$700.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060334,49000,"LAPAROTOMY,EXPLOR W/O BX",360,1 ,"$8,897.24 ","$5,783.21 ","$5,783.21 ","$8,011.96 ","$7,117.79 ", N/A ,"$7,050.17 ","$8,011.96 ","$8,011.96 ", N/A ,"$7,562.65 ","$6,583.96 ", N/A , N/A , N/A ,"$7,420.30 ", N/A ,"$7,349.12 ","$7,117.79 ","$8,007.52 ", N/A ,"$7,562.65 ", N/A ,"$7,562.65 ","$7,562.65 ","$8,007.52 ","$8,007.52 ","$6,984.33 ","$7,349.12 ", N/A ,"$5,783.21 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060344,44141,BOWEL RESECTION/COLOSTOMY,360,1 ,"$14,862.08 ","$9,660.35 ","$9,660.35 ","$13,383.30 ","$11,889.66 ", N/A ,"$11,776.71 ","$13,383.30 ","$13,383.30 ", N/A ,"$12,632.77 ","$10,997.94 ", N/A , N/A , N/A ,"$12,394.97 ", N/A ,"$12,276.08 ","$11,889.66 ","$13,375.87 ", N/A ,"$12,632.77 ", N/A ,"$12,632.77 ","$12,632.77 ","$13,375.87 ","$13,375.87 ","$11,666.73 ","$12,276.08 ", N/A ,"$9,660.35 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060352,11640,"LESION,SKIN REMOVAL 0.5 CM OR LESS MALIG",360,1 ,"$1,260.68 ",$819.44 ,$562.78 ,"$1,406.96 ","$1,008.54 ",$562.78 ,$998.96 ,"$1,135.24 ","$1,135.24 ","$1,069.29 ","$1,071.58 ",$932.90 ,"$1,406.96 ",$562.78 , N/A ,"$1,051.41 ",$562.78 ,"$1,041.32 ","$1,008.54 ","$1,134.61 ","$1,260.68 ","$1,071.58 ",$602.74 ,"$1,071.58 ","$1,071.58 ","$1,134.61 ","$1,134.61 ",$989.63 ,"$1,041.32 ",$602.74 ,$819.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060411,11042,DEBRIDE SKIN AND SUBCUT,360,1 ,$961.40 ,$624.91 ,$312.93 ,$865.74 ,$769.12 ,$312.93 ,$761.81 ,$865.74 ,$865.74 ,$594.57 ,$817.19 ,$711.44 ,$782.32 ,$312.93 , N/A ,$801.81 ,$312.93 ,$794.12 ,$769.12 ,$865.26 ,$782.32 ,$817.19 ,$335.15 ,$817.19 ,$817.19 ,$865.26 ,$865.26 ,$754.70 ,$794.12 ,$335.15 ,$624.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060412,44955,APPENDECTOMY/ INCIDENTAL/ADD ON,360,1 ,"$2,010.40 ","$1,306.76 ","$1,306.76 ","$1,810.37 ","$1,608.32 ", N/A ,"$1,593.04 ","$1,810.37 ","$1,810.37 ", N/A ,"$1,708.84 ","$1,487.70 ", N/A , N/A , N/A ,"$1,676.67 ", N/A ,"$1,660.59 ","$1,608.32 ","$1,809.36 ", N/A ,"$1,708.84 ", N/A ,"$1,708.84 ","$1,708.84 ","$1,809.36 ","$1,809.36 ","$1,578.16 ","$1,660.59 ", N/A ,"$1,306.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060414,49587,"UMBILICAL HERNIA REPAIR, STRANGULATED",360,1 ,"$6,656.07 ","$4,326.45 ","$2,880.48 ","$7,201.19 ","$5,324.86 ","$2,880.48 ","$5,274.27 ","$5,993.79 ","$5,993.79 ","$5,472.91 ","$5,657.66 ","$4,925.49 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,551.16 ","$2,880.48 ","$5,497.91 ","$5,324.86 ","$5,990.46 ","$6,656.07 ","$5,657.66 ","$3,084.99 ","$5,657.66 ","$5,657.66 ","$5,990.46 ","$5,990.46 ","$5,225.02 ","$5,497.91 ","$3,084.99 ","$4,326.45 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060421,10060,I AND D OF WOUND,360,1 ,$890.02 ,$578.51 ,$162.46 ,$801.46 ,$712.02 ,$162.46 ,$705.25 ,$801.46 ,$801.46 ,$308.68 ,$756.52 ,$658.61 ,$406.16 ,$162.46 , N/A ,$742.28 ,$162.46 ,$735.16 ,$712.02 ,$801.02 ,$406.16 ,$756.52 ,$174.00 ,$756.52 ,$756.52 ,$801.02 ,$801.02 ,$698.67 ,$735.16 ,$174.00 ,$578.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060423,11420,"LESION, .5 CM OR LESS (BENIGN)",360,1 ,"$1,323.71 ",$860.41 ,$860.41 ,"$3,182.77 ","$1,058.97 ","$1,273.11 ","$1,048.91 ","$1,192.00 ","$1,192.00 ","$2,418.91 ","$1,125.15 ",$979.55 ,"$3,182.77 ","$1,273.11 ", N/A ,"$1,103.97 ","$1,273.11 ","$1,093.38 ","$1,058.97 ","$1,191.34 ","$1,323.71 ","$1,125.15 ","$1,323.71 ","$1,125.15 ","$1,125.15 ","$1,191.34 ","$1,191.34 ","$1,039.11 ","$1,093.38 ","$1,323.71 ",$860.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060426,11606,"LESION/SKIN/MALIG/TRNK,ARMS,LEGS ^4CM",360,1 ,"$3,694.19 ","$2,401.22 ","$1,273.11 ","$3,326.62 ","$2,955.35 ","$1,273.11 ","$2,927.28 ","$3,326.62 ","$3,326.62 ","$2,418.91 ","$3,140.06 ","$2,733.70 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,080.95 ","$1,273.11 ","$3,051.40 ","$2,955.35 ","$3,324.77 ","$3,182.77 ","$3,140.06 ","$1,363.50 ","$3,140.06 ","$3,140.06 ","$3,324.77 ","$3,324.77 ","$2,899.94 ","$3,051.40 ","$1,363.50 ","$2,401.22 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060427,11422,"LESION,BEN SCALP/NECK/HNDS/FT/GENI 1.1-2",360,1 ,"$1,340.77 ",$871.50 ,$871.50 ,"$3,182.77 ","$1,072.62 ","$1,273.11 ","$1,062.43 ","$1,207.36 ","$1,207.36 ","$2,418.91 ","$1,139.65 ",$992.17 ,"$3,182.77 ","$1,273.11 ", N/A ,"$1,118.20 ","$1,273.11 ","$1,107.48 ","$1,072.62 ","$1,206.69 ","$1,340.77 ","$1,139.65 ","$1,340.77 ","$1,139.65 ","$1,139.65 ","$1,206.69 ","$1,206.69 ","$1,052.50 ","$1,107.48 ","$1,340.77 ",$871.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060431,47562,LAP CHOLE,360,1 ,"$11,544.42 ","$7,503.87 ","$4,578.89 ","$11,447.22 ","$9,235.54 ","$4,578.89 ","$9,147.80 ","$10,395.75 ","$10,395.75 ","$8,699.89 ","$9,812.76 ","$8,542.87 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,628.05 ","$4,578.89 ","$9,535.69 ","$9,235.54 ","$10,389.98 ","$11,447.22 ","$9,812.76 ","$4,903.99 ","$9,812.76 ","$9,812.76 ","$10,389.98 ","$10,389.98 ","$9,062.37 ","$9,535.69 ","$4,903.99 ","$7,503.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060432,10120,FOREIGN BODY REMVL/SUBQ,360,1 ,$929.88 ,$604.42 ,$312.93 ,$837.36 ,$743.90 ,$312.93 ,$736.84 ,$837.36 ,$837.36 ,$594.57 ,$790.40 ,$688.11 ,$782.32 ,$312.93 , N/A ,$775.52 ,$312.93 ,$768.08 ,$743.90 ,$836.89 ,$782.32 ,$790.40 ,$335.15 ,$790.40 ,$790.40 ,$836.89 ,$836.89 ,$729.96 ,$768.08 ,$335.15 ,$604.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060451,G0104,COLON SCREENING FLEX SIGMOID,360,1 ,"$2,684.02 ","$1,744.61 ",$718.13 ,"$2,416.96 ","$2,147.22 ",$718.13 ,"$2,126.82 ","$2,416.96 ","$2,416.96 ","$1,364.44 ","$2,281.42 ","$1,986.17 ","$1,795.32 ",$718.13 , N/A ,"$2,238.47 ",$718.13 ,"$2,217.00 ","$2,147.22 ","$2,415.62 ","$1,795.32 ","$2,281.42 ",$769.11 ,"$2,281.42 ","$2,281.42 ","$2,415.62 ","$2,415.62 ","$2,106.96 ","$2,217.00 ",$769.11 ,"$1,744.61 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060453,47563,LAP CHOLE / COLANG,360,1 ,"$11,544.42 ","$7,503.87 ","$4,578.89 ","$11,447.22 ","$9,235.54 ","$4,578.89 ","$9,147.80 ","$10,395.75 ","$10,395.75 ","$8,699.89 ","$9,812.76 ","$8,542.87 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,628.05 ","$4,578.89 ","$9,535.69 ","$9,235.54 ","$10,389.98 ","$11,447.22 ","$9,812.76 ","$4,903.99 ","$9,812.76 ","$9,812.76 ","$10,389.98 ","$10,389.98 ","$9,062.37 ","$9,535.69 ","$4,903.99 ","$7,503.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060454,55250,VASECTOMY,360,1 ,"$5,907.89 ","$3,840.13 ","$1,622.37 ","$5,320.05 ","$4,726.31 ","$1,622.37 ","$4,681.41 ","$5,320.05 ","$5,320.05 ","$3,082.50 ","$5,021.71 ","$4,371.84 ","$4,055.92 ","$1,622.37 ", N/A ,"$4,927.18 ","$1,622.37 ","$4,879.92 ","$4,726.31 ","$5,317.10 ","$4,055.92 ","$5,021.71 ","$1,737.56 ","$5,021.71 ","$5,021.71 ","$5,317.10 ","$5,317.10 ","$4,637.69 ","$4,879.92 ","$1,737.56 ","$3,840.13 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060455,45384,"POLYPECTOMY, COLON/FORCEPS",360,1 ,"$3,423.13 ","$2,225.03 ",$938.28 ,"$3,082.53 ","$2,738.50 ",$938.28 ,"$2,712.49 ","$3,082.53 ","$3,082.53 ","$1,782.74 ","$2,909.66 ","$2,533.12 ","$2,345.71 ",$938.28 , N/A ,"$2,854.89 ",$938.28 ,"$2,827.51 ","$2,738.50 ","$3,080.82 ","$2,345.71 ","$2,909.66 ","$1,004.90 ","$2,909.66 ","$2,909.66 ","$3,080.82 ","$3,080.82 ","$2,687.16 ","$2,827.51 ","$1,004.90 ","$2,225.03 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060457,11303,SHAVE SKIN LESION/TRNK ARMS LEGS > 2CM,360,1 ,$899.40 ,$584.61 ,$312.93 ,$809.91 ,$719.52 ,$312.93 ,$712.68 ,$809.91 ,$809.91 ,$594.57 ,$764.49 ,$665.56 ,$782.32 ,$312.93 , N/A ,$750.10 ,$312.93 ,$742.90 ,$719.52 ,$809.46 ,$782.32 ,$764.49 ,$335.15 ,$764.49 ,$764.49 ,$809.46 ,$809.46 ,$706.03 ,$742.90 ,$335.15 ,$584.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060476,55500,HYDROCELE REPAIR,360,1 ,"$5,626.40 ","$3,657.16 ","$2,783.60 ","$6,958.99 ","$4,501.12 ","$2,783.60 ","$4,458.36 ","$5,066.57 ","$5,066.57 ","$5,288.83 ","$4,782.44 ","$4,163.54 ","$6,958.99 ","$2,783.60 ", N/A ,"$4,692.42 ","$2,783.60 ","$4,647.41 ","$4,501.12 ","$5,063.76 ","$5,626.40 ","$4,782.44 ","$2,981.23 ","$4,782.44 ","$4,782.44 ","$5,063.76 ","$5,063.76 ","$4,416.72 ","$4,647.41 ","$2,981.23 ","$3,657.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060493,44950,APPENDECTOMY/ACUTE,360,1 ,"$7,617.84 ","$4,951.60 ","$2,880.48 ","$7,201.19 ","$6,094.27 ","$2,880.48 ","$6,036.38 ","$6,859.86 ","$6,859.86 ","$5,472.91 ","$6,475.16 ","$5,637.20 ","$7,201.19 ","$2,880.48 ", N/A ,"$6,353.28 ","$2,880.48 ","$6,292.34 ","$6,094.27 ","$6,856.06 ","$7,201.19 ","$6,475.16 ","$3,084.99 ","$6,475.16 ","$6,475.16 ","$6,856.06 ","$6,856.06 ","$5,980.00 ","$6,292.34 ","$3,084.99 ","$4,951.60 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060507,11601,"LESION, MALIG 0.6-1.0 CM",360,1 ,"$1,469.07 ",$954.90 ,$562.78 ,"$1,406.96 ","$1,175.26 ",$562.78 ,"$1,164.09 ","$1,322.90 ","$1,322.90 ","$1,069.29 ","$1,248.71 ","$1,087.11 ","$1,406.96 ",$562.78 , N/A ,"$1,225.20 ",$562.78 ,"$1,213.45 ","$1,175.26 ","$1,322.16 ","$1,406.96 ","$1,248.71 ",$602.74 ,"$1,248.71 ","$1,248.71 ","$1,322.16 ","$1,322.16 ","$1,153.22 ","$1,213.45 ",$602.74 ,$954.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060515,43245,EGD /DILITAION,360,1 ,"$2,581.72 ","$1,678.12 ","$1,470.38 ","$3,675.96 ","$2,065.38 ","$1,470.38 ","$2,045.75 ","$2,324.84 ","$2,324.84 ","$2,793.73 ","$2,194.46 ","$1,910.47 ","$3,675.96 ","$1,470.38 ", N/A ,"$2,153.15 ","$1,470.38 ","$2,132.50 ","$2,065.38 ","$2,323.55 ","$2,581.72 ","$2,194.46 ","$1,574.78 ","$2,194.46 ","$2,194.46 ","$2,323.55 ","$2,323.55 ","$2,026.65 ","$2,132.50 ","$1,574.78 ","$1,678.12 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060521,N/A,INSERTION CATH / VEIN,360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15060522,11401,"LESION/BEN/TRNK,ARMS,LEGS .6CM-1CM",360,1 ,"$1,323.71 ",$860.41 ,$312.93 ,"$1,192.00 ","$1,058.97 ",$312.93 ,"$1,048.91 ","$1,192.00 ","$1,192.00 ",$594.57 ,"$1,125.15 ",$979.55 ,$782.32 ,$312.93 , N/A ,"$1,103.97 ",$312.93 ,"$1,093.38 ","$1,058.97 ","$1,191.34 ",$782.32 ,"$1,125.15 ",$335.15 ,"$1,125.15 ","$1,125.15 ","$1,191.34 ","$1,191.34 ","$1,039.11 ","$1,093.38 ",$335.15 ,$860.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060535,25111,"EXC CYST, WRIST PRIMARY",360,1 ,"$3,674.13 ","$2,388.18 ","$1,259.85 ","$3,308.55 ","$2,939.30 ","$1,259.85 ","$2,911.38 ","$3,308.55 ","$3,308.55 ","$2,393.72 ","$3,123.01 ","$2,718.86 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,064.22 ","$1,259.85 ","$3,034.83 ","$2,939.30 ","$3,306.72 ","$3,149.64 ","$3,123.01 ","$1,349.30 ","$3,123.01 ","$3,123.01 ","$3,306.72 ","$3,306.72 ","$2,884.19 ","$3,034.83 ","$1,349.30 ","$2,388.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060551,19125,"LESION, BREAST W/RAD MARKER RT",360,1 ,"$4,615.66 ","$3,000.18 ","$2,857.25 ","$7,143.12 ","$3,692.53 ","$2,857.25 ","$3,657.45 ","$4,156.40 ","$4,156.40 ","$5,428.77 ","$3,923.31 ","$3,415.59 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,849.46 ","$2,857.25 ","$3,812.54 ","$3,692.53 ","$4,154.09 ","$4,615.66 ","$3,923.31 ","$3,060.11 ","$3,923.31 ","$3,923.31 ","$4,154.09 ","$4,154.09 ","$3,623.29 ","$3,812.54 ","$3,060.11 ","$3,000.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060555,43250,EGD / REMOVE POLYP,360,1 ,"$2,439.08 ","$1,585.40 ","$1,470.38 ","$3,675.96 ","$1,951.26 ","$1,470.38 ","$1,932.73 ","$2,196.39 ","$2,196.39 ","$2,793.73 ","$2,073.22 ","$1,804.92 ","$3,675.96 ","$1,470.38 ", N/A ,"$2,034.19 ","$1,470.38 ","$2,014.68 ","$1,951.26 ","$2,195.17 ","$2,439.08 ","$2,073.22 ","$1,574.78 ","$2,073.22 ","$2,073.22 ","$2,195.17 ","$2,195.17 ","$1,914.68 ","$2,014.68 ","$1,574.78 ","$1,585.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060558,45330,FLEX SIGMOIDOSCOPE,360,1 ,$855.89 ,$556.33 ,$556.33 ,"$1,795.32 ",$684.71 ,$718.13 ,$678.21 ,$770.73 ,$770.73 ,"$1,364.44 ",$727.51 ,$633.36 ,"$1,795.32 ",$718.13 , N/A ,$713.81 ,$718.13 ,$706.97 ,$684.71 ,$770.30 ,$855.89 ,$727.51 ,$769.11 ,$727.51 ,$727.51 ,$770.30 ,$770.30 ,$671.87 ,$706.97 ,$769.11 ,$556.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060576,11441,"LESION, BENIGN .6CM-1CM",360,1 ,"$1,323.71 ",$860.41 ,$562.78 ,"$1,406.96 ","$1,058.97 ",$562.78 ,"$1,048.91 ","$1,192.00 ","$1,192.00 ","$1,069.29 ","$1,125.15 ",$979.55 ,"$1,406.96 ",$562.78 , N/A ,"$1,103.97 ",$562.78 ,"$1,093.38 ","$1,058.97 ","$1,191.34 ","$1,323.71 ","$1,125.15 ",$602.74 ,"$1,125.15 ","$1,125.15 ","$1,191.34 ","$1,191.34 ","$1,039.11 ","$1,093.38 ",$602.74 ,$860.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060578,43239,EGD WITH BIOPSY,360,1 ,"$2,165.18 ","$1,407.37 ",$732.56 ,"$1,949.74 ","$1,732.14 ",$732.56 ,"$1,715.69 ","$1,949.74 ","$1,949.74 ","$1,391.86 ","$1,840.40 ","$1,602.23 ","$1,831.40 ",$732.56 , N/A ,"$1,805.76 ",$732.56 ,"$1,788.44 ","$1,732.14 ","$1,948.66 ","$1,831.40 ","$1,840.40 ",$784.57 ,"$1,840.40 ","$1,840.40 ","$1,948.66 ","$1,948.66 ","$1,699.67 ","$1,788.44 ",$784.57 ,"$1,407.37 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060579,45378,"COLONOSCOPY, DIAG",360,1 ,"$2,818.23 ","$1,831.85 ",$718.13 ,"$2,537.82 ","$2,254.58 ",$718.13 ,"$2,233.17 ","$2,537.82 ","$2,537.82 ","$1,364.44 ","$2,395.50 ","$2,085.49 ","$1,795.32 ",$718.13 , N/A ,"$2,350.40 ",$718.13 ,"$2,327.86 ","$2,254.58 ","$2,536.41 ","$1,795.32 ","$2,395.50 ",$769.11 ,"$2,395.50 ","$2,395.50 ","$2,536.41 ","$2,536.41 ","$2,212.31 ","$2,327.86 ",$769.11 ,"$1,831.85 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060580,49505,"INGUINAL HERNIA, NEW RT",360,1 ,"$6,988.88 ","$4,542.77 ","$2,880.48 ","$7,201.19 ","$5,591.10 ","$2,880.48 ","$5,537.99 ","$6,293.49 ","$6,293.49 ","$5,472.91 ","$5,940.55 ","$5,171.77 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,828.73 ","$2,880.48 ","$5,772.81 ","$5,591.10 ","$6,289.99 ","$6,988.88 ","$5,940.55 ","$3,084.99 ","$5,940.55 ","$5,940.55 ","$6,289.99 ","$6,289.99 ","$5,486.27 ","$5,772.81 ","$3,084.99 ","$4,542.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060585,11421,"LESION,BENIGN,SCALP .6-1CM",360,1 ,"$1,323.71 ",$860.41 ,$562.78 ,"$1,406.96 ","$1,058.97 ",$562.78 ,"$1,048.91 ","$1,192.00 ","$1,192.00 ","$1,069.29 ","$1,125.15 ",$979.55 ,"$1,406.96 ",$562.78 , N/A ,"$1,103.97 ",$562.78 ,"$1,093.38 ","$1,058.97 ","$1,191.34 ","$1,323.71 ","$1,125.15 ",$602.74 ,"$1,125.15 ","$1,125.15 ","$1,191.34 ","$1,191.34 ","$1,039.11 ","$1,093.38 ",$602.74 ,$860.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060596,11200,SKIN TAG REMOVAL UP TO AND INC 15,360,1 ,$587.58 ,$381.93 ,$162.46 ,$529.12 ,$470.06 ,$162.46 ,$465.60 ,$529.12 ,$529.12 ,$308.68 ,$499.44 ,$434.81 ,$406.16 ,$162.46 , N/A ,$490.04 ,$162.46 ,$485.34 ,$470.06 ,$528.82 ,$406.16 ,$499.44 ,$174.00 ,$499.44 ,$499.44 ,$528.82 ,$528.82 ,$461.25 ,$485.34 ,$174.00 ,$381.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060623,56740,LESION/ VAGINA GLAND,360,1 ,"$4,746.19 ","$3,085.02 ","$2,373.59 ","$5,933.96 ","$3,796.95 ","$2,373.59 ","$3,760.88 ","$4,273.94 ","$4,273.94 ","$4,509.81 ","$4,034.26 ","$3,512.18 ","$5,933.96 ","$2,373.59 ", N/A ,"$3,958.32 ","$2,373.59 ","$3,920.35 ","$3,796.95 ","$4,271.57 ","$4,746.19 ","$4,034.26 ","$2,542.11 ","$4,034.26 ","$4,034.26 ","$4,271.57 ","$4,271.57 ","$3,725.76 ","$3,920.35 ","$2,542.11 ","$3,085.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060686,58662,LAPAROSCOPY/EXC LESIONS,360,1 ,"$11,544.42 ","$7,503.87 ","$4,578.89 ","$11,447.22 ","$9,235.54 ","$4,578.89 ","$9,147.80 ","$10,395.75 ","$10,395.75 ","$8,699.89 ","$9,812.76 ","$8,542.87 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,628.05 ","$4,578.89 ","$9,535.69 ","$9,235.54 ","$10,389.98 ","$11,447.22 ","$9,812.76 ","$4,903.99 ","$9,812.76 ","$9,812.76 ","$10,389.98 ","$10,389.98 ","$9,062.37 ","$9,535.69 ","$4,903.99 ","$7,503.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060711,52235,CYSTOSCOPY AND TX 2.0 - 5.0 CM,360,1 ,"$5,485.04 ","$3,565.28 ","$2,783.60 ","$6,958.99 ","$4,388.03 ","$2,783.60 ","$4,346.35 ","$4,939.28 ","$4,939.28 ","$5,288.83 ","$4,662.28 ","$4,058.93 ","$6,958.99 ","$2,783.60 ", N/A ,"$4,574.52 ","$2,783.60 ","$4,530.64 ","$4,388.03 ","$4,936.54 ","$5,485.04 ","$4,662.28 ","$2,981.23 ","$4,662.28 ","$4,662.28 ","$4,936.54 ","$4,936.54 ","$4,305.76 ","$4,530.64 ","$2,981.23 ","$3,565.28 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060721,19101,BREAST BX / OPEN (INCISIONAL)RT,360,1 ,"$4,336.01 ","$2,818.41 ","$2,818.41 ","$7,143.12 ","$3,468.81 ","$2,857.25 ","$3,435.85 ","$3,904.58 ","$3,904.58 ","$5,428.77 ","$3,685.61 ","$3,208.65 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,616.23 ","$2,857.25 ","$3,581.54 ","$3,468.81 ","$3,902.41 ","$4,336.01 ","$3,685.61 ","$3,060.11 ","$3,685.61 ","$3,685.61 ","$3,902.41 ","$3,902.41 ","$3,403.77 ","$3,581.54 ","$3,060.11 ","$2,818.41 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060722,52355,CYSTOURETERO W/EXCISE TUMOR,360,1 ,"$6,398.03 ","$4,158.72 ","$3,993.87 ","$9,984.68 ","$5,118.42 ","$3,993.87 ","$5,069.80 ","$5,761.43 ","$5,761.43 ","$7,588.36 ","$5,438.33 ","$4,734.54 ","$9,984.68 ","$3,993.87 ", N/A ,"$5,335.96 ","$3,993.87 ","$5,284.77 ","$5,118.42 ","$5,758.23 ","$6,398.03 ","$5,438.33 ","$4,277.44 ","$5,438.33 ","$5,438.33 ","$5,758.23 ","$5,758.23 ","$5,022.45 ","$5,284.77 ","$4,277.44 ","$4,158.72 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060732,44960,APPENDECTOMY/RUPTURED OR PERITINITUS,360,1 ,"$8,951.65 ","$5,818.57 ","$5,818.57 ","$8,060.96 ","$7,161.32 ", N/A ,"$7,093.29 ","$8,060.96 ","$8,060.96 ", N/A ,"$7,608.90 ","$6,624.22 ", N/A , N/A , N/A ,"$7,465.68 ", N/A ,"$7,394.06 ","$7,161.32 ","$8,056.49 ", N/A ,"$7,608.90 ", N/A ,"$7,608.90 ","$7,608.90 ","$8,056.49 ","$8,056.49 ","$7,027.05 ","$7,394.06 ", N/A ,"$5,818.57 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060733,44145,COLECTOMY/PART/COLOPRECTOSTOMY,360,1 ,"$13,945.00 ","$9,064.25 ","$9,064.25 ","$12,557.47 ","$11,156.00 ", N/A ,"$11,050.02 ","$12,557.47 ","$12,557.47 ", N/A ,"$11,853.25 ","$10,319.30 ", N/A , N/A , N/A ,"$11,630.13 ", N/A ,"$11,518.57 ","$11,156.00 ","$12,550.50 ", N/A ,"$11,853.25 ", N/A ,"$11,853.25 ","$11,853.25 ","$12,550.50 ","$12,550.50 ","$10,946.83 ","$11,518.57 ", N/A ,"$9,064.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060747,15100,GRAFT/ SKIN SPLIT INF AND CHILD,360,1 ,"$5,599.24 ","$3,639.51 ","$1,552.13 ","$5,042.12 ","$4,479.39 ","$1,552.13 ","$4,436.84 ","$5,042.12 ","$5,042.12 ","$2,949.04 ","$4,759.35 ","$4,143.44 ","$3,880.32 ","$1,552.13 ", N/A ,"$4,669.77 ","$1,552.13 ","$4,624.97 ","$4,479.39 ","$5,039.32 ","$3,880.32 ","$4,759.35 ","$1,662.33 ","$4,759.35 ","$4,759.35 ","$5,039.32 ","$5,039.32 ","$4,395.40 ","$4,624.97 ","$1,662.33 ","$3,639.51 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060789,11423,LESION / SKIN REMOVAL 2.1-3.0 CM (BENIGN,360,1 ,"$2,363.56 ","$1,536.31 ","$1,273.11 ","$3,182.77 ","$1,890.85 ","$1,273.11 ","$1,872.88 ","$2,128.39 ","$2,128.39 ","$2,418.91 ","$2,009.03 ","$1,749.03 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,971.21 ","$1,273.11 ","$1,952.30 ","$1,890.85 ","$2,127.20 ","$2,363.56 ","$2,009.03 ","$1,363.50 ","$2,009.03 ","$2,009.03 ","$2,127.20 ","$2,127.20 ","$1,855.39 ","$1,952.30 ","$1,363.50 ","$1,536.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060811,55450,LIGATION OF SPERM DUCT,360,1 ,"$5,626.40 ","$3,657.16 ","$3,657.16 ","$5,066.57 ","$4,501.12 ", N/A ,"$4,458.36 ","$5,066.57 ","$5,066.57 ", N/A ,"$4,782.44 ","$4,163.54 ", N/A , N/A , N/A ,"$4,692.42 ", N/A ,"$4,647.41 ","$4,501.12 ","$5,063.76 ", N/A ,"$4,782.44 ", N/A ,"$4,782.44 ","$4,782.44 ","$5,063.76 ","$5,063.76 ","$4,416.72 ","$4,647.41 ", N/A ,"$3,657.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060813,58353,"ENDOMETR ABLATE, THERMAL NO ENDOSCOPE",360,1 ,"$3,360.74 ","$2,184.48 ","$2,184.48 ","$9,974.82 ","$2,688.59 ","$3,989.93 ","$2,663.05 ","$3,026.35 ","$3,026.35 ","$7,580.86 ","$2,856.63 ","$2,486.95 ","$9,974.82 ","$3,989.93 ", N/A ,"$2,802.86 ","$3,989.93 ","$2,775.97 ","$2,688.59 ","$3,024.67 ","$3,360.74 ","$2,856.63 ","$3,360.74 ","$2,856.63 ","$2,856.63 ","$3,024.67 ","$3,024.67 ","$2,638.18 ","$2,775.97 ","$3,360.74 ","$2,184.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060820,11426,LESION/SKIN REMOVAL OVER 4.0 CM BENIGN,360,1 ,"$4,162.02 ","$2,705.31 ","$2,144.48 ","$5,361.20 ","$3,329.62 ","$2,144.48 ","$3,297.98 ","$3,747.90 ","$3,747.90 ","$4,074.51 ","$3,537.72 ","$3,079.89 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,471.12 ","$2,144.48 ","$3,437.83 ","$3,329.62 ","$3,745.82 ","$4,162.02 ","$3,537.72 ","$2,296.74 ","$3,537.72 ","$3,537.72 ","$3,745.82 ","$3,745.82 ","$3,267.19 ","$3,437.83 ","$2,296.74 ","$2,705.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060821,46211,ANAL CRYPTS REMOVAL,360,1 ,"$5,733.67 ","$3,726.89 ","$3,726.89 ","$5,163.17 ","$4,586.94 ", N/A ,"$4,543.36 ","$5,163.17 ","$5,163.17 ", N/A ,"$4,873.62 ","$4,242.92 ", N/A , N/A , N/A ,"$4,781.88 ", N/A ,"$4,736.01 ","$4,586.94 ","$5,160.30 ", N/A ,"$4,873.62 ", N/A ,"$4,873.62 ","$4,873.62 ","$5,160.30 ","$5,160.30 ","$4,500.93 ","$4,736.01 ", N/A ,"$3,726.89 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060823,58546,"LAPAROSCOPY, REM MYOMA (5 OR MORE)",360,1 ,"$11,953.67 ","$7,769.89 ","$7,769.89 ","$20,150.02 ","$9,562.94 ","$8,060.01 ","$9,472.09 ","$10,764.28 ","$10,764.28 ","$15,314.01 ","$10,160.62 ","$8,845.72 ","$20,150.02 ","$8,060.01 ", N/A ,"$9,969.36 ","$8,060.01 ","$9,873.73 ","$9,562.94 ","$10,758.30 ","$11,953.67 ","$10,160.62 ","$8,632.27 ","$10,160.62 ","$10,160.62 ","$10,758.30 ","$10,758.30 ","$9,383.63 ","$9,873.73 ","$8,632.27 ","$7,769.89 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060833,45384,LESION REMOVAL COLONOSCOPY,360,1 ,"$3,260.23 ","$2,119.15 ",$938.28 ,"$2,935.84 ","$2,608.18 ",$938.28 ,"$2,583.41 ","$2,935.84 ","$2,935.84 ","$1,782.74 ","$2,771.20 ","$2,412.57 ","$2,345.71 ",$938.28 , N/A ,"$2,719.03 ",$938.28 ,"$2,692.95 ","$2,608.18 ","$2,934.21 ","$2,345.71 ","$2,771.20 ","$1,004.90 ","$2,771.20 ","$2,771.20 ","$2,934.21 ","$2,934.21 ","$2,559.28 ","$2,692.95 ","$1,004.90 ","$2,119.15 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060842,11646,LESION/ SKIN OVER 4.0 CM MALIGNANT,360,1 ,"$4,316.79 ","$2,805.91 ","$2,144.48 ","$5,361.20 ","$3,453.43 ","$2,144.48 ","$3,420.62 ","$3,887.27 ","$3,887.27 ","$4,074.51 ","$3,669.27 ","$3,194.42 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,600.20 ","$2,144.48 ","$3,565.67 ","$3,453.43 ","$3,885.11 ","$4,316.79 ","$3,669.27 ","$2,296.74 ","$3,669.27 ","$3,669.27 ","$3,885.11 ","$3,885.11 ","$3,388.68 ","$3,565.67 ","$2,296.74 ","$2,805.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060843,33208,PACEMAKER/ INSERTION HEART,360,1 ,"$22,817.90 ","$14,831.64 ","$9,410.47 ","$23,526.18 ","$18,254.32 ","$9,410.47 ","$18,080.90 ","$20,547.52 ","$20,547.52 ","$17,879.90 ","$19,395.22 ","$16,885.25 ","$23,526.18 ","$9,410.47 ", N/A ,"$19,030.13 ","$9,410.47 ","$18,847.59 ","$18,254.32 ","$20,536.11 ","$22,817.90 ","$19,395.22 ","$10,078.62 ","$19,395.22 ","$19,395.22 ","$20,536.11 ","$20,536.11 ","$17,912.05 ","$18,847.59 ","$10,078.62 ","$14,831.64 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060844,47001,LIVER BIOPSY /ADD ON,360,1 ,"$1,130.15 ",$734.60 ,$734.60 ,"$1,017.70 ",$904.12 , N/A ,$895.53 ,"$1,017.70 ","$1,017.70 ", N/A ,$960.63 ,$836.31 , N/A , N/A , N/A ,$942.55 , N/A ,$933.50 ,$904.12 ,"$1,017.14 ", N/A ,$960.63 , N/A ,$960.63 ,$960.63 ,"$1,017.14 ","$1,017.14 ",$887.17 ,$933.50 , N/A ,$734.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060847,11621,"EXCIS MALG LESION SCP,NECK,FT GEN .6-1CM",360,1 ,"$1,429.01 ",$928.86 ,$562.78 ,"$1,406.96 ","$1,143.21 ",$562.78 ,"$1,132.35 ","$1,286.82 ","$1,286.82 ","$1,069.29 ","$1,214.66 ","$1,057.47 ","$1,406.96 ",$562.78 , N/A ,"$1,191.79 ",$562.78 ,"$1,180.36 ","$1,143.21 ","$1,286.11 ","$1,406.96 ","$1,214.66 ",$602.74 ,"$1,214.66 ","$1,214.66 ","$1,286.11 ","$1,286.11 ","$1,121.77 ","$1,180.36 ",$602.74 ,$928.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060859,44970,APPENDECTOMY/LAPROSCOPY,360,1 ,"$8,098.43 ","$5,263.98 ","$4,578.89 ","$11,447.22 ","$6,478.74 ","$4,578.89 ","$6,417.20 ","$7,292.64 ","$7,292.64 ","$8,699.89 ","$6,883.67 ","$5,992.84 ","$11,447.22 ","$4,578.89 ", N/A ,"$6,754.09 ","$4,578.89 ","$6,689.30 ","$6,478.74 ","$7,288.59 ","$8,098.43 ","$6,883.67 ","$4,903.99 ","$6,883.67 ","$6,883.67 ","$7,288.59 ","$7,288.59 ","$6,357.27 ","$6,689.30 ","$4,903.99 ","$5,263.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060878,38720,LYMPH NODE REMOVAL/NECK,360,1 ,"$10,369.40 ","$6,740.11 ","$6,740.11 ","$20,178.02 ","$8,295.52 ","$8,071.21 ","$8,216.71 ","$9,337.64 ","$9,337.64 ","$15,335.30 ","$8,813.99 ","$7,673.36 ","$20,178.02 ","$8,071.21 ", N/A ,"$8,648.08 ","$8,071.21 ","$8,565.12 ","$8,295.52 ","$9,332.46 ","$10,369.40 ","$8,813.99 ","$8,644.26 ","$8,813.99 ","$8,813.99 ","$9,332.46 ","$9,332.46 ","$8,139.98 ","$8,565.12 ","$8,644.26 ","$6,740.11 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060879,28292,BUNION CORRECTION RT,360,1 ,"$5,832.82 ","$3,791.33 ","$2,561.06 ","$6,402.65 ","$4,666.26 ","$2,561.06 ","$4,621.93 ","$5,252.45 ","$5,252.45 ","$4,866.01 ","$4,957.90 ","$4,316.29 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,864.57 ","$2,561.06 ","$4,817.91 ","$4,666.26 ","$5,249.54 ","$5,832.82 ","$4,957.90 ","$2,742.89 ","$4,957.90 ","$4,957.90 ","$5,249.54 ","$5,249.54 ","$4,578.76 ","$4,817.91 ","$2,742.89 ","$3,791.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060892,11307,SHAVE SKIN LESION SCP NK FT GEN 1.1-2CM,360,1 ,$624.96 ,$406.22 ,$162.46 ,$562.78 ,$499.97 ,$162.46 ,$495.22 ,$562.78 ,$562.78 ,$308.68 ,$531.22 ,$462.47 ,$406.16 ,$162.46 , N/A ,$521.22 ,$162.46 ,$516.22 ,$499.97 ,$562.46 ,$406.16 ,$531.22 ,$174.00 ,$531.22 ,$531.22 ,$562.46 ,$562.46 ,$490.59 ,$516.22 ,$174.00 ,$406.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060900,52332,CYSTOSCOPY AND TREATMENT,360,1 ,"$5,485.04 ","$3,565.28 ","$2,783.60 ","$6,958.99 ","$4,388.03 ","$2,783.60 ","$4,346.35 ","$4,939.28 ","$4,939.28 ","$5,288.83 ","$4,662.28 ","$4,058.93 ","$6,958.99 ","$2,783.60 ", N/A ,"$4,574.52 ","$2,783.60 ","$4,530.64 ","$4,388.03 ","$4,936.54 ","$5,485.04 ","$4,662.28 ","$2,981.23 ","$4,662.28 ","$4,662.28 ","$4,936.54 ","$4,936.54 ","$4,305.76 ","$4,530.64 ","$2,981.23 ","$3,565.28 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060901,58673,"LAPAROSCOPY, SALPINGOSTOMY BILATERAL",360,1 ,"$10,994.63 ","$7,146.51 ","$4,578.89 ","$11,447.22 ","$8,795.70 ","$4,578.89 ","$8,712.14 ","$9,900.66 ","$9,900.66 ","$8,699.89 ","$9,345.44 ","$8,136.03 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,169.52 ","$4,578.89 ","$9,081.56 ","$8,795.70 ","$9,895.17 ","$10,994.63 ","$9,345.44 ","$4,903.99 ","$9,345.44 ","$9,345.44 ","$9,895.17 ","$9,895.17 ","$8,630.78 ","$9,081.56 ","$4,903.99 ","$7,146.51 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060902,11644,LESION/SKIN 3.1-4.0 CM MALIGNANT,360,1 ,"$3,300.89 ","$2,145.58 ","$1,273.11 ","$3,182.77 ","$2,640.71 ","$1,273.11 ","$2,615.63 ","$2,972.45 ","$2,972.45 ","$2,418.91 ","$2,805.76 ","$2,442.66 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,752.94 ","$1,273.11 ","$2,726.54 ","$2,640.71 ","$2,970.80 ","$3,182.77 ","$2,805.76 ","$1,363.50 ","$2,805.76 ","$2,805.76 ","$2,970.80 ","$2,970.80 ","$2,591.20 ","$2,726.54 ","$1,363.50 ","$2,145.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060903,11622,LESION/ SKIN / REMOVAL MALIGNANT,360,1 ,"$1,697.93 ","$1,103.65 ",$562.78 ,"$1,528.99 ","$1,358.34 ",$562.78 ,"$1,345.44 ","$1,528.99 ","$1,528.99 ","$1,069.29 ","$1,443.24 ","$1,256.47 ","$1,406.96 ",$562.78 , N/A ,"$1,416.07 ",$562.78 ,"$1,402.49 ","$1,358.34 ","$1,528.14 ","$1,406.96 ","$1,443.24 ",$602.74 ,"$1,443.24 ","$1,443.24 ","$1,528.14 ","$1,528.14 ","$1,332.88 ","$1,402.49 ",$602.74 ,"$1,103.65 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060904,19260,LESION/CHEST WALL,360,1 ,"$5,278.65 ","$3,431.12 ","$3,431.12 ","$4,753.42 ","$4,222.92 ", N/A ,"$4,182.80 ","$4,753.42 ","$4,753.42 ", N/A ,"$4,486.85 ","$3,906.20 ", N/A , N/A , N/A ,"$4,402.39 ", N/A ,"$4,360.16 ","$4,222.92 ","$4,750.79 ", N/A ,"$4,486.85 ", N/A ,"$4,486.85 ","$4,486.85 ","$4,750.79 ","$4,750.79 ","$4,143.74 ","$4,360.16 ", N/A ,"$3,431.12 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060905,11306,SHAVE SKIN LESION,360,1 ,$624.96 ,$406.22 ,$162.46 ,$562.78 ,$499.97 ,$162.46 ,$495.22 ,$562.78 ,$562.78 ,$308.68 ,$531.22 ,$462.47 ,$406.16 ,$162.46 , N/A ,$521.22 ,$162.46 ,$516.22 ,$499.97 ,$562.46 ,$406.16 ,$531.22 ,$174.00 ,$531.22 ,$531.22 ,$562.46 ,$562.46 ,$490.59 ,$516.22 ,$174.00 ,$406.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060910,N/A,REMOVAL OF INFUSION PUMP,360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15060911,11626,"EXCIS MALG LESN SCP,NECK,FT GEN>4 CM",360,1 ,"$4,162.02 ","$2,705.31 ","$2,144.48 ","$5,361.20 ","$3,329.62 ","$2,144.48 ","$3,297.98 ","$3,747.90 ","$3,747.90 ","$4,074.51 ","$3,537.72 ","$3,079.89 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,471.12 ","$2,144.48 ","$3,437.83 ","$3,329.62 ","$3,745.82 ","$4,162.02 ","$3,537.72 ","$2,296.74 ","$3,537.72 ","$3,537.72 ","$3,745.82 ","$3,745.82 ","$3,267.19 ","$3,437.83 ","$2,296.74 ","$2,705.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060912,19303,"REMOVAL OF BREAST, RT",360,1 ,"$11,608.64 ","$7,545.62 ","$5,007.33 ","$12,518.33 ","$9,286.91 ","$5,007.33 ","$9,198.69 ","$10,453.58 ","$10,453.58 ","$9,513.93 ","$9,867.34 ","$8,590.39 ","$12,518.33 ","$5,007.33 ", N/A ,"$9,681.61 ","$5,007.33 ","$9,588.74 ","$9,286.91 ","$10,447.78 ","$11,608.64 ","$9,867.34 ","$5,362.85 ","$9,867.34 ","$9,867.34 ","$10,447.78 ","$10,447.78 ","$9,112.78 ","$9,588.74 ","$5,362.85 ","$7,545.62 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060913,N/A,*****INACTIVATED******,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15060914,11400,"LESION, SKIN 0.5 CM OR LESS (BENIGN)",360,1 ,"$1,260.68 ",$819.44 ,$562.78 ,"$1,406.96 ","$1,008.54 ",$562.78 ,$998.96 ,"$1,135.24 ","$1,135.24 ","$1,069.29 ","$1,071.58 ",$932.90 ,"$1,406.96 ",$562.78 , N/A ,"$1,051.41 ",$562.78 ,"$1,041.32 ","$1,008.54 ","$1,134.61 ","$1,260.68 ","$1,071.58 ",$602.74 ,"$1,071.58 ","$1,071.58 ","$1,134.61 ","$1,134.61 ",$989.63 ,"$1,041.32 ",$602.74 ,$819.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060915,55520,SPERMATIC CORD LESION,360,1 ,"$5,626.40 ","$3,657.16 ","$2,783.60 ","$6,958.99 ","$4,501.12 ","$2,783.60 ","$4,458.36 ","$5,066.57 ","$5,066.57 ","$5,288.83 ","$4,782.44 ","$4,163.54 ","$6,958.99 ","$2,783.60 ", N/A ,"$4,692.42 ","$2,783.60 ","$4,647.41 ","$4,501.12 ","$5,063.76 ","$5,626.40 ","$4,782.44 ","$2,981.23 ","$4,782.44 ","$4,782.44 ","$5,063.76 ","$5,063.76 ","$4,416.72 ","$4,647.41 ","$2,981.23 ","$3,657.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060916,28110,"PART REM OF METATARSAL,RT",360,1 ,"$5,832.82 ","$3,791.33 ","$2,561.06 ","$6,402.65 ","$4,666.26 ","$2,561.06 ","$4,621.93 ","$5,252.45 ","$5,252.45 ","$4,866.01 ","$4,957.90 ","$4,316.29 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,864.57 ","$2,561.06 ","$4,817.91 ","$4,666.26 ","$5,249.54 ","$5,832.82 ","$4,957.90 ","$2,742.89 ","$4,957.90 ","$4,957.90 ","$5,249.54 ","$5,249.54 ","$4,578.76 ","$4,817.91 ","$2,742.89 ","$3,791.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060917,11446,LESION / SKIN OVER 4.0 CM (BENIGN),360,1 ,"$4,162.02 ","$2,705.31 ","$2,144.48 ","$5,361.20 ","$3,329.62 ","$2,144.48 ","$3,297.98 ","$3,747.90 ","$3,747.90 ","$4,074.51 ","$3,537.72 ","$3,079.89 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,471.12 ","$2,144.48 ","$3,437.83 ","$3,329.62 ","$3,745.82 ","$4,162.02 ","$3,537.72 ","$2,296.74 ","$3,537.72 ","$3,537.72 ","$3,745.82 ","$3,745.82 ","$3,267.19 ","$3,437.83 ","$2,296.74 ","$2,705.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060918,67700,DRAINAGE OF EYELID ABSCESS,360,1 ,$980.85 ,$637.55 ,$236.42 ,$883.26 ,$784.68 ,$236.42 ,$777.23 ,$883.26 ,$883.26 ,$449.19 ,$833.72 ,$725.83 ,$591.04 ,$236.42 , N/A ,$818.03 ,$236.42 ,$810.18 ,$784.68 ,$882.77 ,$591.04 ,$833.72 ,$253.20 ,$833.72 ,$833.72 ,$882.77 ,$882.77 ,$769.97 ,$810.18 ,$253.20 ,$637.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060919,46083,INCISE EXTERNAL HEMORRHOID,360,1 ,"$1,016.23 ",$660.55 ,$240.81 ,$915.12 ,$812.98 ,$240.81 ,$805.26 ,$915.12 ,$915.12 ,$457.55 ,$863.80 ,$752.01 ,$602.04 ,$240.81 , N/A ,$847.54 ,$240.81 ,$839.41 ,$812.98 ,$914.61 ,$602.04 ,$863.80 ,$257.91 ,$863.80 ,$863.80 ,$914.61 ,$914.61 ,$797.74 ,$839.41 ,$257.91 ,$660.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060920,46270,REMOVAL OF ANAL FISTULA,360,1 ,"$5,409.08 ","$3,515.90 ","$2,210.88 ","$5,527.19 ","$4,327.26 ","$2,210.88 ","$4,286.16 ","$4,870.88 ","$4,870.88 ","$4,200.67 ","$4,597.72 ","$4,002.72 ","$5,527.19 ","$2,210.88 ", N/A ,"$4,511.17 ","$2,210.88 ","$4,467.90 ","$4,327.26 ","$4,868.17 ","$5,409.08 ","$4,597.72 ","$2,367.85 ","$4,597.72 ","$4,597.72 ","$4,868.17 ","$4,868.17 ","$4,246.13 ","$4,467.90 ","$2,367.85 ","$3,515.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060921,67808,LESION(S)/EYELID/ REMOVAL-MULTIPLE,360,1 ,"$4,105.07 ","$2,668.30 ","$1,811.81 ","$4,529.52 ","$3,284.06 ","$1,811.81 ","$3,252.86 ","$3,696.62 ","$3,696.62 ","$3,442.43 ","$3,489.31 ","$3,037.75 ","$4,529.52 ","$1,811.81 ", N/A ,"$3,423.63 ","$1,811.81 ","$3,390.79 ","$3,284.06 ","$3,694.56 ","$4,105.07 ","$3,489.31 ","$1,940.44 ","$3,489.31 ","$3,489.31 ","$3,694.56 ","$3,694.56 ","$3,222.48 ","$3,390.79 ","$1,940.44 ","$2,668.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060923,11302,"SHAVE SKIN LESION/TRNK,ARMS,LEGS 1.1-2CM",360,1 ,$656.32 ,$426.61 ,$162.46 ,$591.02 ,$525.06 ,$162.46 ,$520.07 ,$591.02 ,$591.02 ,$308.68 ,$557.87 ,$485.68 ,$406.16 ,$162.46 , N/A ,$547.37 ,$162.46 ,$542.12 ,$525.06 ,$590.69 ,$406.16 ,$557.87 ,$174.00 ,$557.87 ,$557.87 ,$590.69 ,$590.69 ,$515.21 ,$542.12 ,$174.00 ,$426.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060925,49525,INGUINAL HERNIA REPAIR SLIDING,360,1 ,"$6,988.88 ","$4,542.77 ","$2,880.48 ","$7,201.19 ","$5,591.10 ","$2,880.48 ","$5,537.99 ","$6,293.49 ","$6,293.49 ","$5,472.91 ","$5,940.55 ","$5,171.77 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,828.73 ","$2,880.48 ","$5,772.81 ","$5,591.10 ","$6,289.99 ","$6,988.88 ","$5,940.55 ","$3,084.99 ","$5,940.55 ","$5,940.55 ","$6,289.99 ","$6,289.99 ","$5,486.27 ","$5,772.81 ","$3,084.99 ","$4,542.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060926,24105,"REMOVAL OF ELBOW BURSA,RT",360,1 ,"$4,716.35 ","$3,065.63 ","$2,561.06 ","$6,402.65 ","$3,773.08 ","$2,561.06 ","$3,737.24 ","$4,247.07 ","$4,247.07 ","$4,866.01 ","$4,008.90 ","$3,490.10 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,933.44 ","$2,561.06 ","$3,895.71 ","$3,773.08 ","$4,244.72 ","$4,716.35 ","$4,008.90 ","$2,742.89 ","$4,008.90 ","$4,008.90 ","$4,244.72 ","$4,244.72 ","$3,702.33 ","$3,895.71 ","$2,742.89 ","$3,065.63 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060927,28288,"PARTIAL REMOVAL FOOT BONE,RT",360,1 ,"$5,303.35 ","$3,447.18 ","$2,561.06 ","$6,402.65 ","$4,242.68 ","$2,561.06 ","$4,202.37 ","$4,775.67 ","$4,775.67 ","$4,866.01 ","$4,507.85 ","$3,924.48 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,422.99 ","$2,561.06 ","$4,380.57 ","$4,242.68 ","$4,773.02 ","$5,303.35 ","$4,507.85 ","$2,742.89 ","$4,507.85 ","$4,507.85 ","$4,773.02 ","$4,773.02 ","$4,163.13 ","$4,380.57 ","$2,742.89 ","$3,447.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060928,11301,"SHAVE SKIN/TRUNK,ARMS,LEGS .6-1CM",360,1 ,$298.96 ,$194.32 ,$162.46 ,$406.16 ,$239.17 ,$162.46 ,$236.90 ,$269.21 ,$269.21 ,$308.68 ,$254.12 ,$221.23 ,$406.16 ,$162.46 , N/A ,$249.33 ,$162.46 ,$246.94 ,$239.17 ,$269.06 ,$298.96 ,$254.12 ,$174.00 ,$254.12 ,$254.12 ,$269.06 ,$269.06 ,$234.68 ,$246.94 ,$174.00 ,$194.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060929,49520,"REPAIR INGUINAL RECURRENT HERNIA, RT",360,1 ,"$6,987.51 ","$4,541.88 ","$2,880.48 ","$7,201.19 ","$5,590.01 ","$2,880.48 ","$5,536.90 ","$6,292.25 ","$6,292.25 ","$5,472.91 ","$5,939.38 ","$5,170.76 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,827.58 ","$2,880.48 ","$5,771.68 ","$5,590.01 ","$6,288.76 ","$6,987.51 ","$5,939.38 ","$3,084.99 ","$5,939.38 ","$5,939.38 ","$6,288.76 ","$6,288.76 ","$5,485.20 ","$5,771.68 ","$3,084.99 ","$4,541.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060931,19081,BX BREAST PERCUT/IMAGE RT,360,1 ,"$1,852.79 ","$1,204.31 ","$1,204.31 ","$3,182.77 ","$1,482.23 ","$1,273.11 ","$1,468.15 ","$1,668.44 ","$1,668.44 ","$2,418.91 ","$1,574.87 ","$1,371.06 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,545.23 ","$1,273.11 ","$1,530.40 ","$1,482.23 ","$1,667.51 ","$1,852.79 ","$1,574.87 ","$1,363.50 ","$1,574.87 ","$1,574.87 ","$1,667.51 ","$1,667.51 ","$1,454.44 ","$1,530.40 ","$1,363.50 ","$1,204.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060932,43235,UPPER GI ENDOSCOPY/DIAG,360,1 ,"$2,165.18 ","$1,407.37 ",$732.56 ,"$1,949.74 ","$1,732.14 ",$732.56 ,"$1,715.69 ","$1,949.74 ","$1,949.74 ","$1,391.86 ","$1,840.40 ","$1,602.23 ","$1,831.40 ",$732.56 , N/A ,"$1,805.76 ",$732.56 ,"$1,788.44 ","$1,732.14 ","$1,948.66 ","$1,831.40 ","$1,840.40 ",$784.57 ,"$1,840.40 ","$1,840.40 ","$1,948.66 ","$1,948.66 ","$1,699.67 ","$1,788.44 ",$784.57 ,"$1,407.37 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060933,44300,CECOSTOMY/EMERGENCY,360,1 ,"$8,788.76 ","$5,712.69 ","$1,470.38 ","$7,914.28 ","$7,031.01 ","$1,470.38 ","$6,964.21 ","$7,914.28 ","$7,914.28 ","$2,793.73 ","$7,470.45 ","$6,503.68 ","$3,675.96 ","$1,470.38 ", N/A ,"$7,329.83 ","$1,470.38 ","$7,259.52 ","$7,031.01 ","$7,909.88 ","$3,675.96 ","$7,470.45 ","$1,574.78 ","$7,470.45 ","$7,470.45 ","$7,909.88 ","$7,909.88 ","$6,899.18 ","$7,259.52 ","$1,574.78 ","$5,712.69 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060934,44140,COLON RESECTION,360,1 ,"$15,997.28 ","$10,398.23 ","$10,398.23 ","$14,405.55 ","$12,797.82 ", N/A ,"$12,676.24 ","$14,405.55 ","$14,405.55 ", N/A ,"$13,597.69 ","$11,837.99 ", N/A , N/A , N/A ,"$13,341.73 ", N/A ,"$13,213.75 ","$12,797.82 ","$14,397.55 ", N/A ,"$13,597.69 ", N/A ,"$13,597.69 ","$13,597.69 ","$14,397.55 ","$14,397.55 ","$12,557.86 ","$13,213.75 ", N/A ,"$10,398.23 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060935,11311,SHAVE SKIN LESION,360,1 ,$624.96 ,$406.22 ,$162.46 ,$562.78 ,$499.97 ,$162.46 ,$495.22 ,$562.78 ,$562.78 ,$308.68 ,$531.22 ,$462.47 ,$406.16 ,$162.46 , N/A ,$521.22 ,$162.46 ,$516.22 ,$499.97 ,$562.46 ,$406.16 ,$531.22 ,$174.00 ,$531.22 ,$531.22 ,$562.46 ,$562.46 ,$490.59 ,$516.22 ,$174.00 ,$406.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060936,11624,LESION/SKIN/REMOVAL MALIGNANT,360,1 ,"$2,488.68 ","$1,617.64 ","$1,273.11 ","$3,182.77 ","$1,990.94 ","$1,273.11 ","$1,972.03 ","$2,241.06 ","$2,241.06 ","$2,418.91 ","$2,115.38 ","$1,841.62 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,075.56 ","$1,273.11 ","$2,055.65 ","$1,990.94 ","$2,239.81 ","$2,488.68 ","$2,115.38 ","$1,363.50 ","$2,115.38 ","$2,115.38 ","$2,239.81 ","$2,239.81 ","$1,953.61 ","$2,055.65 ","$1,363.50 ","$1,617.64 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060937,47600,CHOLECYSTECTOMY,360,1 ,"$9,850.90 ","$6,403.09 ","$6,403.09 ","$8,870.74 ","$7,880.72 ", N/A ,"$7,805.85 ","$8,870.74 ","$8,870.74 ", N/A ,"$8,373.27 ","$7,289.67 ", N/A , N/A , N/A ,"$8,215.65 ", N/A ,"$8,136.84 ","$7,880.72 ","$8,865.81 ", N/A ,"$8,373.27 ", N/A ,"$8,373.27 ","$8,373.27 ","$8,865.81 ","$8,865.81 ","$7,732.96 ","$8,136.84 ", N/A ,"$6,403.09 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060938,10140,DRAINAGE OF HEMATOMA FLUID,360,1 ,"$2,010.40 ","$1,306.76 ","$1,273.11 ","$3,182.77 ","$1,608.32 ","$1,273.11 ","$1,593.04 ","$1,810.37 ","$1,810.37 ","$2,418.91 ","$1,708.84 ","$1,487.70 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,676.67 ","$1,273.11 ","$1,660.59 ","$1,608.32 ","$1,809.36 ","$2,010.40 ","$1,708.84 ","$1,363.50 ","$1,708.84 ","$1,708.84 ","$1,809.36 ","$1,809.36 ","$1,578.16 ","$1,660.59 ","$1,363.50 ","$1,306.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060939,67801,LESIONS/EYELID/REMOVE,360,1 ,"$1,727.83 ","$1,123.09 ",$732.50 ,"$1,831.26 ","$1,382.26 ",$732.50 ,"$1,369.13 ","$1,555.91 ","$1,555.91 ","$1,391.76 ","$1,468.66 ","$1,278.59 ","$1,831.26 ",$732.50 , N/A ,"$1,441.01 ",$732.50 ,"$1,427.19 ","$1,382.26 ","$1,555.05 ","$1,727.83 ","$1,468.66 ",$784.51 ,"$1,468.66 ","$1,468.66 ","$1,555.05 ","$1,555.05 ","$1,356.35 ","$1,427.19 ",$784.51 ,"$1,123.09 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060941,43213,"ESOPH ENDOSCOPY,DILATION",360,1 ,"$2,102.81 ","$1,366.83 ","$1,366.83 ","$3,675.96 ","$1,682.25 ","$1,470.38 ","$1,666.27 ","$1,893.58 ","$1,893.58 ","$2,793.73 ","$1,787.39 ","$1,556.08 ","$3,675.96 ","$1,470.38 ", N/A ,"$1,753.74 ","$1,470.38 ","$1,736.92 ","$1,682.25 ","$1,892.53 ","$2,102.81 ","$1,787.39 ","$1,574.78 ","$1,787.39 ","$1,787.39 ","$1,892.53 ","$1,892.53 ","$1,650.71 ","$1,736.92 ","$1,574.78 ","$1,366.83 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060942,11604,MELANOMA REEXCISION 3.1-4.0 CM,360,1 ,"$2,481.85 ","$1,613.20 ",$562.78 ,"$2,234.91 ","$1,985.48 ",$562.78 ,"$1,966.62 ","$2,234.91 ","$2,234.91 ","$1,069.29 ","$2,109.57 ","$1,836.57 ","$1,406.96 ",$562.78 , N/A ,"$2,069.86 ",$562.78 ,"$2,050.01 ","$1,985.48 ","$2,233.67 ","$1,406.96 ","$2,109.57 ",$602.74 ,"$2,109.57 ","$2,109.57 ","$2,233.67 ","$2,233.67 ","$1,948.25 ","$2,050.01 ",$602.74 ,"$1,613.20 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060943,28308,METATARSAL INCISION OTHER,360,1 ,"$5,303.35 ","$3,447.18 ","$2,561.06 ","$6,402.65 ","$4,242.68 ","$2,561.06 ","$4,202.37 ","$4,775.67 ","$4,775.67 ","$4,866.01 ","$4,507.85 ","$3,924.48 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,422.99 ","$2,561.06 ","$4,380.57 ","$4,242.68 ","$4,773.02 ","$5,303.35 ","$4,507.85 ","$2,742.89 ","$4,507.85 ","$4,507.85 ","$4,773.02 ","$4,773.02 ","$4,163.13 ","$4,380.57 ","$2,742.89 ","$3,447.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060944,19302,"MASTECTOMY,PARTIAL W/AXILLA LYMPHADENECT",360,1 ,"$9,815.68 ","$6,380.19 ","$5,007.33 ","$12,518.33 ","$7,852.54 ","$5,007.33 ","$7,777.94 ","$8,839.02 ","$8,839.02 ","$9,513.93 ","$8,343.33 ","$7,263.60 ","$12,518.33 ","$5,007.33 ", N/A ,"$8,186.28 ","$5,007.33 ","$8,107.75 ","$7,852.54 ","$8,834.11 ","$9,815.68 ","$8,343.33 ","$5,362.85 ","$8,343.33 ","$8,343.33 ","$8,834.11 ","$8,834.11 ","$7,705.31 ","$8,107.75 ","$5,362.85 ","$6,380.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060945,11424,LESION/ SKIN/ REMOVAL BENIGN,360,1 ,"$2,363.56 ","$1,536.31 ","$1,273.11 ","$3,182.77 ","$1,890.85 ","$1,273.11 ","$1,872.88 ","$2,128.39 ","$2,128.39 ","$2,418.91 ","$2,009.03 ","$1,749.03 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,971.21 ","$1,273.11 ","$1,952.30 ","$1,890.85 ","$2,127.20 ","$2,363.56 ","$2,009.03 ","$1,363.50 ","$2,009.03 ","$2,009.03 ","$2,127.20 ","$2,127.20 ","$1,855.39 ","$1,952.30 ","$1,363.50 ","$1,536.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060946,64782,REMOVE LIMB NERVE LESION,360,1 ,"$4,520.71 ","$2,938.46 ","$1,587.44 ","$4,070.90 ","$3,616.57 ","$1,587.44 ","$3,582.21 ","$4,070.90 ","$4,070.90 ","$3,016.14 ","$3,842.60 ","$3,345.33 ","$3,968.61 ","$1,587.44 ", N/A ,"$3,770.27 ","$1,587.44 ","$3,734.11 ","$3,616.57 ","$4,068.64 ","$3,968.61 ","$3,842.60 ","$1,700.15 ","$3,842.60 ","$3,842.60 ","$4,068.64 ","$4,068.64 ","$3,548.76 ","$3,734.11 ","$1,700.15 ","$2,938.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060948,28270,"RELEASE OF FOOT CONTRACTURE, RT",360,1 ,"$4,632.08 ","$3,010.85 ","$2,561.06 ","$6,402.65 ","$3,705.66 ","$2,561.06 ","$3,670.46 ","$4,171.19 ","$4,171.19 ","$4,866.01 ","$3,937.27 ","$3,427.74 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,863.15 ","$2,561.06 ","$3,826.10 ","$3,705.66 ","$4,168.87 ","$4,632.08 ","$3,937.27 ","$2,742.89 ","$3,937.27 ","$3,937.27 ","$4,168.87 ","$4,168.87 ","$3,636.18 ","$3,826.10 ","$2,742.89 ","$3,010.85 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060949,57135,LESION/VAGINA/REMOVE,360,1 ,"$4,746.19 ","$3,085.02 ","$2,373.59 ","$5,933.96 ","$3,796.95 ","$2,373.59 ","$3,760.88 ","$4,273.94 ","$4,273.94 ","$4,509.81 ","$4,034.26 ","$3,512.18 ","$5,933.96 ","$2,373.59 ", N/A ,"$3,958.32 ","$2,373.59 ","$3,920.35 ","$3,796.95 ","$4,271.57 ","$4,746.19 ","$4,034.26 ","$2,542.11 ","$4,034.26 ","$4,034.26 ","$4,271.57 ","$4,271.57 ","$3,725.76 ","$3,920.35 ","$2,542.11 ","$3,085.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060950,49321,"LAPAROSCOPY, BIOPSY",360,1 ,"$7,712.81 ","$5,013.33 ","$4,578.89 ","$11,447.22 ","$6,170.25 ","$4,578.89 ","$6,111.63 ","$6,945.39 ","$6,945.39 ","$8,699.89 ","$6,555.89 ","$5,707.48 ","$11,447.22 ","$4,578.89 ", N/A ,"$6,432.48 ","$4,578.89 ","$6,370.78 ","$6,170.25 ","$6,941.53 ","$7,712.81 ","$6,555.89 ","$4,903.99 ","$6,555.89 ","$6,555.89 ","$6,941.53 ","$6,941.53 ","$6,054.56 ","$6,370.78 ","$4,903.99 ","$5,013.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060952,52265,CYTOURETHROSCOPY W/DILATION LOCAL ANES,360,1 ,"$2,132.72 ","$1,386.27 ","$1,386.27 ","$4,055.92 ","$1,706.18 ","$1,622.37 ","$1,689.97 ","$1,920.51 ","$1,920.51 ","$3,082.50 ","$1,812.81 ","$1,578.21 ","$4,055.92 ","$1,622.37 ", N/A ,"$1,778.69 ","$1,622.37 ","$1,761.63 ","$1,706.18 ","$1,919.45 ","$2,132.72 ","$1,812.81 ","$1,737.56 ","$1,812.81 ","$1,812.81 ","$1,919.45 ","$1,919.45 ","$1,674.19 ","$1,761.63 ","$1,737.56 ","$1,386.27 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060953,44626,CLO ENTEROSTOMY W RESECTION AND CR ANAST,360,1 ,"$18,392.48 ","$11,955.11 ","$11,955.11 ","$16,562.43 ","$14,713.98 ", N/A ,"$14,574.20 ","$16,562.43 ","$16,562.43 ", N/A ,"$15,633.61 ","$13,610.44 ", N/A , N/A , N/A ,"$15,339.33 ", N/A ,"$15,192.19 ","$14,713.98 ","$16,553.23 ", N/A ,"$15,633.61 ", N/A ,"$15,633.61 ","$15,633.61 ","$16,553.23 ","$16,553.23 ","$14,438.10 ","$15,192.19 ", N/A ,"$11,955.11 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060954,44310,ILEOSTOMY/JEJUNOSTOMY NON TUBE,360,1 ,"$11,570.71 ","$7,520.96 ","$7,520.96 ","$10,419.42 ","$9,256.57 ", N/A ,"$9,168.63 ","$10,419.42 ","$10,419.42 ", N/A ,"$9,835.10 ","$8,562.33 ", N/A , N/A , N/A ,"$9,649.97 ", N/A ,"$9,557.41 ","$9,256.57 ","$10,413.64 ", N/A ,"$9,835.10 ", N/A ,"$9,835.10 ","$9,835.10 ","$10,413.64 ","$10,413.64 ","$9,083.01 ","$9,557.41 ", N/A ,"$7,520.96 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060955,44615,INTESTINAL STRICTUROPLAS W/WO DILATION,360,1 ,"$11,559.67 ","$7,513.79 ","$7,513.79 ","$10,409.48 ","$9,247.74 ", N/A ,"$9,159.88 ","$10,409.48 ","$10,409.48 ", N/A ,"$9,825.72 ","$8,554.16 ", N/A , N/A , N/A ,"$9,640.76 ", N/A ,"$9,548.29 ","$9,247.74 ","$10,403.70 ", N/A ,"$9,825.72 ", N/A ,"$9,825.72 ","$9,825.72 ","$10,403.70 ","$10,403.70 ","$9,074.34 ","$9,548.29 ", N/A ,"$7,513.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060956,41110,LESION/TONGUE/EXCISION,360,1 ,"$3,664.93 ","$2,382.20 ","$2,382.20 ","$6,189.99 ","$2,931.94 ","$2,476.00 ","$2,904.09 ","$3,300.27 ","$3,300.27 ","$4,704.39 ","$3,115.19 ","$2,712.05 ","$6,189.99 ","$2,476.00 ", N/A ,"$3,056.55 ","$2,476.00 ","$3,027.23 ","$2,931.94 ","$3,298.44 ","$3,664.93 ","$3,115.19 ","$2,651.79 ","$3,115.19 ","$3,115.19 ","$3,298.44 ","$3,298.44 ","$2,876.97 ","$3,027.23 ","$2,651.79 ","$2,382.20 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060957,44050,REDUCTION OF VULULUS/INT HERNIA BY LAPAR,360,1 ,"$10,176.77 ","$6,614.90 ","$6,614.90 ","$9,164.18 ","$8,141.42 ", N/A ,"$8,064.07 ","$9,164.18 ","$9,164.18 ", N/A ,"$8,650.25 ","$7,530.81 ", N/A , N/A , N/A ,"$8,487.43 ", N/A ,"$8,406.01 ","$8,141.42 ","$9,159.09 ", N/A ,"$8,650.25 ", N/A ,"$8,650.25 ","$8,650.25 ","$9,159.09 ","$9,159.09 ","$7,988.76 ","$8,406.01 ", N/A ,"$6,614.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060958,55535,REVISE SPERMATIC CORD VEINS,360,1 ,"$6,656.07 ","$4,326.45 ","$2,880.48 ","$7,201.19 ","$5,324.86 ","$2,880.48 ","$5,274.27 ","$5,993.79 ","$5,993.79 ","$5,472.91 ","$5,657.66 ","$4,925.49 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,551.16 ","$2,880.48 ","$5,497.91 ","$5,324.86 ","$5,990.46 ","$6,656.07 ","$5,657.66 ","$3,084.99 ","$5,657.66 ","$5,657.66 ","$5,990.46 ","$5,990.46 ","$5,225.02 ","$5,497.91 ","$3,084.99 ","$4,326.45 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060959,11305,SHAVE SKIN LESION,360,1 ,$486.33 ,$316.11 ,$162.46 ,$437.94 ,$389.06 ,$162.46 ,$385.37 ,$437.94 ,$437.94 ,$308.68 ,$413.38 ,$359.88 ,$406.16 ,$162.46 , N/A ,$405.60 ,$162.46 ,$401.71 ,$389.06 ,$437.70 ,$406.16 ,$413.38 ,$174.00 ,$413.38 ,$413.38 ,$437.70 ,$437.70 ,$381.77 ,$401.71 ,$174.00 ,$316.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060960,49565,REREPAIR ABDOMINAL HERNIA,360,1 ,"$8,394.68 ","$5,456.54 ","$4,578.89 ","$11,447.22 ","$6,715.74 ","$4,578.89 ","$6,651.94 ","$7,559.41 ","$7,559.41 ","$8,699.89 ","$7,135.48 ","$6,212.06 ","$11,447.22 ","$4,578.89 ", N/A ,"$7,001.16 ","$4,578.89 ","$6,934.01 ","$6,715.74 ","$7,555.21 ","$8,394.68 ","$7,135.48 ","$4,903.99 ","$7,135.48 ","$7,135.48 ","$7,555.21 ","$7,555.21 ","$6,589.82 ","$6,934.01 ","$4,903.99 ","$5,456.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060961,12034,LAYER CLOSURE OF WOUND(S) 7.6CM-12CM,360,1 ,"$1,027.02 ",$667.56 ,$312.93 ,$924.83 ,$821.62 ,$312.93 ,$813.81 ,$924.83 ,$924.83 ,$594.57 ,$872.97 ,$759.99 ,$782.32 ,$312.93 , N/A ,$856.53 ,$312.93 ,$848.32 ,$821.62 ,$924.32 ,$782.32 ,$872.97 ,$335.15 ,$872.97 ,$872.97 ,$924.32 ,$924.32 ,$806.21 ,$848.32 ,$335.15 ,$667.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060963,46250,"HEMORRHOIDECTOMY, DOUBLE OR MORE",360,1 ,"$5,409.08 ","$3,515.90 ","$2,210.88 ","$5,527.19 ","$4,327.26 ","$2,210.88 ","$4,286.16 ","$4,870.88 ","$4,870.88 ","$4,200.67 ","$4,597.72 ","$4,002.72 ","$5,527.19 ","$2,210.88 ", N/A ,"$4,511.17 ","$2,210.88 ","$4,467.90 ","$4,327.26 ","$4,868.17 ","$5,409.08 ","$4,597.72 ","$2,367.85 ","$4,597.72 ","$4,597.72 ","$4,868.17 ","$4,868.17 ","$4,246.13 ","$4,467.90 ","$2,367.85 ","$3,515.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060964,55040,HYDROCELE REMOVAL,360,1 ,"$6,656.07 ","$4,326.45 ","$2,880.48 ","$7,201.19 ","$5,324.86 ","$2,880.48 ","$5,274.27 ","$5,993.79 ","$5,993.79 ","$5,472.91 ","$5,657.66 ","$4,925.49 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,551.16 ","$2,880.48 ","$5,497.91 ","$5,324.86 ","$5,990.46 ","$6,656.07 ","$5,657.66 ","$3,084.99 ","$5,657.66 ","$5,657.66 ","$5,990.46 ","$5,990.46 ","$5,225.02 ","$5,497.91 ","$3,084.99 ","$4,326.45 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060965,28192,"FOREIGN BODY REMOVAL FOOT, RT",360,1 ,"$3,518.27 ","$2,286.88 ","$1,273.11 ","$3,182.77 ","$2,814.62 ","$1,273.11 ","$2,787.88 ","$3,168.20 ","$3,168.20 ","$2,418.91 ","$2,990.53 ","$2,603.52 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,934.24 ","$1,273.11 ","$2,906.09 ","$2,814.62 ","$3,166.44 ","$3,182.77 ","$2,990.53 ","$1,363.50 ","$2,990.53 ","$2,990.53 ","$3,166.44 ","$3,166.44 ","$2,761.84 ","$2,906.09 ","$1,363.50 ","$2,286.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060966,49582,UMBILICAL HERNIA REPAIR,360,1 ,"$6,656.07 ","$4,326.45 ","$2,880.48 ","$7,201.19 ","$5,324.86 ","$2,880.48 ","$5,274.27 ","$5,993.79 ","$5,993.79 ","$5,472.91 ","$5,657.66 ","$4,925.49 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,551.16 ","$2,880.48 ","$5,497.91 ","$5,324.86 ","$5,990.46 ","$6,656.07 ","$5,657.66 ","$3,084.99 ","$5,657.66 ","$5,657.66 ","$5,990.46 ","$5,990.46 ","$5,225.02 ","$5,497.91 ","$3,084.99 ","$4,326.45 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060967,21930,LESION/BACK OR FLANK/REMOVAL,360,1 ,"$4,162.02 ","$2,705.31 ","$1,273.11 ","$3,747.90 ","$3,329.62 ","$1,273.11 ","$3,297.98 ","$3,747.90 ","$3,747.90 ","$2,418.91 ","$3,537.72 ","$3,079.89 ","$3,182.77 ","$1,273.11 ", N/A ,"$3,471.12 ","$1,273.11 ","$3,437.83 ","$3,329.62 ","$3,745.82 ","$3,182.77 ","$3,537.72 ","$1,363.50 ","$3,537.72 ","$3,537.72 ","$3,745.82 ","$3,745.82 ","$3,267.19 ","$3,437.83 ","$1,363.50 ","$2,705.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060968,27619,LESION/LOWER LEG/REMOVAL,360,1 ,"$6,093.59 ","$3,960.83 ","$2,144.48 ","$5,487.28 ","$4,874.87 ","$2,144.48 ","$4,828.56 ","$5,487.28 ","$5,487.28 ","$4,074.51 ","$5,179.55 ","$4,509.26 ","$5,361.20 ","$2,144.48 ", N/A ,"$5,082.05 ","$2,144.48 ","$5,033.31 ","$4,874.87 ","$5,484.23 ","$5,361.20 ","$5,179.55 ","$2,296.74 ","$5,179.55 ","$5,179.55 ","$5,484.23 ","$5,484.23 ","$4,783.47 ","$5,033.31 ","$2,296.74 ","$3,960.83 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060969,38510,BIOPSY/REMOVAL LYMPH NODES,360,1 ,"$4,664.63 ","$3,032.01 ","$2,857.25 ","$7,143.12 ","$3,731.70 ","$2,857.25 ","$3,696.25 ","$4,200.50 ","$4,200.50 ","$5,428.77 ","$3,964.94 ","$3,451.83 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,890.30 ","$2,857.25 ","$3,852.98 ","$3,731.70 ","$4,198.17 ","$4,664.63 ","$3,964.94 ","$3,060.11 ","$3,964.94 ","$3,964.94 ","$4,198.17 ","$4,198.17 ","$3,661.73 ","$3,852.98 ","$3,060.11 ","$3,032.01 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060970,19020,INCISION OF BREAST LESION RT,360,1 ,"$3,137.90 ","$2,039.64 ","$1,273.11 ","$3,182.77 ","$2,510.32 ","$1,273.11 ","$2,486.47 ","$2,825.68 ","$2,825.68 ","$2,418.91 ","$2,667.22 ","$2,322.05 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,617.01 ","$1,273.11 ","$2,591.91 ","$2,510.32 ","$2,824.11 ","$3,137.90 ","$2,667.22 ","$1,363.50 ","$2,667.22 ","$2,667.22 ","$2,824.11 ","$2,824.11 ","$2,463.25 ","$2,591.91 ","$1,363.50 ","$2,039.64 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060971,11310,SHAVE SKIN LESION FACE EARS LIPS < .5CM,360,1 ,$529.74 ,$344.33 ,$162.46 ,$477.03 ,$423.79 ,$162.46 ,$419.77 ,$477.03 ,$477.03 ,$308.68 ,$450.28 ,$392.01 ,$406.16 ,$162.46 , N/A ,$441.80 ,$162.46 ,$437.57 ,$423.79 ,$476.77 ,$406.16 ,$450.28 ,$174.00 ,$450.28 ,$450.28 ,$476.77 ,$476.77 ,$415.85 ,$437.57 ,$174.00 ,$344.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060972,26535,REVISE FINGER JOINT,360,1 ,"$7,883.99 ","$5,124.59 ","$2,561.06 ","$7,099.53 ","$6,307.19 ","$2,561.06 ","$6,247.27 ","$7,099.53 ","$7,099.53 ","$4,866.01 ","$6,701.39 ","$5,834.15 ","$6,402.65 ","$2,561.06 ", N/A ,"$6,575.25 ","$2,561.06 ","$6,512.18 ","$6,307.19 ","$7,095.59 ","$6,402.65 ","$6,701.39 ","$2,742.89 ","$6,701.39 ","$6,701.39 ","$7,095.59 ","$7,095.59 ","$6,188.93 ","$6,512.18 ","$2,742.89 ","$5,124.59 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060973,44604,TROCAR PERFORATION REPAIR,360,1 ,"$11,431.98 ","$7,430.79 ","$7,430.79 ","$10,294.50 ","$9,145.58 ", N/A ,"$9,058.70 ","$10,294.50 ","$10,294.50 ", N/A ,"$9,717.18 ","$8,459.67 ", N/A , N/A , N/A ,"$9,534.27 ", N/A ,"$9,442.82 ","$9,145.58 ","$10,288.78 ", N/A ,"$9,717.18 ", N/A ,"$9,717.18 ","$9,717.18 ","$10,288.78 ","$10,288.78 ","$8,974.10 ","$9,442.82 ", N/A ,"$7,430.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060974,11623,"EXCIS MALG LESN SCP,NECK,FT GEN,2.1-3C",360,1 ,"$2,363.56 ","$1,536.31 ","$1,273.11 ","$3,182.77 ","$1,890.85 ","$1,273.11 ","$1,872.88 ","$2,128.39 ","$2,128.39 ","$2,418.91 ","$2,009.03 ","$1,749.03 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,971.21 ","$1,273.11 ","$1,952.30 ","$1,890.85 ","$2,127.20 ","$2,363.56 ","$2,009.03 ","$1,363.50 ","$2,009.03 ","$2,009.03 ","$2,127.20 ","$2,127.20 ","$1,855.39 ","$1,952.30 ","$1,363.50 ","$1,536.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060975,47361,EXPLORATION OF HEPATIC WOUND/HEMORRHAGE,360,1 ,"$16,300.36 ","$10,595.23 ","$10,595.23 ","$14,678.47 ","$13,040.29 ", N/A ,"$12,916.41 ","$14,678.47 ","$14,678.47 ", N/A ,"$13,855.31 ","$12,062.27 ", N/A , N/A , N/A ,"$13,594.50 ", N/A ,"$13,464.10 ","$13,040.29 ","$14,670.32 ", N/A ,"$13,855.31 ", N/A ,"$13,855.31 ","$13,855.31 ","$14,670.32 ","$14,670.32 ","$12,795.78 ","$13,464.10 ", N/A ,"$10,595.23 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060976,11300,SHAVE SKIN/TRUNK ARMS LEGS LESS 0.5CM,360,1 ,$298.96 ,$194.32 ,$194.32 ,$782.32 ,$239.17 ,$312.93 ,$236.90 ,$269.21 ,$269.21 ,$594.57 ,$254.12 ,$221.23 ,$782.32 ,$312.93 , N/A ,$249.33 ,$312.93 ,$246.94 ,$239.17 ,$269.06 ,$298.96 ,$254.12 ,$298.96 ,$254.12 ,$254.12 ,$269.06 ,$269.06 ,$234.68 ,$246.94 ,$298.96 ,$194.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060977,44143,COLECTOMY,360,1 ,"$16,678.14 ","$10,840.79 ","$10,840.79 ","$15,018.67 ","$13,342.51 ", N/A ,"$13,215.76 ","$15,018.67 ","$15,018.67 ", N/A ,"$14,176.42 ","$12,341.82 ", N/A , N/A , N/A ,"$13,909.57 ", N/A ,"$13,776.14 ","$13,342.51 ","$15,010.33 ", N/A ,"$14,176.42 ", N/A ,"$14,176.42 ","$14,176.42 ","$15,010.33 ","$15,010.33 ","$13,092.34 ","$13,776.14 ", N/A ,"$10,840.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060978,57500,BIOPSY OF CERVIX,360,1 ,$719.36 ,$467.58 ,$467.58 ,"$1,432.84 ",$575.49 ,$573.13 ,$570.02 ,$647.78 ,$647.78 ,"$1,088.96 ",$611.46 ,$532.33 ,"$1,432.84 ",$573.13 , N/A ,$599.95 ,$573.13 ,$594.19 ,$575.49 ,$647.42 ,$719.36 ,$611.46 ,$613.83 ,$611.46 ,$611.46 ,$647.42 ,$647.42 ,$564.70 ,$594.19 ,$613.83 ,$467.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060979,11444,LESION/ SKIN 3.1-4.0 CM BENIGN,360,1 ,"$2,480.39 ","$1,612.25 ","$1,273.11 ","$3,182.77 ","$1,984.31 ","$1,273.11 ","$1,965.46 ","$2,233.59 ","$2,233.59 ","$2,418.91 ","$2,108.33 ","$1,835.49 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,068.65 ","$1,273.11 ","$2,048.80 ","$1,984.31 ","$2,232.35 ","$2,480.39 ","$2,108.33 ","$1,363.50 ","$2,108.33 ","$2,108.33 ","$2,232.35 ","$2,232.35 ","$1,947.11 ","$2,048.80 ","$1,363.50 ","$1,612.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060980,58100,BIOPSY OF UTERUS LINING,360,1 ,$328.64 ,$213.62 ,$154.11 ,$385.28 ,$262.91 ,$154.11 ,$260.41 ,$295.94 ,$295.94 ,$292.81 ,$279.34 ,$243.19 ,$385.28 ,$154.11 , N/A ,$274.09 ,$154.11 ,$271.46 ,$262.91 ,$295.78 ,$328.64 ,$279.34 ,$165.05 ,$279.34 ,$279.34 ,$295.78 ,$295.78 ,$257.98 ,$271.46 ,$165.05 ,$213.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060981,57020,DRAINAGE OF PELVIC FLUID,360,1 ,"$3,200.67 ","$2,080.44 ","$2,080.44 ","$9,974.82 ","$2,560.54 ","$3,989.93 ","$2,536.21 ","$2,882.20 ","$2,882.20 ","$7,580.86 ","$2,720.57 ","$2,368.50 ","$9,974.82 ","$3,989.93 ", N/A ,"$2,669.36 ","$3,989.93 ","$2,643.75 ","$2,560.54 ","$2,880.60 ","$3,200.67 ","$2,720.57 ","$3,200.67 ","$2,720.57 ","$2,720.57 ","$2,880.60 ","$2,880.60 ","$2,512.53 ","$2,643.75 ","$3,200.67 ","$2,080.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060982,46255,"HEMORRHOIDECTOMY, SINGLE",360,1 ,"$5,151.50 ","$3,348.48 ","$2,210.88 ","$5,527.19 ","$4,121.20 ","$2,210.88 ","$4,082.05 ","$4,638.93 ","$4,638.93 ","$4,200.67 ","$4,378.78 ","$3,812.11 ","$5,527.19 ","$2,210.88 ", N/A ,"$4,296.35 ","$2,210.88 ","$4,255.14 ","$4,121.20 ","$4,636.35 ","$5,151.50 ","$4,378.78 ","$2,367.85 ","$4,378.78 ","$4,378.78 ","$4,636.35 ","$4,636.35 ","$4,043.93 ","$4,255.14 ","$2,367.85 ","$3,348.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060983,51992,LAPARO SLING / BLADDER,360,1 ,"$17,495.01 ","$11,371.76 ","$4,578.89 ","$15,754.26 ","$13,996.01 ","$4,578.89 ","$13,863.05 ","$15,754.26 ","$15,754.26 ","$8,699.89 ","$14,870.76 ","$12,946.31 ","$11,447.22 ","$4,578.89 ", N/A ,"$14,590.84 ","$4,578.89 ","$14,450.88 ","$13,996.01 ","$15,745.51 ","$11,447.22 ","$14,870.76 ","$4,903.99 ","$14,870.76 ","$14,870.76 ","$15,745.51 ","$15,745.51 ","$13,733.58 ","$14,450.88 ","$4,903.99 ","$11,371.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060984,26160,LESION/ TENDON SHEATH REMOVE,360,1 , N/A , N/A ,"$1,259.85 ","$3,149.64 ", N/A ,"$1,259.85 ", N/A , N/A , N/A ,"$2,393.72 ", N/A , N/A ,"$3,149.64 ","$1,259.85 ", N/A , N/A ,"$1,259.85 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15060985,19303,MASTECTOMY SIMPLE (COMPLETE),360,1 ,"$6,828.09 ","$4,438.26 ","$4,438.26 ","$12,518.33 ","$5,462.47 ","$5,007.33 ","$5,410.58 ","$6,148.70 ","$6,148.70 ","$9,513.93 ","$5,803.88 ","$5,052.79 ","$12,518.33 ","$5,007.33 ", N/A ,"$5,694.63 ","$5,007.33 ","$5,640.00 ","$5,462.47 ","$6,145.28 ","$6,828.09 ","$5,803.88 ","$5,362.85 ","$5,803.88 ","$5,803.88 ","$6,145.28 ","$6,145.28 ","$5,360.05 ","$5,640.00 ","$5,362.85 ","$4,438.26 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060986,11312,LESION/ SHAVE SKIN 1.1 - 2CM,360,1 ,$595.22 ,$386.89 ,$312.93 ,$782.32 ,$476.18 ,$312.93 ,$471.65 ,$536.00 ,$536.00 ,$594.57 ,$505.94 ,$440.46 ,$782.32 ,$312.93 , N/A ,$496.41 ,$312.93 ,$491.65 ,$476.18 ,$535.70 ,$595.22 ,$505.94 ,$335.15 ,$505.94 ,$505.94 ,$535.70 ,$535.70 ,$467.25 ,$491.65 ,$335.15 ,$386.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060987,20005,INCISION OF SOFT TISSUE ABCESS,360,1 ,$978.03 ,$635.72 ,$635.72 ,$880.72 ,$782.42 , N/A ,$774.99 ,$880.72 ,$880.72 , N/A ,$831.33 ,$723.74 , N/A , N/A , N/A ,$815.68 , N/A ,$807.85 ,$782.42 ,$880.23 , N/A ,$831.33 , N/A ,$831.33 ,$831.33 ,$880.23 ,$880.23 ,$767.75 ,$807.85 , N/A ,$635.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060988,58563,ENDOMETRIAL ABLATION W/ ENDOSCOPE,360,1 ,"$5,047.80 ","$3,281.07 ","$3,281.07 ","$9,974.82 ","$4,038.24 ","$3,989.93 ","$3,999.88 ","$4,545.54 ","$4,545.54 ","$7,580.86 ","$4,290.63 ","$3,735.37 ","$9,974.82 ","$3,989.93 ", N/A ,"$4,209.87 ","$3,989.93 ","$4,169.48 ","$4,038.24 ","$4,543.02 ","$5,047.80 ","$4,290.63 ","$4,273.21 ","$4,290.63 ","$4,290.63 ","$4,543.02 ","$4,543.02 ","$3,962.52 ","$4,169.48 ","$4,273.21 ","$3,281.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060989,15200,SKIN FULL GRAFT,360,1 ,"$5,332.65 ","$3,466.22 ","$1,552.13 ","$4,802.05 ","$4,266.12 ","$1,552.13 ","$4,225.59 ","$4,802.05 ","$4,802.05 ","$2,949.04 ","$4,532.75 ","$3,946.16 ","$3,880.32 ","$1,552.13 ", N/A ,"$4,447.43 ","$1,552.13 ","$4,404.77 ","$4,266.12 ","$4,799.39 ","$3,880.32 ","$4,532.75 ","$1,662.33 ","$4,532.75 ","$4,532.75 ","$4,799.39 ","$4,799.39 ","$4,186.13 ","$4,404.77 ","$1,662.33 ","$3,466.22 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060990,11426,SEE 15060820,360,1 ,"$4,162.02 ","$2,705.31 ","$2,144.48 ","$5,361.20 ","$3,329.62 ","$2,144.48 ","$3,297.98 ","$3,747.90 ","$3,747.90 ","$4,074.51 ","$3,537.72 ","$3,079.89 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,471.12 ","$2,144.48 ","$3,437.83 ","$3,329.62 ","$3,745.82 ","$4,162.02 ","$3,537.72 ","$2,296.74 ","$3,537.72 ","$3,537.72 ","$3,745.82 ","$3,745.82 ","$3,267.19 ","$3,437.83 ","$2,296.74 ","$2,705.31 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060991,57460,CERVIX EXCISION W/ ENDOSCOPY,360,1 ,"$3,200.67 ","$2,080.44 ","$2,080.44 ","$5,933.96 ","$2,560.54 ","$2,373.59 ","$2,536.21 ","$2,882.20 ","$2,882.20 ","$4,509.81 ","$2,720.57 ","$2,368.50 ","$5,933.96 ","$2,373.59 ", N/A ,"$2,669.36 ","$2,373.59 ","$2,643.75 ","$2,560.54 ","$2,880.60 ","$3,200.67 ","$2,720.57 ","$2,542.11 ","$2,720.57 ","$2,720.57 ","$2,880.60 ","$2,880.60 ","$2,512.53 ","$2,643.75 ","$2,542.11 ","$2,080.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060992,47350,LIVER HEMORRHAGE MGMT/SIMP SUT OF LIVER,360,1 ,"$7,762.14 ","$5,045.39 ","$5,045.39 ","$6,989.81 ","$6,209.71 ", N/A ,"$6,150.72 ","$6,989.81 ","$6,989.81 ", N/A ,"$6,597.82 ","$5,743.98 ", N/A , N/A , N/A ,"$6,473.62 ", N/A ,"$6,411.53 ","$6,209.71 ","$6,985.93 ", N/A ,"$6,597.82 ", N/A ,"$6,597.82 ","$6,597.82 ","$6,985.93 ","$6,985.93 ","$6,093.28 ","$6,411.53 ", N/A ,"$5,045.39 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060993,10061,DRAINAGE OF SKIN ABCESS,360,1 ,$931.60 ,$605.54 ,$312.93 ,$838.91 ,$745.28 ,$312.93 ,$738.20 ,$838.91 ,$838.91 ,$594.57 ,$791.86 ,$689.38 ,$782.32 ,$312.93 , N/A ,$776.95 ,$312.93 ,$769.50 ,$745.28 ,$838.44 ,$782.32 ,$791.86 ,$335.15 ,$791.86 ,$791.86 ,$838.44 ,$838.44 ,$731.31 ,$769.50 ,$335.15 ,$605.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),15060994,49561,REP INIT INCIS HERNIA INCAR OR STRANG RT,360,1 ,"$9,505.94 ","$6,178.86 ","$2,880.48 ","$8,560.10 ","$7,604.75 ","$2,880.48 ","$7,532.51 ","$8,560.10 ","$8,560.10 ","$5,472.91 ","$8,080.05 ","$7,034.40 ","$7,201.19 ","$2,880.48 ", N/A ,"$7,927.95 ","$2,880.48 ","$7,851.91 ","$7,604.75 ","$8,555.35 ","$7,201.19 ","$8,080.05 ","$3,084.99 ","$8,080.05 ","$8,080.05 ","$8,555.35 ","$8,555.35 ","$7,462.16 ","$7,851.91 ","$3,084.99 ","$6,178.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060995,49322,LAPAROSCOPY/ ASPIRATION,360,1 ,"$8,098.43 ","$5,263.98 ","$4,578.89 ","$11,447.22 ","$6,478.74 ","$4,578.89 ","$6,417.20 ","$7,292.64 ","$7,292.64 ","$8,699.89 ","$6,883.67 ","$5,992.84 ","$11,447.22 ","$4,578.89 ", N/A ,"$6,754.09 ","$4,578.89 ","$6,689.30 ","$6,478.74 ","$7,288.59 ","$8,098.43 ","$6,883.67 ","$4,903.99 ","$6,883.67 ","$6,883.67 ","$7,288.59 ","$7,288.59 ","$6,357.27 ","$6,689.30 ","$4,903.99 ","$5,263.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060996,34490,REMOVAL OF VEIN CLOT,360,1 ,"$7,658.63 ","$4,978.11 ","$2,589.34 ","$6,896.60 ","$6,126.90 ","$2,589.34 ","$6,068.70 ","$6,896.60 ","$6,896.60 ","$4,919.75 ","$6,509.84 ","$5,667.39 ","$6,473.36 ","$2,589.34 ", N/A ,"$6,387.30 ","$2,589.34 ","$6,326.03 ","$6,126.90 ","$6,892.77 ","$6,473.36 ","$6,509.84 ","$2,773.19 ","$6,509.84 ","$6,509.84 ","$6,892.77 ","$6,892.77 ","$6,012.02 ","$6,326.03 ","$2,773.19 ","$4,978.11 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060997,N/A,REMOVAL OF ACCESS DEVICE,360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15060998,57522,CONIZATION OF CERVIX,360,1 ,"$6,137.18 ","$3,989.17 ","$2,373.59 ","$5,933.96 ","$4,909.74 ","$2,373.59 ","$4,863.10 ","$5,526.53 ","$5,526.53 ","$4,509.81 ","$5,216.60 ","$4,541.51 ","$5,933.96 ","$2,373.59 ", N/A ,"$5,118.41 ","$2,373.59 ","$5,069.31 ","$4,909.74 ","$5,523.46 ","$5,933.96 ","$5,216.60 ","$2,542.11 ","$5,216.60 ","$5,216.60 ","$5,523.46 ","$5,523.46 ","$4,817.69 ","$5,069.31 ","$2,542.11 ","$3,989.17 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15060999,44139,MOBILIZATION OF SPLENIC FLEXURE/ADD ON,360,1 ,"$2,010.40 ","$1,306.76 ","$1,306.76 ","$1,810.37 ","$1,608.32 ", N/A ,"$1,593.04 ","$1,810.37 ","$1,810.37 ", N/A ,"$1,708.84 ","$1,487.70 ", N/A , N/A , N/A ,"$1,676.67 ", N/A ,"$1,660.59 ","$1,608.32 ","$1,809.36 ", N/A ,"$1,708.84 ", N/A ,"$1,708.84 ","$1,708.84 ","$1,809.36 ","$1,809.36 ","$1,578.16 ","$1,660.59 ", N/A ,"$1,306.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061000,49021,DRAINAGE OF PERITONEAL ABCESS OR LOC PER,360,1 ,"$4,036.41 ","$2,623.67 ","$2,623.67 ","$3,634.79 ","$3,229.13 ", N/A ,"$3,198.45 ","$3,634.79 ","$3,634.79 ", N/A ,"$3,430.95 ","$2,986.94 ", N/A , N/A , N/A ,"$3,366.37 ", N/A ,"$3,334.07 ","$3,229.13 ","$3,632.77 ", N/A ,"$3,430.95 ", N/A ,"$3,430.95 ","$3,430.95 ","$3,632.77 ","$3,632.77 ","$3,168.58 ","$3,334.07 ", N/A ,"$2,623.67 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061001,44180,"LAPAROSCOPY, ENTEROLYSIS",360,1 ,"$10,471.01 ","$6,806.16 ","$4,578.89 ","$11,447.22 ","$8,376.81 ","$4,578.89 ","$8,297.23 ","$9,429.14 ","$9,429.14 ","$8,699.89 ","$8,900.36 ","$7,748.55 ","$11,447.22 ","$4,578.89 ", N/A ,"$8,732.82 ","$4,578.89 ","$8,649.05 ","$8,376.81 ","$9,423.91 ","$10,471.01 ","$8,900.36 ","$4,903.99 ","$8,900.36 ","$8,900.36 ","$9,423.91 ","$9,423.91 ","$8,219.74 ","$8,649.05 ","$4,903.99 ","$6,806.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061002,55700,BIOPSY OF PROSTATE,360,1 ,"$1,376.50 ",$894.73 ,$894.73 ,"$4,055.92 ","$1,101.20 ","$1,622.37 ","$1,090.74 ","$1,239.54 ","$1,239.54 ","$3,082.50 ","$1,170.03 ","$1,018.61 ","$4,055.92 ","$1,622.37 ", N/A ,"$1,148.00 ","$1,622.37 ","$1,136.99 ","$1,101.20 ","$1,238.85 ","$1,376.50 ","$1,170.03 ","$1,376.50 ","$1,170.03 ","$1,170.03 ","$1,238.85 ","$1,238.85 ","$1,080.55 ","$1,136.99 ","$1,376.50 ",$894.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),15061003,28108,LESIONS/TOE/REMOVAL OF,360,1 ,"$4,411.45 ","$2,867.44 ","$1,259.85 ","$3,972.51 ","$3,529.16 ","$1,259.85 ","$3,495.63 ","$3,972.51 ","$3,972.51 ","$2,393.72 ","$3,749.73 ","$3,264.47 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,679.15 ","$1,259.85 ","$3,643.86 ","$3,529.16 ","$3,970.31 ","$3,149.64 ","$3,749.73 ","$1,349.30 ","$3,749.73 ","$3,749.73 ","$3,970.31 ","$3,970.31 ","$3,462.99 ","$3,643.86 ","$1,349.30 ","$2,867.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061004,33207,INSERTION OF HEART PACEMAKER,360,1 ,"$21,731.43 ","$14,125.43 ","$9,410.47 ","$23,526.18 ","$17,385.14 ","$9,410.47 ","$17,219.99 ","$19,569.15 ","$19,569.15 ","$17,879.90 ","$18,471.72 ","$16,081.26 ","$23,526.18 ","$9,410.47 ", N/A ,"$18,124.01 ","$9,410.47 ","$17,950.16 ","$17,385.14 ","$19,558.29 ","$21,731.43 ","$18,471.72 ","$10,078.62 ","$18,471.72 ","$18,471.72 ","$19,558.29 ","$19,558.29 ","$17,059.17 ","$17,950.16 ","$10,078.62 ","$14,125.43 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061005,45338,SIGMOIDOSCOPY W/TUMR REMOVE,360,1 ,"$1,617.19 ","$1,051.17 ",$938.28 ,"$2,345.71 ","$1,293.75 ",$938.28 ,"$1,281.46 ","$1,456.28 ","$1,456.28 ","$1,782.74 ","$1,374.61 ","$1,196.72 ","$2,345.71 ",$938.28 , N/A ,"$1,348.74 ",$938.28 ,"$1,335.80 ","$1,293.75 ","$1,455.47 ","$1,617.19 ","$1,374.61 ","$1,004.90 ","$1,374.61 ","$1,374.61 ","$1,455.47 ","$1,455.47 ","$1,269.49 ","$1,335.80 ","$1,004.90 ","$1,051.17 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061006,15934,REMOVE SACRUM PRESSURE SORE,360,1 ,"$7,619.77 ","$4,952.85 ","$3,186.98 ","$7,967.46 ","$6,095.82 ","$3,186.98 ","$6,037.91 ","$6,861.60 ","$6,861.60 ","$6,055.27 ","$6,476.80 ","$5,638.63 ","$7,967.46 ","$3,186.98 ", N/A ,"$6,354.89 ","$3,186.98 ","$6,293.93 ","$6,095.82 ","$6,857.79 ","$7,619.77 ","$6,476.80 ","$3,413.26 ","$6,476.80 ","$6,476.80 ","$6,857.79 ","$6,857.79 ","$5,981.52 ","$6,293.93 ","$3,413.26 ","$4,952.85 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061007,45505,REPAIR OF RECTUM,360,1 ,"$5,236.78 ","$3,403.91 ","$2,210.88 ","$5,527.19 ","$4,189.42 ","$2,210.88 ","$4,149.62 ","$4,715.72 ","$4,715.72 ","$4,200.67 ","$4,451.26 ","$3,875.22 ","$5,527.19 ","$2,210.88 ", N/A ,"$4,367.47 ","$2,210.88 ","$4,325.58 ","$4,189.42 ","$4,713.10 ","$5,236.78 ","$4,451.26 ","$2,367.85 ","$4,451.26 ","$4,451.26 ","$4,713.10 ","$4,713.10 ","$4,110.87 ","$4,325.58 ","$2,367.85 ","$3,403.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061008,57410,PELVIC EXAMINATION,360,1 ,"$4,520.16 ","$2,938.10 ","$2,373.59 ","$5,933.96 ","$3,616.13 ","$2,373.59 ","$3,581.77 ","$4,070.40 ","$4,070.40 ","$4,509.81 ","$3,842.14 ","$3,344.92 ","$5,933.96 ","$2,373.59 ", N/A ,"$3,769.81 ","$2,373.59 ","$3,733.65 ","$3,616.13 ","$4,068.14 ","$4,520.16 ","$3,842.14 ","$2,542.11 ","$3,842.14 ","$3,842.14 ","$4,068.14 ","$4,068.14 ","$3,548.33 ","$3,733.65 ","$2,542.11 ","$2,938.10 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061009,11313,LESION/ SHAVE SKIN >2.0CM,360,1 ,"$1,120.38 ",$728.25 ,$312.93 ,"$1,008.90 ",$896.30 ,$312.93 ,$887.79 ,"$1,008.90 ","$1,008.90 ",$594.57 ,$952.32 ,$829.08 ,$782.32 ,$312.93 , N/A ,$934.40 ,$312.93 ,$925.43 ,$896.30 ,"$1,008.34 ",$782.32 ,$952.32 ,$335.15 ,$952.32 ,$952.32 ,"$1,008.34 ","$1,008.34 ",$879.50 ,$925.43 ,$335.15 ,$728.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),15061010,46922,LESION/EXCISION OF ANAL,360,1 ,"$4,489.04 ","$2,917.88 ","$2,210.88 ","$5,527.19 ","$3,591.23 ","$2,210.88 ","$3,557.12 ","$4,042.38 ","$4,042.38 ","$4,200.67 ","$3,815.68 ","$3,321.89 ","$5,527.19 ","$2,210.88 ", N/A ,"$3,743.86 ","$2,210.88 ","$3,707.95 ","$3,591.23 ","$4,040.14 ","$4,489.04 ","$3,815.68 ","$2,367.85 ","$3,815.68 ","$3,815.68 ","$4,040.14 ","$4,040.14 ","$3,523.90 ","$3,707.95 ","$2,367.85 ","$2,917.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061011,21556,LESION/REMOVE NECK/CHEST,360,1 ,"$3,963.79 ","$2,576.46 ","$2,144.48 ","$5,361.20 ","$3,171.03 ","$2,144.48 ","$3,140.91 ","$3,569.39 ","$3,569.39 ","$4,074.51 ","$3,369.22 ","$2,933.20 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,305.80 ","$2,144.48 ","$3,274.09 ","$3,171.03 ","$3,567.41 ","$3,963.79 ","$3,369.22 ","$2,296.74 ","$3,369.22 ","$3,369.22 ","$3,567.41 ","$3,567.41 ","$3,111.58 ","$3,274.09 ","$2,296.74 ","$2,576.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061012,20680,REMOVAL OF SUPPORT IMPLANT,360,1 ,"$3,963.79 ","$2,576.46 ","$2,144.48 ","$5,361.20 ","$3,171.03 ","$2,144.48 ","$3,140.91 ","$3,569.39 ","$3,569.39 ","$4,074.51 ","$3,369.22 ","$2,933.20 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,305.80 ","$2,144.48 ","$3,274.09 ","$3,171.03 ","$3,567.41 ","$3,963.79 ","$3,369.22 ","$2,296.74 ","$3,369.22 ","$3,369.22 ","$3,567.41 ","$3,567.41 ","$3,111.58 ","$3,274.09 ","$2,296.74 ","$2,576.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061013,25110,LESION/WRIST TENDON REMOVAL,360,1 ,"$4,491.69 ","$2,919.60 ","$1,259.85 ","$4,044.77 ","$3,593.35 ","$1,259.85 ","$3,559.22 ","$4,044.77 ","$4,044.77 ","$2,393.72 ","$3,817.94 ","$3,323.85 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,746.07 ","$1,259.85 ","$3,710.14 ","$3,593.35 ","$4,042.52 ","$3,149.64 ","$3,817.94 ","$1,349.30 ","$3,817.94 ","$3,817.94 ","$4,042.52 ","$4,042.52 ","$3,525.98 ","$3,710.14 ","$1,349.30 ","$2,919.60 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061014,29881,KNEE ARTHROSCOPY/SURGERY MENISECTOMY,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15061015,29877,KNEE ARTHROSCOPY/SURGERY DEBRIDEMENT,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15061016,36590,REM OF CENT VENOUS ACCESS DEVICE,360,1 ,"$1,567.94 ","$1,019.16 ","$1,019.16 ","$3,180.83 ","$1,254.35 ","$1,272.33 ","$1,242.44 ","$1,411.93 ","$1,411.93 ","$2,417.43 ","$1,332.75 ","$1,160.28 ","$3,180.83 ","$1,272.33 ", N/A ,"$1,307.66 ","$1,272.33 ","$1,295.12 ","$1,254.35 ","$1,411.15 ","$1,567.94 ","$1,332.75 ","$1,362.67 ","$1,332.75 ","$1,332.75 ","$1,411.15 ","$1,411.15 ","$1,230.83 ","$1,295.12 ","$1,362.67 ","$1,019.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061017,58740,REVISE FALLOPIAN TUBE(S),360,1 ,"$9,348.24 ","$6,076.36 ","$6,076.36 ","$8,418.09 ","$7,478.59 ", N/A ,"$7,407.55 ","$8,418.09 ","$8,418.09 ", N/A ,"$7,946.00 ","$6,917.70 ", N/A , N/A , N/A ,"$7,796.43 ", N/A ,"$7,721.65 ","$7,478.59 ","$8,413.42 ", N/A ,"$7,946.00 ", N/A ,"$7,946.00 ","$7,946.00 ","$8,413.42 ","$8,413.42 ","$7,338.37 ","$7,721.65 ", N/A ,"$6,076.36 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061018,49002,REOPENING OF ABDOMEN,360,1 ,"$6,737.60 ","$4,379.44 ","$4,379.44 ","$6,067.21 ","$5,390.08 ", N/A ,"$5,338.87 ","$6,067.21 ","$6,067.21 ", N/A ,"$5,726.96 ","$4,985.82 ", N/A , N/A , N/A ,"$5,619.16 ", N/A ,"$5,565.26 ","$5,390.08 ","$6,063.84 ", N/A ,"$5,726.96 ", N/A ,"$5,726.96 ","$5,726.96 ","$6,063.84 ","$6,063.84 ","$5,289.02 ","$5,565.26 ", N/A ,"$4,379.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061019,28296,BUNIONECTOMY MITCHELL PROC,360,1 ,"$6,994.53 ","$4,546.44 ","$2,561.06 ","$6,402.65 ","$5,595.62 ","$2,561.06 ","$5,542.47 ","$6,298.57 ","$6,298.57 ","$4,866.01 ","$5,945.35 ","$5,175.95 ","$6,402.65 ","$2,561.06 ", N/A ,"$5,833.44 ","$2,561.06 ","$5,777.48 ","$5,595.62 ","$6,295.08 ","$6,402.65 ","$5,945.35 ","$2,742.89 ","$5,945.35 ","$5,945.35 ","$6,295.08 ","$6,295.08 ","$5,490.71 ","$5,777.48 ","$2,742.89 ","$4,546.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061020,28292,BUNION CORRECTION LT,360,1 ,"$5,832.82 ","$3,791.33 ","$2,561.06 ","$6,402.65 ","$4,666.26 ","$2,561.06 ","$4,621.93 ","$5,252.45 ","$5,252.45 ","$4,866.01 ","$4,957.90 ","$4,316.29 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,864.57 ","$2,561.06 ","$4,817.91 ","$4,666.26 ","$5,249.54 ","$5,832.82 ","$4,957.90 ","$2,742.89 ","$4,957.90 ","$4,957.90 ","$5,249.54 ","$5,249.54 ","$4,578.76 ","$4,817.91 ","$2,742.89 ","$3,791.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061021,28285,HAMMERTOE REPAIR LEFT FT 2ND DIGIT,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061022,28285,HAMMERTOE REPAIR RT FT 2ND DIGIT,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061023,28285,HAMMERTOE REPAIR RT FT 5TH DIGIT,360,1 ,"$4,863.76 ","$3,161.44 ","$2,561.06 ","$6,402.65 ","$3,891.01 ","$2,561.06 ","$3,854.04 ","$4,379.82 ","$4,379.82 ","$4,866.01 ","$4,134.20 ","$3,599.18 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,056.38 ","$2,561.06 ","$4,017.47 ","$3,891.01 ","$4,377.38 ","$4,863.76 ","$4,134.20 ","$2,742.89 ","$4,134.20 ","$4,134.20 ","$4,377.38 ","$4,377.38 ","$3,818.05 ","$4,017.47 ","$2,742.89 ","$3,161.44 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061024,G0104,SIGMOID SCREENING,360,1 ,$751.54 ,$488.50 ,$488.50 ,"$1,795.32 ",$601.23 ,$718.13 ,$595.52 ,$676.76 ,$676.76 ,"$1,364.44 ",$638.81 ,$556.14 ,"$1,795.32 ",$718.13 , N/A ,$626.78 ,$718.13 ,$620.77 ,$601.23 ,$676.39 ,$751.54 ,$638.81 ,$751.54 ,$638.81 ,$638.81 ,$676.39 ,$676.39 ,$589.96 ,$620.77 ,$751.54 ,$488.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),15061025,58673,"LAPAROSCOPY, SALPINGSOTOMY/ASP FALL TUBE",360,1 ,"$10,994.63 ","$7,146.51 ","$4,578.89 ","$11,447.22 ","$8,795.70 ","$4,578.89 ","$8,712.14 ","$9,900.66 ","$9,900.66 ","$8,699.89 ","$9,345.44 ","$8,136.03 ","$11,447.22 ","$4,578.89 ", N/A ,"$9,169.52 ","$4,578.89 ","$9,081.56 ","$8,795.70 ","$9,895.17 ","$10,994.63 ","$9,345.44 ","$4,903.99 ","$9,345.44 ","$9,345.44 ","$9,895.17 ","$9,895.17 ","$8,630.78 ","$9,081.56 ","$4,903.99 ","$7,146.51 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061026,28110,"PART REMOVAL OF METATARSAL, LT",360,1 ,"$5,832.82 ","$3,791.33 ","$2,561.06 ","$6,402.65 ","$4,666.26 ","$2,561.06 ","$4,621.93 ","$5,252.45 ","$5,252.45 ","$4,866.01 ","$4,957.90 ","$4,316.29 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,864.57 ","$2,561.06 ","$4,817.91 ","$4,666.26 ","$5,249.54 ","$5,832.82 ","$4,957.90 ","$2,742.89 ","$4,957.90 ","$4,957.90 ","$5,249.54 ","$5,249.54 ","$4,578.76 ","$4,817.91 ","$2,742.89 ","$3,791.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061027,27704,"REMOVAL ANKLE IMPLANT, LT",360,1 ,"$5,265.32 ","$3,422.46 ","$2,561.06 ","$6,402.65 ","$4,212.26 ","$2,561.06 ","$4,172.24 ","$4,741.42 ","$4,741.42 ","$4,866.01 ","$4,475.52 ","$3,896.34 ","$6,402.65 ","$2,561.06 ", N/A ,"$4,391.28 ","$2,561.06 ","$4,349.15 ","$4,212.26 ","$4,738.79 ","$5,265.32 ","$4,475.52 ","$2,742.89 ","$4,475.52 ","$4,475.52 ","$4,738.79 ","$4,738.79 ","$4,133.28 ","$4,349.15 ","$2,742.89 ","$3,422.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15061028,G0105,COLON SCREENING HIGH RISK,360,1 ,"$2,684.02 ","$1,744.61 ",$718.13 ,"$2,416.96 ","$2,147.22 ",$718.13 ,"$2,126.82 ","$2,416.96 ","$2,416.96 ","$1,364.44 ","$2,281.42 ","$1,986.17 ","$1,795.32 ",$718.13 , N/A ,"$2,238.47 ",$718.13 ,"$2,217.00 ","$2,147.22 ","$2,415.62 ","$1,795.32 ","$2,281.42 ",$769.11 ,"$2,281.42 ","$2,281.42 ","$2,415.62 ","$2,415.62 ","$2,106.96 ","$2,217.00 ",$769.11 ,"$1,744.61 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15064718,64718,NEUROPLASTY A/OR TRANSP ULNAR NERVE @ELB,360,1 ,"$4,068.21 ","$2,644.34 ","$1,587.44 ","$3,968.61 ","$3,254.57 ","$1,587.44 ","$3,223.65 ","$3,663.42 ","$3,663.42 ","$3,016.14 ","$3,457.98 ","$3,010.48 ","$3,968.61 ","$1,587.44 ", N/A ,"$3,392.89 ","$1,587.44 ","$3,360.34 ","$3,254.57 ","$3,661.39 ","$3,968.61 ","$3,457.98 ","$1,700.15 ","$3,457.98 ","$3,457.98 ","$3,661.39 ","$3,661.39 ","$3,193.54 ","$3,360.34 ","$1,700.15 ","$2,644.34 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15064721,64721,CARPAL TUNNEL RELEASE LT,360,1 , N/A , N/A ,"$1,587.44 ","$3,968.61 ", N/A ,"$1,587.44 ", N/A , N/A , N/A ,"$3,016.14 ", N/A , N/A ,"$3,968.61 ","$1,587.44 ", N/A , N/A ,"$1,587.44 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15064788,64788,EXCISION NEUROFIBROMA CUTANEOUS NERVE,360,1 ,"$4,520.71 ","$2,938.46 ","$1,587.44 ","$4,070.90 ","$3,616.57 ","$1,587.44 ","$3,582.21 ","$4,070.90 ","$4,070.90 ","$3,016.14 ","$3,842.60 ","$3,345.33 ","$3,968.61 ","$1,587.44 ", N/A ,"$3,770.27 ","$1,587.44 ","$3,734.11 ","$3,616.57 ","$4,068.64 ","$3,968.61 ","$3,842.60 ","$1,700.15 ","$3,842.60 ","$3,842.60 ","$4,068.64 ","$4,068.64 ","$3,548.76 ","$3,734.11 ","$1,700.15 ","$2,938.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15065235,65235,FB REMV INTRAOCULAR FROM ANT EYE/LENS,360,1 ,"$2,667.39 ","$1,733.80 ","$1,733.80 ","$4,703.27 ","$2,133.91 ","$1,881.31 ","$2,113.64 ","$2,401.98 ","$2,401.98 ","$3,574.48 ","$2,267.28 ","$1,973.87 ","$4,703.27 ","$1,881.31 ", N/A ,"$2,224.60 ","$1,881.31 ","$2,203.26 ","$2,133.91 ","$2,400.65 ","$2,667.39 ","$2,267.28 ","$2,014.88 ","$2,267.28 ","$2,267.28 ","$2,400.65 ","$2,400.65 ","$2,093.90 ","$2,203.26 ","$2,014.88 ","$1,733.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15065810,65810,REMOVAL OF VITREOUS ANTERIOR APPROACH,360,1 ,"$3,193.24 ","$2,075.61 ","$1,881.31 ","$4,703.27 ","$2,554.59 ","$1,881.31 ","$2,530.32 ","$2,875.51 ","$2,875.51 ","$3,574.48 ","$2,714.25 ","$2,363.00 ","$4,703.27 ","$1,881.31 ", N/A ,"$2,663.16 ","$1,881.31 ","$2,637.62 ","$2,554.59 ","$2,873.92 ","$3,193.24 ","$2,714.25 ","$2,014.88 ","$2,714.25 ","$2,714.25 ","$2,873.92 ","$2,873.92 ","$2,506.69 ","$2,637.62 ","$2,014.88 ","$2,075.61 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15066030,66030,INJECTION TX IN EYE,360,1 ,$338.39 ,$219.95 ,$219.95 ,"$4,703.27 ",$270.71 ,"$1,881.31 ",$268.14 ,$304.72 ,$304.72 ,"$3,574.48 ",$287.63 ,$250.41 ,"$4,703.27 ","$1,881.31 ", N/A ,$282.22 ,"$1,881.31 ",$279.51 ,$270.71 ,$304.55 ,$338.39 ,$287.63 ,$338.39 ,$287.63 ,$287.63 ,$304.55 ,$304.55 ,$265.64 ,$279.51 ,$338.39 ,$219.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),15066500,66500,"IRIDOTOMY,PERIPHERAL",360,1 ,"$2,303.83 ","$1,497.49 ","$1,497.49 ","$4,703.27 ","$1,843.06 ","$1,881.31 ","$1,825.55 ","$2,074.60 ","$2,074.60 ","$3,574.48 ","$1,958.26 ","$1,704.83 ","$4,703.27 ","$1,881.31 ", N/A ,"$1,921.39 ","$1,881.31 ","$1,902.96 ","$1,843.06 ","$2,073.45 ","$2,303.83 ","$1,958.26 ","$2,014.88 ","$1,958.26 ","$1,958.26 ","$2,073.45 ","$2,073.45 ","$1,808.51 ","$1,902.96 ","$2,014.88 ","$1,497.49 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15066840,66840,REMOVAL LENS MATRL ASP TECHNIQUE,360,1 ,"$3,409.33 ","$2,216.06 ","$1,881.31 ","$4,703.27 ","$2,727.46 ","$1,881.31 ","$2,701.55 ","$3,070.10 ","$3,070.10 ","$3,574.48 ","$2,897.93 ","$2,522.90 ","$4,703.27 ","$1,881.31 ", N/A ,"$2,843.38 ","$1,881.31 ","$2,816.11 ","$2,727.46 ","$3,068.40 ","$3,409.33 ","$2,897.93 ","$2,014.88 ","$2,897.93 ","$2,897.93 ","$3,068.40 ","$3,068.40 ","$2,676.32 ","$2,816.11 ","$2,014.88 ","$2,216.06 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15066982,66982,CATARACT RMVLT/LEN IN LT COMPLEX,360,1 ,"$2,373.97 ","$1,543.08 ","$1,543.08 ","$4,703.27 ","$1,899.18 ","$1,881.31 ","$1,881.13 ","$2,137.76 ","$2,137.76 ","$3,574.48 ","$2,017.87 ","$1,756.74 ","$4,703.27 ","$1,881.31 ", N/A ,"$1,979.89 ","$1,881.31 ","$1,960.90 ","$1,899.18 ","$2,136.57 ","$2,373.97 ","$2,017.87 ","$2,014.88 ","$2,017.87 ","$2,017.87 ","$2,136.57 ","$2,136.57 ","$1,863.57 ","$1,960.90 ","$2,014.88 ","$1,543.08 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15066984,66984,CATARACT RMVL/LEN IN LT,360,1 ,"$6,848.97 ","$4,451.83 ","$1,881.31 ","$6,167.50 ","$5,479.18 ","$1,881.31 ","$5,427.12 ","$6,167.50 ","$6,167.50 ","$3,574.48 ","$5,821.62 ","$5,068.24 ","$4,703.27 ","$1,881.31 ", N/A ,"$5,712.04 ","$1,881.31 ","$5,657.25 ","$5,479.18 ","$6,164.07 ","$4,703.27 ","$5,821.62 ","$2,014.88 ","$5,821.62 ","$5,821.62 ","$6,164.07 ","$6,164.07 ","$5,376.44 ","$5,657.25 ","$2,014.88 ","$4,451.83 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15067800,67800,"EXCISION, CHALAZION",360,1 ,$804.91 ,$523.19 ,$236.42 ,$724.82 ,$643.93 ,$236.42 ,$637.81 ,$724.82 ,$724.82 ,$449.19 ,$684.17 ,$595.63 ,$591.04 ,$236.42 , N/A ,$671.29 ,$236.42 ,$664.86 ,$643.93 ,$724.42 ,$591.04 ,$684.17 ,$253.20 ,$684.17 ,$684.17 ,$724.42 ,$724.42 ,$631.85 ,$664.86 ,$253.20 ,$523.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),15067810,67810,BIOPSY EYELID,360,1 ,"$1,011.21 ",$657.29 ,$236.42 ,$910.59 ,$808.97 ,$236.42 ,$801.28 ,$910.59 ,$910.59 ,$449.19 ,$859.53 ,$748.30 ,$591.04 ,$236.42 , N/A ,$843.35 ,$236.42 ,$835.26 ,$808.97 ,$910.09 ,$591.04 ,$859.53 ,$253.20 ,$859.53 ,$859.53 ,$910.09 ,$910.09 ,$793.80 ,$835.26 ,$253.20 ,$657.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),15067840,67840,EXCISION EYELID LES W/O CLOS OR SIM CLOS,360,1 ,"$1,727.83 ","$1,123.09 ",$732.50 ,"$1,831.26 ","$1,382.26 ",$732.50 ,"$1,369.13 ","$1,555.91 ","$1,555.91 ","$1,391.76 ","$1,468.66 ","$1,278.59 ","$1,831.26 ",$732.50 , N/A ,"$1,441.01 ",$732.50 ,"$1,427.19 ","$1,382.26 ","$1,555.05 ","$1,727.83 ","$1,468.66 ",$784.51 ,"$1,468.66 ","$1,468.66 ","$1,555.05 ","$1,555.05 ","$1,356.35 ","$1,427.19 ",$784.51 ,"$1,123.09 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15068100,68100,BIOPSY OF CONJUNCTIVA LT,360,1 ,"$1,330.64 ",$864.92 ,$864.92 ,"$4,529.52 ","$1,064.51 ","$1,811.81 ","$1,054.40 ","$1,198.24 ","$1,198.24 ","$3,442.43 ","$1,131.04 ",$984.67 ,"$4,529.52 ","$1,811.81 ", N/A ,"$1,109.75 ","$1,811.81 ","$1,099.11 ","$1,064.51 ","$1,197.58 ","$1,330.64 ","$1,131.04 ","$1,330.64 ","$1,131.04 ","$1,131.04 ","$1,197.58 ","$1,197.58 ","$1,044.55 ","$1,099.11 ","$1,330.64 ",$864.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),15068761,68761,"CLOSURE OF LACRIMAL PUNCTUM BY PLUG,EAC",360,1 ,$676.76 ,$439.89 ,$236.42 ,$609.42 ,$541.41 ,$236.42 ,$536.26 ,$609.42 ,$609.42 ,$449.19 ,$575.25 ,$500.80 ,$591.04 ,$236.42 , N/A ,$564.42 ,$236.42 ,$559.00 ,$541.41 ,$609.08 ,$591.04 ,$575.25 ,$253.20 ,$575.25 ,$575.25 ,$609.08 ,$609.08 ,$531.26 ,$559.00 ,$253.20 ,$439.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),15069110,69110,EXC EXT EAR PARTIAL SIMPLE REPAIR LEFT,360,1 ,"$2,266.98 ","$1,473.54 ","$1,473.54 ","$5,361.20 ","$1,813.58 ","$2,144.48 ","$1,796.36 ","$2,041.42 ","$2,041.42 ","$4,074.51 ","$1,926.93 ","$1,677.57 ","$5,361.20 ","$2,144.48 ", N/A ,"$1,890.66 ","$2,144.48 ","$1,872.53 ","$1,813.58 ","$2,040.28 ","$2,266.98 ","$1,926.93 ","$2,266.98 ","$1,926.93 ","$1,926.93 ","$2,040.28 ","$2,040.28 ","$1,779.58 ","$1,872.53 ","$2,266.98 ","$1,473.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15069120,69120,"EXCISION EAR, EXTERNAL AMPUTATION",360,1 ,"$2,689.72 ","$1,748.32 ","$1,748.32 ","$11,505.15 ","$2,151.78 ","$4,602.06 ","$2,131.33 ","$2,422.09 ","$2,422.09 ","$8,743.92 ","$2,286.26 ","$1,990.39 ","$11,505.15 ","$4,602.06 ", N/A ,"$2,243.23 ","$4,602.06 ","$2,221.71 ","$2,151.78 ","$2,420.75 ","$2,689.72 ","$2,286.26 ","$2,689.72 ","$2,286.26 ","$2,286.26 ","$2,420.75 ","$2,420.75 ","$2,111.43 ","$2,221.71 ","$2,689.72 ","$1,748.32 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15069150,69150,RADICAL EXC EXT AUDI CANAL LES W/O NE RT,360,1 ,"$4,951.59 ","$3,218.53 ","$3,218.53 ","$11,505.15 ","$3,961.27 ","$4,602.06 ","$3,923.64 ","$4,458.91 ","$4,458.91 ","$8,743.92 ","$4,208.85 ","$3,664.18 ","$11,505.15 ","$4,602.06 ", N/A ,"$4,129.63 ","$4,602.06 ","$4,090.01 ","$3,961.27 ","$4,456.43 ","$4,951.59 ","$4,208.85 ","$4,928.81 ","$4,208.85 ","$4,208.85 ","$4,456.43 ","$4,456.43 ","$3,887.00 ","$4,090.01 ","$4,928.81 ","$3,218.53 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15069200,69200,FB REM EAR EXT AUD CANAL W/O ANES,360,1 ,$342.58 ,$222.68 ,$101.30 ,$308.49 ,$274.06 ,$101.30 ,$271.46 ,$308.49 ,$308.49 ,$192.46 ,$291.19 ,$253.51 ,$253.24 ,$101.30 , N/A ,$285.71 ,$101.30 ,$282.97 ,$274.06 ,$308.32 ,$253.24 ,$291.19 ,$108.49 ,$291.19 ,$291.19 ,$308.32 ,$308.32 ,$268.93 ,$282.97 ,$108.49 ,$222.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),15069910,69110,EXC EXT EAR PARTIAL SIMPLE REPAIR RIGHT,360,1 ,"$2,266.98 ","$1,473.54 ","$1,473.54 ","$5,361.20 ","$1,813.58 ","$2,144.48 ","$1,796.36 ","$2,041.42 ","$2,041.42 ","$4,074.51 ","$1,926.93 ","$1,677.57 ","$5,361.20 ","$2,144.48 ", N/A ,"$1,890.66 ","$2,144.48 ","$1,872.53 ","$1,813.58 ","$2,040.28 ","$2,266.98 ","$1,926.93 ","$2,266.98 ","$1,926.93 ","$1,926.93 ","$2,040.28 ","$2,040.28 ","$1,779.58 ","$1,872.53 ","$2,266.98 ","$1,473.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15070121,G0121,COLONOSCOPY SCREENING LOW RISK,360,1 ,"$2,532.10 ","$1,645.87 ",$718.13 ,"$2,280.16 ","$2,025.68 ",$718.13 ,"$2,006.44 ","$2,280.16 ","$2,280.16 ","$1,364.44 ","$2,152.29 ","$1,873.75 ","$1,795.32 ",$718.13 , N/A ,"$2,111.77 ",$718.13 ,"$2,091.51 ","$2,025.68 ","$2,278.89 ","$1,795.32 ","$2,152.29 ",$769.11 ,"$2,152.29 ","$2,152.29 ","$2,278.89 ","$2,278.89 ","$1,987.70 ","$2,091.51 ",$769.11 ,"$1,645.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15086445,36556,INSERT NON TUNNELED VENOUS CATH,360,1 ,"$1,829.55 ","$1,189.21 ","$1,189.21 ","$6,473.36 ","$1,463.64 ","$2,589.34 ","$1,449.74 ","$1,647.51 ","$1,647.51 ","$4,919.75 ","$1,555.12 ","$1,353.87 ","$6,473.36 ","$2,589.34 ", N/A ,"$1,525.84 ","$2,589.34 ","$1,511.21 ","$1,463.64 ","$1,646.60 ","$1,829.55 ","$1,555.12 ","$1,829.55 ","$1,555.12 ","$1,555.12 ","$1,646.60 ","$1,646.60 ","$1,436.20 ","$1,511.21 ","$1,829.55 ","$1,189.21 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15090090,N/A,R RM ASA 3+ EA ADDL 15 MIN,710,1 ,$776.46 ,$504.70 ,$504.70 ,$699.20 ,$621.17 , N/A ,$615.27 ,$699.20 ,$699.20 , N/A ,$659.99 ,$574.58 , N/A , N/A , N/A ,$647.57 , N/A ,$641.36 ,$621.17 ,$698.81 , N/A ,$659.99 , N/A ,$659.99 ,$659.99 ,$698.81 ,$698.81 ,$609.52 ,$641.36 , N/A ,$504.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),15090092,N/A,R RM ASA 1-2 1ST 30 MIN,710,1 ,$776.10 ,$504.47 ,$504.47 ,$698.88 ,$620.88 , N/A ,$614.98 ,$698.88 ,$698.88 , N/A ,$659.69 ,$574.31 , N/A , N/A , N/A ,$647.27 , N/A ,$641.06 ,$620.88 ,$698.49 , N/A ,$659.69 , N/A ,$659.69 ,$659.69 ,$698.49 ,$698.49 ,$609.24 ,$641.06 , N/A ,$504.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),15090097,N/A,R RM ASA 3+ 1ST 30 MIN,710,1 ,"$1,551.82 ","$1,008.68 ","$1,008.68 ","$1,397.41 ","$1,241.46 ", N/A ,"$1,229.66 ","$1,397.41 ","$1,397.41 ", N/A ,"$1,319.05 ","$1,148.35 ", N/A , N/A , N/A ,"$1,294.22 ", N/A ,"$1,281.80 ","$1,241.46 ","$1,396.64 ", N/A ,"$1,319.05 ", N/A ,"$1,319.05 ","$1,319.05 ","$1,396.64 ","$1,396.64 ","$1,218.18 ","$1,281.80 ", N/A ,"$1,008.68 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15090126,N/A,R RM ASA 1-2 EA ADDL 15 MIN,710,1 ,$388.20 ,$252.33 ,$252.33 ,$349.57 ,$310.56 , N/A ,$307.61 ,$349.57 ,$349.57 , N/A ,$329.97 ,$287.27 , N/A , N/A , N/A ,$323.76 , N/A ,$320.65 ,$310.56 ,$349.38 , N/A ,$329.97 , N/A ,$329.97 ,$329.97 ,$349.38 ,$349.38 ,$304.74 ,$320.65 , N/A ,$252.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),15090782,90772,INJ/IM/SUBQ POST PROCEDURE,940,1 ,$90.64 ,$58.92 ,$58.92 ,$81.62 ,$72.51 , N/A ,$71.82 ,$81.62 ,$81.62 , N/A ,$77.04 ,$67.07 , N/A , N/A , N/A ,$75.59 , N/A ,$74.87 ,$72.51 ,$81.58 , N/A ,$77.04 , N/A ,$77.04 ,$77.04 ,$81.58 ,$81.58 ,$71.15 ,$74.87 , N/A ,$58.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),15090784,90774,IV PUSH,940,1 ,$292.70 ,$190.26 ,$190.26 ,$263.58 ,$234.16 , N/A ,$231.94 ,$263.58 ,$263.58 , N/A ,$248.80 ,$216.60 , N/A , N/A , N/A ,$244.11 , N/A ,$241.77 ,$234.16 ,$263.43 , N/A ,$248.80 , N/A ,$248.80 ,$248.80 ,$263.43 ,$263.43 ,$229.77 ,$241.77 , N/A ,$190.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),151,N/A,NF-ALLEGRA TABLET 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15110121,10121,"FOREIGN BODY REMOVAL,COMPLICATED DEEP",360,1 ,"$2,022.63 ","$1,314.71 ","$1,273.11 ","$3,182.77 ","$1,618.10 ","$1,273.11 ","$1,602.73 ","$1,821.38 ","$1,821.38 ","$2,418.91 ","$1,719.24 ","$1,496.75 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,686.87 ","$1,273.11 ","$1,670.69 ","$1,618.10 ","$1,820.37 ","$2,022.63 ","$1,719.24 ","$1,363.50 ","$1,719.24 ","$1,719.24 ","$1,820.37 ","$1,820.37 ","$1,587.76 ","$1,670.69 ","$1,363.50 ","$1,314.71 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15111044,11044,DEBRIDEMENT TO BONE,360,1 ,"$2,719.82 ","$1,767.88 ","$1,273.11 ","$3,182.77 ","$2,175.86 ","$1,273.11 ","$2,155.19 ","$2,449.20 ","$2,449.20 ","$2,418.91 ","$2,311.85 ","$2,012.67 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,268.33 ","$1,273.11 ","$2,246.57 ","$2,175.86 ","$2,447.84 ","$2,719.82 ","$2,311.85 ","$1,363.50 ","$2,311.85 ","$2,311.85 ","$2,447.84 ","$2,447.84 ","$2,135.06 ","$2,246.57 ","$1,363.50 ","$1,767.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15119140,19300,"MASTECTOMY, FOR GYNEOMASTIA LT",360,1 ,"$3,932.80 ","$2,556.32 ","$2,556.32 ","$7,143.12 ","$3,146.24 ","$2,857.25 ","$3,116.35 ","$3,541.49 ","$3,541.49 ","$5,428.77 ","$3,342.88 ","$2,910.27 ","$7,143.12 ","$2,857.25 ", N/A ,"$3,279.96 ","$2,857.25 ","$3,248.49 ","$3,146.24 ","$3,539.52 ","$3,932.80 ","$3,342.88 ","$3,060.11 ","$3,342.88 ","$3,342.88 ","$3,539.52 ","$3,539.52 ","$3,087.25 ","$3,248.49 ","$3,060.11 ","$2,556.32 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15123030,23030,"INCISION AND DRAINAGE, SHOULDER AREA, AB",360,1 , N/A , N/A ,"$2,144.48 ","$5,361.20 ", N/A ,"$2,144.48 ", N/A , N/A , N/A ,"$4,074.51 ", N/A , N/A ,"$5,361.20 ","$2,144.48 ", N/A , N/A ,"$2,144.48 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15123073,23073,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER",360,1 , N/A , N/A ,"$2,144.48 ","$5,361.20 ", N/A ,"$2,144.48 ", N/A , N/A , N/A ,"$4,074.51 ", N/A , N/A ,"$5,361.20 ","$2,144.48 ", N/A , N/A ,"$2,144.48 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15123140,23140,EXCISION OR CURETTAGE OF BONE CYST OR BE,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15123180,23180,"PARTIAL EXCISION, BONE, CLAVICAL",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15123412,23412,"ROTATOR CUFF REPAIR, OPEN CHRONIC",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15123700,23700,FIXATION OF SHOULDER LT,360,1 ,"$3,397.31 ","$2,208.25 ","$1,259.85 ","$3,149.64 ","$2,717.85 ","$1,259.85 ","$2,692.03 ","$3,059.28 ","$3,059.28 ","$2,393.72 ","$2,887.71 ","$2,514.01 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,833.36 ","$1,259.85 ","$2,806.18 ","$2,717.85 ","$3,057.58 ","$3,149.64 ","$2,887.71 ","$1,349.30 ","$2,887.71 ","$2,887.71 ","$3,057.58 ","$3,057.58 ","$2,666.89 ","$2,806.18 ","$1,349.30 ","$2,208.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15124075,24075,"EXC TUMOR, SOFT TISSUE UPPER ARM/ELBO LT",360,1 ,"$3,350.69 ","$2,177.95 ","$1,273.11 ","$3,182.77 ","$2,680.55 ","$1,273.11 ","$2,655.09 ","$3,017.30 ","$3,017.30 ","$2,418.91 ","$2,848.09 ","$2,479.51 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,794.48 ","$1,273.11 ","$2,767.67 ","$2,680.55 ","$3,015.62 ","$3,182.77 ","$2,848.09 ","$1,363.50 ","$2,848.09 ","$2,848.09 ","$3,015.62 ","$3,015.62 ","$2,630.29 ","$2,767.67 ","$1,363.50 ","$2,177.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15124076,24076,"EXC TUMOR,DEEP SFT TISS^ARM,ELBO AREA RT",360,1 ,"$4,346.77 ","$2,825.40 ","$2,144.48 ","$5,361.20 ","$3,477.42 ","$2,144.48 ","$3,444.38 ","$3,914.27 ","$3,914.27 ","$4,074.51 ","$3,694.75 ","$3,216.61 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,625.21 ","$2,144.48 ","$3,590.43 ","$3,477.42 ","$3,912.09 ","$4,346.77 ","$3,694.75 ","$2,296.74 ","$3,694.75 ","$3,694.75 ","$3,912.09 ","$3,912.09 ","$3,412.21 ","$3,590.43 ","$2,296.74 ","$2,825.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15124356,24356,FASCIOTOMY LAT OR MED W PART OSTECTOM RT,360,1 ,"$4,533.10 ","$2,946.52 ","$2,946.52 ","$4,082.06 ","$3,626.48 ", N/A ,"$3,592.03 ","$4,082.06 ","$4,082.06 ", N/A ,"$3,853.14 ","$3,354.49 ", N/A , N/A , N/A ,"$3,780.61 ", N/A ,"$3,744.34 ","$3,626.48 ","$4,079.79 ", N/A ,"$3,853.14 ", N/A ,"$3,853.14 ","$3,853.14 ","$4,079.79 ","$4,079.79 ","$3,558.48 ","$3,744.34 ", N/A ,"$2,946.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15124357,24357,"TENOTOMY, ELBOW, LATER OR MEDIAL",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15125111,25111,EXC CYST WRIST PRIMARY RT,360,1 ,"$3,674.13 ","$2,388.18 ","$1,259.85 ","$3,308.55 ","$2,939.30 ","$1,259.85 ","$2,911.38 ","$3,308.55 ","$3,308.55 ","$2,393.72 ","$3,123.01 ","$2,718.86 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,064.22 ","$1,259.85 ","$3,034.83 ","$2,939.30 ","$3,306.72 ","$3,149.64 ","$3,123.01 ","$1,349.30 ","$3,123.01 ","$3,123.01 ","$3,306.72 ","$3,306.72 ","$2,884.19 ","$3,034.83 ","$1,349.30 ","$2,388.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15125118,25118,"EXC WRIST EXTENSOR TEND SHEATH,SINGLE RT",360,1 ,"$5,591.10 ","$3,634.22 ","$1,259.85 ","$5,034.79 ","$4,472.88 ","$1,259.85 ","$4,430.39 ","$5,034.79 ","$5,034.79 ","$2,393.72 ","$4,752.44 ","$4,137.41 ","$3,149.64 ","$1,259.85 ", N/A ,"$4,662.98 ","$1,259.85 ","$4,618.25 ","$4,472.88 ","$5,031.99 ","$3,149.64 ","$4,752.44 ","$1,349.30 ","$4,752.44 ","$4,752.44 ","$5,031.99 ","$5,031.99 ","$4,389.01 ","$4,618.25 ","$1,349.30 ","$3,634.22 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15125565,25565,"FX, CLSD TX RADIAL/ULNA W MANIP RT",360,1 ,"$3,824.43 ","$2,485.88 ","$1,259.85 ","$3,443.90 ","$3,059.54 ","$1,259.85 ","$3,030.48 ","$3,443.90 ","$3,443.90 ","$2,393.72 ","$3,250.77 ","$2,830.08 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,189.57 ","$1,259.85 ","$3,158.98 ","$3,059.54 ","$3,441.99 ","$3,149.64 ","$3,250.77 ","$1,349.30 ","$3,250.77 ","$3,250.77 ","$3,441.99 ","$3,441.99 ","$3,002.18 ","$3,158.98 ","$1,349.30 ","$2,485.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15125606,25605,CLO TX DIST RAD FX W/MANIP RT,360,1 ,"$3,942.63 ","$2,562.71 ","$1,259.85 ","$3,550.34 ","$3,154.10 ","$1,259.85 ","$3,124.14 ","$3,550.34 ","$3,550.34 ","$2,393.72 ","$3,351.24 ","$2,917.55 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,288.15 ","$1,259.85 ","$3,256.61 ","$3,154.10 ","$3,548.37 ","$3,149.64 ","$3,351.24 ","$1,349.30 ","$3,351.24 ","$3,351.24 ","$3,548.37 ","$3,548.37 ","$3,094.96 ","$3,256.61 ","$1,349.30 ","$2,562.71 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15126055,26055,TRIGGER FINGER RELEASE LT,360,1 ,"$3,332.52 ","$2,166.14 ","$1,259.85 ","$3,149.64 ","$2,666.02 ","$1,259.85 ","$2,640.69 ","$3,000.93 ","$3,000.93 ","$2,393.72 ","$2,832.64 ","$2,466.06 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,779.32 ","$1,259.85 ","$2,752.66 ","$2,666.02 ","$2,999.27 ","$3,149.64 ","$2,832.64 ","$1,349.30 ","$2,832.64 ","$2,832.64 ","$2,999.27 ","$2,999.27 ","$2,616.03 ","$2,752.66 ","$1,349.30 ","$2,166.14 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15127048,27048,"EXC TUMOR PELVIS,HIP DEEP SUBFAS IM LT",360,1 ,"$4,435.53 ","$2,883.09 ","$2,144.48 ","$5,361.20 ","$3,548.42 ","$2,144.48 ","$3,514.71 ","$3,994.19 ","$3,994.19 ","$4,074.51 ","$3,770.20 ","$3,282.29 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,699.23 ","$2,144.48 ","$3,663.75 ","$3,548.42 ","$3,991.98 ","$4,435.53 ","$3,770.20 ","$2,296.74 ","$3,770.20 ","$3,770.20 ","$3,991.98 ","$3,991.98 ","$3,481.89 ","$3,663.75 ","$2,296.74 ","$2,883.09 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15127125,27125,PART HIP REPLACE W/WO BIPOLAR PROSTH RT,360,1 ,"$10,842.43 ","$7,047.58 ","$7,047.58 ","$27,857.22 ","$8,673.94 ","$11,142.89 ","$8,591.54 ","$9,763.61 ","$9,763.61 ","$21,171.49 ","$9,216.07 ","$8,023.40 ","$27,857.22 ","$11,142.89 ", N/A ,"$9,042.59 ","$11,142.89 ","$8,955.85 ","$8,673.94 ","$9,758.19 ","$10,842.43 ","$9,216.07 ","$10,842.43 ","$9,216.07 ","$9,216.07 ","$9,758.19 ","$9,758.19 ","$8,511.31 ","$8,955.85 ","$10,842.43 ","$7,047.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15127130,27130,HIP TOTAL ARTHROPLASTY LT,360,1 ,"$16,300.36 ","$10,595.23 ","$10,595.23 ","$27,857.22 ","$13,040.29 ","$11,142.89 ","$12,916.41 ","$14,678.47 ","$14,678.47 ","$21,171.49 ","$13,855.31 ","$12,062.27 ","$27,857.22 ","$11,142.89 ", N/A ,"$13,594.50 ","$11,142.89 ","$13,464.10 ","$13,040.29 ","$14,670.32 ","$16,300.36 ","$13,855.31 ","$11,934.03 ","$13,855.31 ","$13,855.31 ","$14,670.32 ","$14,670.32 ","$12,795.78 ","$13,464.10 ","$11,934.03 ","$10,595.23 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15127244,27244,"ORJF, FEMUR / PLATE AND SCREW LT",360,1 ,"$11,347.61 ","$7,375.95 ","$5,668.78 ","$14,171.94 ","$9,078.09 ","$5,668.78 ","$8,991.85 ","$10,218.52 ","$10,218.52 ","$10,770.68 ","$9,645.47 ","$8,397.23 ","$14,171.94 ","$5,668.78 ", N/A ,"$9,463.91 ","$5,668.78 ","$9,373.13 ","$9,078.09 ","$10,212.85 ","$11,347.61 ","$9,645.47 ","$6,071.26 ","$9,645.47 ","$9,645.47 ","$10,212.85 ","$10,212.85 ","$8,907.87 ","$9,373.13 ","$6,071.26 ","$7,375.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15127265,27265,CLOSD TX POST HIP ARTHRO DIS W/O ANES LT,360,1 ,"$1,057.82 ",$687.58 ,$186.57 ,$952.57 ,$846.26 ,$186.57 ,$838.22 ,$952.57 ,$952.57 ,$354.48 ,$899.15 ,$782.79 ,$466.42 ,$186.57 , N/A ,$882.22 ,$186.57 ,$873.76 ,$846.26 ,$952.04 ,$466.42 ,$899.15 ,$199.82 ,$899.15 ,$899.15 ,$952.04 ,$952.04 ,$830.39 ,$873.76 ,$199.82 ,$687.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),15127324,27324,"BX THIGH OR KNEE SUBQ TISSUE,DEEP LT",360,1 ,"$3,775.17 ","$2,453.86 ","$2,144.48 ","$5,361.20 ","$3,020.14 ","$2,144.48 ","$2,991.44 ","$3,399.54 ","$3,399.54 ","$4,074.51 ","$3,208.89 ","$2,793.63 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,148.49 ","$2,144.48 ","$3,118.29 ","$3,020.14 ","$3,397.65 ","$3,775.17 ","$3,208.89 ","$2,296.74 ","$3,208.89 ","$3,208.89 ","$3,397.65 ","$3,397.65 ","$2,963.51 ","$3,118.29 ","$2,296.74 ","$2,453.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15127360,27360,"PATRIAL EXCISION BONE, FEMUR, TIBIA FIBU",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15127405,27405,REPAIR PRIMARY TORN LIG/CAPSULE KNEE RHT,360,1 ,"$10,042.69 ","$6,527.75 ","$5,668.78 ","$14,171.94 ","$8,034.15 ","$5,668.78 ","$7,957.83 ","$9,043.44 ","$9,043.44 ","$10,770.68 ","$8,536.29 ","$7,431.59 ","$14,171.94 ","$5,668.78 ", N/A ,"$8,375.60 ","$5,668.78 ","$8,295.26 ","$8,034.15 ","$9,038.42 ","$10,042.69 ","$8,536.29 ","$6,071.26 ","$8,536.29 ","$8,536.29 ","$9,038.42 ","$9,038.42 ","$7,883.51 ","$8,295.26 ","$6,071.26 ","$6,527.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15127415,27415,"OSTEOCHONDRAL ALLOGRAFT, KNEE OPEN RIGHT",360,1 ,"$5,555.17 ","$3,610.86 ","$3,610.86 ","$27,857.22 ","$4,444.14 ","$11,142.89 ","$4,401.92 ","$5,002.43 ","$5,002.43 ","$21,171.49 ","$4,721.89 ","$4,110.83 ","$27,857.22 ","$11,142.89 ", N/A ,"$4,633.01 ","$11,142.89 ","$4,588.57 ","$4,444.14 ","$4,999.65 ","$5,555.17 ","$4,721.89 ","$5,555.17 ","$4,721.89 ","$4,721.89 ","$4,999.65 ","$4,999.65 ","$4,360.81 ","$4,588.57 ","$5,555.17 ","$3,610.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15127652,27652,ACHILLES TENDON REPAIR WITH GRAFT,360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15127654,27654,"ANTHROSCOPY, SUBTALAR JOINT, SURGICAL, W",360,1 , N/A , N/A ,"$5,668.78 ","$14,171.94 ", N/A ,"$5,668.78 ", N/A , N/A , N/A ,"$10,770.68 ", N/A , N/A ,"$14,171.94 ","$5,668.78 ", N/A , N/A ,"$5,668.78 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15127880,27880,"AMPUTATION, LOWER LEG THRU TIB AND FIB LT",360,1 ,"$6,899.66 ","$4,484.78 ","$4,484.78 ","$35,895.30 ","$5,519.73 ","$14,358.12 ","$5,467.29 ","$6,213.14 ","$6,213.14 ","$27,280.43 ","$5,864.71 ","$5,105.75 ","$35,895.30 ","$14,358.12 ", N/A ,"$5,754.32 ","$14,358.12 ","$5,699.12 ","$5,519.73 ","$6,209.69 ","$6,899.66 ","$5,864.71 ","$6,899.66 ","$5,864.71 ","$5,864.71 ","$6,209.69 ","$6,209.69 ","$5,416.23 ","$5,699.12 ","$6,899.66 ","$4,484.78 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15128052,28052,"ARTHROTOMY W/ BIOPSY, METATARSOPHALANGEA",360,1 ,"$3,518.27 ","$2,286.88 ","$2,286.88 ","$6,402.65 ","$2,814.62 ","$2,561.06 ","$2,787.88 ","$3,168.20 ","$3,168.20 ","$4,866.01 ","$2,990.53 ","$2,603.52 ","$6,402.65 ","$2,561.06 ", N/A ,"$2,934.24 ","$2,561.06 ","$2,906.09 ","$2,814.62 ","$3,166.44 ","$3,518.27 ","$2,990.53 ","$2,742.89 ","$2,990.53 ","$2,990.53 ","$3,166.44 ","$3,166.44 ","$2,761.84 ","$2,906.09 ","$2,742.89 ","$2,286.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15128192,28192,"REMOVAL OF FOREIGN BODY, FOOT, DEEP",360,1 ,"$3,518.27 ","$2,286.88 ","$1,273.11 ","$3,182.77 ","$2,814.62 ","$1,273.11 ","$2,787.88 ","$3,168.20 ","$3,168.20 ","$2,418.91 ","$2,990.53 ","$2,603.52 ","$3,182.77 ","$1,273.11 ", N/A ,"$2,934.24 ","$1,273.11 ","$2,906.09 ","$2,814.62 ","$3,166.44 ","$3,182.77 ","$2,990.53 ","$1,363.50 ","$2,990.53 ","$2,990.53 ","$3,166.44 ","$3,166.44 ","$2,761.84 ","$2,906.09 ","$1,363.50 ","$2,286.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15128208,28208,"REPAIR, TENDON, EXTENSOR, FOOT; PRI RGHT",360,1 ,"$4,201.50 ","$2,730.98 ","$2,561.06 ","$6,402.65 ","$3,361.20 ","$2,561.06 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$4,866.01 ","$3,571.28 ","$3,109.11 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,504.05 ","$2,561.06 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$4,201.50 ","$3,571.28 ","$2,742.89 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$2,742.89 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15128230,28230,"TENOTOMY, OPEN, TENDOND FLEXOR, RIGHT",360,1 ,"$4,201.50 ","$2,730.98 ","$1,259.85 ","$3,783.45 ","$3,361.20 ","$1,259.85 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$2,393.72 ","$3,571.28 ","$3,109.11 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,504.05 ","$1,259.85 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$3,149.64 ","$3,571.28 ","$1,349.30 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$1,349.30 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15128232,28234,TENOTOMY OPEN TOE SINGLE TENDON RIGHT,360,1 ,"$4,201.50 ","$2,730.98 ","$1,259.85 ","$3,783.45 ","$3,361.20 ","$1,259.85 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$2,393.72 ","$3,571.28 ","$3,109.11 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,504.05 ","$1,259.85 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$3,149.64 ","$3,571.28 ","$1,349.30 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$1,349.30 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15128234,28234,TENOTOMY OPEN EXT FT OR TOE EA TENDON LT,360,1 ,"$4,201.50 ","$2,730.98 ","$1,259.85 ","$3,783.45 ","$3,361.20 ","$1,259.85 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$2,393.72 ","$3,571.28 ","$3,109.11 ","$3,149.64 ","$1,259.85 ", N/A ,"$3,504.05 ","$1,259.85 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$3,149.64 ","$3,571.28 ","$1,349.30 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$1,349.30 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15128310,28310,"OSTEOTOMY 1ST TOE,SHORTEN,ANGLE, ETC LT",360,1 ,"$4,201.50 ","$2,730.98 ","$2,730.98 ","$14,171.94 ","$3,361.20 ","$5,668.78 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$10,770.68 ","$3,571.28 ","$3,109.11 ","$14,171.94 ","$5,668.78 ", N/A ,"$3,504.05 ","$5,668.78 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$4,201.50 ","$3,571.28 ","$4,201.50 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$4,201.50 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15128313,28313,"RECONST RIGHT, ANGULAR DEFROMITY OF TOE",360,1 ,"$4,201.50 ","$2,730.98 ","$2,561.06 ","$6,402.65 ","$3,361.20 ","$2,561.06 ","$3,329.27 ","$3,783.45 ","$3,783.45 ","$4,866.01 ","$3,571.28 ","$3,109.11 ","$6,402.65 ","$2,561.06 ", N/A ,"$3,504.05 ","$2,561.06 ","$3,470.44 ","$3,361.20 ","$3,781.35 ","$4,201.50 ","$3,571.28 ","$2,742.89 ","$3,571.28 ","$3,571.28 ","$3,781.35 ","$3,781.35 ","$3,298.18 ","$3,470.44 ","$2,742.89 ","$2,730.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15129065,29065,CAST APPL SHOULDER TO HAND RT,360,1 ,$132.90 ,$86.39 ,$86.39 ,$545.55 ,$106.32 ,$218.22 ,$105.31 ,$119.68 ,$119.68 ,$414.62 ,$112.97 ,$98.35 ,$545.55 ,$218.22 , N/A ,$110.84 ,$218.22 ,$109.78 ,$106.32 ,$119.61 ,$132.90 ,$112.97 ,$132.90 ,$112.97 ,$112.97 ,$119.61 ,$119.61 ,$104.33 ,$109.78 ,$132.90 ,$86.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),15129823,29823,"SHLDR ARTHRO/SURG DEBRIDEMENT,EXTEN RT",360,1 ,"$6,559.57 ","$4,263.72 ","$2,561.06 ","$6,402.65 ","$5,247.66 ","$2,561.06 ","$5,197.80 ","$5,906.89 ","$5,906.89 ","$4,866.01 ","$5,575.63 ","$4,854.08 ","$6,402.65 ","$2,561.06 ", N/A ,"$5,470.68 ","$2,561.06 ","$5,418.20 ","$5,247.66 ","$5,903.61 ","$6,402.65 ","$5,575.63 ","$2,742.89 ","$5,575.63 ","$5,575.63 ","$5,903.61 ","$5,903.61 ","$5,149.26 ","$5,418.20 ","$2,742.89 ","$4,263.72 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15129826,29826,"SHOULDER ARTH, PARTIAL ACROMIOPLASTY RT",360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15129830,29830,"ANTHROSCOPY, ELBOW, DIAGNOSTIC, WITH OR",360,1 ,"$7,455.00 ","$4,845.75 ","$2,561.06 ","$6,713.23 ","$5,964.00 ","$2,561.06 ","$5,907.34 ","$6,713.23 ","$6,713.23 ","$4,866.01 ","$6,336.75 ","$5,516.70 ","$6,402.65 ","$2,561.06 ", N/A ,"$6,217.47 ","$2,561.06 ","$6,157.83 ","$5,964.00 ","$6,709.50 ","$6,402.65 ","$6,336.75 ","$2,742.89 ","$6,336.75 ","$6,336.75 ","$6,709.50 ","$6,709.50 ","$5,852.18 ","$6,157.83 ","$2,742.89 ","$4,845.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15129867,29867,OSTEOCHONDRAL ALLOGRAFT,360,1 , N/A , N/A ,"$11,142.89 ","$27,857.22 ", N/A ,"$11,142.89 ", N/A , N/A , N/A ,"$21,171.49 ", N/A , N/A ,"$27,857.22 ","$11,142.89 ", N/A , N/A ,"$11,142.89 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15129870,29870,KNEE ARTHROSCOPY/RT W/WO SYN BX,360,1 ,"$6,559.57 ","$4,263.72 ","$2,561.06 ","$6,402.65 ","$5,247.66 ","$2,561.06 ","$5,197.80 ","$5,906.89 ","$5,906.89 ","$4,866.01 ","$5,575.63 ","$4,854.08 ","$6,402.65 ","$2,561.06 ", N/A ,"$5,470.68 ","$2,561.06 ","$5,418.20 ","$5,247.66 ","$5,903.61 ","$6,402.65 ","$5,575.63 ","$2,742.89 ","$5,575.63 ","$5,575.63 ","$5,903.61 ","$5,903.61 ","$5,149.26 ","$5,418.20 ","$2,742.89 ","$4,263.72 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15146060,46060,I AND D ANAL ABSCESS W/SETON,360,1 ,"$4,906.24 ","$3,189.06 ","$2,210.88 ","$5,527.19 ","$3,924.99 ","$2,210.88 ","$3,887.70 ","$4,418.07 ","$4,418.07 ","$4,200.67 ","$4,170.30 ","$3,630.62 ","$5,527.19 ","$2,210.88 ", N/A ,"$4,091.80 ","$2,210.88 ","$4,052.55 ","$3,924.99 ","$4,415.62 ","$4,906.24 ","$4,170.30 ","$2,367.85 ","$4,170.30 ","$4,170.30 ","$4,415.62 ","$4,415.62 ","$3,851.40 ","$4,052.55 ","$2,367.85 ","$3,189.06 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15146221,46221,"HEMORRHOID, BANDING",360,1 ,"$1,283.02 ",$833.96 ,$718.13 ,"$1,795.32 ","$1,026.42 ",$718.13 ,"$1,016.67 ","$1,155.36 ","$1,155.36 ","$1,364.44 ","$1,090.57 ",$949.43 ,"$1,795.32 ",$718.13 , N/A ,"$1,070.04 ",$718.13 ,"$1,059.77 ","$1,026.42 ","$1,154.72 ","$1,283.02 ","$1,090.57 ",$769.11 ,"$1,090.57 ","$1,090.57 ","$1,154.72 ","$1,154.72 ","$1,007.17 ","$1,059.77 ",$769.11 ,$833.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),15149507,49507,"INGUINAL HERNIA, INCARCERATED >5YR LT",360,1 ,"$6,613.47 ","$4,298.76 ","$2,880.48 ","$7,201.19 ","$5,290.78 ","$2,880.48 ","$5,240.51 ","$5,955.43 ","$5,955.43 ","$5,472.91 ","$5,621.45 ","$4,893.97 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,515.63 ","$2,880.48 ","$5,462.73 ","$5,290.78 ","$5,952.12 ","$6,613.47 ","$5,621.45 ","$3,084.99 ","$5,621.45 ","$5,621.45 ","$5,952.12 ","$5,952.12 ","$5,191.57 ","$5,462.73 ","$3,084.99 ","$4,298.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15149521,49521,INCARC OR STRANG INDENT RPR RECUR ING RT,360,1 ,"$8,159.63 ","$5,303.76 ","$2,880.48 ","$7,347.75 ","$6,527.70 ","$2,880.48 ","$6,465.69 ","$7,347.75 ","$7,347.75 ","$5,472.91 ","$6,935.69 ","$6,038.13 ","$7,201.19 ","$2,880.48 ", N/A ,"$6,805.13 ","$2,880.48 ","$6,739.85 ","$6,527.70 ","$7,343.67 ","$7,201.19 ","$6,935.69 ","$3,084.99 ","$6,935.69 ","$6,935.69 ","$7,343.67 ","$7,343.67 ","$6,405.31 ","$6,739.85 ","$3,084.99 ","$5,303.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15149561,49561,REP INIT INCIS/VENTRAL HERNIA INCARCERA,360,1 ,"$9,505.94 ","$6,178.86 ","$2,880.48 ","$8,560.10 ","$7,604.75 ","$2,880.48 ","$7,532.51 ","$8,560.10 ","$8,560.10 ","$5,472.91 ","$8,080.05 ","$7,034.40 ","$7,201.19 ","$2,880.48 ", N/A ,"$7,927.95 ","$2,880.48 ","$7,851.91 ","$7,604.75 ","$8,555.35 ","$7,201.19 ","$8,080.05 ","$3,084.99 ","$8,080.05 ","$8,080.05 ","$8,555.35 ","$8,555.35 ","$7,462.16 ","$7,851.91 ","$3,084.99 ","$6,178.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15155540,55540,EXCISION SPERMATIC CORD LIPOMA HERNIA RE,360,1 ,"$6,988.88 ","$4,542.77 ","$2,880.48 ","$7,201.19 ","$5,591.10 ","$2,880.48 ","$5,537.99 ","$6,293.49 ","$6,293.49 ","$5,472.91 ","$5,940.55 ","$5,171.77 ","$7,201.19 ","$2,880.48 ", N/A ,"$5,828.73 ","$2,880.48 ","$5,772.81 ","$5,591.10 ","$6,289.99 ","$6,988.88 ","$5,940.55 ","$3,084.99 ","$5,940.55 ","$5,940.55 ","$6,289.99 ","$6,289.99 ","$5,486.27 ","$5,772.81 ","$3,084.99 ","$4,542.77 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15156605,56605,BIOPSY PERINEUM LT,360,1 ,"$1,200.57 ",$780.37 ,$573.13 ,"$1,432.84 ",$960.46 ,$573.13 ,$951.33 ,"$1,081.11 ","$1,081.11 ","$1,088.96 ","$1,020.48 ",$888.42 ,"$1,432.84 ",$573.13 , N/A ,"$1,001.28 ",$573.13 ,$991.67 ,$960.46 ,"$1,080.51 ","$1,200.57 ","$1,020.48 ",$613.83 ,"$1,020.48 ","$1,020.48 ","$1,080.51 ","$1,080.51 ",$942.45 ,$991.67 ,$613.83 ,$780.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),15166840,66840,REMOVAL LENS MATRL ASP TECHNIQUE,360,1 ,"$3,409.33 ","$2,216.06 ","$1,881.31 ","$4,703.27 ","$2,727.46 ","$1,881.31 ","$2,701.55 ","$3,070.10 ","$3,070.10 ","$3,574.48 ","$2,897.93 ","$2,522.90 ","$4,703.27 ","$1,881.31 ", N/A ,"$2,843.38 ","$1,881.31 ","$2,816.11 ","$2,727.46 ","$3,068.40 ","$3,409.33 ","$2,897.93 ","$2,014.88 ","$2,897.93 ","$2,897.93 ","$3,068.40 ","$3,068.40 ","$2,676.32 ","$2,816.11 ","$2,014.88 ","$2,216.06 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15168100,68100,BIOPSY OF CONJUNCTIVA RT,360,1 ,"$1,330.64 ",$864.92 ,$864.92 ,"$4,529.52 ","$1,064.51 ","$1,811.81 ","$1,054.40 ","$1,198.24 ","$1,198.24 ","$3,442.43 ","$1,131.04 ",$984.67 ,"$4,529.52 ","$1,811.81 ", N/A ,"$1,109.75 ","$1,811.81 ","$1,099.11 ","$1,064.51 ","$1,197.58 ","$1,330.64 ","$1,131.04 ","$1,330.64 ","$1,131.04 ","$1,131.04 ","$1,197.58 ","$1,197.58 ","$1,044.55 ","$1,099.11 ","$1,330.64 ",$864.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),15169150,69150,RADICAL EXC EXT AUDI CANAL LES W/O NE LT,360,1 ,"$4,951.59 ","$3,218.53 ","$3,218.53 ","$11,505.15 ","$3,961.27 ","$4,602.06 ","$3,923.64 ","$4,458.91 ","$4,458.91 ","$8,743.92 ","$4,208.85 ","$3,664.18 ","$11,505.15 ","$4,602.06 ", N/A ,"$4,129.63 ","$4,602.06 ","$4,090.01 ","$3,961.27 ","$4,456.43 ","$4,951.59 ","$4,208.85 ","$4,928.81 ","$4,208.85 ","$4,208.85 ","$4,456.43 ","$4,456.43 ","$3,887.00 ","$4,090.01 ","$4,928.81 ","$3,218.53 " HSHS GOOD SHEPHERD HOSPITAL (ACU),152,N/A,NF-RANITIDINE HCL CAPSULE 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),153,N/A,NF-RANITIDINE HCL TAB 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),154,N/A,NF-NIACIN TIME RELEASE TABLET 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15411173,N/A,OR CLASS 1 1ST 15 MIN,360,1 ,"$2,133.46 ","$1,386.75 ","$1,386.75 ","$1,921.18 ","$1,706.77 ", N/A ,"$1,690.55 ","$1,921.18 ","$1,921.18 ", N/A ,"$1,813.44 ","$1,578.76 ", N/A , N/A , N/A ,"$1,779.31 ", N/A ,"$1,762.24 ","$1,706.77 ","$1,920.11 ", N/A ,"$1,813.44 ", N/A ,"$1,813.44 ","$1,813.44 ","$1,920.11 ","$1,920.11 ","$1,674.77 ","$1,762.24 ", N/A ,"$1,386.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15411174,N/A,OR CLASS 1 ADDL 15 MIN,360,1 ,$541.33 ,$351.86 ,$351.86 ,$487.47 ,$433.06 , N/A ,$428.95 ,$487.47 ,$487.47 , N/A ,$460.13 ,$400.58 , N/A , N/A , N/A ,$451.47 , N/A ,$447.14 ,$433.06 ,$487.20 , N/A ,$460.13 , N/A ,$460.13 ,$460.13 ,$487.20 ,$487.20 ,$424.94 ,$447.14 , N/A ,$351.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),15411175,N/A,OR CLASS 2 IST 15 MIN,360,1 ,"$3,789.28 ","$2,463.03 ","$2,463.03 ","$3,412.25 ","$3,031.42 ", N/A ,"$3,002.63 ","$3,412.25 ","$3,412.25 ", N/A ,"$3,220.89 ","$2,804.07 ", N/A , N/A , N/A ,"$3,160.26 ", N/A ,"$3,129.95 ","$3,031.42 ","$3,410.35 ", N/A ,"$3,220.89 ", N/A ,"$3,220.89 ","$3,220.89 ","$3,410.35 ","$3,410.35 ","$2,974.58 ","$3,129.95 ", N/A ,"$2,463.03 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15411176,N/A,OR CLASS 2 ADDL 15 MIN,360,1 ,$960.18 ,$624.12 ,$624.12 ,$864.64 ,$768.14 , N/A ,$760.85 ,$864.64 ,$864.64 , N/A ,$816.15 ,$710.53 , N/A , N/A , N/A ,$800.79 , N/A ,$793.11 ,$768.14 ,$864.16 , N/A ,$816.15 , N/A ,$816.15 ,$816.15 ,$864.16 ,$864.16 ,$753.74 ,$793.11 , N/A ,$624.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),15411177,N/A,OR CLASS 3 IST 15 MIN,360,1 ,"$5,721.89 ","$3,719.23 ","$3,719.23 ","$5,152.56 ","$4,577.51 ", N/A ,"$4,534.03 ","$5,152.56 ","$5,152.56 ", N/A ,"$4,863.61 ","$4,234.20 ", N/A , N/A , N/A ,"$4,772.06 ", N/A ,"$4,726.28 ","$4,577.51 ","$5,149.70 ", N/A ,"$4,863.61 ", N/A ,"$4,863.61 ","$4,863.61 ","$5,149.70 ","$5,149.70 ","$4,491.68 ","$4,726.28 ", N/A ,"$3,719.23 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15411178,N/A,OR CLASS 3 ADDL 15 MIN,360,1 ,"$1,454.96 ",$945.72 ,$945.72 ,"$1,310.19 ","$1,163.97 ", N/A ,"$1,152.91 ","$1,310.19 ","$1,310.19 ", N/A ,"$1,236.72 ","$1,076.67 ", N/A , N/A , N/A ,"$1,213.44 ", N/A ,"$1,201.80 ","$1,163.97 ","$1,309.46 ", N/A ,"$1,236.72 ", N/A ,"$1,236.72 ","$1,236.72 ","$1,309.46 ","$1,309.46 ","$1,142.14 ","$1,201.80 ", N/A ,$945.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),15411179,N/A,OR CLASS 4 IST 15 MIN,360,1 ,"$6,864.55 ","$4,461.96 ","$4,461.96 ","$6,181.53 ","$5,491.64 ", N/A ,"$5,439.47 ","$6,181.53 ","$6,181.53 ", N/A ,"$5,834.87 ","$5,079.77 ", N/A , N/A , N/A ,"$5,725.03 ", N/A ,"$5,670.12 ","$5,491.64 ","$6,178.10 ", N/A ,"$5,834.87 ", N/A ,"$5,834.87 ","$5,834.87 ","$6,178.10 ","$6,178.10 ","$5,388.67 ","$5,670.12 ", N/A ,"$4,461.96 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15411180,N/A,OR CLASS 4 ADDL 15 MIN,360,1 ,"$1,741.55 ","$1,132.01 ","$1,132.01 ","$1,568.27 ","$1,393.24 ", N/A ,"$1,380.00 ","$1,568.27 ","$1,568.27 ", N/A ,"$1,480.32 ","$1,288.75 ", N/A , N/A , N/A ,"$1,452.45 ", N/A ,"$1,438.52 ","$1,393.24 ","$1,567.40 ", N/A ,"$1,480.32 ", N/A ,"$1,480.32 ","$1,480.32 ","$1,567.40 ","$1,567.40 ","$1,367.12 ","$1,438.52 ", N/A ,"$1,132.01 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15411181,N/A,OR CLASS 5 1ST 15 MIN,360,1 ,"$8,001.09 ","$5,200.71 ","$5,200.71 ","$7,204.98 ","$6,400.87 ", N/A ,"$6,340.06 ","$7,204.98 ","$7,204.98 ", N/A ,"$6,800.93 ","$5,920.81 ", N/A , N/A , N/A ,"$6,672.91 ", N/A ,"$6,608.90 ","$6,400.87 ","$7,200.98 ", N/A ,"$6,800.93 ", N/A ,"$6,800.93 ","$6,800.93 ","$7,200.98 ","$7,200.98 ","$6,280.86 ","$6,608.90 ", N/A ,"$5,200.71 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15411182,N/A,OR CLASS 5 ADDL 15 MIN,360,1 ,"$2,030.58 ","$1,319.88 ","$1,319.88 ","$1,828.54 ","$1,624.46 ", N/A ,"$1,609.03 ","$1,828.54 ","$1,828.54 ", N/A ,"$1,725.99 ","$1,502.63 ", N/A , N/A , N/A ,"$1,693.50 ", N/A ,"$1,677.26 ","$1,624.46 ","$1,827.52 ", N/A ,"$1,725.99 ", N/A ,"$1,725.99 ","$1,725.99 ","$1,827.52 ","$1,827.52 ","$1,594.01 ","$1,677.26 ", N/A ,"$1,319.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),155,N/A,NF-SERTRALINE ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15500360,N/A,OPERATING ROOM,110,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15500365,N/A,RECOVERY ROOM,110,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),15541217,N/A,GI CLASS 1ST 15 MIN,360,1 ,$825.46 ,$536.55 ,$536.55 ,$743.33 ,$660.37 , N/A ,$654.09 ,$743.33 ,$743.33 , N/A ,$701.64 ,$610.84 , N/A , N/A , N/A ,$688.43 , N/A ,$681.83 ,$660.37 ,$742.91 , N/A ,$701.64 , N/A ,$701.64 ,$701.64 ,$742.91 ,$742.91 ,$647.99 ,$681.83 , N/A ,$536.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),15541218,N/A,GI CLASS 1 ADDL 15 MIN,360,1 ,$138.39 ,$89.95 ,$89.95 ,$124.62 ,$110.71 , N/A ,$109.66 ,$124.62 ,$124.62 , N/A ,$117.63 ,$102.41 , N/A , N/A , N/A ,$115.42 , N/A ,$114.31 ,$110.71 ,$124.55 , N/A ,$117.63 , N/A ,$117.63 ,$117.63 ,$124.55 ,$124.55 ,$108.64 ,$114.31 , N/A ,$89.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),15541219,N/A,GI CLASS 2 1ST 15 MIN,360,1 ,"$1,800.34 ","$1,170.22 ","$1,170.22 ","$1,621.21 ","$1,440.27 ", N/A ,"$1,426.59 ","$1,621.21 ","$1,621.21 ", N/A ,"$1,530.29 ","$1,332.25 ", N/A , N/A , N/A ,"$1,501.48 ", N/A ,"$1,487.08 ","$1,440.27 ","$1,620.31 ", N/A ,"$1,530.29 ", N/A ,"$1,530.29 ","$1,530.29 ","$1,620.31 ","$1,620.31 ","$1,413.27 ","$1,487.08 ", N/A ,"$1,170.22 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15541220,N/A,GI CLASS 2 ADDL 15 MIN,360,1 ,$230.24 ,$149.66 ,$149.66 ,$207.33 ,$184.19 , N/A ,$182.44 ,$207.33 ,$207.33 , N/A ,$195.70 ,$170.38 , N/A , N/A , N/A ,$192.02 , N/A ,$190.18 ,$184.19 ,$207.22 , N/A ,$195.70 , N/A ,$195.70 ,$195.70 ,$207.22 ,$207.22 ,$180.74 ,$190.18 , N/A ,$149.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),15541221,N/A,GI CLASS 3 1ST 15 MIN,360,1 ,"$2,546.20 ","$1,655.03 ","$1,655.03 ","$2,292.85 ","$2,036.96 ", N/A ,"$2,017.61 ","$2,292.85 ","$2,292.85 ", N/A ,"$2,164.27 ","$1,884.19 ", N/A , N/A , N/A ,"$2,123.53 ", N/A ,"$2,103.16 ","$2,036.96 ","$2,291.58 ", N/A ,"$2,164.27 ", N/A ,"$2,164.27 ","$2,164.27 ","$2,291.58 ","$2,291.58 ","$1,998.77 ","$2,103.16 ", N/A ,"$1,655.03 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15541222,N/A,GI CLASS 3 ADDL 15 MIN,360,1 ,$327.00 ,$212.55 ,$212.55 ,$294.46 ,$261.60 , N/A ,$259.11 ,$294.46 ,$294.46 , N/A ,$277.95 ,$241.98 , N/A , N/A , N/A ,$272.72 , N/A ,$270.10 ,$261.60 ,$294.30 , N/A ,$277.95 , N/A ,$277.95 ,$277.95 ,$294.30 ,$294.30 ,$256.70 ,$270.10 , N/A ,$212.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),15541223,N/A,GI CLASS 4 1ST 15 MIN,360,1 ,"$3,892.16 ","$2,529.90 ","$2,529.90 ","$3,504.89 ","$3,113.73 ", N/A ,"$3,084.15 ","$3,504.89 ","$3,504.89 ", N/A ,"$3,308.34 ","$2,880.20 ", N/A , N/A , N/A ,"$3,246.06 ", N/A ,"$3,214.92 ","$3,113.73 ","$3,502.94 ", N/A ,"$3,308.34 ", N/A ,"$3,308.34 ","$3,308.34 ","$3,502.94 ","$3,502.94 ","$3,055.35 ","$3,214.92 ", N/A ,"$2,529.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),15541224,N/A,GI CLASS 4 ADDL 15 MIN,360,1 ,$422.53 ,$274.64 ,$274.64 ,$380.49 ,$338.02 , N/A ,$334.81 ,$380.49 ,$380.49 , N/A ,$359.15 ,$312.67 , N/A , N/A , N/A ,$352.39 , N/A ,$349.01 ,$338.02 ,$380.28 , N/A ,$359.15 , N/A ,$359.15 ,$359.15 ,$380.28 ,$380.28 ,$331.69 ,$349.01 , N/A ,$274.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),156,N/A,NF-COUMADIN TABLET 6MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),157,N/A,NF-FLEET RECTAL ENEMA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),158,N/A,NF-MILK OF MAGNESIA SUSPENSION 400MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),159,N/A,NF-OMEPRAZOLE D/R ORAL CAP DR 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),16,N/A,NF-CATAPRES TABLET 0.2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),160,N/A,NF-POTASSIUM CHLORIDE CAP ER 8MEQ,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),16026765,26765,OPEN TREATEMENT OF DISTAL PHALANGEAL FRA,360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),161,N/A,NF-JANUVIA ORAL TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),162,N/A,NF-,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),163,N/A,NF-LOVAZA ORAL LIQUID-FILLED CAPSULE 1GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),164,N/A,NF-TRICOR ORAL TABLET 145MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),16414197,N/A,IOL CZ60BD,276,1 ,$759.02 ,$493.36 ,$493.36 ,$683.50 ,$607.22 , N/A ,$601.45 ,$683.50 ,$683.50 , N/A ,$645.17 ,$561.67 , N/A , N/A , N/A ,$633.02 , N/A ,$626.95 ,$607.22 ,$683.12 , N/A ,$645.17 , N/A ,$645.17 ,$645.17 ,$683.12 ,$683.12 ,$595.83 ,$626.95 , N/A ,$493.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),16414203,V2630,IOL AA-4203 VF,276,1 ,$544.04 ,$353.63 ,$353.63 ,$489.91 ,$435.23 , N/A ,$431.10 ,$489.91 ,$489.91 , N/A ,$462.43 ,$402.59 , N/A , N/A , N/A ,$453.73 , N/A ,$449.38 ,$435.23 ,$489.64 , N/A ,$462.43 , N/A ,$462.43 ,$462.43 ,$489.64 ,$489.64 ,$427.07 ,$449.38 , N/A ,$353.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),165,N/A,NF-MILK OF MAGNESIA SUSPENSION 400MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),166,N/A,NF-POTASSIUM CHLORIDE ORAL CAP ER 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),167,N/A,NF-TORSEMIDE ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),168,N/A,NF-DIOVAN TABLET 160MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),169,N/A,NF-ENPRESSE 28 TAB 0.030MG-0.05MG;0.040M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),17,N/A,NF-IMODIUM A-D TABLET 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),170,N/A,NF-APAP/CODEINE ELIXIR 120-12MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),171,N/A,NF-CEPHALEXIN SUSPENSION 250MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),172,N/A,NF-BIOTIN TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),173,N/A,NF-CALCIUM 500 D TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),174,N/A,NF-PRILOSEC CAPSULE 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),175,N/A,NF-TRIAMCINOLONE ACET TOPICAL CREAM 0.1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),176,N/A,NF-NIFEDIPINE TABLET EXTENDED RELEASE 90,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),177,N/A,NF-CEPHALEXIN ORAL PWD FOR SUSP 125MG/5M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),178,N/A,NF-OFLOXACIN OTIC SOLN 0.3%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),179,N/A,NF-PREDNISOLONE SODIUM PH OPHTH SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),18,N/A,NF-NORCO TABLET 5/325,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),180,N/A,NF-GABAPENTIN ORAL TABLET 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),181,N/A,NF-POTASSIUM CHLORIDE CAPSULE 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),182,N/A,NF-MURO 128,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),183,N/A,NF-OCUVITE PRESERVISION TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),184,N/A,NF-FLAX SEED OIL NATURAL CAPSULE 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),185,N/A,NF-CALCIUM CARB ORAL TABLET 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),186,N/A,NF-COENZYME Q-10 ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),187,N/A,NF-MELATONIN CAPSULE 3MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),188,N/A,NF-METFORMIN HCL TABLET 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),189,N/A,NF-OMEPRAZOLE DELAYED RELEASE TABLET 20M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19,N/A,NF-ZOLOFT TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),190,N/A,NF-VISION TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19009612,P9612,CATHERIZATION FOR SPECIMEN COLLECTION,300,1 ,$21.72 ,$14.12 ,$3.00 ,$19.56 ,$17.38 ,$3.00 ,$17.21 ,$19.56 ,$19.56 ,$5.70 ,$18.46 ,$16.07 ,$7.50 ,$3.00 , N/A ,$18.11 ,$3.00 ,$17.94 ,$17.38 ,$19.55 ,$7.50 ,$18.46 ,$3.00 ,$18.46 ,$18.46 ,$19.55 ,$19.55 ,$17.05 ,$17.94 ,$3.00 ,$14.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),19010005,N/A,CONSULT - CARDIOLOGY IP,331,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19010060,10060,I AND D SKIN SIMPLE,761,1 ,$943.35 ,$613.18 ,$162.46 ,$849.49 ,$754.68 ,$162.46 ,$747.51 ,$849.49 ,$849.49 ,$308.68 ,$801.85 ,$698.08 ,$406.16 ,$162.46 , N/A ,$786.75 ,$162.46 ,$779.21 ,$754.68 ,$849.02 ,$406.16 ,$801.85 ,$174.00 ,$801.85 ,$801.85 ,$849.02 ,$849.02 ,$740.53 ,$779.21 ,$174.00 ,$613.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),19011000,N/A,DEBRIDE WOUND SKIN,761,1 ,$581.18 ,$377.77 ,$377.77 ,$523.35 ,$464.94 , N/A ,$460.53 ,$523.35 ,$523.35 , N/A ,$494.00 ,$430.07 , N/A , N/A , N/A ,$484.70 , N/A ,$480.05 ,$464.94 ,$523.06 , N/A ,$494.00 , N/A ,$494.00 ,$494.00 ,$523.06 ,$523.06 ,$456.23 ,$480.05 , N/A ,$377.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),19011433,36569,INSERT PICC LINE ADULT,761,1 ,"$1,165.63 ",$757.66 ,$757.66 ,"$3,180.83 ",$932.50 ,"$1,272.33 ",$923.65 ,"$1,049.65 ","$1,049.65 ","$2,417.43 ",$990.79 ,$862.57 ,"$3,180.83 ","$1,272.33 ", N/A ,$972.14 ,"$1,272.33 ",$962.81 ,$932.50 ,"$1,049.07 ","$1,165.63 ",$990.79 ,"$1,165.63 ",$990.79 ,$990.79 ,"$1,049.07 ","$1,049.07 ",$915.02 ,$962.81 ,"$1,165.63 ",$757.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),19011434,96372,INJECTION IM/SQ,761,1 ,$155.40 ,$101.01 ,$56.07 ,$140.18 ,$124.32 ,$56.07 ,$123.14 ,$139.94 ,$139.94 ,$106.54 ,$132.09 ,$115.00 ,$140.18 ,$56.07 , N/A ,$129.60 ,$56.07 ,$128.36 ,$124.32 ,$139.86 ,$140.18 ,$132.09 ,$60.05 ,$132.09 ,$132.09 ,$139.86 ,$139.86 ,$121.99 ,$128.36 ,$60.05 ,$101.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),19011925,92552,AUDIOMETRY,761,1 ,$96.13 ,$62.48 ,$62.48 ,$253.24 ,$76.90 ,$101.30 ,$76.17 ,$86.57 ,$86.57 ,$192.46 ,$81.71 ,$71.14 ,$253.24 ,$101.30 , N/A ,$80.17 ,$101.30 ,$79.40 ,$76.90 ,$86.52 ,$96.13 ,$81.71 ,$96.13 ,$81.71 ,$81.71 ,$86.52 ,$86.52 ,$75.46 ,$79.40 ,$96.13 ,$62.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),19011926,92552,AUDIOGRAM,761,1 ,$122.47 ,$79.61 ,$79.61 ,$253.24 ,$97.98 ,$101.30 ,$97.05 ,$110.28 ,$110.28 ,$192.46 ,$104.10 ,$90.63 ,$253.24 ,$101.30 , N/A ,$102.14 ,$101.30 ,$101.16 ,$97.98 ,$110.22 ,$122.47 ,$104.10 ,$108.49 ,$104.10 ,$104.10 ,$110.22 ,$110.22 ,$96.14 ,$101.16 ,$108.49 ,$79.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),19020005,N/A,CONSULT - ONCOLOGY IP,331,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19026010,26010,I AND D FINGER SIMPLE,761,1 ,"$1,073.50 ",$697.78 ,$162.46 ,$966.69 ,$858.80 ,$162.46 ,$850.64 ,$966.69 ,$966.69 ,$308.68 ,$912.48 ,$794.39 ,$406.16 ,$162.46 , N/A ,$895.30 ,$162.46 ,$886.71 ,$858.80 ,$966.15 ,$406.16 ,$912.48 ,$174.00 ,$912.48 ,$912.48 ,$966.15 ,$966.15 ,$842.70 ,$886.71 ,$174.00 ,$697.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),19029125,29125,SPLINT SHORT ARM LT,761,1 ,$450.50 ,$292.83 ,$101.30 ,$405.68 ,$360.40 ,$101.30 ,$356.98 ,$405.68 ,$405.68 ,$192.46 ,$382.93 ,$333.37 ,$253.24 ,$101.30 , N/A ,$375.72 ,$101.30 ,$372.11 ,$360.40 ,$405.45 ,$253.24 ,$382.93 ,$108.49 ,$382.93 ,$382.93 ,$405.45 ,$405.45 ,$353.64 ,$372.11 ,$108.49 ,$292.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),19029581,29581,MULTI-LAYER WOUND COMPRESSION,761,1 ,$405.87 ,$263.82 ,$127.75 ,$365.49 ,$324.70 ,$127.75 ,$321.61 ,$365.49 ,$365.49 ,$242.72 ,$344.99 ,$300.34 ,$319.36 ,$127.75 , N/A ,$338.50 ,$127.75 ,$335.25 ,$324.70 ,$365.28 ,$319.36 ,$344.99 ,$136.82 ,$344.99 ,$344.99 ,$365.28 ,$365.28 ,$318.61 ,$335.25 ,$136.82 ,$263.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),19029700,29700,CAST REMOVAL BY OTHER PHYSICIAN,761,1 ,$44.36 ,$28.83 ,$28.83 ,$545.55 ,$35.49 ,$218.22 ,$35.15 ,$39.95 ,$39.95 ,$414.62 ,$37.71 ,$32.83 ,$545.55 ,$218.22 , N/A ,$37.00 ,$218.22 ,$36.64 ,$35.49 ,$39.92 ,$44.36 ,$37.71 ,$44.36 ,$37.71 ,$37.71 ,$39.92 ,$39.92 ,$34.82 ,$36.64 ,$44.36 ,$28.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),19030005,N/A,CONSULT - PULMONARY IP,331,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19036550,36593,INFUSAPORT USE OF THROMBOLYTIC,761,1 ,$81.53 ,$52.99 ,$52.99 ,$702.95 ,$65.22 ,$281.18 ,$64.60 ,$73.42 ,$73.42 ,$534.24 ,$69.30 ,$60.33 ,$702.95 ,$281.18 , N/A ,$68.00 ,$281.18 ,$67.34 ,$65.22 ,$73.38 ,$81.53 ,$69.30 ,$81.53 ,$69.30 ,$69.30 ,$73.38 ,$73.38 ,$64.00 ,$67.34 ,$81.53 ,$52.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),19036592,36592,"COLL BLD PERIPHERAL CATHETER, VENOUS",761,1 ,$109.47 ,$71.16 ,$71.16 ,$253.24 ,$87.58 ,$101.30 ,$86.74 ,$98.58 ,$98.58 ,$192.46 ,$93.05 ,$81.01 ,$253.24 ,$101.30 , N/A ,$91.30 ,$101.30 ,$90.42 ,$87.58 ,$98.52 ,$109.47 ,$93.05 ,$108.49 ,$93.05 ,$93.05 ,$98.52 ,$98.52 ,$85.93 ,$90.42 ,$108.49 ,$71.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),19040005,N/A,CONSULT - NEPHROLOGY IP,331,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19044055,29440,INACTIVATED ON 071403,761,1 , N/A , N/A ,$127.75 ,$319.36 , N/A ,$127.75 , N/A , N/A , N/A ,$242.72 , N/A , N/A ,$319.36 ,$127.75 , N/A , N/A ,$127.75 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19050005,N/A,CONSULT - NEUROLOGY IP,331,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19051700,51700,"BLADDER IRRIGATION,SIMPLE,LAVAGE",761,1 ,$640.44 ,$416.29 ,$240.81 ,$602.04 ,$512.35 ,$240.81 ,$507.48 ,$576.72 ,$576.72 ,$457.55 ,$544.37 ,$473.93 ,$602.04 ,$240.81 , N/A ,$534.13 ,$240.81 ,$529.00 ,$512.35 ,$576.40 ,$602.04 ,$544.37 ,$257.91 ,$544.37 ,$544.37 ,$576.40 ,$576.40 ,$502.75 ,$529.00 ,$257.91 ,$416.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),19051726,51726,CMG COMPLEX,761,1 ,"$1,355.76 ",$881.24 ,$240.81 ,"$1,220.86 ","$1,084.61 ",$240.81 ,"$1,074.30 ","$1,220.86 ","$1,220.86 ",$457.55 ,"$1,152.40 ","$1,003.26 ",$602.04 ,$240.81 , N/A ,"$1,130.70 ",$240.81 ,"$1,119.86 ","$1,084.61 ","$1,220.18 ",$602.04 ,"$1,152.40 ",$257.91 ,"$1,152.40 ","$1,152.40 ","$1,220.18 ","$1,220.18 ","$1,064.27 ","$1,119.86 ",$257.91 ,$881.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),19051772,51772,UPP URETHRAL PRESSURE PROFILE,761,1 ,"$1,355.76 ",$881.24 ,$881.24 ,"$1,220.86 ","$1,084.61 ", N/A ,"$1,074.30 ","$1,220.86 ","$1,220.86 ", N/A ,"$1,152.40 ","$1,003.26 ", N/A , N/A , N/A ,"$1,130.70 ", N/A ,"$1,119.86 ","$1,084.61 ","$1,220.18 ", N/A ,"$1,152.40 ", N/A ,"$1,152.40 ","$1,152.40 ","$1,220.18 ","$1,220.18 ","$1,064.27 ","$1,119.86 ", N/A ,$881.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),19064405,64405,INJ ANES AGENT GREATER OCCIPT NERVE,761,1 ,$701.66 ,$456.08 ,$236.32 ,$631.84 ,$561.33 ,$236.32 ,$556.00 ,$631.84 ,$631.84 ,$449.00 ,$596.41 ,$519.23 ,$590.79 ,$236.32 , N/A ,$585.18 ,$236.32 ,$579.57 ,$561.33 ,$631.49 ,$590.79 ,$596.41 ,$253.10 ,$596.41 ,$596.41 ,$631.49 ,$631.49 ,$550.80 ,$579.57 ,$253.10 ,$456.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),19080770,N/A,INACTIVATED 071403,761,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19090000,96374,IV PUSH,761,1 ,$360.00 ,$234.00 ,$184.13 ,$460.34 ,$288.00 ,$184.13 ,$285.26 ,$324.18 ,$324.18 ,$349.86 ,$306.00 ,$266.40 ,$460.34 ,$184.13 , N/A ,$300.24 ,$184.13 ,$297.36 ,$288.00 ,$324.00 ,$360.00 ,$306.00 ,$197.21 ,$306.00 ,$306.00 ,$324.00 ,$324.00 ,$282.60 ,$297.36 ,$197.21 ,$234.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090010,51702,FOLEY CATH INSERTION,761,1 ,$211.68 ,$137.59 ,$101.30 ,$253.24 ,$169.34 ,$101.30 ,$167.74 ,$190.62 ,$190.62 ,$192.46 ,$179.93 ,$156.64 ,$253.24 ,$101.30 , N/A ,$176.54 ,$101.30 ,$174.85 ,$169.34 ,$190.51 ,$211.68 ,$179.93 ,$108.49 ,$179.93 ,$179.93 ,$190.51 ,$190.51 ,$166.17 ,$174.85 ,$108.49 ,$137.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090044,51701,STRAIGHT CATH RESIDUAL URINE,761,1 ,$211.68 ,$137.59 ,$101.30 ,$253.24 ,$169.34 ,$101.30 ,$167.74 ,$190.62 ,$190.62 ,$192.46 ,$179.93 ,$156.64 ,$253.24 ,$101.30 , N/A ,$176.54 ,$101.30 ,$174.85 ,$169.34 ,$190.51 ,$211.68 ,$179.93 ,$108.49 ,$179.93 ,$179.93 ,$190.51 ,$190.51 ,$166.17 ,$174.85 ,$108.49 ,$137.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090100,32000,DO NOT USE,761,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19090411,11100,INACTIVATED ON 071403,761,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19090414,97602,NON SELECTIVE WOUND CARE,761,1 ,$191.52 ,$124.49 ,$124.49 ,$406.16 ,$153.22 ,$162.46 ,$151.76 ,$172.46 ,$172.46 ,$308.68 ,$162.79 ,$141.72 ,$406.16 ,$162.46 , N/A ,$159.73 ,$162.46 ,$158.20 ,$153.22 ,$172.37 ,$191.52 ,$162.79 ,$174.00 ,$162.79 ,$162.79 ,$172.37 ,$172.37 ,$150.34 ,$158.20 ,$174.00 ,$124.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090416,97597,SELECTIVE WOUND CARE CL,761,1 ,$211.68 ,$137.59 ,$137.59 ,$406.16 ,$169.34 ,$162.46 ,$167.74 ,$190.62 ,$190.62 ,$308.68 ,$179.93 ,$156.64 ,$406.16 ,$162.46 , N/A ,$176.54 ,$162.46 ,$174.85 ,$169.34 ,$190.51 ,$211.68 ,$179.93 ,$174.00 ,$179.93 ,$179.93 ,$190.51 ,$190.51 ,$166.17 ,$174.85 ,$174.00 ,$137.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090471,90714,TETANUS TOX ADMINISTRATION,771,1 ,$49.41 ,$32.12 ,$32.12 ,$44.49 ,$39.53 , N/A ,$39.15 ,$44.49 ,$44.49 , N/A ,$42.00 ,$36.56 , N/A , N/A , N/A ,$41.21 , N/A ,$40.81 ,$39.53 ,$44.47 , N/A ,$42.00 , N/A ,$42.00 ,$42.00 ,$44.47 ,$44.47 ,$38.79 ,$40.81 , N/A ,$32.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090511,N/A,LESION EXCISIONAL INITIAL,761,1 ,"$1,008.03 ",$655.22 ,$655.22 ,$907.73 ,$806.42 , N/A ,$798.76 ,$907.73 ,$907.73 , N/A ,$856.83 ,$745.94 , N/A , N/A , N/A ,$840.70 , N/A ,$832.63 ,$806.42 ,$907.23 , N/A ,$856.83 , N/A ,$856.83 ,$856.83 ,$907.23 ,$907.23 ,$791.30 ,$832.63 , N/A ,$655.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090513,16025,BURN-DEBIRDE/DRSG MEDIUM,761,1 ,$504.02 ,$327.61 ,$162.46 ,$453.87 ,$403.22 ,$162.46 ,$399.39 ,$453.87 ,$453.87 ,$308.68 ,$428.42 ,$372.97 ,$406.16 ,$162.46 , N/A ,$420.35 ,$162.46 ,$416.32 ,$403.22 ,$453.62 ,$406.16 ,$428.42 ,$174.00 ,$428.42 ,$428.42 ,$453.62 ,$453.62 ,$395.66 ,$416.32 ,$174.00 ,$327.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090521,N/A,LESION EXCISION EA ADDL,761,1 ,$504.02 ,$327.61 ,$327.61 ,$453.87 ,$403.22 , N/A ,$399.39 ,$453.87 ,$453.87 , N/A ,$428.42 ,$372.97 , N/A , N/A , N/A ,$420.35 , N/A ,$416.32 ,$403.22 ,$453.62 , N/A ,$428.42 , N/A ,$428.42 ,$428.42 ,$453.62 ,$453.62 ,$395.66 ,$416.32 , N/A ,$327.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090522,16020,BURN-DEBRIDE/DRSG SMALL,761,1 ,$360.00 ,$234.00 ,$162.46 ,$406.16 ,$288.00 ,$162.46 ,$285.26 ,$324.18 ,$324.18 ,$308.68 ,$306.00 ,$266.40 ,$406.16 ,$162.46 , N/A ,$300.24 ,$162.46 ,$297.36 ,$288.00 ,$324.00 ,$360.00 ,$306.00 ,$174.00 ,$306.00 ,$306.00 ,$324.00 ,$324.00 ,$282.60 ,$297.36 ,$174.00 ,$234.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090526,16030,BURN-DEBRIDE/DRSG LARGE,761,1 ,$648.21 ,$421.34 ,$312.93 ,$782.32 ,$518.57 ,$312.93 ,$513.64 ,$583.71 ,$583.71 ,$594.57 ,$550.98 ,$479.68 ,$782.32 ,$312.93 , N/A ,$540.61 ,$312.93 ,$535.42 ,$518.57 ,$583.39 ,$648.21 ,$550.98 ,$335.15 ,$550.98 ,$550.98 ,$583.39 ,$583.39 ,$508.84 ,$535.42 ,$335.15 ,$421.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090701,90715,DIPTH/WHOLE CELL PERTUSS VAC/IM,761,1 ,$58.12 ,$37.78 ,$37.78 ,$52.34 ,$46.50 , N/A ,$46.05 ,$52.34 ,$52.34 , N/A ,$49.40 ,$43.01 , N/A , N/A , N/A ,$48.47 , N/A ,$48.01 ,$46.50 ,$52.31 , N/A ,$49.40 , N/A ,$49.40 ,$49.40 ,$52.31 ,$52.31 ,$45.62 ,$48.01 , N/A ,$37.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090760,96360,IV THERAPY FIRST HOUR HYDRATION,761,1 ,$431.34 ,$280.37 ,$184.13 ,$460.34 ,$345.07 ,$184.13 ,$341.79 ,$388.42 ,$388.42 ,$349.86 ,$366.64 ,$319.19 ,$460.34 ,$184.13 , N/A ,$359.74 ,$184.13 ,$356.29 ,$345.07 ,$388.21 ,$431.34 ,$366.64 ,$197.21 ,$366.64 ,$366.64 ,$388.21 ,$388.21 ,$338.60 ,$356.29 ,$197.21 ,$280.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090761,96361,IV THERAPY ADDED HOURS HYDRATION,761,1 ,$123.22 ,$80.09 ,$36.19 ,$110.96 ,$98.58 ,$36.19 ,$97.64 ,$110.96 ,$110.96 ,$68.77 ,$104.74 ,$91.18 ,$90.48 ,$36.19 , N/A ,$102.77 ,$36.19 ,$101.78 ,$98.58 ,$110.90 ,$90.48 ,$104.74 ,$38.76 ,$104.74 ,$104.74 ,$110.90 ,$110.90 ,$96.73 ,$101.78 ,$38.76 ,$80.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090767,96367,IV INFUSION SEQUENTIAL,260,1 ,$123.21 ,$80.09 ,$56.07 ,$140.18 ,$98.57 ,$56.07 ,$97.63 ,$110.95 ,$110.95 ,$106.54 ,$104.73 ,$91.18 ,$140.18 ,$56.07 , N/A ,$102.76 ,$56.07 ,$101.77 ,$98.57 ,$110.89 ,$123.21 ,$104.73 ,$60.05 ,$104.73 ,$104.73 ,$110.89 ,$110.89 ,$96.72 ,$101.77 ,$60.05 ,$80.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),19090775,96375,IV PUSH ADDITIONAL,761,1 ,$360.00 ,$234.00 ,$36.19 ,$324.18 ,$288.00 ,$36.19 ,$285.26 ,$324.18 ,$324.18 ,$68.77 ,$306.00 ,$266.40 ,$90.48 ,$36.19 , N/A ,$300.24 ,$36.19 ,$297.36 ,$288.00 ,$324.00 ,$90.48 ,$306.00 ,$38.76 ,$306.00 ,$306.00 ,$324.00 ,$324.00 ,$282.60 ,$297.36 ,$38.76 ,$234.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095867,95867,EMG CRANIAL NERVE UNILATERAL,922,1 ,$372.05 ,$241.83 ,$239.28 ,$598.21 ,$297.64 ,$239.28 ,$294.81 ,$335.03 ,$335.03 ,$454.64 ,$316.24 ,$275.32 ,$598.21 ,$239.28 , N/A ,$310.29 ,$239.28 ,$307.31 ,$297.64 ,$334.85 ,$372.05 ,$316.24 ,$256.27 ,$316.24 ,$316.24 ,$334.85 ,$334.85 ,$292.06 ,$307.31 ,$256.27 ,$241.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095868,95868,EMG CRANIAL NERVE BILATERAL,922,1 ,$372.05 ,$241.83 ,$239.28 ,$598.21 ,$297.64 ,$239.28 ,$294.81 ,$335.03 ,$335.03 ,$454.64 ,$316.24 ,$275.32 ,$598.21 ,$239.28 , N/A ,$310.29 ,$239.28 ,$307.31 ,$297.64 ,$334.85 ,$372.05 ,$316.24 ,$256.27 ,$316.24 ,$316.24 ,$334.85 ,$334.85 ,$292.06 ,$307.31 ,$256.27 ,$241.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095885,95885,NERVE CONDUCTION STUDY LIMITED,922,1 ,$308.46 ,$200.50 ,$200.50 ,$277.77 ,$246.77 , N/A ,$244.42 ,$277.77 ,$277.77 , N/A ,$262.19 ,$228.26 , N/A , N/A , N/A ,$257.26 , N/A ,$254.79 ,$246.77 ,$277.61 , N/A ,$262.19 , N/A ,$262.19 ,$262.19 ,$277.61 ,$277.61 ,$242.14 ,$254.79 , N/A ,$200.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095886,95886,NERVE CONDUCTION STUDY FULL STUDY,922,1 ,$308.46 ,$200.50 ,$200.50 ,$277.77 ,$246.77 , N/A ,$244.42 ,$277.77 ,$277.77 , N/A ,$262.19 ,$228.26 , N/A , N/A , N/A ,$257.26 , N/A ,$254.79 ,$246.77 ,$277.61 , N/A ,$262.19 , N/A ,$262.19 ,$262.19 ,$277.61 ,$277.61 ,$242.14 ,$254.79 , N/A ,$200.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095907,95907,NERVE CONDUCTION STUDY 1-2,922,1 ,$162.34 ,$105.52 ,$105.52 ,$315.68 ,$129.87 ,$126.27 ,$128.64 ,$146.19 ,$146.19 ,$239.91 ,$137.99 ,$120.13 ,$315.68 ,$126.27 , N/A ,$135.39 ,$126.27 ,$134.09 ,$129.87 ,$146.11 ,$162.34 ,$137.99 ,$135.24 ,$137.99 ,$137.99 ,$146.11 ,$146.11 ,$127.44 ,$134.09 ,$135.24 ,$105.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095908,95908,NERVE CONDUCTION STUDY 3-4,922,1 ,$178.59 ,$116.08 ,$116.08 ,$598.21 ,$142.87 ,$239.28 ,$141.51 ,$160.82 ,$160.82 ,$454.64 ,$151.80 ,$132.16 ,$598.21 ,$239.28 , N/A ,$148.94 ,$239.28 ,$147.52 ,$142.87 ,$160.73 ,$178.59 ,$151.80 ,$178.59 ,$151.80 ,$151.80 ,$160.73 ,$160.73 ,$140.19 ,$147.52 ,$178.59 ,$116.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095909,95909,NERVE CONDUCTION STUDY 5-6,922,1 ,$194.83 ,$126.64 ,$126.64 ,$598.21 ,$155.86 ,$239.28 ,$154.38 ,$175.44 ,$175.44 ,$454.64 ,$165.61 ,$144.17 ,$598.21 ,$239.28 , N/A ,$162.49 ,$239.28 ,$160.93 ,$155.86 ,$175.35 ,$194.83 ,$165.61 ,$194.83 ,$165.61 ,$165.61 ,$175.35 ,$175.35 ,$152.94 ,$160.93 ,$194.83 ,$126.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095910,95910,NERVE CONDUCTION STUDY 7-8,922,1 ,$211.06 ,$137.19 ,$137.19 ,$598.21 ,$168.85 ,$239.28 ,$167.24 ,$190.06 ,$190.06 ,$454.64 ,$179.40 ,$156.18 ,$598.21 ,$239.28 , N/A ,$176.02 ,$239.28 ,$174.34 ,$168.85 ,$189.95 ,$211.06 ,$179.40 ,$211.06 ,$179.40 ,$179.40 ,$189.95 ,$189.95 ,$165.68 ,$174.34 ,$211.06 ,$137.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095911,95911,NERVE CONDUCTION STUDY 9-10,922,1 ,$227.28 ,$147.73 ,$147.73 ,"$1,103.41 ",$181.82 ,$441.36 ,$180.10 ,$204.67 ,$204.67 ,$838.59 ,$193.19 ,$168.19 ,"$1,103.41 ",$441.36 , N/A ,$189.55 ,$441.36 ,$187.73 ,$181.82 ,$204.55 ,$227.28 ,$193.19 ,$227.28 ,$193.19 ,$193.19 ,$204.55 ,$204.55 ,$178.41 ,$187.73 ,$227.28 ,$147.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095912,95912,NERVE CONDUCTION STUDY 11-12,922,1 ,$243.53 ,$158.29 ,$158.29 ,"$1,103.41 ",$194.82 ,$441.36 ,$192.97 ,$219.30 ,$219.30 ,$838.59 ,$207.00 ,$180.21 ,"$1,103.41 ",$441.36 , N/A ,$203.10 ,$441.36 ,$201.16 ,$194.82 ,$219.18 ,$243.53 ,$207.00 ,$243.53 ,$207.00 ,$207.00 ,$219.18 ,$219.18 ,$191.17 ,$201.16 ,$243.53 ,$158.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095913,95913,NERVE CONDUCTION STUDY 13 OR MORE,922,1 ,$259.77 ,$168.85 ,$168.85 ,"$1,103.41 ",$207.82 ,$441.36 ,$205.84 ,$233.92 ,$233.92 ,$838.59 ,$220.80 ,$192.23 ,"$1,103.41 ",$441.36 , N/A ,$216.65 ,$441.36 ,$214.57 ,$207.82 ,$233.79 ,$259.77 ,$220.80 ,$259.77 ,$220.80 ,$220.80 ,$233.79 ,$233.79 ,$203.92 ,$214.57 ,$259.77 ,$168.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),19095933,95933,EMG BLINK REFLEX,740,1 ,$229.89 ,$149.43 ,$50.36 ,$207.02 ,$183.91 ,$50.36 ,$182.16 ,$207.02 ,$207.02 ,$95.69 ,$195.41 ,$170.12 ,$125.91 ,$50.36 , N/A ,$191.73 ,$50.36 ,$189.89 ,$183.91 ,$206.90 ,$125.91 ,$195.41 ,$53.94 ,$195.41 ,$195.41 ,$206.90 ,$206.90 ,$180.46 ,$189.89 ,$53.94 ,$149.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),19096368,96368,CONCURRENT INFUSION,260,1 ,$123.93 ,$80.55 ,$80.55 ,$111.60 ,$99.14 , N/A ,$98.20 ,$111.60 ,$111.60 , N/A ,$105.34 ,$91.71 , N/A , N/A , N/A ,$103.36 , N/A ,$102.37 ,$99.14 ,$111.54 , N/A ,$105.34 , N/A ,$105.34 ,$105.34 ,$111.54 ,$111.54 ,$97.29 ,$102.37 , N/A ,$80.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),19096376,96376,ADDTL PUSH SAME DRUG GREATER THAN 30 MIN,761,1 ,$360.00 ,$234.00 ,$234.00 ,$324.18 ,$288.00 , N/A ,$285.26 ,$324.18 ,$324.18 , N/A ,$306.00 ,$266.40 , N/A , N/A , N/A ,$300.24 , N/A ,$297.36 ,$288.00 ,$324.00 , N/A ,$306.00 , N/A ,$306.00 ,$306.00 ,$324.00 ,$324.00 ,$282.60 ,$297.36 , N/A ,$234.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),19096523,96523,IRRIGATION OF IMPL VENOUS ACCESS DEVICE,761,1 ,$122.67 ,$79.74 ,$50.36 ,$125.91 ,$98.14 ,$50.36 ,$97.20 ,$110.46 ,$110.46 ,$95.69 ,$104.27 ,$90.78 ,$125.91 ,$50.36 , N/A ,$102.31 ,$50.36 ,$101.33 ,$98.14 ,$110.40 ,$122.67 ,$104.27 ,$53.94 ,$104.27 ,$104.27 ,$110.40 ,$110.40 ,$96.30 ,$101.33 ,$53.94 ,$79.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),19098960,98960,SELF MGMT ED AND TRAINING 30MIN,942,1 ,$48.35 ,$31.43 ,$31.43 ,$43.54 ,$38.68 , N/A ,$38.31 ,$43.54 ,$43.54 , N/A ,$41.10 ,$35.78 , N/A , N/A , N/A ,$40.32 , N/A ,$39.94 ,$38.68 ,$43.52 , N/A ,$41.10 , N/A ,$41.10 ,$41.10 ,$43.52 ,$43.52 ,$37.95 ,$39.94 , N/A ,$31.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),191,N/A,NF-COUGH DROPS LOZENGE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),19103014,99422,TELEMEDICINE,780,1 ,$44.08 ,$28.65 ,$28.65 ,$39.69 ,$35.26 , N/A ,$34.93 ,$39.69 ,$39.69 , N/A ,$37.47 ,$32.62 , N/A , N/A , N/A ,$36.76 , N/A ,$36.41 ,$35.26 ,$39.67 , N/A ,$37.47 , N/A ,$37.47 ,$37.47 ,$39.67 ,$39.67 ,$34.60 ,$36.41 , N/A ,$28.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),19129125,29125,SPLINT SHORT ARM RT,761,1 ,$450.50 ,$292.83 ,$101.30 ,$405.68 ,$360.40 ,$101.30 ,$356.98 ,$405.68 ,$405.68 ,$192.46 ,$382.93 ,$333.37 ,$253.24 ,$101.30 , N/A ,$375.72 ,$101.30 ,$372.11 ,$360.40 ,$405.45 ,$253.24 ,$382.93 ,$108.49 ,$382.93 ,$382.93 ,$405.45 ,$405.45 ,$353.64 ,$372.11 ,$108.49 ,$292.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),19190767,96367,IV INFUSION SEQUENTIAL,260,1 ,$123.21 ,$80.09 ,$56.07 ,$140.18 ,$98.57 ,$56.07 ,$97.63 ,$110.95 ,$110.95 ,$106.54 ,$104.73 ,$91.18 ,$140.18 ,$56.07 , N/A ,$102.76 ,$56.07 ,$101.77 ,$98.57 ,$110.89 ,$123.21 ,$104.73 ,$60.05 ,$104.73 ,$104.73 ,$110.89 ,$110.89 ,$96.72 ,$101.77 ,$60.05 ,$80.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),19196401,96401,"CHEMO ADMIN SUB Q, INTRAMUSCULAR OR NON-",335,1 ,$144.11 ,$93.67 ,$56.07 ,$140.18 ,$115.29 ,$56.07 ,$114.19 ,$129.77 ,$129.77 ,$106.54 ,$122.49 ,$106.64 ,$140.18 ,$56.07 , N/A ,$120.19 ,$56.07 ,$119.03 ,$115.29 ,$129.70 ,$140.18 ,$122.49 ,$60.05 ,$122.49 ,$122.49 ,$129.70 ,$129.70 ,$113.13 ,$119.03 ,$60.05 ,$93.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),19196413,96413,CHEMOTHERAPY ADMIN INITIAL HOUR,335,1 ,$391.15 ,$254.25 ,$254.25 ,$702.95 ,$312.92 ,$281.18 ,$309.95 ,$352.23 ,$352.23 ,$534.24 ,$332.48 ,$289.45 ,$702.95 ,$281.18 , N/A ,$326.22 ,$281.18 ,$323.09 ,$312.92 ,$352.04 ,$391.15 ,$332.48 ,$301.14 ,$332.48 ,$332.48 ,$352.04 ,$352.04 ,$307.05 ,$323.09 ,$301.14 ,$254.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),19196415,96415,CHEMOTHERAPY ADMIN ADDTL HOUR,335,1 ,$144.11 ,$93.67 ,$56.07 ,$140.18 ,$115.29 ,$56.07 ,$114.19 ,$129.77 ,$129.77 ,$106.54 ,$122.49 ,$106.64 ,$140.18 ,$56.07 , N/A ,$120.19 ,$56.07 ,$119.03 ,$115.29 ,$129.70 ,$140.18 ,$122.49 ,$60.05 ,$122.49 ,$122.49 ,$129.70 ,$129.70 ,$113.13 ,$119.03 ,$60.05 ,$93.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),192,N/A,NF-FLEET ENEMA RECTAL LIQUID,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),193,N/A,NF-MILK OF MAGNESIA SUSPENSION 1200MG/15,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),194,N/A,NF-SORE THROAT SPRAY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),195,N/A,NF-ALBUTEROL INHALER 0.09MG/INH,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),196,N/A,NF-GLUCOPHAGE TABLET 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),197,N/A,NF-VICTOZA SUBCUTANEOUS SOLUTION 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),198,N/A,NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),199,N/A,NF-INDERAL LA CAPSULE 120MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2,N/A,FLAGYL (METROnidAZOLE) : 500MG/100ML NS,250,1 ,$99.00 ,$64.35 ,$64.35 ,$89.15 ,$79.20 , N/A ,$78.45 ,$89.15 ,$89.15 , N/A ,$84.15 ,$73.26 , N/A , N/A , N/A ,$82.57 , N/A ,$81.77 ,$79.20 ,$89.10 , N/A ,$84.15 , N/A ,$84.15 ,$84.15 ,$89.10 ,$89.10 ,$77.72 ,$81.77 , N/A ,$64.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),20,N/A,NF-BENICAR ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),200,N/A,NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2000,N/A,LATEX TOURNIQUET DEMO,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2000500,N/A,Initiate Isolation for AFB,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2000890,90471,VACCINE ADMINISTRATION,771,1 ,$40.18 ,$26.12 ,$26.12 ,$140.18 ,$32.14 ,$56.07 ,$31.84 ,$36.18 ,$36.18 ,$106.54 ,$34.15 ,$29.73 ,$140.18 ,$56.07 , N/A ,$33.51 ,$56.07 ,$33.19 ,$32.14 ,$36.16 ,$40.18 ,$34.15 ,$40.18 ,$34.15 ,$34.15 ,$36.16 ,$36.16 ,$31.54 ,$33.19 ,$40.18 ,$26.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),2000900,36430,BLOOD ADMIN UNIT X1,391,1 ,"$1,213.28 ",$788.63 ,$359.28 ,"$1,092.56 ",$970.62 ,$359.28 ,$961.40 ,"$1,092.56 ","$1,092.56 ",$682.62 ,"$1,031.29 ",$897.83 ,$898.19 ,$359.28 , N/A ,"$1,011.88 ",$359.28 ,"$1,002.17 ",$970.62 ,"$1,091.95 ",$898.19 ,"$1,031.29 ",$384.78 ,"$1,031.29 ","$1,031.29 ","$1,091.95 ","$1,091.95 ",$952.42 ,"$1,002.17 ",$384.78 ,$788.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),2000909,36430,BLOOD ADMIN UNIT X2,391,1 ,"$2,426.18 ","$1,577.02 ",$359.28 ,"$2,184.78 ","$1,940.94 ",$359.28 ,"$1,922.51 ","$2,184.78 ","$2,184.78 ",$682.62 ,"$2,062.25 ","$1,795.37 ",$898.19 ,$359.28 , N/A ,"$2,023.43 ",$359.28 ,"$2,004.02 ","$1,940.94 ","$2,183.56 ",$898.19 ,"$2,062.25 ",$384.78 ,"$2,062.25 ","$2,062.25 ","$2,183.56 ","$2,183.56 ","$1,904.55 ","$2,004.02 ",$384.78 ,"$1,577.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),2000910,36430,BLOOD ADMINISTRATION X3,391,1 ,"$3,639.85 ","$2,365.90 ",$359.28 ,"$3,277.68 ","$2,911.88 ",$359.28 ,"$2,884.22 ","$3,277.68 ","$3,277.68 ",$682.62 ,"$3,093.87 ","$2,693.49 ",$898.19 ,$359.28 , N/A ,"$3,035.63 ",$359.28 ,"$3,006.52 ","$2,911.88 ","$3,275.87 ",$898.19 ,"$3,093.87 ",$384.78 ,"$3,093.87 ","$3,093.87 ","$3,275.87 ","$3,275.87 ","$2,857.28 ","$3,006.52 ",$384.78 ,"$2,365.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),2000911,36430,BLOOD ADMINISTRATION X4,391,1 ,"$4,853.19 ","$3,154.57 ",$359.28 ,"$4,370.30 ","$3,882.55 ",$359.28 ,"$3,845.67 ","$4,370.30 ","$4,370.30 ",$682.62 ,"$4,125.21 ","$3,591.36 ",$898.19 ,$359.28 , N/A ,"$4,047.56 ",$359.28 ,"$4,008.73 ","$3,882.55 ","$4,367.87 ",$898.19 ,"$4,125.21 ",$384.78 ,"$4,125.21 ","$4,125.21 ","$4,367.87 ","$4,367.87 ","$3,809.75 ","$4,008.73 ",$384.78 ,"$3,154.57 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20009612,P9612,CATHERIZATION FOR COLLECTION OF SPECIMEN,300,1 ,$21.72 ,$14.12 ,$3.00 ,$19.56 ,$17.38 ,$3.00 ,$17.21 ,$19.56 ,$19.56 ,$5.70 ,$18.46 ,$16.07 ,$7.50 ,$3.00 , N/A ,$18.11 ,$3.00 ,$17.94 ,$17.38 ,$19.55 ,$7.50 ,$18.46 ,$3.00 ,$18.46 ,$18.46 ,$19.55 ,$19.55 ,$17.05 ,$17.94 ,$3.00 ,$14.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),2000994,96366,IV THERAPY ADDITIONAL HRS,260,1 ,$154.28 ,$100.28 ,$36.19 ,$138.93 ,$123.42 ,$36.19 ,$122.25 ,$138.93 ,$138.93 ,$68.77 ,$131.14 ,$114.17 ,$90.48 ,$36.19 , N/A ,$128.67 ,$36.19 ,$127.44 ,$123.42 ,$138.85 ,$90.48 ,$131.14 ,$38.76 ,$131.14 ,$131.14 ,$138.85 ,$138.85 ,$121.11 ,$127.44 ,$38.76 ,$100.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),2000999,96365,IV THERAPY FIRST HOUR,260,1 ,$348.80 ,$226.72 ,$184.13 ,$460.34 ,$279.04 ,$184.13 ,$276.39 ,$314.09 ,$314.09 ,$349.86 ,$296.48 ,$258.11 ,$460.34 ,$184.13 , N/A ,$290.90 ,$184.13 ,$288.11 ,$279.04 ,$313.92 ,$348.80 ,$296.48 ,$197.21 ,$296.48 ,$296.48 ,$313.92 ,$313.92 ,$273.81 ,$288.11 ,$197.21 ,$226.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),2001,N/A,COVER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20010021,10021,FINE NEEDLE ASP SP,450,1 ,$266.70 ,$173.36 ,$173.36 ,$782.32 ,$213.36 ,$312.93 ,$211.33 ,$240.16 ,$240.16 ,$594.57 ,$226.70 ,$197.36 ,$782.32 ,$312.93 , N/A ,$222.43 ,$312.93 ,$220.29 ,$213.36 ,$240.03 ,$266.70 ,$226.70 ,$266.70 ,$226.70 ,$226.70 ,$240.03 ,$240.03 ,$209.36 ,$220.29 ,$266.70 ,$173.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),20010060,10060,I AND D SIMPLE,450,1 ,$513.04 ,$333.48 ,$162.46 ,$461.99 ,$410.43 ,$162.46 ,$406.53 ,$461.99 ,$461.99 ,$308.68 ,$436.08 ,$379.65 ,$406.16 ,$162.46 , N/A ,$427.88 ,$162.46 ,$423.77 ,$410.43 ,$461.74 ,$406.16 ,$436.08 ,$174.00 ,$436.08 ,$436.08 ,$461.74 ,$461.74 ,$402.74 ,$423.77 ,$174.00 ,$333.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),20010061,10061,DRAINAGE OF SKIN ABCESS COMP OR MULTIPLE,450,1 ,$554.36 ,$360.33 ,$312.93 ,$782.32 ,$443.49 ,$312.93 ,$439.27 ,$499.20 ,$499.20 ,$594.57 ,$471.21 ,$410.23 ,$782.32 ,$312.93 , N/A ,$462.34 ,$312.93 ,$457.90 ,$443.49 ,$498.92 ,$554.36 ,$471.21 ,$335.15 ,$471.21 ,$471.21 ,$498.92 ,$498.92 ,$435.17 ,$457.90 ,$335.15 ,$360.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),20010080,10080,I AND D PILONIDAL CYST,450,1 ,$517.78 ,$336.56 ,$336.56 ,"$1,406.96 ",$414.22 ,$562.78 ,$410.29 ,$466.26 ,$466.26 ,"$1,069.29 ",$440.11 ,$383.16 ,"$1,406.96 ",$562.78 , N/A ,$431.83 ,$562.78 ,$427.69 ,$414.22 ,$466.00 ,$517.78 ,$440.11 ,$517.78 ,$440.11 ,$440.11 ,$466.00 ,$466.00 ,$406.46 ,$427.69 ,$517.78 ,$336.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),20010100,N/A,* DO NOT USE * SEE 20126010,450,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20010120,10120,INCS AND REMOV FB SUBQ TISS;SIMPL,450,1 ,$517.78 ,$336.56 ,$312.93 ,$782.32 ,$414.22 ,$312.93 ,$410.29 ,$466.26 ,$466.26 ,$594.57 ,$440.11 ,$383.16 ,$782.32 ,$312.93 , N/A ,$431.83 ,$312.93 ,$427.69 ,$414.22 ,$466.00 ,$517.78 ,$440.11 ,$335.15 ,$440.11 ,$440.11 ,$466.00 ,$466.00 ,$406.46 ,$427.69 ,$335.15 ,$336.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),20010140,10140,I AND D HEMATOMA,450,1 ,$619.49 ,$402.67 ,$402.67 ,"$3,182.77 ",$495.59 ,"$1,273.11 ",$490.88 ,$557.85 ,$557.85 ,"$2,418.91 ",$526.57 ,$458.42 ,"$3,182.77 ","$1,273.11 ", N/A ,$516.65 ,"$1,273.11 ",$511.70 ,$495.59 ,$557.54 ,$619.49 ,$526.57 ,$619.49 ,$526.57 ,$526.57 ,$557.54 ,$557.54 ,$486.30 ,$511.70 ,$619.49 ,$402.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),20010160,10160,PUNCT ASPIR ABCES/HEMAT/BULLA/CYST,450,1 ,$493.35 ,$320.68 ,$312.93 ,$782.32 ,$394.68 ,$312.93 ,$390.93 ,$444.26 ,$444.26 ,$594.57 ,$419.35 ,$365.08 ,$782.32 ,$312.93 , N/A ,$411.45 ,$312.93 ,$407.51 ,$394.68 ,$444.02 ,$493.35 ,$419.35 ,$335.15 ,$419.35 ,$419.35 ,$444.02 ,$444.02 ,$387.28 ,$407.51 ,$335.15 ,$320.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),20010180,10180,"I AND D, COMPLEX, POST OP WOUND INFECTION",450,1 ,"$1,044.88 ",$679.17 ,$679.17 ,"$5,361.20 ",$835.90 ,"$2,144.48 ",$827.96 ,$940.91 ,$940.91 ,"$4,074.51 ",$888.15 ,$773.21 ,"$5,361.20 ","$2,144.48 ", N/A ,$871.43 ,"$2,144.48 ",$863.07 ,$835.90 ,$940.39 ,"$1,044.88 ",$888.15 ,"$1,044.88 ",$888.15 ,$888.15 ,$940.39 ,$940.39 ,$820.23 ,$863.07 ,"$1,044.88 ",$679.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011042,11042,DEBRID; SKIN AND SUBQ TISS,450,1 ,$571.03 ,$371.17 ,$312.93 ,$782.32 ,$456.82 ,$312.93 ,$452.48 ,$514.21 ,$514.21 ,$594.57 ,$485.38 ,$422.56 ,$782.32 ,$312.93 , N/A ,$476.24 ,$312.93 ,$471.67 ,$456.82 ,$513.93 ,$571.03 ,$485.38 ,$335.15 ,$485.38 ,$485.38 ,$513.93 ,$513.93 ,$448.26 ,$471.67 ,$335.15 ,$371.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011043,11043,DEBRIDEMENT TISSUE/MUSCLE,450,1 ,"$1,741.52 ","$1,131.99 ",$474.29 ,"$1,568.24 ","$1,393.22 ",$474.29 ,"$1,379.98 ","$1,568.24 ","$1,568.24 ",$901.15 ,"$1,480.29 ","$1,288.72 ","$1,185.73 ",$474.29 , N/A ,"$1,452.43 ",$474.29 ,"$1,438.50 ","$1,393.22 ","$1,567.37 ","$1,185.73 ","$1,480.29 ",$507.96 ,"$1,480.29 ","$1,480.29 ","$1,567.37 ","$1,567.37 ","$1,367.09 ","$1,438.50 ",$507.96 ,"$1,131.99 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20011044,11042,DEBRID; SKIN AND SUBQ TISSUE FIRST 20SQ CM,450,1 ,$571.03 ,$371.17 ,$312.93 ,$782.32 ,$456.82 ,$312.93 ,$452.48 ,$514.21 ,$514.21 ,$594.57 ,$485.38 ,$422.56 ,$782.32 ,$312.93 , N/A ,$476.24 ,$312.93 ,$471.67 ,$456.82 ,$513.93 ,$571.03 ,$485.38 ,$335.15 ,$485.38 ,$485.38 ,$513.93 ,$513.93 ,$448.26 ,$471.67 ,$335.15 ,$371.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011055,11055,PARING/CUTTING BEN LES; 1 LES,450,1 ,$286.40 ,$186.16 ,$162.46 ,$406.16 ,$229.12 ,$162.46 ,$226.94 ,$257.90 ,$257.90 ,$308.68 ,$243.44 ,$211.94 ,$406.16 ,$162.46 , N/A ,$238.86 ,$162.46 ,$236.57 ,$229.12 ,$257.76 ,$286.40 ,$243.44 ,$174.00 ,$243.44 ,$243.44 ,$257.76 ,$257.76 ,$224.82 ,$236.57 ,$174.00 ,$186.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011111,12001,WOUND CLOSING USING TISS ADHEVSIVE ONLY,450,1 ,$61.95 ,$40.27 ,$40.27 ,$406.16 ,$49.56 ,$162.46 ,$49.09 ,$55.79 ,$55.79 ,$308.68 ,$52.66 ,$45.84 ,$406.16 ,$162.46 , N/A ,$51.67 ,$162.46 ,$51.17 ,$49.56 ,$55.76 ,$61.95 ,$52.66 ,$61.95 ,$52.66 ,$52.66 ,$55.76 ,$55.76 ,$48.63 ,$51.17 ,$61.95 ,$40.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),2001129,N/A,VYGON PICC KIT,270,1 ,$241.06 ,$156.69 ,$156.69 ,$217.07 ,$192.85 , N/A ,$191.02 ,$217.07 ,$217.07 , N/A ,$204.90 ,$178.38 , N/A , N/A , N/A ,$201.04 , N/A ,$199.12 ,$192.85 ,$216.95 , N/A ,$204.90 , N/A ,$204.90 ,$204.90 ,$216.95 ,$216.95 ,$189.23 ,$199.12 , N/A ,$156.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011303,11303,SHAVED LESION OVER 2CM,450,1 ,$899.40 ,$584.61 ,$312.93 ,$809.91 ,$719.52 ,$312.93 ,$712.68 ,$809.91 ,$809.91 ,$594.57 ,$764.49 ,$665.56 ,$782.32 ,$312.93 , N/A ,$750.10 ,$312.93 ,$742.90 ,$719.52 ,$809.46 ,$782.32 ,$764.49 ,$335.15 ,$764.49 ,$764.49 ,$809.46 ,$809.46 ,$706.03 ,$742.90 ,$335.15 ,$584.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),2001137,N/A,PIC REPAIR KIT,270,1 ,$76.72 ,$49.87 ,$49.87 ,$69.09 ,$61.38 , N/A ,$60.79 ,$69.09 ,$69.09 , N/A ,$65.21 ,$56.77 , N/A , N/A , N/A ,$63.98 , N/A ,$63.37 ,$61.38 ,$69.05 , N/A ,$65.21 , N/A ,$65.21 ,$65.21 ,$69.05 ,$69.05 ,$60.23 ,$63.37 , N/A ,$49.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011434,96372,INJECTION IM/SQ,260,1 ,$140.61 ,$91.40 ,$56.07 ,$140.18 ,$112.49 ,$56.07 ,$111.42 ,$126.62 ,$126.62 ,$106.54 ,$119.52 ,$104.05 ,$140.18 ,$56.07 , N/A ,$117.27 ,$56.07 ,$116.14 ,$112.49 ,$126.55 ,$140.18 ,$119.52 ,$60.05 ,$119.52 ,$119.52 ,$126.55 ,$126.55 ,$110.38 ,$116.14 ,$60.05 ,$91.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),2001145,N/A,PIC INTRODUCER NEEDL,270,1 ,$43.88 ,$28.52 ,$28.52 ,$39.51 ,$35.10 , N/A ,$34.77 ,$39.51 ,$39.51 , N/A ,$37.30 ,$32.47 , N/A , N/A , N/A ,$36.60 , N/A ,$36.24 ,$35.10 ,$39.49 , N/A ,$37.30 , N/A ,$37.30 ,$37.30 ,$39.49 ,$39.49 ,$34.45 ,$36.24 , N/A ,$28.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),2001152,N/A,PICC DRESS TRAY CLOR,270,1 ,$33.02 ,$21.46 ,$21.46 ,$29.73 ,$26.42 , N/A ,$26.17 ,$29.73 ,$29.73 , N/A ,$28.07 ,$24.43 , N/A , N/A , N/A ,$27.54 , N/A ,$27.27 ,$26.42 ,$29.72 , N/A ,$28.07 , N/A ,$28.07 ,$28.07 ,$29.72 ,$29.72 ,$25.92 ,$27.27 , N/A ,$21.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),2001160,N/A,PIC V CATH 4.0 FRENC,270,1 ,$98.68 ,$64.14 ,$64.14 ,$88.86 ,$78.94 , N/A ,$78.19 ,$88.86 ,$88.86 , N/A ,$83.88 ,$73.02 , N/A , N/A , N/A ,$82.30 , N/A ,$81.51 ,$78.94 ,$88.81 , N/A ,$83.88 , N/A ,$83.88 ,$83.88 ,$88.81 ,$88.81 ,$77.46 ,$81.51 , N/A ,$64.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011720,11720,DEBRID NAIL(S) ANY METHD(S); 1 TO 5,450,1 ,$174.39 ,$113.35 ,$50.36 ,$157.04 ,$139.51 ,$50.36 ,$138.19 ,$157.04 ,$157.04 ,$95.69 ,$148.23 ,$129.05 ,$125.91 ,$50.36 , N/A ,$145.44 ,$50.36 ,$144.05 ,$139.51 ,$156.95 ,$125.91 ,$148.23 ,$53.94 ,$148.23 ,$148.23 ,$156.95 ,$156.95 ,$136.90 ,$144.05 ,$53.94 ,$113.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011730,11730,AVULSION PLATE PART/COMPL SIMPL EA,450,1 ,$235.67 ,$153.19 ,$153.19 ,$406.16 ,$188.54 ,$162.46 ,$186.74 ,$212.22 ,$212.22 ,$308.68 ,$200.32 ,$174.40 ,$406.16 ,$162.46 , N/A ,$196.55 ,$162.46 ,$194.66 ,$188.54 ,$212.10 ,$235.67 ,$200.32 ,$174.00 ,$200.32 ,$200.32 ,$212.10 ,$212.10 ,$185.00 ,$194.66 ,$174.00 ,$153.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011732,11732,AVULSION PLATE PART/COMPLT SMPL ADDTL,450,1 ,$137.36 ,$89.28 ,$89.28 ,$123.69 ,$109.89 , N/A ,$108.84 ,$123.69 ,$123.69 , N/A ,$116.76 ,$101.65 , N/A , N/A , N/A ,$114.56 , N/A ,$113.46 ,$109.89 ,$123.62 , N/A ,$116.76 , N/A ,$116.76 ,$116.76 ,$123.62 ,$123.62 ,$107.83 ,$113.46 , N/A ,$89.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011740,11740,I AND D FINGERNAIL,450,1 ,$191.71 ,$124.61 ,$101.30 ,$253.24 ,$153.37 ,$101.30 ,$151.91 ,$172.63 ,$172.63 ,$192.46 ,$162.95 ,$141.87 ,$253.24 ,$101.30 , N/A ,$159.89 ,$101.30 ,$158.35 ,$153.37 ,$172.54 ,$191.71 ,$162.95 ,$108.49 ,$162.95 ,$162.95 ,$172.54 ,$172.54 ,$150.49 ,$158.35 ,$108.49 ,$124.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011750,11750,EXC NAIL/MATRIX PART/COMPLT PERM,450,1 ,$719.29 ,$467.54 ,$312.93 ,$782.32 ,$575.43 ,$312.93 ,$569.97 ,$647.72 ,$647.72 ,$594.57 ,$611.40 ,$532.27 ,$782.32 ,$312.93 , N/A ,$599.89 ,$312.93 ,$594.13 ,$575.43 ,$647.36 ,$719.29 ,$611.40 ,$335.15 ,$611.40 ,$611.40 ,$647.36 ,$647.36 ,$564.64 ,$594.13 ,$335.15 ,$467.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),20011770,11770,PILONIDAL CYST REMOVAL,450,1 ,"$3,915.92 ","$2,545.35 ","$2,144.48 ","$5,361.20 ","$3,132.74 ","$2,144.48 ","$3,102.98 ","$3,526.29 ","$3,526.29 ","$4,074.51 ","$3,328.53 ","$2,897.78 ","$5,361.20 ","$2,144.48 ", N/A ,"$3,265.88 ","$2,144.48 ","$3,234.55 ","$3,132.74 ","$3,524.33 ","$3,915.92 ","$3,328.53 ","$2,296.74 ","$3,328.53 ","$3,328.53 ","$3,524.33 ","$3,524.33 ","$3,074.00 ","$3,234.55 ","$2,296.74 ","$2,545.35 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20012001,12001,SIMPL REPR SCLP/TRUNK; 2.5 CM/LESS,450,1 ,$623.03 ,$404.97 ,$162.46 ,$561.04 ,$498.42 ,$162.46 ,$493.69 ,$561.04 ,$561.04 ,$308.68 ,$529.58 ,$461.04 ,$406.16 ,$162.46 , N/A ,$519.61 ,$162.46 ,$514.62 ,$498.42 ,$560.73 ,$406.16 ,$529.58 ,$174.00 ,$529.58 ,$529.58 ,$560.73 ,$560.73 ,$489.08 ,$514.62 ,$174.00 ,$404.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012002,12002,SIMPL REPR SCLP/TRUNK; 2.6-7.5 CM,450,1 ,$629.06 ,$408.89 ,$162.46 ,$566.47 ,$503.25 ,$162.46 ,$498.47 ,$566.47 ,$566.47 ,$308.68 ,$534.70 ,$465.50 ,$406.16 ,$162.46 , N/A ,$524.64 ,$162.46 ,$519.60 ,$503.25 ,$566.15 ,$406.16 ,$534.70 ,$174.00 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$174.00 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012004,12004,SIMPL REPR SCLP/TRUNK;7.6-12.5 CM,450,1 ,$629.06 ,$408.89 ,$162.46 ,$566.47 ,$503.25 ,$162.46 ,$498.47 ,$566.47 ,$566.47 ,$308.68 ,$534.70 ,$465.50 ,$406.16 ,$162.46 , N/A ,$524.64 ,$162.46 ,$519.60 ,$503.25 ,$566.15 ,$406.16 ,$534.70 ,$174.00 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$174.00 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012005,12005,SIMPL REPR SCLP/TRUNK 12.6-20.0 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012006,12006,SIMPL REPR SCLP/TRUNK; 20.1-30.0 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012007,12007,SIMPL REPR SCLP/TRUNK; OVER 30.0 CM,450,1 ,$629.06 ,$408.89 ,$162.46 ,$566.47 ,$503.25 ,$162.46 ,$498.47 ,$566.47 ,$566.47 ,$308.68 ,$534.70 ,$465.50 ,$406.16 ,$162.46 , N/A ,$524.64 ,$162.46 ,$519.60 ,$503.25 ,$566.15 ,$406.16 ,$534.70 ,$174.00 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$174.00 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012011,12011,SIMP REPR FACE/MUCOUS; 2.5/LESS,450,1 ,$629.06 ,$408.89 ,$162.46 ,$566.47 ,$503.25 ,$162.46 ,$498.47 ,$566.47 ,$566.47 ,$308.68 ,$534.70 ,$465.50 ,$406.16 ,$162.46 , N/A ,$524.64 ,$162.46 ,$519.60 ,$503.25 ,$566.15 ,$406.16 ,$534.70 ,$174.00 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$174.00 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012013,12013,SIMPL REPR FACE/MUCOUS;2.6-5.0 CM,450,1 ,$629.06 ,$408.89 ,$162.46 ,$566.47 ,$503.25 ,$162.46 ,$498.47 ,$566.47 ,$566.47 ,$308.68 ,$534.70 ,$465.50 ,$406.16 ,$162.46 , N/A ,$524.64 ,$162.46 ,$519.60 ,$503.25 ,$566.15 ,$406.16 ,$534.70 ,$174.00 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$174.00 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012014,12014,SIMPL REPR FACE/MUCOUS;5.1-7.5 CM,450,1 ,$629.06 ,$408.89 ,$162.46 ,$566.47 ,$503.25 ,$162.46 ,$498.47 ,$566.47 ,$566.47 ,$308.68 ,$534.70 ,$465.50 ,$406.16 ,$162.46 , N/A ,$524.64 ,$162.46 ,$519.60 ,$503.25 ,$566.15 ,$406.16 ,$534.70 ,$174.00 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$174.00 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012015,12015,SIMPL REPR FACE/MUCOUS; 7.6-12.5 CM,450,1 ,$629.06 ,$408.89 ,$162.46 ,$566.47 ,$503.25 ,$162.46 ,$498.47 ,$566.47 ,$566.47 ,$308.68 ,$534.70 ,$465.50 ,$406.16 ,$162.46 , N/A ,$524.64 ,$162.46 ,$519.60 ,$503.25 ,$566.15 ,$406.16 ,$534.70 ,$174.00 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$174.00 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012016,12016,WOUND REP 12.6-20.0,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012017,12017,SIMPL REPR FACE/MUCOUS; 20.1-30.0 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012018,12018,SIMPL REPR FACE/MUCOUS; OVER 30.0,450,1 ,$629.06 ,$408.89 ,$162.46 ,$566.47 ,$503.25 ,$162.46 ,$498.47 ,$566.47 ,$566.47 ,$308.68 ,$534.70 ,$465.50 ,$406.16 ,$162.46 , N/A ,$524.64 ,$162.46 ,$519.60 ,$503.25 ,$566.15 ,$406.16 ,$534.70 ,$174.00 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$174.00 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012020,12020,TX SUPERF WOUND DEHISCENCE; SIMPL,450,1 ,$599.06 ,$389.39 ,$389.39 ,"$1,185.73 ",$479.25 ,$474.29 ,$474.70 ,$539.45 ,$539.45 ,$901.15 ,$509.20 ,$443.30 ,"$1,185.73 ",$474.29 , N/A ,$499.62 ,$474.29 ,$494.82 ,$479.25 ,$539.15 ,$599.06 ,$509.20 ,$507.96 ,$509.20 ,$509.20 ,$539.15 ,$539.15 ,$470.26 ,$494.82 ,$507.96 ,$389.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012021,12021,TX SUPERF WOUND DEHISCENCE; W/PACK,450,1 ,$599.06 ,$389.39 ,$312.93 ,$782.32 ,$479.25 ,$312.93 ,$474.70 ,$539.45 ,$539.45 ,$594.57 ,$509.20 ,$443.30 ,$782.32 ,$312.93 , N/A ,$499.62 ,$312.93 ,$494.82 ,$479.25 ,$539.15 ,$599.06 ,$509.20 ,$335.15 ,$509.20 ,$509.20 ,$539.15 ,$539.15 ,$470.26 ,$494.82 ,$335.15 ,$389.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012031,12031,LAYER CLO SCALP/TRUNK 0-2.5CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012032,12032,LAYER CLO SCLP/TRUNK; 2.6-7.5CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012034,12034,LAYER CLO SCLP/TRUNK; 7.6-12.5 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012035,12035,LAYER CLO SCLP/TRUNK 12.6-20.0 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012036,12036,LAYER CLO SCLP/TRUNK; 20.1-30.0 CM,450,1 ,$629.06 ,$408.89 ,$408.89 ,"$1,185.73 ",$503.25 ,$474.29 ,$498.47 ,$566.47 ,$566.47 ,$901.15 ,$534.70 ,$465.50 ,"$1,185.73 ",$474.29 , N/A ,$524.64 ,$474.29 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$507.96 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$507.96 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012037,12037,LAYER CLO SCLP/TRUNK; OVER 30.0 CM,450,1 ,"$2,259.40 ","$1,468.61 ","$1,468.61 ","$3,880.32 ","$1,807.52 ","$1,552.13 ","$1,790.35 ","$2,034.59 ","$2,034.59 ","$2,949.04 ","$1,920.49 ","$1,671.96 ","$3,880.32 ","$1,552.13 ", N/A ,"$1,884.34 ","$1,552.13 ","$1,866.26 ","$1,807.52 ","$2,033.46 ","$2,259.40 ","$1,920.49 ","$1,662.33 ","$1,920.49 ","$1,920.49 ","$2,033.46 ","$2,033.46 ","$1,773.63 ","$1,866.26 ","$1,662.33 ","$1,468.61 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20012041,12041,LAYER CLO NECK/FT/GENIT 0-2.5 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012042,12042,LAYER CLO NECK/FT/GENIT;2.6-7.5 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012044,12044,LAYER CLO NECK/FT/GENIT; 7.6-12.5CM,450,1 ,$629.06 ,$408.89 ,$408.89 ,"$1,185.73 ",$503.25 ,$474.29 ,$498.47 ,$566.47 ,$566.47 ,$901.15 ,$534.70 ,$465.50 ,"$1,185.73 ",$474.29 , N/A ,$524.64 ,$474.29 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$507.96 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$507.96 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012045,12045,LAYER CLO NECK/FT/GENIT; 12.6-20.0 CM,450,1 ,$233.73 ,$151.92 ,$151.92 ,"$1,185.73 ",$186.98 ,$474.29 ,$185.21 ,$210.47 ,$210.47 ,$901.15 ,$198.67 ,$172.96 ,"$1,185.73 ",$474.29 , N/A ,$194.93 ,$474.29 ,$193.06 ,$186.98 ,$210.36 ,$233.73 ,$198.67 ,$233.73 ,$198.67 ,$198.67 ,$210.36 ,$210.36 ,$183.48 ,$193.06 ,$233.73 ,$151.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012046,12046,LAYER CLO NECK/FT/GENIT; 20.1-30.0CM,450,1 ,$629.06 ,$408.89 ,$408.89 ,"$1,185.73 ",$503.25 ,$474.29 ,$498.47 ,$566.47 ,$566.47 ,$901.15 ,$534.70 ,$465.50 ,"$1,185.73 ",$474.29 , N/A ,$524.64 ,$474.29 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$507.96 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$507.96 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012047,12047,LAYER CLO NECK/FT/GENIT; OVER 30.0 CM,450,1 ,"$2,375.49 ","$1,544.07 ","$1,544.07 ","$3,880.32 ","$1,900.39 ","$1,552.13 ","$1,882.34 ","$2,139.13 ","$2,139.13 ","$2,949.04 ","$2,019.17 ","$1,757.86 ","$3,880.32 ","$1,552.13 ", N/A ,"$1,981.16 ","$1,552.13 ","$1,962.15 ","$1,900.39 ","$2,137.94 ","$2,375.49 ","$2,019.17 ","$1,662.33 ","$2,019.17 ","$2,019.17 ","$2,137.94 ","$2,137.94 ","$1,864.76 ","$1,962.15 ","$1,662.33 ","$1,544.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20012051,12051,LAYER CLO FACE/LIPS;2.5 CM/LESS,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012052,12052,LAYER CLO FACE/LIPS;2.6 TO 5.0 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012053,12053,LAYER CLO FACE/LIPS0 5.1-7.5 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012054,12054,LAYER CLO FACE/LIPS; 7.6-12.5 CM,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012055,12055,LAYER CLO FACE/LIPS; 12.6-20.0CM,450,1 ,$512.85 ,$333.35 ,$312.93 ,$782.32 ,$410.28 ,$312.93 ,$406.38 ,$461.82 ,$461.82 ,$594.57 ,$435.92 ,$379.51 ,$782.32 ,$312.93 , N/A ,$427.72 ,$312.93 ,$423.61 ,$410.28 ,$461.57 ,$512.85 ,$435.92 ,$335.15 ,$435.92 ,$435.92 ,$461.57 ,$461.57 ,$402.59 ,$423.61 ,$335.15 ,$333.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012056,12056,LAYER CLO FACE/LIPS;20.1 TO 30.0,450,1 ,$629.06 ,$408.89 ,$312.93 ,$782.32 ,$503.25 ,$312.93 ,$498.47 ,$566.47 ,$566.47 ,$594.57 ,$534.70 ,$465.50 ,$782.32 ,$312.93 , N/A ,$524.64 ,$312.93 ,$519.60 ,$503.25 ,$566.15 ,$629.06 ,$534.70 ,$335.15 ,$534.70 ,$534.70 ,$566.15 ,$566.15 ,$493.81 ,$519.60 ,$335.15 ,$408.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20012057,12057,LAYER CLO FACE/LIPS; OVER 30.0 CM,450,1 ,"$2,960.78 ","$1,924.51 ",$312.93 ,"$2,666.18 ","$2,368.62 ",$312.93 ,"$2,346.12 ","$2,666.18 ","$2,666.18 ",$594.57 ,"$2,516.66 ","$2,190.98 ",$782.32 ,$312.93 , N/A ,"$2,469.29 ",$312.93 ,"$2,445.60 ","$2,368.62 ","$2,664.70 ",$782.32 ,"$2,516.66 ",$335.15 ,"$2,516.66 ","$2,516.66 ","$2,664.70 ","$2,664.70 ","$2,324.21 ","$2,445.60 ",$335.15 ,"$1,924.51 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20013101,13101,COMPLEX REPR TRUNK 2.6-7.5CM,450,1 ,"$1,629.97 ","$1,059.48 ",$474.29 ,"$1,467.79 ","$1,303.98 ",$474.29 ,"$1,291.59 ","$1,467.79 ","$1,467.79 ",$901.15 ,"$1,385.47 ","$1,206.18 ","$1,185.73 ",$474.29 , N/A ,"$1,359.40 ",$474.29 ,"$1,346.36 ","$1,303.98 ","$1,466.97 ","$1,185.73 ","$1,385.47 ",$507.96 ,"$1,385.47 ","$1,385.47 ","$1,466.97 ","$1,466.97 ","$1,279.53 ","$1,346.36 ",$507.96 ,"$1,059.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20013102,13102,COMPLEX REPR TRUNK EA ADDL .5CM OR LESS,450,1 ,$566.86 ,$368.46 ,$368.46 ,$510.46 ,$453.49 , N/A ,$449.18 ,$510.46 ,$510.46 , N/A ,$481.83 ,$419.48 , N/A , N/A , N/A ,$472.76 , N/A ,$468.23 ,$453.49 ,$510.17 , N/A ,$481.83 , N/A ,$481.83 ,$481.83 ,$510.17 ,$510.17 ,$444.99 ,$468.23 , N/A ,$368.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),20013120,13120,COMPLEX REPR SCLP/ARMS/LEGS 2.5CM/LESS,450,1 ,"$1,629.97 ","$1,059.48 ",$474.29 ,"$1,467.79 ","$1,303.98 ",$474.29 ,"$1,291.59 ","$1,467.79 ","$1,467.79 ",$901.15 ,"$1,385.47 ","$1,206.18 ","$1,185.73 ",$474.29 , N/A ,"$1,359.40 ",$474.29 ,"$1,346.36 ","$1,303.98 ","$1,466.97 ","$1,185.73 ","$1,385.47 ",$507.96 ,"$1,385.47 ","$1,385.47 ","$1,466.97 ","$1,466.97 ","$1,279.53 ","$1,346.36 ",$507.96 ,"$1,059.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20013121,13121,COMPLEX REPR SCLP/ARMS/LEGS 2.6-7.5CM,450,1 ,"$1,629.97 ","$1,059.48 ",$474.29 ,"$1,467.79 ","$1,303.98 ",$474.29 ,"$1,291.59 ","$1,467.79 ","$1,467.79 ",$901.15 ,"$1,385.47 ","$1,206.18 ","$1,185.73 ",$474.29 , N/A ,"$1,359.40 ",$474.29 ,"$1,346.36 ","$1,303.98 ","$1,466.97 ","$1,185.73 ","$1,385.47 ",$507.96 ,"$1,385.47 ","$1,385.47 ","$1,466.97 ","$1,466.97 ","$1,279.53 ","$1,346.36 ",$507.96 ,"$1,059.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20013122,13122,REP COM SCLP/ARM/LEG;EA ADN 5CM OR LESS,450,1 ,"$1,108.64 ",$720.62 ,$720.62 ,$998.33 ,$886.91 , N/A ,$878.49 ,$998.33 ,$998.33 , N/A ,$942.34 ,$820.39 , N/A , N/A , N/A ,$924.61 , N/A ,$915.74 ,$886.91 ,$997.78 , N/A ,$942.34 , N/A ,$942.34 ,$942.34 ,$997.78 ,$997.78 ,$870.28 ,$915.74 , N/A ,$720.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),20013132,13132,REP COMPL FACIAL/GEN/HNDS/FT 2.6-7.5CM,450,1 ,$822.89 ,$534.88 ,$474.29 ,"$1,185.73 ",$658.31 ,$474.29 ,$652.06 ,$741.01 ,$741.01 ,$901.15 ,$699.46 ,$608.94 ,"$1,185.73 ",$474.29 , N/A ,$686.29 ,$474.29 ,$679.71 ,$658.31 ,$740.60 ,$822.89 ,$699.46 ,$507.96 ,$699.46 ,$699.46 ,$740.60 ,$740.60 ,$645.97 ,$679.71 ,$507.96 ,$534.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20013133,13133,REP COMPL FACE/GEN/HDS/FT EA ADD 5CM/LES,450,1 ,"$1,165.84 ",$757.80 ,$757.80 ,"$1,049.84 ",$932.67 , N/A ,$923.81 ,"$1,049.84 ","$1,049.84 ", N/A ,$990.96 ,$862.72 , N/A , N/A , N/A ,$972.31 , N/A ,$962.98 ,$932.67 ,"$1,049.26 ", N/A ,$990.96 , N/A ,$990.96 ,$990.96 ,"$1,049.26 ","$1,049.26 ",$915.18 ,$962.98 , N/A ,$757.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20013151,13151,REP COMPLEX ILIDS/NOSE/EAR/LIP 1.1-2.5CM,450,1 ,$648.21 ,$421.34 ,$421.34 ,"$1,185.73 ",$518.57 ,$474.29 ,$513.64 ,$583.71 ,$583.71 ,$901.15 ,$550.98 ,$479.68 ,"$1,185.73 ",$474.29 , N/A ,$540.61 ,$474.29 ,$535.42 ,$518.57 ,$583.39 ,$648.21 ,$550.98 ,$507.96 ,$550.98 ,$550.98 ,$583.39 ,$583.39 ,$508.84 ,$535.42 ,$507.96 ,$421.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),20013152,13152,REPR COMP EYELDS NSE ERS OR LIPS 2.6-7.5,450,1 ,"$2,331.17 ","$1,515.26 ",$474.29 ,"$2,099.22 ","$1,864.94 ",$474.29 ,"$1,847.22 ","$2,099.22 ","$2,099.22 ",$901.15 ,"$1,981.49 ","$1,725.07 ","$1,185.73 ",$474.29 , N/A ,"$1,944.20 ",$474.29 ,"$1,925.55 ","$1,864.94 ","$2,098.05 ","$1,185.73 ","$1,981.49 ",$507.96 ,"$1,981.49 ","$1,981.49 ","$2,098.05 ","$2,098.05 ","$1,829.97 ","$1,925.55 ",$507.96 ,"$1,515.26 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20016000,16000,INIT TX 1ST DEGREE BURN W/LOCAL TX,450,1 ,$373.23 ,$242.60 ,$162.46 ,$406.16 ,$298.58 ,$162.46 ,$295.75 ,$336.09 ,$336.09 ,$308.68 ,$317.25 ,$276.19 ,$406.16 ,$162.46 , N/A ,$311.27 ,$162.46 ,$308.29 ,$298.58 ,$335.91 ,$373.23 ,$317.25 ,$174.00 ,$317.25 ,$317.25 ,$335.91 ,$335.91 ,$292.99 ,$308.29 ,$174.00 ,$242.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),20016020,16020,BURN DSG DEBRID INIT SUBS;WO ANES SM,450,1 ,$375.05 ,$243.78 ,$162.46 ,$406.16 ,$300.04 ,$162.46 ,$297.19 ,$337.73 ,$337.73 ,$308.68 ,$318.79 ,$277.54 ,$406.16 ,$162.46 , N/A ,$312.79 ,$162.46 ,$309.79 ,$300.04 ,$337.55 ,$375.05 ,$318.79 ,$174.00 ,$318.79 ,$318.79 ,$337.55 ,$337.55 ,$294.41 ,$309.79 ,$174.00 ,$243.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),20016025,16025,BURN DSG/DEBRIDE MED 0,450,1 ,$271.15 ,$176.25 ,$162.46 ,$406.16 ,$216.92 ,$162.46 ,$214.86 ,$244.17 ,$244.17 ,$308.68 ,$230.48 ,$200.65 ,$406.16 ,$162.46 , N/A ,$226.14 ,$162.46 ,$223.97 ,$216.92 ,$244.04 ,$271.15 ,$230.48 ,$174.00 ,$230.48 ,$230.48 ,$244.04 ,$244.04 ,$212.85 ,$223.97 ,$174.00 ,$176.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),20016030,16030,BURN DSG/DEBRIDE LG,450,1 ,$322.78 ,$209.81 ,$209.81 ,$782.32 ,$258.22 ,$312.93 ,$255.77 ,$290.66 ,$290.66 ,$594.57 ,$274.36 ,$238.86 ,$782.32 ,$312.93 , N/A ,$269.20 ,$312.93 ,$266.62 ,$258.22 ,$290.50 ,$322.78 ,$274.36 ,$322.78 ,$274.36 ,$274.36 ,$290.50 ,$290.50 ,$253.38 ,$266.62 ,$322.78 ,$209.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),20016035,16035,ESCHAROTOMY INIT INCISION,450,1 ,"$1,478.48 ",$961.01 ,$312.93 ,"$1,331.37 ","$1,182.78 ",$312.93 ,"$1,171.55 ","$1,331.37 ","$1,331.37 ",$594.57 ,"$1,256.71 ","$1,094.08 ",$782.32 ,$312.93 , N/A ,"$1,233.05 ",$312.93 ,"$1,221.22 ","$1,182.78 ","$1,330.63 ",$782.32 ,"$1,256.71 ",$335.15 ,"$1,256.71 ","$1,256.71 ","$1,330.63 ","$1,330.63 ","$1,160.61 ","$1,221.22 ",$335.15 ,$961.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20020520,20520,F B REMOVAL SMPL MUS,450,1 ,$797.84 ,$518.60 ,$518.60 ,"$3,182.77 ",$638.27 ,"$1,273.11 ",$632.21 ,$718.45 ,$718.45 ,"$2,418.91 ",$678.16 ,$590.40 ,"$3,182.77 ","$1,273.11 ", N/A ,$665.40 ,"$1,273.11 ",$659.02 ,$638.27 ,$718.06 ,$797.84 ,$678.16 ,$797.84 ,$678.16 ,$678.16 ,$718.06 ,$718.06 ,$626.30 ,$659.02 ,$797.84 ,$518.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),20020552,20552,INJ TENDON SHEATH/1 OR 2 TRIG PT MUSC,450,1 ,$760.11 ,$494.07 ,$236.32 ,$684.48 ,$608.09 ,$236.32 ,$602.31 ,$684.48 ,$684.48 ,$449.00 ,$646.09 ,$562.48 ,$590.79 ,$236.32 , N/A ,$633.93 ,$236.32 ,$627.85 ,$608.09 ,$684.10 ,$590.79 ,$646.09 ,$253.10 ,$646.09 ,$646.09 ,$684.10 ,$684.10 ,$596.69 ,$627.85 ,$253.10 ,$494.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),20020553,20553,INJ TENDON SHEATH/3+ TRIG PT MUSC,450,1 ,$760.11 ,$494.07 ,$236.32 ,$684.48 ,$608.09 ,$236.32 ,$602.31 ,$684.48 ,$684.48 ,$449.00 ,$646.09 ,$562.48 ,$590.79 ,$236.32 , N/A ,$633.93 ,$236.32 ,$627.85 ,$608.09 ,$684.10 ,$590.79 ,$646.09 ,$253.10 ,$646.09 ,$646.09 ,$684.10 ,$684.10 ,$596.69 ,$627.85 ,$253.10 ,$494.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),20020605,20605,ARTHROCENTESIS/ASPIR/INJ/INTERM JT,450,1 ,$318.69 ,$207.15 ,$207.15 ,$590.79 ,$254.95 ,$236.32 ,$252.53 ,$286.98 ,$286.98 ,$449.00 ,$270.89 ,$235.83 ,$590.79 ,$236.32 , N/A ,$265.79 ,$236.32 ,$263.24 ,$254.95 ,$286.82 ,$318.69 ,$270.89 ,$253.10 ,$270.89 ,$270.89 ,$286.82 ,$286.82 ,$250.17 ,$263.24 ,$253.10 ,$207.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),20020610,20610,ARTHROCENTESIS/ASPIR/INJ;MAJOR JT LEFT,450,1 ,$372.72 ,$242.27 ,$236.32 ,$590.79 ,$298.18 ,$236.32 ,$295.34 ,$335.63 ,$335.63 ,$449.00 ,$316.81 ,$275.81 ,$590.79 ,$236.32 , N/A ,$310.85 ,$236.32 ,$307.87 ,$298.18 ,$335.45 ,$372.72 ,$316.81 ,$253.10 ,$316.81 ,$316.81 ,$335.45 ,$335.45 ,$292.59 ,$307.87 ,$253.10 ,$242.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),20021310,21310,NASAL FX,450,1 ,"$1,944.90 ","$1,264.19 ",$186.57 ,"$1,751.38 ","$1,555.92 ",$186.57 ,"$1,541.14 ","$1,751.38 ","$1,751.38 ",$354.48 ,"$1,653.17 ","$1,439.23 ",$466.42 ,$186.57 , N/A ,"$1,622.05 ",$186.57 ,"$1,606.49 ","$1,555.92 ","$1,750.41 ",$466.42 ,"$1,653.17 ",$199.82 ,"$1,653.17 ","$1,653.17 ","$1,750.41 ","$1,750.41 ","$1,526.75 ","$1,606.49 ",$199.82 ,"$1,264.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20021315,21315,CLO TX NASAL BONE FX;WO STABILIZAT,450,1 ,"$1,944.90 ","$1,264.19 ","$1,224.06 ","$3,060.15 ","$1,555.92 ","$1,224.06 ","$1,541.14 ","$1,751.38 ","$1,751.38 ","$2,325.71 ","$1,653.17 ","$1,439.23 ","$3,060.15 ","$1,224.06 ", N/A ,"$1,622.05 ","$1,224.06 ","$1,606.49 ","$1,555.92 ","$1,750.41 ","$1,944.90 ","$1,653.17 ","$1,310.97 ","$1,653.17 ","$1,653.17 ","$1,750.41 ","$1,750.41 ","$1,526.75 ","$1,606.49 ","$1,310.97 ","$1,264.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20021451,21451,CLSD TX OF MANDIBULAR FX WITH MANIPULATI,450,1 ,"$1,697.76 ","$1,103.54 ","$1,103.54 ","$3,060.15 ","$1,358.21 ","$1,224.06 ","$1,345.31 ","$1,528.83 ","$1,528.83 ","$2,325.71 ","$1,443.10 ","$1,256.34 ","$3,060.15 ","$1,224.06 ", N/A ,"$1,415.93 ","$1,224.06 ","$1,402.35 ","$1,358.21 ","$1,527.98 ","$1,697.76 ","$1,443.10 ","$1,310.97 ","$1,443.10 ","$1,443.10 ","$1,527.98 ","$1,527.98 ","$1,332.74 ","$1,402.35 ","$1,310.97 ","$1,103.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20021480,21480,T M J DISLOCAITON,450,1 ,$435.07 ,$282.80 ,$186.57 ,$466.42 ,$348.06 ,$186.57 ,$344.75 ,$391.78 ,$391.78 ,$354.48 ,$369.81 ,$321.95 ,$466.42 ,$186.57 , N/A ,$362.85 ,$186.57 ,$359.37 ,$348.06 ,$391.56 ,$435.07 ,$369.81 ,$199.82 ,$369.81 ,$369.81 ,$391.56 ,$391.56 ,$341.53 ,$359.37 ,$199.82 ,$282.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023330,23330,REMOV FB SHOULDER;SUBQ,450,1 ,"$1,035.76 ",$673.24 ,$562.78 ,"$1,406.96 ",$828.61 ,$562.78 ,$820.74 ,$932.70 ,$932.70 ,"$1,069.29 ",$880.40 ,$766.46 ,"$1,406.96 ",$562.78 , N/A ,$863.82 ,$562.78 ,$855.54 ,$828.61 ,$932.18 ,"$1,035.76 ",$880.40 ,$602.74 ,$880.40 ,$880.40 ,$932.18 ,$932.18 ,$813.07 ,$855.54 ,$602.74 ,$673.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023500,23500,CLO TX CLAV FX; WO MANIP,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023505,23505,CLO TX CLAV FX/W MANIP RT,450,1 ,$741.51 ,$481.98 ,$481.98 ,"$3,149.64 ",$593.21 ,"$1,259.85 ",$587.57 ,$667.73 ,$667.73 ,"$2,393.72 ",$630.28 ,$548.72 ,"$3,149.64 ","$1,259.85 ", N/A ,$618.42 ,"$1,259.85 ",$612.49 ,$593.21 ,$667.36 ,$741.51 ,$630.28 ,$741.51 ,$630.28 ,$630.28 ,$667.36 ,$667.36 ,$582.09 ,$612.49 ,$741.51 ,$481.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023540,23540,CLO TX ACROMIOCLAV DISLOC; WO MANIP,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023570,23570,CLO TX SCAPULAR FX; WO MANIP,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023600,23600,CLO TX PROX HUMERAL FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023620,23620,CLO TX GR HUMERAL TUBER FX;WO,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023650,23650,CLO TX SHLDR DISLOC W/MANIP;WO ANES RT,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20023655,23655,CLO TX SHLDR DISLOC W/MANIP; W/ANES,450,1 ,"$2,053.82 ","$1,334.98 ","$1,259.85 ","$3,149.64 ","$1,643.06 ","$1,259.85 ","$1,627.45 ","$1,849.46 ","$1,849.46 ","$2,393.72 ","$1,745.75 ","$1,519.83 ","$3,149.64 ","$1,259.85 ", N/A ,"$1,712.89 ","$1,259.85 ","$1,696.46 ","$1,643.06 ","$1,848.44 ","$2,053.82 ","$1,745.75 ","$1,349.30 ","$1,745.75 ","$1,745.75 ","$1,848.44 ","$1,848.44 ","$1,612.25 ","$1,696.46 ","$1,349.30 ","$1,334.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20023665,23665,CLSD TX SHLDR DIS W FX GRT HUM TUB/MA RT,450,1 ,"$3,326.61 ","$2,162.30 ","$1,259.85 ","$3,149.64 ","$2,661.29 ","$1,259.85 ","$2,636.01 ","$2,995.61 ","$2,995.61 ","$2,393.72 ","$2,827.62 ","$2,461.69 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,774.39 ","$1,259.85 ","$2,747.78 ","$2,661.29 ","$2,993.95 ","$3,149.64 ","$2,827.62 ","$1,349.30 ","$2,827.62 ","$2,827.62 ","$2,993.95 ","$2,993.95 ","$2,611.39 ","$2,747.78 ","$1,349.30 ","$2,162.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20023930,23930,I AND D UPPER ARM/ELBOW; DEEP ABCESS,450,1 ,"$1,592.30 ","$1,035.00 ","$1,035.00 ","$5,361.20 ","$1,273.84 ","$2,144.48 ","$1,261.74 ","$1,433.87 ","$1,433.87 ","$4,074.51 ","$1,353.46 ","$1,178.30 ","$5,361.20 ","$2,144.48 ", N/A ,"$1,327.98 ","$2,144.48 ","$1,315.24 ","$1,273.84 ","$1,433.07 ","$1,592.30 ","$1,353.46 ","$1,592.30 ","$1,353.46 ","$1,353.46 ","$1,433.07 ","$1,433.07 ","$1,249.96 ","$1,315.24 ","$1,592.30 ","$1,035.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20024200,24200,REMOV FB UPPER ARM/ELBOW; SUBQ,450,1 ,"$1,035.76 ",$673.24 ,$673.24 ,"$3,182.77 ",$828.61 ,"$1,273.11 ",$820.74 ,$932.70 ,$932.70 ,"$2,418.91 ",$880.40 ,$766.46 ,"$3,182.77 ","$1,273.11 ", N/A ,$863.82 ,"$1,273.11 ",$855.54 ,$828.61 ,$932.18 ,"$1,035.76 ",$880.40 ,"$1,035.76 ",$880.40 ,$880.40 ,$932.18 ,$932.18 ,$813.07 ,$855.54 ,"$1,035.76 ",$673.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024500,24500,CLO TX HUMERAL SHAFT FX;WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024530,24530,CLO TX SUPRACOONDYL HUMER FX; WO MAN,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024560,24560,CLO TX HUMER EPICOND FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024565,24565,CLO TX HUMER EPICOND FX: W MANIP,450,1 ,$569.59 ,$370.23 ,$370.23 ,"$3,149.64 ",$455.67 ,"$1,259.85 ",$451.34 ,$512.92 ,$512.92 ,"$2,393.72 ",$484.15 ,$421.50 ,"$3,149.64 ","$1,259.85 ", N/A ,$475.04 ,"$1,259.85 ",$470.48 ,$455.67 ,$512.63 ,$569.59 ,$484.15 ,$569.59 ,$484.15 ,$484.15 ,$512.63 ,$512.63 ,$447.13 ,$470.48 ,$569.59 ,$370.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024576,24576,CLO TX HUMERAL CONDYL FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024600,24600,TX CLO ELBOW DISLOC;WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024605,24605,TX CLO ELBOW DISLOC; REQUIRING ANES,450,1 ,"$2,276.38 ","$1,479.65 ","$1,259.85 ","$3,149.64 ","$1,821.10 ","$1,259.85 ","$1,803.80 ","$2,049.88 ","$2,049.88 ","$2,393.72 ","$1,934.92 ","$1,684.52 ","$3,149.64 ","$1,259.85 ", N/A ,"$1,898.50 ","$1,259.85 ","$1,880.29 ","$1,821.10 ","$2,048.74 ","$2,276.38 ","$1,934.92 ","$1,349.30 ","$1,934.92 ","$1,934.92 ","$2,048.74 ","$2,048.74 ","$1,786.96 ","$1,880.29 ","$1,349.30 ","$1,479.65 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20024640,24640,RADIAL HEAD SUBLUXA W MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024650,24650,CLO TX RADIAL HEAD/NECK FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20024670,24670,CLO TX ULNAR FX PROX END;WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025028,25028,I AND D FOREARM;DEEP ABCESS/HEMATOMA,450,1 ,"$2,704.39 ","$1,757.85 ","$1,757.85 ","$6,402.65 ","$2,163.51 ","$2,561.06 ","$2,142.96 ","$2,435.30 ","$2,435.30 ","$4,866.01 ","$2,298.73 ","$2,001.25 ","$6,402.65 ","$2,561.06 ", N/A ,"$2,255.46 ","$2,561.06 ","$2,233.83 ","$2,163.51 ","$2,433.95 ","$2,704.39 ","$2,298.73 ","$2,704.39 ","$2,298.73 ","$2,298.73 ","$2,433.95 ","$2,433.95 ","$2,122.95 ","$2,233.83 ","$2,704.39 ","$1,757.85 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20025500,25500,CLO TX RADIAL SHAFT FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025505,25505,CLO TX RADIAL FX W/MANIPULATION,450,1 ,"$1,582.17 ","$1,028.41 ","$1,028.41 ","$3,149.64 ","$1,265.74 ","$1,259.85 ","$1,253.71 ","$1,424.74 ","$1,424.74 ","$2,393.72 ","$1,344.84 ","$1,170.81 ","$3,149.64 ","$1,259.85 ", N/A ,"$1,319.53 ","$1,259.85 ","$1,306.87 ","$1,265.74 ","$1,423.95 ","$1,582.17 ","$1,344.84 ","$1,349.30 ","$1,344.84 ","$1,344.84 ","$1,423.95 ","$1,423.95 ","$1,242.00 ","$1,306.87 ","$1,349.30 ","$1,028.41 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20025520,25520,CLO TX RADIAL FX W/DISLOC RAD/ULNA,450,1 ,$561.84 ,$365.20 ,$365.20 ,"$3,149.64 ",$449.47 ,"$1,259.85 ",$445.20 ,$505.94 ,$505.94 ,"$2,393.72 ",$477.56 ,$415.76 ,"$3,149.64 ","$1,259.85 ", N/A ,$468.57 ,"$1,259.85 ",$464.08 ,$449.47 ,$505.66 ,$561.84 ,$477.56 ,$561.84 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$561.84 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025530,25530,CLO TX ULNAR SHAFT FX;WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025560,25560,CLO TX RAD AND ULNA SHAFT FX; WO MANI,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025600,25600,CLO TX DIST RAD FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025605,25605,CLO TX DIST RAD FX W/WO ULNA W MANIP,450,1 ,"$1,371.31 ",$891.35 ,$891.35 ,"$3,149.64 ","$1,097.05 ","$1,259.85 ","$1,086.63 ","$1,234.86 ","$1,234.86 ","$2,393.72 ","$1,165.61 ","$1,014.77 ","$3,149.64 ","$1,259.85 ", N/A ,"$1,143.67 ","$1,259.85 ","$1,132.70 ","$1,097.05 ","$1,234.18 ","$1,371.31 ","$1,165.61 ","$1,349.30 ","$1,165.61 ","$1,165.61 ","$1,234.18 ","$1,234.18 ","$1,076.48 ","$1,132.70 ","$1,349.30 ",$891.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025622,25622,CLO TX CARPAL SCAPHOID FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025630,25630,CLO TX CARPAL BONE FX; WO MANIP EA,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025650,25650,CLO TX ULNAR STYLOID FX,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20025690,25690,CLO TX LUNATE DISLOC W/MANIP,450,1 ,$561.84 ,$365.20 ,$365.20 ,"$3,149.64 ",$449.47 ,"$1,259.85 ",$445.20 ,$505.94 ,$505.94 ,"$2,393.72 ",$477.56 ,$415.76 ,"$3,149.64 ","$1,259.85 ", N/A ,$468.57 ,"$1,259.85 ",$464.08 ,$449.47 ,$505.66 ,$561.84 ,$477.56 ,$561.84 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$561.84 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026010,26010,DRAINAGE FINGER ABSCESS;SIMPL,450,1 ,$517.78 ,$336.56 ,$162.46 ,$466.26 ,$414.22 ,$162.46 ,$410.29 ,$466.26 ,$466.26 ,$308.68 ,$440.11 ,$383.16 ,$406.16 ,$162.46 , N/A ,$431.83 ,$162.46 ,$427.69 ,$414.22 ,$466.00 ,$406.16 ,$440.11 ,$174.00 ,$440.11 ,$440.11 ,$466.00 ,$466.00 ,$406.46 ,$427.69 ,$174.00 ,$336.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026011,26011,DRAINAGE FINGER ABSCESS; COMPLIC,450,1 ,$952.84 ,$619.35 ,$619.35 ,"$3,182.77 ",$762.27 ,"$1,273.11 ",$755.03 ,$858.03 ,$858.03 ,"$2,418.91 ",$809.91 ,$705.10 ,"$3,182.77 ","$1,273.11 ", N/A ,$794.67 ,"$1,273.11 ",$787.05 ,$762.27 ,$857.56 ,$952.84 ,$809.91 ,$952.84 ,$809.91 ,$809.91 ,$857.56 ,$857.56 ,$747.98 ,$787.05 ,$952.84 ,$619.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026025,26025,DRAIN PALMAR BURSA; SNGL BURSA,450,1 ,"$2,930.76 ","$1,904.99 ","$1,904.99 ","$6,402.65 ","$2,344.61 ","$2,561.06 ","$2,322.33 ","$2,639.15 ","$2,639.15 ","$4,866.01 ","$2,491.15 ","$2,168.76 ","$6,402.65 ","$2,561.06 ", N/A ,"$2,444.25 ","$2,561.06 ","$2,420.81 ","$2,344.61 ","$2,637.68 ","$2,930.76 ","$2,491.15 ","$2,742.89 ","$2,491.15 ","$2,491.15 ","$2,637.68 ","$2,637.68 ","$2,300.65 ","$2,420.81 ","$2,742.89 ","$1,904.99 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20026035,26035,DECOMP FINGERS AND /OR HAND INJURY,450,1 ,"$2,930.76 ","$1,904.99 ","$1,904.99 ","$6,402.65 ","$2,344.61 ","$2,561.06 ","$2,322.33 ","$2,639.15 ","$2,639.15 ","$4,866.01 ","$2,491.15 ","$2,168.76 ","$6,402.65 ","$2,561.06 ", N/A ,"$2,444.25 ","$2,561.06 ","$2,420.81 ","$2,344.61 ","$2,637.68 ","$2,930.76 ","$2,491.15 ","$2,742.89 ","$2,491.15 ","$2,491.15 ","$2,637.68 ","$2,637.68 ","$2,300.65 ","$2,420.81 ","$2,742.89 ","$1,904.99 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20026070,26070,"ARTHROTOMY, WITH EXPLORATION, DRAINAGE,",450,1 ,$396.47 ,$257.71 ,$257.71 ,"$3,149.64 ",$317.18 ,"$1,259.85 ",$314.16 ,$357.02 ,$357.02 ,"$2,393.72 ",$337.00 ,$293.39 ,"$3,149.64 ","$1,259.85 ", N/A ,$330.66 ,"$1,259.85 ",$327.48 ,$317.18 ,$356.82 ,$396.47 ,$337.00 ,$396.47 ,$337.00 ,$337.00 ,$356.82 ,$356.82 ,$311.23 ,$327.48 ,$396.47 ,$257.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026418,26418,REPAIR EX TENDON FINGER W/O FREE GRAFT,450,1 ,"$2,331.17 ","$1,515.26 ","$1,259.85 ","$3,149.64 ","$1,864.94 ","$1,259.85 ","$1,847.22 ","$2,099.22 ","$2,099.22 ","$2,393.72 ","$1,981.49 ","$1,725.07 ","$3,149.64 ","$1,259.85 ", N/A ,"$1,944.20 ","$1,259.85 ","$1,925.55 ","$1,864.94 ","$2,098.05 ","$2,331.17 ","$1,981.49 ","$1,349.30 ","$1,981.49 ","$1,981.49 ","$2,098.05 ","$2,098.05 ","$1,829.97 ","$1,925.55 ","$1,349.30 ","$1,515.26 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20026600,26600,CLO TX METACARP FX 1;WO MANIP EA,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026605,26605,CLO TX METACARP FX 1;W/MANIP EA,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026641,26641,CLO TX CARPOMETA DISLOC THUMB W/MAN,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026645,26645,CLO TX CARPOMETACAR FX THUMB W/MANIP,450,1 ,$561.84 ,$365.20 ,$365.20 ,"$3,149.64 ",$449.47 ,"$1,259.85 ",$445.20 ,$505.94 ,$505.94 ,"$2,393.72 ",$477.56 ,$415.76 ,"$3,149.64 ","$1,259.85 ", N/A ,$468.57 ,"$1,259.85 ",$464.08 ,$449.47 ,$505.66 ,$561.84 ,$477.56 ,$561.84 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$561.84 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026670,26670,CLO TX DISLOC-NOT THUMB; WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026675,26675,CLO TX DISLOC-NOT THUMB; REQ ANES,450,1 ,"$2,755.29 ","$1,790.94 ","$1,259.85 ","$3,149.64 ","$2,204.23 ","$1,259.85 ","$2,183.29 ","$2,481.14 ","$2,481.14 ","$2,393.72 ","$2,342.00 ","$2,038.91 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,297.91 ","$1,259.85 ","$2,275.87 ","$2,204.23 ","$2,479.76 ","$2,755.29 ","$2,342.00 ","$1,349.30 ","$2,342.00 ","$2,342.00 ","$2,479.76 ","$2,479.76 ","$2,162.90 ","$2,275.87 ","$1,349.30 ","$1,790.94 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20026700,26700,CLO TX MCP DISLOC-1-W/MANIP;WO ANES,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026705,26705,CLO TX MCP DISLOC-1-W/MANIP; W/ANES,450,1 ,"$2,230.40 ","$1,449.76 ","$1,259.85 ","$3,149.64 ","$1,784.32 ","$1,259.85 ","$1,767.37 ","$2,008.48 ","$2,008.48 ","$2,393.72 ","$1,895.84 ","$1,650.50 ","$3,149.64 ","$1,259.85 ", N/A ,"$1,860.15 ","$1,259.85 ","$1,842.31 ","$1,784.32 ","$2,007.36 ","$2,230.40 ","$1,895.84 ","$1,349.30 ","$1,895.84 ","$1,895.84 ","$2,007.36 ","$2,007.36 ","$1,750.86 ","$1,842.31 ","$1,349.30 ","$1,449.76 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20026720,26720,CLO TX PHALANGEAL FX; WO MANIP EA,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026725,26725,CLO TX PHALANGEAL FX; W/WO TRACT,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026740,26740,CLO TX ARTIC FX MCP/IP JT; WO MANIP,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026742,26742,CLO TX ARTIC FX MCP/IP JT; W/MANIP,450,1 ,$561.84 ,$365.20 ,$365.20 ,"$3,149.64 ",$449.47 ,"$1,259.85 ",$445.20 ,$505.94 ,$505.94 ,"$2,393.72 ",$477.56 ,$415.76 ,"$3,149.64 ","$1,259.85 ", N/A ,$468.57 ,"$1,259.85 ",$464.08 ,$449.47 ,$505.66 ,$561.84 ,$477.56 ,$561.84 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$561.84 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026750,26750,CLO TX DIST PHALANGEAL FX; WO MANIP,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026755,26755,CLO TX DIST PHALANGEAL FX; W/MANIP,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026770,26770,CLO TX IP JT DISLOC W/MANIP;WO ANES,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20026775,26775,CLO TX IP JT DISLOC W/ MANIP; W/ANES,450,1 ,"$2,002.83 ","$1,301.84 ",$218.22 ,"$1,803.55 ","$1,602.26 ",$218.22 ,"$1,587.04 ","$1,803.55 ","$1,803.55 ",$414.62 ,"$1,702.41 ","$1,482.09 ",$545.55 ,$218.22 , N/A ,"$1,670.36 ",$218.22 ,"$1,654.34 ","$1,602.26 ","$1,802.55 ",$545.55 ,"$1,702.41 ",$233.71 ,"$1,702.41 ","$1,702.41 ","$1,802.55 ","$1,802.55 ","$1,572.22 ","$1,654.34 ",$233.71 ,"$1,301.84 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20027086,27086,REMOV FB PELVIS/HIP; SUBQ TISS,450,1 ,"$1,035.76 ",$673.24 ,$673.24 ,"$5,361.20 ",$828.61 ,"$2,144.48 ",$820.74 ,$932.70 ,$932.70 ,"$4,074.51 ",$880.40 ,$766.46 ,"$5,361.20 ","$2,144.48 ", N/A ,$863.82 ,"$2,144.48 ",$855.54 ,$828.61 ,$932.18 ,"$1,035.76 ",$880.40 ,"$1,035.76 ",$880.40 ,$880.40 ,$932.18 ,$932.18 ,$813.07 ,$855.54 ,"$1,035.76 ",$673.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027200,27200,CLO TX COCCYGEAL FX,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027230,27230,CLO TX FEM FX PROX END NECK; W/O MANI,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027232,27232,CLOSED TX FEMUR FX W MANIPULATON CLOSED,450,1 ,"$2,194.79 ","$1,426.61 ","$1,259.85 ","$3,149.64 ","$1,755.83 ","$1,259.85 ","$1,739.15 ","$1,976.41 ","$1,976.41 ","$2,393.72 ","$1,865.57 ","$1,624.14 ","$3,149.64 ","$1,259.85 ", N/A ,"$1,830.45 ","$1,259.85 ","$1,812.90 ","$1,755.83 ","$1,975.31 ","$2,194.79 ","$1,865.57 ","$1,349.30 ","$1,865.57 ","$1,865.57 ","$1,975.31 ","$1,975.31 ","$1,722.91 ","$1,812.90 ","$1,349.30 ","$1,426.61 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20027246,27246,CLO TX GREATER TROCH FX WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027250,27250,CLOSED TX FOR HIP DISLOCATION,450,1 ,$774.42 ,$503.37 ,$186.57 ,$697.37 ,$619.54 ,$186.57 ,$613.65 ,$697.37 ,$697.37 ,$354.48 ,$658.26 ,$573.07 ,$466.42 ,$186.57 , N/A ,$645.87 ,$186.57 ,$639.67 ,$619.54 ,$696.98 ,$466.42 ,$658.26 ,$199.82 ,$658.26 ,$658.26 ,$696.98 ,$696.98 ,$607.92 ,$639.67 ,$199.82 ,$503.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027256,27256,TX SPON HIP DISLOC; WO ANES/MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027257,27257,TX SPON HIP DISLOC; W/MANIP W/ANES,450,1 ,"$2,501.36 ","$1,625.88 ","$1,259.85 ","$3,149.64 ","$2,001.09 ","$1,259.85 ","$1,982.08 ","$2,252.47 ","$2,252.47 ","$2,393.72 ","$2,126.16 ","$1,851.01 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,086.13 ","$1,259.85 ","$2,066.12 ","$2,001.09 ","$2,251.22 ","$2,501.36 ","$2,126.16 ","$1,349.30 ","$2,126.16 ","$2,126.16 ","$2,251.22 ","$2,251.22 ","$1,963.57 ","$2,066.12 ","$1,349.30 ","$1,625.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20027265,27265,CLOSD TX POST HIP ARTHRO DIS W/O ANES RT,450,1 ,"$1,121.30 ",$728.85 ,$186.57 ,"$1,009.73 ",$897.04 ,$186.57 ,$888.52 ,"$1,009.73 ","$1,009.73 ",$354.48 ,$953.11 ,$829.76 ,$466.42 ,$186.57 , N/A ,$935.16 ,$186.57 ,$926.19 ,$897.04 ,"$1,009.17 ",$466.42 ,$953.11 ,$199.82 ,$953.11 ,$953.11 ,"$1,009.17 ","$1,009.17 ",$880.22 ,$926.19 ,$199.82 ,$728.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027372,27372,REMOV FB DEEP THIGH REGION/KNEE,450,1 ,"$2,627.04 ","$1,707.58 ","$1,707.58 ","$5,361.20 ","$2,101.63 ","$2,144.48 ","$2,081.67 ","$2,365.65 ","$2,365.65 ","$4,074.51 ","$2,232.98 ","$1,944.01 ","$5,361.20 ","$2,144.48 ", N/A ,"$2,190.95 ","$2,144.48 ","$2,169.94 ","$2,101.63 ","$2,364.34 ","$2,627.04 ","$2,232.98 ","$2,296.74 ","$2,232.98 ","$2,232.98 ","$2,364.34 ","$2,364.34 ","$2,062.23 ","$2,169.94 ","$2,296.74 ","$1,707.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20027500,27500,CLO TX FEMORAL SHAFT FX WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027501,27501,CLO TX SUPRACONDYL FEM FX WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027508,27508,CLO TX FEM FX DIST END WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027516,27516,CLO TX FEM EPIPHYSEAL SEPAR; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027520,27520,CLO TX PATELLAR FX WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027530,27530,CLO TX TIBIAL FX PROX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027538,27538,CLO TX FX KNEE W/WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027550,27550,CLO TX KNEE DISLOC; WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027552,27552,CLO TX KNEE DISLOC; REQUIRING ANES,450,1 ,"$2,853.04 ","$1,854.48 ","$1,259.85 ","$3,149.64 ","$2,282.43 ","$1,259.85 ","$2,260.75 ","$2,569.16 ","$2,569.16 ","$2,393.72 ","$2,425.08 ","$2,111.25 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,379.44 ","$1,259.85 ","$2,356.61 ","$2,282.43 ","$2,567.74 ","$2,853.04 ","$2,425.08 ","$1,349.30 ","$2,425.08 ","$2,425.08 ","$2,567.74 ","$2,567.74 ","$2,239.64 ","$2,356.61 ","$1,349.30 ","$1,854.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20027560,27560,CLO TX PATELLAR DISLOC;WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027562,27562,CLO TX PATELLAR DISLOC; REQ ANES,450,1 ,"$2,825.33 ","$1,836.46 ",$186.57 ,"$2,544.21 ","$2,260.26 ",$186.57 ,"$2,238.79 ","$2,544.21 ","$2,544.21 ",$354.48 ,"$2,401.53 ","$2,090.74 ",$466.42 ,$186.57 , N/A ,"$2,356.33 ",$186.57 ,"$2,333.72 ","$2,260.26 ","$2,542.80 ",$466.42 ,"$2,401.53 ",$199.82 ,"$2,401.53 ","$2,401.53 ","$2,542.80 ","$2,542.80 ","$2,217.88 ","$2,333.72 ",$199.82 ,"$1,836.46 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20027603,27603,I AND D LEG/ANK; DEEP ABCESS/HEMATOMA,450,1 ,"$1,589.20 ","$1,032.98 ","$1,032.98 ","$5,361.20 ","$1,271.36 ","$2,144.48 ","$1,259.28 ","$1,431.07 ","$1,431.07 ","$4,074.51 ","$1,350.82 ","$1,176.01 ","$5,361.20 ","$2,144.48 ", N/A ,"$1,325.39 ","$2,144.48 ","$1,312.68 ","$1,271.36 ","$1,430.28 ","$1,589.20 ","$1,350.82 ","$1,589.20 ","$1,350.82 ","$1,350.82 ","$1,430.28 ","$1,430.28 ","$1,247.52 ","$1,312.68 ","$1,589.20 ","$1,032.98 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20027610,27610,"ARTHROTOMY, ANKLE, INCLUDING EXPLORATION",360,1 ,"$3,518.27 ","$2,286.88 ","$2,286.88 ","$6,402.65 ","$2,814.62 ","$2,561.06 ","$2,787.88 ","$3,168.20 ","$3,168.20 ","$4,866.01 ","$2,990.53 ","$2,603.52 ","$6,402.65 ","$2,561.06 ", N/A ,"$2,934.24 ","$2,561.06 ","$2,906.09 ","$2,814.62 ","$3,166.44 ","$3,518.27 ","$2,990.53 ","$2,742.89 ","$2,990.53 ","$2,990.53 ","$3,166.44 ","$3,166.44 ","$2,761.84 ","$2,906.09 ","$2,742.89 ","$2,286.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20027750,27750,CLO TX TIBIAL SHAFT FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027760,27760,CLO TX MEDIAL MALLEOLUS FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027780,27780,CLO TX PROX FIB/SHAFT FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027786,27786,CLO TX DISTAL FIBULAR FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027800,N/A,* DO NOT USE *,981,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20027808,27808,CLO TX BIMALLEOLAR ANK FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027816,27816,CLO TX TRIMALLEOLAR ANK FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027824,27824,CLO TX FX ARTICUL-DIST TIB; WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027825,27825,"CLO TX TIBIA FX,/SKELETAL TRAC /MANIP RT",450,1 ,$561.56 ,$365.01 ,$365.01 ,"$3,149.64 ",$449.25 ,"$1,259.85 ",$444.98 ,$505.68 ,$505.68 ,"$2,393.72 ",$477.33 ,$415.55 ,"$3,149.64 ","$1,259.85 ", N/A ,$468.34 ,"$1,259.85 ",$463.85 ,$449.25 ,$505.40 ,$561.56 ,$477.33 ,$561.56 ,$477.33 ,$477.33 ,$505.40 ,$505.40 ,$440.82 ,$463.85 ,$561.56 ,$365.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027830,27830,CLOSED TREATMENT OF PROXIMAL TIBIOFIBULA,450,1 ,$437.21 ,$284.19 ,$186.57 ,$466.42 ,$349.77 ,$186.57 ,$346.45 ,$393.71 ,$393.71 ,$354.48 ,$371.63 ,$323.54 ,$466.42 ,$186.57 , N/A ,$364.63 ,$186.57 ,$361.14 ,$349.77 ,$393.49 ,$437.21 ,$371.63 ,$199.82 ,$371.63 ,$371.63 ,$393.49 ,$393.49 ,$343.21 ,$361.14 ,$199.82 ,$284.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),20027840,27840,CLO TX ANK DISLOC; WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028190,28190,REMOV FB FT; SUBQ,450,1 ,"$1,035.76 ",$673.24 ,$562.78 ,"$1,406.96 ",$828.61 ,$562.78 ,$820.74 ,$932.70 ,$932.70 ,"$1,069.29 ",$880.40 ,$766.46 ,"$1,406.96 ",$562.78 , N/A ,$863.82 ,$562.78 ,$855.54 ,$828.61 ,$932.18 ,"$1,035.76 ",$880.40 ,$602.74 ,$880.40 ,$880.40 ,$932.18 ,$932.18 ,$813.07 ,$855.54 ,$602.74 ,$673.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028400,28400,CLO TX CALCAN FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028430,28430,CLO TX TALUS FX; WO MANIP,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028470,28470,CLO TX METATARSAL FX;WO MANIP EA,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028475,28475,CLO TX METATARSAL FX; W/MANIP EA,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028490,28490,CLO TX FX GRT TOE PHALANX; WO MANIP,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028495,28495,CLO TX FX GRT TOE PHALANX; W/MANIP,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028510,28510,CLO TX FX PHALNX NOT GR TOE; WO MAN,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028515,28515,CLO TX FX PHALNX NOT GR TOE; W/MANIP,450,1 , N/A , N/A ,$186.57 ,$466.42 , N/A ,$186.57 , N/A , N/A , N/A ,$354.48 , N/A , N/A ,$466.42 ,$186.57 , N/A , N/A ,$186.57 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20028530,28530,CLO TX SESAMOID FX,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028540,28540,CLO TX TARSAL BONE DISLOC; WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028545,28545,CLO TX TARSAL BONE DISLOC;W/ANES,450,1 ,"$1,783.10 ","$1,159.02 ","$1,159.02 ","$6,402.65 ","$1,426.48 ","$2,561.06 ","$1,412.93 ","$1,605.68 ","$1,605.68 ","$4,866.01 ","$1,515.64 ","$1,319.49 ","$6,402.65 ","$2,561.06 ", N/A ,"$1,487.11 ","$2,561.06 ","$1,472.84 ","$1,426.48 ","$1,604.79 ","$1,783.10 ","$1,515.64 ","$1,783.10 ","$1,515.64 ","$1,515.64 ","$1,604.79 ","$1,604.79 ","$1,399.73 ","$1,472.84 ","$1,783.10 ","$1,159.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20028570,28570,CLO TX TALOTARS JT DISLOC; WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028575,28575,CLO TX TALOTAR JT DISLOC; REQ ANES,450,1 ,"$1,783.10 ","$1,159.02 ","$1,159.02 ","$6,402.65 ","$1,426.48 ","$2,561.06 ","$1,412.93 ","$1,605.68 ","$1,605.68 ","$4,866.01 ","$1,515.64 ","$1,319.49 ","$6,402.65 ","$2,561.06 ", N/A ,"$1,487.11 ","$2,561.06 ","$1,472.84 ","$1,426.48 ","$1,604.79 ","$1,783.10 ","$1,515.64 ","$1,783.10 ","$1,515.64 ","$1,515.64 ","$1,604.79 ","$1,604.79 ","$1,399.73 ","$1,472.84 ","$1,783.10 ","$1,159.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20028600,28600,CLO TX TARSOMETAT JT DISLOC; WO ANES,450,1 ,$561.84 ,$365.20 ,$186.57 ,$505.94 ,$449.47 ,$186.57 ,$445.20 ,$505.94 ,$505.94 ,$354.48 ,$477.56 ,$415.76 ,$466.42 ,$186.57 , N/A ,$468.57 ,$186.57 ,$464.08 ,$449.47 ,$505.66 ,$466.42 ,$477.56 ,$199.82 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$199.82 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028605,28605,CLO TX TARSOMETAT JT DISLOC; W/ANES,450,1 ,"$1,783.10 ","$1,159.02 ",$186.57 ,"$1,605.68 ","$1,426.48 ",$186.57 ,"$1,412.93 ","$1,605.68 ","$1,605.68 ",$354.48 ,"$1,515.64 ","$1,319.49 ",$466.42 ,$186.57 , N/A ,"$1,487.11 ",$186.57 ,"$1,472.84 ","$1,426.48 ","$1,604.79 ",$466.42 ,"$1,515.64 ",$199.82 ,"$1,515.64 ","$1,515.64 ","$1,604.79 ","$1,604.79 ","$1,399.73 ","$1,472.84 ",$199.82 ,"$1,159.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20028630,28630,CLO TX METATARSOPHAL JT DISLOC WO ANES 0,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028635,28635,CLO TX METATARSOPHAL JT DISL;W/ANES,450,1 ,"$1,783.10 ","$1,159.02 ","$1,159.02 ","$3,149.64 ","$1,426.48 ","$1,259.85 ","$1,412.93 ","$1,605.68 ","$1,605.68 ","$2,393.72 ","$1,515.64 ","$1,319.49 ","$3,149.64 ","$1,259.85 ", N/A ,"$1,487.11 ","$1,259.85 ","$1,472.84 ","$1,426.48 ","$1,604.79 ","$1,783.10 ","$1,515.64 ","$1,349.30 ","$1,515.64 ","$1,515.64 ","$1,604.79 ","$1,604.79 ","$1,399.73 ","$1,472.84 ","$1,349.30 ","$1,159.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20028660,28660,CLO TX IP JT DISLOC;WO ANES,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20028665,28665,CLO TX IP JT DISLOC; REQ ANES,450,1 ,"$1,783.10 ","$1,159.02 ",$218.22 ,"$1,605.68 ","$1,426.48 ",$218.22 ,"$1,412.93 ","$1,605.68 ","$1,605.68 ",$414.62 ,"$1,515.64 ","$1,319.49 ",$545.55 ,$218.22 , N/A ,"$1,487.11 ",$218.22 ,"$1,472.84 ","$1,426.48 ","$1,604.79 ",$545.55 ,"$1,515.64 ",$233.71 ,"$1,515.64 ","$1,515.64 ","$1,604.79 ","$1,604.79 ","$1,399.73 ","$1,472.84 ",$233.71 ,"$1,159.02 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20029105,29105,APPL LONG ARM SPLINT-RT,450,1 ,$407.58 ,$264.93 ,$127.75 ,$367.03 ,$326.06 ,$127.75 ,$322.97 ,$367.03 ,$367.03 ,$242.72 ,$346.44 ,$301.61 ,$319.36 ,$127.75 , N/A ,$339.92 ,$127.75 ,$336.66 ,$326.06 ,$366.82 ,$319.36 ,$346.44 ,$136.82 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$136.82 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20029125,29125,APPL SHORT ARM SPLINT;STATIC-RT,450,1 ,$407.58 ,$264.93 ,$101.30 ,$367.03 ,$326.06 ,$101.30 ,$322.97 ,$367.03 ,$367.03 ,$192.46 ,$346.44 ,$301.61 ,$253.24 ,$101.30 , N/A ,$339.92 ,$101.30 ,$336.66 ,$326.06 ,$366.82 ,$253.24 ,$346.44 ,$108.49 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$108.49 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20029126,29126,APPL SHORT ARM SPLINT DYNAM-BIL,450,1 ,$407.58 ,$264.93 ,$101.30 ,$367.03 ,$326.06 ,$101.30 ,$322.97 ,$367.03 ,$367.03 ,$192.46 ,$346.44 ,$301.61 ,$253.24 ,$101.30 , N/A ,$339.92 ,$101.30 ,$336.66 ,$326.06 ,$366.82 ,$253.24 ,$346.44 ,$108.49 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$108.49 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20029130,29130,APPL FINGER SPLINT; STATIC,450,1 ,$254.68 ,$165.54 ,$101.30 ,$253.24 ,$203.74 ,$101.30 ,$201.81 ,$229.34 ,$229.34 ,$192.46 ,$216.48 ,$188.46 ,$253.24 ,$101.30 , N/A ,$212.40 ,$101.30 ,$210.37 ,$203.74 ,$229.21 ,$253.24 ,$216.48 ,$108.49 ,$216.48 ,$216.48 ,$229.21 ,$229.21 ,$199.92 ,$210.37 ,$108.49 ,$165.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),20029131,29131,APPL FINGER SPLINT DYNAMIC,450,1 ,$254.68 ,$165.54 ,$50.36 ,$229.34 ,$203.74 ,$50.36 ,$201.81 ,$229.34 ,$229.34 ,$95.69 ,$216.48 ,$188.46 ,$125.91 ,$50.36 , N/A ,$212.40 ,$50.36 ,$210.37 ,$203.74 ,$229.21 ,$125.91 ,$216.48 ,$53.94 ,$216.48 ,$216.48 ,$229.21 ,$229.21 ,$199.92 ,$210.37 ,$53.94 ,$165.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),20029505,29505,"LEG SPLINT/APPL LONG, RT",450,1 ,$282.30 ,$183.50 ,$127.75 ,$319.36 ,$225.84 ,$127.75 ,$223.69 ,$254.21 ,$254.21 ,$242.72 ,$239.96 ,$208.90 ,$319.36 ,$127.75 , N/A ,$235.44 ,$127.75 ,$233.18 ,$225.84 ,$254.07 ,$282.30 ,$239.96 ,$136.82 ,$239.96 ,$239.96 ,$254.07 ,$254.07 ,$221.61 ,$233.18 ,$136.82 ,$183.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),20029515,29515,"LEG SPLINT/APPL SHORT, RT",450,1 ,$282.30 ,$183.50 ,$127.75 ,$319.36 ,$225.84 ,$127.75 ,$223.69 ,$254.21 ,$254.21 ,$242.72 ,$239.96 ,$208.90 ,$319.36 ,$127.75 , N/A ,$235.44 ,$127.75 ,$233.18 ,$225.84 ,$254.07 ,$282.30 ,$239.96 ,$136.82 ,$239.96 ,$239.96 ,$254.07 ,$254.07 ,$221.61 ,$233.18 ,$136.82 ,$183.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),20029700,29700,REMOV/BIVALV;GAUNTLET/BOOT CAST,700,1 ,$266.81 ,$173.43 ,$173.43 ,$545.55 ,$213.45 ,$218.22 ,$211.42 ,$240.26 ,$240.26 ,$414.62 ,$226.79 ,$197.44 ,$545.55 ,$218.22 , N/A ,$222.52 ,$218.22 ,$220.39 ,$213.45 ,$240.13 ,$266.81 ,$226.79 ,$233.71 ,$226.79 ,$226.79 ,$240.13 ,$240.13 ,$209.45 ,$220.39 ,$233.71 ,$173.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),20029705,29705,CAST REMOVAL FULL ARM OR LEG-BIL,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20030300,30300,F B REMOVAL NOSE,450,1 ,$435.07 ,$282.80 ,$101.30 ,$391.78 ,$348.06 ,$101.30 ,$344.75 ,$391.78 ,$391.78 ,$192.46 ,$369.81 ,$321.95 ,$253.24 ,$101.30 , N/A ,$362.85 ,$101.30 ,$359.37 ,$348.06 ,$391.56 ,$253.24 ,$369.81 ,$108.49 ,$369.81 ,$369.81 ,$391.56 ,$391.56 ,$341.53 ,$359.37 ,$108.49 ,$282.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20030801,30801,CAUT MUCOS TURBIN(SEP PRO); SUPERF,450,1 ,$645.73 ,$419.72 ,$419.72 ,"$3,060.15 ",$516.58 ,"$1,224.06 ",$511.68 ,$581.48 ,$581.48 ,"$2,325.71 ",$548.87 ,$477.84 ,"$3,060.15 ","$1,224.06 ", N/A ,$538.54 ,"$1,224.06 ",$533.37 ,$516.58 ,$581.16 ,$645.73 ,$548.87 ,$645.73 ,$548.87 ,$548.87 ,$581.16 ,$581.16 ,$506.90 ,$533.37 ,$645.73 ,$419.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),20030802,30802,CAUT MUCOS TURBIN INTERMURAL,450,1 ,"$4,339.37 ","$2,820.59 ","$1,224.06 ","$3,907.60 ","$3,471.50 ","$1,224.06 ","$3,438.52 ","$3,907.60 ","$3,907.60 ","$2,325.71 ","$3,688.46 ","$3,211.13 ","$3,060.15 ","$1,224.06 ", N/A ,"$3,619.03 ","$1,224.06 ","$3,584.32 ","$3,471.50 ","$3,905.43 ","$3,060.15 ","$3,688.46 ","$1,310.97 ","$3,688.46 ","$3,688.46 ","$3,905.43 ","$3,905.43 ","$3,406.41 ","$3,584.32 ","$1,310.97 ","$2,820.59 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20030901,30901,CONTROL NASAL HEMORR-ANT-SIMPL,450,1 ,$572.32 ,$372.01 ,$101.30 ,$515.37 ,$457.86 ,$101.30 ,$453.51 ,$515.37 ,$515.37 ,$192.46 ,$486.47 ,$423.52 ,$253.24 ,$101.30 , N/A ,$477.31 ,$101.30 ,$472.74 ,$457.86 ,$515.09 ,$253.24 ,$486.47 ,$108.49 ,$486.47 ,$486.47 ,$515.09 ,$515.09 ,$449.27 ,$472.74 ,$108.49 ,$372.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20030903,30903,CONTRL NASAL HEMORR-ANT-COMPLX,450,1 ,$572.32 ,$372.01 ,$101.30 ,$515.37 ,$457.86 ,$101.30 ,$453.51 ,$515.37 ,$515.37 ,$192.46 ,$486.47 ,$423.52 ,$253.24 ,$101.30 , N/A ,$477.31 ,$101.30 ,$472.74 ,$457.86 ,$515.09 ,$253.24 ,$486.47 ,$108.49 ,$486.47 ,$486.47 ,$515.09 ,$515.09 ,$449.27 ,$472.74 ,$108.49 ,$372.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20030905,30905,CONTRL NASAL HEMORR-POST; INIT,450,1 ,$572.32 ,$372.01 ,$101.30 ,$515.37 ,$457.86 ,$101.30 ,$453.51 ,$515.37 ,$515.37 ,$192.46 ,$486.47 ,$423.52 ,$253.24 ,$101.30 , N/A ,$477.31 ,$101.30 ,$472.74 ,$457.86 ,$515.09 ,$253.24 ,$486.47 ,$108.49 ,$486.47 ,$486.47 ,$515.09 ,$515.09 ,$449.27 ,$472.74 ,$108.49 ,$372.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20030906,30906,CONTRL NASAL HEMORR-POST;SUBSQT,450,1 ,$572.32 ,$372.01 ,$191.46 ,$515.37 ,$457.86 ,$191.46 ,$453.51 ,$515.37 ,$515.37 ,$363.78 ,$486.47 ,$423.52 ,$478.66 ,$191.46 , N/A ,$477.31 ,$191.46 ,$472.74 ,$457.86 ,$515.09 ,$478.66 ,$486.47 ,$205.06 ,$486.47 ,$486.47 ,$515.09 ,$515.09 ,$449.27 ,$472.74 ,$205.06 ,$372.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20031500,31500,INTUBATION ENDOTRACHEAL EMER PROC,450,1 ,$822.69 ,$534.75 ,$191.46 ,$740.83 ,$658.15 ,$191.46 ,$651.90 ,$740.83 ,$740.83 ,$363.78 ,$699.29 ,$608.79 ,$478.66 ,$191.46 , N/A ,$686.12 ,$191.46 ,$679.54 ,$658.15 ,$740.42 ,$478.66 ,$699.29 ,$205.06 ,$699.29 ,$699.29 ,$740.42 ,$740.42 ,$645.81 ,$679.54 ,$205.06 ,$534.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),20031603,31603,TRACHEOSTOMY EMER PROC; TRANSTRACH,450,1 ,"$2,014.69 ","$1,309.55 ","$1,224.06 ","$3,060.15 ","$1,611.75 ","$1,224.06 ","$1,596.44 ","$1,814.23 ","$1,814.23 ","$2,325.71 ","$1,712.49 ","$1,490.87 ","$3,060.15 ","$1,224.06 ", N/A ,"$1,680.25 ","$1,224.06 ","$1,664.13 ","$1,611.75 ","$1,813.22 ","$2,014.69 ","$1,712.49 ","$1,310.97 ","$1,712.49 ","$1,712.49 ","$1,813.22 ","$1,813.22 ","$1,581.53 ","$1,664.13 ","$1,310.97 ","$1,309.55 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20031605,31605,TRACH EMER PROC; CRICOTHYROID MEMBR,450,1 ,"$2,014.69 ","$1,309.55 ",$191.46 ,"$1,814.23 ","$1,611.75 ",$191.46 ,"$1,596.44 ","$1,814.23 ","$1,814.23 ",$363.78 ,"$1,712.49 ","$1,490.87 ",$478.66 ,$191.46 , N/A ,"$1,680.25 ",$191.46 ,"$1,664.13 ","$1,611.75 ","$1,813.22 ",$478.66 ,"$1,712.49 ",$205.06 ,"$1,712.49 ","$1,712.49 ","$1,813.22 ","$1,813.22 ","$1,581.53 ","$1,664.13 ",$205.06 ,"$1,309.55 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20032020,32551,TUBE THORACOSTOMY W/WO WATER SEAL,450,1 ,$942.45 ,$612.59 ,$612.59 ,"$3,180.83 ",$753.96 ,"$1,272.33 ",$746.80 ,$848.68 ,$848.68 ,"$2,417.43 ",$801.08 ,$697.41 ,"$3,180.83 ","$1,272.33 ", N/A ,$786.00 ,"$1,272.33 ",$778.46 ,$753.96 ,$848.21 ,$942.45 ,$801.08 ,$942.45 ,$801.08 ,$801.08 ,$848.21 ,$848.21 ,$739.82 ,$778.46 ,$942.45 ,$612.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),20032554,32554,THORACENTESIS W/O IMAGING,450,1 ,$812.84 ,$528.35 ,$490.08 ,"$1,225.20 ",$650.27 ,$490.08 ,$644.09 ,$731.96 ,$731.96 ,$931.15 ,$690.91 ,$601.50 ,"$1,225.20 ",$490.08 , N/A ,$677.91 ,$490.08 ,$671.41 ,$650.27 ,$731.56 ,$812.84 ,$690.91 ,$524.88 ,$690.91 ,$690.91 ,$731.56 ,$731.56 ,$638.08 ,$671.41 ,$524.88 ,$528.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),20033010,33010,PERICARDIOCENTESIS INITIAL,450,1 ,$668.83 ,$434.74 ,$434.74 ,$602.28 ,$535.06 , N/A ,$529.98 ,$602.28 ,$602.28 , N/A ,$568.51 ,$494.93 , N/A , N/A , N/A ,$557.80 , N/A ,$552.45 ,$535.06 ,$601.95 , N/A ,$568.51 , N/A ,$568.51 ,$568.51 ,$601.95 ,$601.95 ,$525.03 ,$552.45 , N/A ,$434.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036406,36406,"VENIPUNCTURE, OTHER VEIN",450,1 ,$137.28 ,$89.23 ,$89.23 ,$123.62 ,$109.82 , N/A ,$108.78 ,$123.62 ,$123.62 , N/A ,$116.69 ,$101.59 , N/A , N/A , N/A ,$114.49 , N/A ,$113.39 ,$109.82 ,$123.55 , N/A ,$116.69 , N/A ,$116.69 ,$116.69 ,$123.55 ,$123.55 ,$107.76 ,$113.39 , N/A ,$89.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036420,36420,VENIPUNCT CUTDOWN; < 1 YR,450,1 ,$873.69 ,$567.90 ,$101.30 ,$786.76 ,$698.95 ,$101.30 ,$692.31 ,$786.76 ,$786.76 ,$192.46 ,$742.64 ,$646.53 ,$253.24 ,$101.30 , N/A ,$728.66 ,$101.30 ,$721.67 ,$698.95 ,$786.32 ,$253.24 ,$742.64 ,$108.49 ,$742.64 ,$742.64 ,$786.32 ,$786.32 ,$685.85 ,$721.67 ,$108.49 ,$567.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036425,36425,VENOUS CUTDOWN OVER AGE 1,450,1 ,$873.69 ,$567.90 ,$244.51 ,$786.76 ,$698.95 ,$244.51 ,$692.31 ,$786.76 ,$786.76 ,$464.56 ,$742.64 ,$646.53 ,$611.26 ,$244.51 , N/A ,$728.66 ,$244.51 ,$721.67 ,$698.95 ,$786.32 ,$611.26 ,$742.64 ,$261.87 ,$742.64 ,$742.64 ,$786.32 ,$786.32 ,$685.85 ,$721.67 ,$261.87 ,$567.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036540,36591,INFUSAPORT BLOOD DRAW,450,1 ,$73.69 ,$47.90 ,$47.90 ,$253.24 ,$58.95 ,$101.30 ,$58.39 ,$66.36 ,$66.36 ,$192.46 ,$62.64 ,$54.53 ,$253.24 ,$101.30 , N/A ,$61.46 ,$101.30 ,$60.87 ,$58.95 ,$66.32 ,$73.69 ,$62.64 ,$73.69 ,$62.64 ,$62.64 ,$66.32 ,$66.32 ,$57.85 ,$60.87 ,$73.69 ,$47.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036550,36593,DECLOT-LYTIC-IMPLNT VASC ACCESS DEV,450,1 ,$81.53 ,$52.99 ,$52.99 ,$702.95 ,$65.22 ,$281.18 ,$64.60 ,$73.42 ,$73.42 ,$534.24 ,$69.30 ,$60.33 ,$702.95 ,$281.18 , N/A ,$68.00 ,$281.18 ,$67.34 ,$65.22 ,$73.38 ,$81.53 ,$69.30 ,$81.53 ,$69.30 ,$69.30 ,$73.38 ,$73.38 ,$64.00 ,$67.34 ,$81.53 ,$52.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036556,36569,INSERT PICC LINE ADULT 5 YRS AND OLDER,450,1 ,"$1,223.91 ",$795.54 ,$795.54 ,"$3,180.83 ",$979.13 ,"$1,272.33 ",$969.83 ,"$1,102.13 ","$1,102.13 ","$2,417.43 ","$1,040.32 ",$905.69 ,"$3,180.83 ","$1,272.33 ", N/A ,"$1,020.74 ","$1,272.33 ","$1,010.95 ",$979.13 ,"$1,101.52 ","$1,223.91 ","$1,040.32 ","$1,223.91 ","$1,040.32 ","$1,040.32 ","$1,101.52 ","$1,101.52 ",$960.77 ,"$1,010.95 ","$1,223.91 ",$795.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036558,36558,INSERTION TUNNELED CV CATHETER 5YRS AND UP,450,1 ,"$2,057.09 ","$1,337.11 ","$1,337.11 ","$6,473.36 ","$1,645.67 ","$2,589.34 ","$1,630.04 ","$1,852.41 ","$1,852.41 ","$4,919.75 ","$1,748.53 ","$1,522.25 ","$6,473.36 ","$2,589.34 ", N/A ,"$1,715.61 ","$2,589.34 ","$1,699.16 ","$1,645.67 ","$1,851.38 ","$2,057.09 ","$1,748.53 ","$2,057.09 ","$1,748.53 ","$1,748.53 ","$1,851.38 ","$1,851.38 ","$1,614.82 ","$1,699.16 ","$2,057.09 ","$1,337.11 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20036600,36600,ARTERIAL PUNCTURE,450,1 ,$153.09 ,$99.51 ,$99.51 ,$253.24 ,$122.47 ,$101.30 ,$121.31 ,$137.86 ,$137.86 ,$192.46 ,$130.13 ,$113.29 ,$253.24 ,$101.30 , N/A ,$127.68 ,$101.30 ,$126.45 ,$122.47 ,$137.78 ,$153.09 ,$130.13 ,$108.49 ,$130.13 ,$130.13 ,$137.78 ,$137.78 ,$120.18 ,$126.45 ,$108.49 ,$99.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036660,36660,CATH UMBILICAL ART-NB-DX/THERAP,981,1 ,$427.11 ,$277.62 ,$277.62 ,$384.61 ,$341.69 , N/A ,$338.44 ,$384.61 ,$384.61 , N/A ,$363.04 ,$316.06 , N/A , N/A , N/A ,$356.21 , N/A ,$352.79 ,$341.69 ,$384.40 , N/A ,$363.04 , N/A ,$363.04 ,$363.04 ,$384.40 ,$384.40 ,$335.28 ,$352.79 , N/A ,$277.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),20036680,36680,PLCMT NEEDLE INTRAOSSEOUS INFUSION,450,1 ,$429.78 ,$279.36 ,$244.51 ,$611.26 ,$343.82 ,$244.51 ,$340.56 ,$387.02 ,$387.02 ,$464.56 ,$365.31 ,$318.04 ,$611.26 ,$244.51 , N/A ,$358.44 ,$244.51 ,$355.00 ,$343.82 ,$386.80 ,$429.78 ,$365.31 ,$261.87 ,$365.31 ,$365.31 ,$386.80 ,$386.80 ,$337.38 ,$355.00 ,$261.87 ,$279.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),20037195,37195,THROMBOLYSIS CEREBRAL BY IV INFUS,981,1 ,"$1,702.88 ","$1,106.87 ",$281.18 ,"$1,533.44 ","$1,362.30 ",$281.18 ,"$1,349.36 ","$1,533.44 ","$1,533.44 ",$534.24 ,"$1,447.45 ","$1,260.13 ",$702.95 ,$281.18 , N/A ,"$1,420.20 ",$281.18 ,"$1,406.58 ","$1,362.30 ","$1,532.59 ",$702.95 ,"$1,447.45 ",$301.14 ,"$1,447.45 ","$1,447.45 ","$1,532.59 ","$1,532.59 ","$1,336.76 ","$1,406.58 ",$301.14 ,"$1,106.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20037198,92977,THROMBOLYSIS CORON; INTRAVEN INFUS,981,1 ,"$2,462.32 ","$1,600.51 ",$281.18 ,"$2,217.32 ","$1,969.86 ",$281.18 ,"$1,951.14 ","$2,217.32 ","$2,217.32 ",$534.24 ,"$2,092.97 ","$1,822.12 ",$702.95 ,$281.18 , N/A ,"$2,053.57 ",$281.18 ,"$2,033.88 ","$1,969.86 ","$2,216.09 ",$702.95 ,"$2,092.97 ",$301.14 ,"$2,092.97 ","$2,092.97 ","$2,216.09 ","$2,216.09 ","$1,932.92 ","$2,033.88 ",$301.14 ,"$1,600.51 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20038300,38300,DRAINAGE LYMPH NODE ABSCESS;SIMPL,450,1 ,$995.26 ,$646.92 ,$646.92 ,"$5,361.20 ",$796.21 ,"$2,144.48 ",$788.64 ,$896.23 ,$896.23 ,"$4,074.51 ",$845.97 ,$736.49 ,"$5,361.20 ","$2,144.48 ", N/A ,$830.05 ,"$2,144.48 ",$822.08 ,$796.21 ,$895.73 ,$995.26 ,$845.97 ,$995.26 ,$845.97 ,$845.97 ,$895.73 ,$895.73 ,$781.28 ,$822.08 ,$995.26 ,$646.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040020,96372,INJECTION IM/SQ,450,1 ,$155.40 ,$101.01 ,$56.07 ,$140.18 ,$124.32 ,$56.07 ,$123.14 ,$139.94 ,$139.94 ,$106.54 ,$132.09 ,$115.00 ,$140.18 ,$56.07 , N/A ,$129.60 ,$56.07 ,$128.36 ,$124.32 ,$139.86 ,$140.18 ,$132.09 ,$60.05 ,$132.09 ,$132.09 ,$139.86 ,$139.86 ,$121.99 ,$128.36 ,$60.05 ,$101.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040022,99281,ER LEVEL 1,450,1 ,$243.85 ,$158.50 ,$65.69 ,$219.59 ,$195.08 ,$65.69 ,$193.23 ,$219.59 ,$219.59 ,$124.81 ,$207.27 ,$180.45 ,$164.23 ,$65.69 , N/A ,$203.37 ,$65.69 ,$201.42 ,$195.08 ,$219.47 ,$164.23 ,$207.27 ,$70.36 ,$207.27 ,$207.27 ,$219.47 ,$219.47 ,$191.42 ,$201.42 ,$70.36 ,$158.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040030,99283,ER LEVEL 3,450,1 ,$624.65 ,$406.02 ,$209.56 ,$562.50 ,$499.72 ,$209.56 ,$494.97 ,$562.50 ,$562.50 ,$398.17 ,$530.95 ,$462.24 ,$523.90 ,$209.56 , N/A ,$520.96 ,$209.56 ,$515.96 ,$499.72 ,$562.19 ,$523.90 ,$530.95 ,$224.44 ,$530.95 ,$530.95 ,$562.19 ,$562.19 ,$490.35 ,$515.96 ,$224.44 ,$406.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040196,99282,ER LEVEL 2,450,1 ,$328.92 ,$213.80 ,$119.07 ,$297.67 ,$263.14 ,$119.07 ,$260.64 ,$296.19 ,$296.19 ,$226.23 ,$279.58 ,$243.40 ,$297.67 ,$119.07 , N/A ,$274.32 ,$119.07 ,$271.69 ,$263.14 ,$296.03 ,$297.67 ,$279.58 ,$127.52 ,$279.58 ,$279.58 ,$296.03 ,$296.03 ,$258.20 ,$271.69 ,$127.52 ,$213.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040261,99285,ER LEVEL 5,450,1 ,$928.15 ,$603.30 ,$472.44 ,"$1,181.09 ",$742.52 ,$472.44 ,$735.47 ,$835.80 ,$835.80 ,$897.63 ,$788.93 ,$686.83 ,"$1,181.09 ",$472.44 , N/A ,$774.08 ,$472.44 ,$766.65 ,$742.52 ,$835.34 ,$928.15 ,$788.93 ,$505.98 ,$788.93 ,$788.93 ,$835.34 ,$835.34 ,$728.60 ,$766.65 ,$505.98 ,$603.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040524,96374,IV PUSH,450,1 ,$360.00 ,$234.00 ,$184.13 ,$460.34 ,$288.00 ,$184.13 ,$285.26 ,$324.18 ,$324.18 ,$349.86 ,$306.00 ,$266.40 ,$460.34 ,$184.13 , N/A ,$300.24 ,$184.13 ,$297.36 ,$288.00 ,$324.00 ,$360.00 ,$306.00 ,$197.21 ,$306.00 ,$306.00 ,$324.00 ,$324.00 ,$282.60 ,$297.36 ,$197.21 ,$234.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040525,96374,IV PUSH,260,1 ,$404.57 ,$262.97 ,$184.13 ,$460.34 ,$323.66 ,$184.13 ,$320.58 ,$364.32 ,$364.32 ,$349.86 ,$343.88 ,$299.38 ,$460.34 ,$184.13 , N/A ,$337.41 ,$184.13 ,$334.17 ,$323.66 ,$364.11 ,$404.57 ,$343.88 ,$197.21 ,$343.88 ,$343.88 ,$364.11 ,$364.11 ,$317.59 ,$334.17 ,$197.21 ,$262.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040618,99291,ER LEVEL 6 CRITICAL CARE 30-74 MIN,450,1 ,"$3,706.15 ","$2,409.00 ",$626.76 ,"$3,337.39 ","$2,964.92 ",$626.76 ,"$2,936.75 ","$3,337.39 ","$3,337.39 ","$1,190.85 ","$3,150.23 ","$2,742.55 ","$1,566.91 ",$626.76 , N/A ,"$3,090.93 ",$626.76 ,"$3,061.28 ","$2,964.92 ","$3,335.54 ","$1,566.91 ","$3,150.23 ",$671.26 ,"$3,150.23 ","$3,150.23 ","$3,335.54 ","$3,335.54 ","$2,909.33 ","$3,061.28 ",$671.26 ,"$2,409.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20040619,99354,PROLONGED ER SERVICES,450,1 ,$338.11 ,$219.77 ,$219.77 ,$304.47 ,$270.49 , N/A ,$267.92 ,$304.47 ,$304.47 , N/A ,$287.39 ,$250.20 , N/A , N/A , N/A ,$281.98 , N/A ,$279.28 ,$270.49 ,$304.30 , N/A ,$287.39 , N/A ,$287.39 ,$287.39 ,$304.30 ,$304.30 ,$265.42 ,$279.28 , N/A ,$219.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040620,99355,PROLONGED SERVICES ER EACH ADD 1/2 HOUR,450,1 ,$330.88 ,$215.07 ,$215.07 ,$297.96 ,$264.70 , N/A ,$262.19 ,$297.96 ,$297.96 , N/A ,$281.25 ,$244.85 , N/A , N/A , N/A ,$275.95 , N/A ,$273.31 ,$264.70 ,$297.79 , N/A ,$281.25 , N/A ,$281.25 ,$281.25 ,$297.79 ,$297.79 ,$259.74 ,$273.31 , N/A ,$215.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040650,40650,REPR LIP FULL THICK; VERMILION ONLY,450,1 ,"$2,024.73 ","$1,316.07 ",$409.31 ,"$1,823.27 ","$1,619.78 ",$409.31 ,"$1,604.40 ","$1,823.27 ","$1,823.27 ",$777.70 ,"$1,721.02 ","$1,498.30 ","$1,023.28 ",$409.31 , N/A ,"$1,688.62 ",$409.31 ,"$1,672.43 ","$1,619.78 ","$1,822.26 ","$1,023.28 ","$1,721.02 ",$438.37 ,"$1,721.02 ","$1,721.02 ","$1,822.26 ","$1,822.26 ","$1,589.41 ","$1,672.43 ",$438.37 ,"$1,316.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20040654,40654,"REP LIP VERT OVER 1/2"" HT OR COMPLEX",450,1 ,"$2,841.39 ","$1,846.90 ","$1,224.06 ","$3,060.15 ","$2,273.11 ","$1,224.06 ","$2,251.52 ","$2,558.67 ","$2,558.67 ","$2,325.71 ","$2,415.18 ","$2,102.63 ","$3,060.15 ","$1,224.06 ", N/A ,"$2,369.72 ","$1,224.06 ","$2,346.99 ","$2,273.11 ","$2,557.25 ","$2,841.39 ","$2,415.18 ","$1,310.97 ","$2,415.18 ","$2,415.18 ","$2,557.25 ","$2,557.25 ","$2,230.49 ","$2,346.99 ","$1,310.97 ","$1,846.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20040800,40800,DRAIN ABSCESS VESTIBULE MOUTH; SIMPL,450,1 ,$435.07 ,$282.80 ,$282.80 ,"$1,406.96 ",$348.06 ,$562.78 ,$344.75 ,$391.78 ,$391.78 ,"$1,069.29 ",$369.81 ,$321.95 ,"$1,406.96 ",$562.78 , N/A ,$362.85 ,$562.78 ,$359.37 ,$348.06 ,$391.56 ,$435.07 ,$369.81 ,$435.07 ,$369.81 ,$369.81 ,$391.56 ,$391.56 ,$341.53 ,$359.37 ,$435.07 ,$282.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040804,40804,REMOV EMBEDDED FB MOUTH;SIMPL,450,1 ,$435.07 ,$282.80 ,$282.80 ,"$1,831.40 ",$348.06 ,$732.56 ,$344.75 ,$391.78 ,$391.78 ,"$1,391.86 ",$369.81 ,$321.95 ,"$1,831.40 ",$732.56 , N/A ,$362.85 ,$732.56 ,$359.37 ,$348.06 ,$391.56 ,$435.07 ,$369.81 ,$435.07 ,$369.81 ,$369.81 ,$391.56 ,$391.56 ,$341.53 ,$359.37 ,$435.07 ,$282.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040808,99284,ER LEVEL 4,450,1 ,$731.25 ,$475.31 ,$329.13 ,$822.82 ,$585.00 ,$329.13 ,$579.44 ,$658.49 ,$658.49 ,$625.34 ,$621.56 ,$541.13 ,$822.82 ,$329.13 , N/A ,$609.86 ,$329.13 ,$604.01 ,$585.00 ,$658.13 ,$731.25 ,$621.56 ,$352.49 ,$621.56 ,$621.56 ,$658.13 ,$658.13 ,$574.03 ,$604.01 ,$352.49 ,$475.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040830,40830,CLO LACERATION MOUTH;2.5CM/LESS,450,1 ,$435.07 ,$282.80 ,$191.46 ,$478.66 ,$348.06 ,$191.46 ,$344.75 ,$391.78 ,$391.78 ,$363.78 ,$369.81 ,$321.95 ,$478.66 ,$191.46 , N/A ,$362.85 ,$191.46 ,$359.37 ,$348.06 ,$391.56 ,$435.07 ,$369.81 ,$205.06 ,$369.81 ,$369.81 ,$391.56 ,$391.56 ,$341.53 ,$359.37 ,$205.06 ,$282.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20040831,40831,CLO LACERATION MOUTH;>2.5/COMPLX,450,1 ,"$1,944.90 ","$1,264.19 ",$409.31 ,"$1,751.38 ","$1,555.92 ",$409.31 ,"$1,541.14 ","$1,751.38 ","$1,751.38 ",$777.70 ,"$1,653.17 ","$1,439.23 ","$1,023.28 ",$409.31 , N/A ,"$1,622.05 ",$409.31 ,"$1,606.49 ","$1,555.92 ","$1,750.41 ","$1,023.28 ","$1,653.17 ",$438.37 ,"$1,653.17 ","$1,653.17 ","$1,750.41 ","$1,750.41 ","$1,526.75 ","$1,606.49 ",$438.37 ,"$1,264.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20040835,51701,STRAIGHT CATH RESIDUAL URINE,450,1 ,$148.65 ,$96.62 ,$96.62 ,$253.24 ,$118.92 ,$101.30 ,$117.79 ,$133.86 ,$133.86 ,$192.46 ,$126.35 ,$110.00 ,$253.24 ,$101.30 , N/A ,$123.97 ,$101.30 ,$122.78 ,$118.92 ,$133.79 ,$148.65 ,$126.35 ,$108.49 ,$126.35 ,$126.35 ,$133.79 ,$133.79 ,$116.69 ,$122.78 ,$108.49 ,$96.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),20041015,41015,EXTRAORAL I AND D ABSCESS;SUBLINGUAL,450,1 ,"$1,341.10 ",$871.72 ,$409.31 ,"$1,207.66 ","$1,072.88 ",$409.31 ,"$1,062.69 ","$1,207.66 ","$1,207.66 ",$777.70 ,"$1,139.94 ",$992.41 ,"$1,023.28 ",$409.31 , N/A ,"$1,118.48 ",$409.31 ,"$1,107.75 ","$1,072.88 ","$1,206.99 ","$1,023.28 ","$1,139.94 ",$438.37 ,"$1,139.94 ","$1,139.94 ","$1,206.99 ","$1,206.99 ","$1,052.76 ","$1,107.75 ",$438.37 ,$871.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),20041250,41250,REPR LACERAT 2.5CM/LESS;ANT TONGUE,450,1 ,$435.07 ,$282.80 ,$244.51 ,$611.26 ,$348.06 ,$244.51 ,$344.75 ,$391.78 ,$391.78 ,$464.56 ,$369.81 ,$321.95 ,$611.26 ,$244.51 , N/A ,$362.85 ,$244.51 ,$359.37 ,$348.06 ,$391.56 ,$435.07 ,$369.81 ,$261.87 ,$369.81 ,$369.81 ,$391.56 ,$391.56 ,$341.53 ,$359.37 ,$261.87 ,$282.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20041251,41251,REPR LACERAT 2.5CM/LESS; POST TONGUE,450,1 ,"$1,944.90 ","$1,264.19 ",$191.46 ,"$1,751.38 ","$1,555.92 ",$191.46 ,"$1,541.14 ","$1,751.38 ","$1,751.38 ",$363.78 ,"$1,653.17 ","$1,439.23 ",$478.66 ,$191.46 , N/A ,"$1,622.05 ",$191.46 ,"$1,606.49 ","$1,555.92 ","$1,750.41 ",$478.66 ,"$1,653.17 ",$205.06 ,"$1,653.17 ","$1,653.17 ","$1,750.41 ","$1,750.41 ","$1,526.75 ","$1,606.49 ",$205.06 ,"$1,264.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20041350,99281,ER LEVEL 1,451,1 , N/A , N/A ,$65.69 ,$164.23 , N/A ,$65.69 , N/A , N/A , N/A ,$124.81 , N/A , N/A ,$164.23 ,$65.69 , N/A , N/A ,$65.69 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20041368,99282,ER LEVEL 2,456,1 , N/A , N/A ,$119.07 ,$297.67 , N/A ,$119.07 , N/A , N/A , N/A ,$226.23 , N/A , N/A ,$297.67 ,$119.07 , N/A , N/A ,$119.07 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20041599,41599,"UNLISTED PROCEDURE,TONGUE,FLOOR OF MOUTH",450,1 ,$435.07 ,$282.80 ,$191.46 ,$478.66 ,$348.06 ,$191.46 ,$344.75 ,$391.78 ,$391.78 ,$363.78 ,$369.81 ,$321.95 ,$478.66 ,$191.46 , N/A ,$362.85 ,$191.46 ,$359.37 ,$348.06 ,$391.56 ,$435.07 ,$369.81 ,$205.06 ,$369.81 ,$369.81 ,$391.56 ,$391.56 ,$341.53 ,$359.37 ,$205.06 ,$282.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),20041800,41800,DRAIN ABCESS/ HEMO FROM DENTOALVECLAR ST,450,1 ,$888.08 ,$577.25 ,$101.30 ,$799.72 ,$710.46 ,$101.30 ,$703.71 ,$799.72 ,$799.72 ,$192.46 ,$754.87 ,$657.18 ,$253.24 ,$101.30 , N/A ,$740.66 ,$101.30 ,$733.55 ,$710.46 ,$799.27 ,$253.24 ,$754.87 ,$108.49 ,$754.87 ,$754.87 ,$799.27 ,$799.27 ,$697.14 ,$733.55 ,$108.49 ,$577.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),20042809,42809,F B REMOVAL THROAT,450,1 ,$363.57 ,$236.32 ,$236.32 ,$611.26 ,$290.86 ,$244.51 ,$288.09 ,$327.39 ,$327.39 ,$464.56 ,$309.03 ,$269.04 ,$611.26 ,$244.51 , N/A ,$303.22 ,$244.51 ,$300.31 ,$290.86 ,$327.21 ,$363.57 ,$309.03 ,$261.87 ,$309.03 ,$309.03 ,$327.21 ,$327.21 ,$285.40 ,$300.31 ,$261.87 ,$236.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),20042960,42960,CONTRL OROPHARYNG HEMORR;SIMPL,450,1 ,$572.32 ,$372.01 ,$372.01 ,"$1,023.28 ",$457.86 ,$409.31 ,$453.51 ,$515.37 ,$515.37 ,$777.70 ,$486.47 ,$423.52 ,"$1,023.28 ",$409.31 , N/A ,$477.31 ,$409.31 ,$472.74 ,$457.86 ,$515.09 ,$572.32 ,$486.47 ,$438.37 ,$486.47 ,$486.47 ,$515.09 ,$515.09 ,$449.27 ,$472.74 ,$438.37 ,$372.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20043752,43752,NASO OR ORD-GASTRIC TUBE PLACEMENT,450,1 ,$386.72 ,$251.37 ,$244.51 ,$611.26 ,$309.38 ,$244.51 ,$306.44 ,$348.24 ,$348.24 ,$464.56 ,$328.71 ,$286.17 ,$611.26 ,$244.51 , N/A ,$322.52 ,$244.51 ,$319.43 ,$309.38 ,$348.05 ,$386.72 ,$328.71 ,$261.87 ,$328.71 ,$328.71 ,$348.05 ,$348.05 ,$303.58 ,$319.43 ,$261.87 ,$251.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),20043753,43753,GASTRIC INTUBATION,450,1 ,$165.61 ,$107.65 ,$107.65 ,$598.21 ,$132.49 ,$239.28 ,$131.23 ,$149.13 ,$149.13 ,$454.64 ,$140.77 ,$122.55 ,$598.21 ,$239.28 , N/A ,$138.12 ,$239.28 ,$136.79 ,$132.49 ,$149.05 ,$165.61 ,$140.77 ,$165.61 ,$140.77 ,$140.77 ,$149.05 ,$149.05 ,$130.00 ,$136.79 ,$165.61 ,$107.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),20043760,43760,CHANGE GASTROSTOMY TUBE,450,1 ,$534.74 ,$347.58 ,$347.58 ,$481.53 ,$427.79 , N/A ,$423.73 ,$481.53 ,$481.53 , N/A ,$454.53 ,$395.71 , N/A , N/A , N/A ,$445.97 , N/A ,$441.70 ,$427.79 ,$481.27 , N/A ,$454.53 , N/A ,$454.53 ,$454.53 ,$481.27 ,$481.27 ,$419.77 ,$441.70 , N/A ,$347.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),20043761,43761,REPOSIT GASTRIC FEED TUBE THRU DUOD,450,1 ,$611.00 ,$397.15 ,$240.81 ,$602.04 ,$488.80 ,$240.81 ,$484.16 ,$550.21 ,$550.21 ,$457.55 ,$519.35 ,$452.14 ,$602.04 ,$240.81 , N/A ,$509.57 ,$240.81 ,$504.69 ,$488.80 ,$549.90 ,$602.04 ,$519.35 ,$257.91 ,$519.35 ,$519.35 ,$549.90 ,$549.90 ,$479.64 ,$504.69 ,$257.91 ,$397.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),20046040,46040,I AND D RECTAL ABCESS,450,1 ,$605.71 ,$393.71 ,$393.71 ,"$2,345.71 ",$484.57 ,$938.28 ,$479.96 ,$545.44 ,$545.44 ,"$1,782.74 ",$514.85 ,$448.23 ,"$2,345.71 ",$938.28 , N/A ,$505.16 ,$938.28 ,$500.32 ,$484.57 ,$545.14 ,$605.71 ,$514.85 ,$605.71 ,$514.85 ,$514.85 ,$545.14 ,$545.14 ,$475.48 ,$500.32 ,$605.71 ,$393.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),20046050,46050,I AND D PERIANAL ABSCESS SUPERF,450,1 ,$605.71 ,$393.71 ,$393.71 ,"$1,795.32 ",$484.57 ,$718.13 ,$479.96 ,$545.44 ,$545.44 ,"$1,364.44 ",$514.85 ,$448.23 ,"$1,795.32 ",$718.13 , N/A ,$505.16 ,$718.13 ,$500.32 ,$484.57 ,$545.14 ,$605.71 ,$514.85 ,$605.71 ,$514.85 ,$514.85 ,$545.14 ,$545.14 ,$475.48 ,$500.32 ,$605.71 ,$393.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),20046600,46600,ANOSCOPY,450,1 ,$243.86 ,$158.51 ,$101.30 ,$253.24 ,$195.09 ,$101.30 ,$193.23 ,$219.60 ,$219.60 ,$192.46 ,$207.28 ,$180.46 ,$253.24 ,$101.30 , N/A ,$203.38 ,$101.30 ,$201.43 ,$195.09 ,$219.47 ,$243.86 ,$207.28 ,$108.49 ,$207.28 ,$207.28 ,$219.47 ,$219.47 ,$191.43 ,$201.43 ,$108.49 ,$158.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),20049080,49082,"PERITONEOCENTESIS, ABD W/O IMAG GUIDANCE",450,1 ,$815.33 ,$529.96 ,$529.96 ,"$1,831.40 ",$652.26 ,$732.56 ,$646.07 ,$734.20 ,$734.20 ,"$1,391.86 ",$693.03 ,$603.34 ,"$1,831.40 ",$732.56 , N/A ,$679.99 ,$732.56 ,$673.46 ,$652.26 ,$733.80 ,$815.33 ,$693.03 ,$784.57 ,$693.03 ,$693.03 ,$733.80 ,$733.80 ,$640.03 ,$673.46 ,$784.57 ,$529.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),20049107,10060,INCS SOFT TISS ABSCESS; SUPERF,450,1 ,$517.78 ,$336.56 ,$162.46 ,$466.26 ,$414.22 ,$162.46 ,$410.29 ,$466.26 ,$466.26 ,$308.68 ,$440.11 ,$383.16 ,$406.16 ,$162.46 , N/A ,$431.83 ,$162.46 ,$427.69 ,$414.22 ,$466.00 ,$406.16 ,$440.11 ,$174.00 ,$440.11 ,$440.11 ,$466.00 ,$466.00 ,$406.46 ,$427.69 ,$174.00 ,$336.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),20051700,51700,"BLADDER IRRIGATION,SIMPLE,LAVAGE",450,1 ,$672.47 ,$437.11 ,$240.81 ,$605.56 ,$537.98 ,$240.81 ,$532.87 ,$605.56 ,$605.56 ,$457.55 ,$571.60 ,$497.63 ,$602.04 ,$240.81 , N/A ,$560.84 ,$240.81 ,$555.46 ,$537.98 ,$605.22 ,$602.04 ,$571.60 ,$257.91 ,$571.60 ,$571.60 ,$605.22 ,$605.22 ,$527.89 ,$555.46 ,$257.91 ,$437.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),20053670,51702,INSERT CATH UR BLAD,450,1 ,$148.65 ,$96.62 ,$96.62 ,$253.24 ,$118.92 ,$101.30 ,$117.79 ,$133.86 ,$133.86 ,$192.46 ,$126.35 ,$110.00 ,$253.24 ,$101.30 , N/A ,$123.97 ,$101.30 ,$122.78 ,$118.92 ,$133.79 ,$148.65 ,$126.35 ,$108.49 ,$126.35 ,$126.35 ,$133.79 ,$133.79 ,$116.69 ,$122.78 ,$108.49 ,$96.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),20053675,51703,CATH URETHRA; COMPLIC,450,1 ,$561.84 ,$365.20 ,$126.27 ,$505.94 ,$449.47 ,$126.27 ,$445.20 ,$505.94 ,$505.94 ,$239.91 ,$477.56 ,$415.76 ,$315.68 ,$126.27 , N/A ,$468.57 ,$126.27 ,$464.08 ,$449.47 ,$505.66 ,$315.68 ,$477.56 ,$135.24 ,$477.56 ,$477.56 ,$505.66 ,$505.66 ,$441.04 ,$464.08 ,$135.24 ,$365.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),20054220,54220,IRRIGATION OF CORPORA CARERROSA FOR PRIA,450,1 ,"$1,960.97 ","$1,274.63 ",$240.81 ,"$1,765.85 ","$1,568.78 ",$240.81 ,"$1,553.87 ","$1,765.85 ","$1,765.85 ",$457.55 ,"$1,666.82 ","$1,451.12 ",$602.04 ,$240.81 , N/A ,"$1,635.45 ",$240.81 ,"$1,619.76 ","$1,568.78 ","$1,764.87 ",$602.04 ,"$1,666.82 ",$257.91 ,"$1,666.82 ","$1,666.82 ","$1,764.87 ","$1,764.87 ","$1,539.36 ","$1,619.76 ",$257.91 ,"$1,274.63 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20054670,54670,SUTURE/REPR TESTICULAR INJURY,450,1 ,"$2,954.57 ","$1,920.47 ","$1,920.47 ","$6,958.99 ","$2,363.66 ","$2,783.60 ","$2,341.20 ","$2,660.59 ","$2,660.59 ","$5,288.83 ","$2,511.38 ","$2,186.38 ","$6,958.99 ","$2,783.60 ", N/A ,"$2,464.11 ","$2,783.60 ","$2,440.47 ","$2,363.66 ","$2,659.11 ","$2,954.57 ","$2,511.38 ","$2,954.57 ","$2,511.38 ","$2,511.38 ","$2,659.11 ","$2,659.11 ","$2,319.34 ","$2,440.47 ","$2,954.57 ","$1,920.47 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20054700,54700,I AND D EPIDIDYMIS/TESTIS AND /OR SCROTAL,450,1 ,"$2,954.57 ","$1,920.47 ","$1,622.37 ","$4,055.92 ","$2,363.66 ","$1,622.37 ","$2,341.20 ","$2,660.59 ","$2,660.59 ","$3,082.50 ","$2,511.38 ","$2,186.38 ","$4,055.92 ","$1,622.37 ", N/A ,"$2,464.11 ","$1,622.37 ","$2,440.47 ","$2,363.66 ","$2,659.11 ","$2,954.57 ","$2,511.38 ","$1,737.56 ","$2,511.38 ","$2,511.38 ","$2,659.11 ","$2,659.11 ","$2,319.34 ","$2,440.47 ","$1,737.56 ","$1,920.47 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20055120,55120,REMOV FB SCROTUM,450,1 ,"$2,954.57 ","$1,920.47 ","$1,622.37 ","$4,055.92 ","$2,363.66 ","$1,622.37 ","$2,341.20 ","$2,660.59 ","$2,660.59 ","$3,082.50 ","$2,511.38 ","$2,186.38 ","$4,055.92 ","$1,622.37 ", N/A ,"$2,464.11 ","$1,622.37 ","$2,440.47 ","$2,363.66 ","$2,659.11 ","$2,954.57 ","$2,511.38 ","$1,737.56 ","$2,511.38 ","$2,511.38 ","$2,659.11 ","$2,659.11 ","$2,319.34 ","$2,440.47 ","$1,737.56 ","$1,920.47 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20056405,56405,I AND D VULVA/PERINEAL ABSCESS,450,1 ,$616.19 ,$400.52 ,$254.69 ,$636.74 ,$492.95 ,$254.69 ,$488.27 ,$554.88 ,$554.88 ,$483.92 ,$523.76 ,$455.98 ,$636.74 ,$254.69 , N/A ,$513.90 ,$254.69 ,$508.97 ,$492.95 ,$554.57 ,$616.19 ,$523.76 ,$272.78 ,$523.76 ,$523.76 ,$554.57 ,$554.57 ,$483.71 ,$508.97 ,$272.78 ,$400.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),20056420,56420,I AND D BARTHOLIN,450,1 ,$616.19 ,$400.52 ,$154.11 ,$554.88 ,$492.95 ,$154.11 ,$488.27 ,$554.88 ,$554.88 ,$292.81 ,$523.76 ,$455.98 ,$385.28 ,$154.11 , N/A ,$513.90 ,$154.11 ,$508.97 ,$492.95 ,$554.57 ,$385.28 ,$523.76 ,$165.05 ,$523.76 ,$523.76 ,$554.57 ,$554.57 ,$483.71 ,$508.97 ,$165.05 ,$400.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),20057020,57020,CLSD COLPOCENTESIS,450,1 ,"$1,022.44 ",$664.59 ,$664.59 ,"$9,974.82 ",$817.95 ,"$3,989.93 ",$810.18 ,$920.71 ,$920.71 ,"$7,580.86 ",$869.07 ,$756.61 ,"$9,974.82 ","$3,989.93 ", N/A ,$852.72 ,"$3,989.93 ",$844.54 ,$817.95 ,$920.20 ,"$1,022.44 ",$869.07 ,"$1,022.44 ",$869.07 ,$869.07 ,$920.20 ,$920.20 ,$802.62 ,$844.54 ,"$1,022.44 ",$664.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),20057150,57150,IRRIGA VAG AND /OR APPLIC MEDICAMENT,450,1 ,$385.36 ,$250.48 ,$50.36 ,$347.02 ,$308.29 ,$50.36 ,$305.36 ,$347.02 ,$347.02 ,$95.69 ,$327.56 ,$285.17 ,$125.91 ,$50.36 , N/A ,$321.39 ,$50.36 ,$318.31 ,$308.29 ,$346.82 ,$125.91 ,$327.56 ,$53.94 ,$327.56 ,$327.56 ,$346.82 ,$346.82 ,$302.51 ,$318.31 ,$53.94 ,$250.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),20057180,57180,INTRO HEMOSTATC AGENT VAG (SEP PRO),450,1 ,$616.19 ,$400.52 ,$154.11 ,$554.88 ,$492.95 ,$154.11 ,$488.27 ,$554.88 ,$554.88 ,$292.81 ,$523.76 ,$455.98 ,$385.28 ,$154.11 , N/A ,$513.90 ,$154.11 ,$508.97 ,$492.95 ,$554.57 ,$385.28 ,$523.76 ,$165.05 ,$523.76 ,$523.76 ,$554.57 ,$554.57 ,$483.71 ,$508.97 ,$165.05 ,$400.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),20058301,58301,REMOV INTRAUTERINE DEVICE,450,1 ,$237.47 ,$154.36 ,$154.36 ,$636.74 ,$189.98 ,$254.69 ,$188.17 ,$213.84 ,$213.84 ,$483.92 ,$201.85 ,$175.73 ,$636.74 ,$254.69 , N/A ,$198.05 ,$254.69 ,$196.15 ,$189.98 ,$213.72 ,$237.47 ,$201.85 ,$237.47 ,$201.85 ,$201.85 ,$213.72 ,$213.72 ,$186.41 ,$196.15 ,$237.47 ,$154.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),20059409,59409,VAG DELIV ONLY,450,1 ,"$2,899.66 ","$1,884.78 ","$1,884.78 ","$5,933.96 ","$2,319.73 ","$2,373.59 ","$2,297.69 ","$2,611.14 ","$2,611.14 ","$4,509.81 ","$2,464.71 ","$2,145.75 ","$5,933.96 ","$2,373.59 ", N/A ,"$2,418.32 ","$2,373.59 ","$2,395.12 ","$2,319.73 ","$2,609.69 ","$2,899.66 ","$2,464.71 ","$2,542.11 ","$2,464.71 ","$2,464.71 ","$2,609.69 ","$2,609.69 ","$2,276.23 ","$2,395.12 ","$2,542.11 ","$1,884.78 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20059410,59410,VAGINAL DELIVERY + POST PARTUM CARE,450,1 ,"$3,023.90 ","$1,965.54 ","$1,965.54 ","$2,723.02 ","$2,419.12 ", N/A ,"$2,396.14 ","$2,723.02 ","$2,723.02 ", N/A ,"$2,570.32 ","$2,237.69 ", N/A , N/A , N/A ,"$2,521.93 ", N/A ,"$2,497.74 ","$2,419.12 ","$2,721.51 ", N/A ,"$2,570.32 ", N/A ,"$2,570.32 ","$2,570.32 ","$2,721.51 ","$2,721.51 ","$2,373.76 ","$2,497.74 ", N/A ,"$1,965.54 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20059414,59414,DELIV PLACENTA(SEPART PROC),450,1 ,"$1,812.39 ","$1,178.05 ","$1,178.05 ","$5,933.96 ","$1,449.91 ","$2,373.59 ","$1,436.14 ","$1,632.06 ","$1,632.06 ","$4,509.81 ","$1,540.53 ","$1,341.17 ","$5,933.96 ","$2,373.59 ", N/A ,"$1,511.53 ","$2,373.59 ","$1,497.03 ","$1,449.91 ","$1,631.15 ","$1,812.39 ","$1,540.53 ","$1,812.39 ","$1,540.53 ","$1,540.53 ","$1,631.15 ","$1,631.15 ","$1,422.73 ","$1,497.03 ","$1,812.39 ","$1,178.05 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20059612,59612,VAG DELIV ONLY AFTER PREV C DELIV,450,1 ,"$2,899.66 ","$1,884.78 ","$1,884.78 ","$5,933.96 ","$2,319.73 ","$2,373.59 ","$2,297.69 ","$2,611.14 ","$2,611.14 ","$4,509.81 ","$2,464.71 ","$2,145.75 ","$5,933.96 ","$2,373.59 ", N/A ,"$2,418.32 ","$2,373.59 ","$2,395.12 ","$2,319.73 ","$2,609.69 ","$2,899.66 ","$2,464.71 ","$2,542.11 ","$2,464.71 ","$2,464.71 ","$2,609.69 ","$2,609.69 ","$2,276.23 ","$2,395.12 ","$2,542.11 ","$1,884.78 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20060051,11403,LESION BENIGN 2.1-3 CM,450,1 ,"$2,164.08 ","$1,406.65 ",$562.78 ,"$1,948.75 ","$1,731.26 ",$562.78 ,"$1,714.82 ","$1,948.75 ","$1,948.75 ","$1,069.29 ","$1,839.47 ","$1,601.42 ","$1,406.96 ",$562.78 , N/A ,"$1,804.84 ",$562.78 ,"$1,787.53 ","$1,731.26 ","$1,947.67 ","$1,406.96 ","$1,839.47 ",$602.74 ,"$1,839.47 ","$1,839.47 ","$1,947.67 ","$1,947.67 ","$1,698.80 ","$1,787.53 ",$602.74 ,"$1,406.65 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20060423,11420,"LESION, .5 CM OR LESS",450,1 ,"$1,403.04 ",$911.98 ,$911.98 ,"$3,182.77 ","$1,122.43 ","$1,273.11 ","$1,111.77 ","$1,263.44 ","$1,263.44 ","$2,418.91 ","$1,192.58 ","$1,038.25 ","$3,182.77 ","$1,273.11 ", N/A ,"$1,170.14 ","$1,273.11 ","$1,158.91 ","$1,122.43 ","$1,262.74 ","$1,403.04 ","$1,192.58 ","$1,363.50 ","$1,192.58 ","$1,192.58 ","$1,262.74 ","$1,262.74 ","$1,101.39 ","$1,158.91 ","$1,363.50 ",$911.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),20062270,62270,LUMBAR TAP DIAGNOSTIC,450,1 ,$776.74 ,$504.88 ,$504.88 ,"$1,435.51 ",$621.39 ,$574.20 ,$615.49 ,$699.45 ,$699.45 ,"$1,090.98 ",$660.23 ,$574.79 ,"$1,435.51 ",$574.20 , N/A ,$647.80 ,$574.20 ,$641.59 ,$621.39 ,$699.07 ,$776.74 ,$660.23 ,$614.97 ,$660.23 ,$660.23 ,$699.07 ,$699.07 ,$609.74 ,$641.59 ,$614.97 ,$504.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20064400,64400,INJ ANES AGENT; TRIGEMINAL NERV,450,1 ,$607.17 ,$394.66 ,$236.32 ,$590.79 ,$485.74 ,$236.32 ,$481.12 ,$546.76 ,$546.76 ,$449.00 ,$516.09 ,$449.31 ,$590.79 ,$236.32 , N/A ,$506.38 ,$236.32 ,$501.52 ,$485.74 ,$546.45 ,$590.79 ,$516.09 ,$253.10 ,$516.09 ,$516.09 ,$546.45 ,$546.45 ,$476.63 ,$501.52 ,$253.10 ,$394.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),20064402,64402,INJ ANES AGENT; FACIAL NERVE,450,1 ,$859.54 ,$558.70 ,$558.70 ,$774.02 ,$687.63 , N/A ,$681.10 ,$774.02 ,$774.02 , N/A ,$730.61 ,$636.06 , N/A , N/A , N/A ,$716.86 , N/A ,$709.98 ,$687.63 ,$773.59 , N/A ,$730.61 , N/A ,$730.61 ,$730.61 ,$773.59 ,$773.59 ,$674.74 ,$709.98 , N/A ,$558.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),20064405,64405,INJ ANES AGENT; GREATER OCCIPT NERVE,450,1 ,$701.66 ,$456.08 ,$236.32 ,$631.84 ,$561.33 ,$236.32 ,$556.00 ,$631.84 ,$631.84 ,$449.00 ,$596.41 ,$519.23 ,$590.79 ,$236.32 , N/A ,$585.18 ,$236.32 ,$579.57 ,$561.33 ,$631.49 ,$590.79 ,$596.41 ,$253.10 ,$596.41 ,$596.41 ,$631.49 ,$631.49 ,$550.80 ,$579.57 ,$253.10 ,$456.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),20064415,64415,INJ ANES AGENT; BRACHIAL PLEXUS SINGLE,450,1 ,$735.41 ,$478.02 ,$478.02 ,"$1,860.49 ",$588.33 ,$744.19 ,$582.74 ,$662.24 ,$662.24 ,"$1,413.97 ",$625.10 ,$544.20 ,"$1,860.49 ",$744.19 , N/A ,$613.33 ,$744.19 ,$607.45 ,$588.33 ,$661.87 ,$735.41 ,$625.10 ,$735.41 ,$625.10 ,$625.10 ,$661.87 ,$661.87 ,$577.30 ,$607.45 ,$735.41 ,$478.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),20064450,64450,NERVE BLOCK PERIPH,636,1 ,$361.08 ,$234.70 ,$234.70 ,"$1,435.51 ",$288.86 ,$574.20 ,$286.12 ,$325.15 ,$325.15 ,"$1,090.98 ",$306.92 ,$267.20 ,"$1,435.51 ",$574.20 , N/A ,$301.14 ,$574.20 ,$298.25 ,$288.86 ,$324.97 ,$361.08 ,$306.92 ,$361.08 ,$306.92 ,$306.92 ,$324.97 ,$324.97 ,$283.45 ,$298.25 ,$361.08 ,$234.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),20065205,65205,F B REMOVAL EYE EXT,450,1 ,$683.52 ,$444.29 ,$101.30 ,$615.51 ,$546.82 ,$101.30 ,$541.62 ,$615.51 ,$615.51 ,$192.46 ,$580.99 ,$505.80 ,$253.24 ,$101.30 , N/A ,$570.06 ,$101.30 ,$564.59 ,$546.82 ,$615.17 ,$253.24 ,$580.99 ,$108.49 ,$580.99 ,$580.99 ,$615.17 ,$615.17 ,$536.56 ,$564.59 ,$108.49 ,$444.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),20065210,65210,REMOV FB EXT EYE;CONJUNC EMBEDDED,450,1 ,$683.52 ,$444.29 ,$244.51 ,$615.51 ,$546.82 ,$244.51 ,$541.62 ,$615.51 ,$615.51 ,$464.56 ,$580.99 ,$505.80 ,$611.26 ,$244.51 , N/A ,$570.06 ,$244.51 ,$564.59 ,$546.82 ,$615.17 ,$611.26 ,$580.99 ,$261.87 ,$580.99 ,$580.99 ,$615.17 ,$615.17 ,$536.56 ,$564.59 ,$261.87 ,$444.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),20065220,65220,REMOV FB EXT EYE; CORNEAL WO LAMP,450,1 ,$683.52 ,$444.29 ,$244.51 ,$615.51 ,$546.82 ,$244.51 ,$541.62 ,$615.51 ,$615.51 ,$464.56 ,$580.99 ,$505.80 ,$611.26 ,$244.51 , N/A ,$570.06 ,$244.51 ,$564.59 ,$546.82 ,$615.17 ,$611.26 ,$580.99 ,$261.87 ,$580.99 ,$580.99 ,$615.17 ,$615.17 ,$536.56 ,$564.59 ,$261.87 ,$444.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),20067938,67938,REM EMBEDDED FB EYELID,450,1 ,$985.70 ,$640.71 ,$236.42 ,$887.62 ,$788.56 ,$236.42 ,$781.07 ,$887.62 ,$887.62 ,$449.19 ,$837.85 ,$729.42 ,$591.04 ,$236.42 , N/A ,$822.07 ,$236.42 ,$814.19 ,$788.56 ,$887.13 ,$591.04 ,$837.85 ,$253.20 ,$837.85 ,$837.85 ,$887.13 ,$887.13 ,$773.77 ,$814.19 ,$253.20 ,$640.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),20069000,69000,DRAIN EXT EAR ABSCESS;SIMPL,450,1 ,$517.78 ,$336.56 ,$336.56 ,"$1,406.96 ",$414.22 ,$562.78 ,$410.29 ,$466.26 ,$466.26 ,"$1,069.29 ",$440.11 ,$383.16 ,"$1,406.96 ",$562.78 , N/A ,$431.83 ,$562.78 ,$427.69 ,$414.22 ,$466.00 ,$517.78 ,$440.11 ,$517.78 ,$440.11 ,$440.11 ,$466.00 ,$466.00 ,$406.46 ,$427.69 ,$517.78 ,$336.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),20069020,69020,"DRAINAGE EXT AUDITORY CANAL, ABCESS",450,1 ,$554.36 ,$360.33 ,$360.33 ,"$1,406.96 ",$443.49 ,$562.78 ,$439.27 ,$499.20 ,$499.20 ,"$1,069.29 ",$471.21 ,$410.23 ,"$1,406.96 ",$562.78 , N/A ,$462.34 ,$562.78 ,$457.90 ,$443.49 ,$498.92 ,$554.36 ,$471.21 ,$554.36 ,$471.21 ,$471.21 ,$498.92 ,$498.92 ,$435.17 ,$457.90 ,$554.36 ,$360.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),20069200,69200,F B REMOVAL EAR EXTERNAL AUDITORY CANAL,450,1 ,$269.31 ,$175.05 ,$101.30 ,$253.24 ,$215.45 ,$101.30 ,$213.40 ,$242.51 ,$242.51 ,$192.46 ,$228.91 ,$199.29 ,$253.24 ,$101.30 , N/A ,$224.60 ,$101.30 ,$222.45 ,$215.45 ,$242.38 ,$253.24 ,$228.91 ,$108.49 ,$228.91 ,$228.91 ,$242.38 ,$242.38 ,$211.41 ,$222.45 ,$108.49 ,$175.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),20069209,69209,REMOVAL OF CERUMEN W/ IRRIGATION,450,1 ,$269.31 ,$175.05 ,$50.36 ,$242.51 ,$215.45 ,$50.36 ,$213.40 ,$242.51 ,$242.51 ,$95.69 ,$228.91 ,$199.29 ,$125.91 ,$50.36 , N/A ,$224.60 ,$50.36 ,$222.45 ,$215.45 ,$242.38 ,$125.91 ,$228.91 ,$53.94 ,$228.91 ,$228.91 ,$242.38 ,$242.38 ,$211.41 ,$222.45 ,$53.94 ,$175.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),20069210,69210,REMOV IMPACTED CERUMEN(SEP PRO),450,1 ,$269.31 ,$175.05 ,$50.36 ,$242.51 ,$215.45 ,$50.36 ,$213.40 ,$242.51 ,$242.51 ,$95.69 ,$228.91 ,$199.29 ,$125.91 ,$50.36 , N/A ,$224.60 ,$50.36 ,$222.45 ,$215.45 ,$242.38 ,$125.91 ,$228.91 ,$53.94 ,$228.91 ,$228.91 ,$242.38 ,$242.38 ,$211.41 ,$222.45 ,$53.94 ,$175.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),20086445,36556,INSERT NON TUNNELED CV CATH 5 YR AND OLDER,450,1 ,"$1,939.26 ","$1,260.52 ","$1,260.52 ","$6,473.36 ","$1,551.41 ","$2,589.34 ","$1,536.67 ","$1,746.30 ","$1,746.30 ","$4,919.75 ","$1,648.37 ","$1,435.05 ","$6,473.36 ","$2,589.34 ", N/A ,"$1,617.34 ","$2,589.34 ","$1,601.83 ","$1,551.41 ","$1,745.33 ","$1,939.26 ","$1,648.37 ","$1,939.26 ","$1,648.37 ","$1,648.37 ","$1,745.33 ","$1,745.33 ","$1,522.32 ","$1,601.83 ","$1,939.26 ","$1,260.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20090389,90389,TETANUS IMMUNE GLOBULIN TLG IM,450,1 ,$55.28 ,$35.93 ,$35.93 ,$49.78 ,$44.22 , N/A ,$43.80 ,$49.78 ,$49.78 , N/A ,$46.99 ,$40.91 , N/A , N/A , N/A ,$46.10 , N/A ,$45.66 ,$44.22 ,$49.75 , N/A ,$46.99 , N/A ,$46.99 ,$46.99 ,$49.75 ,$49.75 ,$43.39 ,$45.66 , N/A ,$35.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090675,90675,RABIES VACCINE IM USE,450,1 ,$299.51 ,$194.68 ,$194.68 ,$816.54 ,$239.61 ,$326.61 ,$237.33 ,$269.71 ,$269.71 ,$620.57 ,$254.58 ,$221.64 ,$816.54 ,$326.61 , N/A ,$249.79 ,$326.61 ,$247.40 ,$239.61 ,$269.56 ,$299.51 ,$254.58 ,$299.51 ,$254.58 ,$254.58 ,$269.56 ,$269.56 ,$235.12 ,$247.40 ,$299.51 ,$194.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090703,90714,TETANUS TOX ADMINISTRATION,771,1 ,$26.79 ,$17.41 ,$17.41 ,$24.12 ,$21.43 , N/A ,$21.23 ,$24.12 ,$24.12 , N/A ,$22.77 ,$19.82 , N/A , N/A , N/A ,$22.34 , N/A ,$22.13 ,$21.43 ,$24.11 , N/A ,$22.77 , N/A ,$22.77 ,$22.77 ,$24.11 ,$24.11 ,$21.03 ,$22.13 , N/A ,$17.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090760,96360,IV INFUSION HYDRATION,260,1 ,$484.74 ,$315.08 ,$184.13 ,$460.34 ,$387.79 ,$184.13 ,$384.11 ,$436.51 ,$436.51 ,$349.86 ,$412.03 ,$358.71 ,$460.34 ,$184.13 , N/A ,$404.27 ,$184.13 ,$400.40 ,$387.79 ,$436.27 ,$460.34 ,$412.03 ,$197.21 ,$412.03 ,$412.03 ,$436.27 ,$436.27 ,$380.52 ,$400.40 ,$197.21 ,$315.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090761,96361,IV THERAPY ADDED HOURS HYDRATION,450,1 ,$123.22 ,$80.09 ,$36.19 ,$110.96 ,$98.58 ,$36.19 ,$97.64 ,$110.96 ,$110.96 ,$68.77 ,$104.74 ,$91.18 ,$90.48 ,$36.19 , N/A ,$102.77 ,$36.19 ,$101.78 ,$98.58 ,$110.90 ,$90.48 ,$104.74 ,$38.76 ,$104.74 ,$104.74 ,$110.90 ,$110.90 ,$96.73 ,$101.78 ,$38.76 ,$80.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090762,96361,IV THERAPY ADDED HOURS HYDRATION,260,1 ,$130.56 ,$84.86 ,$36.19 ,$117.57 ,$104.45 ,$36.19 ,$103.46 ,$117.57 ,$117.57 ,$68.77 ,$110.98 ,$96.61 ,$90.48 ,$36.19 , N/A ,$108.89 ,$36.19 ,$107.84 ,$104.45 ,$117.50 ,$90.48 ,$110.98 ,$38.76 ,$110.98 ,$110.98 ,$117.50 ,$117.50 ,$102.49 ,$107.84 ,$38.76 ,$84.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090767,96367,IV INFUSION SEQUENTIAL,260,1 ,$123.21 ,$80.09 ,$56.07 ,$140.18 ,$98.57 ,$56.07 ,$97.63 ,$110.95 ,$110.95 ,$106.54 ,$104.73 ,$91.18 ,$140.18 ,$56.07 , N/A ,$102.76 ,$56.07 ,$101.77 ,$98.57 ,$110.89 ,$123.21 ,$104.73 ,$60.05 ,$104.73 ,$104.73 ,$110.89 ,$110.89 ,$96.72 ,$101.77 ,$60.05 ,$80.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090775,96375,IV PUSH ADDITIONAL,450,1 ,$360.00 ,$234.00 ,$36.19 ,$324.18 ,$288.00 ,$36.19 ,$285.26 ,$324.18 ,$324.18 ,$68.77 ,$306.00 ,$266.40 ,$90.48 ,$36.19 , N/A ,$300.24 ,$36.19 ,$297.36 ,$288.00 ,$324.00 ,$90.48 ,$306.00 ,$38.76 ,$306.00 ,$306.00 ,$324.00 ,$324.00 ,$282.60 ,$297.36 ,$38.76 ,$234.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090776,96375,IV PUSH ADDITIONAL,260,1 ,$404.57 ,$262.97 ,$36.19 ,$364.32 ,$323.66 ,$36.19 ,$320.58 ,$364.32 ,$364.32 ,$68.77 ,$343.88 ,$299.38 ,$90.48 ,$36.19 , N/A ,$337.41 ,$36.19 ,$334.17 ,$323.66 ,$364.11 ,$90.48 ,$343.88 ,$38.76 ,$343.88 ,$343.88 ,$364.11 ,$364.11 ,$317.59 ,$334.17 ,$38.76 ,$262.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090780,96365,IV INFUSION THERAPY,260,1 ,$348.80 ,$226.72 ,$184.13 ,$460.34 ,$279.04 ,$184.13 ,$276.39 ,$314.09 ,$314.09 ,$349.86 ,$296.48 ,$258.11 ,$460.34 ,$184.13 , N/A ,$290.90 ,$184.13 ,$288.11 ,$279.04 ,$313.92 ,$348.80 ,$296.48 ,$197.21 ,$296.48 ,$296.48 ,$313.92 ,$313.92 ,$273.81 ,$288.11 ,$197.21 ,$226.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),20090801,90791,PSY DIAGNOSTIC INTERVIEW,900,1 ,$54.11 ,$35.17 ,$35.17 ,$302.28 ,$43.29 ,$120.91 ,$42.88 ,$48.73 ,$48.73 ,$229.74 ,$45.99 ,$40.04 ,$302.28 ,$120.91 , N/A ,$45.13 ,$120.91 ,$44.69 ,$43.29 ,$48.70 ,$54.11 ,$45.99 ,$54.11 ,$45.99 ,$45.99 ,$48.70 ,$48.70 ,$42.48 ,$44.69 ,$54.11 ,$35.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),20092950,92950,CARDIO RESUSCITATION,450,1 ,"$1,167.64 ",$758.97 ,$239.28 ,"$1,051.46 ",$934.11 ,$239.28 ,$925.24 ,"$1,051.46 ","$1,051.46 ",$454.64 ,$992.49 ,$864.05 ,$598.21 ,$239.28 , N/A ,$973.81 ,$239.28 ,$964.47 ,$934.11 ,"$1,050.88 ",$598.21 ,$992.49 ,$256.27 ,$992.49 ,$992.49 ,"$1,050.88 ","$1,050.88 ",$916.60 ,$964.47 ,$256.27 ,$758.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20092953,92953,TEMPORARY TRANSCUTANEOUS PACING,450,1 ,$729.67 ,$474.29 ,$474.29 ,"$1,271.10 ",$583.74 ,$508.44 ,$578.19 ,$657.07 ,$657.07 ,$966.03 ,$620.22 ,$539.96 ,"$1,271.10 ",$508.44 , N/A ,$608.54 ,$508.44 ,$602.71 ,$583.74 ,$656.70 ,$729.67 ,$620.22 ,$544.54 ,$620.22 ,$620.22 ,$656.70 ,$656.70 ,$572.79 ,$602.71 ,$544.54 ,$474.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),20092960,92960,CARDIOVERS ELEC-CONVER ARRHY;EXT,450,1 ,"$1,059.57 ",$688.72 ,$508.44 ,"$1,271.10 ",$847.66 ,$508.44 ,$839.60 ,$954.14 ,$954.14 ,$966.03 ,$900.63 ,$784.08 ,"$1,271.10 ",$508.44 , N/A ,$883.68 ,$508.44 ,$875.20 ,$847.66 ,$953.61 ,"$1,059.57 ",$900.63 ,$544.54 ,$900.63 ,$900.63 ,$953.61 ,$953.61 ,$831.76 ,$875.20 ,$544.54 ,$688.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),20096368,96368,CONCURRENT INFUSION,450,1 ,$110.27 ,$71.68 ,$71.68 ,$99.30 ,$88.22 , N/A ,$87.38 ,$99.30 ,$99.30 , N/A ,$93.73 ,$81.60 , N/A , N/A , N/A ,$91.97 , N/A ,$91.08 ,$88.22 ,$99.24 , N/A ,$93.73 , N/A ,$93.73 ,$93.73 ,$99.24 ,$99.24 ,$86.56 ,$91.08 , N/A ,$71.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),20096373,96373,INTRA ARTICULAR INJECTION,450,1 ,$113.42 ,$73.72 ,$73.72 ,$460.34 ,$90.74 ,$184.13 ,$89.87 ,$102.13 ,$102.13 ,$349.86 ,$96.41 ,$83.93 ,$460.34 ,$184.13 , N/A ,$94.59 ,$184.13 ,$93.68 ,$90.74 ,$102.08 ,$113.42 ,$96.41 ,$113.42 ,$96.41 ,$96.41 ,$102.08 ,$102.08 ,$89.03 ,$93.68 ,$113.42 ,$73.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),20096376,96376,ADDTL PUSH SAME DRUG GREATER THAN 30 MIN,260,1 ,$404.57 ,$262.97 ,$262.97 ,$364.32 ,$323.66 , N/A ,$320.58 ,$364.32 ,$364.32 , N/A ,$343.88 ,$299.38 , N/A , N/A , N/A ,$337.41 , N/A ,$334.17 ,$323.66 ,$364.11 , N/A ,$343.88 , N/A ,$343.88 ,$343.88 ,$364.11 ,$364.11 ,$317.59 ,$334.17 , N/A ,$262.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20096523,96523,IRRIGATION OF IMPL VENOUSE ACCESS DEVICE,450,1 ,$122.67 ,$79.74 ,$50.36 ,$125.91 ,$98.14 ,$50.36 ,$97.20 ,$110.46 ,$110.46 ,$95.69 ,$104.27 ,$90.78 ,$125.91 ,$50.36 , N/A ,$102.31 ,$50.36 ,$101.33 ,$98.14 ,$110.40 ,$122.67 ,$104.27 ,$53.94 ,$104.27 ,$104.27 ,$110.40 ,$110.40 ,$96.30 ,$101.33 ,$53.94 ,$79.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),20099170,43753,GASTRIC LAVAGE,450,1 ,$156.69 ,$101.85 ,$101.85 ,$598.21 ,$125.35 ,$239.28 ,$124.16 ,$141.10 ,$141.10 ,$454.64 ,$133.19 ,$115.95 ,$598.21 ,$239.28 , N/A ,$130.68 ,$239.28 ,$129.43 ,$125.35 ,$141.02 ,$156.69 ,$133.19 ,$156.69 ,$133.19 ,$133.19 ,$141.02 ,$141.02 ,$123.00 ,$129.43 ,$156.69 ,$101.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),20099283,99283,ER LEVEL 3,450,1 ,$276.75 ,$179.89 ,$179.89 ,$523.90 ,$221.40 ,$209.56 ,$219.30 ,$249.21 ,$249.21 ,$398.17 ,$235.24 ,$204.80 ,$523.90 ,$209.56 , N/A ,$230.81 ,$209.56 ,$228.60 ,$221.40 ,$249.08 ,$276.75 ,$235.24 ,$224.44 ,$235.24 ,$235.24 ,$249.08 ,$249.08 ,$217.25 ,$228.60 ,$224.44 ,$179.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),20099292,99292,PROLONGED ER SERVICES,450,1 ,$338.11 ,$219.77 ,$219.77 ,$304.47 ,$270.49 , N/A ,$267.92 ,$304.47 ,$304.47 , N/A ,$287.39 ,$250.20 , N/A , N/A , N/A ,$281.98 , N/A ,$279.28 ,$270.49 ,$304.30 , N/A ,$287.39 , N/A ,$287.39 ,$287.39 ,$304.30 ,$304.30 ,$265.42 ,$279.28 , N/A ,$219.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),20099440,99465,NB RESUSC; VENT AND / OR CHEST COMPRESS,450,1 ,"$1,167.64 ",$758.97 ,$508.44 ,"$1,271.10 ",$934.11 ,$508.44 ,$925.24 ,"$1,051.46 ","$1,051.46 ",$966.03 ,$992.49 ,$864.05 ,"$1,271.10 ",$508.44 , N/A ,$973.81 ,$508.44 ,$964.47 ,$934.11 ,"$1,050.88 ","$1,167.64 ",$992.49 ,$544.54 ,$992.49 ,$992.49 ,"$1,050.88 ","$1,050.88 ",$916.60 ,$964.47 ,$544.54 ,$758.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20099465,99463,INITIAL HOSPITAL CARE PER DAY W/ DISCHG,450,1 ,$857.30 ,$557.25 ,$107.44 ,$772.00 ,$685.84 ,$107.44 ,$679.32 ,$772.00 ,$772.00 ,$204.14 ,$728.71 ,$634.40 ,$268.60 ,$107.44 , N/A ,$714.99 ,$107.44 ,$708.13 ,$685.84 ,$771.57 ,$268.60 ,$728.71 ,$115.07 ,$728.71 ,$728.71 ,$771.57 ,$771.57 ,$672.98 ,$708.13 ,$115.07 ,$557.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),201,N/A,NF-AMLODIPINE ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20120610,20610,ARTHROCENTESIS/ASPIR/INJ;MAJOR JT RIGHT,981,1 ,$372.72 ,$242.27 ,$236.32 ,$590.79 ,$298.18 ,$236.32 ,$295.34 ,$335.63 ,$335.63 ,$449.00 ,$316.81 ,$275.81 ,$590.79 ,$236.32 , N/A ,$310.85 ,$236.32 ,$307.87 ,$298.18 ,$335.45 ,$372.72 ,$316.81 ,$253.10 ,$316.81 ,$316.81 ,$335.45 ,$335.45 ,$292.59 ,$307.87 ,$253.10 ,$242.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),20127830,27830,CLOSED TREATMENT OF PROXIMAL TIBIOFIBULA,450,1 ,$437.21 ,$284.19 ,$186.57 ,$466.42 ,$349.77 ,$186.57 ,$346.45 ,$393.71 ,$393.71 ,$354.48 ,$371.63 ,$323.54 ,$466.42 ,$186.57 , N/A ,$364.63 ,$186.57 ,$361.14 ,$349.77 ,$393.49 ,$437.21 ,$371.63 ,$199.82 ,$371.63 ,$371.63 ,$393.49 ,$393.49 ,$343.21 ,$361.14 ,$199.82 ,$284.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),2017000,17000,DESTRUCTION LESION PREMALIGNANT 1ST LES,360,1 ,$442.40 ,$287.56 ,$162.46 ,$406.16 ,$353.92 ,$162.46 ,$350.56 ,$398.38 ,$398.38 ,$308.68 ,$376.04 ,$327.38 ,$406.16 ,$162.46 , N/A ,$368.96 ,$162.46 ,$365.42 ,$353.92 ,$398.16 ,$406.16 ,$376.04 ,$174.00 ,$376.04 ,$376.04 ,$398.16 ,$398.16 ,$347.28 ,$365.42 ,$174.00 ,$287.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),202,N/A,NF-MIRENA INSERT ER 52MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20223505,23505,CLO TX CLAV FX/W MANIP LT,450,1 ,$741.51 ,$481.98 ,$481.98 ,"$3,149.64 ",$593.21 ,"$1,259.85 ",$587.57 ,$667.73 ,$667.73 ,"$2,393.72 ",$630.28 ,$548.72 ,"$3,149.64 ","$1,259.85 ", N/A ,$618.42 ,"$1,259.85 ",$612.49 ,$593.21 ,$667.36 ,$741.51 ,$630.28 ,$741.51 ,$630.28 ,$630.28 ,$667.36 ,$667.36 ,$582.09 ,$612.49 ,$741.51 ,$481.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),20223650,23650,CLO TX SHLDR DISLOC W/MANIP;WO ANES LT,450,1 ,$424.57 ,$275.97 ,$186.57 ,$466.42 ,$339.66 ,$186.57 ,$336.43 ,$382.33 ,$382.33 ,$354.48 ,$360.88 ,$314.18 ,$466.42 ,$186.57 , N/A ,$354.09 ,$186.57 ,$350.69 ,$339.66 ,$382.11 ,$424.57 ,$360.88 ,$199.82 ,$360.88 ,$360.88 ,$382.11 ,$382.11 ,$333.29 ,$350.69 ,$199.82 ,$275.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),20223665,23665,CLSD TX SHLDR DIS W FX GRT HUM TUB/MA LT,450,1 ,"$3,326.61 ","$2,162.30 ","$1,259.85 ","$3,149.64 ","$2,661.29 ","$1,259.85 ","$2,636.01 ","$2,995.61 ","$2,995.61 ","$2,393.72 ","$2,827.62 ","$2,461.69 ","$3,149.64 ","$1,259.85 ", N/A ,"$2,774.39 ","$1,259.85 ","$2,747.78 ","$2,661.29 ","$2,993.95 ","$3,149.64 ","$2,827.62 ","$1,349.30 ","$2,827.62 ","$2,827.62 ","$2,993.95 ","$2,993.95 ","$2,611.39 ","$2,747.78 ","$1,349.30 ","$2,162.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),20227265,27265,CLOSD TX POST HIP ARTHRO DIS W/O ANES LT,450,1 ,"$1,121.30 ",$728.85 ,$186.57 ,"$1,009.73 ",$897.04 ,$186.57 ,$888.52 ,"$1,009.73 ","$1,009.73 ",$354.48 ,$953.11 ,$829.76 ,$466.42 ,$186.57 , N/A ,$935.16 ,$186.57 ,$926.19 ,$897.04 ,"$1,009.17 ",$466.42 ,$953.11 ,$199.82 ,$953.11 ,$953.11 ,"$1,009.17 ","$1,009.17 ",$880.22 ,$926.19 ,$199.82 ,$728.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),20227825,27825,"CLO TX TIBIA FX,/SKELETAL TRAC /MANIP LT",450,1 ,$561.56 ,$365.01 ,$365.01 ,"$3,149.64 ",$449.25 ,"$1,259.85 ",$444.98 ,$505.68 ,$505.68 ,"$2,393.72 ",$477.33 ,$415.55 ,"$3,149.64 ","$1,259.85 ", N/A ,$468.34 ,"$1,259.85 ",$463.85 ,$449.25 ,$505.40 ,$561.56 ,$477.33 ,$561.56 ,$477.33 ,$477.33 ,$505.40 ,$505.40 ,$440.82 ,$463.85 ,$561.56 ,$365.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229065,N/A,CAST APPL; SHOULDER TO HAND-LT,700,1 ,$342.89 ,$222.88 ,$222.88 ,$308.77 ,$274.31 , N/A ,$271.71 ,$308.77 ,$308.77 , N/A ,$291.46 ,$253.74 , N/A , N/A , N/A ,$285.97 , N/A ,$283.23 ,$274.31 ,$308.60 , N/A ,$291.46 , N/A ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 , N/A ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229075,29075,CAST APPL; ELBOW TO FINGER-LT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229085,29085,CAST APPL; HAND AND LOWER FOREARM-LT,700,1 ,$342.89 ,$222.88 ,$127.75 ,$319.36 ,$274.31 ,$127.75 ,$271.71 ,$308.77 ,$308.77 ,$242.72 ,$291.46 ,$253.74 ,$319.36 ,$127.75 , N/A ,$285.97 ,$127.75 ,$283.23 ,$274.31 ,$308.60 ,$319.36 ,$291.46 ,$136.82 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$136.82 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229105,29105,APPL LONG ARM SPLINT-LT,450,1 ,$407.58 ,$264.93 ,$127.75 ,$367.03 ,$326.06 ,$127.75 ,$322.97 ,$367.03 ,$367.03 ,$242.72 ,$346.44 ,$301.61 ,$319.36 ,$127.75 , N/A ,$339.92 ,$127.75 ,$336.66 ,$326.06 ,$366.82 ,$319.36 ,$346.44 ,$136.82 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$136.82 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229125,29125,APPL SHORT ARM SPLINT;STATIC-LT,450,1 ,$407.58 ,$264.93 ,$101.30 ,$367.03 ,$326.06 ,$101.30 ,$322.97 ,$367.03 ,$367.03 ,$192.46 ,$346.44 ,$301.61 ,$253.24 ,$101.30 , N/A ,$339.92 ,$101.30 ,$336.66 ,$326.06 ,$366.82 ,$253.24 ,$346.44 ,$108.49 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$108.49 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229126,29126,APPL SHORT ARM SPLINT DYNAM-LT,450,1 ,$407.58 ,$264.93 ,$101.30 ,$367.03 ,$326.06 ,$101.30 ,$322.97 ,$367.03 ,$367.03 ,$192.46 ,$346.44 ,$301.61 ,$253.24 ,$101.30 , N/A ,$339.92 ,$101.30 ,$336.66 ,$326.06 ,$366.82 ,$253.24 ,$346.44 ,$108.49 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$108.49 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229345,29345,APPL LONG LEG CAST-LT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229355,29355,APPL LONG LEG CAST;WALK/AMB-LT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229358,29358,APPL LONG LEG CAST BRACE-LT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229405,29405,APPL SHORT LEG CAST-LT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229425,29425,APPL SHORT LEG CAST;WA-LONG/AMB-LT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229440,29440,CAST REVISION/ ADD WALKER-LT,700,1 ,$342.89 ,$222.88 ,$127.75 ,$319.36 ,$274.31 ,$127.75 ,$271.71 ,$308.77 ,$308.77 ,$242.72 ,$291.46 ,$253.74 ,$319.36 ,$127.75 , N/A ,$285.97 ,$127.75 ,$283.23 ,$274.31 ,$308.60 ,$319.36 ,$291.46 ,$136.82 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$136.82 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229505,29505,APPL LONG LEG SPLINT STATIC-LT,450,1 ,$407.58 ,$264.93 ,$127.75 ,$367.03 ,$326.06 ,$127.75 ,$322.97 ,$367.03 ,$367.03 ,$242.72 ,$346.44 ,$301.61 ,$319.36 ,$127.75 , N/A ,$339.92 ,$127.75 ,$336.66 ,$326.06 ,$366.82 ,$319.36 ,$346.44 ,$136.82 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$136.82 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229515,29515,"LEG SPLINT/APPL SHORT, LT",450,1 ,$282.30 ,$183.50 ,$127.75 ,$319.36 ,$225.84 ,$127.75 ,$223.69 ,$254.21 ,$254.21 ,$242.72 ,$239.96 ,$208.90 ,$319.36 ,$127.75 , N/A ,$235.44 ,$127.75 ,$233.18 ,$225.84 ,$254.07 ,$282.30 ,$239.96 ,$136.82 ,$239.96 ,$239.96 ,$254.07 ,$254.07 ,$221.61 ,$233.18 ,$136.82 ,$183.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),20229705,29705,CAST REMOVAL FULL ARM OR LEG-LT,700,1 ,$214.80 ,$139.62 ,$139.62 ,$545.55 ,$171.84 ,$218.22 ,$170.21 ,$193.43 ,$193.43 ,$414.62 ,$182.58 ,$158.95 ,$545.55 ,$218.22 , N/A ,$179.14 ,$218.22 ,$177.42 ,$171.84 ,$193.32 ,$214.80 ,$182.58 ,$214.80 ,$182.58 ,$182.58 ,$193.32 ,$193.32 ,$168.62 ,$177.42 ,$214.80 ,$139.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),20230901,30901,ANTERIOR NASAL PACKING,761,1 ,$572.32 ,$372.01 ,$101.30 ,$515.37 ,$457.86 ,$101.30 ,$453.51 ,$515.37 ,$515.37 ,$192.46 ,$486.47 ,$423.52 ,$253.24 ,$101.30 , N/A ,$477.31 ,$101.30 ,$472.74 ,$457.86 ,$515.09 ,$253.24 ,$486.47 ,$108.49 ,$486.47 ,$486.47 ,$515.09 ,$515.09 ,$449.27 ,$472.74 ,$108.49 ,$372.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),20230905,30905,POSTERIOR NASAL PACKING,761,1 ,$572.32 ,$372.01 ,$101.30 ,$515.37 ,$457.86 ,$101.30 ,$453.51 ,$515.37 ,$515.37 ,$192.46 ,$486.47 ,$423.52 ,$253.24 ,$101.30 , N/A ,$477.31 ,$101.30 ,$472.74 ,$457.86 ,$515.09 ,$253.24 ,$486.47 ,$108.49 ,$486.47 ,$486.47 ,$515.09 ,$515.09 ,$449.27 ,$472.74 ,$108.49 ,$372.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),2025000,N/A,CONNECTOR 5-IN-1,270,1 ,$5.48 ,$3.56 ,$3.56 ,$4.93 ,$4.38 , N/A ,$4.34 ,$4.93 ,$4.93 , N/A ,$4.66 ,$4.06 , N/A , N/A , N/A ,$4.57 , N/A ,$4.53 ,$4.38 ,$4.93 , N/A ,$4.66 , N/A ,$4.66 ,$4.66 ,$4.93 ,$4.93 ,$4.30 ,$4.53 , N/A ,$3.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),203,N/A,NF-SENSIPAR TAB 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),20329065,29065,CAST APPL; SHOULDER TO HAND-BIL,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329075,29075,CAST APPL; ELBOW TO FINGER-RT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329085,29085,CAST APPL; HAND AND LOWER FOREARM-RT,700,1 ,$342.89 ,$222.88 ,$127.75 ,$319.36 ,$274.31 ,$127.75 ,$271.71 ,$308.77 ,$308.77 ,$242.72 ,$291.46 ,$253.74 ,$319.36 ,$127.75 , N/A ,$285.97 ,$127.75 ,$283.23 ,$274.31 ,$308.60 ,$319.36 ,$291.46 ,$136.82 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$136.82 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329105,29105,APPL LONG ARM SPLINT-BIL,450,1 ,$407.58 ,$264.93 ,$127.75 ,$367.03 ,$326.06 ,$127.75 ,$322.97 ,$367.03 ,$367.03 ,$242.72 ,$346.44 ,$301.61 ,$319.36 ,$127.75 , N/A ,$339.92 ,$127.75 ,$336.66 ,$326.06 ,$366.82 ,$319.36 ,$346.44 ,$136.82 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$136.82 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329125,29125,APPL SHORT ARM SPLINT;STATIC-BIL,450,1 ,$407.58 ,$264.93 ,$101.30 ,$367.03 ,$326.06 ,$101.30 ,$322.97 ,$367.03 ,$367.03 ,$192.46 ,$346.44 ,$301.61 ,$253.24 ,$101.30 , N/A ,$339.92 ,$101.30 ,$336.66 ,$326.06 ,$366.82 ,$253.24 ,$346.44 ,$108.49 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$108.49 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329126,29126,APPL SHORT ARM SPLINT DYNAM-RT,450,1 ,$407.58 ,$264.93 ,$101.30 ,$367.03 ,$326.06 ,$101.30 ,$322.97 ,$367.03 ,$367.03 ,$192.46 ,$346.44 ,$301.61 ,$253.24 ,$101.30 , N/A ,$339.92 ,$101.30 ,$336.66 ,$326.06 ,$366.82 ,$253.24 ,$346.44 ,$108.49 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$108.49 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329345,29345,APPL LONG LEG CAST-RT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329355,29355,APPL LONG LEG CAST;WALK/AMB-RT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329358,29358,APPL LONG LEG CAST BRACE-RT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329405,29405,APPL SHORT LEG CAST-RT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329425,29425,APPL SHORT LEG CAST;WA-LONG/AMB-RT,700,1 ,$342.89 ,$222.88 ,$218.22 ,$545.55 ,$274.31 ,$218.22 ,$271.71 ,$308.77 ,$308.77 ,$414.62 ,$291.46 ,$253.74 ,$545.55 ,$218.22 , N/A ,$285.97 ,$218.22 ,$283.23 ,$274.31 ,$308.60 ,$342.89 ,$291.46 ,$233.71 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$233.71 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329440,29440,CAST REVISION/ADD WALKER-RT,700,1 ,$342.89 ,$222.88 ,$127.75 ,$319.36 ,$274.31 ,$127.75 ,$271.71 ,$308.77 ,$308.77 ,$242.72 ,$291.46 ,$253.74 ,$319.36 ,$127.75 , N/A ,$285.97 ,$127.75 ,$283.23 ,$274.31 ,$308.60 ,$319.36 ,$291.46 ,$136.82 ,$291.46 ,$291.46 ,$308.60 ,$308.60 ,$269.17 ,$283.23 ,$136.82 ,$222.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329505,29505,APPL LONG LEG SPLINT STATIC-RT,450,1 ,$407.58 ,$264.93 ,$127.75 ,$367.03 ,$326.06 ,$127.75 ,$322.97 ,$367.03 ,$367.03 ,$242.72 ,$346.44 ,$301.61 ,$319.36 ,$127.75 , N/A ,$339.92 ,$127.75 ,$336.66 ,$326.06 ,$366.82 ,$319.36 ,$346.44 ,$136.82 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$136.82 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20329705,29705,CAST REMOVAL FULL ARM OR LEG-RT,700,1 ,$214.80 ,$139.62 ,$139.62 ,$545.55 ,$171.84 ,$218.22 ,$170.21 ,$193.43 ,$193.43 ,$414.62 ,$182.58 ,$158.95 ,$545.55 ,$218.22 , N/A ,$179.14 ,$218.22 ,$177.42 ,$171.84 ,$193.32 ,$214.80 ,$182.58 ,$214.80 ,$182.58 ,$182.58 ,$193.32 ,$193.32 ,$168.62 ,$177.42 ,$214.80 ,$139.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),2036569,36569,PICC LINE INSERTION 5 YEARS AND OLDER,999,1 ,"$2,909.84 ","$1,891.40 ","$1,272.33 ","$3,180.83 ","$2,327.87 ","$1,272.33 ","$2,305.76 ","$2,620.31 ","$2,620.31 ","$2,417.43 ","$2,473.36 ","$2,153.28 ","$3,180.83 ","$1,272.33 ", N/A ,"$2,426.81 ","$1,272.33 ","$2,403.53 ","$2,327.87 ","$2,618.86 ","$2,909.84 ","$2,473.36 ","$1,362.67 ","$2,473.36 ","$2,473.36 ","$2,618.86 ","$2,618.86 ","$2,284.22 ","$2,403.53 ","$1,362.67 ","$1,891.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),2040253,N/A,TUBE GAUZE DRESSING,270,1 ,$15.03 ,$9.77 ,$9.77 ,$13.53 ,$12.02 , N/A ,$11.91 ,$13.53 ,$13.53 , N/A ,$12.78 ,$11.12 , N/A , N/A , N/A ,$12.54 , N/A ,$12.41 ,$12.02 ,$13.53 , N/A ,$12.78 , N/A ,$12.78 ,$12.78 ,$13.53 ,$13.53 ,$11.80 ,$12.41 , N/A ,$9.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),2040899,N/A,AIR MATTRESS PULSAT,270,1 ,$11.38 ,$7.40 ,$7.40 ,$10.25 ,$9.10 , N/A ,$9.02 ,$10.25 ,$10.25 , N/A ,$9.67 ,$8.42 , N/A , N/A , N/A ,$9.49 , N/A ,$9.40 ,$9.10 ,$10.24 , N/A ,$9.67 , N/A ,$9.67 ,$9.67 ,$10.24 ,$10.24 ,$8.93 ,$9.40 , N/A ,$7.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),2041550,N/A,ENDO TUBEHOLD LG,270,1 ,$41.87 ,$27.22 ,$27.22 ,$37.70 ,$33.50 , N/A ,$33.18 ,$37.70 ,$37.70 , N/A ,$35.59 ,$30.98 , N/A , N/A , N/A ,$34.92 , N/A ,$34.58 ,$33.50 ,$37.68 , N/A ,$35.59 , N/A ,$35.59 ,$35.59 ,$37.68 ,$37.68 ,$32.87 ,$34.58 , N/A ,$27.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),2041555,N/A,ENDO TUBEHOLD SM,270,1 ,$41.87 ,$27.22 ,$27.22 ,$37.70 ,$33.50 , N/A ,$33.18 ,$37.70 ,$37.70 , N/A ,$35.59 ,$30.98 , N/A , N/A , N/A ,$34.92 , N/A ,$34.58 ,$33.50 ,$37.68 , N/A ,$35.59 , N/A ,$35.59 ,$35.59 ,$37.68 ,$37.68 ,$32.87 ,$34.58 , N/A ,$27.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),20429505,29505,APPL LONG LEG SPLINT STATIC-BIL,450,1 ,$407.58 ,$264.93 ,$127.75 ,$367.03 ,$326.06 ,$127.75 ,$322.97 ,$367.03 ,$367.03 ,$242.72 ,$346.44 ,$301.61 ,$319.36 ,$127.75 , N/A ,$339.92 ,$127.75 ,$336.66 ,$326.06 ,$366.82 ,$319.36 ,$346.44 ,$136.82 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$136.82 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20529505,29505,APPL LONG LEG SPLINT DYNAM-RT,450,1 ,$407.58 ,$264.93 ,$127.75 ,$367.03 ,$326.06 ,$127.75 ,$322.97 ,$367.03 ,$367.03 ,$242.72 ,$346.44 ,$301.61 ,$319.36 ,$127.75 , N/A ,$339.92 ,$127.75 ,$336.66 ,$326.06 ,$366.82 ,$319.36 ,$346.44 ,$136.82 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$136.82 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),20629505,29505,APPL LONG LEG SPLINT DYNAM-LT,450,1 ,$407.58 ,$264.93 ,$127.75 ,$367.03 ,$326.06 ,$127.75 ,$322.97 ,$367.03 ,$367.03 ,$242.72 ,$346.44 ,$301.61 ,$319.36 ,$127.75 , N/A ,$339.92 ,$127.75 ,$336.66 ,$326.06 ,$366.82 ,$319.36 ,$346.44 ,$136.82 ,$346.44 ,$346.44 ,$366.82 ,$366.82 ,$319.95 ,$336.66 ,$136.82 ,$264.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),2080172,99201,CLINIC VISIT LEVEL 1 NEW PATIENT,761,1 ,$144.02 ,$93.61 ,$93.61 ,$129.69 ,$115.22 , N/A ,$114.12 ,$129.69 ,$129.69 , N/A ,$122.42 ,$106.57 , N/A , N/A , N/A ,$120.11 , N/A ,$118.96 ,$115.22 ,$129.62 , N/A ,$122.42 , N/A ,$122.42 ,$122.42 ,$129.62 ,$129.62 ,$113.06 ,$118.96 , N/A ,$93.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),2080176,99211,CLINIC VISIT,761,1 ,$78.02 ,$50.71 ,$50.71 ,$70.26 ,$62.42 , N/A ,$61.82 ,$70.26 ,$70.26 , N/A ,$66.32 ,$57.73 , N/A , N/A , N/A ,$65.07 , N/A ,$64.44 ,$62.42 ,$70.22 , N/A ,$66.32 , N/A ,$66.32 ,$66.32 ,$70.22 ,$70.22 ,$61.25 ,$64.44 , N/A ,$50.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),2080444,N/A,VENUS CATH INSERTION,360,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2080515,36568,PICC LINE INSERTION <5 YEARS,999,1 ,$923.51 ,$600.28 ,$600.28 ,"$3,180.83 ",$738.81 ,"$1,272.33 ",$731.79 ,$831.62 ,$831.62 ,"$2,417.43 ",$784.98 ,$683.40 ,"$3,180.83 ","$1,272.33 ", N/A ,$770.21 ,"$1,272.33 ",$762.82 ,$738.81 ,$831.16 ,$923.51 ,$784.98 ,$923.51 ,$784.98 ,$784.98 ,$831.16 ,$831.16 ,$724.96 ,$762.82 ,$923.51 ,$600.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),2090472,90472,VACCINE ADMINISTRATION,771,1 ,$42.19 ,$27.42 ,$27.42 ,$37.99 ,$33.75 , N/A ,$33.43 ,$37.99 ,$37.99 , N/A ,$35.86 ,$31.22 , N/A , N/A , N/A ,$35.19 , N/A ,$34.85 ,$33.75 ,$37.97 , N/A ,$35.86 , N/A ,$35.86 ,$35.86 ,$37.97 ,$37.97 ,$33.12 ,$34.85 , N/A ,$27.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),20910140,N/A,* DO NOT USE - SEE 20010140,450,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),21,N/A,NF-ARTIFICIAL TEARS OPHTH SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2111435,G0378,OBC ROOM ADD ON,762,1 ,$67.66 ,$43.98 ,$43.98 ,$60.93 ,$54.13 , N/A ,$53.61 ,$60.93 ,$60.93 , N/A ,$57.51 ,$50.07 , N/A , N/A , N/A ,$56.43 , N/A ,$55.89 ,$54.13 ,$60.89 , N/A ,$57.51 , N/A ,$57.51 ,$57.51 ,$60.89 ,$60.89 ,$53.11 ,$55.89 , N/A ,$43.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),2111455,N/A,******INACTIVATED******,450,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2111476,G0379,DIRECT ADMIT FOR HOSP OBSV CARE,762,1 ,$188.41 ,$122.47 ,$122.47 ,$169.66 ,$150.73 , N/A ,$149.30 ,$169.66 ,$169.66 , N/A ,$160.15 ,$139.42 , N/A , N/A , N/A ,$157.13 , N/A ,$155.63 ,$150.73 ,$169.57 , N/A ,$160.15 , N/A ,$160.15 ,$160.15 ,$169.57 ,$169.57 ,$147.90 ,$155.63 , N/A ,$122.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),2111478,G0378,OBC ROOM - BASIC,762,1 ,$254.08 ,$165.15 ,$165.15 ,$228.80 ,$203.26 , N/A ,$201.33 ,$228.80 ,$228.80 , N/A ,$215.97 ,$188.02 , N/A , N/A , N/A ,$211.90 , N/A ,$209.87 ,$203.26 ,$228.67 , N/A ,$215.97 , N/A ,$215.97 ,$215.97 ,$228.67 ,$228.67 ,$199.45 ,$209.87 , N/A ,$165.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),2111484,N/A,******INACTIVATE******,769,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2111492,N/A,******INACTIVATE******,769,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),21199218,99218,OBC ROOM 1HR THRU 6.5 HR IDPH,762,1 ,$67.66 ,$43.98 ,$43.98 ,$60.93 ,$54.13 , N/A ,$53.61 ,$60.93 ,$60.93 , N/A ,$57.51 ,$50.07 , N/A , N/A , N/A ,$56.43 , N/A ,$55.89 ,$54.13 ,$60.89 , N/A ,$57.51 , N/A ,$57.51 ,$57.51 ,$60.89 ,$60.89 ,$53.11 ,$55.89 , N/A ,$43.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),21199219,99219,OBC ROOM 6.31 HR THRU 12.5 HR IDPH,762,1 ,$67.66 ,$43.98 ,$43.98 ,$60.93 ,$54.13 , N/A ,$53.61 ,$60.93 ,$60.93 , N/A ,$57.51 ,$50.07 , N/A , N/A , N/A ,$56.43 , N/A ,$55.89 ,$54.13 ,$60.89 , N/A ,$57.51 , N/A ,$57.51 ,$57.51 ,$60.89 ,$60.89 ,$53.11 ,$55.89 , N/A ,$43.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),21199220,99220,OBC ROOM 12.31 HR PLUS IDPH,762,1 ,$67.66 ,$43.98 ,$43.98 ,$60.93 ,$54.13 , N/A ,$53.61 ,$60.93 ,$60.93 , N/A ,$57.51 ,$50.07 , N/A , N/A , N/A ,$56.43 , N/A ,$55.89 ,$54.13 ,$60.89 , N/A ,$57.51 , N/A ,$57.51 ,$57.51 ,$60.89 ,$60.89 ,$53.11 ,$55.89 , N/A ,$43.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),22,N/A,NF-ACETAZOLAMIDE CAPSULE ER 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),23,N/A,NF-LEVOTHYROXINE SODIUM ORAL TABLET 0.07,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24,N/A,NF-FENOFIBRATE MICRO ORAL CAPSULE 134MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000000,N/A,"ARC GEL, RED CELL PREP PER CELL(man.dil)",301,1 ,$11.76 ,$7.64 ,$7.64 ,$10.59 ,$9.41 , N/A ,$9.32 ,$10.59 ,$10.59 , N/A ,$10.00 ,$8.70 , N/A , N/A , N/A ,$9.81 , N/A ,$9.71 ,$9.41 ,$10.58 , N/A ,$10.00 , N/A ,$10.00 ,$10.00 ,$10.58 ,$10.58 ,$9.23 ,$9.71 , N/A ,$7.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000001,N/A,SERUM INDEX,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000002,N/A,PATHOLOGY SPECIMEN,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000003,N/A,CMV Ab IGG/IGM,302,1 ,$229.02 ,$148.86 ,$148.86 ,$206.23 ,$183.22 , N/A ,$181.48 ,$206.23 ,$206.23 , N/A ,$194.67 ,$169.47 , N/A , N/A , N/A ,$191.00 , N/A ,$189.17 ,$183.22 ,$206.12 , N/A ,$194.67 , N/A ,$194.67 ,$194.67 ,$206.12 ,$206.12 ,$179.78 ,$189.17 , N/A ,$148.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000004,83520,GM1 IGA AB,301,1 ,$236.16 ,$153.50 ,$17.27 ,$212.66 ,$188.93 ,$17.27 ,$187.13 ,$212.66 ,$212.66 ,$32.81 ,$200.74 ,$174.76 ,$43.18 ,$17.27 , N/A ,$196.96 ,$17.27 ,$195.07 ,$188.93 ,$212.54 ,$43.18 ,$200.74 ,$17.27 ,$200.74 ,$200.74 ,$212.54 ,$212.54 ,$185.39 ,$195.07 ,$17.27 ,$153.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000005,N/A,GM1 IGA/IGG AB,301,1 ,$278.67 ,$181.14 ,$181.14 ,$250.94 ,$222.94 , N/A ,$220.82 ,$250.94 ,$250.94 , N/A ,$236.87 ,$206.22 , N/A , N/A , N/A ,$232.41 , N/A ,$230.18 ,$222.94 ,$250.80 , N/A ,$236.87 , N/A ,$236.87 ,$236.87 ,$250.80 ,$250.80 ,$218.76 ,$230.18 , N/A ,$181.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000006,80164,VALPROIC ACID FREE,301,1 ,$103.23 ,$67.10 ,$13.54 ,$92.96 ,$82.58 ,$13.54 ,$81.80 ,$92.96 ,$92.96 ,$25.73 ,$87.75 ,$76.39 ,$33.85 ,$13.54 , N/A ,$86.09 ,$13.54 ,$85.27 ,$82.58 ,$92.91 ,$33.85 ,$87.75 ,$13.54 ,$87.75 ,$87.75 ,$92.91 ,$92.91 ,$81.04 ,$85.27 ,$13.54 ,$67.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000007,86335,IMMUNOFIX URINE 24 HR,302,1 ,$370.40 ,$240.76 ,$29.35 ,$333.55 ,$296.32 ,$29.35 ,$293.51 ,$333.55 ,$333.55 ,$55.77 ,$314.84 ,$274.10 ,$73.38 ,$29.35 , N/A ,$308.91 ,$29.35 ,$305.95 ,$296.32 ,$333.36 ,$73.38 ,$314.84 ,$29.35 ,$314.84 ,$314.84 ,$333.36 ,$333.36 ,$290.76 ,$305.95 ,$29.35 ,$240.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000008,86147,CARDIOLIPIN IGG AB,302,1 ,$348.74 ,$226.68 ,$25.45 ,$314.04 ,$278.99 ,$25.45 ,$276.34 ,$314.04 ,$314.04 ,$48.36 ,$296.43 ,$258.07 ,$63.63 ,$25.45 , N/A ,$290.85 ,$25.45 ,$288.06 ,$278.99 ,$313.87 ,$63.63 ,$296.43 ,$25.45 ,$296.43 ,$296.43 ,$313.87 ,$313.87 ,$273.76 ,$288.06 ,$25.45 ,$226.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000009,86147,CARDIOLIPIN IGM AB,302,1 ,$348.74 ,$226.68 ,$25.45 ,$314.04 ,$278.99 ,$25.45 ,$276.34 ,$314.04 ,$314.04 ,$48.36 ,$296.43 ,$258.07 ,$63.63 ,$25.45 , N/A ,$290.85 ,$25.45 ,$288.06 ,$278.99 ,$313.87 ,$63.63 ,$296.43 ,$25.45 ,$296.43 ,$296.43 ,$313.87 ,$313.87 ,$273.76 ,$288.06 ,$25.45 ,$226.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000010,82382,CATECHOLAMINE URINE 24 HR,301,1 ,$246.10 ,$159.97 ,$27.30 ,$221.61 ,$196.88 ,$27.30 ,$195.01 ,$221.61 ,$221.61 ,$51.87 ,$209.19 ,$182.11 ,$68.25 ,$27.30 , N/A ,$205.25 ,$27.30 ,$203.28 ,$196.88 ,$221.49 ,$68.25 ,$209.19 ,$27.30 ,$209.19 ,$209.19 ,$221.49 ,$221.49 ,$193.19 ,$203.28 ,$27.30 ,$159.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000011,84300,SODIUM URINE RANDOM,301,1 ,$39.08 ,$25.40 ,$5.06 ,$35.19 ,$31.26 ,$5.06 ,$30.97 ,$35.19 ,$35.19 ,$9.61 ,$33.22 ,$28.92 ,$12.65 ,$5.06 , N/A ,$32.59 ,$5.06 ,$32.28 ,$31.26 ,$35.17 ,$12.65 ,$33.22 ,$5.06 ,$33.22 ,$33.22 ,$35.17 ,$35.17 ,$30.68 ,$32.28 ,$5.06 ,$25.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000012,84165,PROTEIN ELECTRO URINE 24 HR,301,1 ,$154.35 ,$100.33 ,$10.74 ,$138.99 ,$123.48 ,$10.74 ,$122.31 ,$138.99 ,$138.99 ,$20.41 ,$131.20 ,$114.22 ,$26.85 ,$10.74 , N/A ,$128.73 ,$10.74 ,$127.49 ,$123.48 ,$138.92 ,$26.85 ,$131.20 ,$10.74 ,$131.20 ,$131.20 ,$138.92 ,$138.92 ,$121.16 ,$127.49 ,$10.74 ,$100.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000013,84080,ALKALINE PHOSPHATASE BONE SPECIFIC,301,1 ,$175.78 ,$114.26 ,$14.78 ,$158.29 ,$140.62 ,$14.78 ,$139.29 ,$158.29 ,$158.29 ,$28.08 ,$149.41 ,$130.08 ,$36.95 ,$14.78 , N/A ,$146.60 ,$14.78 ,$145.19 ,$140.62 ,$158.20 ,$36.95 ,$149.41 ,$14.78 ,$149.41 ,$149.41 ,$158.20 ,$158.20 ,$137.99 ,$145.19 ,$14.78 ,$114.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000014,N/A,DO NOT USE PATHOLOGY,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000015,N/A,ORGANISM ID,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000016,84156,TOTAL PROTEIN URINE RANDOM,301,1 ,$19.11 ,$12.42 ,$3.67 ,$17.21 ,$15.29 ,$3.67 ,$15.14 ,$17.21 ,$17.21 ,$6.97 ,$16.24 ,$14.14 ,$9.18 ,$3.67 , N/A ,$15.94 ,$3.67 ,$15.78 ,$15.29 ,$17.20 ,$9.18 ,$16.24 ,$3.67 ,$16.24 ,$16.24 ,$17.20 ,$17.20 ,$15.00 ,$15.78 ,$3.67 ,$12.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000017,82533,DEXAMETHASONE SUPP AM CORTISOL LEVEL,301,1 ,$69.65 ,$45.27 ,$16.30 ,$62.72 ,$55.72 ,$16.30 ,$55.19 ,$62.72 ,$62.72 ,$30.97 ,$59.20 ,$51.54 ,$40.75 ,$16.30 , N/A ,$58.09 ,$16.30 ,$57.53 ,$55.72 ,$62.69 ,$40.75 ,$59.20 ,$16.30 ,$59.20 ,$59.20 ,$62.69 ,$62.69 ,$54.68 ,$57.53 ,$16.30 ,$45.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000018,87798,ROCK MTN SPT PCR QUAL,301,1 ,$235.60 ,$153.14 ,$35.09 ,$212.16 ,$188.48 ,$35.09 ,$186.69 ,$212.16 ,$212.16 ,$66.67 ,$200.26 ,$174.34 ,$87.73 ,$35.09 , N/A ,$196.49 ,$35.09 ,$194.61 ,$188.48 ,$212.04 ,$87.73 ,$200.26 ,$35.09 ,$200.26 ,$200.26 ,$212.04 ,$212.04 ,$184.95 ,$194.61 ,$35.09 ,$153.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000019,86003,ALLERGENS MILK,301,1 ,$223.07 ,$145.00 ,$5.22 ,$200.87 ,$178.46 ,$5.22 ,$176.76 ,$200.87 ,$200.87 ,$9.92 ,$189.61 ,$165.07 ,$13.05 ,$5.22 , N/A ,$186.04 ,$5.22 ,$184.26 ,$178.46 ,$200.76 ,$13.05 ,$189.61 ,$5.22 ,$189.61 ,$189.61 ,$200.76 ,$200.76 ,$175.11 ,$184.26 ,$5.22 ,$145.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000021,82108,ALUMINUM,301,1 ,$211.14 ,$137.24 ,$25.48 ,$190.13 ,$168.91 ,$25.48 ,$167.31 ,$190.13 ,$190.13 ,$48.41 ,$179.47 ,$156.24 ,$63.70 ,$25.48 , N/A ,$176.09 ,$25.48 ,$174.40 ,$168.91 ,$190.03 ,$63.70 ,$179.47 ,$25.48 ,$179.47 ,$179.47 ,$190.03 ,$190.03 ,$165.74 ,$174.40 ,$25.48 ,$137.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000022,N/A,TOTAL PROTEIN URINE 24 HR,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000023,84156,TP/CREAT URINE RATIO,301,1 ,$19.11 ,$12.42 ,$3.67 ,$17.21 ,$15.29 ,$3.67 ,$15.14 ,$17.21 ,$17.21 ,$6.97 ,$16.24 ,$14.14 ,$9.18 ,$3.67 , N/A ,$15.94 ,$3.67 ,$15.78 ,$15.29 ,$17.20 ,$9.18 ,$16.24 ,$3.67 ,$16.24 ,$16.24 ,$17.20 ,$17.20 ,$15.00 ,$15.78 ,$3.67 ,$12.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000024,N/A,PERTUSSIS,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000025,N/A,MICROALBUMIN URINE 24 HR,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000026,N/A,CREATININE URINE 24 HR,301,1 ,$37.41 ,$24.32 ,$24.32 ,$33.69 ,$29.93 , N/A ,$29.64 ,$33.69 ,$33.69 , N/A ,$31.80 ,$27.68 , N/A , N/A , N/A ,$31.20 , N/A ,$30.90 ,$29.93 ,$33.67 , N/A ,$31.80 , N/A ,$31.80 ,$31.80 ,$33.67 ,$33.67 ,$29.37 ,$30.90 , N/A ,$24.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000027,81050,URINE VOLUME 24 HR,301,1 ,$15.78 ,$10.26 ,$3.64 ,$14.21 ,$12.62 ,$3.64 ,$12.50 ,$14.21 ,$14.21 ,$6.92 ,$13.41 ,$11.68 ,$9.10 ,$3.64 , N/A ,$13.16 ,$3.64 ,$13.03 ,$12.62 ,$14.20 ,$9.10 ,$13.41 ,$3.64 ,$13.41 ,$13.41 ,$14.20 ,$14.20 ,$12.39 ,$13.03 ,$3.64 ,$10.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000029,87633,"RESP PATHOGENS PANEL, QUAL PCR",301,1 ,$744.08 ,$483.65 ,$416.78 ,"$1,041.95 ",$595.26 ,$416.78 ,$589.61 ,$670.04 ,$670.04 ,$791.88 ,$632.47 ,$550.62 ,"$1,041.95 ",$416.78 , N/A ,$620.56 ,$416.78 ,$614.61 ,$595.26 ,$669.67 ,$744.08 ,$632.47 ,$416.78 ,$632.47 ,$632.47 ,$669.67 ,$669.67 ,$584.10 ,$614.61 ,$416.78 ,$483.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000030,84133,POTASSIUM URINE 24 HR,301,1 ,$29.07 ,$18.90 ,$4.73 ,$26.18 ,$23.26 ,$4.73 ,$23.04 ,$26.18 ,$26.18 ,$8.99 ,$24.71 ,$21.51 ,$11.83 ,$4.73 , N/A ,$24.24 ,$4.73 ,$24.01 ,$23.26 ,$26.16 ,$11.83 ,$24.71 ,$4.73 ,$24.71 ,$24.71 ,$26.16 ,$26.16 ,$22.82 ,$24.01 ,$4.73 ,$18.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000031,86038,ANA WITH REFLEX,302,1 ,$114.12 ,$74.18 ,$12.09 ,$102.77 ,$91.30 ,$12.09 ,$90.43 ,$102.77 ,$102.77 ,$22.97 ,$97.00 ,$84.45 ,$30.23 ,$12.09 , N/A ,$95.18 ,$12.09 ,$94.26 ,$91.30 ,$102.71 ,$30.23 ,$97.00 ,$12.09 ,$97.00 ,$97.00 ,$102.71 ,$102.71 ,$89.58 ,$94.26 ,$12.09 ,$74.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000032,86255,ANCA EVALUATION,301,1 ,$135.95 ,$88.37 ,$12.05 ,$122.42 ,$108.76 ,$12.05 ,$107.73 ,$122.42 ,$122.42 ,$22.90 ,$115.56 ,$100.60 ,$30.13 ,$12.05 , N/A ,$113.38 ,$12.05 ,$112.29 ,$108.76 ,$122.36 ,$30.13 ,$115.56 ,$12.05 ,$115.56 ,$115.56 ,$122.36 ,$122.36 ,$106.72 ,$112.29 ,$12.05 ,$88.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000033,86226,ANTI-DNA SINGLE,302,1 ,$130.17 ,$84.61 ,$12.11 ,$117.22 ,$104.14 ,$12.11 ,$103.15 ,$117.22 ,$117.22 ,$23.01 ,$110.64 ,$96.33 ,$30.28 ,$12.11 , N/A ,$108.56 ,$12.11 ,$107.52 ,$104.14 ,$117.15 ,$30.28 ,$110.64 ,$12.11 ,$110.64 ,$110.64 ,$117.15 ,$117.15 ,$102.18 ,$107.52 ,$12.11 ,$84.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000034,86235,ANTI-SMITH AB,302,1 ,$165.88 ,$107.82 ,$17.93 ,$149.37 ,$132.70 ,$17.93 ,$131.44 ,$149.37 ,$149.37 ,$34.07 ,$141.00 ,$122.75 ,$44.83 ,$17.93 , N/A ,$138.34 ,$17.93 ,$137.02 ,$132.70 ,$149.29 ,$44.83 ,$141.00 ,$17.93 ,$141.00 ,$141.00 ,$149.29 ,$149.29 ,$130.22 ,$137.02 ,$17.93 ,$107.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000035,86256,ANTI-SMOOTH MUSCLE AB,302,1 ,$509.50 ,$331.18 ,$12.05 ,$458.80 ,$407.60 ,$12.05 ,$403.73 ,$458.80 ,$458.80 ,$22.90 ,$433.08 ,$377.03 ,$30.13 ,$12.05 , N/A ,$424.92 ,$12.05 ,$420.85 ,$407.60 ,$458.55 ,$30.13 ,$433.08 ,$12.05 ,$433.08 ,$433.08 ,$458.55 ,$458.55 ,$399.96 ,$420.85 ,$12.05 ,$331.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000036,86235,DNU AUTOIMM. BASIC PANEL,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000037,82232,BETA-2 MICROGLOBULIN,301,1 ,$181.85 ,$118.20 ,$16.18 ,$163.76 ,$145.48 ,$16.18 ,$144.10 ,$163.76 ,$163.76 ,$30.74 ,$154.57 ,$134.57 ,$40.45 ,$16.18 , N/A ,$151.66 ,$16.18 ,$150.21 ,$145.48 ,$163.67 ,$40.45 ,$154.57 ,$16.18 ,$154.57 ,$154.57 ,$163.67 ,$163.67 ,$142.75 ,$150.21 ,$16.18 ,$118.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000038,84681,C-PEPTIDE,301,1 ,$336.37 ,$218.64 ,$20.81 ,$302.90 ,$269.10 ,$20.81 ,$266.54 ,$302.90 ,$302.90 ,$39.54 ,$285.91 ,$248.91 ,$52.03 ,$20.81 , N/A ,$280.53 ,$20.81 ,$277.84 ,$269.10 ,$302.73 ,$52.03 ,$285.91 ,$20.81 ,$285.91 ,$285.91 ,$302.73 ,$302.73 ,$264.05 ,$277.84 ,$20.81 ,$218.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000039,86300,CA 15-3,302,1 ,$350.94 ,$228.11 ,$20.81 ,$316.02 ,$280.75 ,$20.81 ,$278.08 ,$316.02 ,$316.02 ,$39.54 ,$298.30 ,$259.70 ,$52.03 ,$20.81 , N/A ,$292.68 ,$20.81 ,$289.88 ,$280.75 ,$315.85 ,$52.03 ,$298.30 ,$20.81 ,$298.30 ,$298.30 ,$315.85 ,$315.85 ,$275.49 ,$289.88 ,$20.81 ,$228.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000040,86301,CA 19-9,302,1 ,$263.17 ,$171.06 ,$20.81 ,$236.98 ,$210.54 ,$20.81 ,$208.54 ,$236.98 ,$236.98 ,$39.54 ,$223.69 ,$194.75 ,$52.03 ,$20.81 , N/A ,$219.48 ,$20.81 ,$217.38 ,$210.54 ,$236.85 ,$52.03 ,$223.69 ,$20.81 ,$223.69 ,$223.69 ,$236.85 ,$236.85 ,$206.59 ,$217.38 ,$20.81 ,$171.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000041,86304,CA-125,302,1 ,$308.29 ,$200.39 ,$20.81 ,$277.62 ,$246.63 ,$20.81 ,$244.29 ,$277.62 ,$277.62 ,$39.54 ,$262.05 ,$228.13 ,$52.03 ,$20.81 , N/A ,$257.11 ,$20.81 ,$254.65 ,$246.63 ,$277.46 ,$52.03 ,$262.05 ,$20.81 ,$262.05 ,$262.05 ,$277.46 ,$277.46 ,$242.01 ,$254.65 ,$20.81 ,$200.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000042,82340,CALCIUM URINE 24 HR,301,1 ,$54.94 ,$35.71 ,$6.03 ,$49.47 ,$43.95 ,$6.03 ,$43.53 ,$49.47 ,$49.47 ,$11.46 ,$46.70 ,$40.66 ,$15.08 ,$6.03 , N/A ,$45.82 ,$6.03 ,$45.38 ,$43.95 ,$49.45 ,$15.08 ,$46.70 ,$6.03 ,$46.70 ,$46.70 ,$49.45 ,$49.45 ,$43.13 ,$45.38 ,$6.03 ,$35.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000043,80156,CARBAMAZEPINE LEVEL,301,1 ,$238.46 ,$155.00 ,$14.57 ,$214.73 ,$190.77 ,$14.57 ,$188.96 ,$214.73 ,$214.73 ,$27.68 ,$202.69 ,$176.46 ,$36.43 ,$14.57 , N/A ,$198.88 ,$14.57 ,$196.97 ,$190.77 ,$214.61 ,$36.43 ,$202.69 ,$14.57 ,$202.69 ,$202.69 ,$214.61 ,$214.61 ,$187.19 ,$196.97 ,$14.57 ,$155.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000044,82378,CEA,301,1 ,$165.20 ,$107.38 ,$18.96 ,$148.76 ,$132.16 ,$18.96 ,$130.90 ,$148.76 ,$148.76 ,$36.02 ,$140.42 ,$122.25 ,$47.40 ,$18.96 , N/A ,$137.78 ,$18.96 ,$136.46 ,$132.16 ,$148.68 ,$47.40 ,$140.42 ,$18.96 ,$140.42 ,$140.42 ,$148.68 ,$148.68 ,$129.68 ,$136.46 ,$18.96 ,$107.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000045,86256,DNU CELIAC PANEL,301,1 ,$349.19 ,$226.97 ,$12.05 ,$314.45 ,$279.35 ,$12.05 ,$276.70 ,$314.45 ,$314.45 ,$22.90 ,$296.81 ,$258.40 ,$30.13 ,$12.05 , N/A ,$291.22 ,$12.05 ,$288.43 ,$279.35 ,$314.27 ,$30.13 ,$296.81 ,$12.05 ,$296.81 ,$296.81 ,$314.27 ,$314.27 ,$274.11 ,$288.43 ,$12.05 ,$226.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000046,87206,CRYPTOSPORIDIUM STOOL,306,1 ,$272.30 ,$177.00 ,$5.39 ,$245.21 ,$217.84 ,$5.39 ,$215.77 ,$245.21 ,$245.21 ,$10.24 ,$231.46 ,$201.50 ,$13.48 ,$5.39 , N/A ,$227.10 ,$5.39 ,$224.92 ,$217.84 ,$245.07 ,$13.48 ,$231.46 ,$5.39 ,$231.46 ,$231.46 ,$245.07 ,$245.07 ,$213.76 ,$224.92 ,$5.39 ,$177.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000047,86200,CYCLIC CITRULLINATED PEPTIDE IGG AB,301,1 ,$153.12 ,$99.53 ,$12.95 ,$137.88 ,$122.50 ,$12.95 ,$121.33 ,$137.88 ,$137.88 ,$24.61 ,$130.15 ,$113.31 ,$32.38 ,$12.95 , N/A ,$127.70 ,$12.95 ,$126.48 ,$122.50 ,$137.81 ,$32.38 ,$130.15 ,$12.95 ,$130.15 ,$130.15 ,$137.81 ,$137.81 ,$120.20 ,$126.48 ,$12.95 ,$99.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000048,86316,CHROMOGRANIN A,300,1 ,$210.16 ,$136.60 ,$20.81 ,$189.25 ,$168.13 ,$20.81 ,$166.53 ,$189.25 ,$189.25 ,$39.54 ,$178.64 ,$155.52 ,$52.03 ,$20.81 , N/A ,$175.27 ,$20.81 ,$173.59 ,$168.13 ,$189.14 ,$52.03 ,$178.64 ,$20.81 ,$178.64 ,$178.64 ,$189.14 ,$189.14 ,$164.98 ,$173.59 ,$20.81 ,$136.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000049,86160,COMPL C3,302,1 ,$247.02 ,$160.56 ,$12.00 ,$222.44 ,$197.62 ,$12.00 ,$195.74 ,$222.44 ,$222.44 ,$22.80 ,$209.97 ,$182.79 ,$30.00 ,$12.00 , N/A ,$206.01 ,$12.00 ,$204.04 ,$197.62 ,$222.32 ,$30.00 ,$209.97 ,$12.00 ,$209.97 ,$209.97 ,$222.32 ,$222.32 ,$193.91 ,$204.04 ,$12.00 ,$160.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000050,86160,COMPL C4,302,1 ,$274.29 ,$178.29 ,$12.00 ,$247.00 ,$219.43 ,$12.00 ,$217.35 ,$247.00 ,$247.00 ,$22.80 ,$233.15 ,$202.97 ,$30.00 ,$12.00 , N/A ,$228.76 ,$12.00 ,$226.56 ,$219.43 ,$246.86 ,$30.00 ,$233.15 ,$12.00 ,$233.15 ,$233.15 ,$246.86 ,$246.86 ,$215.32 ,$226.56 ,$12.00 ,$178.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000051,82525,COPPER SERUM,301,1 ,$196.67 ,$127.84 ,$12.41 ,$177.10 ,$157.34 ,$12.41 ,$155.84 ,$177.10 ,$177.10 ,$23.58 ,$167.17 ,$145.54 ,$31.03 ,$12.41 , N/A ,$164.02 ,$12.41 ,$162.45 ,$157.34 ,$177.00 ,$31.03 ,$167.17 ,$12.41 ,$167.17 ,$167.17 ,$177.00 ,$177.00 ,$154.39 ,$162.45 ,$12.41 ,$127.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000052,82533,CORTISOL,301,1 ,$90.25 ,$58.66 ,$16.30 ,$81.27 ,$72.20 ,$16.30 ,$71.51 ,$81.27 ,$81.27 ,$30.97 ,$76.71 ,$66.79 ,$40.75 ,$16.30 , N/A ,$75.27 ,$16.30 ,$74.55 ,$72.20 ,$81.23 ,$40.75 ,$76.71 ,$16.30 ,$76.71 ,$76.71 ,$81.23 ,$81.23 ,$70.85 ,$74.55 ,$16.30 ,$58.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000053,82552,CPK ISOENZYMES,301,1 ,$377.30 ,$245.25 ,$13.39 ,$339.76 ,$301.84 ,$13.39 ,$298.97 ,$339.76 ,$339.76 ,$25.44 ,$320.71 ,$279.20 ,$33.48 ,$13.39 , N/A ,$314.67 ,$13.39 ,$311.65 ,$301.84 ,$339.57 ,$33.48 ,$320.71 ,$13.39 ,$320.71 ,$320.71 ,$339.57 ,$339.57 ,$296.18 ,$311.65 ,$13.39 ,$245.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000054,86140,CRP (C REACTIVE PROTEIN),302,1 ,$66.61 ,$43.30 ,$5.18 ,$59.98 ,$53.29 ,$5.18 ,$52.78 ,$59.98 ,$59.98 ,$9.84 ,$56.62 ,$49.29 ,$12.95 ,$5.18 , N/A ,$55.55 ,$5.18 ,$55.02 ,$53.29 ,$59.95 ,$12.95 ,$56.62 ,$5.18 ,$56.62 ,$56.62 ,$59.95 ,$59.95 ,$52.29 ,$55.02 ,$5.18 ,$43.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000055,86140,CRP-HIGH SENSITIVITY,300,1 ,$137.24 ,$89.21 ,$5.18 ,$123.58 ,$109.79 ,$5.18 ,$108.75 ,$123.58 ,$123.58 ,$9.84 ,$116.65 ,$101.56 ,$12.95 ,$5.18 , N/A ,$114.46 ,$5.18 ,$113.36 ,$109.79 ,$123.52 ,$12.95 ,$116.65 ,$5.18 ,$116.65 ,$116.65 ,$123.52 ,$123.52 ,$107.73 ,$113.36 ,$5.18 ,$89.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000056,80158,CYCLOSPORINE LEVEL,301,1 ,$262.85 ,$170.85 ,$18.05 ,$236.70 ,$210.28 ,$18.05 ,$208.28 ,$236.70 ,$236.70 ,$34.30 ,$223.42 ,$194.51 ,$45.13 ,$18.05 , N/A ,$219.22 ,$18.05 ,$217.11 ,$210.28 ,$236.57 ,$45.13 ,$223.42 ,$18.05 ,$223.42 ,$223.42 ,$236.57 ,$236.57 ,$206.34 ,$217.11 ,$18.05 ,$170.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000057,82626,DNU DHEA,301,1 ,$378.19 ,$245.82 ,$25.27 ,$340.56 ,$302.55 ,$25.27 ,$299.68 ,$340.56 ,$340.56 ,$48.01 ,$321.46 ,$279.86 ,$63.18 ,$25.27 , N/A ,$315.41 ,$25.27 ,$312.38 ,$302.55 ,$340.37 ,$63.18 ,$321.46 ,$25.27 ,$321.46 ,$321.46 ,$340.37 ,$340.37 ,$296.88 ,$312.38 ,$25.27 ,$245.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000058,86225,DOUBLE STRANDED DNA ABS,302,1 ,$91.70 ,$59.61 ,$13.74 ,$82.58 ,$73.36 ,$13.74 ,$72.66 ,$82.58 ,$82.58 ,$26.11 ,$77.95 ,$67.86 ,$34.35 ,$13.74 , N/A ,$76.48 ,$13.74 ,$75.74 ,$73.36 ,$82.53 ,$34.35 ,$77.95 ,$13.74 ,$77.95 ,$77.95 ,$82.53 ,$82.53 ,$71.98 ,$75.74 ,$13.74 ,$59.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000059,N/A,EBV PROFILE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000060,82668,ERYTHROPOIETIN,301,1 ,$254.80 ,$165.62 ,$18.79 ,$229.45 ,$203.84 ,$18.79 ,$201.90 ,$229.45 ,$229.45 ,$35.70 ,$216.58 ,$188.55 ,$46.98 ,$18.79 , N/A ,$212.50 ,$18.79 ,$210.46 ,$203.84 ,$229.32 ,$46.98 ,$216.58 ,$18.79 ,$216.58 ,$216.58 ,$229.32 ,$229.32 ,$200.02 ,$210.46 ,$18.79 ,$165.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000061,82670,ESTRADIOL,301,1 ,$357.12 ,$232.13 ,$27.94 ,$321.59 ,$285.70 ,$27.94 ,$282.98 ,$321.59 ,$321.59 ,$53.09 ,$303.55 ,$264.27 ,$69.85 ,$27.94 , N/A ,$297.84 ,$27.94 ,$294.98 ,$285.70 ,$321.41 ,$69.85 ,$303.55 ,$27.94 ,$303.55 ,$303.55 ,$321.41 ,$321.41 ,$280.34 ,$294.98 ,$27.94 ,$232.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000062,82672,ESTROGEN,301,1 ,$419.13 ,$272.43 ,$21.70 ,$377.43 ,$335.30 ,$21.70 ,$332.12 ,$377.43 ,$377.43 ,$41.23 ,$356.26 ,$310.16 ,$54.25 ,$21.70 , N/A ,$349.55 ,$21.70 ,$346.20 ,$335.30 ,$377.22 ,$54.25 ,$356.26 ,$21.70 ,$356.26 ,$356.26 ,$377.22 ,$377.22 ,$329.02 ,$346.20 ,$21.70 ,$272.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000063,81241,FACTOR V LEIDEN MUTATION ANALYSIS,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000064,82747,FOLATE RBC,301,1 ,$94.42 ,$61.37 ,$17.65 ,$85.03 ,$75.54 ,$17.65 ,$74.82 ,$85.03 ,$85.03 ,$33.54 ,$80.26 ,$69.87 ,$44.13 ,$17.65 , N/A ,$78.75 ,$17.65 ,$77.99 ,$75.54 ,$84.98 ,$44.13 ,$80.26 ,$17.65 ,$80.26 ,$80.26 ,$84.98 ,$84.98 ,$74.12 ,$77.99 ,$17.65 ,$61.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000065,83883,FREE LIGHT CHAINS,301,1 ,$351.80 ,$228.67 ,$13.60 ,$316.80 ,$281.44 ,$13.60 ,$278.77 ,$316.80 ,$316.80 ,$25.84 ,$299.03 ,$260.33 ,$34.00 ,$13.60 , N/A ,$293.40 ,$13.60 ,$290.59 ,$281.44 ,$316.62 ,$34.00 ,$299.03 ,$13.60 ,$299.03 ,$299.03 ,$316.62 ,$316.62 ,$276.16 ,$290.59 ,$13.60 ,$228.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000066,83001,FSH,301,1 ,$121.14 ,$78.74 ,$18.58 ,$109.09 ,$96.91 ,$18.58 ,$95.99 ,$109.09 ,$109.09 ,$35.30 ,$102.97 ,$89.64 ,$46.45 ,$18.58 , N/A ,$101.03 ,$18.58 ,$100.06 ,$96.91 ,$109.03 ,$46.45 ,$102.97 ,$18.58 ,$102.97 ,$102.97 ,$109.03 ,$109.03 ,$95.09 ,$100.06 ,$18.58 ,$78.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000067,87591,GC AND CHLAMYDIA DNA PROBE,306,1 ,$64.69 ,$42.05 ,$35.09 ,$87.73 ,$51.75 ,$35.09 ,$51.26 ,$58.25 ,$58.25 ,$66.67 ,$54.99 ,$47.87 ,$87.73 ,$35.09 , N/A ,$53.95 ,$35.09 ,$53.43 ,$51.75 ,$58.22 ,$64.69 ,$54.99 ,$35.09 ,$54.99 ,$54.99 ,$58.22 ,$58.22 ,$50.78 ,$53.43 ,$35.09 ,$42.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000068,N/A,GC AND CHLAMYDIA URINE,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000069,87329,GIARDIA,306,1 ,$177.01 ,$115.06 ,$11.98 ,$159.40 ,$141.61 ,$11.98 ,$140.26 ,$159.40 ,$159.40 ,$22.76 ,$150.46 ,$130.99 ,$29.95 ,$11.98 , N/A ,$147.63 ,$11.98 ,$146.21 ,$141.61 ,$159.31 ,$29.95 ,$150.46 ,$11.98 ,$150.46 ,$150.46 ,$159.31 ,$159.31 ,$138.95 ,$146.21 ,$11.98 ,$115.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000070,87338,H.PYLORI STOOL DIRECT AG,306,1 ,$400.61 ,$260.40 ,$14.38 ,$360.75 ,$320.49 ,$14.38 ,$317.44 ,$360.75 ,$360.75 ,$27.32 ,$340.52 ,$296.45 ,$35.95 ,$14.38 , N/A ,$334.11 ,$14.38 ,$330.90 ,$320.49 ,$360.55 ,$35.95 ,$340.52 ,$14.38 ,$340.52 ,$340.52 ,$360.55 ,$360.55 ,$314.48 ,$330.90 ,$14.38 ,$260.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000071,83010,HAPTOGLOBIN,301,1 ,$55.30 ,$35.95 ,$12.58 ,$49.80 ,$44.24 ,$12.58 ,$43.82 ,$49.80 ,$49.80 ,$23.90 ,$47.01 ,$40.92 ,$31.45 ,$12.58 , N/A ,$46.12 ,$12.58 ,$45.68 ,$44.24 ,$49.77 ,$31.45 ,$47.01 ,$12.58 ,$47.01 ,$47.01 ,$49.77 ,$49.77 ,$43.41 ,$45.68 ,$12.58 ,$35.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000072,80074,HEP ABC PANEL 2 (ACUTE PROFILE),301,1 ,$163.74 ,$106.43 ,$47.63 ,$147.45 ,$130.99 ,$47.63 ,$129.75 ,$147.45 ,$147.45 ,$90.50 ,$139.18 ,$121.17 ,$119.08 ,$47.63 , N/A ,$136.56 ,$47.63 ,$135.25 ,$130.99 ,$147.37 ,$119.08 ,$139.18 ,$47.63 ,$139.18 ,$139.18 ,$147.37 ,$147.37 ,$128.54 ,$135.25 ,$47.63 ,$106.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000073,86704,HEP B CORE AB TOTAL,302,1 ,$274.21 ,$178.24 ,$12.05 ,$246.93 ,$219.37 ,$12.05 ,$217.28 ,$246.93 ,$246.93 ,$22.90 ,$233.08 ,$202.92 ,$30.13 ,$12.05 , N/A ,$228.69 ,$12.05 ,$226.50 ,$219.37 ,$246.79 ,$30.13 ,$233.08 ,$12.05 ,$233.08 ,$233.08 ,$246.79 ,$246.79 ,$215.25 ,$226.50 ,$12.05 ,$178.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000074,86706,HEP B SURFACE AB IMMUNITY,302,1 ,$239.13 ,$155.43 ,$10.74 ,$215.34 ,$191.30 ,$10.74 ,$189.49 ,$215.34 ,$215.34 ,$20.41 ,$203.26 ,$176.96 ,$26.85 ,$10.74 , N/A ,$199.43 ,$10.74 ,$197.52 ,$191.30 ,$215.22 ,$26.85 ,$203.26 ,$10.74 ,$203.26 ,$203.26 ,$215.22 ,$215.22 ,$187.72 ,$197.52 ,$10.74 ,$155.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000075,87340,HEP B SURFACE AG,306,1 ,$209.83 ,$136.39 ,$10.33 ,$188.95 ,$167.86 ,$10.33 ,$166.27 ,$188.95 ,$188.95 ,$19.63 ,$178.36 ,$155.27 ,$25.83 ,$10.33 , N/A ,$175.00 ,$10.33 ,$173.32 ,$167.86 ,$188.85 ,$25.83 ,$178.36 ,$10.33 ,$178.36 ,$178.36 ,$188.85 ,$188.85 ,$164.72 ,$173.32 ,$10.33 ,$136.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000076,86803,HEP C ANTIBODY,302,1 ,$123.65 ,$80.37 ,$14.27 ,$111.35 ,$98.92 ,$14.27 ,$97.98 ,$111.35 ,$111.35 ,$27.11 ,$105.10 ,$91.50 ,$35.68 ,$14.27 , N/A ,$103.12 ,$14.27 ,$102.13 ,$98.92 ,$111.29 ,$35.68 ,$105.10 ,$14.27 ,$105.10 ,$105.10 ,$111.29 ,$111.29 ,$97.07 ,$102.13 ,$14.27 ,$80.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000077,87521,HEP C PCR QUALITATIVE,306,1 ,"$1,132.71 ",$736.26 ,$35.09 ,"$1,020.01 ",$906.17 ,$35.09 ,$897.56 ,"$1,020.01 ","$1,020.01 ",$66.67 ,$962.80 ,$838.21 ,$87.73 ,$35.09 , N/A ,$944.68 ,$35.09 ,$935.62 ,$906.17 ,"$1,019.44 ",$87.73 ,$962.80 ,$35.09 ,$962.80 ,$962.80 ,"$1,019.44 ","$1,019.44 ",$889.18 ,$935.62 ,$35.09 ,$736.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000078,87522,HEP C PCR QUANTITATIVE,306,1 ,$990.82 ,$644.03 ,$42.84 ,$892.23 ,$792.66 ,$42.84 ,$785.13 ,$892.23 ,$892.23 ,$81.40 ,$842.20 ,$733.21 ,$107.10 ,$42.84 , N/A ,$826.34 ,$42.84 ,$818.42 ,$792.66 ,$891.74 ,$107.10 ,$842.20 ,$42.84 ,$842.20 ,$842.20 ,$891.74 ,$891.74 ,$777.79 ,$818.42 ,$42.84 ,$644.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000079,87529,HERPES PCR,306,1 ,$495.21 ,$321.89 ,$35.09 ,$445.94 ,$396.17 ,$35.09 ,$392.40 ,$445.94 ,$445.94 ,$66.67 ,$420.93 ,$366.46 ,$87.73 ,$35.09 , N/A ,$413.01 ,$35.09 ,$409.04 ,$396.17 ,$445.69 ,$87.73 ,$420.93 ,$35.09 ,$420.93 ,$420.93 ,$445.69 ,$445.69 ,$388.74 ,$409.04 ,$35.09 ,$321.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000080,N/A,DNU HSV I AND II IGG,302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000081,83090,HOMOCYSTINE,301,1 ,$151.22 ,$98.29 ,$17.92 ,$136.17 ,$120.98 ,$17.92 ,$119.83 ,$136.17 ,$136.17 ,$34.05 ,$128.54 ,$111.90 ,$44.80 ,$17.92 , N/A ,$126.12 ,$17.92 ,$124.91 ,$120.98 ,$136.10 ,$44.80 ,$128.54 ,$17.92 ,$128.54 ,$128.54 ,$136.10 ,$136.10 ,$118.71 ,$124.91 ,$17.92 ,$98.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000083,82784,IGA QUANT,301,1 ,$143.22 ,$93.09 ,$9.30 ,$128.97 ,$114.58 ,$9.30 ,$113.49 ,$128.97 ,$128.97 ,$17.67 ,$121.74 ,$105.98 ,$23.25 ,$9.30 , N/A ,$119.45 ,$9.30 ,$118.30 ,$114.58 ,$128.90 ,$23.25 ,$121.74 ,$9.30 ,$121.74 ,$121.74 ,$128.90 ,$128.90 ,$112.43 ,$118.30 ,$9.30 ,$93.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000084,82784,IGG QUANT,301,1 ,$146.23 ,$95.05 ,$9.30 ,$131.68 ,$116.98 ,$9.30 ,$115.87 ,$131.68 ,$131.68 ,$17.67 ,$124.30 ,$108.21 ,$23.25 ,$9.30 , N/A ,$121.96 ,$9.30 ,$120.79 ,$116.98 ,$131.61 ,$23.25 ,$124.30 ,$9.30 ,$124.30 ,$124.30 ,$131.61 ,$131.61 ,$114.79 ,$120.79 ,$9.30 ,$95.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000085,82784,IGM QUANT,301,1 ,$146.23 ,$95.05 ,$9.30 ,$131.68 ,$116.98 ,$9.30 ,$115.87 ,$131.68 ,$131.68 ,$17.67 ,$124.30 ,$108.21 ,$23.25 ,$9.30 , N/A ,$121.96 ,$9.30 ,$120.79 ,$116.98 ,$131.61 ,$23.25 ,$124.30 ,$9.30 ,$124.30 ,$124.30 ,$131.61 ,$131.61 ,$114.79 ,$120.79 ,$9.30 ,$95.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000087,N/A,IMMUNOGLOBULINS,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000088,86334,IMMUNOFIXAT BLOOD,302,1 ,$440.42 ,$286.27 ,$22.34 ,$396.60 ,$352.34 ,$22.34 ,$348.99 ,$396.60 ,$396.60 ,$42.45 ,$374.36 ,$325.91 ,$55.85 ,$22.34 , N/A ,$367.31 ,$22.34 ,$363.79 ,$352.34 ,$396.38 ,$55.85 ,$374.36 ,$22.34 ,$374.36 ,$374.36 ,$396.38 ,$396.38 ,$345.73 ,$363.79 ,$22.34 ,$286.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000089,83525,INSULIN,301,1 ,$204.06 ,$132.64 ,$11.43 ,$183.76 ,$163.25 ,$11.43 ,$161.70 ,$183.76 ,$183.76 ,$21.72 ,$173.45 ,$151.00 ,$28.58 ,$11.43 , N/A ,$170.19 ,$11.43 ,$168.55 ,$163.25 ,$183.65 ,$28.58 ,$173.45 ,$11.43 ,$173.45 ,$173.45 ,$183.65 ,$183.65 ,$160.19 ,$168.55 ,$11.43 ,$132.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000090,83525,INSULIN FREE AND TOTAL,301,1 ,$70.93 ,$46.10 ,$11.43 ,$63.87 ,$56.74 ,$11.43 ,$56.20 ,$63.87 ,$63.87 ,$21.72 ,$60.29 ,$52.49 ,$28.58 ,$11.43 , N/A ,$59.16 ,$11.43 ,$58.59 ,$56.74 ,$63.84 ,$28.58 ,$60.29 ,$11.43 ,$60.29 ,$60.29 ,$63.84 ,$63.84 ,$55.68 ,$58.59 ,$11.43 ,$46.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000091,82330,IONIZED CALCIUM SERUM,301,1 ,$301.30 ,$195.85 ,$13.68 ,$271.32 ,$241.04 ,$13.68 ,$238.75 ,$271.32 ,$271.32 ,$25.99 ,$256.11 ,$222.96 ,$34.20 ,$13.68 , N/A ,$251.28 ,$13.68 ,$248.87 ,$241.04 ,$271.17 ,$34.20 ,$256.11 ,$13.68 ,$256.11 ,$256.11 ,$271.17 ,$271.17 ,$236.52 ,$248.87 ,$13.68 ,$195.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000092,81270,JAK 2 MUTATION,301,1 ,$302.88 ,$196.87 ,$91.66 ,$272.74 ,$242.30 ,$91.66 ,$240.00 ,$272.74 ,$272.74 ,$174.15 ,$257.45 ,$224.13 ,$229.15 ,$91.66 , N/A ,$252.60 ,$91.66 ,$250.18 ,$242.30 ,$272.59 ,$229.15 ,$257.45 ,$91.66 ,$257.45 ,$257.45 ,$272.59 ,$272.59 ,$237.76 ,$250.18 ,$91.66 ,$196.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000093,86235,JO-1 IGG AB,302,1 ,$318.98 ,$207.34 ,$17.93 ,$287.24 ,$255.18 ,$17.93 ,$252.76 ,$287.24 ,$287.24 ,$34.07 ,$271.13 ,$236.05 ,$44.83 ,$17.93 , N/A ,$266.03 ,$17.93 ,$263.48 ,$255.18 ,$287.08 ,$44.83 ,$271.13 ,$17.93 ,$271.13 ,$271.13 ,$287.08 ,$287.08 ,$250.40 ,$263.48 ,$17.93 ,$207.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000094,80175,LAMICTAL LEVEL,301,1 ,$356.24 ,$231.56 ,$13.25 ,$320.79 ,$284.99 ,$13.25 ,$282.28 ,$320.79 ,$320.79 ,$25.18 ,$302.80 ,$263.62 ,$33.13 ,$13.25 , N/A ,$297.10 ,$13.25 ,$294.25 ,$284.99 ,$320.62 ,$33.13 ,$302.80 ,$13.25 ,$302.80 ,$302.80 ,$320.62 ,$320.62 ,$279.65 ,$294.25 ,$13.25 ,$231.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000095,83655,LEAD BLOOD,301,1 ,$170.35 ,$110.73 ,$12.11 ,$153.40 ,$136.28 ,$12.11 ,$134.99 ,$153.40 ,$153.40 ,$23.01 ,$144.80 ,$126.06 ,$30.28 ,$12.11 , N/A ,$142.07 ,$12.11 ,$140.71 ,$136.28 ,$153.32 ,$30.28 ,$144.80 ,$12.11 ,$144.80 ,$144.80 ,$153.32 ,$153.32 ,$133.72 ,$140.71 ,$12.11 ,$110.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000096,80177,LEVETIRACETAM,301,1 ,$298.23 ,$193.85 ,$13.25 ,$268.56 ,$238.58 ,$13.25 ,$236.32 ,$268.56 ,$268.56 ,$25.18 ,$253.50 ,$220.69 ,$33.13 ,$13.25 , N/A ,$248.72 ,$13.25 ,$246.34 ,$238.58 ,$268.41 ,$33.13 ,$253.50 ,$13.25 ,$253.50 ,$253.50 ,$268.41 ,$268.41 ,$234.11 ,$246.34 ,$13.25 ,$193.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000097,83002,LH,301,1 ,$121.38 ,$78.90 ,$18.52 ,$109.30 ,$97.10 ,$18.52 ,$96.18 ,$109.30 ,$109.30 ,$35.19 ,$103.17 ,$89.82 ,$46.30 ,$18.52 , N/A ,$101.23 ,$18.52 ,$100.26 ,$97.10 ,$109.24 ,$46.30 ,$103.17 ,$18.52 ,$103.17 ,$103.17 ,$109.24 ,$109.24 ,$95.28 ,$100.26 ,$18.52 ,$78.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000098,80178,LITHIUM LEVEL,301,1 ,$114.00 ,$74.10 ,$6.61 ,$102.66 ,$91.20 ,$6.61 ,$90.33 ,$102.66 ,$102.66 ,$12.56 ,$96.90 ,$84.36 ,$16.53 ,$6.61 , N/A ,$95.08 ,$6.61 ,$94.16 ,$91.20 ,$102.60 ,$16.53 ,$96.90 ,$6.61 ,$96.90 ,$96.90 ,$102.60 ,$102.60 ,$89.49 ,$94.16 ,$6.61 ,$74.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000099,86618,LYMES TITER AB,302,1 ,$108.42 ,$70.47 ,$17.03 ,$97.63 ,$86.74 ,$17.03 ,$85.91 ,$97.63 ,$97.63 ,$32.36 ,$92.16 ,$80.23 ,$42.58 ,$17.03 , N/A ,$90.42 ,$17.03 ,$89.55 ,$86.74 ,$97.58 ,$42.58 ,$92.16 ,$17.03 ,$92.16 ,$92.16 ,$97.58 ,$97.58 ,$85.11 ,$89.55 ,$17.03 ,$70.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),2400010,N/A,BETA 2 GLYCOPROT IGA/IGG/IGM,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000100,83835,METANEPHARINES URINE 24 HR,301,1 ,$539.94 ,$350.96 ,$16.94 ,$486.22 ,$431.95 ,$16.94 ,$427.85 ,$486.22 ,$486.22 ,$32.19 ,$458.95 ,$399.56 ,$42.35 ,$16.94 , N/A ,$450.31 ,$16.94 ,$445.99 ,$431.95 ,$485.95 ,$42.35 ,$458.95 ,$16.94 ,$458.95 ,$458.95 ,$485.95 ,$485.95 ,$423.85 ,$445.99 ,$16.94 ,$350.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000101,83835,METANEPHRINES FRACT FREE PLASMA,301,1 ,$322.94 ,$209.91 ,$16.94 ,$290.81 ,$258.35 ,$16.94 ,$255.90 ,$290.81 ,$290.81 ,$32.19 ,$274.50 ,$238.98 ,$42.35 ,$16.94 , N/A ,$269.33 ,$16.94 ,$266.75 ,$258.35 ,$290.65 ,$42.35 ,$274.50 ,$16.94 ,$274.50 ,$274.50 ,$290.65 ,$290.65 ,$253.51 ,$266.75 ,$16.94 ,$209.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000102,83835,METANEPHRINES-PLASMA,301,1 ,$88.62 ,$57.60 ,$16.94 ,$79.80 ,$70.90 ,$16.94 ,$70.22 ,$79.80 ,$79.80 ,$32.19 ,$75.33 ,$65.58 ,$42.35 ,$16.94 , N/A ,$73.91 ,$16.94 ,$73.20 ,$70.90 ,$79.76 ,$42.35 ,$75.33 ,$16.94 ,$75.33 ,$75.33 ,$79.76 ,$79.76 ,$69.57 ,$73.20 ,$16.94 ,$57.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000104,82131,METHYLMALONIC ACID,301,1 ,$634.52 ,$412.44 ,$22.98 ,$571.39 ,$507.62 ,$22.98 ,$502.79 ,$571.39 ,$571.39 ,$43.66 ,$539.34 ,$469.54 ,$57.45 ,$22.98 , N/A ,$529.19 ,$22.98 ,$524.11 ,$507.62 ,$571.07 ,$57.45 ,$539.34 ,$22.98 ,$539.34 ,$539.34 ,$571.07 ,$571.07 ,$498.10 ,$524.11 ,$22.98 ,$412.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000105,N/A,MMR IMMUNITY PROFILE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000106,86738,MYCOPLASMA AB,302,1 ,$186.26 ,$121.07 ,$13.24 ,$167.73 ,$149.01 ,$13.24 ,$147.59 ,$167.73 ,$167.73 ,$25.16 ,$158.32 ,$137.83 ,$33.10 ,$13.24 , N/A ,$155.34 ,$13.24 ,$153.85 ,$149.01 ,$167.63 ,$33.10 ,$158.32 ,$13.24 ,$158.32 ,$158.32 ,$167.63 ,$167.63 ,$146.21 ,$153.85 ,$13.24 ,$121.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000107,83930,OSMOLALITY SERUM,301,1 ,$131.92 ,$85.75 ,$6.61 ,$118.79 ,$105.54 ,$6.61 ,$104.53 ,$118.79 ,$118.79 ,$12.56 ,$112.13 ,$97.62 ,$16.53 ,$6.61 , N/A ,$110.02 ,$6.61 ,$108.97 ,$105.54 ,$118.73 ,$16.53 ,$112.13 ,$6.61 ,$112.13 ,$112.13 ,$118.73 ,$118.73 ,$103.56 ,$108.97 ,$6.61 ,$85.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000108,83935,OSMOLALITY URINE RANDOM,301,1 ,$130.60 ,$84.89 ,$6.82 ,$117.61 ,$104.48 ,$6.82 ,$103.49 ,$117.61 ,$117.61 ,$12.96 ,$111.01 ,$96.64 ,$17.05 ,$6.82 , N/A ,$108.92 ,$6.82 ,$107.88 ,$104.48 ,$117.54 ,$17.05 ,$111.01 ,$6.82 ,$111.01 ,$111.01 ,$117.54 ,$117.54 ,$102.52 ,$107.88 ,$6.82 ,$84.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000109,87177,OVA AND PARASITES,306,1 ,$86.66 ,$56.33 ,$8.90 ,$78.04 ,$69.33 ,$8.90 ,$68.67 ,$78.04 ,$78.04 ,$16.91 ,$73.66 ,$64.13 ,$22.25 ,$8.90 , N/A ,$72.27 ,$8.90 ,$71.58 ,$69.33 ,$77.99 ,$22.25 ,$73.66 ,$8.90 ,$73.66 ,$73.66 ,$77.99 ,$77.99 ,$68.03 ,$71.58 ,$8.90 ,$56.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),2400011,86146,BETA 2 GLYCOPROT IGA,301,1 ,$90.15 ,$58.60 ,$25.45 ,$81.18 ,$72.12 ,$25.45 ,$71.43 ,$81.18 ,$81.18 ,$48.36 ,$76.63 ,$66.71 ,$63.63 ,$25.45 , N/A ,$75.19 ,$25.45 ,$74.46 ,$72.12 ,$81.14 ,$63.63 ,$76.63 ,$25.45 ,$76.63 ,$76.63 ,$81.14 ,$81.14 ,$70.77 ,$74.46 ,$25.45 ,$58.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000110,84134,PRE ALBUMIN SERUM,301,1 ,$155.31 ,$100.95 ,$14.59 ,$139.86 ,$124.25 ,$14.59 ,$123.07 ,$139.86 ,$139.86 ,$27.72 ,$132.01 ,$114.93 ,$36.48 ,$14.59 , N/A ,$129.53 ,$14.59 ,$128.29 ,$124.25 ,$139.78 ,$36.48 ,$132.01 ,$14.59 ,$132.01 ,$132.01 ,$139.78 ,$139.78 ,$121.92 ,$128.29 ,$14.59 ,$100.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000111,84144,PROGESTERONE-SER,301,1 ,$108.99 ,$70.84 ,$20.86 ,$98.15 ,$87.19 ,$20.86 ,$86.36 ,$98.15 ,$98.15 ,$39.63 ,$92.64 ,$80.65 ,$52.15 ,$20.86 , N/A ,$90.90 ,$20.86 ,$90.03 ,$87.19 ,$98.09 ,$52.15 ,$92.64 ,$20.86 ,$92.64 ,$92.64 ,$98.09 ,$98.09 ,$85.56 ,$90.03 ,$20.86 ,$70.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000112,84146,PROLACTIN,301,1 ,$131.08 ,$85.20 ,$19.38 ,$118.04 ,$104.86 ,$19.38 ,$103.87 ,$118.04 ,$118.04 ,$36.82 ,$111.42 ,$97.00 ,$48.45 ,$19.38 , N/A ,$109.32 ,$19.38 ,$108.27 ,$104.86 ,$117.97 ,$48.45 ,$111.42 ,$19.38 ,$111.42 ,$111.42 ,$117.97 ,$117.97 ,$102.90 ,$108.27 ,$19.38 ,$85.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000113,84165,PROTEIN ELECT SERUM WTIH IFE REFLEX,301,1 ,$253.50 ,$164.78 ,$10.74 ,$228.28 ,$202.80 ,$10.74 ,$200.87 ,$228.28 ,$228.28 ,$20.41 ,$215.48 ,$187.59 ,$26.85 ,$10.74 , N/A ,$211.42 ,$10.74 ,$209.39 ,$202.80 ,$228.15 ,$26.85 ,$215.48 ,$10.74 ,$215.48 ,$215.48 ,$228.15 ,$228.15 ,$199.00 ,$209.39 ,$10.74 ,$164.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000114,84165,PROTEIN ELECTRO URINE 24 HR,301,1 ,$175.04 ,$113.78 ,$10.74 ,$157.62 ,$140.03 ,$10.74 ,$138.70 ,$157.62 ,$157.62 ,$20.41 ,$148.78 ,$129.53 ,$26.85 ,$10.74 , N/A ,$145.98 ,$10.74 ,$144.58 ,$140.03 ,$157.54 ,$26.85 ,$148.78 ,$10.74 ,$148.78 ,$148.78 ,$157.54 ,$157.54 ,$137.41 ,$144.58 ,$10.74 ,$113.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000115,84166,PROTEIN ELECTRO URINE RANDOM,301,1 ,$175.04 ,$113.78 ,$17.83 ,$157.62 ,$140.03 ,$17.83 ,$138.70 ,$157.62 ,$157.62 ,$33.88 ,$148.78 ,$129.53 ,$44.58 ,$17.83 , N/A ,$145.98 ,$17.83 ,$144.58 ,$140.03 ,$157.54 ,$44.58 ,$148.78 ,$17.83 ,$148.78 ,$148.78 ,$157.54 ,$157.54 ,$137.41 ,$144.58 ,$17.83 ,$113.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000116,N/A,PSA FREE AND TOTAL,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000117,83970,PTH INTACT,301,1 ,$127.70 ,$83.01 ,$41.28 ,$114.99 ,$102.16 ,$41.28 ,$101.19 ,$114.99 ,$114.99 ,$78.43 ,$108.55 ,$94.50 ,$103.20 ,$41.28 , N/A ,$106.50 ,$41.28 ,$105.48 ,$102.16 ,$114.93 ,$103.20 ,$108.55 ,$41.28 ,$108.55 ,$108.55 ,$114.93 ,$114.93 ,$100.24 ,$105.48 ,$41.28 ,$83.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000118,86431,RA QUANT,302,1 ,$151.33 ,$98.36 ,$5.67 ,$136.27 ,$121.06 ,$5.67 ,$119.91 ,$136.27 ,$136.27 ,$10.77 ,$128.63 ,$111.98 ,$14.18 ,$5.67 , N/A ,$126.21 ,$5.67 ,$125.00 ,$121.06 ,$136.20 ,$14.18 ,$128.63 ,$5.67 ,$128.63 ,$128.63 ,$136.20 ,$136.20 ,$118.79 ,$125.00 ,$5.67 ,$98.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000119,86235,RIBONUCLEIC PROTEIN,302,1 ,$116.97 ,$76.03 ,$17.93 ,$105.33 ,$93.58 ,$17.93 ,$92.69 ,$105.33 ,$105.33 ,$34.07 ,$99.42 ,$86.56 ,$44.83 ,$17.93 , N/A ,$97.55 ,$17.93 ,$96.62 ,$93.58 ,$105.27 ,$44.83 ,$99.42 ,$17.93 ,$99.42 ,$99.42 ,$105.27 ,$105.27 ,$91.82 ,$96.62 ,$17.93 ,$76.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),2400012,86146,BETA 2 GLYCOPROT IGG,301,1 ,$90.15 ,$58.60 ,$25.45 ,$81.18 ,$72.12 ,$25.45 ,$71.43 ,$81.18 ,$81.18 ,$48.36 ,$76.63 ,$66.71 ,$63.63 ,$25.45 , N/A ,$75.19 ,$25.45 ,$74.46 ,$72.12 ,$81.14 ,$63.63 ,$76.63 ,$25.45 ,$76.63 ,$76.63 ,$81.14 ,$81.14 ,$70.77 ,$74.46 ,$25.45 ,$58.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000120,86592,RPR,302,1 ,$76.36 ,$49.63 ,$4.27 ,$68.76 ,$61.09 ,$4.27 ,$60.51 ,$68.76 ,$68.76 ,$8.11 ,$64.91 ,$56.51 ,$10.68 ,$4.27 , N/A ,$63.68 ,$4.27 ,$63.07 ,$61.09 ,$68.72 ,$10.68 ,$64.91 ,$4.27 ,$64.91 ,$64.91 ,$68.72 ,$68.72 ,$59.94 ,$63.07 ,$4.27 ,$49.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000121,86762,RUBELLA IGG AB,302,1 ,$50.83 ,$33.04 ,$14.39 ,$45.77 ,$40.66 ,$14.39 ,$40.28 ,$45.77 ,$45.77 ,$27.34 ,$43.21 ,$37.61 ,$35.98 ,$14.39 , N/A ,$42.39 ,$14.39 ,$41.99 ,$40.66 ,$45.75 ,$35.98 ,$43.21 ,$14.39 ,$43.21 ,$43.21 ,$45.75 ,$45.75 ,$39.90 ,$41.99 ,$14.39 ,$33.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000122,86765,RUBEOLA IGG AB,302,1 ,$100.28 ,$65.18 ,$12.88 ,$90.30 ,$80.22 ,$12.88 ,$79.46 ,$90.30 ,$90.30 ,$24.47 ,$85.24 ,$74.21 ,$32.20 ,$12.88 , N/A ,$83.63 ,$12.88 ,$82.83 ,$80.22 ,$90.25 ,$32.20 ,$85.24 ,$12.88 ,$85.24 ,$85.24 ,$90.25 ,$90.25 ,$78.72 ,$82.83 ,$12.88 ,$65.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000123,83516,TISSUE TRANSGLUTAMINASE IGA,300,1 ,$162.47 ,$105.61 ,$11.53 ,$146.30 ,$129.98 ,$11.53 ,$128.74 ,$146.30 ,$146.30 ,$21.91 ,$138.10 ,$120.23 ,$28.83 ,$11.53 , N/A ,$135.50 ,$11.53 ,$134.20 ,$129.98 ,$146.22 ,$28.83 ,$138.10 ,$11.53 ,$138.10 ,$138.10 ,$146.22 ,$146.22 ,$127.54 ,$134.20 ,$11.53 ,$105.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000124,84466,TRANSFERRIN,301,1 ,$222.46 ,$144.60 ,$12.76 ,$200.33 ,$177.97 ,$12.76 ,$176.28 ,$200.33 ,$200.33 ,$24.24 ,$189.09 ,$164.62 ,$31.90 ,$12.76 , N/A ,$185.53 ,$12.76 ,$183.75 ,$177.97 ,$200.21 ,$31.90 ,$189.09 ,$12.76 ,$189.09 ,$189.09 ,$200.21 ,$200.21 ,$174.63 ,$183.75 ,$12.76 ,$144.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000125,86787,VARICELLA-ZOSTER VIRUS IgG Ab,302,1 ,$94.63 ,$61.51 ,$12.88 ,$85.21 ,$75.70 ,$12.88 ,$74.98 ,$85.21 ,$85.21 ,$24.47 ,$80.44 ,$70.03 ,$32.20 ,$12.88 , N/A ,$78.92 ,$12.88 ,$78.16 ,$75.70 ,$85.17 ,$32.20 ,$80.44 ,$12.88 ,$80.44 ,$80.44 ,$85.17 ,$85.17 ,$74.28 ,$78.16 ,$12.88 ,$61.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000126,84425,VITAMIN B1,301,1 ,$468.02 ,$304.21 ,$21.23 ,$421.45 ,$374.42 ,$21.23 ,$370.86 ,$421.45 ,$421.45 ,$40.34 ,$397.82 ,$346.33 ,$53.08 ,$21.23 , N/A ,$390.33 ,$21.23 ,$386.58 ,$374.42 ,$421.22 ,$53.08 ,$397.82 ,$21.23 ,$397.82 ,$397.82 ,$421.22 ,$421.22 ,$367.40 ,$386.58 ,$21.23 ,$304.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000127,84207,VITAMIN B6,301,1 ,$480.87 ,$312.57 ,$28.10 ,$433.02 ,$384.70 ,$28.10 ,$381.04 ,$433.02 ,$433.02 ,$53.39 ,$408.74 ,$355.84 ,$70.25 ,$28.10 , N/A ,$401.05 ,$28.10 ,$397.20 ,$384.70 ,$432.78 ,$70.25 ,$408.74 ,$28.10 ,$408.74 ,$408.74 ,$432.78 ,$432.78 ,$377.48 ,$397.20 ,$28.10 ,$312.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000128,82652,VITAMIN D 1 25 DIHYDROXY,301,1 ,$360.09 ,$234.06 ,$38.50 ,$324.26 ,$288.07 ,$38.50 ,$285.34 ,$324.26 ,$324.26 ,$73.15 ,$306.08 ,$266.47 ,$96.25 ,$38.50 , N/A ,$300.32 ,$38.50 ,$297.43 ,$288.07 ,$324.08 ,$96.25 ,$306.08 ,$38.50 ,$306.08 ,$306.08 ,$324.08 ,$324.08 ,$282.67 ,$297.43 ,$38.50 ,$234.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000129,82575,CREAT CLEAR 24 HOUR URINE,301,1 ,$243.21 ,$158.09 ,$9.46 ,$219.01 ,$194.57 ,$9.46 ,$192.72 ,$219.01 ,$219.01 ,$17.97 ,$206.73 ,$179.98 ,$23.65 ,$9.46 , N/A ,$202.84 ,$9.46 ,$200.89 ,$194.57 ,$218.89 ,$23.65 ,$206.73 ,$9.46 ,$206.73 ,$206.73 ,$218.89 ,$218.89 ,$190.92 ,$200.89 ,$9.46 ,$158.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),2400013,86146,BETA 2 GLYCOPROT IGM,301,1 ,$90.15 ,$58.60 ,$25.45 ,$81.18 ,$72.12 ,$25.45 ,$71.43 ,$81.18 ,$81.18 ,$48.36 ,$76.63 ,$66.71 ,$63.63 ,$25.45 , N/A ,$75.19 ,$25.45 ,$74.46 ,$72.12 ,$81.14 ,$63.63 ,$76.63 ,$25.45 ,$76.63 ,$76.63 ,$81.14 ,$81.14 ,$70.77 ,$74.46 ,$25.45 ,$58.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000130,83003,HUMAN GROWTH HORMONE(HGH),301,1 ,$98.94 ,$64.31 ,$16.67 ,$89.10 ,$79.15 ,$16.67 ,$78.40 ,$89.10 ,$89.10 ,$31.67 ,$84.10 ,$73.22 ,$41.68 ,$16.67 , N/A ,$82.52 ,$16.67 ,$81.72 ,$79.15 ,$89.05 ,$41.68 ,$84.10 ,$16.67 ,$84.10 ,$84.10 ,$89.05 ,$89.05 ,$77.67 ,$81.72 ,$16.67 ,$64.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000131,87116,CULTURE AFB,306,1 ,$85.72 ,$55.72 ,$10.80 ,$77.19 ,$68.58 ,$10.80 ,$67.92 ,$77.19 ,$77.19 ,$20.52 ,$72.86 ,$63.43 ,$27.00 ,$10.80 , N/A ,$71.49 ,$10.80 ,$70.80 ,$68.58 ,$77.15 ,$27.00 ,$72.86 ,$10.80 ,$72.86 ,$72.86 ,$77.15 ,$77.15 ,$67.29 ,$70.80 ,$10.80 ,$55.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000132,84590,VITAMIN A,301,1 ,$92.57 ,$60.17 ,$11.61 ,$83.36 ,$74.06 ,$11.61 ,$73.35 ,$83.36 ,$83.36 ,$22.06 ,$78.68 ,$68.50 ,$29.03 ,$11.61 , N/A ,$77.20 ,$11.61 ,$76.46 ,$74.06 ,$83.31 ,$29.03 ,$78.68 ,$11.61 ,$78.68 ,$78.68 ,$83.31 ,$83.31 ,$72.67 ,$76.46 ,$11.61 ,$60.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000133,87425,ROTAVIRUS,306,1 ,$283.31 ,$184.15 ,$11.98 ,$255.12 ,$226.65 ,$11.98 ,$224.49 ,$255.12 ,$255.12 ,$22.76 ,$240.81 ,$209.65 ,$29.95 ,$11.98 , N/A ,$236.28 ,$11.98 ,$234.01 ,$226.65 ,$254.98 ,$29.95 ,$240.81 ,$11.98 ,$240.81 ,$240.81 ,$254.98 ,$254.98 ,$222.40 ,$234.01 ,$11.98 ,$184.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000134,86157,COLD AGG TITER,302,1 ,$118.04 ,$76.73 ,$8.06 ,$106.30 ,$94.43 ,$8.06 ,$93.53 ,$106.30 ,$106.30 ,$15.31 ,$100.33 ,$87.35 ,$20.15 ,$8.06 , N/A ,$98.45 ,$8.06 ,$97.50 ,$94.43 ,$106.24 ,$20.15 ,$100.33 ,$8.06 ,$100.33 ,$100.33 ,$106.24 ,$106.24 ,$92.66 ,$97.50 ,$8.06 ,$76.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000135,82085,ALDOLASE SERUM,301,1 ,$173.91 ,$113.04 ,$9.71 ,$156.61 ,$139.13 ,$9.71 ,$137.81 ,$156.61 ,$156.61 ,$18.45 ,$147.82 ,$128.69 ,$24.28 ,$9.71 , N/A ,$145.04 ,$9.71 ,$143.65 ,$139.13 ,$156.52 ,$24.28 ,$147.82 ,$9.71 ,$147.82 ,$147.82 ,$156.52 ,$156.52 ,$136.52 ,$143.65 ,$9.71 ,$113.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000136,86255,STRIATED MUSCLE IGG,301,1 ,$58.43 ,$37.98 ,$12.05 ,$52.62 ,$46.74 ,$12.05 ,$46.30 ,$52.62 ,$52.62 ,$22.90 ,$49.67 ,$43.24 ,$30.13 ,$12.05 , N/A ,$48.73 ,$12.05 ,$48.26 ,$46.74 ,$52.59 ,$30.13 ,$49.67 ,$12.05 ,$49.67 ,$49.67 ,$52.59 ,$52.59 ,$45.87 ,$48.26 ,$12.05 ,$37.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000137,86060,ASO TITER,302,1 ,$156.02 ,$101.41 ,$7.30 ,$140.50 ,$124.82 ,$7.30 ,$123.63 ,$140.50 ,$140.50 ,$13.87 ,$132.62 ,$115.45 ,$18.25 ,$7.30 , N/A ,$130.12 ,$7.30 ,$128.87 ,$124.82 ,$140.42 ,$18.25 ,$132.62 ,$7.30 ,$132.62 ,$132.62 ,$140.42 ,$140.42 ,$122.48 ,$128.87 ,$7.30 ,$101.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000138,86780,FTA-ABS SYPHILIS,302,1 ,$247.96 ,$161.17 ,$13.24 ,$223.29 ,$198.37 ,$13.24 ,$196.48 ,$223.29 ,$223.29 ,$25.16 ,$210.77 ,$183.49 ,$33.10 ,$13.24 , N/A ,$206.80 ,$13.24 ,$204.82 ,$198.37 ,$223.16 ,$33.10 ,$210.77 ,$13.24 ,$210.77 ,$210.77 ,$223.16 ,$223.16 ,$194.65 ,$204.82 ,$13.24 ,$161.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000140,82390,CERULOPLASMIN,301,1 ,$173.08 ,$112.50 ,$10.74 ,$155.86 ,$138.46 ,$10.74 ,$137.15 ,$155.86 ,$155.86 ,$20.41 ,$147.12 ,$128.08 ,$26.85 ,$10.74 , N/A ,$144.35 ,$10.74 ,$142.96 ,$138.46 ,$155.77 ,$26.85 ,$147.12 ,$10.74 ,$147.12 ,$147.12 ,$155.77 ,$155.77 ,$135.87 ,$142.96 ,$10.74 ,$112.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000141,82679,ESTRONE,301,1 ,$104.53 ,$67.94 ,$24.95 ,$94.13 ,$83.62 ,$24.95 ,$82.83 ,$94.13 ,$94.13 ,$47.41 ,$88.85 ,$77.35 ,$62.38 ,$24.95 , N/A ,$87.18 ,$24.95 ,$86.34 ,$83.62 ,$94.08 ,$62.38 ,$88.85 ,$24.95 ,$88.85 ,$88.85 ,$94.08 ,$94.08 ,$82.06 ,$86.34 ,$24.95 ,$67.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000142,82627,DHEA SULFATE,301,1 ,$225.05 ,$146.28 ,$22.23 ,$202.66 ,$180.04 ,$22.23 ,$178.33 ,$202.66 ,$202.66 ,$42.24 ,$191.29 ,$166.54 ,$55.58 ,$22.23 , N/A ,$187.69 ,$22.23 ,$185.89 ,$180.04 ,$202.55 ,$55.58 ,$191.29 ,$22.23 ,$191.29 ,$191.29 ,$202.55 ,$202.55 ,$176.66 ,$185.89 ,$22.23 ,$146.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000143,N/A,"DT CBC W/DIFF, MANUAL DIFF IF INDICATED",300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24000144,80184,PHENOBARBITAL LEVEL,301,1 ,$147.54 ,$95.90 ,$15.30 ,$132.86 ,$118.03 ,$15.30 ,$116.91 ,$132.86 ,$132.86 ,$29.07 ,$125.41 ,$109.18 ,$38.25 ,$15.30 , N/A ,$123.05 ,$15.30 ,$121.87 ,$118.03 ,$132.79 ,$38.25 ,$125.41 ,$15.30 ,$125.41 ,$125.41 ,$132.79 ,$132.79 ,$115.82 ,$121.87 ,$15.30 ,$95.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000145,87497,CMV DNA PCR QUANT,306,1 ,$951.36 ,$618.38 ,$42.84 ,$856.70 ,$761.09 ,$42.84 ,$753.86 ,$856.70 ,$856.70 ,$81.40 ,$808.66 ,$704.01 ,$107.10 ,$42.84 , N/A ,$793.43 ,$42.84 ,$785.82 ,$761.09 ,$856.22 ,$107.10 ,$808.66 ,$42.84 ,$808.66 ,$808.66 ,$856.22 ,$856.22 ,$746.82 ,$785.82 ,$42.84 ,$618.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000146,84165,PROTEIN ELECT SERUM,301,1 ,$253.50 ,$164.78 ,$10.74 ,$228.28 ,$202.80 ,$10.74 ,$200.87 ,$228.28 ,$228.28 ,$20.41 ,$215.48 ,$187.59 ,$26.85 ,$10.74 , N/A ,$211.42 ,$10.74 ,$209.39 ,$202.80 ,$228.15 ,$26.85 ,$215.48 ,$10.74 ,$215.48 ,$215.48 ,$228.15 ,$228.15 ,$199.00 ,$209.39 ,$10.74 ,$164.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000147,86698,HISTOPLASMA AB BY COMP. FIXATION,302,1 ,$84.05 ,$54.63 ,$13.79 ,$75.69 ,$67.24 ,$13.79 ,$66.60 ,$75.69 ,$75.69 ,$26.20 ,$71.44 ,$62.20 ,$34.48 ,$13.79 , N/A ,$70.10 ,$13.79 ,$69.43 ,$67.24 ,$75.65 ,$34.48 ,$71.44 ,$13.79 ,$71.44 ,$71.44 ,$75.65 ,$75.65 ,$65.98 ,$69.43 ,$13.79 ,$54.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000148,84479,T3 UPTAKE,301,1 ,$110.93 ,$72.10 ,$6.47 ,$99.89 ,$88.74 ,$6.47 ,$87.90 ,$99.89 ,$99.89 ,$12.29 ,$94.29 ,$82.09 ,$16.18 ,$6.47 , N/A ,$92.52 ,$6.47 ,$91.63 ,$88.74 ,$99.84 ,$16.18 ,$94.29 ,$6.47 ,$94.29 ,$94.29 ,$99.84 ,$99.84 ,$87.08 ,$91.63 ,$6.47 ,$72.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000149,87517,HEP B DNA QUANT,306,1 ,$478.92 ,$311.30 ,$42.84 ,$431.27 ,$383.14 ,$42.84 ,$379.50 ,$431.27 ,$431.27 ,$81.40 ,$407.08 ,$354.40 ,$107.10 ,$42.84 , N/A ,$399.42 ,$42.84 ,$395.59 ,$383.14 ,$431.03 ,$107.10 ,$407.08 ,$42.84 ,$407.08 ,$407.08 ,$431.03 ,$431.03 ,$375.95 ,$395.59 ,$42.84 ,$311.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000150,84630,ZINC SERUM,301,1 ,$153.29 ,$99.64 ,$11.39 ,$138.04 ,$122.63 ,$11.39 ,$121.47 ,$138.04 ,$138.04 ,$21.64 ,$130.30 ,$113.43 ,$28.48 ,$11.39 , N/A ,$127.84 ,$11.39 ,$126.62 ,$122.63 ,$137.96 ,$28.48 ,$130.30 ,$11.39 ,$130.30 ,$130.30 ,$137.96 ,$137.96 ,$120.33 ,$126.62 ,$11.39 ,$99.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000151,80178,DNU LITHIUM LEVEL,301,1 ,$100.53 ,$65.34 ,$6.61 ,$90.53 ,$80.42 ,$6.61 ,$79.66 ,$90.53 ,$90.53 ,$12.56 ,$85.45 ,$74.39 ,$16.53 ,$6.61 , N/A ,$83.84 ,$6.61 ,$83.04 ,$80.42 ,$90.48 ,$16.53 ,$85.45 ,$6.61 ,$85.45 ,$85.45 ,$90.48 ,$90.48 ,$78.92 ,$83.04 ,$6.61 ,$65.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000152,82164,ANGIOTENSIN CONVERTING ENZYME,301,1 ,$225.05 ,$146.28 ,$14.60 ,$202.66 ,$180.04 ,$14.60 ,$178.33 ,$202.66 ,$202.66 ,$27.74 ,$191.29 ,$166.54 ,$36.50 ,$14.60 , N/A ,$187.69 ,$14.60 ,$185.89 ,$180.04 ,$202.55 ,$36.50 ,$191.29 ,$14.60 ,$191.29 ,$191.29 ,$202.55 ,$202.55 ,$176.66 ,$185.89 ,$14.60 ,$146.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000153,84300,SODIUM URINE 24 HR,301,1 ,$44.32 ,$28.81 ,$5.06 ,$39.91 ,$35.46 ,$5.06 ,$35.12 ,$39.91 ,$39.91 ,$9.61 ,$37.67 ,$32.80 ,$12.65 ,$5.06 , N/A ,$36.96 ,$5.06 ,$36.61 ,$35.46 ,$39.89 ,$12.65 ,$37.67 ,$5.06 ,$37.67 ,$37.67 ,$39.89 ,$39.89 ,$34.79 ,$36.61 ,$5.06 ,$28.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000154,84133,POTASSIUM URINE 24 HR,301,1 ,$32.97 ,$21.43 ,$4.73 ,$29.69 ,$26.38 ,$4.73 ,$26.13 ,$29.69 ,$29.69 ,$8.99 ,$28.02 ,$24.40 ,$11.83 ,$4.73 , N/A ,$27.50 ,$4.73 ,$27.23 ,$26.38 ,$29.67 ,$11.83 ,$28.02 ,$4.73 ,$28.02 ,$28.02 ,$29.67 ,$29.67 ,$25.88 ,$27.23 ,$4.73 ,$21.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000155,85240,FACTOR VIII ASSAY,305,1 ,$160.51 ,$104.33 ,$17.90 ,$144.54 ,$128.41 ,$17.90 ,$127.19 ,$144.54 ,$144.54 ,$34.01 ,$136.43 ,$118.78 ,$44.75 ,$17.90 , N/A ,$133.87 ,$17.90 ,$132.58 ,$128.41 ,$144.46 ,$44.75 ,$136.43 ,$17.90 ,$136.43 ,$136.43 ,$144.46 ,$144.46 ,$126.00 ,$132.58 ,$17.90 ,$104.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000156,86162,COMPLEMENT (CH50),302,1 ,$442.53 ,$287.64 ,$20.32 ,$398.50 ,$354.02 ,$20.32 ,$350.66 ,$398.50 ,$398.50 ,$38.61 ,$376.15 ,$327.47 ,$50.80 ,$20.32 , N/A ,$369.07 ,$20.32 ,$365.53 ,$354.02 ,$398.28 ,$50.80 ,$376.15 ,$20.32 ,$376.15 ,$376.15 ,$398.28 ,$398.28 ,$347.39 ,$365.53 ,$20.32 ,$287.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000157,83519,ACETYLCHOLINE REC AB: BINDING,301,1 ,$138.85 ,$90.25 ,$18.40 ,$125.03 ,$111.08 ,$18.40 ,$110.02 ,$125.03 ,$125.03 ,$34.96 ,$118.02 ,$102.75 ,$46.00 ,$18.40 , N/A ,$115.80 ,$18.40 ,$114.69 ,$111.08 ,$124.97 ,$46.00 ,$118.02 ,$18.40 ,$118.02 ,$118.02 ,$124.97 ,$124.97 ,$109.00 ,$114.69 ,$18.40 ,$90.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000158,82105,AFP SERUM,301,1 ,$282.30 ,$183.50 ,$16.77 ,$254.21 ,$225.84 ,$16.77 ,$223.69 ,$254.21 ,$254.21 ,$31.86 ,$239.96 ,$208.90 ,$41.93 ,$16.77 , N/A ,$235.44 ,$16.77 ,$233.18 ,$225.84 ,$254.07 ,$41.93 ,$239.96 ,$16.77 ,$239.96 ,$239.96 ,$254.07 ,$254.07 ,$221.61 ,$233.18 ,$16.77 ,$183.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000159,85300,ANTITHROMBIN III ACTIVITY,305,1 ,$276.83 ,$179.94 ,$11.85 ,$249.29 ,$221.46 ,$11.85 ,$219.36 ,$249.29 ,$249.29 ,$22.52 ,$235.31 ,$204.85 ,$29.63 ,$11.85 , N/A ,$230.88 ,$11.85 ,$228.66 ,$221.46 ,$249.15 ,$29.63 ,$235.31 ,$11.85 ,$235.31 ,$235.31 ,$249.15 ,$249.15 ,$217.31 ,$228.66 ,$11.85 ,$179.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000160,86708,HEP A AB TOTAL,302,1 ,$253.82 ,$164.98 ,$12.39 ,$228.56 ,$203.06 ,$12.39 ,$201.13 ,$228.56 ,$228.56 ,$23.54 ,$215.75 ,$187.83 ,$30.98 ,$12.39 , N/A ,$211.69 ,$12.39 ,$209.66 ,$203.06 ,$228.44 ,$30.98 ,$215.75 ,$12.39 ,$215.75 ,$215.75 ,$228.44 ,$228.44 ,$199.25 ,$209.66 ,$12.39 ,$164.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000161,86709,HEP A AB IGM,302,1 ,$146.49 ,$95.22 ,$11.26 ,$131.91 ,$117.19 ,$11.26 ,$116.08 ,$131.91 ,$131.91 ,$21.39 ,$124.52 ,$108.40 ,$28.15 ,$11.26 , N/A ,$122.17 ,$11.26 ,$121.00 ,$117.19 ,$131.84 ,$28.15 ,$124.52 ,$11.26 ,$124.52 ,$124.52 ,$131.84 ,$131.84 ,$114.99 ,$121.00 ,$11.26 ,$95.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000162,87102,DNU CULT FUNGUS STERILE FLUID,306,1 ,$262.51 ,$170.63 ,$8.41 ,$236.39 ,$210.01 ,$8.41 ,$208.01 ,$236.39 ,$236.39 ,$15.98 ,$223.13 ,$194.26 ,$21.03 ,$8.41 , N/A ,$218.93 ,$8.41 ,$216.83 ,$210.01 ,$236.26 ,$21.03 ,$223.13 ,$8.41 ,$223.13 ,$223.13 ,$236.26 ,$236.26 ,$206.07 ,$216.83 ,$8.41 ,$170.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000163,80203,ZONISAMIDE LEVEL,301,1 ,$141.63 ,$92.06 ,$13.25 ,$127.54 ,$113.30 ,$13.25 ,$112.23 ,$127.54 ,$127.54 ,$25.18 ,$120.39 ,$104.81 ,$33.13 ,$13.25 , N/A ,$118.12 ,$13.25 ,$116.99 ,$113.30 ,$127.47 ,$33.13 ,$120.39 ,$13.25 ,$120.39 ,$120.39 ,$127.47 ,$127.47 ,$111.18 ,$116.99 ,$13.25 ,$92.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000164,N/A,HERPES SIMPLEX VIRUS I AND II IGG,302,1 ,$36.55 ,$23.76 ,$23.76 ,$32.91 ,$29.24 , N/A ,$28.96 ,$32.91 ,$32.91 , N/A ,$31.07 ,$27.05 , N/A , N/A , N/A ,$30.48 , N/A ,$30.19 ,$29.24 ,$32.90 , N/A ,$31.07 , N/A ,$31.07 ,$31.07 ,$32.90 ,$32.90 ,$28.69 ,$30.19 , N/A ,$23.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000165,86256,ENDOMYSIAL AB WITH REFLEX,302,1 ,$456.99 ,$297.04 ,$12.05 ,$411.52 ,$365.59 ,$12.05 ,$362.12 ,$411.52 ,$411.52 ,$22.90 ,$388.44 ,$338.17 ,$30.13 ,$12.05 , N/A ,$381.13 ,$12.05 ,$377.47 ,$365.59 ,$411.29 ,$30.13 ,$388.44 ,$12.05 ,$388.44 ,$388.44 ,$411.29 ,$411.29 ,$358.74 ,$377.47 ,$12.05 ,$297.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000166,87449,NOROVIRUS STOOL,306,1 ,$360.18 ,$234.12 ,$11.98 ,$324.34 ,$288.14 ,$11.98 ,$285.41 ,$324.34 ,$324.34 ,$22.76 ,$306.15 ,$266.53 ,$29.95 ,$11.98 , N/A ,$300.39 ,$11.98 ,$297.51 ,$288.14 ,$324.16 ,$29.95 ,$306.15 ,$11.98 ,$306.15 ,$306.15 ,$324.16 ,$324.16 ,$282.74 ,$297.51 ,$11.98 ,$234.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000167,86335,IMMUNOFIX URINE RANDOM,302,1 ,$370.40 ,$240.76 ,$29.35 ,$333.55 ,$296.32 ,$29.35 ,$293.51 ,$333.55 ,$333.55 ,$55.77 ,$314.84 ,$274.10 ,$73.38 ,$29.35 , N/A ,$308.91 ,$29.35 ,$305.95 ,$296.32 ,$333.36 ,$73.38 ,$314.84 ,$29.35 ,$314.84 ,$314.84 ,$333.36 ,$333.36 ,$290.76 ,$305.95 ,$29.35 ,$240.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000168,83993,CALPROTECTIN FECES,301,1 ,$520.80 ,$338.52 ,$19.63 ,$468.98 ,$416.64 ,$19.63 ,$412.68 ,$468.98 ,$468.98 ,$37.30 ,$442.68 ,$385.39 ,$49.08 ,$19.63 , N/A ,$434.35 ,$19.63 ,$430.18 ,$416.64 ,$468.72 ,$49.08 ,$442.68 ,$19.63 ,$442.68 ,$442.68 ,$468.72 ,$468.72 ,$408.83 ,$430.18 ,$19.63 ,$338.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000169,84244,RENIN,301,1 ,$240.09 ,$156.06 ,$21.99 ,$216.20 ,$192.07 ,$21.99 ,$190.25 ,$216.20 ,$216.20 ,$41.78 ,$204.08 ,$177.67 ,$54.98 ,$21.99 , N/A ,$200.24 ,$21.99 ,$198.31 ,$192.07 ,$216.08 ,$54.98 ,$204.08 ,$21.99 ,$204.08 ,$204.08 ,$216.08 ,$216.08 ,$188.47 ,$198.31 ,$21.99 ,$156.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000170,87798,BORDETELLA PERTUSSIS BY PCR,302,1 ,$307.71 ,$200.01 ,$35.09 ,$277.09 ,$246.17 ,$35.09 ,$243.83 ,$277.09 ,$277.09 ,$66.67 ,$261.55 ,$227.71 ,$87.73 ,$35.09 , N/A ,$256.63 ,$35.09 ,$254.17 ,$246.17 ,$276.94 ,$87.73 ,$261.55 ,$35.09 ,$261.55 ,$261.55 ,$276.94 ,$276.94 ,$241.55 ,$254.17 ,$35.09 ,$200.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000171,81240,PROTHROMBIN GENE MUTATION,310,1 ,$119.01 ,$77.36 ,$65.69 ,$164.23 ,$95.21 ,$65.69 ,$94.30 ,$107.17 ,$107.17 ,$124.81 ,$101.16 ,$88.07 ,$164.23 ,$65.69 , N/A ,$99.25 ,$65.69 ,$98.30 ,$95.21 ,$107.11 ,$119.01 ,$101.16 ,$65.69 ,$101.16 ,$101.16 ,$107.11 ,$107.11 ,$93.42 ,$98.30 ,$65.69 ,$77.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000172,82626,DNU DHEA,301,1 ,$333.50 ,$216.78 ,$25.27 ,$300.32 ,$266.80 ,$25.27 ,$264.27 ,$300.32 ,$300.32 ,$48.01 ,$283.48 ,$246.79 ,$63.18 ,$25.27 , N/A ,$278.14 ,$25.27 ,$275.47 ,$266.80 ,$300.15 ,$63.18 ,$283.48 ,$25.27 ,$283.48 ,$283.48 ,$300.15 ,$300.15 ,$261.80 ,$275.47 ,$25.27 ,$216.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000173,86735,MUMPS IgG Ab,302,1 ,$90.64 ,$58.92 ,$13.05 ,$81.62 ,$72.51 ,$13.05 ,$71.82 ,$81.62 ,$81.62 ,$24.80 ,$77.04 ,$67.07 ,$32.63 ,$13.05 , N/A ,$75.59 ,$13.05 ,$74.87 ,$72.51 ,$81.58 ,$32.63 ,$77.04 ,$13.05 ,$77.04 ,$77.04 ,$81.58 ,$81.58 ,$71.15 ,$74.87 ,$13.05 ,$58.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000174,80361,OPIATE CONFIRM TEST-URINE,301,1 ,$183.07 ,$119.00 ,$119.00 ,$164.85 ,$146.46 , N/A ,$145.06 ,$164.85 ,$164.85 , N/A ,$155.61 ,$135.47 , N/A , N/A , N/A ,$152.68 , N/A ,$151.22 ,$146.46 ,$164.76 , N/A ,$155.61 , N/A ,$155.61 ,$155.61 ,$164.76 ,$164.76 ,$143.71 ,$151.22 , N/A ,$119.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000175,86787,VARICELLA-ZOSTER VIRUS IgM Ab,302,1 ,$108.58 ,$70.58 ,$12.88 ,$97.78 ,$86.86 ,$12.88 ,$86.04 ,$97.78 ,$97.78 ,$24.47 ,$92.29 ,$80.35 ,$32.20 ,$12.88 , N/A ,$90.56 ,$12.88 ,$89.69 ,$86.86 ,$97.72 ,$32.20 ,$92.29 ,$12.88 ,$92.29 ,$92.29 ,$97.72 ,$97.72 ,$85.24 ,$89.69 ,$12.88 ,$70.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000176,86787,VARICELLA AB (IGM AND IGG),302,1 ,$262.85 ,$170.85 ,$12.88 ,$236.70 ,$210.28 ,$12.88 ,$208.28 ,$236.70 ,$236.70 ,$24.47 ,$223.42 ,$194.51 ,$32.20 ,$12.88 , N/A ,$219.22 ,$12.88 ,$217.11 ,$210.28 ,$236.57 ,$32.20 ,$223.42 ,$12.88 ,$223.42 ,$223.42 ,$236.57 ,$236.57 ,$206.34 ,$217.11 ,$12.88 ,$170.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000177,85303,PROTEIN C FUNCTIONAL,305,1 ,$602.78 ,$391.81 ,$13.84 ,$542.80 ,$482.22 ,$13.84 ,$477.64 ,$542.80 ,$542.80 ,$26.30 ,$512.36 ,$446.06 ,$34.60 ,$13.84 , N/A ,$502.72 ,$13.84 ,$497.90 ,$482.22 ,$542.50 ,$34.60 ,$512.36 ,$13.84 ,$512.36 ,$512.36 ,$542.50 ,$542.50 ,$473.18 ,$497.90 ,$13.84 ,$391.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000178,85220,FACTOR V ASSAY,305,1 ,$691.57 ,$449.52 ,$17.65 ,$622.76 ,$553.26 ,$17.65 ,$548.00 ,$622.76 ,$622.76 ,$33.54 ,$587.83 ,$511.76 ,$44.13 ,$17.65 , N/A ,$576.77 ,$17.65 ,$571.24 ,$553.26 ,$622.41 ,$44.13 ,$587.83 ,$17.65 ,$587.83 ,$587.83 ,$622.41 ,$622.41 ,$542.88 ,$571.24 ,$17.65 ,$449.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000179,85246,VON WILLEBRAND FACTOR ANTIGEN,305,1 ,$147.39 ,$95.80 ,$22.94 ,$132.72 ,$117.91 ,$22.94 ,$116.79 ,$132.72 ,$132.72 ,$43.59 ,$125.28 ,$109.07 ,$57.35 ,$22.94 , N/A ,$122.92 ,$22.94 ,$121.74 ,$117.91 ,$132.65 ,$57.35 ,$125.28 ,$22.94 ,$125.28 ,$125.28 ,$132.65 ,$132.65 ,$115.70 ,$121.74 ,$22.94 ,$95.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000180,82360,DNU CALCULI ANALYSIS,301,1 ,$164.71 ,$107.06 ,$12.87 ,$148.32 ,$131.77 ,$12.87 ,$130.52 ,$148.32 ,$148.32 ,$24.45 ,$140.00 ,$121.89 ,$32.18 ,$12.87 , N/A ,$137.37 ,$12.87 ,$136.05 ,$131.77 ,$148.24 ,$32.18 ,$140.00 ,$12.87 ,$140.00 ,$140.00 ,$148.24 ,$148.24 ,$129.30 ,$136.05 ,$12.87 ,$107.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000181,85245,VON WILLEBRAND ACTIVITY,305,1 ,$185.68 ,$120.69 ,$22.94 ,$167.20 ,$148.54 ,$22.94 ,$147.13 ,$167.20 ,$167.20 ,$43.59 ,$157.83 ,$137.40 ,$57.35 ,$22.94 , N/A ,$154.86 ,$22.94 ,$153.37 ,$148.54 ,$167.11 ,$57.35 ,$157.83 ,$22.94 ,$157.83 ,$157.83 ,$167.11 ,$167.11 ,$145.76 ,$153.37 ,$22.94 ,$120.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000182,83519,PARATHYROID RELATED PEPTIDE,300,1 ,$424.85 ,$276.15 ,$18.40 ,$382.58 ,$339.88 ,$18.40 ,$336.65 ,$382.58 ,$382.58 ,$34.96 ,$361.12 ,$314.39 ,$46.00 ,$18.40 , N/A ,$354.32 ,$18.40 ,$350.93 ,$339.88 ,$382.37 ,$46.00 ,$361.12 ,$18.40 ,$361.12 ,$361.12 ,$382.37 ,$382.37 ,$333.51 ,$350.93 ,$18.40 ,$276.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000183,83516,GLIADIN DEAMINATED IGA/IGG AB,301,1 ,$89.39 ,$58.10 ,$11.53 ,$80.50 ,$71.51 ,$11.53 ,$70.83 ,$80.50 ,$80.50 ,$21.91 ,$75.98 ,$66.15 ,$28.83 ,$11.53 , N/A ,$74.55 ,$11.53 ,$73.84 ,$71.51 ,$80.45 ,$28.83 ,$75.98 ,$11.53 ,$75.98 ,$75.98 ,$80.45 ,$80.45 ,$70.17 ,$73.84 ,$11.53 ,$58.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000184,83516,TISSUE TRANSGLUTAMINASE IGA ONLY,300,1 ,$162.47 ,$105.61 ,$11.53 ,$146.30 ,$129.98 ,$11.53 ,$128.74 ,$146.30 ,$146.30 ,$21.91 ,$138.10 ,$120.23 ,$28.83 ,$11.53 , N/A ,$135.50 ,$11.53 ,$134.20 ,$129.98 ,$146.22 ,$28.83 ,$138.10 ,$11.53 ,$138.10 ,$138.10 ,$146.22 ,$146.22 ,$127.54 ,$134.20 ,$11.53 ,$105.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000185,86735,"MUMPS, IGM QUANT AB",302,1 ,$217.99 ,$141.69 ,$13.05 ,$196.30 ,$174.39 ,$13.05 ,$172.74 ,$196.30 ,$196.30 ,$24.80 ,$185.29 ,$161.31 ,$32.63 ,$13.05 , N/A ,$181.80 ,$13.05 ,$180.06 ,$174.39 ,$196.19 ,$32.63 ,$185.29 ,$13.05 ,$185.29 ,$185.29 ,$196.19 ,$196.19 ,$171.12 ,$180.06 ,$13.05 ,$141.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000186,82088,ALDOSTERONE,301,1 ,$179.04 ,$116.38 ,$40.75 ,$161.23 ,$143.23 ,$40.75 ,$141.87 ,$161.23 ,$161.23 ,$77.43 ,$152.18 ,$132.49 ,$101.88 ,$40.75 , N/A ,$149.32 ,$40.75 ,$147.89 ,$143.23 ,$161.14 ,$101.88 ,$152.18 ,$40.75 ,$152.18 ,$152.18 ,$161.14 ,$161.14 ,$140.55 ,$147.89 ,$40.75 ,$116.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000187,83721,LDL DIRECT,301,1 ,$106.59 ,$69.28 ,$10.50 ,$95.98 ,$85.27 ,$10.50 ,$84.46 ,$95.98 ,$95.98 ,$19.95 ,$90.60 ,$78.88 ,$26.25 ,$10.50 , N/A ,$88.90 ,$10.50 ,$88.04 ,$85.27 ,$95.93 ,$26.25 ,$90.60 ,$10.50 ,$90.60 ,$90.60 ,$95.93 ,$95.93 ,$83.67 ,$88.04 ,$10.50 ,$69.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000188,86698,HISTOPLASMA AB BY IMMUNODIFFUSION,302,1 ,$291.89 ,$189.73 ,$13.79 ,$262.85 ,$233.51 ,$13.79 ,$231.29 ,$262.85 ,$262.85 ,$26.20 ,$248.11 ,$216.00 ,$34.48 ,$13.79 , N/A ,$243.44 ,$13.79 ,$241.10 ,$233.51 ,$262.70 ,$34.48 ,$248.11 ,$13.79 ,$248.11 ,$248.11 ,$262.70 ,$262.70 ,$229.13 ,$241.10 ,$13.79 ,$189.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000189,86256,DNU CELIAC PANEL,301,1 ,$349.19 ,$226.97 ,$12.05 ,$314.45 ,$279.35 ,$12.05 ,$276.70 ,$314.45 ,$314.45 ,$22.90 ,$296.81 ,$258.40 ,$30.13 ,$12.05 , N/A ,$291.22 ,$12.05 ,$288.43 ,$279.35 ,$314.27 ,$30.13 ,$296.81 ,$12.05 ,$296.81 ,$296.81 ,$314.27 ,$314.27 ,$274.11 ,$288.43 ,$12.05 ,$226.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000190,83516,GLIADIN DEAMINATED IGG AB,301,1 ,$89.39 ,$58.10 ,$11.53 ,$80.50 ,$71.51 ,$11.53 ,$70.83 ,$80.50 ,$80.50 ,$21.91 ,$75.98 ,$66.15 ,$28.83 ,$11.53 , N/A ,$74.55 ,$11.53 ,$73.84 ,$71.51 ,$80.45 ,$28.83 ,$75.98 ,$11.53 ,$75.98 ,$75.98 ,$80.45 ,$80.45 ,$70.17 ,$73.84 ,$11.53 ,$58.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000191,83516,GLIADIN DEAMINATED IGA AB,301,1 ,$89.39 ,$58.10 ,$11.53 ,$80.50 ,$71.51 ,$11.53 ,$70.83 ,$80.50 ,$80.50 ,$21.91 ,$75.98 ,$66.15 ,$28.83 ,$11.53 , N/A ,$74.55 ,$11.53 ,$73.84 ,$71.51 ,$80.45 ,$28.83 ,$75.98 ,$11.53 ,$75.98 ,$75.98 ,$80.45 ,$80.45 ,$70.17 ,$73.84 ,$11.53 ,$58.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000192,86696,HERPES SIMPLEX VIRUS I AND II IGM,302,1 ,$142.42 ,$92.57 ,$19.35 ,$128.25 ,$113.94 ,$19.35 ,$112.85 ,$128.25 ,$128.25 ,$36.77 ,$121.06 ,$105.39 ,$48.38 ,$19.35 , N/A ,$118.78 ,$19.35 ,$117.64 ,$113.94 ,$128.18 ,$48.38 ,$121.06 ,$19.35 ,$121.06 ,$121.06 ,$128.18 ,$128.18 ,$111.80 ,$117.64 ,$19.35 ,$92.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000193,84482,T3 REVERSE,301,1 ,$119.10 ,$77.42 ,$15.76 ,$107.25 ,$95.28 ,$15.76 ,$94.37 ,$107.25 ,$107.25 ,$29.94 ,$101.24 ,$88.13 ,$39.40 ,$15.76 , N/A ,$99.33 ,$15.76 ,$98.38 ,$95.28 ,$107.19 ,$39.40 ,$101.24 ,$15.76 ,$101.24 ,$101.24 ,$107.19 ,$107.19 ,$93.49 ,$98.38 ,$15.76 ,$77.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000194,87799,BKV - PCR QUANT (WHOLE BLOOD),302,1 ,$822.27 ,$534.48 ,$42.84 ,$740.45 ,$657.82 ,$42.84 ,$651.57 ,$740.45 ,$740.45 ,$81.40 ,$698.93 ,$608.48 ,$107.10 ,$42.84 , N/A ,$685.77 ,$42.84 ,$679.20 ,$657.82 ,$740.04 ,$107.10 ,$698.93 ,$42.84 ,$698.93 ,$698.93 ,$740.04 ,$740.04 ,$645.48 ,$679.20 ,$42.84 ,$534.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000195,80195,SIROLIMUS,301,1 ,$232.75 ,$151.29 ,$13.73 ,$209.59 ,$186.20 ,$13.73 ,$184.43 ,$209.59 ,$209.59 ,$26.09 ,$197.84 ,$172.24 ,$34.33 ,$13.73 , N/A ,$194.11 ,$13.73 ,$192.25 ,$186.20 ,$209.48 ,$34.33 ,$197.84 ,$13.73 ,$197.84 ,$197.84 ,$209.48 ,$209.48 ,$182.71 ,$192.25 ,$13.73 ,$151.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000196,83516,TISSUE TRANSGLUTAMASE IgG ONLY,300,1 ,$44.39 ,$28.85 ,$11.53 ,$39.97 ,$35.51 ,$11.53 ,$35.17 ,$39.97 ,$39.97 ,$21.91 ,$37.73 ,$32.85 ,$28.83 ,$11.53 , N/A ,$37.02 ,$11.53 ,$36.67 ,$35.51 ,$39.95 ,$28.83 ,$37.73 ,$11.53 ,$37.73 ,$37.73 ,$39.95 ,$39.95 ,$34.85 ,$36.67 ,$11.53 ,$28.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000197,86147,CARDIOLIPIN IGA AB,302,1 ,$395.47 ,$257.06 ,$25.45 ,$356.12 ,$316.38 ,$25.45 ,$313.37 ,$356.12 ,$356.12 ,$48.36 ,$336.15 ,$292.65 ,$63.63 ,$25.45 , N/A ,$329.82 ,$25.45 ,$326.66 ,$316.38 ,$355.92 ,$63.63 ,$336.15 ,$25.45 ,$336.15 ,$336.15 ,$355.92 ,$355.92 ,$310.44 ,$326.66 ,$25.45 ,$257.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000198,86147,CARDIOLIPIN IGG AB,302,1 ,$395.47 ,$257.06 ,$25.45 ,$356.12 ,$316.38 ,$25.45 ,$313.37 ,$356.12 ,$356.12 ,$48.36 ,$336.15 ,$292.65 ,$63.63 ,$25.45 , N/A ,$329.82 ,$25.45 ,$326.66 ,$316.38 ,$355.92 ,$63.63 ,$336.15 ,$25.45 ,$336.15 ,$336.15 ,$355.92 ,$355.92 ,$310.44 ,$326.66 ,$25.45 ,$257.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000199,86147,CARDIOLIPIN IGM AB,302,1 ,$395.47 ,$257.06 ,$25.45 ,$356.12 ,$316.38 ,$25.45 ,$313.37 ,$356.12 ,$356.12 ,$48.36 ,$336.15 ,$292.65 ,$63.63 ,$25.45 , N/A ,$329.82 ,$25.45 ,$326.66 ,$316.38 ,$355.92 ,$63.63 ,$336.15 ,$25.45 ,$336.15 ,$336.15 ,$355.92 ,$355.92 ,$310.44 ,$326.66 ,$25.45 ,$257.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000200,88341,IHC STAIN EA Ab,310,1 ,$143.01 ,$92.96 ,$92.96 ,$128.78 ,$114.41 , N/A ,$113.32 ,$128.78 ,$128.78 , N/A ,$121.56 ,$105.83 , N/A , N/A , N/A ,$119.27 , N/A ,$118.13 ,$114.41 ,$128.71 , N/A ,$121.56 , N/A ,$121.56 ,$121.56 ,$128.71 ,$128.71 ,$112.26 ,$118.13 , N/A ,$92.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000201,88175,CYTOPATHOLOGY AUTO THINLAYER,310,1 ,$143.01 ,$92.96 ,$26.61 ,$128.78 ,$114.41 ,$26.61 ,$113.32 ,$128.78 ,$128.78 ,$50.56 ,$121.56 ,$105.83 ,$66.53 ,$26.61 , N/A ,$119.27 ,$26.61 ,$118.13 ,$114.41 ,$128.71 ,$66.53 ,$121.56 ,$26.61 ,$121.56 ,$121.56 ,$128.71 ,$128.71 ,$112.26 ,$118.13 ,$26.61 ,$92.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000202,87624,HPV HIGH RISK ALL OTHERS,310,1 ,$143.01 ,$92.96 ,$35.09 ,$128.78 ,$114.41 ,$35.09 ,$113.32 ,$128.78 ,$128.78 ,$66.67 ,$121.56 ,$105.83 ,$87.73 ,$35.09 , N/A ,$119.27 ,$35.09 ,$118.13 ,$114.41 ,$128.71 ,$87.73 ,$121.56 ,$35.09 ,$121.56 ,$121.56 ,$128.71 ,$128.71 ,$112.26 ,$118.13 ,$35.09 ,$92.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000203,G0145,PAP SCREENING,310,1 ,$143.01 ,$92.96 ,$26.49 ,$128.78 ,$114.41 ,$26.49 ,$113.32 ,$128.78 ,$128.78 ,$50.33 ,$121.56 ,$105.83 ,$66.23 ,$26.49 , N/A ,$119.27 ,$26.49 ,$118.13 ,$114.41 ,$128.71 ,$66.23 ,$121.56 ,$26.49 ,$121.56 ,$121.56 ,$128.71 ,$128.71 ,$112.26 ,$118.13 ,$26.49 ,$92.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000222,86235,SCLERODERMA IGG AB,302,1 ,$285.29 ,$185.44 ,$17.93 ,$256.90 ,$228.23 ,$17.93 ,$226.06 ,$256.90 ,$256.90 ,$34.07 ,$242.50 ,$211.11 ,$44.83 ,$17.93 , N/A ,$237.93 ,$17.93 ,$235.65 ,$228.23 ,$256.76 ,$44.83 ,$242.50 ,$17.93 ,$242.50 ,$242.50 ,$256.76 ,$256.76 ,$223.95 ,$235.65 ,$17.93 ,$185.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000223,84270,SEX HORMONE BINDING GLOBULIN,300,1 ,$122.08 ,$79.35 ,$21.73 ,$109.93 ,$97.66 ,$21.73 ,$96.74 ,$109.93 ,$109.93 ,$41.29 ,$103.77 ,$90.34 ,$54.33 ,$21.73 , N/A ,$101.81 ,$21.73 ,$100.84 ,$97.66 ,$109.87 ,$54.33 ,$103.77 ,$21.73 ,$103.77 ,$103.77 ,$109.87 ,$109.87 ,$95.83 ,$100.84 ,$21.73 ,$79.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000224,84300,SODIUM URINE RANDOM,301,1 ,$44.32 ,$28.81 ,$5.06 ,$39.91 ,$35.46 ,$5.06 ,$35.12 ,$39.91 ,$39.91 ,$9.61 ,$37.67 ,$32.80 ,$12.65 ,$5.06 , N/A ,$36.96 ,$5.06 ,$36.61 ,$35.46 ,$39.89 ,$12.65 ,$37.67 ,$5.06 ,$37.67 ,$37.67 ,$39.89 ,$39.89 ,$34.79 ,$36.61 ,$5.06 ,$28.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000225,84238,SOLUBLE TRANSFERRIN RECEPTOR,301,1 ,$117.84 ,$76.60 ,$36.57 ,$106.11 ,$94.27 ,$36.57 ,$93.38 ,$106.11 ,$106.11 ,$69.48 ,$100.16 ,$87.20 ,$91.43 ,$36.57 , N/A ,$98.28 ,$36.57 ,$97.34 ,$94.27 ,$106.06 ,$91.43 ,$100.16 ,$36.57 ,$100.16 ,$100.16 ,$106.06 ,$106.06 ,$92.50 ,$97.34 ,$36.57 ,$76.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000226,86235,SSA (RO) IGG AB,302,1 ,$285.29 ,$185.44 ,$17.93 ,$256.90 ,$228.23 ,$17.93 ,$226.06 ,$256.90 ,$256.90 ,$34.07 ,$242.50 ,$211.11 ,$44.83 ,$17.93 , N/A ,$237.93 ,$17.93 ,$235.65 ,$228.23 ,$256.76 ,$44.83 ,$242.50 ,$17.93 ,$242.50 ,$242.50 ,$256.76 ,$256.76 ,$223.95 ,$235.65 ,$17.93 ,$185.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000227,86235,SSB (LA) IGG AB,302,1 ,$285.29 ,$185.44 ,$17.93 ,$256.90 ,$228.23 ,$17.93 ,$226.06 ,$256.90 ,$256.90 ,$34.07 ,$242.50 ,$211.11 ,$44.83 ,$17.93 , N/A ,$237.93 ,$17.93 ,$235.65 ,$228.23 ,$256.76 ,$44.83 ,$242.50 ,$17.93 ,$242.50 ,$242.50 ,$256.76 ,$256.76 ,$223.95 ,$235.65 ,$17.93 ,$185.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000228,84481,T3 FREE,301,1 ,$167.53 ,$108.89 ,$16.94 ,$150.86 ,$134.02 ,$16.94 ,$132.75 ,$150.86 ,$150.86 ,$32.19 ,$142.40 ,$123.97 ,$42.35 ,$16.94 , N/A ,$139.72 ,$16.94 ,$138.38 ,$134.02 ,$150.78 ,$42.35 ,$142.40 ,$16.94 ,$142.40 ,$142.40 ,$150.78 ,$150.78 ,$131.51 ,$138.38 ,$16.94 ,$108.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000229,84480,T3 TOTAL,301,1 ,$286.03 ,$185.92 ,$14.18 ,$257.57 ,$228.82 ,$14.18 ,$226.65 ,$257.57 ,$257.57 ,$26.94 ,$243.13 ,$211.66 ,$35.45 ,$14.18 , N/A ,$238.55 ,$14.18 ,$236.26 ,$228.82 ,$257.43 ,$35.45 ,$243.13 ,$14.18 ,$243.13 ,$243.13 ,$257.43 ,$257.43 ,$224.53 ,$236.26 ,$14.18 ,$185.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000230,84436,T4 THYROXINE,301,1 ,$107.15 ,$69.65 ,$6.87 ,$96.49 ,$85.72 ,$6.87 ,$84.91 ,$96.49 ,$96.49 ,$13.05 ,$91.08 ,$79.29 ,$17.18 ,$6.87 , N/A ,$89.36 ,$6.87 ,$88.51 ,$85.72 ,$96.44 ,$17.18 ,$91.08 ,$6.87 ,$91.08 ,$91.08 ,$96.44 ,$96.44 ,$84.11 ,$88.51 ,$6.87 ,$69.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000231,80197,TACROLIMUS,300,1 ,$224.02 ,$145.61 ,$13.73 ,$201.73 ,$179.22 ,$13.73 ,$177.51 ,$201.73 ,$201.73 ,$26.09 ,$190.42 ,$165.77 ,$34.33 ,$13.73 , N/A ,$186.83 ,$13.73 ,$185.04 ,$179.22 ,$201.62 ,$34.33 ,$190.42 ,$13.73 ,$190.42 ,$190.42 ,$201.62 ,$201.62 ,$175.86 ,$185.04 ,$13.73 ,$145.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000232,86480,TB QUANTIFERON,302,1 ,$204.93 ,$133.20 ,$61.98 ,$184.54 ,$163.94 ,$61.98 ,$162.39 ,$184.54 ,$184.54 ,$117.76 ,$174.19 ,$151.65 ,$154.95 ,$61.98 , N/A ,$170.91 ,$61.98 ,$169.27 ,$163.94 ,$184.44 ,$154.95 ,$174.19 ,$61.98 ,$174.19 ,$174.19 ,$184.44 ,$184.44 ,$160.87 ,$169.27 ,$61.98 ,$133.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000233,84403,TESTOSTERONE TOTAL,301,1 ,$108.66 ,$70.63 ,$25.81 ,$97.85 ,$86.93 ,$25.81 ,$86.10 ,$97.85 ,$97.85 ,$49.04 ,$92.36 ,$80.41 ,$64.53 ,$25.81 , N/A ,$90.62 ,$25.81 ,$89.75 ,$86.93 ,$97.79 ,$64.53 ,$92.36 ,$25.81 ,$92.36 ,$92.36 ,$97.79 ,$97.79 ,$85.30 ,$89.75 ,$25.81 ,$70.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000234,84403,"TESTOSTERONE,FREE AND TOTAL",301,1 ,$290.69 ,$188.95 ,$25.81 ,$261.77 ,$232.55 ,$25.81 ,$230.34 ,$261.77 ,$261.77 ,$49.04 ,$247.09 ,$215.11 ,$64.53 ,$25.81 , N/A ,$242.44 ,$25.81 ,$240.11 ,$232.55 ,$261.62 ,$64.53 ,$247.09 ,$25.81 ,$247.09 ,$247.09 ,$261.62 ,$261.62 ,$228.19 ,$240.11 ,$25.81 ,$188.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000235,80198,THEOPHYLLINE LEVEL,301,1 ,$190.33 ,$123.71 ,$14.14 ,$171.39 ,$152.26 ,$14.14 ,$150.82 ,$171.39 ,$171.39 ,$26.87 ,$161.78 ,$140.84 ,$35.35 ,$14.14 , N/A ,$158.74 ,$14.14 ,$157.21 ,$152.26 ,$171.30 ,$35.35 ,$161.78 ,$14.14 ,$161.78 ,$161.78 ,$171.30 ,$171.30 ,$149.41 ,$157.21 ,$14.14 ,$123.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000236,84432,THYROGLOBULIN ABS,301,1 ,$124.60 ,$80.99 ,$16.06 ,$112.20 ,$99.68 ,$16.06 ,$98.73 ,$112.20 ,$112.20 ,$30.51 ,$105.91 ,$92.20 ,$40.15 ,$16.06 , N/A ,$103.92 ,$16.06 ,$102.92 ,$99.68 ,$112.14 ,$40.15 ,$105.91 ,$16.06 ,$105.91 ,$105.91 ,$112.14 ,$112.14 ,$97.81 ,$102.92 ,$16.06 ,$80.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000237,86800,THYROGLOBULIN QUANT,301,1 ,$15.11 ,$9.82 ,$9.82 ,$37.78 ,$12.09 ,$15.11 ,$11.97 ,$13.61 ,$13.61 ,$28.71 ,$12.84 ,$11.18 ,$37.78 ,$15.11 , N/A ,$12.60 ,$15.11 ,$12.48 ,$12.09 ,$13.60 ,$15.11 ,$12.84 ,$15.11 ,$12.84 ,$12.84 ,$13.60 ,$13.60 ,$11.86 ,$12.48 ,$15.11 ,$9.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000238,86376,THYROID ANTIMICROSOMAL AB,302,1 ,$99.09 ,$64.41 ,$14.55 ,$89.23 ,$79.27 ,$14.55 ,$78.52 ,$89.23 ,$89.23 ,$27.65 ,$84.23 ,$73.33 ,$36.38 ,$14.55 , N/A ,$82.64 ,$14.55 ,$81.85 ,$79.27 ,$89.18 ,$36.38 ,$84.23 ,$14.55 ,$84.23 ,$84.23 ,$89.18 ,$89.18 ,$77.79 ,$81.85 ,$14.55 ,$64.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000239,86704,DNU HEP B CORE AB IGM,302,1 ,$274.21 ,$178.24 ,$12.05 ,$246.93 ,$219.37 ,$12.05 ,$217.28 ,$246.93 ,$246.93 ,$22.90 ,$233.08 ,$202.92 ,$30.13 ,$12.05 , N/A ,$228.69 ,$12.05 ,$226.50 ,$219.37 ,$246.79 ,$30.13 ,$233.08 ,$12.05 ,$233.08 ,$233.08 ,$246.79 ,$246.79 ,$215.25 ,$226.50 ,$12.05 ,$178.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000240,86706,HEP B SURFACE AB,302,1 ,$239.13 ,$155.43 ,$10.74 ,$215.34 ,$191.30 ,$10.74 ,$189.49 ,$215.34 ,$215.34 ,$20.41 ,$203.26 ,$176.96 ,$26.85 ,$10.74 , N/A ,$199.43 ,$10.74 ,$197.52 ,$191.30 ,$215.22 ,$26.85 ,$203.26 ,$10.74 ,$203.26 ,$203.26 ,$215.22 ,$215.22 ,$187.72 ,$197.52 ,$10.74 ,$155.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000241,87798,PARVO DNA QUAL PCR,302,1 ,$239.13 ,$155.43 ,$35.09 ,$215.34 ,$191.30 ,$35.09 ,$189.49 ,$215.34 ,$215.34 ,$66.67 ,$203.26 ,$176.96 ,$87.73 ,$35.09 , N/A ,$199.43 ,$35.09 ,$197.52 ,$191.30 ,$215.22 ,$87.73 ,$203.26 ,$35.09 ,$203.26 ,$203.26 ,$215.22 ,$215.22 ,$187.72 ,$197.52 ,$35.09 ,$155.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000242,86706,EBV PCR QUANT,302,1 ,$239.13 ,$155.43 ,$10.74 ,$215.34 ,$191.30 ,$10.74 ,$189.49 ,$215.34 ,$215.34 ,$20.41 ,$203.26 ,$176.96 ,$26.85 ,$10.74 , N/A ,$199.43 ,$10.74 ,$197.52 ,$191.30 ,$215.22 ,$26.85 ,$203.26 ,$10.74 ,$203.26 ,$203.26 ,$215.22 ,$215.22 ,$187.72 ,$197.52 ,$10.74 ,$155.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24000328,G0328,COLORECTAL CANCER SCREEN-WELCOME TO MED,301,1 ,$80.48 ,$52.31 ,$18.05 ,$72.47 ,$64.38 ,$18.05 ,$63.77 ,$72.47 ,$72.47 ,$34.30 ,$68.41 ,$59.56 ,$45.13 ,$18.05 , N/A ,$67.12 ,$18.05 ,$66.48 ,$64.38 ,$72.43 ,$45.13 ,$68.41 ,$18.05 ,$68.41 ,$68.41 ,$72.43 ,$72.43 ,$63.18 ,$66.48 ,$18.05 ,$52.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001000,N/A,<=CANCEL/DC LAB=>,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001001,N/A,BLOOD BANK,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001002,86803,HEP C SCREEN QUAL,302,1 ,$219.67 ,$142.79 ,$14.27 ,$197.81 ,$175.74 ,$14.27 ,$174.07 ,$197.81 ,$197.81 ,$27.11 ,$186.72 ,$162.56 ,$35.68 ,$14.27 , N/A ,$183.20 ,$14.27 ,$181.45 ,$175.74 ,$197.70 ,$35.68 ,$186.72 ,$14.27 ,$186.72 ,$186.72 ,$197.70 ,$197.70 ,$172.44 ,$181.45 ,$14.27 ,$142.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001003,87088,CULT UR ID KIT,306,1 ,$51.73 ,$33.62 ,$8.09 ,$46.58 ,$41.38 ,$8.09 ,$40.99 ,$46.58 ,$46.58 ,$15.37 ,$43.97 ,$38.28 ,$20.23 ,$8.09 , N/A ,$43.14 ,$8.09 ,$42.73 ,$41.38 ,$46.56 ,$20.23 ,$43.97 ,$8.09 ,$43.97 ,$43.97 ,$46.56 ,$46.56 ,$40.61 ,$42.73 ,$8.09 ,$33.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001004,87086,CULT SENSE MICRODILTION,306,1 ,$85.89 ,$55.83 ,$8.07 ,$77.34 ,$68.71 ,$8.07 ,$68.06 ,$77.34 ,$77.34 ,$15.33 ,$73.01 ,$63.56 ,$20.18 ,$8.07 , N/A ,$71.63 ,$8.07 ,$70.95 ,$68.71 ,$77.30 ,$20.18 ,$73.01 ,$8.07 ,$73.01 ,$73.01 ,$77.30 ,$77.30 ,$67.42 ,$70.95 ,$8.07 ,$55.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001005,87077,AEROBIC ID,306,1 ,$35.42 ,$23.02 ,$8.08 ,$31.90 ,$28.34 ,$8.08 ,$28.07 ,$31.90 ,$31.90 ,$15.35 ,$30.11 ,$26.21 ,$20.20 ,$8.08 , N/A ,$29.54 ,$8.08 ,$29.26 ,$28.34 ,$31.88 ,$20.20 ,$30.11 ,$8.08 ,$30.11 ,$30.11 ,$31.88 ,$31.88 ,$27.80 ,$29.26 ,$8.08 ,$23.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001006,87184,CULT SENS DISK,306,1 ,$85.89 ,$55.83 ,$7.48 ,$77.34 ,$68.71 ,$7.48 ,$68.06 ,$77.34 ,$77.34 ,$14.21 ,$73.01 ,$63.56 ,$18.70 ,$7.48 , N/A ,$71.63 ,$7.48 ,$70.95 ,$68.71 ,$77.30 ,$18.70 ,$73.01 ,$7.48 ,$73.01 ,$73.01 ,$77.30 ,$77.30 ,$67.42 ,$70.95 ,$7.48 ,$55.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001007,83970,PTH INTACT,301,1 ,$112.61 ,$73.20 ,$41.28 ,$103.20 ,$90.09 ,$41.28 ,$89.23 ,$101.41 ,$101.41 ,$78.43 ,$95.72 ,$83.33 ,$103.20 ,$41.28 , N/A ,$93.92 ,$41.28 ,$93.02 ,$90.09 ,$101.35 ,$103.20 ,$95.72 ,$41.28 ,$95.72 ,$95.72 ,$101.35 ,$101.35 ,$88.40 ,$93.02 ,$41.28 ,$73.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001008,87206,AFB SMEAR,306,1 ,$86.55 ,$56.26 ,$5.39 ,$77.94 ,$69.24 ,$5.39 ,$68.58 ,$77.94 ,$77.94 ,$10.24 ,$73.57 ,$64.05 ,$13.48 ,$5.39 , N/A ,$72.18 ,$5.39 ,$71.49 ,$69.24 ,$77.90 ,$13.48 ,$73.57 ,$5.39 ,$73.57 ,$73.57 ,$77.90 ,$77.90 ,$67.94 ,$71.49 ,$5.39 ,$56.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001009,86804,HEP C IMMUNOBLOT,302,1 ,$394.34 ,$256.32 ,$15.49 ,$355.10 ,$315.47 ,$15.49 ,$312.48 ,$355.10 ,$355.10 ,$29.43 ,$335.19 ,$291.81 ,$38.73 ,$15.49 , N/A ,$328.88 ,$15.49 ,$325.72 ,$315.47 ,$354.91 ,$38.73 ,$335.19 ,$15.49 ,$335.19 ,$335.19 ,$354.91 ,$354.91 ,$309.56 ,$325.72 ,$15.49 ,$256.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001016,86704,HBCAB RIA,302,1 ,$89.17 ,$57.96 ,$12.05 ,$80.30 ,$71.34 ,$12.05 ,$70.66 ,$80.30 ,$80.30 ,$22.90 ,$75.79 ,$65.99 ,$30.13 ,$12.05 , N/A ,$74.37 ,$12.05 ,$73.65 ,$71.34 ,$80.25 ,$30.13 ,$75.79 ,$12.05 ,$75.79 ,$75.79 ,$80.25 ,$80.25 ,$70.00 ,$73.65 ,$12.05 ,$57.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001017,N/A,URINALYSIS,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001018,N/A,UA CULT IF INDICATED,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001019,86906,ARC RH PHENOTYPE,302,1 ,$91.71 ,$59.61 ,$30.62 ,$82.58 ,$73.37 ,$30.62 ,$72.67 ,$82.58 ,$82.58 ,$58.18 ,$77.95 ,$67.87 ,$76.55 ,$30.62 , N/A ,$76.49 ,$30.62 ,$75.75 ,$73.37 ,$82.54 ,$76.55 ,$77.95 ,$30.62 ,$77.95 ,$77.95 ,$82.54 ,$82.54 ,$71.99 ,$75.75 ,$30.62 ,$59.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001020,80159,CLOZAPINE,301,1 ,$141.20 ,$91.78 ,$20.15 ,$127.15 ,$112.96 ,$20.15 ,$111.89 ,$127.15 ,$127.15 ,$38.29 ,$120.02 ,$104.49 ,$50.38 ,$20.15 , N/A ,$117.76 ,$20.15 ,$116.63 ,$112.96 ,$127.08 ,$50.38 ,$120.02 ,$20.15 ,$120.02 ,$120.02 ,$127.08 ,$127.08 ,$110.84 ,$116.63 ,$20.15 ,$91.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001022,86039,SLE LUPUS PROFILE,300,1 ,$244.66 ,$159.03 ,$11.16 ,$220.32 ,$195.73 ,$11.16 ,$193.87 ,$220.32 ,$220.32 ,$21.20 ,$207.96 ,$181.05 ,$27.90 ,$11.16 , N/A ,$204.05 ,$11.16 ,$202.09 ,$195.73 ,$220.19 ,$27.90 ,$207.96 ,$11.16 ,$207.96 ,$207.96 ,$220.19 ,$220.19 ,$192.06 ,$202.09 ,$11.16 ,$159.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001024,86705,HBCAB IGM EIA,302,1 ,$120.92 ,$78.60 ,$11.77 ,$108.89 ,$96.74 ,$11.77 ,$95.82 ,$108.89 ,$108.89 ,$22.36 ,$102.78 ,$89.48 ,$29.43 ,$11.77 , N/A ,$100.85 ,$11.77 ,$99.88 ,$96.74 ,$108.83 ,$29.43 ,$102.78 ,$11.77 ,$102.78 ,$102.78 ,$108.83 ,$108.83 ,$94.92 ,$99.88 ,$11.77 ,$78.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001028,86078,TRANSFUS RXN W U,305,1 ,$161.04 ,$104.68 ,$104.68 ,$337.41 ,$128.83 ,$134.97 ,$127.61 ,$145.02 ,$145.02 ,$256.44 ,$136.88 ,$119.17 ,$337.41 ,$134.97 , N/A ,$134.31 ,$134.97 ,$133.02 ,$128.83 ,$144.94 ,$161.04 ,$136.88 ,$134.97 ,$136.88 ,$136.88 ,$144.94 ,$144.94 ,$126.42 ,$133.02 ,$134.97 ,$104.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001029,86256,ANCA TITER (P C A),302,1 ,$535.68 ,$348.19 ,$12.05 ,$482.38 ,$428.54 ,$12.05 ,$424.47 ,$482.38 ,$482.38 ,$22.90 ,$455.33 ,$396.40 ,$30.13 ,$12.05 , N/A ,$446.76 ,$12.05 ,$442.47 ,$428.54 ,$482.11 ,$30.13 ,$455.33 ,$12.05 ,$455.33 ,$455.33 ,$482.11 ,$482.11 ,$420.51 ,$442.47 ,$12.05 ,$348.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001030,86300,CA 15-3,302,1 ,$309.47 ,$201.16 ,$20.81 ,$278.68 ,$247.58 ,$20.81 ,$245.22 ,$278.68 ,$278.68 ,$39.54 ,$263.05 ,$229.01 ,$52.03 ,$20.81 , N/A ,$258.10 ,$20.81 ,$255.62 ,$247.58 ,$278.52 ,$52.03 ,$263.05 ,$20.81 ,$263.05 ,$263.05 ,$278.52 ,$278.52 ,$242.93 ,$255.62 ,$20.81 ,$201.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001031,86800,ANTITHYROGLOBULIN AB,302,1 ,$91.96 ,$59.77 ,$15.91 ,$82.81 ,$73.57 ,$15.91 ,$72.87 ,$82.81 ,$82.81 ,$30.23 ,$78.17 ,$68.05 ,$39.78 ,$15.91 , N/A ,$76.69 ,$15.91 ,$75.96 ,$73.57 ,$82.76 ,$39.78 ,$78.17 ,$15.91 ,$78.17 ,$78.17 ,$82.76 ,$82.76 ,$72.19 ,$75.96 ,$15.91 ,$59.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001033,86376,THYROID ANTIMICROSOMAL AB,302,1 ,$87.38 ,$56.80 ,$14.55 ,$78.69 ,$69.90 ,$14.55 ,$69.24 ,$78.69 ,$78.69 ,$27.65 ,$74.27 ,$64.66 ,$36.38 ,$14.55 , N/A ,$72.87 ,$14.55 ,$72.18 ,$69.90 ,$78.64 ,$36.38 ,$74.27 ,$14.55 ,$74.27 ,$74.27 ,$78.64 ,$78.64 ,$68.59 ,$72.18 ,$14.55 ,$56.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001034,86695,HERPES TYP 1 IGG,302,1 ,$206.29 ,$134.09 ,$13.19 ,$185.76 ,$165.03 ,$13.19 ,$163.46 ,$185.76 ,$185.76 ,$25.06 ,$175.35 ,$152.65 ,$32.98 ,$13.19 , N/A ,$172.05 ,$13.19 ,$170.40 ,$165.03 ,$185.66 ,$32.98 ,$175.35 ,$13.19 ,$175.35 ,$175.35 ,$185.66 ,$185.66 ,$161.94 ,$170.40 ,$13.19 ,$134.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001035,86696,HERPES TYP 2 IGG,302,1 ,$206.29 ,$134.09 ,$19.35 ,$185.76 ,$165.03 ,$19.35 ,$163.46 ,$185.76 ,$185.76 ,$36.77 ,$175.35 ,$152.65 ,$48.38 ,$19.35 , N/A ,$172.05 ,$19.35 ,$170.40 ,$165.03 ,$185.66 ,$48.38 ,$175.35 ,$19.35 ,$175.35 ,$175.35 ,$185.66 ,$185.66 ,$161.94 ,$170.40 ,$19.35 ,$134.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001036,86695,HERPES TYP 1 IGM,302,1 ,$219.85 ,$142.90 ,$13.19 ,$197.97 ,$175.88 ,$13.19 ,$174.21 ,$197.97 ,$197.97 ,$25.06 ,$186.87 ,$162.69 ,$32.98 ,$13.19 , N/A ,$183.35 ,$13.19 ,$181.60 ,$175.88 ,$197.87 ,$32.98 ,$186.87 ,$13.19 ,$186.87 ,$186.87 ,$197.87 ,$197.87 ,$172.58 ,$181.60 ,$13.19 ,$142.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001037,86695,HERPES TYP 2 IGM,302,1 ,$219.85 ,$142.90 ,$13.19 ,$197.97 ,$175.88 ,$13.19 ,$174.21 ,$197.97 ,$197.97 ,$25.06 ,$186.87 ,$162.69 ,$32.98 ,$13.19 , N/A ,$183.35 ,$13.19 ,$181.60 ,$175.88 ,$197.87 ,$32.98 ,$186.87 ,$13.19 ,$186.87 ,$186.87 ,$197.87 ,$197.87 ,$172.58 ,$181.60 ,$13.19 ,$142.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001038,86658,POLIOVIRUS ANTIBODIES,302,1 ,$323.80 ,$210.47 ,$13.03 ,$291.58 ,$259.04 ,$13.03 ,$256.58 ,$291.58 ,$291.58 ,$24.76 ,$275.23 ,$239.61 ,$32.58 ,$13.03 , N/A ,$270.05 ,$13.03 ,$267.46 ,$259.04 ,$291.42 ,$32.58 ,$275.23 ,$13.03 ,$275.23 ,$275.23 ,$291.42 ,$291.42 ,$254.18 ,$267.46 ,$13.03 ,$210.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001042,87880,STREP ANTIBODIES Gp A,302,1 ,$397.87 ,$258.62 ,$16.53 ,$358.28 ,$318.30 ,$16.53 ,$315.27 ,$358.28 ,$358.28 ,$31.41 ,$338.19 ,$294.42 ,$41.33 ,$16.53 , N/A ,$331.82 ,$16.53 ,$328.64 ,$318.30 ,$358.08 ,$41.33 ,$338.19 ,$16.53 ,$338.19 ,$338.19 ,$358.08 ,$358.08 ,$312.33 ,$328.64 ,$16.53 ,$258.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001046,86063,ASO SCREEN,302,1 ,$57.06 ,$37.09 ,$5.77 ,$51.38 ,$45.65 ,$5.77 ,$45.21 ,$51.38 ,$51.38 ,$10.96 ,$48.50 ,$42.22 ,$14.43 ,$5.77 , N/A ,$47.59 ,$5.77 ,$47.13 ,$45.65 ,$51.35 ,$14.43 ,$48.50 ,$5.77 ,$48.50 ,$48.50 ,$51.35 ,$51.35 ,$44.79 ,$47.13 ,$5.77 ,$37.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001049,80100,DRUG SC EMPLOY,301,1 ,$61.81 ,$40.18 ,$40.18 ,$55.66 ,$49.45 , N/A ,$48.98 ,$55.66 ,$55.66 , N/A ,$52.54 ,$45.74 , N/A , N/A , N/A ,$51.55 , N/A ,$51.06 ,$49.45 ,$55.63 , N/A ,$52.54 , N/A ,$52.54 ,$52.54 ,$55.63 ,$55.63 ,$48.52 ,$51.06 , N/A ,$40.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001050,N/A,DRUG SCREEN EMPLOY NR,301,1 ,$60.07 ,$39.05 ,$39.05 ,$54.09 ,$48.06 , N/A ,$47.60 ,$54.09 ,$54.09 , N/A ,$51.06 ,$44.45 , N/A , N/A , N/A ,$50.10 , N/A ,$49.62 ,$48.06 ,$54.06 , N/A ,$51.06 , N/A ,$51.06 ,$51.06 ,$54.06 ,$54.06 ,$47.16 ,$49.62 , N/A ,$39.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001065,87880,STREP SCREEN Gp A Ag,306,1 ,$122.06 ,$79.34 ,$16.53 ,$109.92 ,$97.65 ,$16.53 ,$96.72 ,$109.92 ,$109.92 ,$31.41 ,$103.75 ,$90.32 ,$41.33 ,$16.53 , N/A ,$101.80 ,$16.53 ,$100.82 ,$97.65 ,$109.85 ,$41.33 ,$103.75 ,$16.53 ,$103.75 ,$103.75 ,$109.85 ,$109.85 ,$95.82 ,$100.82 ,$16.53 ,$79.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001071,82677,ESTRIOL SERUM,301,1 ,$251.83 ,$163.69 ,$24.18 ,$226.77 ,$201.46 ,$24.18 ,$199.55 ,$226.77 ,$226.77 ,$45.94 ,$214.06 ,$186.35 ,$60.45 ,$24.18 , N/A ,$210.03 ,$24.18 ,$208.01 ,$201.46 ,$226.65 ,$60.45 ,$214.06 ,$24.18 ,$214.06 ,$214.06 ,$226.65 ,$226.65 ,$197.69 ,$208.01 ,$24.18 ,$163.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001073,86709,HAAB IGM RIA,302,1 ,$165.80 ,$107.77 ,$11.26 ,$149.30 ,$132.64 ,$11.26 ,$131.38 ,$149.30 ,$149.30 ,$21.39 ,$140.93 ,$122.69 ,$28.15 ,$11.26 , N/A ,$138.28 ,$11.26 ,$136.95 ,$132.64 ,$149.22 ,$28.15 ,$140.93 ,$11.26 ,$140.93 ,$140.93 ,$149.22 ,$149.22 ,$130.15 ,$136.95 ,$11.26 ,$107.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001077,84703,PREGNANCY SERUM QUAL,301,1 ,$136.09 ,$88.46 ,$7.52 ,$122.55 ,$108.87 ,$7.52 ,$107.84 ,$122.55 ,$122.55 ,$14.29 ,$115.68 ,$100.71 ,$18.80 ,$7.52 , N/A ,$113.50 ,$7.52 ,$112.41 ,$108.87 ,$122.48 ,$18.80 ,$115.68 ,$7.52 ,$115.68 ,$115.68 ,$122.48 ,$122.48 ,$106.83 ,$112.41 ,$7.52 ,$88.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001079,N/A,"DRUG SCREE COLL,URINE",300,1 ,$44.81 ,$29.13 ,$29.13 ,$40.35 ,$35.85 , N/A ,$35.51 ,$40.35 ,$40.35 , N/A ,$38.09 ,$33.16 , N/A , N/A , N/A ,$37.37 , N/A ,$37.01 ,$35.85 ,$40.33 , N/A ,$38.09 , N/A ,$38.09 ,$38.09 ,$40.33 ,$40.33 ,$35.18 ,$37.01 , N/A ,$29.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001080,80335,DOXEPIN LEVEL,301,1 ,$186.96 ,$121.52 ,$121.52 ,$168.36 ,$149.57 , N/A ,$148.15 ,$168.36 ,$168.36 , N/A ,$158.92 ,$138.35 , N/A , N/A , N/A ,$155.92 , N/A ,$154.43 ,$149.57 ,$168.26 , N/A ,$158.92 , N/A ,$158.92 ,$158.92 ,$168.26 ,$168.26 ,$146.76 ,$154.43 , N/A ,$121.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001081,86617,LYMES WESTERNBLOT IGM,302,1 ,$224.94 ,$146.21 ,$15.49 ,$202.56 ,$179.95 ,$15.49 ,$178.24 ,$202.56 ,$202.56 ,$29.43 ,$191.20 ,$166.46 ,$38.73 ,$15.49 , N/A ,$187.60 ,$15.49 ,$185.80 ,$179.95 ,$202.45 ,$38.73 ,$191.20 ,$15.49 ,$191.20 ,$191.20 ,$202.45 ,$202.45 ,$176.58 ,$185.80 ,$15.49 ,$146.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001082,N/A,DRUG SCREEN COLLECTION: HAIR,300,1 ,$47.46 ,$30.85 ,$30.85 ,$42.74 ,$37.97 , N/A ,$37.61 ,$42.74 ,$42.74 , N/A ,$40.34 ,$35.12 , N/A , N/A , N/A ,$39.58 , N/A ,$39.20 ,$37.97 ,$42.71 , N/A ,$40.34 , N/A ,$40.34 ,$40.34 ,$42.71 ,$42.71 ,$37.26 ,$39.20 , N/A ,$30.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001083,82672,ESTROGEN,301,1 ,$369.60 ,$240.24 ,$21.70 ,$332.82 ,$295.68 ,$21.70 ,$292.87 ,$332.82 ,$332.82 ,$41.23 ,$314.16 ,$273.50 ,$54.25 ,$21.70 , N/A ,$308.25 ,$21.70 ,$305.29 ,$295.68 ,$332.64 ,$54.25 ,$314.16 ,$21.70 ,$314.16 ,$314.16 ,$332.64 ,$332.64 ,$290.14 ,$305.29 ,$21.70 ,$240.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001086,86039,ANA TITER,302,1 ,$190.19 ,$123.62 ,$11.16 ,$171.27 ,$152.15 ,$11.16 ,$150.71 ,$171.27 ,$171.27 ,$21.20 ,$161.66 ,$140.74 ,$27.90 ,$11.16 , N/A ,$158.62 ,$11.16 ,$157.10 ,$152.15 ,$171.17 ,$27.90 ,$161.66 ,$11.16 ,$161.66 ,$161.66 ,$171.17 ,$171.17 ,$149.30 ,$157.10 ,$11.16 ,$123.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001087,86431,RA QUANT,302,1 ,$133.44 ,$86.74 ,$5.67 ,$120.16 ,$106.75 ,$5.67 ,$105.74 ,$120.16 ,$120.16 ,$10.77 ,$113.42 ,$98.75 ,$14.18 ,$5.67 , N/A ,$111.29 ,$5.67 ,$110.22 ,$106.75 ,$120.10 ,$14.18 ,$113.42 ,$5.67 ,$113.42 ,$113.42 ,$120.10 ,$120.10 ,$104.75 ,$110.22 ,$5.67 ,$86.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001090,86787,VARICELLA AB (IGM AND IGG),302,1 ,$231.79 ,$150.66 ,$12.88 ,$208.73 ,$185.43 ,$12.88 ,$183.67 ,$208.73 ,$208.73 ,$24.47 ,$197.02 ,$171.52 ,$32.20 ,$12.88 , N/A ,$193.31 ,$12.88 ,$191.46 ,$185.43 ,$208.61 ,$32.20 ,$197.02 ,$12.88 ,$197.02 ,$197.02 ,$208.61 ,$208.61 ,$181.96 ,$191.46 ,$12.88 ,$150.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001093,80168,ZARONTIN LEVEL,301,1 ,$192.94 ,$125.41 ,$16.34 ,$173.74 ,$154.35 ,$16.34 ,$152.89 ,$173.74 ,$173.74 ,$31.05 ,$164.00 ,$142.78 ,$40.85 ,$16.34 , N/A ,$160.91 ,$16.34 ,$159.37 ,$154.35 ,$173.65 ,$40.85 ,$164.00 ,$16.34 ,$164.00 ,$164.00 ,$173.65 ,$173.65 ,$151.46 ,$159.37 ,$16.34 ,$125.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001094,84425,THIAMINE,301,1 ,$296.78 ,$192.91 ,$21.23 ,$267.25 ,$237.42 ,$21.23 ,$235.17 ,$267.25 ,$267.25 ,$40.34 ,$252.26 ,$219.62 ,$53.08 ,$21.23 , N/A ,$247.51 ,$21.23 ,$245.14 ,$237.42 ,$267.10 ,$53.08 ,$252.26 ,$21.23 ,$252.26 ,$252.26 ,$267.10 ,$267.10 ,$232.97 ,$245.14 ,$21.23 ,$192.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001095,86334,IMMUNOFIXAT BLOOD,302,1 ,$388.38 ,$252.45 ,$22.34 ,$349.74 ,$310.70 ,$22.34 ,$307.75 ,$349.74 ,$349.74 ,$42.45 ,$330.12 ,$287.40 ,$55.85 ,$22.34 , N/A ,$323.91 ,$22.34 ,$320.80 ,$310.70 ,$349.54 ,$55.85 ,$330.12 ,$22.34 ,$330.12 ,$330.12 ,$349.54 ,$349.54 ,$304.88 ,$320.80 ,$22.34 ,$252.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001097,84300,SODIUM URINE 24 HR,301,1 ,$39.08 ,$25.40 ,$5.06 ,$35.19 ,$31.26 ,$5.06 ,$30.97 ,$35.19 ,$35.19 ,$9.61 ,$33.22 ,$28.92 ,$12.65 ,$5.06 , N/A ,$32.59 ,$5.06 ,$32.28 ,$31.26 ,$35.17 ,$12.65 ,$33.22 ,$5.06 ,$33.22 ,$33.22 ,$35.17 ,$35.17 ,$30.68 ,$32.28 ,$5.06 ,$25.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001098,84133,POTASSIUM URINE RANDOM,301,1 ,$32.97 ,$21.43 ,$4.73 ,$29.69 ,$26.38 ,$4.73 ,$26.13 ,$29.69 ,$29.69 ,$8.99 ,$28.02 ,$24.40 ,$11.83 ,$4.73 , N/A ,$27.50 ,$4.73 ,$27.23 ,$26.38 ,$29.67 ,$11.83 ,$28.02 ,$4.73 ,$28.02 ,$28.02 ,$29.67 ,$29.67 ,$25.88 ,$27.23 ,$4.73 ,$21.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001100,82436,CHLORIDE URINE RANDOM,301,1 ,$25.82 ,$16.78 ,$5.75 ,$23.25 ,$20.66 ,$5.75 ,$20.46 ,$23.25 ,$23.25 ,$10.93 ,$21.95 ,$19.11 ,$14.38 ,$5.75 , N/A ,$21.53 ,$5.75 ,$21.33 ,$20.66 ,$23.24 ,$14.38 ,$21.95 ,$5.75 ,$21.95 ,$21.95 ,$23.24 ,$23.24 ,$20.27 ,$21.33 ,$5.75 ,$16.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001101,82436,CHLORIDE URINE 24 HOUR,301,1 ,$25.82 ,$16.78 ,$5.75 ,$23.25 ,$20.66 ,$5.75 ,$20.46 ,$23.25 ,$23.25 ,$10.93 ,$21.95 ,$19.11 ,$14.38 ,$5.75 , N/A ,$21.53 ,$5.75 ,$21.33 ,$20.66 ,$23.24 ,$14.38 ,$21.95 ,$5.75 ,$21.95 ,$21.95 ,$23.24 ,$23.24 ,$20.27 ,$21.33 ,$5.75 ,$16.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001103,82088,ALDOSTERONE,301,1 ,$157.88 ,$102.62 ,$40.75 ,$142.17 ,$126.30 ,$40.75 ,$125.10 ,$142.17 ,$142.17 ,$77.43 ,$134.20 ,$116.83 ,$101.88 ,$40.75 , N/A ,$131.67 ,$40.75 ,$130.41 ,$126.30 ,$142.09 ,$101.88 ,$134.20 ,$40.75 ,$134.20 ,$134.20 ,$142.09 ,$142.09 ,$123.94 ,$130.41 ,$40.75 ,$102.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001107,86870,ANTIBODY ID,302,1 , N/A , N/A ,$263.54 ,$658.86 , N/A ,$263.54 , N/A , N/A , N/A ,$500.73 , N/A , N/A ,$658.86 ,$263.54 , N/A , N/A ,$263.54 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001110,85670,THROMBIN TIME,305,1 ,$166.41 ,$108.17 ,$5.77 ,$149.85 ,$133.13 ,$5.77 ,$131.86 ,$149.85 ,$149.85 ,$10.96 ,$141.45 ,$123.14 ,$14.43 ,$5.77 , N/A ,$138.79 ,$5.77 ,$137.45 ,$133.13 ,$149.77 ,$14.43 ,$141.45 ,$5.77 ,$141.45 ,$141.45 ,$149.77 ,$149.77 ,$130.63 ,$137.45 ,$5.77 ,$108.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001111,83519,PANCREASTATIN,301,1 ,$538.22 ,$349.84 ,$18.40 ,$484.67 ,$430.58 ,$18.40 ,$426.49 ,$484.67 ,$484.67 ,$34.96 ,$457.49 ,$398.28 ,$46.00 ,$18.40 , N/A ,$448.88 ,$18.40 ,$444.57 ,$430.58 ,$484.40 ,$46.00 ,$457.49 ,$18.40 ,$457.49 ,$457.49 ,$484.40 ,$484.40 ,$422.50 ,$444.57 ,$18.40 ,$349.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001114,86677,HELICOBACTER AB-QUANT,302,1 ,$297.08 ,$193.10 ,$16.85 ,$267.52 ,$237.66 ,$16.85 ,$235.41 ,$267.52 ,$267.52 ,$32.02 ,$252.52 ,$219.84 ,$42.13 ,$16.85 , N/A ,$247.76 ,$16.85 ,$245.39 ,$237.66 ,$267.37 ,$42.13 ,$252.52 ,$16.85 ,$252.52 ,$252.52 ,$267.37 ,$267.37 ,$233.21 ,$245.39 ,$16.85 ,$193.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001115,82384,CATECHOLAMINES PLASMA,301,1 ,$327.90 ,$213.14 ,$25.25 ,$295.27 ,$262.32 ,$25.25 ,$259.83 ,$295.27 ,$295.27 ,$47.98 ,$278.72 ,$242.65 ,$63.13 ,$25.25 , N/A ,$273.47 ,$25.25 ,$270.85 ,$262.32 ,$295.11 ,$63.13 ,$278.72 ,$25.25 ,$278.72 ,$278.72 ,$295.11 ,$295.11 ,$257.40 ,$270.85 ,$25.25 ,$213.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001118,82104,ANTITRYPSON PHE,301,1 ,$349.07 ,$226.90 ,$14.46 ,$314.34 ,$279.26 ,$14.46 ,$276.60 ,$314.34 ,$314.34 ,$27.47 ,$296.71 ,$258.31 ,$36.15 ,$14.46 , N/A ,$291.12 ,$14.46 ,$288.33 ,$279.26 ,$314.16 ,$36.15 ,$296.71 ,$14.46 ,$296.71 ,$296.71 ,$314.16 ,$314.16 ,$274.02 ,$288.33 ,$14.46 ,$226.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001119,80299,VEDOLIZUMAB QUANT W AB,301,1 ,$174.20 ,$113.23 ,$18.64 ,$156.87 ,$139.36 ,$18.64 ,$138.04 ,$156.87 ,$156.87 ,$35.42 ,$148.07 ,$128.91 ,$46.60 ,$18.64 , N/A ,$145.28 ,$18.64 ,$143.89 ,$139.36 ,$156.78 ,$46.60 ,$148.07 ,$18.64 ,$148.07 ,$148.07 ,$156.78 ,$156.78 ,$136.75 ,$143.89 ,$18.64 ,$113.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001120,84207,VITAMIN B6,301,1 ,$424.05 ,$275.63 ,$28.10 ,$381.86 ,$339.24 ,$28.10 ,$336.02 ,$381.86 ,$381.86 ,$53.39 ,$360.44 ,$313.80 ,$70.25 ,$28.10 , N/A ,$353.66 ,$28.10 ,$350.27 ,$339.24 ,$381.65 ,$70.25 ,$360.44 ,$28.10 ,$360.44 ,$360.44 ,$381.65 ,$381.65 ,$332.88 ,$350.27 ,$28.10 ,$275.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001121,80171,NEURONTIN LEVEL,301,1 ,$202.32 ,$131.51 ,$21.67 ,$182.19 ,$161.86 ,$21.67 ,$160.32 ,$182.19 ,$182.19 ,$41.17 ,$171.97 ,$149.72 ,$54.18 ,$21.67 , N/A ,$168.73 ,$21.67 ,$167.12 ,$161.86 ,$182.09 ,$54.18 ,$171.97 ,$21.67 ,$171.97 ,$171.97 ,$182.09 ,$182.09 ,$158.82 ,$167.12 ,$21.67 ,$131.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001126,86300,CA-27.29,302,1 ,$378.32 ,$245.91 ,$20.81 ,$340.68 ,$302.66 ,$20.81 ,$299.78 ,$340.68 ,$340.68 ,$39.54 ,$321.57 ,$279.96 ,$52.03 ,$20.81 , N/A ,$315.52 ,$20.81 ,$312.49 ,$302.66 ,$340.49 ,$52.03 ,$321.57 ,$20.81 ,$321.57 ,$321.57 ,$340.49 ,$340.49 ,$296.98 ,$312.49 ,$20.81 ,$245.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001128,84620,XYLOSE TOL,301,1 ,$309.33 ,$201.06 ,$12.91 ,$278.55 ,$247.46 ,$12.91 ,$245.11 ,$278.55 ,$278.55 ,$24.53 ,$262.93 ,$228.90 ,$32.28 ,$12.91 , N/A ,$257.98 ,$12.91 ,$255.51 ,$247.46 ,$278.40 ,$32.28 ,$262.93 ,$12.91 ,$262.93 ,$262.93 ,$278.40 ,$278.40 ,$242.82 ,$255.51 ,$12.91 ,$201.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001129,87106,FUNGUS ID,306,1 ,$74.80 ,$48.62 ,$10.32 ,$67.36 ,$59.84 ,$10.32 ,$59.27 ,$67.36 ,$67.36 ,$19.61 ,$63.58 ,$55.35 ,$25.80 ,$10.32 , N/A ,$62.38 ,$10.32 ,$61.78 ,$59.84 ,$67.32 ,$25.80 ,$63.58 ,$10.32 ,$63.58 ,$63.58 ,$67.32 ,$67.32 ,$58.72 ,$61.78 ,$10.32 ,$48.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001130,86255,ANTIMITOCHOND AB,302,1 ,$233.86 ,$152.01 ,$12.05 ,$210.59 ,$187.09 ,$12.05 ,$185.31 ,$210.59 ,$210.59 ,$22.90 ,$198.78 ,$173.06 ,$30.13 ,$12.05 , N/A ,$195.04 ,$12.05 ,$193.17 ,$187.09 ,$210.47 ,$30.13 ,$198.78 ,$12.05 ,$198.78 ,$198.78 ,$210.47 ,$210.47 ,$183.58 ,$193.17 ,$12.05 ,$152.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001131,82482,CHOLINESTERA RBC,301,1 ,$183.06 ,$118.99 ,$9.81 ,$164.85 ,$146.45 ,$9.81 ,$145.06 ,$164.85 ,$164.85 ,$18.64 ,$155.60 ,$135.46 ,$24.53 ,$9.81 , N/A ,$152.67 ,$9.81 ,$151.21 ,$146.45 ,$164.75 ,$24.53 ,$155.60 ,$9.81 ,$155.60 ,$155.60 ,$164.75 ,$164.75 ,$143.70 ,$151.21 ,$9.81 ,$118.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001132,84630,ZINC SERUM,301,1 ,$135.18 ,$87.87 ,$11.39 ,$121.73 ,$108.14 ,$11.39 ,$107.12 ,$121.73 ,$121.73 ,$21.64 ,$114.90 ,$100.03 ,$28.48 ,$11.39 , N/A ,$112.74 ,$11.39 ,$111.66 ,$108.14 ,$121.66 ,$28.48 ,$114.90 ,$11.39 ,$114.90 ,$114.90 ,$121.66 ,$121.66 ,$106.12 ,$111.66 ,$11.39 ,$87.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001133,87329,GIARDIA,306,1 ,$156.09 ,$101.46 ,$11.98 ,$140.56 ,$124.87 ,$11.98 ,$123.69 ,$140.56 ,$140.56 ,$22.76 ,$132.68 ,$115.51 ,$29.95 ,$11.98 , N/A ,$130.18 ,$11.98 ,$128.93 ,$124.87 ,$140.48 ,$29.95 ,$132.68 ,$11.98 ,$132.68 ,$132.68 ,$140.48 ,$140.48 ,$122.53 ,$128.93 ,$11.98 ,$101.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001136,86161,C1 ESTER INHIB FUNC,302,1 ,$823.63 ,$535.36 ,$12.00 ,$741.68 ,$658.90 ,$12.00 ,$652.64 ,$741.68 ,$741.68 ,$22.80 ,$700.09 ,$609.49 ,$30.00 ,$12.00 , N/A ,$686.91 ,$12.00 ,$680.32 ,$658.90 ,$741.27 ,$30.00 ,$700.09 ,$12.00 ,$700.09 ,$700.09 ,$741.27 ,$741.27 ,$646.55 ,$680.32 ,$12.00 ,$535.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001139,86225,DOUBLE STRANDED DNA ABS,302,1 ,$80.86 ,$52.56 ,$13.74 ,$72.81 ,$64.69 ,$13.74 ,$64.07 ,$72.81 ,$72.81 ,$26.11 ,$68.73 ,$59.84 ,$34.35 ,$13.74 , N/A ,$67.44 ,$13.74 ,$66.79 ,$64.69 ,$72.77 ,$34.35 ,$68.73 ,$13.74 ,$68.73 ,$68.73 ,$72.77 ,$72.77 ,$63.48 ,$66.79 ,$13.74 ,$52.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001140,86774,TETANUS ANTITOX AB,302,1 ,$395.47 ,$257.06 ,$14.80 ,$356.12 ,$316.38 ,$14.80 ,$313.37 ,$356.12 ,$356.12 ,$28.12 ,$336.15 ,$292.65 ,$37.00 ,$14.80 , N/A ,$329.82 ,$14.80 ,$326.66 ,$316.38 ,$355.92 ,$37.00 ,$336.15 ,$14.80 ,$336.15 ,$336.15 ,$355.92 ,$355.92 ,$310.44 ,$326.66 ,$14.80 ,$257.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001141,87081,CLO RAPID UREA,306,1 ,$465.62 ,$302.65 ,$6.63 ,$419.29 ,$372.50 ,$6.63 ,$368.96 ,$419.29 ,$419.29 ,$12.60 ,$395.78 ,$344.56 ,$16.58 ,$6.63 , N/A ,$388.33 ,$6.63 ,$384.60 ,$372.50 ,$419.06 ,$16.58 ,$395.78 ,$6.63 ,$395.78 ,$395.78 ,$419.06 ,$419.06 ,$365.51 ,$384.60 ,$6.63 ,$302.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001142,87350,HEP BE AG,306,1 ,$130.03 ,$84.52 ,$11.53 ,$117.09 ,$104.02 ,$11.53 ,$103.04 ,$117.09 ,$117.09 ,$21.91 ,$110.53 ,$96.22 ,$28.83 ,$11.53 , N/A ,$108.45 ,$11.53 ,$107.40 ,$104.02 ,$117.03 ,$28.83 ,$110.53 ,$11.53 ,$110.53 ,$110.53 ,$117.03 ,$117.03 ,$102.07 ,$107.40 ,$11.53 ,$84.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001143,87103,CULT FUNGUS BLD,306,1 ,$220.76 ,$143.49 ,$20.46 ,$198.79 ,$176.61 ,$20.46 ,$174.93 ,$198.79 ,$198.79 ,$38.87 ,$187.65 ,$163.36 ,$51.15 ,$20.46 , N/A ,$184.11 ,$20.46 ,$182.35 ,$176.61 ,$198.68 ,$51.15 ,$187.65 ,$20.46 ,$187.65 ,$187.65 ,$198.68 ,$198.68 ,$173.30 ,$182.35 ,$20.46 ,$143.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001144,87102,CULT FUNGUS OTHER,306,1 ,$262.51 ,$170.63 ,$8.41 ,$236.39 ,$210.01 ,$8.41 ,$208.01 ,$236.39 ,$236.39 ,$15.98 ,$223.13 ,$194.26 ,$21.03 ,$8.41 , N/A ,$218.93 ,$8.41 ,$216.83 ,$210.01 ,$236.26 ,$21.03 ,$223.13 ,$8.41 ,$223.13 ,$223.13 ,$236.26 ,$236.26 ,$206.07 ,$216.83 ,$8.41 ,$170.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001145,86756,RSV ANTIBODY (SERUM),302,1 ,$218.88 ,$142.27 ,$15.89 ,$197.10 ,$175.10 ,$15.89 ,$173.44 ,$197.10 ,$197.10 ,$30.19 ,$186.05 ,$161.97 ,$39.73 ,$15.89 , N/A ,$182.55 ,$15.89 ,$180.79 ,$175.10 ,$196.99 ,$39.73 ,$186.05 ,$15.89 ,$186.05 ,$186.05 ,$196.99 ,$196.99 ,$171.82 ,$180.79 ,$15.89 ,$142.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001146,80335,AMITRIPTYLINE,301,1 ,$206.99 ,$134.54 ,$134.54 ,$186.39 ,$165.59 , N/A ,$164.02 ,$186.39 ,$186.39 , N/A ,$175.94 ,$153.17 , N/A , N/A , N/A ,$172.63 , N/A ,$170.97 ,$165.59 ,$186.29 , N/A ,$175.94 , N/A ,$175.94 ,$175.94 ,$186.29 ,$186.29 ,$162.49 ,$170.97 , N/A ,$134.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001148,86812,HLA B27,302,1 ,$388.52 ,$252.54 ,$25.81 ,$349.86 ,$310.82 ,$25.81 ,$307.86 ,$349.86 ,$349.86 ,$49.04 ,$330.24 ,$287.50 ,$64.53 ,$25.81 , N/A ,$324.03 ,$25.81 ,$320.92 ,$310.82 ,$349.67 ,$64.53 ,$330.24 ,$25.81 ,$330.24 ,$330.24 ,$349.67 ,$349.67 ,$304.99 ,$320.92 ,$25.81 ,$252.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001149,81256,HEMOCHROMATOSIS MUTATION DETECT PROFILE,301,1 ,$690.93 ,$449.10 ,$65.36 ,$622.18 ,$552.74 ,$65.36 ,$547.49 ,$622.18 ,$622.18 ,$124.18 ,$587.29 ,$511.29 ,$163.40 ,$65.36 , N/A ,$576.24 ,$65.36 ,$570.71 ,$552.74 ,$621.84 ,$163.40 ,$587.29 ,$65.36 ,$587.29 ,$587.29 ,$621.84 ,$621.84 ,$542.38 ,$570.71 ,$65.36 ,$449.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001150,82668,ERYTHROPOIETIN,301,1 ,$224.69 ,$146.05 ,$18.79 ,$202.33 ,$179.75 ,$18.79 ,$178.04 ,$202.33 ,$202.33 ,$35.70 ,$190.99 ,$166.27 ,$46.98 ,$18.79 , N/A ,$187.39 ,$18.79 ,$185.59 ,$179.75 ,$202.22 ,$46.98 ,$190.99 ,$18.79 ,$190.99 ,$190.99 ,$202.22 ,$202.22 ,$176.38 ,$185.59 ,$18.79 ,$146.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001151,82670,ESTRADIOL,301,1 ,$314.92 ,$204.70 ,$27.94 ,$283.59 ,$251.94 ,$27.94 ,$249.54 ,$283.59 ,$283.59 ,$53.09 ,$267.68 ,$233.04 ,$69.85 ,$27.94 , N/A ,$262.64 ,$27.94 ,$260.12 ,$251.94 ,$283.43 ,$69.85 ,$267.68 ,$27.94 ,$267.68 ,$267.68 ,$283.43 ,$283.43 ,$247.21 ,$260.12 ,$27.94 ,$204.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001156,82575,CREAT CLEAR 24 HOUR URINE,301,1 ,$214.47 ,$139.41 ,$9.46 ,$193.13 ,$171.58 ,$9.46 ,$169.95 ,$193.13 ,$193.13 ,$17.97 ,$182.30 ,$158.71 ,$23.65 ,$9.46 , N/A ,$178.87 ,$9.46 ,$177.15 ,$171.58 ,$193.02 ,$23.65 ,$182.30 ,$9.46 ,$182.30 ,$182.30 ,$193.02 ,$193.02 ,$168.36 ,$177.15 ,$9.46 ,$139.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001159,82626,DHEA,301,1 ,$333.50 ,$216.78 ,$25.27 ,$300.32 ,$266.80 ,$25.27 ,$264.27 ,$300.32 ,$300.32 ,$48.01 ,$283.48 ,$246.79 ,$63.18 ,$25.27 , N/A ,$278.14 ,$25.27 ,$275.47 ,$266.80 ,$300.15 ,$63.18 ,$283.48 ,$25.27 ,$283.48 ,$283.48 ,$300.15 ,$300.15 ,$261.80 ,$275.47 ,$25.27 ,$216.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001161,83825,MERCURY,301,1 ,$242.73 ,$157.77 ,$16.26 ,$218.58 ,$194.18 ,$16.26 ,$192.34 ,$218.58 ,$218.58 ,$30.89 ,$206.32 ,$179.62 ,$40.65 ,$16.26 , N/A ,$202.44 ,$16.26 ,$200.50 ,$194.18 ,$218.46 ,$40.65 ,$206.32 ,$16.26 ,$206.32 ,$206.32 ,$218.46 ,$218.46 ,$190.54 ,$200.50 ,$16.26 ,$157.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001163,80306,DRUG SCREEN RAPID,301,1 ,$146.11 ,$94.97 ,$17.14 ,$131.57 ,$116.89 ,$17.14 ,$115.78 ,$131.57 ,$131.57 ,$32.57 ,$124.19 ,$108.12 ,$42.85 ,$17.14 , N/A ,$121.86 ,$17.14 ,$120.69 ,$116.89 ,$131.50 ,$42.85 ,$124.19 ,$17.14 ,$124.19 ,$124.19 ,$131.50 ,$131.50 ,$114.70 ,$120.69 ,$17.14 ,$94.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001164,82043,MICROALBUMIN URINE 24 HR,301,1 ,$82.19 ,$53.42 ,$5.78 ,$74.01 ,$65.75 ,$5.78 ,$65.13 ,$74.01 ,$74.01 ,$10.98 ,$69.86 ,$60.82 ,$14.45 ,$5.78 , N/A ,$68.55 ,$5.78 ,$67.89 ,$65.75 ,$73.97 ,$14.45 ,$69.86 ,$5.78 ,$69.86 ,$69.86 ,$73.97 ,$73.97 ,$64.52 ,$67.89 ,$5.78 ,$53.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001165,82523,N-TELO PEPTIDE,301,1 ,$381.07 ,$247.70 ,$18.68 ,$343.15 ,$304.86 ,$18.68 ,$301.96 ,$343.15 ,$343.15 ,$35.49 ,$323.91 ,$281.99 ,$46.70 ,$18.68 , N/A ,$317.81 ,$18.68 ,$314.76 ,$304.86 ,$342.96 ,$46.70 ,$323.91 ,$18.68 ,$323.91 ,$323.91 ,$342.96 ,$342.96 ,$299.14 ,$314.76 ,$18.68 ,$247.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001173,86301,CA 19-9,302,1 ,$232.07 ,$150.85 ,$20.81 ,$208.98 ,$185.66 ,$20.81 ,$183.89 ,$208.98 ,$208.98 ,$39.54 ,$197.26 ,$171.73 ,$52.03 ,$20.81 , N/A ,$193.55 ,$20.81 ,$191.69 ,$185.66 ,$208.86 ,$52.03 ,$197.26 ,$20.81 ,$197.26 ,$197.26 ,$208.86 ,$208.86 ,$182.18 ,$191.69 ,$20.81 ,$150.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001176,80346,KLONOPIN LEVEL,301,1 ,$224.94 ,$146.21 ,$146.21 ,$202.56 ,$179.95 , N/A ,$178.24 ,$202.56 ,$202.56 , N/A ,$191.20 ,$166.46 , N/A , N/A , N/A ,$187.60 , N/A ,$185.80 ,$179.95 ,$202.45 , N/A ,$191.20 , N/A ,$191.20 ,$191.20 ,$202.45 ,$202.45 ,$176.58 ,$185.80 , N/A ,$146.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001177,83090,HOMOCYSTINE,301,1 ,$133.35 ,$86.68 ,$17.92 ,$120.08 ,$106.68 ,$17.92 ,$105.67 ,$120.08 ,$120.08 ,$34.05 ,$113.35 ,$98.68 ,$44.80 ,$17.92 , N/A ,$111.21 ,$17.92 ,$110.15 ,$106.68 ,$120.02 ,$44.80 ,$113.35 ,$17.92 ,$113.35 ,$113.35 ,$120.02 ,$120.02 ,$104.68 ,$110.15 ,$17.92 ,$86.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001178,80299,LUVOX LEVEL,301,1 ,$199.44 ,$129.64 ,$18.64 ,$179.60 ,$159.55 ,$18.64 ,$158.04 ,$179.60 ,$179.60 ,$35.42 ,$169.52 ,$147.59 ,$46.60 ,$18.64 , N/A ,$166.33 ,$18.64 ,$164.74 ,$159.55 ,$179.50 ,$46.60 ,$169.52 ,$18.64 ,$169.52 ,$169.52 ,$179.50 ,$179.50 ,$156.56 ,$164.74 ,$18.64 ,$129.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001179,83937,OSTEOCALCIN SER,301,1 ,$300.43 ,$195.28 ,$29.85 ,$270.54 ,$240.34 ,$29.85 ,$238.06 ,$270.54 ,$270.54 ,$56.72 ,$255.37 ,$222.32 ,$74.63 ,$29.85 , N/A ,$250.56 ,$29.85 ,$248.16 ,$240.34 ,$270.39 ,$74.63 ,$255.37 ,$29.85 ,$255.37 ,$255.37 ,$270.39 ,$270.39 ,$235.84 ,$248.16 ,$29.85 ,$195.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001180,83550,IRON BINDING CAPACITY (IBC),301,1 ,$57.90 ,$37.64 ,$8.74 ,$52.14 ,$46.32 ,$8.74 ,$45.88 ,$52.14 ,$52.14 ,$16.61 ,$49.22 ,$42.85 ,$21.85 ,$8.74 , N/A ,$48.29 ,$8.74 ,$47.83 ,$46.32 ,$52.11 ,$21.85 ,$49.22 ,$8.74 ,$49.22 ,$49.22 ,$52.11 ,$52.11 ,$45.45 ,$47.83 ,$8.74 ,$37.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001181,82523,PYRIDINLINE UR LEVEL,301,1 ,$367.41 ,$238.82 ,$18.68 ,$330.85 ,$293.93 ,$18.68 ,$291.14 ,$330.85 ,$330.85 ,$35.49 ,$312.30 ,$271.88 ,$46.70 ,$18.68 , N/A ,$306.42 ,$18.68 ,$303.48 ,$293.93 ,$330.67 ,$46.70 ,$312.30 ,$18.68 ,$312.30 ,$312.30 ,$330.67 ,$330.67 ,$288.42 ,$303.48 ,$18.68 ,$238.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001182,87522,HEP C PCR QUANTITATIVE,306,1 ,$873.74 ,$567.93 ,$42.84 ,$786.80 ,$698.99 ,$42.84 ,$692.35 ,$786.80 ,$786.80 ,$81.40 ,$742.68 ,$646.57 ,$107.10 ,$42.84 , N/A ,$728.70 ,$42.84 ,$721.71 ,$698.99 ,$786.37 ,$107.10 ,$742.68 ,$42.84 ,$742.68 ,$742.68 ,$786.37 ,$786.37 ,$685.89 ,$721.71 ,$42.84 ,$567.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001183,81382,MOL DIAG MOL ISO,301,1 ,$116.76 ,$75.89 ,$75.89 ,$291.90 ,$93.41 ,$116.76 ,$92.52 ,$105.14 ,$105.14 ,$221.84 ,$99.25 ,$86.40 ,$291.90 ,$116.76 , N/A ,$97.38 ,$116.76 ,$96.44 ,$93.41 ,$105.08 ,$116.76 ,$99.25 ,$116.76 ,$99.25 ,$99.25 ,$105.08 ,$105.08 ,$91.66 ,$96.44 ,$116.76 ,$75.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001184,81270,MOLEC DIAG INTER,301,1 ,$253.18 ,$164.57 ,$91.66 ,$229.15 ,$202.54 ,$91.66 ,$200.62 ,$227.99 ,$227.99 ,$174.15 ,$215.20 ,$187.35 ,$229.15 ,$91.66 , N/A ,$211.15 ,$91.66 ,$209.13 ,$202.54 ,$227.86 ,$229.15 ,$215.20 ,$91.66 ,$215.20 ,$215.20 ,$227.86 ,$227.86 ,$198.75 ,$209.13 ,$91.66 ,$164.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001185,81382,MOLEC AMPLIFICAT,301,1 ,$316.53 ,$205.74 ,$123.68 ,$309.20 ,$253.22 ,$123.68 ,$250.82 ,$285.04 ,$285.04 ,$234.99 ,$269.05 ,$234.23 ,$309.20 ,$123.68 , N/A ,$263.99 ,$123.68 ,$261.45 ,$253.22 ,$284.88 ,$309.20 ,$269.05 ,$123.68 ,$269.05 ,$269.05 ,$284.88 ,$284.88 ,$248.48 ,$261.45 ,$123.68 ,$205.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001186,81270,MOLEC SEPARATION,301,1 ,$80.86 ,$52.56 ,$52.56 ,$202.15 ,$64.69 ,$80.86 ,$64.07 ,$72.81 ,$72.81 ,$153.63 ,$68.73 ,$59.84 ,$202.15 ,$80.86 , N/A ,$67.44 ,$80.86 ,$66.79 ,$64.69 ,$72.77 ,$80.86 ,$68.73 ,$80.86 ,$68.73 ,$68.73 ,$72.77 ,$72.77 ,$63.48 ,$66.79 ,$80.86 ,$52.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001187,81382,NUCLEAR ACID PRO,301,1 ,$59.92 ,$38.95 ,$38.95 ,$149.80 ,$47.94 ,$59.92 ,$47.48 ,$53.96 ,$53.96 ,$113.85 ,$50.93 ,$44.34 ,$149.80 ,$59.92 , N/A ,$49.97 ,$59.92 ,$49.49 ,$47.94 ,$53.93 ,$59.92 ,$50.93 ,$59.92 ,$50.93 ,$50.93 ,$53.93 ,$53.93 ,$47.04 ,$49.49 ,$59.92 ,$38.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001191,83500,HYDROXYPROL FREE,301,1 ,$368.29 ,$239.39 ,$22.65 ,$331.65 ,$294.63 ,$22.65 ,$291.83 ,$331.65 ,$331.65 ,$43.04 ,$313.05 ,$272.53 ,$56.63 ,$22.65 , N/A ,$307.15 ,$22.65 ,$304.21 ,$294.63 ,$331.46 ,$56.63 ,$313.05 ,$22.65 ,$313.05 ,$313.05 ,$331.46 ,$331.46 ,$289.11 ,$304.21 ,$22.65 ,$239.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001193,83090,HOMOCYSTINE UR,301,1 ,$277.55 ,$180.41 ,$17.92 ,$249.93 ,$222.04 ,$17.92 ,$219.93 ,$249.93 ,$249.93 ,$34.05 ,$235.92 ,$205.39 ,$44.80 ,$17.92 , N/A ,$231.48 ,$17.92 ,$229.26 ,$222.04 ,$249.80 ,$44.80 ,$235.92 ,$17.92 ,$235.92 ,$235.92 ,$249.80 ,$249.80 ,$217.88 ,$229.26 ,$17.92 ,$180.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001194,82951,LACTOSE DOSE +3,301,1 ,$181.60 ,$118.04 ,$12.87 ,$163.53 ,$145.28 ,$12.87 ,$143.90 ,$163.53 ,$163.53 ,$24.45 ,$154.36 ,$134.38 ,$32.18 ,$12.87 , N/A ,$151.45 ,$12.87 ,$150.00 ,$145.28 ,$163.44 ,$32.18 ,$154.36 ,$12.87 ,$154.36 ,$154.36 ,$163.44 ,$163.44 ,$142.56 ,$150.00 ,$12.87 ,$118.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001198,83540,IRON,301,1 ,$114.53 ,$74.44 ,$6.47 ,$103.13 ,$91.62 ,$6.47 ,$90.75 ,$103.13 ,$103.13 ,$12.29 ,$97.35 ,$84.75 ,$16.18 ,$6.47 , N/A ,$95.52 ,$6.47 ,$94.60 ,$91.62 ,$103.08 ,$16.18 ,$97.35 ,$6.47 ,$97.35 ,$97.35 ,$103.08 ,$103.08 ,$89.91 ,$94.60 ,$6.47 ,$74.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001200,86235,AUTOIMM. BASIC PANEL,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001213,84439,FREE T4,301,1 ,$92.26 ,$59.97 ,$9.02 ,$83.08 ,$73.81 ,$9.02 ,$73.11 ,$83.08 ,$83.08 ,$17.14 ,$78.42 ,$68.27 ,$22.55 ,$9.02 , N/A ,$76.94 ,$9.02 ,$76.21 ,$73.81 ,$83.03 ,$22.55 ,$78.42 ,$9.02 ,$78.42 ,$78.42 ,$83.03 ,$83.03 ,$72.42 ,$76.21 ,$9.02 ,$59.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001214,83690,LIPASE,301,1 ,$120.00 ,$78.00 ,$6.89 ,$108.06 ,$96.00 ,$6.89 ,$95.09 ,$108.06 ,$108.06 ,$13.09 ,$102.00 ,$88.80 ,$17.23 ,$6.89 , N/A ,$100.08 ,$6.89 ,$99.12 ,$96.00 ,$108.00 ,$17.23 ,$102.00 ,$6.89 ,$102.00 ,$102.00 ,$108.00 ,$108.00 ,$94.20 ,$99.12 ,$6.89 ,$78.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001218,86698,HISTOPLAS AB MTP,302,1 ,$66.08 ,$42.95 ,$13.79 ,$59.51 ,$52.86 ,$13.79 ,$52.36 ,$59.51 ,$59.51 ,$26.20 ,$56.17 ,$48.90 ,$34.48 ,$13.79 , N/A ,$55.11 ,$13.79 ,$54.58 ,$52.86 ,$59.47 ,$34.48 ,$56.17 ,$13.79 ,$56.17 ,$56.17 ,$59.47 ,$59.47 ,$51.87 ,$54.58 ,$13.79 ,$42.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001219,82951,GLUCOSE TOL 3 HR,301,1 ,$193.67 ,$125.89 ,$12.87 ,$174.40 ,$154.94 ,$12.87 ,$153.46 ,$174.40 ,$174.40 ,$24.45 ,$164.62 ,$143.32 ,$32.18 ,$12.87 , N/A ,$161.52 ,$12.87 ,$159.97 ,$154.94 ,$174.30 ,$32.18 ,$164.62 ,$12.87 ,$164.62 ,$164.62 ,$174.30 ,$174.30 ,$152.03 ,$159.97 ,$12.87 ,$125.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001226,86235,RIBONUCLEIC PROTEIN,302,1 ,$103.15 ,$67.05 ,$17.93 ,$92.89 ,$82.52 ,$17.93 ,$81.74 ,$92.89 ,$92.89 ,$34.07 ,$87.68 ,$76.33 ,$44.83 ,$17.93 , N/A ,$86.03 ,$17.93 ,$85.20 ,$82.52 ,$92.84 ,$44.83 ,$87.68 ,$17.93 ,$87.68 ,$87.68 ,$92.84 ,$92.84 ,$80.97 ,$85.20 ,$17.93 ,$67.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001227,86235,RNP AB MTP,302,1 ,$61.96 ,$40.27 ,$17.93 ,$55.80 ,$49.57 ,$17.93 ,$49.10 ,$55.80 ,$55.80 ,$34.07 ,$52.67 ,$45.85 ,$44.83 ,$17.93 , N/A ,$51.67 ,$17.93 ,$51.18 ,$49.57 ,$55.76 ,$44.83 ,$52.67 ,$17.93 ,$52.67 ,$52.67 ,$55.76 ,$55.76 ,$48.64 ,$51.18 ,$17.93 ,$40.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001229,86708,ANTI-HAV,302,1 ,$55.58 ,$36.13 ,$12.39 ,$50.05 ,$44.46 ,$12.39 ,$44.04 ,$50.05 ,$50.05 ,$23.54 ,$47.24 ,$41.13 ,$30.98 ,$12.39 , N/A ,$46.35 ,$12.39 ,$45.91 ,$44.46 ,$50.02 ,$30.98 ,$47.24 ,$12.39 ,$47.24 ,$47.24 ,$50.02 ,$50.02 ,$43.63 ,$45.91 ,$12.39 ,$36.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001230,84100,PHOSPHORUS,301,1 ,$96.02 ,$62.41 ,$4.74 ,$86.47 ,$76.82 ,$4.74 ,$76.09 ,$86.47 ,$86.47 ,$9.01 ,$81.62 ,$71.05 ,$11.85 ,$4.74 , N/A ,$80.08 ,$4.74 ,$79.31 ,$76.82 ,$86.42 ,$11.85 ,$81.62 ,$4.74 ,$81.62 ,$81.62 ,$86.42 ,$86.42 ,$75.38 ,$79.31 ,$4.74 ,$62.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001231,86707,HBEAB,302,1 ,$95.97 ,$62.38 ,$11.57 ,$86.42 ,$76.78 ,$11.57 ,$76.05 ,$86.42 ,$86.42 ,$21.98 ,$81.57 ,$71.02 ,$28.93 ,$11.57 , N/A ,$80.04 ,$11.57 ,$79.27 ,$76.78 ,$86.37 ,$28.93 ,$81.57 ,$11.57 ,$81.57 ,$81.57 ,$86.37 ,$86.37 ,$75.34 ,$79.27 ,$11.57 ,$62.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001232,86708,HEP A AB TOTAL,302,1 ,$223.82 ,$145.48 ,$12.39 ,$201.55 ,$179.06 ,$12.39 ,$177.36 ,$201.55 ,$201.55 ,$23.54 ,$190.25 ,$165.63 ,$30.98 ,$12.39 , N/A ,$186.67 ,$12.39 ,$184.88 ,$179.06 ,$201.44 ,$30.98 ,$190.25 ,$12.39 ,$190.25 ,$190.25 ,$201.44 ,$201.44 ,$175.70 ,$184.88 ,$12.39 ,$145.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001233,86235,JO-1 IGG AB,302,1 ,$281.29 ,$182.84 ,$17.93 ,$253.30 ,$225.03 ,$17.93 ,$222.89 ,$253.30 ,$253.30 ,$34.07 ,$239.10 ,$208.15 ,$44.83 ,$17.93 , N/A ,$234.60 ,$17.93 ,$232.35 ,$225.03 ,$253.16 ,$44.83 ,$239.10 ,$17.93 ,$239.10 ,$239.10 ,$253.16 ,$253.16 ,$220.81 ,$232.35 ,$17.93 ,$182.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001234,86331,PM 1 ANTIBODY,302,1 ,$331.66 ,$215.58 ,$11.98 ,$298.66 ,$265.33 ,$11.98 ,$262.81 ,$298.66 ,$298.66 ,$22.76 ,$281.91 ,$245.43 ,$29.95 ,$11.98 , N/A ,$276.60 ,$11.98 ,$273.95 ,$265.33 ,$298.49 ,$29.95 ,$281.91 ,$11.98 ,$281.91 ,$281.91 ,$298.49 ,$298.49 ,$260.35 ,$273.95 ,$11.98 ,$215.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001236,82941,GASTRIN,301,1 ,$84.51 ,$54.93 ,$17.63 ,$76.10 ,$67.61 ,$17.63 ,$66.97 ,$76.10 ,$76.10 ,$33.50 ,$71.83 ,$62.54 ,$44.08 ,$17.63 , N/A ,$70.48 ,$17.63 ,$69.81 ,$67.61 ,$76.06 ,$44.08 ,$71.83 ,$17.63 ,$71.83 ,$71.83 ,$76.06 ,$76.06 ,$66.34 ,$69.81 ,$17.63 ,$54.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001237,86160,C1 ESTER INHIB (NON-FUNCT) SERUM,302,1 ,$720.57 ,$468.37 ,$12.00 ,$648.87 ,$576.46 ,$12.00 ,$570.98 ,$648.87 ,$648.87 ,$22.80 ,$612.48 ,$533.22 ,$30.00 ,$12.00 , N/A ,$600.96 ,$12.00 ,$595.19 ,$576.46 ,$648.51 ,$30.00 ,$612.48 ,$12.00 ,$612.48 ,$612.48 ,$648.51 ,$648.51 ,$565.65 ,$595.19 ,$12.00 ,$468.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001239,88184,LEUKEMIA/LYMPHOMA IMMUN BY FLOW CYTO,310,1 ,$372.13 ,$241.88 ,$241.88 ,$658.86 ,$297.70 ,$263.54 ,$294.88 ,$335.10 ,$335.10 ,$500.73 ,$316.31 ,$275.38 ,$658.86 ,$263.54 , N/A ,$310.36 ,$263.54 ,$307.38 ,$297.70 ,$334.92 ,$372.13 ,$316.31 ,$263.54 ,$316.31 ,$316.31 ,$334.92 ,$334.92 ,$292.12 ,$307.38 ,$263.54 ,$241.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001240,80337,TOTAL TRICYCLIC ANTIDEPRESSANT LEVEL,301,1 ,$166.28 ,$108.08 ,$108.08 ,$149.74 ,$133.02 , N/A ,$131.76 ,$149.74 ,$149.74 , N/A ,$141.34 ,$123.05 , N/A , N/A , N/A ,$138.68 , N/A ,$137.35 ,$133.02 ,$149.65 , N/A ,$141.34 , N/A ,$141.34 ,$141.34 ,$149.65 ,$149.65 ,$130.53 ,$137.35 , N/A ,$108.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001241,86606,ASPERGILLUS AB,302,1 ,$332.86 ,$216.36 ,$15.05 ,$299.74 ,$266.29 ,$15.05 ,$263.76 ,$299.74 ,$299.74 ,$28.60 ,$282.93 ,$246.32 ,$37.63 ,$15.05 , N/A ,$277.61 ,$15.05 ,$274.94 ,$266.29 ,$299.57 ,$37.63 ,$282.93 ,$15.05 ,$282.93 ,$282.93 ,$299.57 ,$299.57 ,$261.30 ,$274.94 ,$15.05 ,$216.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001242,83605,LACTIC ACID,301,1 ,$296.30 ,$192.60 ,$11.57 ,$266.82 ,$237.04 ,$11.57 ,$234.79 ,$266.82 ,$266.82 ,$21.98 ,$251.86 ,$219.26 ,$28.93 ,$11.57 , N/A ,$247.11 ,$11.57 ,$244.74 ,$237.04 ,$266.67 ,$28.93 ,$251.86 ,$11.57 ,$251.86 ,$251.86 ,$266.67 ,$266.67 ,$232.60 ,$244.74 ,$11.57 ,$192.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001243,84110,PORPHOBILINOGEN URINE,301,1 ,$144.53 ,$93.94 ,$8.44 ,$130.15 ,$115.62 ,$8.44 ,$114.53 ,$130.15 ,$130.15 ,$16.04 ,$122.85 ,$106.95 ,$21.10 ,$8.44 , N/A ,$120.54 ,$8.44 ,$119.38 ,$115.62 ,$130.08 ,$21.10 ,$122.85 ,$8.44 ,$122.85 ,$122.85 ,$130.08 ,$130.08 ,$113.46 ,$119.38 ,$8.44 ,$93.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001244,87591,GONORRHEA DNA,306,1 ,$110.59 ,$71.88 ,$35.09 ,$99.59 ,$88.47 ,$35.09 ,$87.63 ,$99.59 ,$99.59 ,$66.67 ,$94.00 ,$81.84 ,$87.73 ,$35.09 , N/A ,$92.23 ,$35.09 ,$91.35 ,$88.47 ,$99.53 ,$87.73 ,$94.00 ,$35.09 ,$94.00 ,$94.00 ,$99.53 ,$99.53 ,$86.81 ,$91.35 ,$35.09 ,$71.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001245,81001,URINE + MICRO CHARGE ONLY,301,1 ,$71.97 ,$46.78 ,$3.17 ,$64.81 ,$57.58 ,$3.17 ,$57.03 ,$64.81 ,$64.81 ,$6.02 ,$61.17 ,$53.26 ,$7.93 ,$3.17 , N/A ,$60.02 ,$3.17 ,$59.45 ,$57.58 ,$64.77 ,$7.93 ,$61.17 ,$3.17 ,$61.17 ,$61.17 ,$64.77 ,$64.77 ,$56.50 ,$59.45 ,$3.17 ,$46.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001246,84425,VITAMIN B1,301,1 ,$412.71 ,$268.26 ,$21.23 ,$371.65 ,$330.17 ,$21.23 ,$327.03 ,$371.65 ,$371.65 ,$40.34 ,$350.80 ,$305.41 ,$53.08 ,$21.23 , N/A ,$344.20 ,$21.23 ,$340.90 ,$330.17 ,$371.44 ,$53.08 ,$350.80 ,$21.23 ,$350.80 ,$350.80 ,$371.44 ,$371.44 ,$323.98 ,$340.90 ,$21.23 ,$268.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001247,86710,PARAINFLUENZA AB,302,1 ,$277.35 ,$180.28 ,$13.55 ,$249.75 ,$221.88 ,$13.55 ,$219.77 ,$249.75 ,$249.75 ,$25.75 ,$235.75 ,$205.24 ,$33.88 ,$13.55 , N/A ,$231.31 ,$13.55 ,$229.09 ,$221.88 ,$249.62 ,$33.88 ,$235.75 ,$13.55 ,$235.75 ,$235.75 ,$249.62 ,$249.62 ,$217.72 ,$229.09 ,$13.55 ,$180.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001248,80198,THEOPHYLLINE LEVEL,301,1 ,$167.84 ,$109.10 ,$14.14 ,$151.14 ,$134.27 ,$14.14 ,$133.00 ,$151.14 ,$151.14 ,$26.87 ,$142.66 ,$124.20 ,$35.35 ,$14.14 , N/A ,$139.98 ,$14.14 ,$138.64 ,$134.27 ,$151.06 ,$35.35 ,$142.66 ,$14.14 ,$142.66 ,$142.66 ,$151.06 ,$151.06 ,$131.75 ,$138.64 ,$14.14 ,$109.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001249,86603,ADENOVIRUS AB,302,1 ,$237.57 ,$154.42 ,$12.87 ,$213.93 ,$190.06 ,$12.87 ,$188.25 ,$213.93 ,$213.93 ,$24.45 ,$201.93 ,$175.80 ,$32.18 ,$12.87 , N/A ,$198.13 ,$12.87 ,$196.23 ,$190.06 ,$213.81 ,$32.18 ,$201.93 ,$12.87 ,$201.93 ,$201.93 ,$213.81 ,$213.81 ,$186.49 ,$196.23 ,$12.87 ,$154.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001250,82175,ARSENIC,301,1 ,$380.50 ,$247.33 ,$18.97 ,$342.64 ,$304.40 ,$18.97 ,$301.51 ,$342.64 ,$342.64 ,$36.04 ,$323.43 ,$281.57 ,$47.43 ,$18.97 , N/A ,$317.34 ,$18.97 ,$314.29 ,$304.40 ,$342.45 ,$47.43 ,$323.43 ,$18.97 ,$323.43 ,$323.43 ,$342.45 ,$342.45 ,$298.69 ,$314.29 ,$18.97 ,$247.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001251,80053,COMP METABOLIC PROFILE,301,1 ,$251.91 ,$163.74 ,$10.56 ,$226.85 ,$201.53 ,$10.56 ,$199.61 ,$226.85 ,$226.85 ,$20.06 ,$214.12 ,$186.41 ,$26.40 ,$10.56 , N/A ,$210.09 ,$10.56 ,$208.08 ,$201.53 ,$226.72 ,$26.40 ,$214.12 ,$10.56 ,$214.12 ,$214.12 ,$226.72 ,$226.72 ,$197.75 ,$208.08 ,$10.56 ,$163.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001252,84484,TROPONIN QUANT,301,1 ,$111.15 ,$72.25 ,$12.47 ,$100.09 ,$88.92 ,$12.47 ,$88.08 ,$100.09 ,$100.09 ,$23.69 ,$94.48 ,$82.25 ,$31.18 ,$12.47 , N/A ,$92.70 ,$12.47 ,$91.81 ,$88.92 ,$100.04 ,$31.18 ,$94.48 ,$12.47 ,$94.48 ,$94.48 ,$100.04 ,$100.04 ,$87.25 ,$91.81 ,$12.47 ,$72.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001253,86256,ANTI-CENTROMERE,302,1 ,$411.87 ,$267.72 ,$12.05 ,$370.89 ,$329.50 ,$12.05 ,$326.37 ,$370.89 ,$370.89 ,$22.90 ,$350.09 ,$304.78 ,$30.13 ,$12.05 , N/A ,$343.50 ,$12.05 ,$340.20 ,$329.50 ,$370.68 ,$30.13 ,$350.09 ,$12.05 ,$350.09 ,$350.09 ,$370.68 ,$370.68 ,$323.32 ,$340.20 ,$12.05 ,$267.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001254,86147,CARDIOLIPIN IGA AB,302,1 ,$348.74 ,$226.68 ,$25.45 ,$314.04 ,$278.99 ,$25.45 ,$276.34 ,$314.04 ,$314.04 ,$48.36 ,$296.43 ,$258.07 ,$63.63 ,$25.45 , N/A ,$290.85 ,$25.45 ,$288.06 ,$278.99 ,$313.87 ,$63.63 ,$296.43 ,$25.45 ,$296.43 ,$296.43 ,$313.87 ,$313.87 ,$273.76 ,$288.06 ,$25.45 ,$226.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001255,N/A,GC AND CHLAMYDIA DNA PROBE,306,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001256,85705,LUPUS ANTICOAGUL,305,1 ,$488.94 ,$317.81 ,$9.63 ,$440.29 ,$391.15 ,$9.63 ,$387.44 ,$440.29 ,$440.29 ,$18.30 ,$415.60 ,$361.82 ,$24.08 ,$9.63 , N/A ,$407.78 ,$9.63 ,$403.86 ,$391.15 ,$440.05 ,$24.08 ,$415.60 ,$9.63 ,$415.60 ,$415.60 ,$440.05 ,$440.05 ,$383.82 ,$403.86 ,$9.63 ,$317.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001257,86235,ANTIEXTRAC NUC AB,302,1 ,$215.30 ,$139.95 ,$17.93 ,$193.88 ,$172.24 ,$17.93 ,$170.60 ,$193.88 ,$193.88 ,$34.07 ,$183.01 ,$159.32 ,$44.83 ,$17.93 , N/A ,$179.56 ,$17.93 ,$177.84 ,$172.24 ,$193.77 ,$44.83 ,$183.01 ,$17.93 ,$183.01 ,$183.01 ,$193.77 ,$193.77 ,$169.01 ,$177.84 ,$17.93 ,$139.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001258,87420,RSV ANTIGEN,306,1 ,$552.26 ,$358.97 ,$13.91 ,$497.31 ,$441.81 ,$13.91 ,$437.61 ,$497.31 ,$497.31 ,$26.43 ,$469.42 ,$408.67 ,$34.78 ,$13.91 , N/A ,$460.58 ,$13.91 ,$456.17 ,$441.81 ,$497.03 ,$34.78 ,$469.42 ,$13.91 ,$469.42 ,$469.42 ,$497.03 ,$497.03 ,$433.52 ,$456.17 ,$13.91 ,$358.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001259,82525,COPPER URINE 24 HR,301,1 ,$242.10 ,$157.37 ,$12.41 ,$218.01 ,$193.68 ,$12.41 ,$191.84 ,$218.01 ,$218.01 ,$23.58 ,$205.79 ,$179.15 ,$31.03 ,$12.41 , N/A ,$201.91 ,$12.41 ,$199.97 ,$193.68 ,$217.89 ,$31.03 ,$205.79 ,$12.41 ,$205.79 ,$205.79 ,$217.89 ,$217.89 ,$190.05 ,$199.97 ,$12.41 ,$157.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001260,83655,LEAD URINE 24 HR,301,1 ,$143.22 ,$93.09 ,$12.11 ,$128.97 ,$114.58 ,$12.11 ,$113.49 ,$128.97 ,$128.97 ,$23.01 ,$121.74 ,$105.98 ,$30.28 ,$12.11 , N/A ,$119.45 ,$12.11 ,$118.30 ,$114.58 ,$128.90 ,$30.28 ,$121.74 ,$12.11 ,$121.74 ,$121.74 ,$128.90 ,$128.90 ,$112.43 ,$118.30 ,$12.11 ,$93.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001261,80201,TOPIRAMATE LEVEL,301,1 ,$236.81 ,$153.93 ,$11.92 ,$213.25 ,$189.45 ,$11.92 ,$187.65 ,$213.25 ,$213.25 ,$22.65 ,$201.29 ,$175.24 ,$29.80 ,$11.92 , N/A ,$197.50 ,$11.92 ,$195.61 ,$189.45 ,$213.13 ,$29.80 ,$201.29 ,$11.92 ,$201.29 ,$201.29 ,$213.13 ,$213.13 ,$185.90 ,$195.61 ,$11.92 ,$153.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001264,83520,ANTI-MAG,301,1 ,$196.80 ,$127.92 ,$17.27 ,$177.22 ,$157.44 ,$17.27 ,$155.94 ,$177.22 ,$177.22 ,$32.81 ,$167.28 ,$145.63 ,$43.18 ,$17.27 , N/A ,$164.13 ,$17.27 ,$162.56 ,$157.44 ,$177.12 ,$43.18 ,$167.28 ,$17.27 ,$167.28 ,$167.28 ,$177.12 ,$177.12 ,$154.49 ,$162.56 ,$17.27 ,$127.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001265,83520,GM1 IGG AB,301,1 ,$236.16 ,$153.50 ,$17.27 ,$212.66 ,$188.93 ,$17.27 ,$187.13 ,$212.66 ,$212.66 ,$32.81 ,$200.74 ,$174.76 ,$43.18 ,$17.27 , N/A ,$196.96 ,$17.27 ,$195.07 ,$188.93 ,$212.54 ,$43.18 ,$200.74 ,$17.27 ,$200.74 ,$200.74 ,$212.54 ,$212.54 ,$185.39 ,$195.07 ,$17.27 ,$153.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001266,86256,ANTI GBM,302,1 ,$280.50 ,$182.33 ,$12.05 ,$252.59 ,$224.40 ,$12.05 ,$222.27 ,$252.59 ,$252.59 ,$22.90 ,$238.43 ,$207.57 ,$30.13 ,$12.05 , N/A ,$233.94 ,$12.05 ,$231.69 ,$224.40 ,$252.45 ,$30.13 ,$238.43 ,$12.05 ,$238.43 ,$238.43 ,$252.45 ,$252.45 ,$220.19 ,$231.69 ,$12.05 ,$182.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001267,86927,FRESH FROZEN PLASMA PREP,300,1 ,$166.28 ,$108.08 ,$108.08 ,$337.41 ,$133.02 ,$134.97 ,$131.76 ,$149.74 ,$149.74 ,$256.44 ,$141.34 ,$123.05 ,$337.41 ,$134.97 , N/A ,$138.68 ,$134.97 ,$137.35 ,$133.02 ,$149.65 ,$166.28 ,$141.34 ,$134.97 ,$141.34 ,$141.34 ,$149.65 ,$149.65 ,$130.53 ,$137.35 ,$134.97 ,$108.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001268,P9017,FRESH FROZEN PLASMA-CHARGE,390,1 ,$199.44 ,$129.64 ,$82.66 ,$206.65 ,$159.55 ,$82.66 ,$158.04 ,$179.60 ,$179.60 ,$157.05 ,$169.52 ,$147.59 ,$206.65 ,$82.66 , N/A ,$166.33 ,$82.66 ,$164.74 ,$159.55 ,$179.50 ,$199.44 ,$169.52 ,$88.53 ,$169.52 ,$169.52 ,$179.50 ,$179.50 ,$156.56 ,$164.74 ,$88.53 ,$129.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001269,80299,CORDARONE LEVEL,301,1 ,$224.35 ,$145.83 ,$18.64 ,$202.03 ,$179.48 ,$18.64 ,$177.77 ,$202.03 ,$202.03 ,$35.42 ,$190.70 ,$166.02 ,$46.60 ,$18.64 , N/A ,$187.11 ,$18.64 ,$185.31 ,$179.48 ,$201.92 ,$46.60 ,$190.70 ,$18.64 ,$190.70 ,$190.70 ,$201.92 ,$201.92 ,$176.11 ,$185.31 ,$18.64 ,$145.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001270,84154,PSA FREE,301,1 ,$393.63 ,$255.86 ,$18.39 ,$354.46 ,$314.90 ,$18.39 ,$311.91 ,$354.46 ,$354.46 ,$34.94 ,$334.59 ,$291.29 ,$45.98 ,$18.39 , N/A ,$328.29 ,$18.39 ,$325.14 ,$314.90 ,$354.27 ,$45.98 ,$334.59 ,$18.39 ,$334.59 ,$334.59 ,$354.27 ,$354.27 ,$309.00 ,$325.14 ,$18.39 ,$255.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001271,85660,SICKLE CELL,305,1 ,$59.43 ,$38.63 ,$5.51 ,$53.52 ,$47.54 ,$5.51 ,$47.09 ,$53.52 ,$53.52 ,$10.47 ,$50.52 ,$43.98 ,$13.78 ,$5.51 , N/A ,$49.56 ,$5.51 ,$49.09 ,$47.54 ,$53.49 ,$13.78 ,$50.52 ,$5.51 ,$50.52 ,$50.52 ,$53.49 ,$53.49 ,$46.65 ,$49.09 ,$5.51 ,$38.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001272,86337,INSULIN AB,302,1 ,$237.75 ,$154.54 ,$21.41 ,$214.09 ,$190.20 ,$21.41 ,$188.39 ,$214.09 ,$214.09 ,$40.68 ,$202.09 ,$175.94 ,$53.53 ,$21.41 , N/A ,$198.28 ,$21.41 ,$196.38 ,$190.20 ,$213.98 ,$53.53 ,$202.09 ,$21.41 ,$202.09 ,$202.09 ,$213.98 ,$213.98 ,$186.63 ,$196.38 ,$21.41 ,$154.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001273,80299,PROPAFENONE LEVEL,301,1 ,$117.37 ,$76.29 ,$18.64 ,$105.69 ,$93.90 ,$18.64 ,$93.00 ,$105.69 ,$105.69 ,$35.42 ,$99.76 ,$86.85 ,$46.60 ,$18.64 , N/A ,$97.89 ,$18.64 ,$96.95 ,$93.90 ,$105.63 ,$46.60 ,$99.76 ,$18.64 ,$99.76 ,$99.76 ,$105.63 ,$105.63 ,$92.14 ,$96.95 ,$18.64 ,$76.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001274,87252,CULTURE VIRAL,306,1 ,$312.53 ,$203.14 ,$26.07 ,$281.43 ,$250.02 ,$26.07 ,$247.65 ,$281.43 ,$281.43 ,$49.53 ,$265.65 ,$231.27 ,$65.18 ,$26.07 , N/A ,$260.65 ,$26.07 ,$258.15 ,$250.02 ,$281.28 ,$65.18 ,$265.65 ,$26.07 ,$265.65 ,$265.65 ,$281.28 ,$281.28 ,$245.34 ,$258.15 ,$26.07 ,$203.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001275,80203,ZONISAMIDE LEVEL,301,1 ,$124.90 ,$81.19 ,$13.25 ,$112.47 ,$99.92 ,$13.25 ,$98.97 ,$112.47 ,$112.47 ,$25.18 ,$106.17 ,$92.43 ,$33.13 ,$13.25 , N/A ,$104.17 ,$13.25 ,$103.17 ,$99.92 ,$112.41 ,$33.13 ,$106.17 ,$13.25 ,$106.17 ,$106.17 ,$112.41 ,$112.41 ,$98.05 ,$103.17 ,$13.25 ,$81.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001276,80299,LORAZEPAM LEVEL,301,1 ,$191.95 ,$124.77 ,$18.64 ,$172.85 ,$153.56 ,$18.64 ,$152.10 ,$172.85 ,$172.85 ,$35.42 ,$163.16 ,$142.04 ,$46.60 ,$18.64 , N/A ,$160.09 ,$18.64 ,$158.55 ,$153.56 ,$172.76 ,$46.60 ,$163.16 ,$18.64 ,$163.16 ,$163.16 ,$172.76 ,$172.76 ,$150.68 ,$158.55 ,$18.64 ,$124.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001277,80332,PAROXETINE HCL LEVEL,301,1 ,$311.51 ,$202.48 ,$202.48 ,$280.51 ,$249.21 , N/A ,$246.84 ,$280.51 ,$280.51 , N/A ,$264.78 ,$230.52 , N/A , N/A , N/A ,$259.80 , N/A ,$257.31 ,$249.21 ,$280.36 , N/A ,$264.78 , N/A ,$264.78 ,$264.78 ,$280.36 ,$280.36 ,$244.54 ,$257.31 , N/A ,$202.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001278,86360,T AND B CELL COUNT,302,1 ,$100.04 ,$65.03 ,$46.98 ,$117.45 ,$80.03 ,$46.98 ,$79.27 ,$90.09 ,$90.09 ,$89.26 ,$85.03 ,$74.03 ,$117.45 ,$46.98 , N/A ,$83.43 ,$46.98 ,$82.63 ,$80.03 ,$90.04 ,$100.04 ,$85.03 ,$46.98 ,$85.03 ,$85.03 ,$90.04 ,$90.04 ,$78.53 ,$82.63 ,$46.98 ,$65.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001279,80299,NORPACE LEVEL,301,1 ,$191.95 ,$124.77 ,$18.64 ,$172.85 ,$153.56 ,$18.64 ,$152.10 ,$172.85 ,$172.85 ,$35.42 ,$163.16 ,$142.04 ,$46.60 ,$18.64 , N/A ,$160.09 ,$18.64 ,$158.55 ,$153.56 ,$172.76 ,$46.60 ,$163.16 ,$18.64 ,$163.16 ,$163.16 ,$172.76 ,$172.76 ,$150.68 ,$158.55 ,$18.64 ,$124.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001280,80199,GABATRIL LEVEL,301,1 ,$335.60 ,$218.14 ,$27.11 ,$302.21 ,$268.48 ,$27.11 ,$265.93 ,$302.21 ,$302.21 ,$51.51 ,$285.26 ,$248.34 ,$67.78 ,$27.11 , N/A ,$279.89 ,$27.11 ,$277.21 ,$268.48 ,$302.04 ,$67.78 ,$285.26 ,$27.11 ,$285.26 ,$285.26 ,$302.04 ,$302.04 ,$263.45 ,$277.21 ,$27.11 ,$218.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001281,83520,MMP 9,301,1 ,$290.35 ,$188.73 ,$17.27 ,$261.46 ,$232.28 ,$17.27 ,$230.07 ,$261.46 ,$261.46 ,$32.81 ,$246.80 ,$214.86 ,$43.18 ,$17.27 , N/A ,$242.15 ,$17.27 ,$239.83 ,$232.28 ,$261.32 ,$43.18 ,$246.80 ,$17.27 ,$246.80 ,$246.80 ,$261.32 ,$261.32 ,$227.92 ,$239.83 ,$17.27 ,$188.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001282,87385,HISTOPLASMA AG URINE,306,1 ,$595.27 ,$386.93 ,$13.25 ,$536.04 ,$476.22 ,$13.25 ,$471.69 ,$536.04 ,$536.04 ,$25.18 ,$505.98 ,$440.50 ,$33.13 ,$13.25 , N/A ,$496.46 ,$13.25 ,$491.69 ,$476.22 ,$535.74 ,$33.13 ,$505.98 ,$13.25 ,$505.98 ,$505.98 ,$535.74 ,$535.74 ,$467.29 ,$491.69 ,$13.25 ,$386.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001283,86757,ROCKY MTN SPT AB,302,1 ,$213.48 ,$138.76 ,$19.35 ,$192.24 ,$170.78 ,$19.35 ,$169.16 ,$192.24 ,$192.24 ,$36.77 ,$181.46 ,$157.98 ,$48.38 ,$19.35 , N/A ,$178.04 ,$19.35 ,$176.33 ,$170.78 ,$192.13 ,$48.38 ,$181.46 ,$19.35 ,$181.46 ,$181.46 ,$192.13 ,$192.13 ,$167.58 ,$176.33 ,$19.35 ,$138.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001284,82595,CRYOGLOBULINS,301,1 ,$126.20 ,$82.03 ,$6.47 ,$113.64 ,$100.96 ,$6.47 ,$100.00 ,$113.64 ,$113.64 ,$12.29 ,$107.27 ,$93.39 ,$16.18 ,$6.47 , N/A ,$105.25 ,$6.47 ,$104.24 ,$100.96 ,$113.58 ,$16.18 ,$107.27 ,$6.47 ,$107.27 ,$107.27 ,$113.58 ,$113.58 ,$99.07 ,$104.24 ,$6.47 ,$82.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001285,86235,SSA (RO) IGG AB,302,1 ,$251.57 ,$163.52 ,$17.93 ,$226.54 ,$201.26 ,$17.93 ,$199.34 ,$226.54 ,$226.54 ,$34.07 ,$213.83 ,$186.16 ,$44.83 ,$17.93 , N/A ,$209.81 ,$17.93 ,$207.80 ,$201.26 ,$226.41 ,$44.83 ,$213.83 ,$17.93 ,$213.83 ,$213.83 ,$226.41 ,$226.41 ,$197.48 ,$207.80 ,$17.93 ,$163.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001286,86235,SSB (LA) IGG AB,302,1 ,$251.57 ,$163.52 ,$17.93 ,$226.54 ,$201.26 ,$17.93 ,$199.34 ,$226.54 ,$226.54 ,$34.07 ,$213.83 ,$186.16 ,$44.83 ,$17.93 , N/A ,$209.81 ,$17.93 ,$207.80 ,$201.26 ,$226.41 ,$44.83 ,$213.83 ,$17.93 ,$213.83 ,$213.83 ,$226.41 ,$226.41 ,$197.48 ,$207.80 ,$17.93 ,$163.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001287,86235,SCLERODERMA IGG AB,302,1 ,$251.57 ,$163.52 ,$17.93 ,$226.54 ,$201.26 ,$17.93 ,$199.34 ,$226.54 ,$226.54 ,$34.07 ,$213.83 ,$186.16 ,$44.83 ,$17.93 , N/A ,$209.81 ,$17.93 ,$207.80 ,$201.26 ,$226.41 ,$44.83 ,$213.83 ,$17.93 ,$213.83 ,$213.83 ,$226.41 ,$226.41 ,$197.48 ,$207.80 ,$17.93 ,$163.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001288,84244,RENIN,301,1 ,$211.72 ,$137.62 ,$21.99 ,$190.65 ,$169.38 ,$21.99 ,$167.77 ,$190.65 ,$190.65 ,$41.78 ,$179.96 ,$156.67 ,$54.98 ,$21.99 , N/A ,$176.57 ,$21.99 ,$174.88 ,$169.38 ,$190.55 ,$54.98 ,$179.96 ,$21.99 ,$179.96 ,$179.96 ,$190.55 ,$190.55 ,$166.20 ,$174.88 ,$21.99 ,$137.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001289,82705,FECAL FAT QUAL,301,1 ,$181.19 ,$117.77 ,$5.10 ,$163.16 ,$144.95 ,$5.10 ,$143.58 ,$163.16 ,$163.16 ,$9.69 ,$154.01 ,$134.08 ,$12.75 ,$5.10 , N/A ,$151.11 ,$5.10 ,$149.66 ,$144.95 ,$163.07 ,$12.75 ,$154.01 ,$5.10 ,$154.01 ,$154.01 ,$163.07 ,$163.07 ,$142.23 ,$149.66 ,$5.10 ,$117.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001291,80320,VOLATILES,301,1 ,$148.84 ,$96.75 ,$96.75 ,$134.03 ,$119.07 , N/A ,$117.94 ,$134.03 ,$134.03 , N/A ,$126.51 ,$110.14 , N/A , N/A , N/A ,$124.13 , N/A ,$122.94 ,$119.07 ,$133.96 , N/A ,$126.51 , N/A ,$126.51 ,$126.51 ,$133.96 ,$133.96 ,$116.84 ,$122.94 , N/A ,$96.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001293,86255,ANTI-HU,302,1 ,$546.47 ,$355.21 ,$12.05 ,$492.10 ,$437.18 ,$12.05 ,$433.02 ,$492.10 ,$492.10 ,$22.90 ,$464.50 ,$404.39 ,$30.13 ,$12.05 , N/A ,$455.76 ,$12.05 ,$451.38 ,$437.18 ,$491.82 ,$30.13 ,$464.50 ,$12.05 ,$464.50 ,$464.50 ,$491.82 ,$491.82 ,$428.98 ,$451.38 ,$12.05 ,$355.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001294,86256,ANTI-YO,302,1 ,$719.82 ,$467.88 ,$12.05 ,$648.20 ,$575.86 ,$12.05 ,$570.39 ,$648.20 ,$648.20 ,$22.90 ,$611.85 ,$532.67 ,$30.13 ,$12.05 , N/A ,$600.33 ,$12.05 ,$594.57 ,$575.86 ,$647.84 ,$30.13 ,$611.85 ,$12.05 ,$611.85 ,$611.85 ,$647.84 ,$647.84 ,$565.06 ,$594.57 ,$12.05 ,$467.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001297,86320,IMMUNOFIX AND ELECTR,302,1 ,$432.43 ,$281.08 ,$29.92 ,$389.40 ,$345.94 ,$29.92 ,$342.66 ,$389.40 ,$389.40 ,$56.85 ,$367.57 ,$320.00 ,$74.80 ,$29.92 , N/A ,$360.65 ,$29.92 ,$357.19 ,$345.94 ,$389.19 ,$74.80 ,$367.57 ,$29.92 ,$367.57 ,$367.57 ,$389.19 ,$389.19 ,$339.46 ,$357.19 ,$29.92 ,$281.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001298,84597,VITAMIN K,301,1 ,$693.96 ,$451.07 ,$13.72 ,$624.91 ,$555.17 ,$13.72 ,$549.89 ,$624.91 ,$624.91 ,$26.07 ,$589.87 ,$513.53 ,$34.30 ,$13.72 , N/A ,$578.76 ,$13.72 ,$573.21 ,$555.17 ,$624.56 ,$34.30 ,$589.87 ,$13.72 ,$589.87 ,$589.87 ,$624.56 ,$624.56 ,$544.76 ,$573.21 ,$13.72 ,$451.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001299,87425,ROTAVIRUS,306,1 ,$249.83 ,$162.39 ,$11.98 ,$224.97 ,$199.86 ,$11.98 ,$197.97 ,$224.97 ,$224.97 ,$22.76 ,$212.36 ,$184.87 ,$29.95 ,$11.98 , N/A ,$208.36 ,$11.98 ,$206.36 ,$199.86 ,$224.85 ,$29.95 ,$212.36 ,$11.98 ,$212.36 ,$212.36 ,$224.85 ,$224.85 ,$196.12 ,$206.36 ,$11.98 ,$162.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001300,80299,RITALIN LEVEL,301,1 ,$299.61 ,$194.75 ,$18.64 ,$269.80 ,$239.69 ,$18.64 ,$237.41 ,$269.80 ,$269.80 ,$35.42 ,$254.67 ,$221.71 ,$46.60 ,$18.64 , N/A ,$249.87 ,$18.64 ,$247.48 ,$239.69 ,$269.65 ,$46.60 ,$254.67 ,$18.64 ,$254.67 ,$254.67 ,$269.65 ,$269.65 ,$235.19 ,$247.48 ,$18.64 ,$194.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001301,86695,DNU HSV I AND II IGM,302,1 ,$249.31 ,$162.05 ,$13.19 ,$224.50 ,$199.45 ,$13.19 ,$197.55 ,$224.50 ,$224.50 ,$25.06 ,$211.91 ,$184.49 ,$32.98 ,$13.19 , N/A ,$207.92 ,$13.19 ,$205.93 ,$199.45 ,$224.38 ,$32.98 ,$211.91 ,$13.19 ,$211.91 ,$211.91 ,$224.38 ,$224.38 ,$195.71 ,$205.93 ,$13.19 ,$162.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001302,84588,VASOPRESSIN,301,1 ,$207.87 ,$135.12 ,$33.94 ,$187.19 ,$166.30 ,$33.94 ,$164.72 ,$187.19 ,$187.19 ,$64.49 ,$176.69 ,$153.82 ,$84.85 ,$33.94 , N/A ,$173.36 ,$33.94 ,$171.70 ,$166.30 ,$187.08 ,$84.85 ,$176.69 ,$33.94 ,$176.69 ,$176.69 ,$187.08 ,$187.08 ,$163.18 ,$171.70 ,$33.94 ,$135.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001303,N/A,ADH,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001304,86340,INTRINS FT AB,302,1 ,$221.85 ,$144.20 ,$15.08 ,$199.78 ,$177.48 ,$15.08 ,$175.79 ,$199.78 ,$199.78 ,$28.65 ,$188.57 ,$164.17 ,$37.70 ,$15.08 , N/A ,$185.02 ,$15.08 ,$183.25 ,$177.48 ,$199.67 ,$37.70 ,$188.57 ,$15.08 ,$188.57 ,$188.57 ,$199.67 ,$199.67 ,$174.15 ,$183.25 ,$15.08 ,$144.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001305,86325,IMMUNO AND ELECTR UR RANDOM,302,1 ,$543.18 ,$353.07 ,$23.13 ,$489.13 ,$434.54 ,$23.13 ,$430.42 ,$489.13 ,$489.13 ,$43.95 ,$461.70 ,$401.95 ,$57.83 ,$23.13 , N/A ,$453.01 ,$23.13 ,$448.67 ,$434.54 ,$488.86 ,$57.83 ,$461.70 ,$23.13 ,$461.70 ,$461.70 ,$488.86 ,$488.86 ,$426.40 ,$448.67 ,$23.13 ,$353.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001306,87521,HEP C PCR QUALITATIVE,306,1 ,$998.86 ,$649.26 ,$35.09 ,$899.47 ,$799.09 ,$35.09 ,$791.50 ,$899.47 ,$899.47 ,$66.67 ,$849.03 ,$739.16 ,$87.73 ,$35.09 , N/A ,$833.05 ,$35.09 ,$825.06 ,$799.09 ,$898.97 ,$87.73 ,$849.03 ,$35.09 ,$849.03 ,$849.03 ,$898.97 ,$898.97 ,$784.11 ,$825.06 ,$35.09 ,$649.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001307,85305,PROTEIN S AG,305,1 ,$455.47 ,$296.06 ,$11.61 ,$410.15 ,$364.38 ,$11.61 ,$360.91 ,$410.15 ,$410.15 ,$22.06 ,$387.15 ,$337.05 ,$29.03 ,$11.61 , N/A ,$379.86 ,$11.61 ,$376.22 ,$364.38 ,$409.92 ,$29.03 ,$387.15 ,$11.61 ,$387.15 ,$387.15 ,$409.92 ,$409.92 ,$357.54 ,$376.22 ,$11.61 ,$296.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001308,80156,CARBAMAZEPINE LEVEL,301,1 ,$210.28 ,$136.68 ,$14.57 ,$189.36 ,$168.22 ,$14.57 ,$166.63 ,$189.36 ,$189.36 ,$27.68 ,$178.74 ,$155.61 ,$36.43 ,$14.57 , N/A ,$175.37 ,$14.57 ,$173.69 ,$168.22 ,$189.25 ,$36.43 ,$178.74 ,$14.57 ,$178.74 ,$178.74 ,$189.25 ,$189.25 ,$165.07 ,$173.69 ,$14.57 ,$136.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001309,80164,VALPROIC ACID LEVEL,301,1 ,$253.97 ,$165.08 ,$13.54 ,$228.70 ,$203.18 ,$13.54 ,$201.25 ,$228.70 ,$228.70 ,$25.73 ,$215.87 ,$187.94 ,$33.85 ,$13.54 , N/A ,$211.81 ,$13.54 ,$209.78 ,$203.18 ,$228.57 ,$33.85 ,$215.87 ,$13.54 ,$215.87 ,$215.87 ,$228.57 ,$228.57 ,$199.37 ,$209.78 ,$13.54 ,$165.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001310,87899,H FLU B AG,306,1 ,$297.81 ,$193.58 ,$16.07 ,$268.18 ,$238.25 ,$16.07 ,$235.98 ,$268.18 ,$268.18 ,$30.53 ,$253.14 ,$220.38 ,$40.18 ,$16.07 , N/A ,$248.37 ,$16.07 ,$245.99 ,$238.25 ,$268.03 ,$40.18 ,$253.14 ,$16.07 ,$253.14 ,$253.14 ,$268.03 ,$268.03 ,$233.78 ,$245.99 ,$16.07 ,$193.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001311,86631,PSITTACOSIS AB,302,1 ,$426.41 ,$277.17 ,$11.82 ,$383.98 ,$341.13 ,$11.82 ,$337.89 ,$383.98 ,$383.98 ,$22.46 ,$362.45 ,$315.54 ,$29.55 ,$11.82 , N/A ,$355.63 ,$11.82 ,$352.21 ,$341.13 ,$383.77 ,$29.55 ,$362.45 ,$11.82 ,$362.45 ,$362.45 ,$383.77 ,$383.77 ,$334.73 ,$352.21 ,$11.82 ,$277.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001313,83625,LDH ISOENZYMES,301,1 ,$302.03 ,$196.32 ,$12.79 ,$271.98 ,$241.62 ,$12.79 ,$239.33 ,$271.98 ,$271.98 ,$24.30 ,$256.73 ,$223.50 ,$31.98 ,$12.79 , N/A ,$251.89 ,$12.79 ,$249.48 ,$241.62 ,$271.83 ,$31.98 ,$256.73 ,$12.79 ,$256.73 ,$256.73 ,$271.83 ,$271.83 ,$237.09 ,$249.48 ,$12.79 ,$196.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001315,80051,DLY LYTES,301,1 ,$89.14 ,$57.94 ,$7.01 ,$80.27 ,$71.31 ,$7.01 ,$70.63 ,$80.27 ,$80.27 ,$13.32 ,$75.77 ,$65.96 ,$17.53 ,$7.01 , N/A ,$74.34 ,$7.01 ,$73.63 ,$71.31 ,$80.23 ,$17.53 ,$75.77 ,$7.01 ,$75.77 ,$75.77 ,$80.23 ,$80.23 ,$69.97 ,$73.63 ,$7.01 ,$57.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001316,80162,DLY DIGOXIN LEVEL,301,1 ,$146.69 ,$95.35 ,$13.28 ,$132.09 ,$117.35 ,$13.28 ,$116.24 ,$132.09 ,$132.09 ,$25.23 ,$124.69 ,$108.55 ,$33.20 ,$13.28 , N/A ,$122.34 ,$13.28 ,$121.17 ,$117.35 ,$132.02 ,$33.20 ,$124.69 ,$13.28 ,$124.69 ,$124.69 ,$132.02 ,$132.02 ,$115.15 ,$121.17 ,$13.28 ,$95.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001320,N/A,DLY HGB AND HCT,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001321,84156,TOTAL PROTEIN URINE 24 HR,301,1 ,$139.56 ,$90.71 ,$3.67 ,$125.67 ,$111.65 ,$3.67 ,$110.59 ,$125.67 ,$125.67 ,$6.97 ,$118.63 ,$103.27 ,$9.18 ,$3.67 , N/A ,$116.39 ,$3.67 ,$115.28 ,$111.65 ,$125.60 ,$9.18 ,$118.63 ,$3.67 ,$118.63 ,$118.63 ,$125.60 ,$125.60 ,$109.55 ,$115.28 ,$3.67 ,$90.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001322,83735,DLY MAGNESIUM,301,1 ,$114.76 ,$74.59 ,$6.70 ,$103.34 ,$91.81 ,$6.70 ,$90.94 ,$103.34 ,$103.34 ,$12.73 ,$97.55 ,$84.92 ,$16.75 ,$6.70 , N/A ,$95.71 ,$6.70 ,$94.79 ,$91.81 ,$103.28 ,$16.75 ,$97.55 ,$6.70 ,$97.55 ,$97.55 ,$103.28 ,$103.28 ,$90.09 ,$94.79 ,$6.70 ,$74.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001323,82947,DLY GLUCOSE,301,1 ,$43.36 ,$28.18 ,$3.93 ,$39.05 ,$34.69 ,$3.93 ,$34.36 ,$39.05 ,$39.05 ,$7.47 ,$36.86 ,$32.09 ,$9.83 ,$3.93 , N/A ,$36.16 ,$3.93 ,$35.82 ,$34.69 ,$39.02 ,$9.83 ,$36.86 ,$3.93 ,$36.86 ,$36.86 ,$39.02 ,$39.02 ,$34.04 ,$35.82 ,$3.93 ,$28.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001326,84238,ACETYLCHOLINE RECEPTOR AB,301,1 ,$300.97 ,$195.63 ,$36.57 ,$271.02 ,$240.78 ,$36.57 ,$238.49 ,$271.02 ,$271.02 ,$69.48 ,$255.82 ,$222.72 ,$91.43 ,$36.57 , N/A ,$251.01 ,$36.57 ,$248.60 ,$240.78 ,$270.87 ,$91.43 ,$255.82 ,$36.57 ,$255.82 ,$255.82 ,$270.87 ,$270.87 ,$236.26 ,$248.60 ,$36.57 ,$195.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001327,83036,HGB A1C,301,1 ,$181.19 ,$117.77 ,$9.71 ,$163.16 ,$144.95 ,$9.71 ,$143.58 ,$163.16 ,$163.16 ,$18.45 ,$154.01 ,$134.08 ,$24.28 ,$9.71 , N/A ,$151.11 ,$9.71 ,$149.66 ,$144.95 ,$163.07 ,$24.28 ,$154.01 ,$9.71 ,$154.01 ,$154.01 ,$163.07 ,$163.07 ,$142.23 ,$149.66 ,$9.71 ,$117.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001328,84311,PHENOLPHTHALEIN,301,1 ,$74.72 ,$48.57 ,$8.10 ,$67.29 ,$59.78 ,$8.10 ,$59.21 ,$67.29 ,$67.29 ,$15.39 ,$63.51 ,$55.29 ,$20.25 ,$8.10 , N/A ,$62.32 ,$8.10 ,$61.72 ,$59.78 ,$67.25 ,$20.25 ,$63.51 ,$8.10 ,$63.51 ,$63.51 ,$67.25 ,$67.25 ,$58.66 ,$61.72 ,$8.10 ,$48.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001329,83986,PH STOOL,301,1 ,$37.87 ,$24.62 ,$3.58 ,$34.10 ,$30.30 ,$3.58 ,$30.01 ,$34.10 ,$34.10 ,$6.80 ,$32.19 ,$28.02 ,$8.95 ,$3.58 , N/A ,$31.58 ,$3.58 ,$31.28 ,$30.30 ,$34.08 ,$8.95 ,$32.19 ,$3.58 ,$32.19 ,$32.19 ,$34.08 ,$34.08 ,$29.73 ,$31.28 ,$3.58 ,$24.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001330,88262,CHROMOSOME ANAL LEUKEMIA,310,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001333,83873,MYELIN BASIC PROTEIN,301,1 ,$214.50 ,$139.43 ,$17.20 ,$193.16 ,$171.60 ,$17.20 ,$169.97 ,$193.16 ,$193.16 ,$32.68 ,$182.33 ,$158.73 ,$43.00 ,$17.20 , N/A ,$178.89 ,$17.20 ,$177.18 ,$171.60 ,$193.05 ,$43.00 ,$182.33 ,$17.20 ,$182.33 ,$182.33 ,$193.05 ,$193.05 ,$168.38 ,$177.18 ,$17.20 ,$139.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001334,83916,OLIGOCLONAL BANDS,301,1 ,$189.25 ,$123.01 ,$27.39 ,$170.42 ,$151.40 ,$27.39 ,$149.96 ,$170.42 ,$170.42 ,$52.04 ,$160.86 ,$140.05 ,$68.48 ,$27.39 , N/A ,$157.83 ,$27.39 ,$156.32 ,$151.40 ,$170.33 ,$68.48 ,$160.86 ,$27.39 ,$160.86 ,$160.86 ,$170.33 ,$170.33 ,$148.56 ,$156.32 ,$27.39 ,$123.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001335,86403,CRYPTOCOCCAL AG SERUM,306,1 ,$199.95 ,$129.97 ,$11.54 ,$180.06 ,$159.96 ,$11.54 ,$158.44 ,$180.06 ,$180.06 ,$21.93 ,$169.96 ,$147.96 ,$28.85 ,$11.54 , N/A ,$166.76 ,$11.54 ,$165.16 ,$159.96 ,$179.96 ,$28.85 ,$169.96 ,$11.54 ,$169.96 ,$169.96 ,$179.96 ,$179.96 ,$156.96 ,$165.16 ,$11.54 ,$129.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001338,80342,QUETIAPINE FUMARATE LEVEL,301,1 ,$359.50 ,$233.68 ,$233.68 ,$323.73 ,$287.60 , N/A ,$284.87 ,$323.73 ,$323.73 , N/A ,$305.58 ,$266.03 , N/A , N/A , N/A ,$299.82 , N/A ,$296.95 ,$287.60 ,$323.55 , N/A ,$305.58 , N/A ,$305.58 ,$305.58 ,$323.55 ,$323.55 ,$282.21 ,$296.95 , N/A ,$233.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001339,82533,CORTISOL,301,1 ,$79.58 ,$51.73 ,$16.30 ,$71.66 ,$63.66 ,$16.30 ,$63.06 ,$71.66 ,$71.66 ,$30.97 ,$67.64 ,$58.89 ,$40.75 ,$16.30 , N/A ,$66.37 ,$16.30 ,$65.73 ,$63.66 ,$71.62 ,$40.75 ,$67.64 ,$16.30 ,$67.64 ,$67.64 ,$71.62 ,$71.62 ,$62.47 ,$65.73 ,$16.30 ,$51.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001340,82088,ALDOSTERONE UR,301,1 ,$252.38 ,$164.05 ,$40.75 ,$227.27 ,$201.90 ,$40.75 ,$199.99 ,$227.27 ,$227.27 ,$77.43 ,$214.52 ,$186.76 ,$101.88 ,$40.75 , N/A ,$210.48 ,$40.75 ,$208.47 ,$201.90 ,$227.14 ,$101.88 ,$214.52 ,$40.75 ,$214.52 ,$214.52 ,$227.14 ,$227.14 ,$198.12 ,$208.47 ,$40.75 ,$164.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001341,82530,CORTISOL URINE FREE 24 HR,301,1 ,$189.25 ,$123.01 ,$16.71 ,$170.42 ,$151.40 ,$16.71 ,$149.96 ,$170.42 ,$170.42 ,$31.75 ,$160.86 ,$140.05 ,$41.78 ,$16.71 , N/A ,$157.83 ,$16.71 ,$156.32 ,$151.40 ,$170.33 ,$41.78 ,$160.86 ,$16.71 ,$160.86 ,$160.86 ,$170.33 ,$170.33 ,$148.56 ,$156.32 ,$16.71 ,$123.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001342,N/A,INDIRECT BILI NC CALCULATION,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001343,82157,ANDROSTENEDIONE,301,1 ,$300.08 ,$195.05 ,$29.28 ,$270.22 ,$240.06 ,$29.28 ,$237.78 ,$270.22 ,$270.22 ,$55.63 ,$255.07 ,$222.06 ,$73.20 ,$29.28 , N/A ,$250.27 ,$29.28 ,$247.87 ,$240.06 ,$270.07 ,$73.20 ,$255.07 ,$29.28 ,$255.07 ,$255.07 ,$270.07 ,$270.07 ,$235.56 ,$247.87 ,$29.28 ,$195.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001344,84305,SOMATOMEDIN-C,301,1 ,$270.86 ,$176.06 ,$21.26 ,$243.91 ,$216.69 ,$21.26 ,$214.63 ,$243.91 ,$243.91 ,$40.39 ,$230.23 ,$200.44 ,$53.15 ,$21.26 , N/A ,$225.90 ,$21.26 ,$223.73 ,$216.69 ,$243.77 ,$53.15 ,$230.23 ,$21.26 ,$230.23 ,$230.23 ,$243.77 ,$243.77 ,$212.63 ,$223.73 ,$21.26 ,$176.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001345,82652,VITAMIN D 1 25 DIHYDROXY,301,1 ,$317.54 ,$206.40 ,$38.50 ,$285.94 ,$254.03 ,$38.50 ,$251.62 ,$285.94 ,$285.94 ,$73.15 ,$269.91 ,$234.98 ,$96.25 ,$38.50 , N/A ,$264.83 ,$38.50 ,$262.29 ,$254.03 ,$285.79 ,$96.25 ,$269.91 ,$38.50 ,$269.91 ,$269.91 ,$285.79 ,$285.79 ,$249.27 ,$262.29 ,$38.50 ,$206.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001346,86431,RA TITER,302,1 ,$156.09 ,$101.46 ,$5.67 ,$140.56 ,$124.87 ,$5.67 ,$123.69 ,$140.56 ,$140.56 ,$10.77 ,$132.68 ,$115.51 ,$14.18 ,$5.67 , N/A ,$130.18 ,$5.67 ,$128.93 ,$124.87 ,$140.48 ,$14.18 ,$132.68 ,$5.67 ,$132.68 ,$132.68 ,$140.48 ,$140.48 ,$122.53 ,$128.93 ,$5.67 ,$101.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001347,80162,DIGOXIN LEVEL,301,1 ,$186.91 ,$121.49 ,$13.28 ,$168.31 ,$149.53 ,$13.28 ,$148.11 ,$168.31 ,$168.31 ,$25.23 ,$158.87 ,$138.31 ,$33.20 ,$13.28 , N/A ,$155.88 ,$13.28 ,$154.39 ,$149.53 ,$168.22 ,$33.20 ,$158.87 ,$13.28 ,$158.87 ,$158.87 ,$168.22 ,$168.22 ,$146.72 ,$154.39 ,$13.28 ,$121.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001348,82652,CALCITRIOL,301,1 ,$302.90 ,$196.89 ,$38.50 ,$272.76 ,$242.32 ,$38.50 ,$240.02 ,$272.76 ,$272.76 ,$73.15 ,$257.47 ,$224.15 ,$96.25 ,$38.50 , N/A ,$252.62 ,$38.50 ,$250.20 ,$242.32 ,$272.61 ,$96.25 ,$257.47 ,$38.50 ,$257.47 ,$257.47 ,$272.61 ,$272.61 ,$237.78 ,$250.20 ,$38.50 ,$196.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001349,83520,DNU ANTIGLIADIN PROF,301,1 ,$488.50 ,$317.53 ,$17.27 ,$439.89 ,$390.80 ,$17.27 ,$387.09 ,$439.89 ,$439.89 ,$32.81 ,$415.23 ,$361.49 ,$43.18 ,$17.27 , N/A ,$407.41 ,$17.27 ,$403.50 ,$390.80 ,$439.65 ,$43.18 ,$415.23 ,$17.27 ,$415.23 ,$415.23 ,$439.65 ,$439.65 ,$383.47 ,$403.50 ,$17.27 ,$317.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001350,84157,TOTAL PROTEIN BODY FLUID,301,1 ,$121.45 ,$78.94 ,$4.00 ,$109.37 ,$97.16 ,$4.00 ,$96.24 ,$109.37 ,$109.37 ,$7.60 ,$103.23 ,$89.87 ,$10.00 ,$4.00 , N/A ,$101.29 ,$4.00 ,$100.32 ,$97.16 ,$109.31 ,$10.00 ,$103.23 ,$4.00 ,$103.23 ,$103.23 ,$109.31 ,$109.31 ,$95.34 ,$100.32 ,$4.00 ,$78.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001351,80186,PHENYTOIN FREE AND TOTAL,301,1 ,$138.32 ,$89.91 ,$13.76 ,$124.56 ,$110.66 ,$13.76 ,$109.60 ,$124.56 ,$124.56 ,$26.14 ,$117.57 ,$102.36 ,$34.40 ,$13.76 , N/A ,$115.36 ,$13.76 ,$114.25 ,$110.66 ,$124.49 ,$34.40 ,$117.57 ,$13.76 ,$117.57 ,$117.57 ,$124.49 ,$124.49 ,$108.58 ,$114.25 ,$13.76 ,$89.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001352,80346,VALIUM LEVEL SERUM,301,1 ,$115.38 ,$75.00 ,$75.00 ,$103.90 ,$92.30 , N/A ,$91.43 ,$103.90 ,$103.90 , N/A ,$98.07 ,$85.38 , N/A , N/A , N/A ,$96.23 , N/A ,$95.30 ,$92.30 ,$103.84 , N/A ,$98.07 , N/A ,$98.07 ,$98.07 ,$103.84 ,$103.84 ,$90.57 ,$95.30 , N/A ,$75.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001353,80346,BENZODIAZEPINE LEVEL SERUM,301,1 ,$115.38 ,$75.00 ,$75.00 ,$103.90 ,$92.30 , N/A ,$91.43 ,$103.90 ,$103.90 , N/A ,$98.07 ,$85.38 , N/A , N/A , N/A ,$96.23 , N/A ,$95.30 ,$92.30 ,$103.84 , N/A ,$98.07 , N/A ,$98.07 ,$98.07 ,$103.84 ,$103.84 ,$90.57 ,$95.30 , N/A ,$75.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001354,83505,HYDROXYPRO TOTAL,301,1 ,$401.11 ,$260.72 ,$24.30 ,$361.20 ,$320.89 ,$24.30 ,$317.84 ,$361.20 ,$361.20 ,$46.17 ,$340.94 ,$296.82 ,$60.75 ,$24.30 , N/A ,$334.53 ,$24.30 ,$331.32 ,$320.89 ,$361.00 ,$60.75 ,$340.94 ,$24.30 ,$340.94 ,$340.94 ,$361.00 ,$361.00 ,$314.87 ,$331.32 ,$24.30 ,$260.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001355,80299,WELLBUTRIN LEVEL,301,1 ,$368.77 ,$239.70 ,$18.64 ,$332.08 ,$295.02 ,$18.64 ,$292.21 ,$332.08 ,$332.08 ,$35.42 ,$313.45 ,$272.89 ,$46.60 ,$18.64 , N/A ,$307.55 ,$18.64 ,$304.60 ,$295.02 ,$331.89 ,$46.60 ,$313.45 ,$18.64 ,$313.45 ,$313.45 ,$331.89 ,$331.89 ,$289.48 ,$304.60 ,$18.64 ,$239.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001357,86000,TULAREMIA,302,1 ,$141.24 ,$91.81 ,$6.98 ,$127.19 ,$112.99 ,$6.98 ,$111.92 ,$127.19 ,$127.19 ,$13.26 ,$120.05 ,$104.52 ,$17.45 ,$6.98 , N/A ,$117.79 ,$6.98 ,$116.66 ,$112.99 ,$127.12 ,$17.45 ,$120.05 ,$6.98 ,$120.05 ,$120.05 ,$127.12 ,$127.12 ,$110.87 ,$116.66 ,$6.98 ,$91.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001358,83885,"NICKEL, PLASMA",301,1 ,$266.86 ,$173.46 ,$24.51 ,$240.31 ,$213.49 ,$24.51 ,$211.46 ,$240.31 ,$240.31 ,$46.57 ,$226.83 ,$197.48 ,$61.28 ,$24.51 , N/A ,$222.56 ,$24.51 ,$220.43 ,$213.49 ,$240.17 ,$61.28 ,$226.83 ,$24.51 ,$226.83 ,$226.83 ,$240.17 ,$240.17 ,$209.49 ,$220.43 ,$24.51 ,$173.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001359,82308,CALCITONIN,301,1 ,$162.54 ,$105.65 ,$26.79 ,$146.37 ,$130.03 ,$26.79 ,$128.80 ,$146.37 ,$146.37 ,$50.90 ,$138.16 ,$120.28 ,$66.98 ,$26.79 , N/A ,$135.56 ,$26.79 ,$134.26 ,$130.03 ,$146.29 ,$66.98 ,$138.16 ,$26.79 ,$138.16 ,$138.16 ,$146.29 ,$146.29 ,$127.59 ,$134.26 ,$26.79 ,$105.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001360,82945,GLUCOSE BODY FLUID,301,1 ,$109.32 ,$71.06 ,$3.93 ,$98.44 ,$87.46 ,$3.93 ,$86.63 ,$98.44 ,$98.44 ,$7.47 ,$92.92 ,$80.90 ,$9.83 ,$3.93 , N/A ,$91.17 ,$3.93 ,$90.30 ,$87.46 ,$98.39 ,$9.83 ,$92.92 ,$3.93 ,$92.92 ,$92.92 ,$98.39 ,$98.39 ,$85.82 ,$90.30 ,$3.93 ,$71.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001361,83615,LDH BODY FLUID,301,1 ,$121.45 ,$78.94 ,$6.04 ,$109.37 ,$97.16 ,$6.04 ,$96.24 ,$109.37 ,$109.37 ,$11.48 ,$103.23 ,$89.87 ,$15.10 ,$6.04 , N/A ,$101.29 ,$6.04 ,$100.32 ,$97.16 ,$109.31 ,$15.10 ,$103.23 ,$6.04 ,$103.23 ,$103.23 ,$109.31 ,$109.31 ,$95.34 ,$100.32 ,$6.04 ,$78.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001362,86804,HEP C AB RIBA,302,1 ,$402.21 ,$261.44 ,$15.49 ,$362.19 ,$321.77 ,$15.49 ,$318.71 ,$362.19 ,$362.19 ,$29.43 ,$341.88 ,$297.64 ,$38.73 ,$15.49 , N/A ,$335.44 ,$15.49 ,$332.23 ,$321.77 ,$361.99 ,$38.73 ,$341.88 ,$15.49 ,$341.88 ,$341.88 ,$361.99 ,$361.99 ,$315.73 ,$332.23 ,$15.49 ,$261.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001363,83003,HUMAN GROWTH HORMONE(HGH),301,1 ,$87.25 ,$56.71 ,$16.67 ,$78.57 ,$69.80 ,$16.67 ,$69.14 ,$78.57 ,$78.57 ,$31.67 ,$74.16 ,$64.57 ,$41.68 ,$16.67 , N/A ,$72.77 ,$16.67 ,$72.07 ,$69.80 ,$78.53 ,$41.68 ,$74.16 ,$16.67 ,$74.16 ,$74.16 ,$78.53 ,$78.53 ,$68.49 ,$72.07 ,$16.67 ,$56.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001364,82131,METHYLMALONIC ACID,301,1 ,$559.54 ,$363.70 ,$22.98 ,$503.87 ,$447.63 ,$22.98 ,$443.38 ,$503.87 ,$503.87 ,$43.66 ,$475.61 ,$414.06 ,$57.45 ,$22.98 , N/A ,$466.66 ,$22.98 ,$462.18 ,$447.63 ,$503.59 ,$57.45 ,$475.61 ,$22.98 ,$475.61 ,$475.61 ,$503.59 ,$503.59 ,$439.24 ,$462.18 ,$22.98 ,$363.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001365,87070,CULTURE PERTUSSIS,306,1 ,$58.36 ,$37.93 ,$8.62 ,$52.55 ,$46.69 ,$8.62 ,$46.24 ,$52.55 ,$52.55 ,$16.38 ,$49.61 ,$43.19 ,$21.55 ,$8.62 , N/A ,$48.67 ,$8.62 ,$48.21 ,$46.69 ,$52.52 ,$21.55 ,$49.61 ,$8.62 ,$49.61 ,$49.61 ,$52.52 ,$52.52 ,$45.81 ,$48.21 ,$8.62 ,$37.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001366,84252,B2 RIBOFLAVIN,301,1 ,$339.50 ,$220.68 ,$20.24 ,$305.72 ,$271.60 ,$20.24 ,$269.02 ,$305.72 ,$305.72 ,$38.46 ,$288.58 ,$251.23 ,$50.60 ,$20.24 , N/A ,$283.14 ,$20.24 ,$280.43 ,$271.60 ,$305.55 ,$50.60 ,$288.58 ,$20.24 ,$288.58 ,$288.58 ,$305.55 ,$305.55 ,$266.51 ,$280.43 ,$20.24 ,$220.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001367,86717,LEISHMANIA Ab,302,1 ,$410.10 ,$266.57 ,$12.25 ,$369.30 ,$328.08 ,$12.25 ,$324.96 ,$369.30 ,$369.30 ,$23.28 ,$348.59 ,$303.47 ,$30.63 ,$12.25 , N/A ,$342.02 ,$12.25 ,$338.74 ,$328.08 ,$369.09 ,$30.63 ,$348.59 ,$12.25 ,$348.59 ,$348.59 ,$369.09 ,$369.09 ,$321.93 ,$338.74 ,$12.25 ,$266.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001368,86609,PNEUMO AB IGG,302,1 ,$384.34 ,$249.82 ,$12.88 ,$346.10 ,$307.47 ,$12.88 ,$304.55 ,$346.10 ,$346.10 ,$24.47 ,$326.69 ,$284.41 ,$32.20 ,$12.88 , N/A ,$320.54 ,$12.88 ,$317.46 ,$307.47 ,$345.91 ,$32.20 ,$326.69 ,$12.88 ,$326.69 ,$326.69 ,$345.91 ,$345.91 ,$301.71 ,$317.46 ,$12.88 ,$249.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001369,86644,CMV Ab IGG,302,1 ,$205.03 ,$133.27 ,$14.39 ,$184.63 ,$164.02 ,$14.39 ,$162.47 ,$184.63 ,$184.63 ,$27.34 ,$174.28 ,$151.72 ,$35.98 ,$14.39 , N/A ,$171.00 ,$14.39 ,$169.35 ,$164.02 ,$184.53 ,$35.98 ,$174.28 ,$14.39 ,$174.28 ,$174.28 ,$184.53 ,$184.53 ,$160.95 ,$169.35 ,$14.39 ,$133.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001370,84480,T3 TOTAL,301,1 ,$252.23 ,$163.95 ,$14.18 ,$227.13 ,$201.78 ,$14.18 ,$199.87 ,$227.13 ,$227.13 ,$26.94 ,$214.40 ,$186.65 ,$35.45 ,$14.18 , N/A ,$210.36 ,$14.18 ,$208.34 ,$201.78 ,$227.01 ,$35.45 ,$214.40 ,$14.18 ,$214.40 ,$214.40 ,$227.01 ,$227.01 ,$198.00 ,$208.34 ,$14.18 ,$163.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001371,86645,CMV Ab IgM,302,1 ,$205.03 ,$133.27 ,$16.85 ,$184.63 ,$164.02 ,$16.85 ,$162.47 ,$184.63 ,$184.63 ,$32.02 ,$174.28 ,$151.72 ,$42.13 ,$16.85 , N/A ,$171.00 ,$16.85 ,$169.35 ,$164.02 ,$184.53 ,$42.13 ,$174.28 ,$16.85 ,$174.28 ,$174.28 ,$184.53 ,$184.53 ,$160.95 ,$169.35 ,$16.85 ,$133.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001372,83050,METHEMOGLOBIN,301,1 ,$102.33 ,$66.51 ,$8.20 ,$92.15 ,$81.86 ,$8.20 ,$81.09 ,$92.15 ,$92.15 ,$15.58 ,$86.98 ,$75.72 ,$20.50 ,$8.20 , N/A ,$85.34 ,$8.20 ,$84.52 ,$81.86 ,$92.10 ,$20.50 ,$86.98 ,$8.20 ,$86.98 ,$86.98 ,$92.10 ,$92.10 ,$80.33 ,$84.52 ,$8.20 ,$66.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001373,84134,PRE ALBUMIN URINE,301,1 ,$169.94 ,$110.46 ,$14.59 ,$153.03 ,$135.95 ,$14.59 ,$134.66 ,$153.03 ,$153.03 ,$27.72 ,$144.45 ,$125.76 ,$36.48 ,$14.59 , N/A ,$141.73 ,$14.59 ,$140.37 ,$135.95 ,$152.95 ,$36.48 ,$144.45 ,$14.59 ,$144.45 ,$144.45 ,$152.95 ,$152.95 ,$133.40 ,$140.37 ,$14.59 ,$110.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001374,86331,HYPER PNEUMO PROFILE,302,1 ,$136.64 ,$88.82 ,$11.98 ,$123.04 ,$109.31 ,$11.98 ,$108.27 ,$123.04 ,$123.04 ,$22.76 ,$116.14 ,$101.11 ,$29.95 ,$11.98 , N/A ,$113.96 ,$11.98 ,$112.86 ,$109.31 ,$122.98 ,$29.95 ,$116.14 ,$11.98 ,$116.14 ,$116.14 ,$122.98 ,$122.98 ,$107.26 ,$112.86 ,$11.98 ,$88.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001375,80175,LAMICTAL LEVEL,301,1 ,$314.15 ,$204.20 ,$13.25 ,$282.89 ,$251.32 ,$13.25 ,$248.93 ,$282.89 ,$282.89 ,$25.18 ,$267.03 ,$232.47 ,$33.13 ,$13.25 , N/A ,$262.00 ,$13.25 ,$259.49 ,$251.32 ,$282.74 ,$33.13 ,$267.03 ,$13.25 ,$267.03 ,$267.03 ,$282.74 ,$282.74 ,$246.61 ,$259.49 ,$13.25 ,$204.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001376,80299,ZOLOFT LEVEL,301,1 ,$276.58 ,$179.78 ,$18.64 ,$249.06 ,$221.26 ,$18.64 ,$219.16 ,$249.06 ,$249.06 ,$35.42 ,$235.09 ,$204.67 ,$46.60 ,$18.64 , N/A ,$230.67 ,$18.64 ,$228.46 ,$221.26 ,$248.92 ,$46.60 ,$235.09 ,$18.64 ,$235.09 ,$235.09 ,$248.92 ,$248.92 ,$217.12 ,$228.46 ,$18.64 ,$179.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001378,80299,IBUPROFEN LEVEL,301,1 ,$218.99 ,$142.34 ,$18.64 ,$197.20 ,$175.19 ,$18.64 ,$173.53 ,$197.20 ,$197.20 ,$35.42 ,$186.14 ,$162.05 ,$46.60 ,$18.64 , N/A ,$182.64 ,$18.64 ,$180.89 ,$175.19 ,$197.09 ,$46.60 ,$186.14 ,$18.64 ,$186.14 ,$186.14 ,$197.09 ,$197.09 ,$171.91 ,$180.89 ,$18.64 ,$142.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001379,84260,SEROTONIN,301,1 ,$254.74 ,$165.58 ,$30.98 ,$229.39 ,$203.79 ,$30.98 ,$201.86 ,$229.39 ,$229.39 ,$58.86 ,$216.53 ,$188.51 ,$77.45 ,$30.98 , N/A ,$212.45 ,$30.98 ,$210.42 ,$203.79 ,$229.27 ,$77.45 ,$216.53 ,$30.98 ,$216.53 ,$216.53 ,$229.27 ,$229.27 ,$199.97 ,$210.42 ,$30.98 ,$165.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001380,82105,AFP XTRA SERUM,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001381,82105,TRIPLE SCREEN PANEL,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001382,84402,"TESTOSTERONE, FREE",301,1 ,$223.11 ,$145.02 ,$25.47 ,$200.91 ,$178.49 ,$25.47 ,$176.79 ,$200.91 ,$200.91 ,$48.39 ,$189.64 ,$165.10 ,$63.68 ,$25.47 , N/A ,$186.07 ,$25.47 ,$184.29 ,$178.49 ,$200.80 ,$63.68 ,$189.64 ,$25.47 ,$189.64 ,$189.64 ,$200.80 ,$200.80 ,$175.14 ,$184.29 ,$25.47 ,$145.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001383,85303,PROTEIN C ACTIVITY,305,1 ,$531.56 ,$345.51 ,$13.84 ,$478.67 ,$425.25 ,$13.84 ,$421.21 ,$478.67 ,$478.67 ,$26.30 ,$451.83 ,$393.35 ,$34.60 ,$13.84 , N/A ,$443.32 ,$13.84 ,$439.07 ,$425.25 ,$478.40 ,$34.60 ,$451.83 ,$13.84 ,$451.83 ,$451.83 ,$478.40 ,$478.40 ,$417.27 ,$439.07 ,$13.84 ,$345.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001384,85300,ANTITHROMBIN III ACTIVITY,305,1 ,$244.12 ,$158.68 ,$11.85 ,$219.83 ,$195.30 ,$11.85 ,$193.44 ,$219.83 ,$219.83 ,$22.52 ,$207.50 ,$180.65 ,$29.63 ,$11.85 , N/A ,$203.60 ,$11.85 ,$201.64 ,$195.30 ,$219.71 ,$29.63 ,$207.50 ,$11.85 ,$207.50 ,$207.50 ,$219.71 ,$219.71 ,$191.63 ,$201.64 ,$11.85 ,$158.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001385,85260,FACTOR X,305,1 ,$582.99 ,$378.94 ,$17.90 ,$524.98 ,$466.39 ,$17.90 ,$461.96 ,$524.98 ,$524.98 ,$34.01 ,$495.54 ,$431.41 ,$44.75 ,$17.90 , N/A ,$486.21 ,$17.90 ,$481.55 ,$466.39 ,$524.69 ,$44.75 ,$495.54 ,$17.90 ,$495.54 ,$495.54 ,$524.69 ,$524.69 ,$457.65 ,$481.55 ,$17.90 ,$378.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001386,N/A,THYROID PROFILE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001387,81270,MOL REVERSE TRANSCRIPTION,301,1 ,$322.91 ,$209.89 ,$91.66 ,$290.78 ,$258.33 ,$91.66 ,$255.87 ,$290.78 ,$290.78 ,$174.15 ,$274.47 ,$238.95 ,$229.15 ,$91.66 , N/A ,$269.31 ,$91.66 ,$266.72 ,$258.33 ,$290.62 ,$229.15 ,$274.47 ,$91.66 ,$274.47 ,$274.47 ,$290.62 ,$290.62 ,$253.48 ,$266.72 ,$91.66 ,$209.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001388,84436,T4 THYROXINE,301,1 ,$94.49 ,$61.42 ,$6.87 ,$85.09 ,$75.59 ,$6.87 ,$74.87 ,$85.09 ,$85.09 ,$13.05 ,$80.32 ,$69.92 ,$17.18 ,$6.87 , N/A ,$78.80 ,$6.87 ,$78.05 ,$75.59 ,$85.04 ,$17.18 ,$80.32 ,$6.87 ,$80.32 ,$80.32 ,$85.04 ,$85.04 ,$74.17 ,$78.05 ,$6.87 ,$61.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001389,N/A,HEP C GENOTYPING,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001390,82131,AMINO ACID PLASMA,301,1 ,$388.16 ,$252.30 ,$22.98 ,$349.54 ,$310.53 ,$22.98 ,$307.58 ,$349.54 ,$349.54 ,$43.66 ,$329.94 ,$287.24 ,$57.45 ,$22.98 , N/A ,$323.73 ,$22.98 ,$320.62 ,$310.53 ,$349.34 ,$57.45 ,$329.94 ,$22.98 ,$329.94 ,$329.94 ,$349.34 ,$349.34 ,$304.71 ,$320.62 ,$22.98 ,$252.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001391,N/A,FACTOR V LEIDEN MUTATION ANALYSIS,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001392,84120,"PORPHYRINS, URINE",301,1 ,$181.85 ,$118.20 ,$14.71 ,$163.76 ,$145.48 ,$14.71 ,$144.10 ,$163.76 ,$163.76 ,$27.95 ,$154.57 ,$134.57 ,$36.78 ,$14.71 , N/A ,$151.66 ,$14.71 ,$150.21 ,$145.48 ,$163.67 ,$36.78 ,$154.57 ,$14.71 ,$154.57 ,$154.57 ,$163.67 ,$163.67 ,$142.75 ,$150.21 ,$14.71 ,$118.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001393,85810,VISCOSITY SERUM,305,1 ,$225.79 ,$146.76 ,$11.67 ,$203.32 ,$180.63 ,$11.67 ,$178.92 ,$203.32 ,$203.32 ,$22.17 ,$191.92 ,$167.08 ,$29.18 ,$11.67 , N/A ,$188.31 ,$11.67 ,$186.50 ,$180.63 ,$203.21 ,$29.18 ,$191.92 ,$11.67 ,$191.92 ,$191.92 ,$203.21 ,$203.21 ,$177.25 ,$186.50 ,$11.67 ,$146.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001397,85246,VON WILLEBRAND FACTOR ANTIGEN,305,1 ,$292.20 ,$189.93 ,$22.94 ,$263.13 ,$233.76 ,$22.94 ,$231.54 ,$263.13 ,$263.13 ,$43.59 ,$248.37 ,$216.23 ,$57.35 ,$22.94 , N/A ,$243.69 ,$22.94 ,$241.36 ,$233.76 ,$262.98 ,$57.35 ,$248.37 ,$22.94 ,$248.37 ,$248.37 ,$262.98 ,$262.98 ,$229.38 ,$241.36 ,$22.94 ,$189.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001398,85230,FACTOR VII ASSAY,305,1 ,$691.57 ,$449.52 ,$17.90 ,$622.76 ,$553.26 ,$17.90 ,$548.00 ,$622.76 ,$622.76 ,$34.01 ,$587.83 ,$511.76 ,$44.75 ,$17.90 , N/A ,$576.77 ,$17.90 ,$571.24 ,$553.26 ,$622.41 ,$44.75 ,$587.83 ,$17.90 ,$587.83 ,$587.83 ,$622.41 ,$622.41 ,$542.88 ,$571.24 ,$17.90 ,$449.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001399,85220,FACTOR V ASSAY,305,1 ,$609.85 ,$396.40 ,$17.65 ,$549.17 ,$487.88 ,$17.65 ,$483.25 ,$549.17 ,$549.17 ,$33.54 ,$518.37 ,$451.29 ,$44.13 ,$17.65 , N/A ,$508.61 ,$17.65 ,$503.74 ,$487.88 ,$548.87 ,$44.13 ,$518.37 ,$17.65 ,$518.37 ,$518.37 ,$548.87 ,$548.87 ,$478.73 ,$503.74 ,$17.65 ,$396.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001400,86256,ENDOMYSIAL AB,302,1 ,$402.99 ,$261.94 ,$12.05 ,$362.89 ,$322.39 ,$12.05 ,$319.33 ,$362.89 ,$362.89 ,$22.90 ,$342.54 ,$298.21 ,$30.13 ,$12.05 , N/A ,$336.09 ,$12.05 ,$332.87 ,$322.39 ,$362.69 ,$30.13 ,$342.54 ,$12.05 ,$342.54 ,$342.54 ,$362.69 ,$362.69 ,$316.35 ,$332.87 ,$12.05 ,$261.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001401,84202,"PROTOPORPHYRIN,RBC,FREE ERYTHROCYTE",301,1 ,$157.73 ,$102.52 ,$14.35 ,$142.04 ,$126.18 ,$14.35 ,$124.99 ,$142.04 ,$142.04 ,$27.27 ,$134.07 ,$116.72 ,$35.88 ,$14.35 , N/A ,$131.55 ,$14.35 ,$130.29 ,$126.18 ,$141.96 ,$35.88 ,$134.07 ,$14.35 ,$134.07 ,$134.07 ,$141.96 ,$141.96 ,$123.82 ,$130.29 ,$14.35 ,$102.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001404,82607,VITAMIN B-12,301,1 ,$115.82 ,$75.28 ,$15.08 ,$104.30 ,$92.66 ,$15.08 ,$91.78 ,$104.30 ,$104.30 ,$28.65 ,$98.45 ,$85.71 ,$37.70 ,$15.08 , N/A ,$96.59 ,$15.08 ,$95.67 ,$92.66 ,$104.24 ,$37.70 ,$98.45 ,$15.08 ,$98.45 ,$98.45 ,$104.24 ,$104.24 ,$90.92 ,$95.67 ,$15.08 ,$75.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001405,N/A,ALBUMIN ADMINISTRATION,250,1 ,$404.25 ,$262.76 ,$262.76 ,$364.03 ,$323.40 , N/A ,$320.33 ,$364.03 ,$364.03 , N/A ,$343.61 ,$299.15 , N/A , N/A , N/A ,$337.14 , N/A ,$333.91 ,$323.40 ,$363.83 , N/A ,$343.61 , N/A ,$343.61 ,$343.61 ,$363.83 ,$363.83 ,$317.34 ,$333.91 , N/A ,$262.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001406,80048,BASIC METABOLIC PROFILE,301,1 ,$229.55 ,$149.21 ,$8.46 ,$206.71 ,$183.64 ,$8.46 ,$181.90 ,$206.71 ,$206.71 ,$16.07 ,$195.12 ,$169.87 ,$21.15 ,$8.46 , N/A ,$191.44 ,$8.46 ,$189.61 ,$183.64 ,$206.60 ,$21.15 ,$195.12 ,$8.46 ,$195.12 ,$195.12 ,$206.60 ,$206.60 ,$180.20 ,$189.61 ,$8.46 ,$149.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001407,80069,RENAL FUNCTION PANEL,301,1 ,$199.22 ,$129.49 ,$8.68 ,$179.40 ,$159.38 ,$8.68 ,$157.86 ,$179.40 ,$179.40 ,$16.49 ,$169.34 ,$147.42 ,$21.70 ,$8.68 , N/A ,$166.15 ,$8.68 ,$164.56 ,$159.38 ,$179.30 ,$21.70 ,$169.34 ,$8.68 ,$169.34 ,$169.34 ,$179.30 ,$179.30 ,$156.39 ,$164.56 ,$8.68 ,$129.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001408,82950,"GLUCOSE, POST 50GR DOSE",301,1 ,$86.55 ,$56.26 ,$4.75 ,$77.94 ,$69.24 ,$4.75 ,$68.58 ,$77.94 ,$77.94 ,$9.03 ,$73.57 ,$64.05 ,$11.88 ,$4.75 , N/A ,$72.18 ,$4.75 ,$71.49 ,$69.24 ,$77.90 ,$11.88 ,$73.57 ,$4.75 ,$73.57 ,$73.57 ,$77.90 ,$77.90 ,$67.94 ,$71.49 ,$4.75 ,$56.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001409,82947,GLUCOSE MTP,301,1 ,$25.75 ,$16.74 ,$3.93 ,$23.19 ,$20.60 ,$3.93 ,$20.40 ,$23.19 ,$23.19 ,$7.47 ,$21.89 ,$19.06 ,$9.83 ,$3.93 , N/A ,$21.48 ,$3.93 ,$21.27 ,$20.60 ,$23.18 ,$9.83 ,$21.89 ,$3.93 ,$21.89 ,$21.89 ,$23.18 ,$23.18 ,$20.21 ,$21.27 ,$3.93 ,$16.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001410,84520,BUN MTP,301,1 ,$25.75 ,$16.74 ,$3.95 ,$23.19 ,$20.60 ,$3.95 ,$20.40 ,$23.19 ,$23.19 ,$7.51 ,$21.89 ,$19.06 ,$9.88 ,$3.95 , N/A ,$21.48 ,$3.95 ,$21.27 ,$20.60 ,$23.18 ,$9.88 ,$21.89 ,$3.95 ,$21.89 ,$21.89 ,$23.18 ,$23.18 ,$20.21 ,$21.27 ,$3.95 ,$16.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001411,82565,CREATININE MTP,301,1 ,$43.92 ,$28.55 ,$5.12 ,$39.55 ,$35.14 ,$5.12 ,$34.80 ,$39.55 ,$39.55 ,$9.73 ,$37.33 ,$32.50 ,$12.80 ,$5.12 , N/A ,$36.63 ,$5.12 ,$36.28 ,$35.14 ,$39.53 ,$12.80 ,$37.33 ,$5.12 ,$37.33 ,$37.33 ,$39.53 ,$39.53 ,$34.48 ,$36.28 ,$5.12 ,$28.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001412,86157,COLD AGG TITER,302,1 ,$104.09 ,$67.66 ,$8.06 ,$93.73 ,$83.27 ,$8.06 ,$82.48 ,$93.73 ,$93.73 ,$15.31 ,$88.48 ,$77.03 ,$20.15 ,$8.06 , N/A ,$86.81 ,$8.06 ,$85.98 ,$83.27 ,$93.68 ,$20.15 ,$88.48 ,$8.06 ,$88.48 ,$88.48 ,$93.68 ,$93.68 ,$81.71 ,$85.98 ,$8.06 ,$67.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001413,80051,ELECTROLYTE MTP,301,1 ,$28.95 ,$18.82 ,$7.01 ,$26.07 ,$23.16 ,$7.01 ,$22.94 ,$26.07 ,$26.07 ,$13.32 ,$24.61 ,$21.42 ,$17.53 ,$7.01 , N/A ,$24.14 ,$7.01 ,$23.91 ,$23.16 ,$26.06 ,$17.53 ,$24.61 ,$7.01 ,$24.61 ,$24.61 ,$26.06 ,$26.06 ,$22.73 ,$23.91 ,$7.01 ,$18.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001414,80053,COMP METABOLIC PANEL MTP,301,1 ,$45.80 ,$29.77 ,$10.56 ,$41.24 ,$36.64 ,$10.56 ,$36.29 ,$41.24 ,$41.24 ,$20.06 ,$38.93 ,$33.89 ,$26.40 ,$10.56 , N/A ,$38.20 ,$10.56 ,$37.83 ,$36.64 ,$41.22 ,$26.40 ,$38.93 ,$10.56 ,$38.93 ,$38.93 ,$41.22 ,$41.22 ,$35.95 ,$37.83 ,$10.56 ,$29.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001415,83615,LDH MTP,301,1 ,$18.20 ,$11.83 ,$6.04 ,$16.39 ,$14.56 ,$6.04 ,$14.42 ,$16.39 ,$16.39 ,$11.48 ,$15.47 ,$13.47 ,$15.10 ,$6.04 , N/A ,$15.18 ,$6.04 ,$15.03 ,$14.56 ,$16.38 ,$15.10 ,$15.47 ,$6.04 ,$15.47 ,$15.47 ,$16.38 ,$16.38 ,$14.29 ,$15.03 ,$6.04 ,$11.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001416,84100,PHOSPHORUS MTP,301,1 ,$18.20 ,$11.83 ,$4.74 ,$16.39 ,$14.56 ,$4.74 ,$14.42 ,$16.39 ,$16.39 ,$9.01 ,$15.47 ,$13.47 ,$11.85 ,$4.74 , N/A ,$15.18 ,$4.74 ,$15.03 ,$14.56 ,$16.38 ,$11.85 ,$15.47 ,$4.74 ,$15.47 ,$15.47 ,$16.38 ,$16.38 ,$14.29 ,$15.03 ,$4.74 ,$11.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001417,84550,URIC ACID MTP,301,1 ,$18.20 ,$11.83 ,$4.52 ,$16.39 ,$14.56 ,$4.52 ,$14.42 ,$16.39 ,$16.39 ,$8.59 ,$15.47 ,$13.47 ,$11.30 ,$4.52 , N/A ,$15.18 ,$4.52 ,$15.03 ,$14.56 ,$16.38 ,$11.30 ,$15.47 ,$4.52 ,$15.47 ,$15.47 ,$16.38 ,$16.38 ,$14.29 ,$15.03 ,$4.52 ,$11.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001418,82977,GAMMA GT MTP,301,1 ,$18.20 ,$11.83 ,$7.20 ,$18.00 ,$14.56 ,$7.20 ,$14.42 ,$16.39 ,$16.39 ,$13.68 ,$15.47 ,$13.47 ,$18.00 ,$7.20 , N/A ,$15.18 ,$7.20 ,$15.03 ,$14.56 ,$16.38 ,$18.00 ,$15.47 ,$7.20 ,$15.47 ,$15.47 ,$16.38 ,$16.38 ,$14.29 ,$15.03 ,$7.20 ,$11.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001419,80061,LIPID MTP,301,1 ,$33.90 ,$22.04 ,$13.39 ,$33.48 ,$27.12 ,$13.39 ,$26.86 ,$30.53 ,$30.53 ,$25.44 ,$28.82 ,$25.09 ,$33.48 ,$13.39 , N/A ,$28.27 ,$13.39 ,$28.00 ,$27.12 ,$30.51 ,$33.48 ,$28.82 ,$13.39 ,$28.82 ,$28.82 ,$30.51 ,$30.51 ,$26.61 ,$28.00 ,$13.39 ,$22.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001420,86000,FEBRILE AGGLUTININS,302,1 ,$380.08 ,$247.05 ,$6.98 ,$342.26 ,$304.06 ,$6.98 ,$301.18 ,$342.26 ,$342.26 ,$13.26 ,$323.07 ,$281.26 ,$17.45 ,$6.98 , N/A ,$316.99 ,$6.98 ,$313.95 ,$304.06 ,$342.07 ,$17.45 ,$323.07 ,$6.98 ,$323.07 ,$323.07 ,$342.07 ,$342.07 ,$298.36 ,$313.95 ,$6.98 ,$247.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001421,83540,IRON MTP,301,1 ,$35.13 ,$22.83 ,$6.47 ,$31.63 ,$28.10 ,$6.47 ,$27.84 ,$31.63 ,$31.63 ,$12.29 ,$29.86 ,$26.00 ,$16.18 ,$6.47 , N/A ,$29.30 ,$6.47 ,$29.02 ,$28.10 ,$31.62 ,$16.18 ,$29.86 ,$6.47 ,$29.86 ,$29.86 ,$31.62 ,$31.62 ,$27.58 ,$29.02 ,$6.47 ,$22.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001422,88184,CHRONIC LYMPHOCYTIC LEUKEMIA LYMPHOMA P,310,1 ,$317.79 ,$206.56 ,$206.56 ,$658.86 ,$254.23 ,$263.54 ,$251.82 ,$286.17 ,$286.17 ,$500.73 ,$270.12 ,$235.16 ,$658.86 ,$263.54 , N/A ,$265.04 ,$263.54 ,$262.49 ,$254.23 ,$286.01 ,$317.79 ,$270.12 ,$263.54 ,$270.12 ,$270.12 ,$286.01 ,$286.01 ,$249.47 ,$262.49 ,$263.54 ,$206.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001423,86735,"MUMPS, IGM QUANT AB",302,1 ,$192.23 ,$124.95 ,$13.05 ,$173.10 ,$153.78 ,$13.05 ,$152.32 ,$173.10 ,$173.10 ,$24.80 ,$163.40 ,$142.25 ,$32.63 ,$13.05 , N/A ,$160.32 ,$13.05 ,$158.78 ,$153.78 ,$173.01 ,$32.63 ,$163.40 ,$13.05 ,$163.40 ,$163.40 ,$173.01 ,$173.01 ,$150.90 ,$158.78 ,$13.05 ,$124.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001424,86335,IMMUNOFIX URINE RANDOM,302,1 ,$326.63 ,$212.31 ,$29.35 ,$294.13 ,$261.30 ,$29.35 ,$258.82 ,$294.13 ,$294.13 ,$55.77 ,$277.64 ,$241.71 ,$73.38 ,$29.35 , N/A ,$272.41 ,$29.35 ,$269.80 ,$261.30 ,$293.97 ,$73.38 ,$277.64 ,$29.35 ,$277.64 ,$277.64 ,$293.97 ,$293.97 ,$256.40 ,$269.80 ,$29.35 ,$212.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001425,86256,LIVER KIDNEY MICROSOME TYPE 1 AB,302,1 ,$384.34 ,$249.82 ,$12.05 ,$346.10 ,$307.47 ,$12.05 ,$304.55 ,$346.10 ,$346.10 ,$22.90 ,$326.69 ,$284.41 ,$30.13 ,$12.05 , N/A ,$320.54 ,$12.05 ,$317.46 ,$307.47 ,$345.91 ,$30.13 ,$326.69 ,$12.05 ,$326.69 ,$326.69 ,$345.91 ,$345.91 ,$301.71 ,$317.46 ,$12.05 ,$249.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001426,84105,PHOSPHOROUS URINE RANDOM,301,1 ,$47.22 ,$30.69 ,$5.78 ,$42.52 ,$37.78 ,$5.78 ,$37.42 ,$42.52 ,$42.52 ,$10.98 ,$40.14 ,$34.94 ,$14.45 ,$5.78 , N/A ,$39.38 ,$5.78 ,$39.00 ,$37.78 ,$42.50 ,$14.45 ,$40.14 ,$5.78 ,$40.14 ,$40.14 ,$42.50 ,$42.50 ,$37.07 ,$39.00 ,$5.78 ,$30.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001427,84540,UREA NITROGEN URINE RANDOM,301,1 ,$157.73 ,$102.52 ,$5.56 ,$142.04 ,$126.18 ,$5.56 ,$124.99 ,$142.04 ,$142.04 ,$10.56 ,$134.07 ,$116.72 ,$13.90 ,$5.56 , N/A ,$131.55 ,$5.56 ,$130.29 ,$126.18 ,$141.96 ,$13.90 ,$134.07 ,$5.56 ,$134.07 ,$134.07 ,$141.96 ,$141.96 ,$123.82 ,$130.29 ,$5.56 ,$102.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001428,83516,CELIAC DISEASE PANEL,301,1 ,$362.45 ,$235.59 ,$11.53 ,$326.39 ,$289.96 ,$11.53 ,$287.21 ,$326.39 ,$326.39 ,$21.91 ,$308.08 ,$268.21 ,$28.83 ,$11.53 , N/A ,$302.28 ,$11.53 ,$299.38 ,$289.96 ,$326.21 ,$28.83 ,$308.08 ,$11.53 ,$308.08 ,$308.08 ,$326.21 ,$326.21 ,$284.52 ,$299.38 ,$11.53 ,$235.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001429,83519,THYROTROPIN RECEPTOR AB,301,1 ,$230.51 ,$149.83 ,$18.40 ,$207.57 ,$184.41 ,$18.40 ,$182.66 ,$207.57 ,$207.57 ,$34.96 ,$195.93 ,$170.58 ,$46.00 ,$18.40 , N/A ,$192.25 ,$18.40 ,$190.40 ,$184.41 ,$207.46 ,$46.00 ,$195.93 ,$18.40 ,$195.93 ,$195.93 ,$207.46 ,$207.46 ,$180.95 ,$190.40 ,$18.40 ,$149.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001430,87338,H.PYLORI STOOL DIRECT AG,306,1 ,$353.27 ,$229.63 ,$14.38 ,$318.12 ,$282.62 ,$14.38 ,$279.93 ,$318.12 ,$318.12 ,$27.32 ,$300.28 ,$261.42 ,$35.95 ,$14.38 , N/A ,$294.63 ,$14.38 ,$291.80 ,$282.62 ,$317.94 ,$35.95 ,$300.28 ,$14.38 ,$300.28 ,$300.28 ,$317.94 ,$317.94 ,$277.32 ,$291.80 ,$14.38 ,$229.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001431,84315,BODY FL SP GRAVITY,301,1 ,$97.16 ,$63.15 ,$3.28 ,$87.49 ,$77.73 ,$3.28 ,$76.99 ,$87.49 ,$87.49 ,$6.23 ,$82.59 ,$71.90 ,$8.20 ,$3.28 , N/A ,$81.03 ,$3.28 ,$80.25 ,$77.73 ,$87.44 ,$8.20 ,$82.59 ,$3.28 ,$82.59 ,$82.59 ,$87.44 ,$87.44 ,$76.27 ,$80.25 ,$3.28 ,$63.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001432,82042,ALBUMIN BODY FLUID,301,1 ,$157.73 ,$102.52 ,$7.78 ,$142.04 ,$126.18 ,$7.78 ,$124.99 ,$142.04 ,$142.04 ,$14.78 ,$134.07 ,$116.72 ,$19.45 ,$7.78 , N/A ,$131.55 ,$7.78 ,$130.29 ,$126.18 ,$141.96 ,$19.45 ,$134.07 ,$7.78 ,$134.07 ,$134.07 ,$141.96 ,$141.96 ,$123.82 ,$130.29 ,$7.78 ,$102.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001433,82232,BETA-2 MICROGLOBULIN,301,1 ,$160.36 ,$104.23 ,$16.18 ,$144.40 ,$128.29 ,$16.18 ,$127.07 ,$144.40 ,$144.40 ,$30.74 ,$136.31 ,$118.67 ,$40.45 ,$16.18 , N/A ,$133.74 ,$16.18 ,$132.46 ,$128.29 ,$144.32 ,$40.45 ,$136.31 ,$16.18 ,$136.31 ,$136.31 ,$144.32 ,$144.32 ,$125.88 ,$132.46 ,$16.18 ,$104.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001434,82043,MICROALB CREAT RATIO RANDOM URINE,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001435,83498,17-ALPHA-HYDROXY,301,1 ,$152.31 ,$99.00 ,$27.17 ,$137.16 ,$121.85 ,$27.17 ,$120.69 ,$137.16 ,$137.16 ,$51.62 ,$129.46 ,$112.71 ,$67.93 ,$27.17 , N/A ,$127.03 ,$27.17 ,$125.81 ,$121.85 ,$137.08 ,$67.93 ,$129.46 ,$27.17 ,$129.46 ,$129.46 ,$137.08 ,$137.08 ,$119.56 ,$125.81 ,$27.17 ,$99.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001436,82627,DHEA SULFATE,301,1 ,$198.45 ,$128.99 ,$22.23 ,$178.70 ,$158.76 ,$22.23 ,$157.25 ,$178.70 ,$178.70 ,$42.24 ,$168.68 ,$146.85 ,$55.58 ,$22.23 , N/A ,$165.51 ,$22.23 ,$163.92 ,$158.76 ,$178.61 ,$55.58 ,$168.68 ,$22.23 ,$168.68 ,$168.68 ,$178.61 ,$178.61 ,$155.78 ,$163.92 ,$22.23 ,$128.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001437,87206,CRYPTOSPORIDIUM STOOL,306,1 ,$240.12 ,$156.08 ,$5.39 ,$216.23 ,$192.10 ,$5.39 ,$190.27 ,$216.23 ,$216.23 ,$10.24 ,$204.10 ,$177.69 ,$13.48 ,$5.39 , N/A ,$200.26 ,$5.39 ,$198.34 ,$192.10 ,$216.11 ,$13.48 ,$204.10 ,$5.39 ,$204.10 ,$204.10 ,$216.11 ,$216.11 ,$188.49 ,$198.34 ,$5.39 ,$156.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001438,86038,ANA,302,1 ,$100.64 ,$65.42 ,$12.09 ,$90.63 ,$80.51 ,$12.09 ,$79.75 ,$90.63 ,$90.63 ,$22.97 ,$85.54 ,$74.47 ,$30.23 ,$12.09 , N/A ,$83.93 ,$12.09 ,$83.13 ,$80.51 ,$90.58 ,$30.23 ,$85.54 ,$12.09 ,$85.54 ,$85.54 ,$90.58 ,$90.58 ,$79.00 ,$83.13 ,$12.09 ,$65.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001439,83874,"MYOGLOBIN, URINE",301,1 ,$187.56 ,$121.91 ,$12.92 ,$168.90 ,$150.05 ,$12.92 ,$148.62 ,$168.90 ,$168.90 ,$24.55 ,$159.43 ,$138.79 ,$32.30 ,$12.92 , N/A ,$156.43 ,$12.92 ,$154.92 ,$150.05 ,$168.80 ,$32.30 ,$159.43 ,$12.92 ,$159.43 ,$159.43 ,$168.80 ,$168.80 ,$147.23 ,$154.92 ,$12.92 ,$121.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001441,86978,MV ALLOGENIC ADSORPTION,302,1 ,$117.11 ,$76.12 ,$30.62 ,$105.46 ,$93.69 ,$30.62 ,$92.80 ,$105.46 ,$105.46 ,$58.18 ,$99.54 ,$86.66 ,$76.55 ,$30.62 , N/A ,$97.67 ,$30.62 ,$96.73 ,$93.69 ,$105.40 ,$76.55 ,$99.54 ,$30.62 ,$99.54 ,$99.54 ,$105.40 ,$105.40 ,$91.93 ,$96.73 ,$30.62 ,$76.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001442,86860,MV AB ELUTION,302,1 ,$166.31 ,$108.10 ,$108.10 ,$337.41 ,$133.05 ,$134.97 ,$131.78 ,$149.76 ,$149.76 ,$256.44 ,$141.36 ,$123.07 ,$337.41 ,$134.97 , N/A ,$138.70 ,$134.97 ,$137.37 ,$133.05 ,$149.68 ,$166.31 ,$141.36 ,$134.97 ,$141.36 ,$141.36 ,$149.68 ,$149.68 ,$130.55 ,$137.37 ,$134.97 ,$108.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001443,86870,MV AB ID PANEL,302,1 ,$135.94 ,$88.36 ,$88.36 ,$658.86 ,$108.75 ,$263.54 ,$107.72 ,$122.41 ,$122.41 ,$500.73 ,$115.55 ,$100.60 ,$658.86 ,$263.54 , N/A ,$113.37 ,$263.54 ,$112.29 ,$108.75 ,$122.35 ,$135.94 ,$115.55 ,$135.94 ,$115.55 ,$115.55 ,$122.35 ,$122.35 ,$106.71 ,$112.29 ,$135.94 ,$88.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001444,82390,CERULOPLASMIN,301,1 ,$152.63 ,$99.21 ,$10.74 ,$137.44 ,$122.10 ,$10.74 ,$120.94 ,$137.44 ,$137.44 ,$20.41 ,$129.74 ,$112.95 ,$26.85 ,$10.74 , N/A ,$127.29 ,$10.74 ,$126.07 ,$122.10 ,$137.37 ,$26.85 ,$129.74 ,$10.74 ,$129.74 ,$129.74 ,$137.37 ,$137.37 ,$119.81 ,$126.07 ,$10.74 ,$99.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001446,86060,ASO TITER,302,1 ,$137.58 ,$89.43 ,$7.30 ,$123.89 ,$110.06 ,$7.30 ,$109.02 ,$123.89 ,$123.89 ,$13.87 ,$116.94 ,$101.81 ,$18.25 ,$7.30 , N/A ,$114.74 ,$7.30 ,$113.64 ,$110.06 ,$123.82 ,$18.25 ,$116.94 ,$7.30 ,$116.94 ,$116.94 ,$123.82 ,$123.82 ,$108.00 ,$113.64 ,$7.30 ,$89.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001447,N/A,HEMOCHROMATOSIS GENE,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001448,80323,NICOTINE SCREEN URINE,301,1 ,$137.16 ,$89.15 ,$89.15 ,$123.51 ,$109.73 , N/A ,$108.69 ,$123.51 ,$123.51 , N/A ,$116.59 ,$101.50 , N/A , N/A , N/A ,$114.39 , N/A ,$113.29 ,$109.73 ,$123.44 , N/A ,$116.59 , N/A ,$116.59 ,$116.59 ,$123.44 ,$123.44 ,$107.67 ,$113.29 , N/A ,$89.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001449,82131,TRYPTOPHAN,301,1 ,$412.45 ,$268.09 ,$22.98 ,$371.41 ,$329.96 ,$22.98 ,$326.83 ,$371.41 ,$371.41 ,$43.66 ,$350.58 ,$305.21 ,$57.45 ,$22.98 , N/A ,$343.98 ,$22.98 ,$340.68 ,$329.96 ,$371.21 ,$57.45 ,$350.58 ,$22.98 ,$350.58 ,$350.58 ,$371.21 ,$371.21 ,$323.77 ,$340.68 ,$22.98 ,$268.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001450,84432,THYROGLOBULIN ABS,301,1 ,$109.88 ,$71.42 ,$16.06 ,$98.95 ,$87.90 ,$16.06 ,$87.07 ,$98.95 ,$98.95 ,$30.51 ,$93.40 ,$81.31 ,$40.15 ,$16.06 , N/A ,$91.64 ,$16.06 ,$90.76 ,$87.90 ,$98.89 ,$40.15 ,$93.40 ,$16.06 ,$93.40 ,$93.40 ,$98.89 ,$98.89 ,$86.26 ,$90.76 ,$16.06 ,$71.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001451,86225,LUPUS PROFILE,302,1 ,$269.14 ,$174.94 ,$13.74 ,$242.36 ,$215.31 ,$13.74 ,$213.27 ,$242.36 ,$242.36 ,$26.11 ,$228.77 ,$199.16 ,$34.35 ,$13.74 , N/A ,$224.46 ,$13.74 ,$222.31 ,$215.31 ,$242.23 ,$34.35 ,$228.77 ,$13.74 ,$228.77 ,$228.77 ,$242.23 ,$242.23 ,$211.27 ,$222.31 ,$13.74 ,$174.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001452,84120,"PORPHYRINS, SERUM",301,1 ,$194.07 ,$126.15 ,$14.71 ,$174.76 ,$155.26 ,$14.71 ,$153.78 ,$174.76 ,$174.76 ,$27.95 ,$164.96 ,$143.61 ,$36.78 ,$14.71 , N/A ,$161.85 ,$14.71 ,$160.30 ,$155.26 ,$174.66 ,$36.78 ,$164.96 ,$14.71 ,$164.96 ,$164.96 ,$174.66 ,$174.66 ,$152.35 ,$160.30 ,$14.71 ,$126.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001453,86140,CRP (C REACTIVE PROTEIN),302,1 ,$58.74 ,$38.18 ,$5.18 ,$52.90 ,$46.99 ,$5.18 ,$46.55 ,$52.90 ,$52.90 ,$9.84 ,$49.93 ,$43.47 ,$12.95 ,$5.18 , N/A ,$48.99 ,$5.18 ,$48.52 ,$46.99 ,$52.87 ,$12.95 ,$49.93 ,$5.18 ,$49.93 ,$49.93 ,$52.87 ,$52.87 ,$46.11 ,$48.52 ,$5.18 ,$38.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001454,80155,CAFFEINE SERUM LEVEL,301,1 ,$184.37 ,$119.84 ,$38.57 ,$166.03 ,$147.50 ,$38.57 ,$146.09 ,$166.03 ,$166.03 ,$73.28 ,$156.71 ,$136.43 ,$96.43 ,$38.57 , N/A ,$153.76 ,$38.57 ,$152.29 ,$147.50 ,$165.93 ,$96.43 ,$156.71 ,$38.57 ,$156.71 ,$156.71 ,$165.93 ,$165.93 ,$144.73 ,$152.29 ,$38.57 ,$119.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001455,84545,UREA NITROGEN CLEARENCE,301,1 ,$145.59 ,$94.63 ,$7.20 ,$131.10 ,$116.47 ,$7.20 ,$115.37 ,$131.10 ,$131.10 ,$13.68 ,$123.75 ,$107.74 ,$18.00 ,$7.20 , N/A ,$121.42 ,$7.20 ,$120.26 ,$116.47 ,$131.03 ,$18.00 ,$123.75 ,$7.20 ,$123.75 ,$123.75 ,$131.03 ,$131.03 ,$114.29 ,$120.26 ,$7.20 ,$94.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001456,87070,CULT GROUP B STREP,306,1 ,$102.78 ,$66.81 ,$8.62 ,$92.55 ,$82.22 ,$8.62 ,$81.44 ,$92.55 ,$92.55 ,$16.38 ,$87.36 ,$76.06 ,$21.55 ,$8.62 , N/A ,$85.72 ,$8.62 ,$84.90 ,$82.22 ,$92.50 ,$21.55 ,$87.36 ,$8.62 ,$87.36 ,$87.36 ,$92.50 ,$92.50 ,$80.68 ,$84.90 ,$8.62 ,$66.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001457,82172,APOLIPOPROTEIN,301,1 ,$194.07 ,$126.15 ,$21.09 ,$174.76 ,$155.26 ,$21.09 ,$153.78 ,$174.76 ,$174.76 ,$40.07 ,$164.96 ,$143.61 ,$52.73 ,$21.09 , N/A ,$161.85 ,$21.09 ,$160.30 ,$155.26 ,$174.66 ,$52.73 ,$164.96 ,$21.09 ,$164.96 ,$164.96 ,$174.66 ,$174.66 ,$152.35 ,$160.30 ,$21.09 ,$126.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001458,84305,SOMATOMEDIN-C,301,1 ,$290.35 ,$188.73 ,$21.26 ,$261.46 ,$232.28 ,$21.26 ,$230.07 ,$261.46 ,$261.46 ,$40.39 ,$246.80 ,$214.86 ,$53.15 ,$21.26 , N/A ,$242.15 ,$21.26 ,$239.83 ,$232.28 ,$261.32 ,$53.15 ,$246.80 ,$21.26 ,$246.80 ,$246.80 ,$261.32 ,$261.32 ,$227.92 ,$239.83 ,$21.26 ,$188.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001459,86753,AMEBIASIS ABS,302,1 ,$367.19 ,$238.67 ,$12.39 ,$330.65 ,$293.75 ,$12.39 ,$290.96 ,$330.65 ,$330.65 ,$23.54 ,$312.11 ,$271.72 ,$30.98 ,$12.39 , N/A ,$306.24 ,$12.39 ,$303.30 ,$293.75 ,$330.47 ,$30.98 ,$312.11 ,$12.39 ,$312.11 ,$312.11 ,$330.47 ,$330.47 ,$288.24 ,$303.30 ,$12.39 ,$238.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001460,83986,BODY FLUID PH,301,1 ,$37.87 ,$24.62 ,$3.58 ,$34.10 ,$30.30 ,$3.58 ,$30.01 ,$34.10 ,$34.10 ,$6.80 ,$32.19 ,$28.02 ,$8.95 ,$3.58 , N/A ,$31.58 ,$3.58 ,$31.28 ,$30.30 ,$34.08 ,$8.95 ,$32.19 ,$3.58 ,$32.19 ,$32.19 ,$34.08 ,$34.08 ,$29.73 ,$31.28 ,$3.58 ,$24.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001461,82945,GLUCOSE URINE 24 HR,301,1 ,$116.62 ,$75.80 ,$3.93 ,$105.02 ,$93.30 ,$3.93 ,$92.41 ,$105.02 ,$105.02 ,$7.47 ,$99.13 ,$86.30 ,$9.83 ,$3.93 , N/A ,$97.26 ,$3.93 ,$96.33 ,$93.30 ,$104.96 ,$9.83 ,$99.13 ,$3.93 ,$99.13 ,$99.13 ,$104.96 ,$104.96 ,$91.55 ,$96.33 ,$3.93 ,$75.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001462,80299,MIRTAZAPINE LEVEL,301,1 ,$343.56 ,$223.31 ,$18.64 ,$309.38 ,$274.85 ,$18.64 ,$272.24 ,$309.38 ,$309.38 ,$35.42 ,$292.03 ,$254.23 ,$46.60 ,$18.64 , N/A ,$286.53 ,$18.64 ,$283.78 ,$274.85 ,$309.20 ,$46.60 ,$292.03 ,$18.64 ,$292.03 ,$292.03 ,$309.20 ,$309.20 ,$269.69 ,$283.78 ,$18.64 ,$223.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001463,80299,REMERON LEVEL,301,1 ,$343.56 ,$223.31 ,$18.64 ,$309.38 ,$274.85 ,$18.64 ,$272.24 ,$309.38 ,$309.38 ,$35.42 ,$292.03 ,$254.23 ,$46.60 ,$18.64 , N/A ,$286.53 ,$18.64 ,$283.78 ,$274.85 ,$309.20 ,$46.60 ,$292.03 ,$18.64 ,$292.03 ,$292.03 ,$309.20 ,$309.20 ,$269.69 ,$283.78 ,$18.64 ,$223.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001464,86638,Q FEVER AB,302,1 ,$587.53 ,$381.89 ,$12.12 ,$529.07 ,$470.02 ,$12.12 ,$465.56 ,$529.07 ,$529.07 ,$23.03 ,$499.40 ,$434.77 ,$30.30 ,$12.12 , N/A ,$490.00 ,$12.12 ,$485.30 ,$470.02 ,$528.78 ,$30.30 ,$499.40 ,$12.12 ,$499.40 ,$499.40 ,$528.78 ,$528.78 ,$461.21 ,$485.30 ,$12.12 ,$381.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001465,86709,HEP A AB IGM,302,1 ,$129.18 ,$83.97 ,$11.26 ,$116.33 ,$103.34 ,$11.26 ,$102.36 ,$116.33 ,$116.33 ,$21.39 ,$109.80 ,$95.59 ,$28.15 ,$11.26 , N/A ,$107.74 ,$11.26 ,$106.70 ,$103.34 ,$116.26 ,$28.15 ,$109.80 ,$11.26 ,$109.80 ,$109.80 ,$116.26 ,$116.26 ,$101.41 ,$106.70 ,$11.26 ,$83.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001466,87046,"CULT, STOOL ADDN. PATHOGENS",306,1 ,$11.86 ,$7.71 ,$7.71 ,$23.60 ,$9.49 ,$9.44 ,$9.40 ,$10.68 ,$10.68 ,$17.94 ,$10.08 ,$8.78 ,$23.60 ,$9.44 , N/A ,$9.89 ,$9.44 ,$9.80 ,$9.49 ,$10.67 ,$11.86 ,$10.08 ,$9.44 ,$10.08 ,$10.08 ,$10.67 ,$10.67 ,$9.31 ,$9.80 ,$9.44 ,$7.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001467,87804,INFLUENZA A AND B NASAL,300,1 ,$67.95 ,$44.17 ,$16.55 ,$61.19 ,$54.36 ,$16.55 ,$53.84 ,$61.19 ,$61.19 ,$31.45 ,$57.76 ,$50.28 ,$41.38 ,$16.55 , N/A ,$56.67 ,$16.55 ,$56.13 ,$54.36 ,$61.16 ,$41.38 ,$57.76 ,$16.55 ,$57.76 ,$57.76 ,$61.16 ,$61.16 ,$53.34 ,$56.13 ,$16.55 ,$44.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001468,82710,FECAL FAT QUANT.,301,1 ,$277.31 ,$180.25 ,$16.80 ,$249.72 ,$221.85 ,$16.80 ,$219.74 ,$249.72 ,$249.72 ,$31.92 ,$235.71 ,$205.21 ,$42.00 ,$16.80 , N/A ,$231.28 ,$16.80 ,$229.06 ,$221.85 ,$249.58 ,$42.00 ,$235.71 ,$16.80 ,$235.71 ,$235.71 ,$249.58 ,$249.58 ,$217.69 ,$229.06 ,$16.80 ,$180.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001469,83519,TRYPSIN,301,1 ,$274.67 ,$178.54 ,$18.40 ,$247.34 ,$219.74 ,$18.40 ,$217.65 ,$247.34 ,$247.34 ,$34.96 ,$233.47 ,$203.26 ,$46.00 ,$18.40 , N/A ,$229.07 ,$18.40 ,$226.88 ,$219.74 ,$247.20 ,$46.00 ,$233.47 ,$18.40 ,$233.47 ,$233.47 ,$247.20 ,$247.20 ,$215.62 ,$226.88 ,$18.40 ,$178.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001470,80299,EFFEXOR LEVEL,301,1 ,$607.46 ,$394.85 ,$18.64 ,$547.02 ,$485.97 ,$18.64 ,$481.35 ,$547.02 ,$547.02 ,$35.42 ,$516.34 ,$449.52 ,$46.60 ,$18.64 , N/A ,$506.62 ,$18.64 ,$501.76 ,$485.97 ,$546.71 ,$46.60 ,$516.34 ,$18.64 ,$516.34 ,$516.34 ,$546.71 ,$546.71 ,$476.86 ,$501.76 ,$18.64 ,$394.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001471,82438,STOOL LYTES,301,1 ,"$1,109.30 ",$721.05 ,$5.00 ,$998.92 ,$887.44 ,$5.00 ,$879.01 ,$998.92 ,$998.92 ,$9.50 ,$942.91 ,$820.88 ,$12.50 ,$5.00 , N/A ,$925.16 ,$5.00 ,$916.28 ,$887.44 ,$998.37 ,$12.50 ,$942.91 ,$5.00 ,$942.91 ,$942.91 ,$998.37 ,$998.37 ,$870.80 ,$916.28 ,$5.00 ,$721.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001472,87385,HISTOPLASMOSIS AG SERUM,306,1 ,$481.77 ,$313.15 ,$13.25 ,$433.83 ,$385.42 ,$13.25 ,$381.75 ,$433.83 ,$433.83 ,$25.18 ,$409.50 ,$356.51 ,$33.13 ,$13.25 , N/A ,$401.80 ,$13.25 ,$397.94 ,$385.42 ,$433.59 ,$33.13 ,$409.50 ,$13.25 ,$409.50 ,$409.50 ,$433.59 ,$433.59 ,$378.19 ,$397.94 ,$13.25 ,$313.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001473,86255,PARIETAL CELL AB,302,1 ,$263.76 ,$171.44 ,$12.05 ,$237.52 ,$211.01 ,$12.05 ,$209.00 ,$237.52 ,$237.52 ,$22.90 ,$224.20 ,$195.18 ,$30.13 ,$12.05 , N/A ,$219.98 ,$12.05 ,$217.87 ,$211.01 ,$237.38 ,$30.13 ,$224.20 ,$12.05 ,$224.20 ,$224.20 ,$237.38 ,$237.38 ,$207.05 ,$217.87 ,$12.05 ,$171.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001474,84166,PROTEIN ELECTRO URINE RANDOM,301,1 ,$154.35 ,$100.33 ,$17.83 ,$138.99 ,$123.48 ,$17.83 ,$122.31 ,$138.99 ,$138.99 ,$33.88 ,$131.20 ,$114.22 ,$44.58 ,$17.83 , N/A ,$128.73 ,$17.83 ,$127.49 ,$123.48 ,$138.92 ,$44.58 ,$131.20 ,$17.83 ,$131.20 ,$131.20 ,$138.92 ,$138.92 ,$121.16 ,$127.49 ,$17.83 ,$100.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001475,N/A,FRAGILE X CHROMOSOME AND DNA ANALYSIS,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001476,84066,ACID PHOSPHATASE PROSTATIC,301,1 ,$163.19 ,$106.07 ,$9.66 ,$146.95 ,$130.55 ,$9.66 ,$129.31 ,$146.95 ,$146.95 ,$18.35 ,$138.71 ,$120.76 ,$24.15 ,$9.66 , N/A ,$136.10 ,$9.66 ,$134.79 ,$130.55 ,$146.87 ,$24.15 ,$138.71 ,$9.66 ,$138.71 ,$138.71 ,$146.87 ,$146.87 ,$128.10 ,$134.79 ,$9.66 ,$106.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001477,87110,CULTURE CHLAMYDIA,306,1 ,$578.00 ,$375.70 ,$19.60 ,$520.49 ,$462.40 ,$19.60 ,$458.01 ,$520.49 ,$520.49 ,$37.24 ,$491.30 ,$427.72 ,$49.00 ,$19.60 , N/A ,$482.05 ,$19.60 ,$477.43 ,$462.40 ,$520.20 ,$49.00 ,$491.30 ,$19.60 ,$491.30 ,$491.30 ,$520.20 ,$520.20 ,$453.73 ,$477.43 ,$19.60 ,$375.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001478,80299,RISPERIDONE LEVEL,301,1 ,$354.54 ,$230.45 ,$18.64 ,$319.26 ,$283.63 ,$18.64 ,$280.94 ,$319.26 ,$319.26 ,$35.42 ,$301.36 ,$262.36 ,$46.60 ,$18.64 , N/A ,$295.69 ,$18.64 ,$292.85 ,$283.63 ,$319.09 ,$46.60 ,$301.36 ,$18.64 ,$301.36 ,$301.36 ,$319.09 ,$319.09 ,$278.31 ,$292.85 ,$18.64 ,$230.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001479,83872,SYN FLD MUCIN,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001480,83498,17-A-HYDROXY PROGESTERONE,301,1 ,$167.12 ,$108.63 ,$27.17 ,$150.49 ,$133.70 ,$27.17 ,$132.43 ,$150.49 ,$150.49 ,$51.62 ,$142.05 ,$123.67 ,$67.93 ,$27.17 , N/A ,$139.38 ,$27.17 ,$138.04 ,$133.70 ,$150.41 ,$67.93 ,$142.05 ,$27.17 ,$142.05 ,$142.05 ,$150.41 ,$150.41 ,$131.19 ,$138.04 ,$27.17 ,$108.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001481,86684,"H INFLUENZA, AB",302,1 ,$377.02 ,$245.06 ,$15.84 ,$339.51 ,$301.62 ,$15.84 ,$298.75 ,$339.51 ,$339.51 ,$30.10 ,$320.47 ,$278.99 ,$39.60 ,$15.84 , N/A ,$314.43 ,$15.84 ,$311.42 ,$301.62 ,$339.32 ,$39.60 ,$320.47 ,$15.84 ,$320.47 ,$320.47 ,$339.32 ,$339.32 ,$295.96 ,$311.42 ,$15.84 ,$245.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001482,83520,TRYPTASE,302,1 ,$264.62 ,$172.00 ,$17.27 ,$238.29 ,$211.70 ,$17.27 ,$209.68 ,$238.29 ,$238.29 ,$32.81 ,$224.93 ,$195.82 ,$43.18 ,$17.27 , N/A ,$220.69 ,$17.27 ,$218.58 ,$211.70 ,$238.16 ,$43.18 ,$224.93 ,$17.27 ,$224.93 ,$224.93 ,$238.16 ,$238.16 ,$207.73 ,$218.58 ,$17.27 ,$172.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001483,83519,PANCREATIC ELASTASE STOOL,301,1 ,$310.39 ,$201.75 ,$18.40 ,$279.51 ,$248.31 ,$18.40 ,$245.95 ,$279.51 ,$279.51 ,$34.96 ,$263.83 ,$229.69 ,$46.00 ,$18.40 , N/A ,$258.87 ,$18.40 ,$256.38 ,$248.31 ,$279.35 ,$46.00 ,$263.83 ,$18.40 ,$263.83 ,$263.83 ,$279.35 ,$279.35 ,$243.66 ,$256.38 ,$18.40 ,$201.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001486,88331,FROZEN SECTION,310,1 ,$396.99 ,$258.04 ,$134.97 ,$357.49 ,$317.59 ,$134.97 ,$314.57 ,$357.49 ,$357.49 ,$256.44 ,$337.44 ,$293.77 ,$337.41 ,$134.97 , N/A ,$331.09 ,$134.97 ,$327.91 ,$317.59 ,$357.29 ,$337.41 ,$337.44 ,$134.97 ,$337.44 ,$337.44 ,$357.29 ,$357.29 ,$311.64 ,$327.91 ,$134.97 ,$258.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001487,86762,RUBELLA IGG AB,302,1 ,$44.82 ,$29.13 ,$14.39 ,$40.36 ,$35.86 ,$14.39 ,$35.52 ,$40.36 ,$40.36 ,$27.34 ,$38.10 ,$33.17 ,$35.98 ,$14.39 , N/A ,$37.38 ,$14.39 ,$37.02 ,$35.86 ,$40.34 ,$35.98 ,$38.10 ,$14.39 ,$38.10 ,$38.10 ,$40.34 ,$40.34 ,$35.18 ,$37.02 ,$14.39 ,$29.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001488,88332,FROZEN SECTION ADDN TISS BLKS,310,1 ,$396.99 ,$258.04 ,$258.04 ,$357.49 ,$317.59 , N/A ,$314.57 ,$357.49 ,$357.49 , N/A ,$337.44 ,$293.77 , N/A , N/A , N/A ,$331.09 , N/A ,$327.91 ,$317.59 ,$357.29 , N/A ,$337.44 , N/A ,$337.44 ,$337.44 ,$357.29 ,$357.29 ,$311.64 ,$327.91 , N/A ,$258.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001489,88172,FINE NEEDLE ASP LAB,310,1 ,$264.60 ,$171.99 ,$134.97 ,$337.41 ,$211.68 ,$134.97 ,$209.67 ,$238.27 ,$238.27 ,$256.44 ,$224.91 ,$195.80 ,$337.41 ,$134.97 , N/A ,$220.68 ,$134.97 ,$218.56 ,$211.68 ,$238.14 ,$264.60 ,$224.91 ,$134.97 ,$224.91 ,$224.91 ,$238.14 ,$238.14 ,$207.71 ,$218.56 ,$134.97 ,$171.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001490,87536,HIV VIRAL LOAD,306,1 ,"$1,315.81 ",$855.28 ,$85.10 ,"$1,184.89 ","$1,052.65 ",$85.10 ,"$1,042.65 ","$1,184.89 ","$1,184.89 ",$161.69 ,"$1,118.44 ",$973.70 ,$212.75 ,$85.10 , N/A ,"$1,097.39 ",$85.10 ,"$1,086.86 ","$1,052.65 ","$1,184.23 ",$212.75 ,"$1,118.44 ",$85.10 ,"$1,118.44 ","$1,118.44 ","$1,184.23 ","$1,184.23 ","$1,032.91 ","$1,086.86 ",$85.10 ,$855.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001491,86360,HC T CELLS CD4 AND CD8 RATIO,302,1 ,$61.58 ,$40.03 ,$40.03 ,$117.45 ,$49.26 ,$46.98 ,$48.80 ,$55.45 ,$55.45 ,$89.26 ,$52.34 ,$45.57 ,$117.45 ,$46.98 , N/A ,$51.36 ,$46.98 ,$50.87 ,$49.26 ,$55.42 ,$61.58 ,$52.34 ,$46.98 ,$52.34 ,$52.34 ,$55.42 ,$55.42 ,$48.34 ,$50.87 ,$46.98 ,$40.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001492,83874,MYOGLOBIN,301,1 ,$68.55 ,$44.56 ,$12.92 ,$61.73 ,$54.84 ,$12.92 ,$54.32 ,$61.73 ,$61.73 ,$24.55 ,$58.27 ,$50.73 ,$32.30 ,$12.92 , N/A ,$57.17 ,$12.92 ,$56.62 ,$54.84 ,$61.70 ,$32.30 ,$58.27 ,$12.92 ,$58.27 ,$58.27 ,$61.70 ,$61.70 ,$53.81 ,$56.62 ,$12.92 ,$44.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001493,86329,TEICHOIC ACID,302,1 ,$137.74 ,$89.53 ,$14.05 ,$124.03 ,$110.19 ,$14.05 ,$109.15 ,$124.03 ,$124.03 ,$26.70 ,$117.08 ,$101.93 ,$35.13 ,$14.05 , N/A ,$114.88 ,$14.05 ,$113.77 ,$110.19 ,$123.97 ,$35.13 ,$117.08 ,$14.05 ,$117.08 ,$117.08 ,$123.97 ,$123.97 ,$108.13 ,$113.77 ,$14.05 ,$89.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001494,87081,MRSA SCREEN,306,1 ,$147.99 ,$96.19 ,$6.63 ,$133.27 ,$118.39 ,$6.63 ,$117.27 ,$133.27 ,$133.27 ,$12.60 ,$125.79 ,$109.51 ,$16.58 ,$6.63 , N/A ,$123.42 ,$6.63 ,$122.24 ,$118.39 ,$133.19 ,$16.58 ,$125.79 ,$6.63 ,$125.79 ,$125.79 ,$133.19 ,$133.19 ,$116.17 ,$122.24 ,$6.63 ,$96.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001495,83516,NEUROMYELITIS OPTICA AB,301,1 ,$501.80 ,$326.17 ,$11.53 ,$451.87 ,$401.44 ,$11.53 ,$397.63 ,$451.87 ,$451.87 ,$21.91 ,$426.53 ,$371.33 ,$28.83 ,$11.53 , N/A ,$418.50 ,$11.53 ,$414.49 ,$401.44 ,$451.62 ,$28.83 ,$426.53 ,$11.53 ,$426.53 ,$426.53 ,$451.62 ,$451.62 ,$393.91 ,$414.49 ,$11.53 ,$326.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001500,N/A,Mu SK ABS,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001552,80202,VANCOMYCIN PEAK LEVEL,301,1 ,$259.49 ,$168.67 ,$13.54 ,$233.67 ,$207.59 ,$13.54 ,$205.62 ,$233.67 ,$233.67 ,$25.73 ,$220.57 ,$192.02 ,$33.85 ,$13.54 , N/A ,$216.41 ,$13.54 ,$214.34 ,$207.59 ,$233.54 ,$33.85 ,$220.57 ,$13.54 ,$220.57 ,$220.57 ,$233.54 ,$233.54 ,$203.70 ,$214.34 ,$13.54 ,$168.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001555,86658,COXSACKIE VIRUS AB,302,1 ,$704.02 ,$457.61 ,$13.03 ,$633.97 ,$563.22 ,$13.03 ,$557.87 ,$633.97 ,$633.97 ,$24.76 ,$598.42 ,$520.97 ,$32.58 ,$13.03 , N/A ,$587.15 ,$13.03 ,$581.52 ,$563.22 ,$633.62 ,$32.58 ,$598.42 ,$13.03 ,$598.42 ,$598.42 ,$633.62 ,$633.62 ,$552.66 ,$581.52 ,$13.03 ,$457.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001560,84165,PROTEIN ELECT SERUM WTIH REFLEX,301,1 ,$223.55 ,$145.31 ,$10.74 ,$201.31 ,$178.84 ,$10.74 ,$177.14 ,$201.31 ,$201.31 ,$20.41 ,$190.02 ,$165.43 ,$26.85 ,$10.74 , N/A ,$186.44 ,$10.74 ,$184.65 ,$178.84 ,$201.20 ,$26.85 ,$190.02 ,$10.74 ,$190.02 ,$190.02 ,$201.20 ,$201.20 ,$175.49 ,$184.65 ,$10.74 ,$145.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001600,86999,ARC AUTOLOGAUS ADSORPTION,302,1 ,$73.66 ,$47.88 ,$22.32 ,$66.33 ,$58.93 ,$22.32 ,$58.37 ,$66.33 ,$66.33 ,$42.41 ,$62.61 ,$54.51 ,$55.81 ,$22.32 , N/A ,$61.43 ,$22.32 ,$60.84 ,$58.93 ,$66.29 ,$55.81 ,$62.61 ,$22.32 ,$62.61 ,$62.61 ,$66.29 ,$66.29 ,$57.82 ,$60.84 ,$22.32 ,$47.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001622,88262,CHROMOSOME ANAL COUNT 15 - 20 CELLS,310,1 ,$742.75 ,$482.79 ,$125.49 ,$668.85 ,$594.20 ,$125.49 ,$588.56 ,$668.85 ,$668.85 ,$238.43 ,$631.34 ,$549.64 ,$313.73 ,$125.49 , N/A ,$619.45 ,$125.49 ,$613.51 ,$594.20 ,$668.48 ,$313.73 ,$631.34 ,$125.49 ,$631.34 ,$631.34 ,$668.48 ,$668.48 ,$583.06 ,$613.51 ,$125.49 ,$482.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001628,80170,GENTAMICIN PEAK,301,1 ,$204.84 ,$133.15 ,$16.38 ,$184.46 ,$163.87 ,$16.38 ,$162.32 ,$184.46 ,$184.46 ,$31.12 ,$174.11 ,$151.58 ,$40.95 ,$16.38 , N/A ,$170.84 ,$16.38 ,$169.20 ,$163.87 ,$184.36 ,$40.95 ,$174.11 ,$16.38 ,$174.11 ,$174.11 ,$184.36 ,$184.36 ,$160.80 ,$169.20 ,$16.38 ,$133.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001666,86611,CAT SCRATCH PANEL IGG/IGM,302,1 ,$153.01 ,$99.46 ,$10.18 ,$137.79 ,$122.41 ,$10.18 ,$121.25 ,$137.79 ,$137.79 ,$19.34 ,$130.06 ,$113.23 ,$25.45 ,$10.18 , N/A ,$127.61 ,$10.18 ,$126.39 ,$122.41 ,$137.71 ,$25.45 ,$130.06 ,$10.18 ,$130.06 ,$130.06 ,$137.71 ,$137.71 ,$120.11 ,$126.39 ,$10.18 ,$99.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001693,N/A,CHEM 7 PROFILE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001701,86780,FTA-ABS SYPHILIS,302,1 ,$218.66 ,$142.13 ,$13.24 ,$196.90 ,$174.93 ,$13.24 ,$173.27 ,$196.90 ,$196.90 ,$25.16 ,$185.86 ,$161.81 ,$33.10 ,$13.24 , N/A ,$182.36 ,$13.24 ,$180.61 ,$174.93 ,$196.79 ,$33.10 ,$185.86 ,$13.24 ,$185.86 ,$185.86 ,$196.79 ,$196.79 ,$171.65 ,$180.61 ,$13.24 ,$142.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001768,82103,ALPHA-1 ANTITRYPSIN,301,1 ,$259.62 ,$168.75 ,$13.44 ,$233.79 ,$207.70 ,$13.44 ,$205.72 ,$233.79 ,$233.79 ,$25.54 ,$220.68 ,$192.12 ,$33.60 ,$13.44 , N/A ,$216.52 ,$13.44 ,$214.45 ,$207.70 ,$233.66 ,$33.60 ,$220.68 ,$13.44 ,$220.68 ,$220.68 ,$233.66 ,$233.66 ,$203.80 ,$214.45 ,$13.44 ,$168.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001867,80158,CYCLOSPORINE LEVEL,301,1 ,$231.79 ,$150.66 ,$18.05 ,$208.73 ,$185.43 ,$18.05 ,$183.67 ,$208.73 ,$208.73 ,$34.30 ,$197.02 ,$171.52 ,$45.13 ,$18.05 , N/A ,$193.31 ,$18.05 ,$191.46 ,$185.43 ,$208.61 ,$45.13 ,$197.02 ,$18.05 ,$197.02 ,$197.02 ,$208.61 ,$208.61 ,$181.96 ,$191.46 ,$18.05 ,$150.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001875,82040,ALBUMIN,301,1 ,$96.02 ,$62.41 ,$4.95 ,$86.47 ,$76.82 ,$4.95 ,$76.09 ,$86.47 ,$86.47 ,$9.41 ,$81.62 ,$71.05 ,$12.38 ,$4.95 , N/A ,$80.08 ,$4.95 ,$79.31 ,$76.82 ,$86.42 ,$12.38 ,$81.62 ,$4.95 ,$81.62 ,$81.62 ,$86.42 ,$86.42 ,$75.38 ,$79.31 ,$4.95 ,$62.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001917,82360,CALCULI ANALYSIS,301,1 ,$164.71 ,$107.06 ,$12.87 ,$148.32 ,$131.77 ,$12.87 ,$130.52 ,$148.32 ,$148.32 ,$24.45 ,$140.00 ,$121.89 ,$32.18 ,$12.87 , N/A ,$137.37 ,$12.87 ,$136.05 ,$131.77 ,$148.24 ,$32.18 ,$140.00 ,$12.87 ,$140.00 ,$140.00 ,$148.24 ,$148.24 ,$129.30 ,$136.05 ,$12.87 ,$107.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001925,82375,CARBON MONOXIDE,301,1 ,$102.33 ,$66.51 ,$12.32 ,$92.15 ,$81.86 ,$12.32 ,$81.09 ,$92.15 ,$92.15 ,$23.41 ,$86.98 ,$75.72 ,$30.80 ,$12.32 , N/A ,$85.34 ,$12.32 ,$84.52 ,$81.86 ,$92.10 ,$30.80 ,$86.98 ,$12.32 ,$86.98 ,$86.98 ,$92.10 ,$92.10 ,$80.33 ,$84.52 ,$12.32 ,$66.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001950,84295,DT SODIUM,301,1 ,$297.26 ,$193.22 ,$4.81 ,$267.68 ,$237.81 ,$4.81 ,$235.55 ,$267.68 ,$267.68 ,$9.14 ,$252.67 ,$219.97 ,$12.03 ,$4.81 , N/A ,$247.91 ,$4.81 ,$245.54 ,$237.81 ,$267.53 ,$12.03 ,$252.67 ,$4.81 ,$252.67 ,$252.67 ,$267.53 ,$267.53 ,$233.35 ,$245.54 ,$4.81 ,$193.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001951,80051,DT ELECTROLYTE PANEL,301,1 ,$222.14 ,$144.39 ,$7.01 ,$200.04 ,$177.71 ,$7.01 ,$176.02 ,$200.04 ,$200.04 ,$13.32 ,$188.82 ,$164.38 ,$17.53 ,$7.01 , N/A ,$185.26 ,$7.01 ,$183.49 ,$177.71 ,$199.93 ,$17.53 ,$188.82 ,$7.01 ,$188.82 ,$188.82 ,$199.93 ,$199.93 ,$174.38 ,$183.49 ,$7.01 ,$144.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001952,82374,DT C02,301,1 ,$262.13 ,$170.38 ,$4.88 ,$236.05 ,$209.70 ,$4.88 ,$207.71 ,$236.05 ,$236.05 ,$9.27 ,$222.81 ,$193.98 ,$12.20 ,$4.88 , N/A ,$218.62 ,$4.88 ,$216.52 ,$209.70 ,$235.92 ,$12.20 ,$222.81 ,$4.88 ,$222.81 ,$222.81 ,$235.92 ,$235.92 ,$205.77 ,$216.52 ,$4.88 ,$170.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001953,84132,DT POTASSIUM,301,1 ,$74.27 ,$48.28 ,$4.76 ,$66.88 ,$59.42 ,$4.76 ,$58.85 ,$66.88 ,$66.88 ,$9.04 ,$63.13 ,$54.96 ,$11.90 ,$4.76 , N/A ,$61.94 ,$4.76 ,$61.35 ,$59.42 ,$66.84 ,$11.90 ,$63.13 ,$4.76 ,$63.13 ,$63.13 ,$66.84 ,$66.84 ,$58.30 ,$61.35 ,$4.76 ,$48.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001954,82374,DT CALCIUM,301,1 ,$74.27 ,$48.28 ,$4.88 ,$66.88 ,$59.42 ,$4.88 ,$58.85 ,$66.88 ,$66.88 ,$9.27 ,$63.13 ,$54.96 ,$12.20 ,$4.88 , N/A ,$61.94 ,$4.88 ,$61.35 ,$59.42 ,$66.84 ,$12.20 ,$63.13 ,$4.88 ,$63.13 ,$63.13 ,$66.84 ,$66.84 ,$58.30 ,$61.35 ,$4.88 ,$48.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001955,82947,DT GLUCOSE,301,1 ,$74.27 ,$48.28 ,$3.93 ,$66.88 ,$59.42 ,$3.93 ,$58.85 ,$66.88 ,$66.88 ,$7.47 ,$63.13 ,$54.96 ,$9.83 ,$3.93 , N/A ,$61.94 ,$3.93 ,$61.35 ,$59.42 ,$66.84 ,$9.83 ,$63.13 ,$3.93 ,$63.13 ,$63.13 ,$66.84 ,$66.84 ,$58.30 ,$61.35 ,$3.93 ,$48.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001956,85018,DT HEMOGLOBIN,305,1 ,$42.19 ,$27.42 ,$2.37 ,$37.99 ,$33.75 ,$2.37 ,$33.43 ,$37.99 ,$37.99 ,$4.50 ,$35.86 ,$31.22 ,$5.93 ,$2.37 , N/A ,$35.19 ,$2.37 ,$34.85 ,$33.75 ,$37.97 ,$5.93 ,$35.86 ,$2.37 ,$35.86 ,$35.86 ,$37.97 ,$37.97 ,$33.12 ,$34.85 ,$2.37 ,$27.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001957,82435,DT CHLORIDE,301,1 ,$74.27 ,$48.28 ,$4.60 ,$66.88 ,$59.42 ,$4.60 ,$58.85 ,$66.88 ,$66.88 ,$8.74 ,$63.13 ,$54.96 ,$11.50 ,$4.60 , N/A ,$61.94 ,$4.60 ,$61.35 ,$59.42 ,$66.84 ,$11.50 ,$63.13 ,$4.60 ,$63.13 ,$63.13 ,$66.84 ,$66.84 ,$58.30 ,$61.35 ,$4.60 ,$48.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001958,80074,HEP ABC PANEL 2 (ACUTE PROFILE),301,1 ,$144.39 ,$93.85 ,$47.63 ,$130.02 ,$115.51 ,$47.63 ,$114.41 ,$130.02 ,$130.02 ,$90.50 ,$122.73 ,$106.85 ,$119.08 ,$47.63 , N/A ,$120.42 ,$47.63 ,$119.27 ,$115.51 ,$129.95 ,$119.08 ,$122.73 ,$47.63 ,$122.73 ,$122.73 ,$129.95 ,$129.95 ,$113.35 ,$119.27 ,$47.63 ,$93.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001959,85014,DT HEMATOCRIT,301,1 ,$297.26 ,$193.22 ,$2.37 ,$267.68 ,$237.81 ,$2.37 ,$235.55 ,$267.68 ,$267.68 ,$4.50 ,$252.67 ,$219.97 ,$5.93 ,$2.37 , N/A ,$247.91 ,$2.37 ,$245.54 ,$237.81 ,$267.53 ,$5.93 ,$252.67 ,$2.37 ,$252.67 ,$252.67 ,$267.53 ,$267.53 ,$233.35 ,$245.54 ,$2.37 ,$193.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24001966,N/A,EBV PROFILE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24001990,83930,OSMOLALITY SERUM,301,1 ,$149.59 ,$97.23 ,$6.61 ,$134.71 ,$119.67 ,$6.61 ,$118.54 ,$134.71 ,$134.71 ,$12.56 ,$127.15 ,$110.70 ,$16.53 ,$6.61 , N/A ,$124.76 ,$6.61 ,$123.56 ,$119.67 ,$134.63 ,$16.53 ,$127.15 ,$6.61 ,$127.15 ,$127.15 ,$134.63 ,$134.63 ,$117.43 ,$123.56 ,$6.61 ,$97.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002014,82977,GAMMAGT,301,1 ,$127.47 ,$82.86 ,$7.20 ,$114.79 ,$101.98 ,$7.20 ,$101.01 ,$114.79 ,$114.79 ,$13.68 ,$108.35 ,$94.33 ,$18.00 ,$7.20 , N/A ,$106.31 ,$7.20 ,$105.29 ,$101.98 ,$114.72 ,$18.00 ,$108.35 ,$7.20 ,$108.35 ,$108.35 ,$114.72 ,$114.72 ,$100.06 ,$105.29 ,$7.20 ,$82.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002022,86003,RAST MISC ALLER,302,1 ,$35.65 ,$23.17 ,$5.22 ,$32.10 ,$28.52 ,$5.22 ,$28.25 ,$32.10 ,$32.10 ,$9.92 ,$30.30 ,$26.38 ,$13.05 ,$5.22 , N/A ,$29.73 ,$5.22 ,$29.45 ,$28.52 ,$32.09 ,$13.05 ,$30.30 ,$5.22 ,$30.30 ,$30.30 ,$32.09 ,$32.09 ,$27.99 ,$29.45 ,$5.22 ,$23.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002023,86977,ARC - INHIBITION OF SERUM,300,1 ,$69.62 ,$45.25 ,$45.25 ,$337.41 ,$55.70 ,$134.97 ,$55.17 ,$62.69 ,$62.69 ,$256.44 ,$59.18 ,$51.52 ,$337.41 ,$134.97 , N/A ,$58.06 ,$134.97 ,$57.51 ,$55.70 ,$62.66 ,$69.62 ,$59.18 ,$69.62 ,$59.18 ,$59.18 ,$62.66 ,$62.66 ,$54.65 ,$57.51 ,$69.62 ,$45.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002048,82746,FOLATE(FOLIC ACID),301,1 ,$112.70 ,$73.26 ,$14.70 ,$101.49 ,$90.16 ,$14.70 ,$89.30 ,$101.49 ,$101.49 ,$27.93 ,$95.80 ,$83.40 ,$36.75 ,$14.70 , N/A ,$93.99 ,$14.70 ,$93.09 ,$90.16 ,$101.43 ,$36.75 ,$95.80 ,$14.70 ,$95.80 ,$95.80 ,$101.43 ,$101.43 ,$88.47 ,$93.09 ,$14.70 ,$73.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002055,84443,TSH,301,1 ,$181.14 ,$117.74 ,$16.80 ,$163.12 ,$144.91 ,$16.80 ,$143.54 ,$163.12 ,$163.12 ,$31.92 ,$153.97 ,$134.04 ,$42.00 ,$16.80 , N/A ,$151.07 ,$16.80 ,$149.62 ,$144.91 ,$163.03 ,$42.00 ,$153.97 ,$16.80 ,$153.97 ,$153.97 ,$163.03 ,$163.03 ,$142.19 ,$149.62 ,$16.80 ,$117.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002063,80299,SINEMET LEVEL,301,1 ,$563.97 ,$366.58 ,$18.64 ,$507.86 ,$451.18 ,$18.64 ,$446.89 ,$507.86 ,$507.86 ,$35.42 ,$479.37 ,$417.34 ,$46.60 ,$18.64 , N/A ,$470.35 ,$18.64 ,$465.84 ,$451.18 ,$507.57 ,$46.60 ,$479.37 ,$18.64 ,$479.37 ,$479.37 ,$507.57 ,$507.57 ,$442.72 ,$465.84 ,$18.64 ,$366.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002162,86580,SKIN TEST TB,302,1 ,$79.37 ,$51.59 ,$22.32 ,$71.47 ,$63.50 ,$22.32 ,$62.89 ,$71.47 ,$71.47 ,$42.41 ,$67.46 ,$58.73 ,$55.81 ,$22.32 , N/A ,$66.19 ,$22.32 ,$65.56 ,$63.50 ,$71.43 ,$55.81 ,$67.46 ,$22.32 ,$67.46 ,$67.46 ,$71.43 ,$71.43 ,$62.31 ,$65.56 ,$22.32 ,$51.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002196,86902,"ARC ANTIGEN TYPE PER UNIT, NOT LABELED",302,1 ,$239.01 ,$155.36 ,$155.36 ,$658.86 ,$191.21 ,$263.54 ,$189.39 ,$215.23 ,$215.23 ,$500.73 ,$203.16 ,$176.87 ,$658.86 ,$263.54 , N/A ,$199.33 ,$263.54 ,$197.42 ,$191.21 ,$215.11 ,$239.01 ,$203.16 ,$239.01 ,$203.16 ,$203.16 ,$215.11 ,$215.11 ,$187.62 ,$197.42 ,$239.01 ,$155.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002238,87070,GC SCREEN,306,1 ,$126.44 ,$82.19 ,$8.62 ,$113.86 ,$101.15 ,$8.62 ,$100.19 ,$113.86 ,$113.86 ,$16.38 ,$107.47 ,$93.57 ,$21.55 ,$8.62 , N/A ,$105.45 ,$8.62 ,$104.44 ,$101.15 ,$113.80 ,$21.55 ,$107.47 ,$8.62 ,$107.47 ,$107.47 ,$113.80 ,$113.80 ,$99.26 ,$104.44 ,$8.62 ,$82.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002253,86713,LEGIONELLA ANTI IGG (1-6),302,1 ,$398.61 ,$259.10 ,$15.30 ,$358.95 ,$318.89 ,$15.30 ,$315.86 ,$358.95 ,$358.95 ,$29.07 ,$338.82 ,$294.97 ,$38.25 ,$15.30 , N/A ,$332.44 ,$15.30 ,$329.25 ,$318.89 ,$358.75 ,$38.25 ,$338.82 ,$15.30 ,$338.82 ,$338.82 ,$358.75 ,$358.75 ,$312.91 ,$329.25 ,$15.30 ,$259.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002261,82552,CPK ISOENZYMES,301,1 ,$332.71 ,$216.26 ,$13.39 ,$299.61 ,$266.17 ,$13.39 ,$263.64 ,$299.61 ,$299.61 ,$25.44 ,$282.80 ,$246.21 ,$33.48 ,$13.39 , N/A ,$277.48 ,$13.39 ,$274.82 ,$266.17 ,$299.44 ,$33.48 ,$282.80 ,$13.39 ,$282.80 ,$282.80 ,$299.44 ,$299.44 ,$261.18 ,$274.82 ,$13.39 ,$216.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002267,86023,PLATELET AB DIRECT (ASSOC),302,1 ,$698.55 ,$454.06 ,$12.46 ,$629.04 ,$558.84 ,$12.46 ,$553.53 ,$629.04 ,$629.04 ,$23.67 ,$593.77 ,$516.93 ,$31.15 ,$12.46 , N/A ,$582.59 ,$12.46 ,$577.00 ,$558.84 ,$628.70 ,$31.15 ,$593.77 ,$12.46 ,$593.77 ,$593.77 ,$628.70 ,$628.70 ,$548.36 ,$577.00 ,$12.46 ,$454.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002279,80185,PHENYTOIN,301,1 ,$55.68 ,$36.19 ,$13.25 ,$50.14 ,$44.54 ,$13.25 ,$44.12 ,$50.14 ,$50.14 ,$25.18 ,$47.33 ,$41.20 ,$33.13 ,$13.25 , N/A ,$46.44 ,$13.25 ,$45.99 ,$44.54 ,$50.11 ,$33.13 ,$47.33 ,$13.25 ,$47.33 ,$47.33 ,$50.11 ,$50.11 ,$43.71 ,$45.99 ,$13.25 ,$36.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002287,80184,PHENOBARBITAL LEVEL,301,1 ,$130.10 ,$84.57 ,$15.30 ,$117.16 ,$104.08 ,$15.30 ,$103.09 ,$117.16 ,$117.16 ,$29.07 ,$110.59 ,$96.27 ,$38.25 ,$15.30 , N/A ,$108.50 ,$15.30 ,$107.46 ,$104.08 ,$117.09 ,$38.25 ,$110.59 ,$15.30 ,$110.59 ,$110.59 ,$117.09 ,$117.09 ,$102.13 ,$107.46 ,$15.30 ,$84.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002295,80188,MYSOLINE (PRIM) LEVEL,301,1 ,$251.15 ,$163.25 ,$16.59 ,$226.16 ,$200.92 ,$16.59 ,$199.01 ,$226.16 ,$226.16 ,$31.52 ,$213.48 ,$185.85 ,$41.48 ,$16.59 , N/A ,$209.46 ,$16.59 ,$207.45 ,$200.92 ,$226.04 ,$41.48 ,$213.48 ,$16.59 ,$213.48 ,$213.48 ,$226.04 ,$226.04 ,$197.15 ,$207.45 ,$16.59 ,$163.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002311,87116,CULTURE AFB,306,1 ,$75.59 ,$49.13 ,$10.80 ,$68.07 ,$60.47 ,$10.80 ,$59.90 ,$68.07 ,$68.07 ,$20.52 ,$64.25 ,$55.94 ,$27.00 ,$10.80 , N/A ,$63.04 ,$10.80 ,$62.44 ,$60.47 ,$68.03 ,$27.00 ,$64.25 ,$10.80 ,$64.25 ,$64.25 ,$68.03 ,$68.03 ,$59.34 ,$62.44 ,$10.80 ,$49.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002329,87101,CULT FUNGUS SKIN,306,1 ,$220.76 ,$143.49 ,$7.71 ,$198.79 ,$176.61 ,$7.71 ,$174.93 ,$198.79 ,$198.79 ,$14.65 ,$187.65 ,$163.36 ,$19.28 ,$7.71 , N/A ,$184.11 ,$7.71 ,$182.35 ,$176.61 ,$198.68 ,$19.28 ,$187.65 ,$7.71 ,$187.65 ,$187.65 ,$198.68 ,$198.68 ,$173.30 ,$182.35 ,$7.71 ,$143.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002337,87045,CULTURE STOOL,306,1 ,$179.93 ,$116.95 ,$9.44 ,$162.03 ,$143.94 ,$9.44 ,$142.58 ,$162.03 ,$162.03 ,$17.94 ,$152.94 ,$133.15 ,$23.60 ,$9.44 , N/A ,$150.06 ,$9.44 ,$148.62 ,$143.94 ,$161.94 ,$23.60 ,$152.94 ,$9.44 ,$152.94 ,$152.94 ,$161.94 ,$161.94 ,$141.25 ,$148.62 ,$9.44 ,$116.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002345,87040,CULTURE BLOOD,306,1 ,$307.78 ,$200.06 ,$10.32 ,$277.16 ,$246.22 ,$10.32 ,$243.88 ,$277.16 ,$277.16 ,$19.61 ,$261.61 ,$227.76 ,$25.80 ,$10.32 , N/A ,$256.69 ,$10.32 ,$254.23 ,$246.22 ,$277.00 ,$25.80 ,$261.61 ,$10.32 ,$261.61 ,$261.61 ,$277.00 ,$277.00 ,$241.61 ,$254.23 ,$10.32 ,$200.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002352,87086,CULTURE URINE-CATH,306,1 ,$164.57 ,$106.97 ,$8.07 ,$148.20 ,$131.66 ,$8.07 ,$130.41 ,$148.20 ,$148.20 ,$15.33 ,$139.88 ,$121.78 ,$20.18 ,$8.07 , N/A ,$137.25 ,$8.07 ,$135.93 ,$131.66 ,$148.11 ,$20.18 ,$139.88 ,$8.07 ,$139.88 ,$139.88 ,$148.11 ,$148.11 ,$129.19 ,$135.93 ,$8.07 ,$106.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002360,87086,CULTURE URINE-MID,306,1 ,$175.77 ,$114.25 ,$8.07 ,$158.28 ,$140.62 ,$8.07 ,$139.28 ,$158.28 ,$158.28 ,$15.33 ,$149.40 ,$130.07 ,$20.18 ,$8.07 , N/A ,$146.59 ,$8.07 ,$145.19 ,$140.62 ,$158.19 ,$20.18 ,$149.40 ,$8.07 ,$149.40 ,$149.40 ,$158.19 ,$158.19 ,$137.98 ,$145.19 ,$8.07 ,$114.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002378,87070,CULTURE WOUND,306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002386,87070,CULTURE THROAT,306,1 ,$137.25 ,$89.21 ,$8.62 ,$123.59 ,$109.80 ,$8.62 ,$108.76 ,$123.59 ,$123.59 ,$16.38 ,$116.66 ,$101.57 ,$21.55 ,$8.62 , N/A ,$114.47 ,$8.62 ,$113.37 ,$109.80 ,$123.53 ,$21.55 ,$116.66 ,$8.62 ,$116.66 ,$116.66 ,$123.53 ,$123.53 ,$107.74 ,$113.37 ,$8.62 ,$89.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002394,87070,CULT NASAL PHAR,306,1 ,$144.25 ,$93.76 ,$8.62 ,$129.90 ,$115.40 ,$8.62 ,$114.30 ,$129.90 ,$129.90 ,$16.38 ,$122.61 ,$106.75 ,$21.55 ,$8.62 , N/A ,$120.30 ,$8.62 ,$119.15 ,$115.40 ,$129.83 ,$21.55 ,$122.61 ,$8.62 ,$122.61 ,$122.61 ,$129.83 ,$129.83 ,$113.24 ,$119.15 ,$8.62 ,$93.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002402,87070,CULTURE SPUTUM,306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002410,87070,CULTURE CSF,306,1 ,$167.99 ,$109.19 ,$8.62 ,$151.28 ,$134.39 ,$8.62 ,$133.12 ,$151.28 ,$151.28 ,$16.38 ,$142.79 ,$124.31 ,$21.55 ,$8.62 , N/A ,$140.10 ,$8.62 ,$138.76 ,$134.39 ,$151.19 ,$21.55 ,$142.79 ,$8.62 ,$142.79 ,$142.79 ,$151.19 ,$151.19 ,$131.87 ,$138.76 ,$8.62 ,$109.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002428,87075,CULTURE ANAEROBIC (INCLUDES AEROBIC),306,1 ,$257.67 ,$167.49 ,$9.47 ,$232.03 ,$206.14 ,$9.47 ,$204.18 ,$232.03 ,$232.03 ,$17.99 ,$219.02 ,$190.68 ,$23.68 ,$9.47 , N/A ,$214.90 ,$9.47 ,$212.84 ,$206.14 ,$231.90 ,$23.68 ,$219.02 ,$9.47 ,$219.02 ,$219.02 ,$231.90 ,$231.90 ,$202.27 ,$212.84 ,$9.47 ,$167.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002444,87177,OVA AND PARASITES,306,1 ,$76.42 ,$49.67 ,$8.90 ,$68.82 ,$61.14 ,$8.90 ,$60.56 ,$68.82 ,$68.82 ,$16.91 ,$64.96 ,$56.55 ,$22.25 ,$8.90 , N/A ,$63.73 ,$8.90 ,$63.12 ,$61.14 ,$68.78 ,$22.25 ,$64.96 ,$8.90 ,$64.96 ,$64.96 ,$68.78 ,$68.78 ,$59.99 ,$63.12 ,$8.90 ,$49.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002451,80200,TOBRAMYCIN RANDOM,301,1 ,$245.95 ,$159.87 ,$16.13 ,$221.48 ,$196.76 ,$16.13 ,$194.89 ,$221.48 ,$221.48 ,$30.65 ,$209.06 ,$182.00 ,$40.33 ,$16.13 , N/A ,$205.12 ,$16.13 ,$203.15 ,$196.76 ,$221.36 ,$40.33 ,$209.06 ,$16.13 ,$209.06 ,$209.06 ,$221.36 ,$221.36 ,$193.07 ,$203.15 ,$16.13 ,$159.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002467,87804,INFLUENZA B,300,1 ,$50.32 ,$32.71 ,$16.55 ,$45.31 ,$40.26 ,$16.55 ,$39.87 ,$45.31 ,$45.31 ,$31.45 ,$42.77 ,$37.24 ,$41.38 ,$16.55 , N/A ,$41.97 ,$16.55 ,$41.56 ,$40.26 ,$45.29 ,$41.38 ,$42.77 ,$16.55 ,$42.77 ,$42.77 ,$45.29 ,$45.29 ,$39.50 ,$41.56 ,$16.55 ,$32.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002469,80194,QUINIDINE SERUM LEVEL,301,1 ,$200.58 ,$130.38 ,$14.60 ,$180.62 ,$160.46 ,$14.60 ,$158.94 ,$180.62 ,$180.62 ,$27.74 ,$170.49 ,$148.43 ,$36.50 ,$14.60 , N/A ,$167.28 ,$14.60 ,$165.68 ,$160.46 ,$180.52 ,$36.50 ,$170.49 ,$14.60 ,$170.49 ,$170.49 ,$180.52 ,$180.52 ,$157.46 ,$165.68 ,$14.60 ,$130.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002477,82378,CEA,301,1 ,$120.85 ,$78.55 ,$18.96 ,$108.83 ,$96.68 ,$18.96 ,$95.76 ,$108.83 ,$108.83 ,$36.02 ,$102.72 ,$89.43 ,$47.40 ,$18.96 , N/A ,$100.79 ,$18.96 ,$99.82 ,$96.68 ,$108.77 ,$47.40 ,$102.72 ,$18.96 ,$102.72 ,$102.72 ,$108.77 ,$108.77 ,$94.87 ,$99.82 ,$18.96 ,$78.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002485,82728,FERRITIN,301,1 ,$259.62 ,$168.75 ,$13.63 ,$233.79 ,$207.70 ,$13.63 ,$205.72 ,$233.79 ,$233.79 ,$25.90 ,$220.68 ,$192.12 ,$34.08 ,$13.63 , N/A ,$216.52 ,$13.63 ,$214.45 ,$207.70 ,$233.66 ,$34.08 ,$220.68 ,$13.63 ,$220.68 ,$220.68 ,$233.66 ,$233.66 ,$203.80 ,$214.45 ,$13.63 ,$168.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002493,80192,PROCAINAMIDE LEVEL,301,1 ,$254.14 ,$165.19 ,$16.75 ,$228.85 ,$203.31 ,$16.75 ,$201.38 ,$228.85 ,$228.85 ,$31.83 ,$216.02 ,$188.06 ,$41.88 ,$16.75 , N/A ,$211.95 ,$16.75 ,$209.92 ,$203.31 ,$228.73 ,$41.88 ,$216.02 ,$16.75 ,$216.02 ,$216.02 ,$228.73 ,$228.73 ,$199.50 ,$209.92 ,$16.75 ,$165.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002535,83718,HDL,301,1 ,$130.60 ,$84.89 ,$8.19 ,$117.61 ,$104.48 ,$8.19 ,$103.49 ,$117.61 ,$117.61 ,$15.56 ,$111.01 ,$96.64 ,$20.48 ,$8.19 , N/A ,$108.92 ,$8.19 ,$107.88 ,$104.48 ,$117.54 ,$20.48 ,$111.01 ,$8.19 ,$111.01 ,$111.01 ,$117.54 ,$117.54 ,$102.52 ,$107.88 ,$8.19 ,$84.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002550,87493,C DIFF,306,1 ,$197.62 ,$128.45 ,$37.27 ,$177.96 ,$158.10 ,$37.27 ,$156.59 ,$177.96 ,$177.96 ,$70.81 ,$167.98 ,$146.24 ,$93.18 ,$37.27 , N/A ,$164.82 ,$37.27 ,$163.23 ,$158.10 ,$177.86 ,$93.18 ,$167.98 ,$37.27 ,$167.98 ,$167.98 ,$177.86 ,$177.86 ,$155.13 ,$163.23 ,$37.27 ,$128.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002568,84681,C-PEPTIDE,301,1 ,$296.62 ,$192.80 ,$20.81 ,$267.11 ,$237.30 ,$20.81 ,$235.04 ,$267.11 ,$267.11 ,$39.54 ,$252.13 ,$219.50 ,$52.03 ,$20.81 , N/A ,$247.38 ,$20.81 ,$245.01 ,$237.30 ,$266.96 ,$52.03 ,$252.13 ,$20.81 ,$252.13 ,$252.13 ,$266.96 ,$266.96 ,$232.85 ,$245.01 ,$20.81 ,$192.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002576,83525,INSULIN,301,1 ,$179.94 ,$116.96 ,$11.43 ,$162.04 ,$143.95 ,$11.43 ,$142.58 ,$162.04 ,$162.04 ,$21.72 ,$152.95 ,$133.16 ,$28.58 ,$11.43 , N/A ,$150.07 ,$11.43 ,$148.63 ,$143.95 ,$161.95 ,$28.58 ,$152.95 ,$11.43 ,$152.95 ,$152.95 ,$161.95 ,$161.95 ,$141.25 ,$148.63 ,$11.43 ,$116.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002634,82787,IGG SUBCLASSES,301,1 ,$858.27 ,$557.88 ,$8.02 ,$772.87 ,$686.62 ,$8.02 ,$680.09 ,$772.87 ,$772.87 ,$15.24 ,$729.53 ,$635.12 ,$20.05 ,$8.02 , N/A ,$715.80 ,$8.02 ,$708.93 ,$686.62 ,$772.44 ,$20.05 ,$729.53 ,$8.02 ,$729.53 ,$729.53 ,$772.44 ,$772.44 ,$673.74 ,$708.93 ,$8.02 ,$557.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002683,86765,RUBEOLA IGG AB,302,1 ,$88.43 ,$57.48 ,$12.88 ,$79.63 ,$70.74 ,$12.88 ,$70.07 ,$79.63 ,$79.63 ,$24.47 ,$75.17 ,$65.44 ,$32.20 ,$12.88 , N/A ,$73.75 ,$12.88 ,$73.04 ,$70.74 ,$79.59 ,$32.20 ,$75.17 ,$12.88 ,$75.17 ,$75.17 ,$79.59 ,$79.59 ,$69.42 ,$73.04 ,$12.88 ,$57.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002684,86765,RUBEOLA IGM AB,302,1 ,$100.28 ,$65.18 ,$12.88 ,$90.30 ,$80.22 ,$12.88 ,$79.46 ,$90.30 ,$90.30 ,$24.47 ,$85.24 ,$74.21 ,$32.20 ,$12.88 , N/A ,$83.63 ,$12.88 ,$82.83 ,$80.22 ,$90.25 ,$32.20 ,$85.24 ,$12.88 ,$85.24 ,$85.24 ,$90.25 ,$90.25 ,$78.72 ,$82.83 ,$12.88 ,$65.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002923,85048,EOS COUNT,305,1 ,$95.89 ,$62.33 ,$2.54 ,$86.35 ,$76.71 ,$2.54 ,$75.98 ,$86.35 ,$86.35 ,$4.83 ,$81.51 ,$70.96 ,$6.35 ,$2.54 , N/A ,$79.97 ,$2.54 ,$79.21 ,$76.71 ,$86.30 ,$6.35 ,$81.51 ,$2.54 ,$81.51 ,$81.51 ,$86.30 ,$86.30 ,$75.27 ,$79.21 ,$2.54 ,$62.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002931,N/A,INS DRAW-PROCESS FEE,300,1 ,$81.99 ,$53.29 ,$53.29 ,$73.83 ,$65.59 , N/A ,$64.97 ,$73.83 ,$73.83 , N/A ,$69.69 ,$60.67 , N/A , N/A , N/A ,$68.38 , N/A ,$67.72 ,$65.59 ,$73.79 , N/A ,$69.69 , N/A ,$69.69 ,$69.69 ,$73.79 ,$73.79 ,$64.36 ,$67.72 , N/A ,$53.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24002951,82951,GTT 4 HR TOLERANCE TEST,301,1 ,$255.85 ,$166.30 ,$12.87 ,$230.39 ,$204.68 ,$12.87 ,$202.74 ,$230.39 ,$230.39 ,$24.45 ,$217.47 ,$189.33 ,$32.18 ,$12.87 , N/A ,$213.38 ,$12.87 ,$211.33 ,$204.68 ,$230.27 ,$32.18 ,$217.47 ,$12.87 ,$217.47 ,$217.47 ,$230.27 ,$230.27 ,$200.84 ,$211.33 ,$12.87 ,$166.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003004,84030,PKU-(NEONATAL SCREENING),301,1 ,$127.47 ,$82.86 ,$5.50 ,$114.79 ,$101.98 ,$5.50 ,$101.01 ,$114.79 ,$114.79 ,$10.45 ,$108.35 ,$94.33 ,$13.75 ,$5.50 , N/A ,$106.31 ,$5.50 ,$105.29 ,$101.98 ,$114.72 ,$13.75 ,$108.35 ,$5.50 ,$108.35 ,$108.35 ,$114.72 ,$114.72 ,$100.06 ,$105.29 ,$5.50 ,$82.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003008,N/A,NARCOLEPSY EVALUATION PANEL,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24003009,N/A,CKMB PERCENT (CALC.),300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24003020,80320,ETHANOL SERUM,301,1 ,$328.55 ,$213.56 ,$213.56 ,$295.86 ,$262.84 , N/A ,$260.34 ,$295.86 ,$295.86 , N/A ,$279.27 ,$243.13 , N/A , N/A , N/A ,$274.01 , N/A ,$271.38 ,$262.84 ,$295.70 , N/A ,$279.27 , N/A ,$279.27 ,$279.27 ,$295.70 ,$295.70 ,$257.91 ,$271.38 , N/A ,$213.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003079,82105,AFP SERUM,301,1 ,$248.94 ,$161.81 ,$16.77 ,$224.17 ,$199.15 ,$16.77 ,$197.26 ,$224.17 ,$224.17 ,$31.86 ,$211.60 ,$184.22 ,$41.93 ,$16.77 , N/A ,$207.62 ,$16.77 ,$205.62 ,$199.15 ,$224.05 ,$41.93 ,$211.60 ,$16.77 ,$211.60 ,$211.60 ,$224.05 ,$224.05 ,$195.42 ,$205.62 ,$16.77 ,$161.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003129,84585,VMA URINE 24 HR,301,1 ,$282.30 ,$183.50 ,$15.50 ,$254.21 ,$225.84 ,$15.50 ,$223.69 ,$254.21 ,$254.21 ,$29.45 ,$239.96 ,$208.90 ,$38.75 ,$15.50 , N/A ,$235.44 ,$15.50 ,$233.18 ,$225.84 ,$254.07 ,$38.75 ,$239.96 ,$15.50 ,$239.96 ,$239.96 ,$254.07 ,$254.07 ,$221.61 ,$233.18 ,$15.50 ,$183.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003137,83586,"17-KETOSTEROIDS, 24 HR",301,1 ,$187.09 ,$121.61 ,$12.80 ,$168.47 ,$149.67 ,$12.80 ,$148.25 ,$168.47 ,$168.47 ,$24.32 ,$159.03 ,$138.45 ,$32.00 ,$12.80 , N/A ,$156.03 ,$12.80 ,$154.54 ,$149.67 ,$168.38 ,$32.00 ,$159.03 ,$12.80 ,$159.03 ,$159.03 ,$168.38 ,$168.38 ,$146.87 ,$154.54 ,$12.80 ,$121.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003145,83491,"17 HYDROXYCORT, 24 HR",301,1 ,$264.37 ,$171.84 ,$17.90 ,$238.07 ,$211.50 ,$17.90 ,$209.49 ,$238.07 ,$238.07 ,$34.01 ,$224.71 ,$195.63 ,$44.75 ,$17.90 , N/A ,$220.48 ,$17.90 ,$218.37 ,$211.50 ,$237.93 ,$44.75 ,$224.71 ,$17.90 ,$224.71 ,$224.71 ,$237.93 ,$237.93 ,$207.53 ,$218.37 ,$17.90 ,$171.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003152,83582,KETOGENICS,301,1 ,$438.67 ,$285.14 ,$15.47 ,$395.02 ,$350.94 ,$15.47 ,$347.60 ,$395.02 ,$395.02 ,$29.39 ,$372.87 ,$324.62 ,$38.68 ,$15.47 , N/A ,$365.85 ,$15.47 ,$362.34 ,$350.94 ,$394.80 ,$38.68 ,$372.87 ,$15.47 ,$372.87 ,$372.87 ,$394.80 ,$394.80 ,$344.36 ,$362.34 ,$15.47 ,$285.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003194,83497,5 HIAA URINE 24 HR,301,1 ,$101.97 ,$66.28 ,$12.90 ,$91.82 ,$81.58 ,$12.90 ,$80.80 ,$91.82 ,$91.82 ,$24.51 ,$86.67 ,$75.46 ,$32.25 ,$12.90 , N/A ,$85.04 ,$12.90 ,$84.23 ,$81.58 ,$91.77 ,$32.25 ,$86.67 ,$12.90 ,$86.67 ,$86.67 ,$91.77 ,$91.77 ,$80.05 ,$84.23 ,$12.90 ,$66.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003244,82085,ALDOLASE SERUM,301,1 ,$153.36 ,$99.68 ,$9.71 ,$138.10 ,$122.69 ,$9.71 ,$121.52 ,$138.10 ,$138.10 ,$18.45 ,$130.36 ,$113.49 ,$24.28 ,$9.71 , N/A ,$127.90 ,$9.71 ,$126.68 ,$122.69 ,$138.02 ,$24.28 ,$130.36 ,$9.71 ,$130.36 ,$130.36 ,$138.02 ,$138.02 ,$120.39 ,$126.68 ,$9.71 ,$99.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003277,82380,CAROTENE,301,1 ,$165.44 ,$107.54 ,$9.22 ,$148.98 ,$132.35 ,$9.22 ,$131.09 ,$148.98 ,$148.98 ,$17.52 ,$140.62 ,$122.43 ,$23.05 ,$9.22 , N/A ,$137.98 ,$9.22 ,$136.65 ,$132.35 ,$148.90 ,$23.05 ,$140.62 ,$9.22 ,$140.62 ,$140.62 ,$148.90 ,$148.90 ,$129.87 ,$136.65 ,$9.22 ,$107.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003319,86304,CA-125,302,1 ,$271.86 ,$176.71 ,$20.81 ,$244.81 ,$217.49 ,$20.81 ,$215.42 ,$244.81 ,$244.81 ,$39.54 ,$231.08 ,$201.18 ,$52.03 ,$20.81 , N/A ,$226.73 ,$20.81 ,$224.56 ,$217.49 ,$244.67 ,$52.03 ,$231.08 ,$20.81 ,$231.08 ,$231.08 ,$244.67 ,$244.67 ,$213.41 ,$224.56 ,$20.81 ,$176.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003343,87340,HEP B SURFACE AG,306,1 ,$185.04 ,$120.28 ,$10.33 ,$166.63 ,$148.03 ,$10.33 ,$146.63 ,$166.63 ,$166.63 ,$19.63 ,$157.28 ,$136.93 ,$25.83 ,$10.33 , N/A ,$154.32 ,$10.33 ,$152.84 ,$148.03 ,$166.54 ,$25.83 ,$157.28 ,$10.33 ,$157.28 ,$157.28 ,$166.54 ,$166.54 ,$145.26 ,$152.84 ,$10.33 ,$120.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003368,86704,HEP B CORE AB TOTAL,302,1 ,$241.81 ,$157.18 ,$12.05 ,$217.75 ,$193.45 ,$12.05 ,$191.61 ,$217.75 ,$217.75 ,$22.90 ,$205.54 ,$178.94 ,$30.13 ,$12.05 , N/A ,$201.67 ,$12.05 ,$199.74 ,$193.45 ,$217.63 ,$30.13 ,$205.54 ,$12.05 ,$205.54 ,$205.54 ,$217.63 ,$217.63 ,$189.82 ,$199.74 ,$12.05 ,$157.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003376,86705,ANTI HBC IGM,302,1 ,$234.28 ,$152.28 ,$11.77 ,$210.97 ,$187.42 ,$11.77 ,$185.64 ,$210.97 ,$210.97 ,$22.36 ,$199.14 ,$173.37 ,$29.43 ,$11.77 , N/A ,$195.39 ,$11.77 ,$193.52 ,$187.42 ,$210.85 ,$29.43 ,$199.14 ,$11.77 ,$199.14 ,$199.14 ,$210.85 ,$210.85 ,$183.91 ,$193.52 ,$11.77 ,$152.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003400,N/A,EXEC PROFILE B,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24003459,86160,COMPL C4,302,1 ,$241.88 ,$157.22 ,$12.00 ,$217.81 ,$193.50 ,$12.00 ,$191.67 ,$217.81 ,$217.81 ,$22.80 ,$205.60 ,$178.99 ,$30.00 ,$12.00 , N/A ,$201.73 ,$12.00 ,$199.79 ,$193.50 ,$217.69 ,$30.00 ,$205.60 ,$12.00 ,$205.60 ,$205.60 ,$217.69 ,$217.69 ,$189.88 ,$199.79 ,$12.00 ,$157.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003475,83655,LEAD BLOOD,301,1 ,$150.22 ,$97.64 ,$12.11 ,$135.27 ,$120.18 ,$12.11 ,$119.03 ,$135.27 ,$135.27 ,$23.01 ,$127.69 ,$111.16 ,$30.28 ,$12.11 , N/A ,$125.28 ,$12.11 ,$124.08 ,$120.18 ,$135.20 ,$30.28 ,$127.69 ,$12.11 ,$127.69 ,$127.69 ,$135.20 ,$135.20 ,$117.92 ,$124.08 ,$12.11 ,$97.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003476,83655,LEAD SCHD REF,301,1 ,$45.35 ,$29.48 ,$12.11 ,$40.84 ,$36.28 ,$12.11 ,$35.94 ,$40.84 ,$40.84 ,$23.01 ,$38.55 ,$33.56 ,$30.28 ,$12.11 , N/A ,$37.82 ,$12.11 ,$37.46 ,$36.28 ,$40.82 ,$30.28 ,$38.55 ,$12.11 ,$38.55 ,$38.55 ,$40.82 ,$40.82 ,$35.60 ,$37.46 ,$12.11 ,$29.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003477,36415,LEAD SCHD DRAW FEE,300,1 ,$13.48 ,$8.76 ,$3.00 ,$12.14 ,$10.78 ,$3.00 ,$10.68 ,$12.14 ,$12.14 ,$5.70 ,$11.46 ,$9.98 ,$7.50 ,$3.00 , N/A , N/A ,$3.00 ,$11.13 ,$10.78 ,$12.13 ,$7.50 ,$11.46 ,$3.00 ,$11.46 ,$11.46 ,$12.13 ,$12.13 ,$10.58 ,$11.13 ,$3.00 ,$8.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003509,82747,FOLATE RBC,301,1 ,$83.26 ,$54.12 ,$17.65 ,$74.98 ,$66.61 ,$17.65 ,$65.98 ,$74.98 ,$74.98 ,$33.54 ,$70.77 ,$61.61 ,$44.13 ,$17.65 , N/A ,$69.44 ,$17.65 ,$68.77 ,$66.61 ,$74.93 ,$44.13 ,$70.77 ,$17.65 ,$70.77 ,$70.77 ,$74.93 ,$74.93 ,$65.36 ,$68.77 ,$17.65 ,$54.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003516,83516,ACTIN AB IgG,301,1 ,$85.37 ,$55.49 ,$11.53 ,$76.88 ,$68.30 ,$11.53 ,$67.65 ,$76.88 ,$76.88 ,$21.91 ,$72.56 ,$63.17 ,$28.83 ,$11.53 , N/A ,$71.20 ,$11.53 ,$70.52 ,$68.30 ,$76.83 ,$28.83 ,$72.56 ,$11.53 ,$72.56 ,$72.56 ,$76.83 ,$76.83 ,$67.02 ,$70.52 ,$11.53 ,$55.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003525,87210,SCABIES IDENTIFI,306,1 ,$59.99 ,$38.99 ,$5.82 ,$54.02 ,$47.99 ,$5.82 ,$47.54 ,$54.02 ,$54.02 ,$11.06 ,$50.99 ,$44.39 ,$14.55 ,$5.82 , N/A ,$50.03 ,$5.82 ,$49.55 ,$47.99 ,$53.99 ,$14.55 ,$50.99 ,$5.82 ,$50.99 ,$50.99 ,$53.99 ,$53.99 ,$47.09 ,$49.55 ,$5.82 ,$38.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003566,84479,T3 UPTAKE,301,1 ,$97.82 ,$63.58 ,$6.47 ,$88.09 ,$78.26 ,$6.47 ,$77.51 ,$88.09 ,$88.09 ,$12.29 ,$83.15 ,$72.39 ,$16.18 ,$6.47 , N/A ,$81.58 ,$6.47 ,$80.80 ,$78.26 ,$88.04 ,$16.18 ,$83.15 ,$6.47 ,$83.15 ,$83.15 ,$88.04 ,$88.04 ,$76.79 ,$80.80 ,$6.47 ,$63.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003574,84702,BETA HCG QUANT,301,1 ,$285.12 ,$185.33 ,$15.05 ,$256.75 ,$228.10 ,$15.05 ,$225.93 ,$256.75 ,$256.75 ,$28.60 ,$242.35 ,$210.99 ,$37.63 ,$15.05 , N/A ,$237.79 ,$15.05 ,$235.51 ,$228.10 ,$256.61 ,$37.63 ,$242.35 ,$15.05 ,$242.35 ,$242.35 ,$256.61 ,$256.61 ,$223.82 ,$235.51 ,$15.05 ,$185.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003590,N/A,DRUG DRAWING FEE,300,1 ,$88.65 ,$57.62 ,$57.62 ,$79.83 ,$70.92 , N/A ,$70.25 ,$79.83 ,$79.83 , N/A ,$75.35 ,$65.60 , N/A , N/A , N/A ,$73.93 , N/A ,$73.22 ,$70.92 ,$79.79 , N/A ,$75.35 , N/A ,$75.35 ,$75.35 ,$79.79 ,$79.79 ,$69.59 ,$73.22 , N/A ,$57.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003632,89051,CELL CT BODY FLUID,300,1 ,$104.20 ,$67.73 ,$5.60 ,$93.83 ,$83.36 ,$5.60 ,$82.57 ,$93.83 ,$93.83 ,$10.64 ,$88.57 ,$77.11 ,$14.00 ,$5.60 , N/A ,$86.90 ,$5.60 ,$86.07 ,$83.36 ,$93.78 ,$14.00 ,$88.57 ,$5.60 ,$88.57 ,$88.57 ,$93.78 ,$93.78 ,$81.80 ,$86.07 ,$5.60 ,$67.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003640,89060,CRYSTALS SYNOVIAL FLUID,300,1 ,$104.20 ,$67.73 ,$7.33 ,$93.83 ,$83.36 ,$7.33 ,$82.57 ,$93.83 ,$93.83 ,$13.93 ,$88.57 ,$77.11 ,$18.33 ,$7.33 , N/A ,$86.90 ,$7.33 ,$86.07 ,$83.36 ,$93.78 ,$18.33 ,$88.57 ,$7.33 ,$88.57 ,$88.57 ,$93.78 ,$93.78 ,$81.80 ,$86.07 ,$7.33 ,$67.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003657,86665,EBV VIRAL IGG AB,302,1 ,$49.89 ,$32.43 ,$18.14 ,$45.35 ,$39.91 ,$18.14 ,$39.53 ,$44.93 ,$44.93 ,$34.47 ,$42.41 ,$36.92 ,$45.35 ,$18.14 , N/A ,$41.61 ,$18.14 ,$41.21 ,$39.91 ,$44.90 ,$45.35 ,$42.41 ,$18.14 ,$42.41 ,$42.41 ,$44.90 ,$44.90 ,$39.16 ,$41.21 ,$18.14 ,$32.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003665,86663,EBV EARLY AB,302,1 ,$49.89 ,$32.43 ,$13.12 ,$44.93 ,$39.91 ,$13.12 ,$39.53 ,$44.93 ,$44.93 ,$24.93 ,$42.41 ,$36.92 ,$32.80 ,$13.12 , N/A ,$41.61 ,$13.12 ,$41.21 ,$39.91 ,$44.90 ,$32.80 ,$42.41 ,$13.12 ,$42.41 ,$42.41 ,$44.90 ,$44.90 ,$39.16 ,$41.21 ,$13.12 ,$32.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003673,86664,EBV NUCLEAR AB,302,1 ,$49.89 ,$32.43 ,$15.29 ,$44.93 ,$39.91 ,$15.29 ,$39.53 ,$44.93 ,$44.93 ,$29.05 ,$42.41 ,$36.92 ,$38.23 ,$15.29 , N/A ,$41.61 ,$15.29 ,$41.21 ,$39.91 ,$44.90 ,$38.23 ,$42.41 ,$15.29 ,$42.41 ,$42.41 ,$44.90 ,$44.90 ,$39.16 ,$41.21 ,$15.29 ,$32.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003681,86710,INFLUENZA A AND B ANTIBODY SERUM,302,1 ,$451.99 ,$293.79 ,$13.55 ,$407.02 ,$361.59 ,$13.55 ,$358.16 ,$407.02 ,$407.02 ,$25.75 ,$384.19 ,$334.47 ,$33.88 ,$13.55 , N/A ,$376.96 ,$13.55 ,$373.34 ,$361.59 ,$406.79 ,$33.88 ,$384.19 ,$13.55 ,$384.19 ,$384.19 ,$406.79 ,$406.79 ,$354.81 ,$373.34 ,$13.55 ,$293.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003700,N/A,AFB CULTURE STATE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24003715,84481,T3 FREE,301,1 ,$147.73 ,$96.02 ,$16.94 ,$133.03 ,$118.18 ,$16.94 ,$117.06 ,$133.03 ,$133.03 ,$32.19 ,$125.57 ,$109.32 ,$42.35 ,$16.94 , N/A ,$123.21 ,$16.94 ,$122.03 ,$118.18 ,$132.96 ,$42.35 ,$125.57 ,$16.94 ,$125.57 ,$125.57 ,$132.96 ,$132.96 ,$115.97 ,$122.03 ,$16.94 ,$96.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003723,80329,ACETAMINOPHEN QU,301,1 ,$132.80 ,$86.32 ,$86.32 ,$119.59 ,$106.24 , N/A ,$105.23 ,$119.59 ,$119.59 , N/A ,$112.88 ,$98.27 , N/A , N/A , N/A ,$110.76 , N/A ,$109.69 ,$106.24 ,$119.52 , N/A ,$112.88 , N/A ,$112.88 ,$112.88 ,$119.52 ,$119.52 ,$104.25 ,$109.69 , N/A ,$86.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003750,36591,INFUSAPORT BLOOD DRAW,761,1 ,$67.41 ,$43.82 ,$43.82 ,$253.24 ,$53.93 ,$101.30 ,$53.42 ,$60.70 ,$60.70 ,$192.46 ,$57.30 ,$49.88 ,$253.24 ,$101.30 , N/A ,$56.22 ,$101.30 ,$55.68 ,$53.93 ,$60.67 ,$67.41 ,$57.30 ,$67.41 ,$57.30 ,$57.30 ,$60.67 ,$60.67 ,$52.92 ,$55.68 ,$67.41 ,$43.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003760,N/A,WEST NILE VIRUS SER STATE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24003764,36415,VENIPUNCTURE COL,300,1 ,$8.50 ,$5.53 ,$3.00 ,$7.65 ,$6.80 ,$3.00 ,$6.74 ,$7.65 ,$7.65 ,$5.70 ,$7.23 ,$6.29 ,$7.50 ,$3.00 , N/A , N/A ,$3.00 ,$7.02 ,$6.80 ,$7.65 ,$7.50 ,$7.23 ,$3.00 ,$7.23 ,$7.23 ,$7.65 ,$7.65 ,$6.67 ,$7.02 ,$3.00 ,$5.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003789,83789,MDPV STIMULANT DESIGNER DRUG SCREEN,300,1 ,$186.45 ,$121.19 ,$24.11 ,$167.90 ,$149.16 ,$24.11 ,$147.74 ,$167.90 ,$167.90 ,$45.81 ,$158.48 ,$137.97 ,$60.28 ,$24.11 , N/A ,$155.50 ,$24.11 ,$154.01 ,$149.16 ,$167.81 ,$60.28 ,$158.48 ,$24.11 ,$158.48 ,$158.48 ,$167.81 ,$167.81 ,$146.36 ,$154.01 ,$24.11 ,$121.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003889,86162,COMPL TOT CH 100,302,1 ,$399.04 ,$259.38 ,$20.32 ,$359.34 ,$319.23 ,$20.32 ,$316.20 ,$359.34 ,$359.34 ,$38.61 ,$339.18 ,$295.29 ,$50.80 ,$20.32 , N/A ,$332.80 ,$20.32 ,$329.61 ,$319.23 ,$359.14 ,$50.80 ,$339.18 ,$20.32 ,$339.18 ,$339.18 ,$359.14 ,$359.14 ,$313.25 ,$329.61 ,$20.32 ,$259.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003894,81270,JAK 2 EXON 12,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24003915,83915,5 NUCLEOTIDASE,301,1 ,$88.71 ,$57.66 ,$11.15 ,$79.88 ,$70.97 ,$11.15 ,$70.29 ,$79.88 ,$79.88 ,$21.19 ,$75.40 ,$65.65 ,$27.88 ,$11.15 , N/A ,$73.98 ,$11.15 ,$73.27 ,$70.97 ,$79.84 ,$27.88 ,$75.40 ,$11.15 ,$75.40 ,$75.40 ,$79.84 ,$79.84 ,$69.64 ,$73.27 ,$11.15 ,$57.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003939,86162,COMPLEMENT (CH50),302,1 ,$390.24 ,$253.66 ,$20.32 ,$351.41 ,$312.19 ,$20.32 ,$309.23 ,$351.41 ,$351.41 ,$38.61 ,$331.70 ,$288.78 ,$50.80 ,$20.32 , N/A ,$325.46 ,$20.32 ,$322.34 ,$312.19 ,$351.22 ,$50.80 ,$331.70 ,$20.32 ,$331.70 ,$331.70 ,$351.22 ,$351.22 ,$306.34 ,$322.34 ,$20.32 ,$253.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003947,87491,CHLAMYDIA DNA,306,1 ,$249.32 ,$162.06 ,$35.09 ,$224.51 ,$199.46 ,$35.09 ,$197.56 ,$224.51 ,$224.51 ,$66.67 ,$211.92 ,$184.50 ,$87.73 ,$35.09 , N/A ,$207.93 ,$35.09 ,$205.94 ,$199.46 ,$224.39 ,$87.73 ,$211.92 ,$35.09 ,$211.92 ,$211.92 ,$224.39 ,$224.39 ,$195.72 ,$205.94 ,$35.09 ,$162.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003970,86698,HISTOPLASMA AB BY IMMUNODIFFUSION,302,1 ,$257.40 ,$167.31 ,$13.79 ,$231.79 ,$205.92 ,$13.79 ,$203.96 ,$231.79 ,$231.79 ,$26.20 ,$218.79 ,$190.48 ,$34.48 ,$13.79 , N/A ,$214.67 ,$13.79 ,$212.61 ,$205.92 ,$231.66 ,$34.48 ,$218.79 ,$13.79 ,$218.79 ,$218.79 ,$231.66 ,$231.66 ,$202.06 ,$212.61 ,$13.79 ,$167.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003971,86698,HISTOPLASMA AB BY COMP. FIXATION,302,1 ,$74.12 ,$48.18 ,$13.79 ,$66.75 ,$59.30 ,$13.79 ,$58.73 ,$66.75 ,$66.75 ,$26.20 ,$63.00 ,$54.85 ,$34.48 ,$13.79 , N/A ,$61.82 ,$13.79 ,$61.22 ,$59.30 ,$66.71 ,$34.48 ,$63.00 ,$13.79 ,$63.00 ,$63.00 ,$66.71 ,$66.71 ,$58.18 ,$61.22 ,$13.79 ,$48.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003988,84166,PROTEIN ELECTO UR RANDOM,301,1 ,$267.75 ,$174.04 ,$17.83 ,$241.11 ,$214.20 ,$17.83 ,$212.17 ,$241.11 ,$241.11 ,$33.88 ,$227.59 ,$198.14 ,$44.58 ,$17.83 , N/A ,$223.30 ,$17.83 ,$221.16 ,$214.20 ,$240.98 ,$44.58 ,$227.59 ,$17.83 ,$227.59 ,$227.59 ,$240.98 ,$240.98 ,$210.18 ,$221.16 ,$17.83 ,$174.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003996,86618,LYMES TITER AB WITH REFLEX,302,1 ,$95.61 ,$62.15 ,$17.03 ,$86.10 ,$76.49 ,$17.03 ,$75.76 ,$86.10 ,$86.10 ,$32.36 ,$81.27 ,$70.75 ,$42.58 ,$17.03 , N/A ,$79.74 ,$17.03 ,$78.97 ,$76.49 ,$86.05 ,$42.58 ,$81.27 ,$17.03 ,$81.27 ,$81.27 ,$86.05 ,$86.05 ,$75.05 ,$78.97 ,$17.03 ,$62.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003997,86617,TICK BORNE DISEASE AB PROFILE,302,1 ,$825.13 ,$536.33 ,$15.49 ,$743.03 ,$660.10 ,$15.49 ,$653.83 ,$743.03 ,$743.03 ,$29.43 ,$701.36 ,$610.60 ,$38.73 ,$15.49 , N/A ,$688.16 ,$15.49 ,$681.56 ,$660.10 ,$742.62 ,$38.73 ,$701.36 ,$15.49 ,$701.36 ,$701.36 ,$742.62 ,$742.62 ,$647.73 ,$681.56 ,$15.49 ,$536.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003998,86666,EHRLICHIA CHAFFEENSIS IGG AB IFA,302,1 ,$65.36 ,$42.48 ,$10.18 ,$58.86 ,$52.29 ,$10.18 ,$51.79 ,$58.86 ,$58.86 ,$19.34 ,$55.56 ,$48.37 ,$25.45 ,$10.18 , N/A ,$54.51 ,$10.18 ,$53.99 ,$52.29 ,$58.82 ,$25.45 ,$55.56 ,$10.18 ,$55.56 ,$55.56 ,$58.82 ,$58.82 ,$51.31 ,$53.99 ,$10.18 ,$42.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24003999,86753,BABESIA MICROTI IGG AB IFA,302,1 ,$116.63 ,$75.81 ,$12.39 ,$105.03 ,$93.30 ,$12.39 ,$92.42 ,$105.03 ,$105.03 ,$23.54 ,$99.14 ,$86.31 ,$30.98 ,$12.39 , N/A ,$97.27 ,$12.39 ,$96.34 ,$93.30 ,$104.97 ,$30.98 ,$99.14 ,$12.39 ,$99.14 ,$99.14 ,$104.97 ,$104.97 ,$91.55 ,$96.34 ,$12.39 ,$75.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),2400400,86666,ANAPLASMA PHAGOCYTOPHILUM IGG AB IFA,302,1 ,$215.17 ,$139.86 ,$10.18 ,$193.76 ,$172.14 ,$10.18 ,$170.50 ,$193.76 ,$193.76 ,$19.34 ,$182.89 ,$159.23 ,$25.45 ,$10.18 , N/A ,$179.45 ,$10.18 ,$177.73 ,$172.14 ,$193.65 ,$25.45 ,$182.89 ,$10.18 ,$182.89 ,$182.89 ,$193.65 ,$193.65 ,$168.91 ,$177.73 ,$10.18 ,$139.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24004001,83880,PRO BNP DAILY,301,1 ,$281.34 ,$182.87 ,$39.26 ,$253.35 ,$225.07 ,$39.26 ,$222.93 ,$253.35 ,$253.35 ,$74.59 ,$239.14 ,$208.19 ,$98.15 ,$39.26 , N/A ,$234.64 ,$39.26 ,$232.39 ,$225.07 ,$253.21 ,$98.15 ,$239.14 ,$39.26 ,$239.14 ,$239.14 ,$253.21 ,$253.21 ,$220.85 ,$232.39 ,$39.26 ,$182.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24004002,85014,"HCT,DAILY",305,1 ,$42.19 ,$27.42 ,$2.37 ,$37.99 ,$33.75 ,$2.37 ,$33.43 ,$37.99 ,$37.99 ,$4.50 ,$35.86 ,$31.22 ,$5.93 ,$2.37 , N/A ,$35.19 ,$2.37 ,$34.85 ,$33.75 ,$37.97 ,$5.93 ,$35.86 ,$2.37 ,$35.86 ,$35.86 ,$37.97 ,$37.97 ,$33.12 ,$34.85 ,$2.37 ,$27.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24004003,N/A,CBC W/DIFF DAILY MAN DIFF if INDICATED,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24004004,80053,"COMP METABOLIC PROFILE,DAILY",301,1 ,$251.91 ,$163.74 ,$10.56 ,$226.85 ,$201.53 ,$10.56 ,$199.61 ,$226.85 ,$226.85 ,$20.06 ,$214.12 ,$186.41 ,$26.40 ,$10.56 , N/A ,$210.09 ,$10.56 ,$208.08 ,$201.53 ,$226.72 ,$26.40 ,$214.12 ,$10.56 ,$214.12 ,$214.12 ,$226.72 ,$226.72 ,$197.75 ,$208.08 ,$10.56 ,$163.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24004005,80048,"BASIC METABOLIC PROFILE,DAILY",301,1 ,$229.55 ,$149.21 ,$8.46 ,$206.71 ,$183.64 ,$8.46 ,$181.90 ,$206.71 ,$206.71 ,$16.07 ,$195.12 ,$169.87 ,$21.15 ,$8.46 , N/A ,$191.44 ,$8.46 ,$189.61 ,$183.64 ,$206.60 ,$21.15 ,$195.12 ,$8.46 ,$195.12 ,$195.12 ,$206.60 ,$206.60 ,$180.20 ,$189.61 ,$8.46 ,$149.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24004006,85610,"PROTIME,DAILY",305,1 ,$85.62 ,$55.65 ,$4.29 ,$77.10 ,$68.50 ,$4.29 ,$67.85 ,$77.10 ,$77.10 ,$8.15 ,$72.78 ,$63.36 ,$10.73 ,$4.29 , N/A ,$71.41 ,$4.29 ,$70.72 ,$68.50 ,$77.06 ,$10.73 ,$72.78 ,$4.29 ,$72.78 ,$72.78 ,$77.06 ,$77.06 ,$67.21 ,$70.72 ,$4.29 ,$55.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24004007,82947,GLUCOSE DAILY,301,1 ,$65.71 ,$42.71 ,$3.93 ,$59.17 ,$52.57 ,$3.93 ,$52.07 ,$59.17 ,$59.17 ,$7.47 ,$55.85 ,$48.63 ,$9.83 ,$3.93 , N/A ,$54.80 ,$3.93 ,$54.28 ,$52.57 ,$59.14 ,$9.83 ,$55.85 ,$3.93 ,$55.85 ,$55.85 ,$59.14 ,$59.14 ,$51.58 ,$54.28 ,$3.93 ,$42.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24004008,80051,"ELECTROLYTES PANEL,DAILY",301,1 ,$113.58 ,$73.83 ,$7.01 ,$102.28 ,$90.86 ,$7.01 ,$90.00 ,$102.28 ,$102.28 ,$13.32 ,$96.54 ,$84.05 ,$17.53 ,$7.01 , N/A ,$94.73 ,$7.01 ,$93.82 ,$90.86 ,$102.22 ,$17.53 ,$96.54 ,$7.01 ,$96.54 ,$96.54 ,$102.22 ,$102.22 ,$89.16 ,$93.82 ,$7.01 ,$73.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24004455,N/A,IRON IBC PROFILE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24005000,86612,BLASTOMYCES AB BY COMP. FIXATION,302,1 ,$64.02 ,$41.61 ,$12.90 ,$57.65 ,$51.22 ,$12.90 ,$50.73 ,$57.65 ,$57.65 ,$24.51 ,$54.42 ,$47.37 ,$32.25 ,$12.90 , N/A ,$53.39 ,$12.90 ,$52.88 ,$51.22 ,$57.62 ,$32.25 ,$54.42 ,$12.90 ,$54.42 ,$54.42 ,$57.62 ,$57.62 ,$50.26 ,$52.88 ,$12.90 ,$41.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005001,87449,BLASTOMYCES ANTIGEN URINE,306,1 ,$282.84 ,$183.85 ,$11.98 ,$254.70 ,$226.27 ,$11.98 ,$224.12 ,$254.70 ,$254.70 ,$22.76 ,$240.41 ,$209.30 ,$29.95 ,$11.98 , N/A ,$235.89 ,$11.98 ,$233.63 ,$226.27 ,$254.56 ,$29.95 ,$240.41 ,$11.98 ,$240.41 ,$240.41 ,$254.56 ,$254.56 ,$222.03 ,$233.63 ,$11.98 ,$183.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005002,86635,COCCIDIOIDES AB BY COMP FIXATION,302,1 ,$60.68 ,$39.44 ,$11.47 ,$54.64 ,$48.54 ,$11.47 ,$48.08 ,$54.64 ,$54.64 ,$21.79 ,$51.58 ,$44.90 ,$28.68 ,$11.47 , N/A ,$50.61 ,$11.47 ,$50.12 ,$48.54 ,$54.61 ,$28.68 ,$51.58 ,$11.47 ,$51.58 ,$51.58 ,$54.61 ,$54.61 ,$47.63 ,$50.12 ,$11.47 ,$39.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005051,N/A,BCR/ABL BY PCR QUALITATIVE,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24005240,85240,FACTOR VIII ASSAY,305,1 ,$141.55 ,$92.01 ,$17.90 ,$127.47 ,$113.24 ,$17.90 ,$112.16 ,$127.47 ,$127.47 ,$34.01 ,$120.32 ,$104.75 ,$44.75 ,$17.90 , N/A ,$118.05 ,$17.90 ,$116.92 ,$113.24 ,$127.40 ,$44.75 ,$120.32 ,$17.90 ,$120.32 ,$120.32 ,$127.40 ,$127.40 ,$111.12 ,$116.92 ,$17.90 ,$92.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005245,85245,VON WILLEBRAND ACTIVITY,305,1 ,$163.74 ,$106.43 ,$22.94 ,$147.45 ,$130.99 ,$22.94 ,$129.75 ,$147.45 ,$147.45 ,$43.59 ,$139.18 ,$121.17 ,$57.35 ,$22.94 , N/A ,$136.56 ,$22.94 ,$135.25 ,$130.99 ,$147.37 ,$57.35 ,$139.18 ,$22.94 ,$139.18 ,$139.18 ,$147.37 ,$147.37 ,$128.54 ,$135.25 ,$22.94 ,$106.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005300,88262,HIGH RESOLUTION CHROMOSOME ANALYSIS,310,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24005600,87184,VRE SCREENING,306,1 ,$72.80 ,$47.32 ,$7.48 ,$65.56 ,$58.24 ,$7.48 ,$57.69 ,$65.56 ,$65.56 ,$14.21 ,$61.88 ,$53.87 ,$18.70 ,$7.48 , N/A ,$60.72 ,$7.48 ,$60.13 ,$58.24 ,$65.52 ,$18.70 ,$61.88 ,$7.48 ,$61.88 ,$61.88 ,$65.52 ,$65.52 ,$57.15 ,$60.13 ,$7.48 ,$47.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005601,84445,THYROID STIMULATING IMMUNOGLOBULIN,301,1 ,$219.19 ,$142.47 ,$50.86 ,$197.38 ,$175.35 ,$50.86 ,$173.69 ,$197.38 ,$197.38 ,$96.63 ,$186.31 ,$162.20 ,$127.15 ,$50.86 , N/A ,$182.80 ,$50.86 ,$181.05 ,$175.35 ,$197.27 ,$127.15 ,$186.31 ,$50.86 ,$186.31 ,$186.31 ,$197.27 ,$197.27 ,$172.06 ,$181.05 ,$50.86 ,$142.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005603,80299,BACLOFEN LEVEL,301,1 ,$443.15 ,$288.05 ,$18.64 ,$399.06 ,$354.52 ,$18.64 ,$351.15 ,$399.06 ,$399.06 ,$35.42 ,$376.68 ,$327.93 ,$46.60 ,$18.64 , N/A ,$369.59 ,$18.64 ,$366.04 ,$354.52 ,$398.84 ,$46.60 ,$376.68 ,$18.64 ,$376.68 ,$376.68 ,$398.84 ,$398.84 ,$347.87 ,$366.04 ,$18.64 ,$288.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005604,80299,ROHYPNOL LEVEL,301,1 ,$418.88 ,$272.27 ,$18.64 ,$377.20 ,$335.10 ,$18.64 ,$331.92 ,$377.20 ,$377.20 ,$35.42 ,$356.05 ,$309.97 ,$46.60 ,$18.64 , N/A ,$349.35 ,$18.64 ,$345.99 ,$335.10 ,$376.99 ,$46.60 ,$356.05 ,$18.64 ,$356.05 ,$356.05 ,$376.99 ,$376.99 ,$328.82 ,$345.99 ,$18.64 ,$272.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005605,86631,CHLAM PNEU AB,302,1 ,$199.16 ,$129.45 ,$11.82 ,$179.34 ,$159.33 ,$11.82 ,$157.81 ,$179.34 ,$179.34 ,$22.46 ,$169.29 ,$147.38 ,$29.55 ,$11.82 , N/A ,$166.10 ,$11.82 ,$164.51 ,$159.33 ,$179.24 ,$29.55 ,$169.29 ,$11.82 ,$169.29 ,$169.29 ,$179.24 ,$179.24 ,$156.34 ,$164.51 ,$11.82 ,$129.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005606,N/A,FACTOR II DNA ANALYSIS,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24005607,82150,AMYLASE BODY FLUID,301,1 ,$116.62 ,$75.80 ,$6.48 ,$105.02 ,$93.30 ,$6.48 ,$92.41 ,$105.02 ,$105.02 ,$12.31 ,$99.13 ,$86.30 ,$16.20 ,$6.48 , N/A ,$97.26 ,$6.48 ,$96.33 ,$93.30 ,$104.96 ,$16.20 ,$99.13 ,$6.48 ,$99.13 ,$99.13 ,$104.96 ,$104.96 ,$91.55 ,$96.33 ,$6.48 ,$75.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005608,84586,VASOACTIVE INTESTINAL POLYPEPTIDE,301,1 ,$325.98 ,$211.89 ,$35.33 ,$293.55 ,$260.78 ,$35.33 ,$258.31 ,$293.55 ,$293.55 ,$67.13 ,$277.08 ,$241.23 ,$88.33 ,$35.33 , N/A ,$271.87 ,$35.33 ,$269.26 ,$260.78 ,$293.38 ,$88.33 ,$277.08 ,$35.33 ,$277.08 ,$277.08 ,$293.38 ,$293.38 ,$255.89 ,$269.26 ,$35.33 ,$211.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005609,N/A,ENCEPHALITIS ANTIBODY PROFILE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24005610,86727,LYMPHO CHORIOMENINGITIS,302,1 ,$127.71 ,$83.01 ,$12.87 ,$115.00 ,$102.17 ,$12.87 ,$101.20 ,$115.00 ,$115.00 ,$24.45 ,$108.55 ,$94.51 ,$32.18 ,$12.87 , N/A ,$106.51 ,$12.87 ,$105.49 ,$102.17 ,$114.94 ,$32.18 ,$108.55 ,$12.87 ,$108.55 ,$108.55 ,$114.94 ,$114.94 ,$100.25 ,$105.49 ,$12.87 ,$83.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005611,86606,FUNGAL AB ID,302,1 ,$305.58 ,$198.63 ,$15.05 ,$275.17 ,$244.46 ,$15.05 ,$242.14 ,$275.17 ,$275.17 ,$28.60 ,$259.74 ,$226.13 ,$37.63 ,$15.05 , N/A ,$254.85 ,$15.05 ,$252.41 ,$244.46 ,$275.02 ,$37.63 ,$259.74 ,$15.05 ,$259.74 ,$259.74 ,$275.02 ,$275.02 ,$239.88 ,$252.41 ,$15.05 ,$198.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005613,86612,BLASTOMYCES AB BY IMMUNODIFFUSION,302,1 ,$125.58 ,$81.63 ,$12.90 ,$113.08 ,$100.46 ,$12.90 ,$99.51 ,$113.08 ,$113.08 ,$24.51 ,$106.74 ,$92.93 ,$32.25 ,$12.90 , N/A ,$104.73 ,$12.90 ,$103.73 ,$100.46 ,$113.02 ,$32.25 ,$106.74 ,$12.90 ,$106.74 ,$106.74 ,$113.02 ,$113.02 ,$98.58 ,$103.73 ,$12.90 ,$81.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005614,86635,COCCIDIOIDES AB BY IMMUNODIFFUSION,302,1 ,$136.55 ,$88.76 ,$11.47 ,$122.96 ,$109.24 ,$11.47 ,$108.20 ,$122.96 ,$122.96 ,$21.79 ,$116.07 ,$101.05 ,$28.68 ,$11.47 , N/A ,$113.88 ,$11.47 ,$112.79 ,$109.24 ,$122.90 ,$28.68 ,$116.07 ,$11.47 ,$116.07 ,$116.07 ,$122.90 ,$122.90 ,$107.19 ,$112.79 ,$11.47 ,$88.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005615,83516,GLIADIN IGG ANTI,301,1 ,$86.94 ,$56.51 ,$11.53 ,$78.29 ,$69.55 ,$11.53 ,$68.89 ,$78.29 ,$78.29 ,$21.91 ,$73.90 ,$64.34 ,$28.83 ,$11.53 , N/A ,$72.51 ,$11.53 ,$71.81 ,$69.55 ,$78.25 ,$28.83 ,$73.90 ,$11.53 ,$73.90 ,$73.90 ,$78.25 ,$78.25 ,$68.25 ,$71.81 ,$11.53 ,$56.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005616,83516,GLIADIN IGA ANTI,301,1 ,$86.94 ,$56.51 ,$11.53 ,$78.29 ,$69.55 ,$11.53 ,$68.89 ,$78.29 ,$78.29 ,$21.91 ,$73.90 ,$64.34 ,$28.83 ,$11.53 , N/A ,$72.51 ,$11.53 ,$71.81 ,$69.55 ,$78.25 ,$28.83 ,$73.90 ,$11.53 ,$73.90 ,$73.90 ,$78.25 ,$78.25 ,$68.25 ,$71.81 ,$11.53 ,$56.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005617,86622,BRUCELLA AB TITER,302,1 ,$202.23 ,$131.45 ,$8.93 ,$182.11 ,$161.78 ,$8.93 ,$160.25 ,$182.11 ,$182.11 ,$16.97 ,$171.90 ,$149.65 ,$22.33 ,$8.93 , N/A ,$168.66 ,$8.93 ,$167.04 ,$161.78 ,$182.01 ,$22.33 ,$171.90 ,$8.93 ,$171.90 ,$171.90 ,$182.01 ,$182.01 ,$158.75 ,$167.04 ,$8.93 ,$131.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005618,85378,D-DIMER-ELISA,305,1 ,$80.29 ,$52.19 ,$9.72 ,$72.30 ,$64.23 ,$9.72 ,$63.62 ,$72.30 ,$72.30 ,$18.47 ,$68.25 ,$59.41 ,$24.30 ,$9.72 , N/A ,$66.96 ,$9.72 ,$66.32 ,$64.23 ,$72.26 ,$24.30 ,$68.25 ,$9.72 ,$68.25 ,$68.25 ,$72.26 ,$72.26 ,$63.03 ,$66.32 ,$9.72 ,$52.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005619,83516,P-ANCA,301,1 ,$303.23 ,$197.10 ,$11.53 ,$273.06 ,$242.58 ,$11.53 ,$240.28 ,$273.06 ,$273.06 ,$21.91 ,$257.75 ,$224.39 ,$28.83 ,$11.53 , N/A ,$252.89 ,$11.53 ,$250.47 ,$242.58 ,$272.91 ,$28.83 ,$257.75 ,$11.53 ,$257.75 ,$257.75 ,$272.91 ,$272.91 ,$238.04 ,$250.47 ,$11.53 ,$197.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005620,87205,"EOSINOPHIL, URINE",306,1 ,$119.37 ,$77.59 ,$4.27 ,$107.49 ,$95.50 ,$4.27 ,$94.59 ,$107.49 ,$107.49 ,$8.11 ,$101.46 ,$88.33 ,$10.68 ,$4.27 , N/A ,$99.55 ,$4.27 ,$98.60 ,$95.50 ,$107.43 ,$10.68 ,$101.46 ,$4.27 ,$101.46 ,$101.46 ,$107.43 ,$107.43 ,$93.71 ,$98.60 ,$4.27 ,$77.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005621,80299,ZYPREXA LEVEL,301,1 ,$362.02 ,$235.31 ,$18.64 ,$326.00 ,$289.62 ,$18.64 ,$286.86 ,$326.00 ,$326.00 ,$35.42 ,$307.72 ,$267.89 ,$46.60 ,$18.64 , N/A ,$301.92 ,$18.64 ,$299.03 ,$289.62 ,$325.82 ,$46.60 ,$307.72 ,$18.64 ,$307.72 ,$307.72 ,$325.82 ,$325.82 ,$284.19 ,$299.03 ,$18.64 ,$235.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005622,80299,ZONEGRAN LEVEL,301,1 ,$353.68 ,$229.89 ,$18.64 ,$318.49 ,$282.94 ,$18.64 ,$280.26 ,$318.49 ,$318.49 ,$35.42 ,$300.63 ,$261.72 ,$46.60 ,$18.64 , N/A ,$294.97 ,$18.64 ,$292.14 ,$282.94 ,$318.31 ,$46.60 ,$300.63 ,$18.64 ,$300.63 ,$300.63 ,$318.31 ,$318.31 ,$277.64 ,$292.14 ,$18.64 ,$229.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005623,84134,PRE ALBUMIN SERUM,301,1 ,$136.95 ,$89.02 ,$14.59 ,$123.32 ,$109.56 ,$14.59 ,$108.52 ,$123.32 ,$123.32 ,$27.72 ,$116.41 ,$101.34 ,$36.48 ,$14.59 , N/A ,$114.22 ,$14.59 ,$113.12 ,$109.56 ,$123.26 ,$36.48 ,$116.41 ,$14.59 ,$116.41 ,$116.41 ,$123.26 ,$123.26 ,$107.51 ,$113.12 ,$14.59 ,$89.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005624,N/A,FACTOR II(PROTHROMBIN)-DNA ANALYSIS,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24005625,88313,PCP STAIN,310,1 ,$345.47 ,$224.56 ,$30.62 ,$311.10 ,$276.38 ,$30.62 ,$273.75 ,$311.10 ,$311.10 ,$58.18 ,$293.65 ,$255.65 ,$76.55 ,$30.62 , N/A ,$288.12 ,$30.62 ,$285.36 ,$276.38 ,$310.92 ,$76.55 ,$293.65 ,$30.62 ,$293.65 ,$293.65 ,$310.92 ,$310.92 ,$271.19 ,$285.36 ,$30.62 ,$224.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005626,82507,CITRIC ACID 24 HR. UR,301,1 ,$116.38 ,$75.65 ,$27.80 ,$104.80 ,$93.10 ,$27.80 ,$92.22 ,$104.80 ,$104.80 ,$52.82 ,$98.92 ,$86.12 ,$69.50 ,$27.80 , N/A ,$97.06 ,$27.80 ,$96.13 ,$93.10 ,$104.74 ,$69.50 ,$98.92 ,$27.80 ,$98.92 ,$98.92 ,$104.74 ,$104.74 ,$91.36 ,$96.13 ,$27.80 ,$75.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005627,86023,ARC PLATELET IMUNO ASSAY,302,1 ,$456.49 ,$296.72 ,$12.46 ,$411.07 ,$365.19 ,$12.46 ,$361.72 ,$411.07 ,$411.07 ,$23.67 ,$388.02 ,$337.80 ,$31.15 ,$12.46 , N/A ,$380.71 ,$12.46 ,$377.06 ,$365.19 ,$410.84 ,$31.15 ,$388.02 ,$12.46 ,$388.02 ,$388.02 ,$410.84 ,$410.84 ,$358.34 ,$377.06 ,$12.46 ,$296.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005628,86022,ARC PLATELET AB,302,1 ,$800.47 ,$520.31 ,$18.37 ,$720.82 ,$640.38 ,$18.37 ,$634.29 ,$720.82 ,$720.82 ,$34.90 ,$680.40 ,$592.35 ,$45.93 ,$18.37 , N/A ,$667.59 ,$18.37 ,$661.19 ,$640.38 ,$720.42 ,$45.93 ,$680.40 ,$18.37 ,$680.40 ,$680.40 ,$720.42 ,$720.42 ,$628.37 ,$661.19 ,$18.37 ,$520.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005629,86922,ARC AGT PHASE XMATCH,302,1 ,$25.52 ,$16.59 ,$16.59 ,$337.41 ,$20.42 ,$134.97 ,$20.22 ,$22.98 ,$22.98 ,$256.44 ,$21.69 ,$18.88 ,$337.41 ,$134.97 , N/A ,$21.28 ,$134.97 ,$21.08 ,$20.42 ,$22.97 ,$25.52 ,$21.69 ,$25.52 ,$21.69 ,$21.69 ,$22.97 ,$22.97 ,$20.03 ,$21.08 ,$25.52 ,$16.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005630,86921,ARC INCUBATION OF CROSSMATCH,300,1 ,$25.92 ,$16.85 ,$16.85 ,$337.41 ,$20.74 ,$134.97 ,$20.54 ,$23.34 ,$23.34 ,$256.44 ,$22.03 ,$19.18 ,$337.41 ,$134.97 , N/A ,$21.62 ,$134.97 ,$21.41 ,$20.74 ,$23.33 ,$25.92 ,$22.03 ,$25.92 ,$22.03 ,$22.03 ,$23.33 ,$23.33 ,$20.35 ,$21.41 ,$25.92 ,$16.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005631,86920,ARC IMMEDIATE SPIN CROSSMATCH,300,1 ,$69.07 ,$44.90 ,$44.90 ,$337.41 ,$55.26 ,$134.97 ,$54.73 ,$62.20 ,$62.20 ,$256.44 ,$58.71 ,$51.11 ,$337.41 ,$134.97 , N/A ,$57.60 ,$134.97 ,$57.05 ,$55.26 ,$62.16 ,$69.07 ,$58.71 ,$69.07 ,$58.71 ,$58.71 ,$62.16 ,$62.16 ,$54.22 ,$57.05 ,$69.07 ,$44.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005632,86927,ARC THAWING PRODUCT,302,1 ,$79.62 ,$51.75 ,$51.75 ,$337.41 ,$63.70 ,$134.97 ,$63.09 ,$71.70 ,$71.70 ,$256.44 ,$67.68 ,$58.92 ,$337.41 ,$134.97 , N/A ,$66.40 ,$134.97 ,$65.77 ,$63.70 ,$71.66 ,$79.62 ,$67.68 ,$79.62 ,$67.68 ,$67.68 ,$71.66 ,$71.66 ,$62.50 ,$65.77 ,$79.62 ,$51.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005634,86904,ARC PRESELECT UNITS,302,1 ,$79.62 ,$51.75 ,$30.62 ,$76.55 ,$63.70 ,$30.62 ,$63.09 ,$71.70 ,$71.70 ,$58.18 ,$67.68 ,$58.92 ,$76.55 ,$30.62 , N/A ,$66.40 ,$30.62 ,$65.77 ,$63.70 ,$71.66 ,$76.55 ,$67.68 ,$30.62 ,$67.68 ,$67.68 ,$71.66 ,$71.66 ,$62.50 ,$65.77 ,$30.62 ,$51.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005635,86972,ARC RETIC SEPARATION,302,1 ,$82.82 ,$53.83 ,$53.83 ,$337.41 ,$66.26 ,$134.97 ,$65.63 ,$74.58 ,$74.58 ,$256.44 ,$70.40 ,$61.29 ,$337.41 ,$134.97 , N/A ,$69.07 ,$134.97 ,$68.41 ,$66.26 ,$74.54 ,$82.82 ,$70.40 ,$82.82 ,$70.40 ,$70.40 ,$74.54 ,$74.54 ,$65.01 ,$68.41 ,$82.82 ,$53.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005636,86886,ARC INDIRECT TITER,302,1 ,$147.01 ,$95.56 ,$95.56 ,$337.41 ,$117.61 ,$134.97 ,$116.49 ,$132.38 ,$132.38 ,$256.44 ,$124.96 ,$108.79 ,$337.41 ,$134.97 , N/A ,$122.61 ,$134.97 ,$121.43 ,$117.61 ,$132.31 ,$147.01 ,$124.96 ,$134.97 ,$124.96 ,$124.96 ,$132.31 ,$132.31 ,$115.40 ,$121.43 ,$134.97 ,$95.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005637,86976,ARC DILUTION OF SERUM,302,1 ,$9.24 ,$6.01 ,$6.01 ,$55.81 ,$7.39 ,$22.32 ,$7.32 ,$8.32 ,$8.32 ,$42.41 ,$7.85 ,$6.84 ,$55.81 ,$22.32 , N/A ,$7.71 ,$22.32 ,$7.63 ,$7.39 ,$8.32 ,$9.24 ,$7.85 ,$9.24 ,$7.85 ,$7.85 ,$8.32 ,$8.32 ,$7.25 ,$7.63 ,$9.24 ,$6.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005638,86977,ARC INC OF SERUM,302,1 ,$79.62 ,$51.75 ,$51.75 ,$337.41 ,$63.70 ,$134.97 ,$63.09 ,$71.70 ,$71.70 ,$256.44 ,$67.68 ,$58.92 ,$337.41 ,$134.97 , N/A ,$66.40 ,$134.97 ,$65.77 ,$63.70 ,$71.66 ,$79.62 ,$67.68 ,$79.62 ,$67.68 ,$67.68 ,$71.66 ,$71.66 ,$62.50 ,$65.77 ,$79.62 ,$51.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005639,86975,ARC INCUB SERUM DRUGS,302,1 ,$192.94 ,$125.41 ,$125.41 ,$611.26 ,$154.35 ,$244.51 ,$152.89 ,$173.74 ,$173.74 ,$464.56 ,$164.00 ,$142.78 ,$611.26 ,$244.51 , N/A ,$160.91 ,$244.51 ,$159.37 ,$154.35 ,$173.65 ,$192.94 ,$164.00 ,$192.94 ,$164.00 ,$164.00 ,$173.65 ,$173.65 ,$151.46 ,$159.37 ,$192.94 ,$125.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005640,86870,MV ENZYME TREATMENT,302,1 ,$128.75 ,$83.69 ,$83.69 ,$658.86 ,$103.00 ,$263.54 ,$102.02 ,$115.94 ,$115.94 ,$500.73 ,$109.44 ,$95.28 ,$658.86 ,$263.54 , N/A ,$107.38 ,$263.54 ,$106.35 ,$103.00 ,$115.88 ,$128.75 ,$109.44 ,$128.75 ,$109.44 ,$109.44 ,$115.88 ,$115.88 ,$101.07 ,$106.35 ,$128.75 ,$83.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005641,86971,MV ENZYME TREATMENT,302,1 ,$90.39 ,$58.75 ,$58.75 ,$658.86 ,$72.31 ,$263.54 ,$71.63 ,$81.40 ,$81.40 ,$500.73 ,$76.83 ,$66.89 ,$658.86 ,$263.54 , N/A ,$75.39 ,$263.54 ,$74.66 ,$72.31 ,$81.35 ,$90.39 ,$76.83 ,$90.39 ,$76.83 ,$76.83 ,$81.35 ,$81.35 ,$70.96 ,$74.66 ,$90.39 ,$58.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005642,86255,RETICULIN ABS,302,1 ,$115.92 ,$75.35 ,$12.05 ,$104.39 ,$92.74 ,$12.05 ,$91.86 ,$104.39 ,$104.39 ,$22.90 ,$98.53 ,$85.78 ,$30.13 ,$12.05 , N/A ,$96.68 ,$12.05 ,$95.75 ,$92.74 ,$104.33 ,$30.13 ,$98.53 ,$12.05 ,$98.53 ,$98.53 ,$104.33 ,$104.33 ,$91.00 ,$95.75 ,$12.05 ,$75.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005643,86850,MV AB SCREEN,302,1 ,$90.39 ,$58.75 ,$45.02 ,$112.56 ,$72.31 ,$45.02 ,$71.63 ,$81.40 ,$81.40 ,$85.55 ,$76.83 ,$66.89 ,$112.56 ,$45.02 , N/A ,$75.39 ,$45.02 ,$74.66 ,$72.31 ,$81.35 ,$90.39 ,$76.83 ,$45.02 ,$76.83 ,$76.83 ,$81.35 ,$81.35 ,$70.96 ,$74.66 ,$45.02 ,$58.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005644,86880,MV DAT,302,1 ,$75.21 ,$48.89 ,$48.89 ,$125.91 ,$60.17 ,$50.36 ,$59.60 ,$67.73 ,$67.73 ,$95.69 ,$63.93 ,$55.66 ,$125.91 ,$50.36 , N/A ,$62.73 ,$50.36 ,$62.12 ,$60.17 ,$67.69 ,$75.21 ,$63.93 ,$50.36 ,$63.93 ,$63.93 ,$67.69 ,$67.69 ,$59.04 ,$62.12 ,$50.36 ,$48.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005645,86905,ARC PT PHENOTYPE,302,1 ,$34.68 ,$22.54 ,$22.54 ,$658.86 ,$27.74 ,$263.54 ,$27.48 ,$31.23 ,$31.23 ,$500.73 ,$29.48 ,$25.66 ,$658.86 ,$263.54 , N/A ,$28.92 ,$263.54 ,$28.65 ,$27.74 ,$31.21 ,$34.68 ,$29.48 ,$34.68 ,$29.48 ,$29.48 ,$31.21 ,$31.21 ,$27.22 ,$28.65 ,$34.68 ,$22.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005646,86901,MV RH,302,1 ,$37.60 ,$24.44 ,$24.44 ,$76.55 ,$30.08 ,$30.62 ,$29.79 ,$33.86 ,$33.86 ,$58.18 ,$31.96 ,$27.82 ,$76.55 ,$30.62 , N/A ,$31.36 ,$30.62 ,$31.06 ,$30.08 ,$33.84 ,$37.60 ,$31.96 ,$30.62 ,$31.96 ,$31.96 ,$33.84 ,$33.84 ,$29.52 ,$31.06 ,$30.62 ,$24.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005647,86900,ARC ABO,302,1 ,$37.60 ,$24.44 ,$24.44 ,$253.24 ,$30.08 ,$101.30 ,$29.79 ,$33.86 ,$33.86 ,$192.46 ,$31.96 ,$27.82 ,$253.24 ,$101.30 , N/A ,$31.36 ,$101.30 ,$31.06 ,$30.08 ,$33.84 ,$37.60 ,$31.96 ,$37.60 ,$31.96 ,$31.96 ,$33.84 ,$33.84 ,$29.52 ,$31.06 ,$37.60 ,$24.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005648,87088,VRE CONFIRMATION,306,1 ,$32.18 ,$20.92 ,$8.09 ,$28.98 ,$25.74 ,$8.09 ,$25.50 ,$28.98 ,$28.98 ,$15.37 ,$27.35 ,$23.81 ,$20.23 ,$8.09 , N/A ,$26.84 ,$8.09 ,$26.58 ,$25.74 ,$28.96 ,$20.23 ,$27.35 ,$8.09 ,$27.35 ,$27.35 ,$28.96 ,$28.96 ,$25.26 ,$26.58 ,$8.09 ,$20.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005649,80299,SERZONE LEVEL,301,1 ,$250.46 ,$162.80 ,$18.64 ,$225.54 ,$200.37 ,$18.64 ,$198.46 ,$225.54 ,$225.54 ,$35.42 ,$212.89 ,$185.34 ,$46.60 ,$18.64 , N/A ,$208.88 ,$18.64 ,$206.88 ,$200.37 ,$225.41 ,$46.60 ,$212.89 ,$18.64 ,$212.89 ,$212.89 ,$225.41 ,$225.41 ,$196.61 ,$206.88 ,$18.64 ,$162.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005650,82570,CREATININE URINE RANDOM,301,1 ,$40.60 ,$26.39 ,$5.18 ,$36.56 ,$32.48 ,$5.18 ,$32.17 ,$36.56 ,$36.56 ,$9.84 ,$34.51 ,$30.04 ,$12.95 ,$5.18 , N/A ,$33.86 ,$5.18 ,$33.54 ,$32.48 ,$36.54 ,$12.95 ,$34.51 ,$5.18 ,$34.51 ,$34.51 ,$36.54 ,$36.54 ,$31.87 ,$33.54 ,$5.18 ,$26.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005651,N/A,SWAB COLLECTION ONLY,300,1 ,$66.22 ,$43.04 ,$43.04 ,$59.63 ,$52.98 , N/A ,$52.47 ,$59.63 ,$59.63 , N/A ,$56.29 ,$49.00 , N/A , N/A , N/A ,$55.23 , N/A ,$54.70 ,$52.98 ,$59.60 , N/A ,$56.29 , N/A ,$56.29 ,$56.29 ,$59.60 ,$59.60 ,$51.98 ,$54.70 , N/A ,$43.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005652,84156,TOTAL PROTEIN URINE RANDOM,301,1 ,$81.24 ,$52.81 ,$3.67 ,$73.16 ,$64.99 ,$3.67 ,$64.37 ,$73.16 ,$73.16 ,$6.97 ,$69.05 ,$60.12 ,$9.18 ,$3.67 , N/A ,$67.75 ,$3.67 ,$67.10 ,$64.99 ,$73.12 ,$9.18 ,$69.05 ,$3.67 ,$69.05 ,$69.05 ,$73.12 ,$73.12 ,$63.77 ,$67.10 ,$3.67 ,$52.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24005654,N/A,MMR IMMUNITY PROFILE,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24005666,80299,VORICONAZOLE LEVEL,301,1 ,$182.76 ,$118.79 ,$18.64 ,$164.58 ,$146.21 ,$18.64 ,$144.82 ,$164.58 ,$164.58 ,$35.42 ,$155.35 ,$135.24 ,$46.60 ,$18.64 , N/A ,$152.42 ,$18.64 ,$150.96 ,$146.21 ,$164.48 ,$46.60 ,$155.35 ,$18.64 ,$155.35 ,$155.35 ,$164.48 ,$164.48 ,$143.47 ,$150.96 ,$18.64 ,$118.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006000,87278,LEGIONELLA URINE ANTIGEN,306,1 ,$194.76 ,$126.59 ,$15.60 ,$175.38 ,$155.81 ,$15.60 ,$154.33 ,$175.38 ,$175.38 ,$29.64 ,$165.55 ,$144.12 ,$39.00 ,$15.60 , N/A ,$162.43 ,$15.60 ,$160.87 ,$155.81 ,$175.28 ,$39.00 ,$165.55 ,$15.60 ,$165.55 ,$165.55 ,$175.28 ,$175.28 ,$152.89 ,$160.87 ,$15.60 ,$126.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006001,84060,ACID PHOSPHATASE,301,1 ,$106.58 ,$69.28 ,$7.64 ,$95.98 ,$85.26 ,$7.64 ,$84.45 ,$95.98 ,$95.98 ,$14.52 ,$90.59 ,$78.87 ,$19.10 ,$7.64 , N/A ,$88.89 ,$7.64 ,$88.04 ,$85.26 ,$95.92 ,$19.10 ,$90.59 ,$7.64 ,$90.59 ,$90.59 ,$95.92 ,$95.92 ,$83.67 ,$88.04 ,$7.64 ,$69.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006003,N/A,"CBC W/DIFF, MANUAL DIFF IF INDICATED",300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24006004,83935,STOOL OSMOLITY,301,1 ,$107.30 ,$69.75 ,$6.82 ,$96.62 ,$85.84 ,$6.82 ,$85.02 ,$96.62 ,$96.62 ,$12.96 ,$91.21 ,$79.40 ,$17.05 ,$6.82 , N/A ,$89.49 ,$6.82 ,$88.63 ,$85.84 ,$96.57 ,$17.05 ,$91.21 ,$6.82 ,$91.21 ,$91.21 ,$96.57 ,$96.57 ,$84.23 ,$88.63 ,$6.82 ,$69.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006005,82150,AMYLASE ISOENZYMES,301,1 ,$90.89 ,$59.08 ,$6.48 ,$81.85 ,$72.71 ,$6.48 ,$72.02 ,$81.85 ,$81.85 ,$12.31 ,$77.26 ,$67.26 ,$16.20 ,$6.48 , N/A ,$75.80 ,$6.48 ,$75.08 ,$72.71 ,$81.80 ,$16.20 ,$77.26 ,$6.48 ,$77.26 ,$77.26 ,$81.80 ,$81.80 ,$71.35 ,$75.08 ,$6.48 ,$59.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006009,83695,LIPOPROTEIN A,301,1 ,$210.09 ,$136.56 ,$14.32 ,$189.19 ,$168.07 ,$14.32 ,$166.48 ,$189.19 ,$189.19 ,$27.21 ,$178.58 ,$155.47 ,$35.80 ,$14.32 , N/A ,$175.22 ,$14.32 ,$173.53 ,$168.07 ,$189.08 ,$35.80 ,$178.58 ,$14.32 ,$178.58 ,$178.58 ,$189.08 ,$189.08 ,$164.92 ,$173.53 ,$14.32 ,$136.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006010,80307,DRUG ABUSE SCREEN 11,300,1 ,$92.09 ,$59.86 ,$59.86 ,$155.35 ,$73.67 ,$62.14 ,$72.97 ,$82.93 ,$82.93 ,$118.07 ,$78.28 ,$68.15 ,$155.35 ,$62.14 , N/A ,$76.80 ,$62.14 ,$76.07 ,$73.67 ,$82.88 ,$92.09 ,$78.28 ,$62.14 ,$78.28 ,$78.28 ,$82.88 ,$82.88 ,$72.29 ,$76.07 ,$62.14 ,$59.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006011,88237,CULTURE TISSUE,310,1 ,$742.75 ,$482.79 ,$143.75 ,$668.85 ,$594.20 ,$143.75 ,$588.56 ,$668.85 ,$668.85 ,$273.13 ,$631.34 ,$549.64 ,$359.38 ,$143.75 , N/A ,$619.45 ,$143.75 ,$613.51 ,$594.20 ,$668.48 ,$359.38 ,$631.34 ,$143.75 ,$631.34 ,$631.34 ,$668.48 ,$668.48 ,$583.06 ,$613.51 ,$143.75 ,$482.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006012,82055,ALCOHOL URINE,301,1 ,$112.20 ,$72.93 ,$72.93 ,$101.04 ,$89.76 , N/A ,$88.91 ,$101.04 ,$101.04 , N/A ,$95.37 ,$83.03 , N/A , N/A , N/A ,$93.57 , N/A ,$92.68 ,$89.76 ,$100.98 , N/A ,$95.37 , N/A ,$95.37 ,$95.37 ,$100.98 ,$100.98 ,$88.08 ,$92.68 , N/A ,$72.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006013,84182,HEAT SHOCK PROTEIN 70,301,1 ,$705.62 ,$458.65 ,$29.21 ,$635.41 ,$564.50 ,$29.21 ,$559.13 ,$635.41 ,$635.41 ,$55.50 ,$599.78 ,$522.16 ,$73.03 ,$29.21 , N/A ,$588.49 ,$29.21 ,$582.84 ,$564.50 ,$635.06 ,$73.03 ,$599.78 ,$29.21 ,$599.78 ,$599.78 ,$635.06 ,$635.06 ,$553.91 ,$582.84 ,$29.21 ,$458.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006014,83519,IGF.BP-3,301,1 ,$125.57 ,$81.62 ,$18.40 ,$113.08 ,$100.46 ,$18.40 ,$99.50 ,$113.08 ,$113.08 ,$34.96 ,$106.73 ,$92.92 ,$46.00 ,$18.40 , N/A ,$104.73 ,$18.40 ,$103.72 ,$100.46 ,$113.01 ,$46.00 ,$106.73 ,$18.40 ,$106.73 ,$106.73 ,$113.01 ,$113.01 ,$98.57 ,$103.72 ,$18.40 ,$81.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006015,86803,HEP C ANTIBODY,302,1 ,$120.56 ,$78.36 ,$14.27 ,$108.56 ,$96.45 ,$14.27 ,$95.53 ,$108.56 ,$108.56 ,$27.11 ,$102.48 ,$89.21 ,$35.68 ,$14.27 , N/A ,$100.55 ,$14.27 ,$99.58 ,$96.45 ,$108.50 ,$35.68 ,$102.48 ,$14.27 ,$102.48 ,$102.48 ,$108.50 ,$108.50 ,$94.64 ,$99.58 ,$14.27 ,$78.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006016,83519,IGF BP-3,301,1 ,$133.83 ,$86.99 ,$18.40 ,$120.51 ,$107.06 ,$18.40 ,$106.05 ,$120.51 ,$120.51 ,$34.96 ,$113.76 ,$99.03 ,$46.00 ,$18.40 , N/A ,$111.61 ,$18.40 ,$110.54 ,$107.06 ,$120.45 ,$46.00 ,$113.76 ,$18.40 ,$113.76 ,$113.76 ,$120.45 ,$120.45 ,$105.06 ,$110.54 ,$18.40 ,$86.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006017,84302,"SODIUM, OTHER SOURCE",301,1 ,$117.60 ,$76.44 ,$4.86 ,$105.90 ,$94.08 ,$4.86 ,$93.19 ,$105.90 ,$105.90 ,$9.23 ,$99.96 ,$87.02 ,$12.15 ,$4.86 , N/A ,$98.08 ,$4.86 ,$97.14 ,$94.08 ,$105.84 ,$12.15 ,$99.96 ,$4.86 ,$99.96 ,$99.96 ,$105.84 ,$105.84 ,$92.32 ,$97.14 ,$4.86 ,$76.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006018,85008,BLOOD COUNT MICRO EXAM W MAN DIFF,305,1 ,$101.56 ,$66.01 ,$3.43 ,$91.45 ,$81.25 ,$3.43 ,$80.48 ,$91.45 ,$91.45 ,$6.52 ,$86.33 ,$75.15 ,$8.58 ,$3.43 , N/A ,$84.70 ,$3.43 ,$83.89 ,$81.25 ,$91.40 ,$8.58 ,$86.33 ,$3.43 ,$86.33 ,$86.33 ,$91.40 ,$91.40 ,$79.72 ,$83.89 ,$3.43 ,$66.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006019,80197,TACROLIMUS,300,1 ,$197.55 ,$128.41 ,$13.73 ,$177.89 ,$158.04 ,$13.73 ,$156.54 ,$177.89 ,$177.89 ,$26.09 ,$167.92 ,$146.19 ,$34.33 ,$13.73 , N/A ,$164.76 ,$13.73 ,$163.18 ,$158.04 ,$177.80 ,$34.33 ,$167.92 ,$13.73 ,$167.92 ,$167.92 ,$177.80 ,$177.80 ,$155.08 ,$163.18 ,$13.73 ,$128.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006020,80102,GAMMA-HYDROXYBUTYRATE,300,1 ,$280.64 ,$182.42 ,$182.42 ,$252.72 ,$224.51 , N/A ,$222.38 ,$252.72 ,$252.72 , N/A ,$238.54 ,$207.67 , N/A , N/A , N/A ,$234.05 , N/A ,$231.81 ,$224.51 ,$252.58 , N/A ,$238.54 , N/A ,$238.54 ,$238.54 ,$252.58 ,$252.58 ,$220.30 ,$231.81 , N/A ,$182.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006021,83874,"MYOGLOBIN, SERUM",300,1 ,$115.08 ,$74.80 ,$12.92 ,$103.63 ,$92.06 ,$12.92 ,$91.19 ,$103.63 ,$103.63 ,$24.55 ,$97.82 ,$85.16 ,$32.30 ,$12.92 , N/A ,$95.98 ,$12.92 ,$95.06 ,$92.06 ,$103.57 ,$32.30 ,$97.82 ,$12.92 ,$97.82 ,$97.82 ,$103.57 ,$103.57 ,$90.34 ,$95.06 ,$12.92 ,$74.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006022,82270,OCCULT BLOOD CA SCREEN 1-3 SIMULT,301,1 ,$57.94 ,$37.66 ,$4.38 ,$52.18 ,$46.35 ,$4.38 ,$45.91 ,$52.18 ,$52.18 ,$8.32 ,$49.25 ,$42.88 ,$10.95 ,$4.38 , N/A ,$48.32 ,$4.38 ,$47.86 ,$46.35 ,$52.15 ,$10.95 ,$49.25 ,$4.38 ,$49.25 ,$49.25 ,$52.15 ,$52.15 ,$45.48 ,$47.86 ,$4.38 ,$37.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006023,85244,FACTOR VIII RELATED ANTIGEN,300,1 ,$223.50 ,$145.28 ,$20.42 ,$201.26 ,$178.80 ,$20.42 ,$177.10 ,$201.26 ,$201.26 ,$38.80 ,$189.98 ,$165.39 ,$51.05 ,$20.42 , N/A ,$186.40 ,$20.42 ,$184.61 ,$178.80 ,$201.15 ,$51.05 ,$189.98 ,$20.42 ,$189.98 ,$189.98 ,$201.15 ,$201.15 ,$175.45 ,$184.61 ,$20.42 ,$145.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006024,86140,CRP-HIGH SENSITIVITY,300,1 ,$121.02 ,$78.66 ,$5.18 ,$108.98 ,$96.82 ,$5.18 ,$95.90 ,$108.98 ,$108.98 ,$9.84 ,$102.87 ,$89.55 ,$12.95 ,$5.18 , N/A ,$100.93 ,$5.18 ,$99.96 ,$96.82 ,$108.92 ,$12.95 ,$102.87 ,$5.18 ,$102.87 ,$102.87 ,$108.92 ,$108.92 ,$95.00 ,$99.96 ,$5.18 ,$78.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006025,86403,CRYTOCOCCAL AG SERUM,300,1 ,$88.14 ,$57.29 ,$11.54 ,$79.37 ,$70.51 ,$11.54 ,$69.84 ,$79.37 ,$79.37 ,$21.93 ,$74.92 ,$65.22 ,$28.85 ,$11.54 , N/A ,$73.51 ,$11.54 ,$72.80 ,$70.51 ,$79.33 ,$28.85 ,$74.92 ,$11.54 ,$74.92 ,$74.92 ,$79.33 ,$79.33 ,$69.19 ,$72.80 ,$11.54 ,$57.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006026,82010,"BETA-HYDROXYBUTYRATE, SERUM",300,1 ,$121.76 ,$79.14 ,$8.17 ,$109.64 ,$97.41 ,$8.17 ,$96.48 ,$109.64 ,$109.64 ,$15.52 ,$103.50 ,$90.10 ,$20.43 ,$8.17 , N/A ,$101.55 ,$8.17 ,$100.57 ,$97.41 ,$109.58 ,$20.43 ,$103.50 ,$8.17 ,$103.50 ,$103.50 ,$109.58 ,$109.58 ,$95.58 ,$100.57 ,$8.17 ,$79.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006027,84206,PROINSULIN,300,1 ,$190.06 ,$123.54 ,$26.69 ,$171.15 ,$152.05 ,$26.69 ,$150.60 ,$171.15 ,$171.15 ,$50.71 ,$161.55 ,$140.64 ,$66.73 ,$26.69 , N/A ,$158.51 ,$26.69 ,$156.99 ,$152.05 ,$171.05 ,$66.73 ,$161.55 ,$26.69 ,$161.55 ,$161.55 ,$171.05 ,$171.05 ,$149.20 ,$156.99 ,$26.69 ,$123.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006028,87207,MALARIA SMEAR,300,1 ,$88.26 ,$57.37 ,$5.99 ,$79.48 ,$70.61 ,$5.99 ,$69.94 ,$79.48 ,$79.48 ,$11.38 ,$75.02 ,$65.31 ,$14.98 ,$5.99 , N/A ,$73.61 ,$5.99 ,$72.90 ,$70.61 ,$79.43 ,$14.98 ,$75.02 ,$5.99 ,$75.02 ,$75.02 ,$79.43 ,$79.43 ,$69.28 ,$72.90 ,$5.99 ,$57.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006029,82274,OCCULT BLOOD CA SCREEN FIT,301,1 ,$65.71 ,$42.71 ,$15.92 ,$59.17 ,$52.57 ,$15.92 ,$52.07 ,$59.17 ,$59.17 ,$30.25 ,$55.85 ,$48.63 ,$39.80 ,$15.92 , N/A ,$54.80 ,$15.92 ,$54.28 ,$52.57 ,$59.14 ,$39.80 ,$55.85 ,$15.92 ,$55.85 ,$55.85 ,$59.14 ,$59.14 ,$51.58 ,$54.28 ,$15.92 ,$42.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006030,81270,"MOLEC DX,AMPL NUCL ACID MULTIPLEX,EA",301,1 ,$172.42 ,$112.07 ,$91.66 ,$229.15 ,$137.94 ,$91.66 ,$136.63 ,$155.26 ,$155.26 ,$174.15 ,$146.56 ,$127.59 ,$229.15 ,$91.66 , N/A ,$143.80 ,$91.66 ,$142.42 ,$137.94 ,$155.18 ,$172.42 ,$146.56 ,$91.66 ,$146.56 ,$146.56 ,$155.18 ,$155.18 ,$135.35 ,$142.42 ,$91.66 ,$112.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006031,81220,CYSTIC FIBROSIS MUTATION PANEL,300,1 ,"$1,110.02 ",$721.51 ,$556.60 ,"$1,391.50 ",$888.02 ,$556.60 ,$879.58 ,$999.57 ,$999.57 ,"$1,057.54 ",$943.52 ,$821.41 ,"$1,391.50 ",$556.60 , N/A ,$925.76 ,$556.60 ,$916.88 ,$888.02 ,$999.02 ,"$1,110.02 ",$943.52 ,$556.60 ,$943.52 ,$943.52 ,$999.02 ,$999.02 ,$871.37 ,$916.88 ,$556.60 ,$721.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006032,86677,H PYLORI-QUALITATIVE (IN-HOUSE),300,1 ,$92.01 ,$59.81 ,$16.85 ,$82.86 ,$73.61 ,$16.85 ,$72.91 ,$82.86 ,$82.86 ,$32.02 ,$78.21 ,$68.09 ,$42.13 ,$16.85 , N/A ,$76.74 ,$16.85 ,$76.00 ,$73.61 ,$82.81 ,$42.13 ,$78.21 ,$16.85 ,$78.21 ,$78.21 ,$82.81 ,$82.81 ,$72.23 ,$76.00 ,$16.85 ,$59.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006033,82955,G6PD,300,1 ,$179.68 ,$116.79 ,$9.70 ,$161.80 ,$143.74 ,$9.70 ,$142.38 ,$161.80 ,$161.80 ,$18.43 ,$152.73 ,$132.96 ,$24.25 ,$9.70 , N/A ,$149.85 ,$9.70 ,$148.42 ,$143.74 ,$161.71 ,$24.25 ,$152.73 ,$9.70 ,$152.73 ,$152.73 ,$161.71 ,$161.71 ,$141.05 ,$148.42 ,$9.70 ,$116.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006034,82491,IMURAN,300,1 ,$407.14 ,$264.64 ,$264.64 ,$366.63 ,$325.71 , N/A ,$322.62 ,$366.63 ,$366.63 , N/A ,$346.07 ,$301.28 , N/A , N/A , N/A ,$339.55 , N/A ,$336.30 ,$325.71 ,$366.43 , N/A ,$346.07 , N/A ,$346.07 ,$346.07 ,$366.43 ,$366.43 ,$319.60 ,$336.30 , N/A ,$264.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006035,N/A,NON-VENIPUNCTURE CHG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24006036,86747,HUMAN PARVO VIRUS IGG/IGM,300,1 ,$358.33 ,$232.91 ,$15.03 ,$322.68 ,$286.66 ,$15.03 ,$283.94 ,$322.68 ,$322.68 ,$28.56 ,$304.58 ,$265.16 ,$37.58 ,$15.03 , N/A ,$298.85 ,$15.03 ,$295.98 ,$286.66 ,$322.50 ,$37.58 ,$304.58 ,$15.03 ,$304.58 ,$304.58 ,$322.50 ,$322.50 ,$281.29 ,$295.98 ,$15.03 ,$232.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006037,82300,CADMIUM,300,1 ,$106.90 ,$69.49 ,$23.64 ,$96.26 ,$85.52 ,$23.64 ,$84.71 ,$96.26 ,$96.26 ,$44.92 ,$90.87 ,$79.11 ,$59.10 ,$23.64 , N/A ,$89.15 ,$23.64 ,$88.30 ,$85.52 ,$96.21 ,$59.10 ,$90.87 ,$23.64 ,$90.87 ,$90.87 ,$96.21 ,$96.21 ,$83.92 ,$88.30 ,$23.64 ,$69.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006038,N/A,HEAVY METALS,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24006039,83519,PARATHYROID RELATED PEPTIDE,300,1 ,$374.65 ,$243.52 ,$18.40 ,$337.37 ,$299.72 ,$18.40 ,$296.87 ,$337.37 ,$337.37 ,$34.96 ,$318.45 ,$277.24 ,$46.00 ,$18.40 , N/A ,$312.46 ,$18.40 ,$309.46 ,$299.72 ,$337.19 ,$46.00 ,$318.45 ,$18.40 ,$318.45 ,$318.45 ,$337.19 ,$337.19 ,$294.10 ,$309.46 ,$18.40 ,$243.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006040,82542,ZIPRASIDONE,300,1 ,$387.11 ,$251.62 ,$24.09 ,$348.59 ,$309.69 ,$24.09 ,$306.75 ,$348.59 ,$348.59 ,$45.77 ,$329.04 ,$286.46 ,$60.23 ,$24.09 , N/A ,$322.85 ,$24.09 ,$319.75 ,$309.69 ,$348.40 ,$60.23 ,$329.04 ,$24.09 ,$329.04 ,$329.04 ,$348.40 ,$348.40 ,$303.88 ,$319.75 ,$24.09 ,$251.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006041,86316,NEURON SPECIFIC ENOLASE,300,1 ,$293.17 ,$190.56 ,$20.81 ,$264.00 ,$234.54 ,$20.81 ,$232.31 ,$264.00 ,$264.00 ,$39.54 ,$249.19 ,$216.95 ,$52.03 ,$20.81 , N/A ,$244.50 ,$20.81 ,$242.16 ,$234.54 ,$263.85 ,$52.03 ,$249.19 ,$20.81 ,$249.19 ,$249.19 ,$263.85 ,$263.85 ,$230.14 ,$242.16 ,$20.81 ,$190.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006042,86316,CHROMOGRANIN A,300,1 ,$185.32 ,$120.46 ,$20.81 ,$166.88 ,$148.26 ,$20.81 ,$146.85 ,$166.88 ,$166.88 ,$39.54 ,$157.52 ,$137.14 ,$52.03 ,$20.81 , N/A ,$154.56 ,$20.81 ,$153.07 ,$148.26 ,$166.79 ,$52.03 ,$157.52 ,$20.81 ,$157.52 ,$157.52 ,$166.79 ,$166.79 ,$145.48 ,$153.07 ,$20.81 ,$120.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006043,86317,"STREP PNEUMO AB-IGG SEROTYPES 3,8,12 AND 14",300,1 ,$107.86 ,$70.11 ,$14.99 ,$97.13 ,$86.29 ,$14.99 ,$85.47 ,$97.13 ,$97.13 ,$28.48 ,$91.68 ,$79.82 ,$37.48 ,$14.99 , N/A ,$89.96 ,$14.99 ,$89.09 ,$86.29 ,$97.07 ,$37.48 ,$91.68 ,$14.99 ,$91.68 ,$91.68 ,$97.07 ,$97.07 ,$84.67 ,$89.09 ,$14.99 ,$70.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006044,88264,CHROMOSOME ANAL ANALYZE 20-25 CELLS,310,1 ,"$1,345.88 ",$874.82 ,$144.61 ,"$1,211.96 ","$1,076.70 ",$144.61 ,"$1,066.48 ","$1,211.96 ","$1,211.96 ",$274.76 ,"$1,144.00 ",$995.95 ,$361.53 ,$144.61 , N/A ,"$1,122.46 ",$144.61 ,"$1,111.70 ","$1,076.70 ","$1,211.29 ",$361.53 ,"$1,144.00 ",$144.61 ,"$1,144.00 ","$1,144.00 ","$1,211.29 ","$1,211.29 ","$1,056.52 ","$1,111.70 ",$144.61 ,$874.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006045,86255,CELIAC PANEL RETICULIN AB,302,1 ,$68.32 ,$44.41 ,$12.05 ,$61.52 ,$54.66 ,$12.05 ,$54.14 ,$61.52 ,$61.52 ,$22.90 ,$58.07 ,$50.56 ,$30.13 ,$12.05 , N/A ,$56.98 ,$12.05 ,$56.43 ,$54.66 ,$61.49 ,$30.13 ,$58.07 ,$12.05 ,$58.07 ,$58.07 ,$61.49 ,$61.49 ,$53.63 ,$56.43 ,$12.05 ,$44.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006046,86256,CELIAC PANEL ENDOMYCEL AB,302,1 ,$68.32 ,$44.41 ,$12.05 ,$61.52 ,$54.66 ,$12.05 ,$54.14 ,$61.52 ,$61.52 ,$22.90 ,$58.07 ,$50.56 ,$30.13 ,$12.05 , N/A ,$56.98 ,$12.05 ,$56.43 ,$54.66 ,$61.49 ,$30.13 ,$58.07 ,$12.05 ,$58.07 ,$58.07 ,$61.49 ,$61.49 ,$53.63 ,$56.43 ,$12.05 ,$44.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006047,82131,URINE SINGLE AA,301,1 ,$150.09 ,$97.56 ,$22.98 ,$135.16 ,$120.07 ,$22.98 ,$118.93 ,$135.16 ,$135.16 ,$43.66 ,$127.58 ,$111.07 ,$57.45 ,$22.98 , N/A ,$125.18 ,$22.98 ,$123.97 ,$120.07 ,$135.08 ,$57.45 ,$127.58 ,$22.98 ,$127.58 ,$127.58 ,$135.08 ,$135.08 ,$117.82 ,$123.97 ,$22.98 ,$97.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006048,N/A,MISC LAB,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24006049,86817,HLA DR3 HLA DR4,300,1 ,"$1,117.57 ",$726.42 ,$106.14 ,"$1,006.37 ",$894.06 ,$106.14 ,$885.56 ,"$1,006.37 ","$1,006.37 ",$201.67 ,$949.93 ,$827.00 ,$265.35 ,$106.14 , N/A ,$932.05 ,$106.14 ,$923.11 ,$894.06 ,"$1,005.81 ",$265.35 ,$949.93 ,$106.14 ,$949.93 ,$949.93 ,"$1,005.81 ","$1,005.81 ",$877.29 ,$923.11 ,$106.14 ,$726.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006051,83516,TISSUE TRANSGLUTAMINASE IGA ONLY,300,1 ,$143.27 ,$93.13 ,$11.53 ,$129.01 ,$114.62 ,$11.53 ,$113.53 ,$129.01 ,$129.01 ,$21.91 ,$121.78 ,$106.02 ,$28.83 ,$11.53 , N/A ,$119.49 ,$11.53 ,$118.34 ,$114.62 ,$128.94 ,$28.83 ,$121.78 ,$11.53 ,$121.78 ,$121.78 ,$128.94 ,$128.94 ,$112.47 ,$118.34 ,$11.53 ,$93.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006052,85306,PROTEIN S FUNCTIONAL,300,1 ,$333.38 ,$216.70 ,$15.32 ,$300.21 ,$266.70 ,$15.32 ,$264.17 ,$300.21 ,$300.21 ,$29.11 ,$283.37 ,$246.70 ,$38.30 ,$15.32 , N/A ,$278.04 ,$15.32 ,$275.37 ,$266.70 ,$300.04 ,$38.30 ,$283.37 ,$15.32 ,$283.37 ,$283.37 ,$300.04 ,$300.04 ,$261.70 ,$275.37 ,$15.32 ,$216.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006055,N/A,FUNGAL AB CF,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24006056,86903,ARC ANTIGEN 1 RRD-2,302,1 ,$211.53 ,$137.49 ,$137.49 ,$190.48 ,$169.22 , N/A ,$167.62 ,$190.48 ,$190.48 , N/A ,$179.80 ,$156.53 , N/A , N/A , N/A ,$176.42 , N/A ,$174.72 ,$169.22 ,$190.38 , N/A ,$179.80 , N/A ,$179.80 ,$179.80 ,$190.38 ,$190.38 ,$166.05 ,$174.72 , N/A ,$137.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006057,86648,DIPTHERIA IGG ANTIBODY,300,1 ,$156.95 ,$102.02 ,$15.21 ,$141.33 ,$125.56 ,$15.21 ,$124.37 ,$141.33 ,$141.33 ,$28.90 ,$133.41 ,$116.14 ,$38.03 ,$15.21 , N/A ,$130.90 ,$15.21 ,$129.64 ,$125.56 ,$141.26 ,$38.03 ,$133.41 ,$15.21 ,$133.41 ,$133.41 ,$141.26 ,$141.26 ,$123.21 ,$129.64 ,$15.21 ,$102.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006058,83150,HOMOVANILLIC ACID,300,1 ,$101.75 ,$66.14 ,$22.41 ,$91.63 ,$81.40 ,$22.41 ,$80.63 ,$91.63 ,$91.63 ,$42.58 ,$86.49 ,$75.30 ,$56.03 ,$22.41 , N/A ,$84.86 ,$22.41 ,$84.05 ,$81.40 ,$91.58 ,$56.03 ,$86.49 ,$22.41 ,$86.49 ,$86.49 ,$91.58 ,$91.58 ,$79.87 ,$84.05 ,$22.41 ,$66.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006059,87385,HISTOPLASMA-URINE,300,1 ,$338.90 ,$220.29 ,$13.25 ,$305.18 ,$271.12 ,$13.25 ,$268.54 ,$305.18 ,$305.18 ,$25.18 ,$288.07 ,$250.79 ,$33.13 ,$13.25 , N/A ,$282.64 ,$13.25 ,$279.93 ,$271.12 ,$305.01 ,$33.13 ,$288.07 ,$13.25 ,$288.07 ,$288.07 ,$305.01 ,$305.01 ,$266.04 ,$279.93 ,$13.25 ,$220.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006060,85060,PERIPHERAL SMEAR REVIEW BY PATHOLOGIST,310,1 ,$86.57 ,$56.27 ,$56.27 ,$77.96 ,$69.26 , N/A ,$68.60 ,$77.96 ,$77.96 , N/A ,$73.58 ,$64.06 , N/A , N/A , N/A ,$72.20 , N/A ,$71.51 ,$69.26 ,$77.91 , N/A ,$73.58 , N/A ,$73.58 ,$73.58 ,$77.91 ,$77.91 ,$67.96 ,$71.51 , N/A ,$56.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006061,84270,SEX HORMONE BINDING GLOBULIN,300,1 ,$107.66 ,$69.98 ,$21.73 ,$96.95 ,$86.13 ,$21.73 ,$85.31 ,$96.95 ,$96.95 ,$41.29 ,$91.51 ,$79.67 ,$54.33 ,$21.73 , N/A ,$89.79 ,$21.73 ,$88.93 ,$86.13 ,$96.89 ,$54.33 ,$91.51 ,$21.73 ,$91.51 ,$91.51 ,$96.89 ,$96.89 ,$84.51 ,$88.93 ,$21.73 ,$69.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006062,90283,IMMUNE GLOBULIN BY IV PER 5GM BOTTLE,636,1 ,$573.09 ,$372.51 ,$372.51 ,$516.07 ,$458.47 , N/A ,$454.12 ,$516.07 ,$516.07 , N/A ,$487.13 ,$424.09 , N/A , N/A , N/A ,$477.96 , N/A ,$473.37 ,$458.47 ,$515.78 , N/A ,$487.13 , N/A ,$487.13 ,$487.13 ,$515.78 ,$515.78 ,$449.88 ,$473.37 , N/A ,$372.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006070,86317,STREP PNEUMO AB TITER,300,1 ,$217.44 ,$141.34 ,$14.99 ,$195.80 ,$173.95 ,$14.99 ,$172.30 ,$195.80 ,$195.80 ,$28.48 ,$184.82 ,$160.91 ,$37.48 ,$14.99 , N/A ,$181.35 ,$14.99 ,$179.61 ,$173.95 ,$195.70 ,$37.48 ,$184.82 ,$14.99 ,$184.82 ,$184.82 ,$195.70 ,$195.70 ,$170.69 ,$179.61 ,$14.99 ,$141.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006100,87449,C DIFF Ag GDH A AND B BY TCD B gene,306,1 ,$106.90 ,$69.49 ,$11.98 ,$96.26 ,$85.52 ,$11.98 ,$84.71 ,$96.26 ,$96.26 ,$22.76 ,$90.87 ,$79.11 ,$29.95 ,$11.98 , N/A ,$89.15 ,$11.98 ,$88.30 ,$85.52 ,$96.21 ,$29.95 ,$90.87 ,$11.98 ,$90.87 ,$90.87 ,$96.21 ,$96.21 ,$83.92 ,$88.30 ,$11.98 ,$69.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006116,85004,WBC DIFF AUTOMATED,305,1 ,$52.96 ,$34.42 ,$6.47 ,$47.69 ,$42.37 ,$6.47 ,$41.97 ,$47.69 ,$47.69 ,$12.29 ,$45.02 ,$39.19 ,$16.18 ,$6.47 , N/A ,$44.17 ,$6.47 ,$43.75 ,$42.37 ,$47.66 ,$16.18 ,$45.02 ,$6.47 ,$45.02 ,$45.02 ,$47.66 ,$47.66 ,$41.57 ,$43.75 ,$6.47 ,$34.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006256,86256,DNA DS AB TITER,301,1 ,$72.44 ,$47.09 ,$12.05 ,$65.23 ,$57.95 ,$12.05 ,$57.40 ,$65.23 ,$65.23 ,$22.90 ,$61.57 ,$53.61 ,$30.13 ,$12.05 , N/A ,$60.42 ,$12.05 ,$59.84 ,$57.95 ,$65.20 ,$30.13 ,$61.57 ,$12.05 ,$61.57 ,$61.57 ,$65.20 ,$65.20 ,$56.87 ,$59.84 ,$12.05 ,$47.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24006615,86615,BORDETELLA PERTUSSIS ABS IGG AND IGM,302,1 ,$183.09 ,$119.01 ,$13.19 ,$164.87 ,$146.47 ,$13.19 ,$145.08 ,$164.87 ,$164.87 ,$25.06 ,$155.63 ,$135.49 ,$32.98 ,$13.19 , N/A ,$152.70 ,$13.19 ,$151.23 ,$146.47 ,$164.78 ,$32.98 ,$155.63 ,$13.19 ,$155.63 ,$155.63 ,$164.78 ,$164.78 ,$143.73 ,$151.23 ,$13.19 ,$119.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24008100,N/A,STONE RISK ANALYSIS URINE 24 HR,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24008101,N/A,VON WILLEBRANDS PANEL,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24008271,88271,CLL PANEL BY FISH,310,1 ,"$1,272.50 ",$827.13 ,$21.42 ,"$1,145.89 ","$1,018.00 ",$21.42 ,"$1,008.33 ","$1,145.89 ","$1,145.89 ",$40.70 ,"$1,081.63 ",$941.65 ,$53.55 ,$21.42 , N/A ,"$1,061.27 ",$21.42 ,"$1,051.09 ","$1,018.00 ","$1,145.25 ",$53.55 ,"$1,081.63 ",$21.42 ,"$1,081.63 ","$1,081.63 ","$1,145.25 ","$1,145.25 ",$998.91 ,"$1,051.09 ",$21.42 ,$827.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24008593,G8593,SCREENING CARDIOVASCULAR WELCOME TO MEDI,770,1 ,$158.13 ,$102.78 ,$102.78 ,$142.40 ,$126.50 , N/A ,$125.30 ,$142.40 ,$142.40 , N/A ,$134.41 ,$117.02 , N/A , N/A , N/A ,$131.88 , N/A ,$130.62 ,$126.50 ,$142.32 , N/A ,$134.41 , N/A ,$134.41 ,$134.41 ,$142.32 ,$142.32 ,$124.13 ,$130.62 , N/A ,$102.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010009,85025,AUTO DIFF ONLY,305,1 ,$94.50 ,$61.43 ,$7.77 ,$85.10 ,$75.60 ,$7.77 ,$74.88 ,$85.10 ,$85.10 ,$14.76 ,$80.33 ,$69.93 ,$19.43 ,$7.77 , N/A ,$78.81 ,$7.77 ,$78.06 ,$75.60 ,$85.05 ,$19.43 ,$80.33 ,$7.77 ,$80.33 ,$80.33 ,$85.05 ,$85.05 ,$74.18 ,$78.06 ,$7.77 ,$61.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010010,N/A,EXECUTIVE CBC WDIFF FOR PROFILE,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24010018,85048,WBC,305,1 ,$57.14 ,$37.14 ,$2.54 ,$51.45 ,$45.71 ,$2.54 ,$45.28 ,$51.45 ,$51.45 ,$4.83 ,$48.57 ,$42.28 ,$6.35 ,$2.54 , N/A ,$47.65 ,$2.54 ,$47.20 ,$45.71 ,$51.43 ,$6.35 ,$48.57 ,$2.54 ,$48.57 ,$48.57 ,$51.43 ,$51.43 ,$44.85 ,$47.20 ,$2.54 ,$37.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010025,85041,RBC,305,1 ,$48.07 ,$31.25 ,$3.02 ,$43.29 ,$38.46 ,$3.02 ,$38.09 ,$43.29 ,$43.29 ,$5.74 ,$40.86 ,$35.57 ,$7.55 ,$3.02 , N/A ,$40.09 ,$3.02 ,$39.71 ,$38.46 ,$43.26 ,$7.55 ,$40.86 ,$3.02 ,$40.86 ,$40.86 ,$43.26 ,$43.26 ,$37.74 ,$39.71 ,$3.02 ,$31.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010033,85018,HGB,305,1 ,$42.19 ,$27.42 ,$2.37 ,$37.99 ,$33.75 ,$2.37 ,$33.43 ,$37.99 ,$37.99 ,$4.50 ,$35.86 ,$31.22 ,$5.93 ,$2.37 , N/A ,$35.19 ,$2.37 ,$34.85 ,$33.75 ,$37.97 ,$5.93 ,$35.86 ,$2.37 ,$35.86 ,$35.86 ,$37.97 ,$37.97 ,$33.12 ,$34.85 ,$2.37 ,$27.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010035,N/A,HGB AND HCT,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24010041,85014,HCT,305,1 ,$42.19 ,$27.42 ,$2.37 ,$37.99 ,$33.75 ,$2.37 ,$33.43 ,$37.99 ,$37.99 ,$4.50 ,$35.86 ,$31.22 ,$5.93 ,$2.37 , N/A ,$35.19 ,$2.37 ,$34.85 ,$33.75 ,$37.97 ,$5.93 ,$35.86 ,$2.37 ,$35.86 ,$35.86 ,$37.97 ,$37.97 ,$33.12 ,$34.85 ,$2.37 ,$27.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010061,80061,NMR LIPOPROFILE,301,1 ,$255.11 ,$165.82 ,$13.39 ,$229.73 ,$204.09 ,$13.39 ,$202.15 ,$229.73 ,$229.73 ,$25.44 ,$216.84 ,$188.78 ,$33.48 ,$13.39 , N/A ,$212.76 ,$13.39 ,$210.72 ,$204.09 ,$229.60 ,$33.48 ,$216.84 ,$13.39 ,$216.84 ,$216.84 ,$229.60 ,$229.60 ,$200.26 ,$210.72 ,$13.39 ,$165.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010066,85007,MANUAL DIFF,300,1 ,$37.19 ,$24.17 ,$3.80 ,$33.49 ,$29.75 ,$3.80 ,$29.47 ,$33.49 ,$33.49 ,$7.22 ,$31.61 ,$27.52 ,$9.50 ,$3.80 , N/A ,$31.02 ,$3.80 ,$30.72 ,$29.75 ,$33.47 ,$9.50 ,$31.61 ,$3.80 ,$31.61 ,$31.61 ,$33.47 ,$33.47 ,$29.19 ,$30.72 ,$3.80 ,$24.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010074,85651,SED RATE,305,1 ,$85.81 ,$55.78 ,$4.27 ,$77.27 ,$68.65 ,$4.27 ,$68.00 ,$77.27 ,$77.27 ,$8.11 ,$72.94 ,$63.50 ,$10.68 ,$4.27 , N/A ,$71.57 ,$4.27 ,$70.88 ,$68.65 ,$77.23 ,$10.68 ,$72.94 ,$4.27 ,$72.94 ,$72.94 ,$77.23 ,$77.23 ,$67.36 ,$70.88 ,$4.27 ,$55.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010082,85610,PROTIME,305,1 ,$68.92 ,$44.80 ,$4.29 ,$62.06 ,$55.14 ,$4.29 ,$54.61 ,$62.06 ,$62.06 ,$8.15 ,$58.58 ,$51.00 ,$10.73 ,$4.29 , N/A ,$57.48 ,$4.29 ,$56.93 ,$55.14 ,$62.03 ,$10.73 ,$58.58 ,$4.29 ,$58.58 ,$58.58 ,$62.03 ,$62.03 ,$54.10 ,$56.93 ,$4.29 ,$44.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010108,85002,BLEEDING TIME,305,1 ,$83.90 ,$54.54 ,$4.82 ,$75.55 ,$67.12 ,$4.82 ,$66.48 ,$75.55 ,$75.55 ,$9.16 ,$71.32 ,$62.09 ,$12.05 ,$4.82 , N/A ,$69.97 ,$4.82 ,$69.30 ,$67.12 ,$75.51 ,$12.05 ,$71.32 ,$4.82 ,$71.32 ,$71.32 ,$75.51 ,$75.51 ,$65.86 ,$69.30 ,$4.82 ,$54.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010116,85730,PTT,305,1 ,$122.63 ,$79.71 ,$6.01 ,$110.43 ,$98.10 ,$6.01 ,$97.17 ,$110.43 ,$110.43 ,$11.42 ,$104.24 ,$90.75 ,$15.03 ,$6.01 , N/A ,$102.27 ,$6.01 ,$101.29 ,$98.10 ,$110.37 ,$15.03 ,$104.24 ,$6.01 ,$104.24 ,$104.24 ,$110.37 ,$110.37 ,$96.26 ,$101.29 ,$6.01 ,$79.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010124,85045,RETICULOCYTE COUNT,305,1 ,$91.54 ,$59.50 ,$3.99 ,$82.43 ,$73.23 ,$3.99 ,$72.54 ,$82.43 ,$82.43 ,$7.58 ,$77.81 ,$67.74 ,$9.98 ,$3.99 , N/A ,$76.34 ,$3.99 ,$75.61 ,$73.23 ,$82.39 ,$9.98 ,$77.81 ,$3.99 ,$77.81 ,$77.81 ,$82.39 ,$82.39 ,$71.86 ,$75.61 ,$3.99 ,$59.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010181,89051,SPINAL FLUID CNT,940,1 ,$185.72 ,$120.72 ,$5.60 ,$167.24 ,$148.58 ,$5.60 ,$147.16 ,$167.24 ,$167.24 ,$10.64 ,$157.86 ,$137.43 ,$14.00 ,$5.60 , N/A ,$154.89 ,$5.60 ,$153.40 ,$148.58 ,$167.15 ,$14.00 ,$157.86 ,$6.00 ,$157.86 ,$157.86 ,$167.15 ,$167.15 ,$145.79 ,$153.40 ,$6.00 ,$120.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010207,85384,FIBRINOGEN,305,1 ,$124.07 ,$80.65 ,$9.72 ,$111.73 ,$99.26 ,$9.72 ,$98.31 ,$111.73 ,$111.73 ,$18.47 ,$105.46 ,$91.81 ,$24.30 ,$9.72 , N/A ,$103.47 ,$9.72 ,$102.48 ,$99.26 ,$111.66 ,$24.30 ,$105.46 ,$9.72 ,$105.46 ,$105.46 ,$111.66 ,$111.66 ,$97.40 ,$102.48 ,$9.72 ,$80.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010215,86900,MV ABO,302,1 ,$66.02 ,$42.91 ,$42.91 ,$253.24 ,$52.82 ,$101.30 ,$52.31 ,$59.45 ,$59.45 ,$192.46 ,$56.12 ,$48.85 ,$253.24 ,$101.30 , N/A ,$55.06 ,$101.30 ,$54.53 ,$52.82 ,$59.42 ,$66.02 ,$56.12 ,$66.02 ,$56.12 ,$56.12 ,$59.42 ,$59.42 ,$51.83 ,$54.53 ,$66.02 ,$42.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010218,82803,BLOOD GAS VENOUS,301,1 ,$350.52 ,$227.84 ,$26.07 ,$315.64 ,$280.42 ,$26.07 ,$277.75 ,$315.64 ,$315.64 ,$49.53 ,$297.94 ,$259.38 ,$65.18 ,$26.07 , N/A ,$292.33 ,$26.07 ,$289.53 ,$280.42 ,$315.47 ,$65.18 ,$297.94 ,$26.07 ,$297.94 ,$297.94 ,$315.47 ,$315.47 ,$275.16 ,$289.53 ,$26.07 ,$227.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010220,87205,SPUTUM DIRECT EXAM,306,1 ,$14.89 ,$9.68 ,$4.27 ,$13.41 ,$11.91 ,$4.27 ,$11.80 ,$13.41 ,$13.41 ,$8.11 ,$12.66 ,$11.02 ,$10.68 ,$4.27 , N/A ,$12.42 ,$4.27 ,$12.30 ,$11.91 ,$13.40 ,$10.68 ,$12.66 ,$4.27 ,$12.66 ,$12.66 ,$13.40 ,$13.40 ,$11.69 ,$12.30 ,$4.27 ,$9.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010221,87205,ECTOPARASITES,306,1 ,$96.72 ,$62.87 ,$4.27 ,$87.10 ,$77.38 ,$4.27 ,$76.64 ,$87.10 ,$87.10 ,$8.11 ,$82.21 ,$71.57 ,$10.68 ,$4.27 , N/A ,$80.66 ,$4.27 ,$79.89 ,$77.38 ,$87.05 ,$10.68 ,$82.21 ,$4.27 ,$82.21 ,$82.21 ,$87.05 ,$87.05 ,$75.93 ,$79.89 ,$4.27 ,$62.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010222,80202,VANCOMYCIN TROUGH LEVEL,301,1 ,$259.49 ,$168.67 ,$13.54 ,$233.67 ,$207.59 ,$13.54 ,$205.62 ,$233.67 ,$233.67 ,$25.73 ,$220.57 ,$192.02 ,$33.85 ,$13.54 , N/A ,$216.41 ,$13.54 ,$214.34 ,$207.59 ,$233.54 ,$33.85 ,$220.57 ,$13.54 ,$220.57 ,$220.57 ,$233.54 ,$233.54 ,$203.70 ,$214.34 ,$13.54 ,$168.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010223,86901,RH TYPING,302,1 ,$66.02 ,$42.91 ,$30.62 ,$76.55 ,$52.82 ,$30.62 ,$52.31 ,$59.45 ,$59.45 ,$58.18 ,$56.12 ,$48.85 ,$76.55 ,$30.62 , N/A ,$55.06 ,$30.62 ,$54.53 ,$52.82 ,$59.42 ,$66.02 ,$56.12 ,$30.62 ,$56.12 ,$56.12 ,$59.42 ,$59.42 ,$51.83 ,$54.53 ,$30.62 ,$42.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010224,82947,GLUCOSE 2HR POST PARANDIAL,301,1 ,$65.71 ,$42.71 ,$3.93 ,$59.17 ,$52.57 ,$3.93 ,$52.07 ,$59.17 ,$59.17 ,$7.47 ,$55.85 ,$48.63 ,$9.83 ,$3.93 , N/A ,$54.80 ,$3.93 ,$54.28 ,$52.57 ,$59.14 ,$9.83 ,$55.85 ,$3.93 ,$55.85 ,$55.85 ,$59.14 ,$59.14 ,$51.58 ,$54.28 ,$3.93 ,$42.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010226,82947,GLUCOSE RANDOM,301,1 ,$65.71 ,$42.71 ,$3.93 ,$59.17 ,$52.57 ,$3.93 ,$52.07 ,$59.17 ,$59.17 ,$7.47 ,$55.85 ,$48.63 ,$9.83 ,$3.93 , N/A ,$54.80 ,$3.93 ,$54.28 ,$52.57 ,$59.14 ,$9.83 ,$55.85 ,$3.93 ,$55.85 ,$55.85 ,$59.14 ,$59.14 ,$51.58 ,$54.28 ,$3.93 ,$42.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010227,80170,GENTAMICIN TROUGH,301,1 ,$204.84 ,$133.15 ,$16.38 ,$184.46 ,$163.87 ,$16.38 ,$162.32 ,$184.46 ,$184.46 ,$31.12 ,$174.11 ,$151.58 ,$40.95 ,$16.38 , N/A ,$170.84 ,$16.38 ,$169.20 ,$163.87 ,$184.36 ,$40.95 ,$174.11 ,$16.38 ,$174.11 ,$174.11 ,$184.36 ,$184.36 ,$160.80 ,$169.20 ,$16.38 ,$133.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010228,80170,GENTAMICIN TIMED,301,1 ,$204.84 ,$133.15 ,$16.38 ,$184.46 ,$163.87 ,$16.38 ,$162.32 ,$184.46 ,$184.46 ,$31.12 ,$174.11 ,$151.58 ,$40.95 ,$16.38 , N/A ,$170.84 ,$16.38 ,$169.20 ,$163.87 ,$184.36 ,$40.95 ,$174.11 ,$16.38 ,$174.11 ,$174.11 ,$184.36 ,$184.36 ,$160.80 ,$169.20 ,$16.38 ,$133.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010231,86922,CROSSMATCH,302,1 ,$179.33 ,$116.56 ,$116.56 ,$337.41 ,$143.46 ,$134.97 ,$142.10 ,$161.49 ,$161.49 ,$256.44 ,$152.43 ,$132.70 ,$337.41 ,$134.97 , N/A ,$149.56 ,$134.97 ,$148.13 ,$143.46 ,$161.40 ,$179.33 ,$152.43 ,$134.97 ,$152.43 ,$152.43 ,$161.40 ,$161.40 ,$140.77 ,$148.13 ,$134.97 ,$116.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010232,86922,CROSSMATCH ADDITIONAL UNITS,302,1 ,$179.33 ,$116.56 ,$116.56 ,$337.41 ,$143.46 ,$134.97 ,$142.10 ,$161.49 ,$161.49 ,$256.44 ,$152.43 ,$132.70 ,$337.41 ,$134.97 , N/A ,$149.56 ,$134.97 ,$148.13 ,$143.46 ,$161.40 ,$179.33 ,$152.43 ,$134.97 ,$152.43 ,$152.43 ,$161.40 ,$161.40 ,$140.77 ,$148.13 ,$134.97 ,$116.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010306,86880,DIRECT COOMBS,302,1 ,$107.73 ,$70.02 ,$50.36 ,$125.91 ,$86.18 ,$50.36 ,$85.37 ,$97.01 ,$97.01 ,$95.69 ,$91.57 ,$79.72 ,$125.91 ,$50.36 , N/A ,$89.85 ,$50.36 ,$88.99 ,$86.18 ,$96.96 ,$107.73 ,$91.57 ,$50.36 ,$91.57 ,$91.57 ,$96.96 ,$96.96 ,$84.57 ,$88.99 ,$50.36 ,$70.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010314,86885,INDIRECT ANTIBODY SCREEN,302,1 ,$133.94 ,$87.06 ,$87.06 ,$337.41 ,$107.15 ,$134.97 ,$106.13 ,$120.61 ,$120.61 ,$256.44 ,$113.85 ,$99.12 ,$337.41 ,$134.97 , N/A ,$111.71 ,$134.97 ,$110.63 ,$107.15 ,$120.55 ,$133.94 ,$113.85 ,$133.94 ,$113.85 ,$113.85 ,$120.55 ,$120.55 ,$105.14 ,$110.63 ,$133.94 ,$87.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010322,86592,RPR,302,1 ,$76.36 ,$49.63 ,$4.27 ,$68.76 ,$61.09 ,$4.27 ,$60.51 ,$68.76 ,$68.76 ,$8.11 ,$64.91 ,$56.51 ,$10.68 ,$4.27 , N/A ,$63.68 ,$4.27 ,$63.07 ,$61.09 ,$68.72 ,$10.68 ,$64.91 ,$4.27 ,$64.91 ,$64.91 ,$68.72 ,$68.72 ,$59.94 ,$63.07 ,$4.27 ,$49.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010330,86308,MONO-SCREEN,302,1 ,$130.54 ,$84.85 ,$5.18 ,$117.55 ,$104.43 ,$5.18 ,$103.44 ,$117.55 ,$117.55 ,$9.84 ,$110.96 ,$96.60 ,$12.95 ,$5.18 , N/A ,$108.87 ,$5.18 ,$107.83 ,$104.43 ,$117.49 ,$12.95 ,$110.96 ,$5.18 ,$110.96 ,$110.96 ,$117.49 ,$117.49 ,$102.47 ,$107.83 ,$5.18 ,$84.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010348,86430,RF LATEX (QUAL),302,1 ,$101.45 ,$65.94 ,$6.14 ,$91.36 ,$81.16 ,$6.14 ,$80.39 ,$91.36 ,$91.36 ,$11.67 ,$86.23 ,$75.07 ,$15.35 ,$6.14 , N/A ,$84.61 ,$6.14 ,$83.80 ,$81.16 ,$91.31 ,$15.35 ,$86.23 ,$6.14 ,$86.23 ,$86.23 ,$91.31 ,$91.31 ,$79.64 ,$83.80 ,$6.14 ,$65.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010355,85362,FDP,305,1 ,$163.04 ,$105.98 ,$6.89 ,$146.82 ,$130.43 ,$6.89 ,$129.19 ,$146.82 ,$146.82 ,$13.09 ,$138.58 ,$120.65 ,$17.23 ,$6.89 , N/A ,$135.98 ,$6.89 ,$134.67 ,$130.43 ,$146.74 ,$17.23 ,$138.58 ,$6.89 ,$138.58 ,$138.58 ,$146.74 ,$146.74 ,$127.99 ,$134.67 ,$6.89 ,$105.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010363,81003,URINE WITHOUT MICRO,301,1 ,$53.14 ,$34.54 ,$2.25 ,$47.85 ,$42.51 ,$2.25 ,$42.11 ,$47.85 ,$47.85 ,$4.28 ,$45.17 ,$39.32 ,$5.63 ,$2.25 , N/A ,$44.32 ,$2.25 ,$43.89 ,$42.51 ,$47.83 ,$5.63 ,$45.17 ,$2.25 ,$45.17 ,$45.17 ,$47.83 ,$47.83 ,$41.71 ,$43.89 ,$2.25 ,$34.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010389,81003,SPECIFIC GRAVITY URINE,301,1 ,$89.50 ,$58.18 ,$2.25 ,$80.59 ,$71.60 ,$2.25 ,$70.92 ,$80.59 ,$80.59 ,$4.28 ,$76.08 ,$66.23 ,$5.63 ,$2.25 , N/A ,$74.64 ,$2.25 ,$73.93 ,$71.60 ,$80.55 ,$5.63 ,$76.08 ,$2.25 ,$76.08 ,$76.08 ,$80.55 ,$80.55 ,$70.26 ,$73.93 ,$2.25 ,$58.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010405,81003,GLUCOSE URINE,301,1 ,$32.17 ,$20.91 ,$2.25 ,$28.97 ,$25.74 ,$2.25 ,$25.49 ,$28.97 ,$28.97 ,$4.28 ,$27.34 ,$23.81 ,$5.63 ,$2.25 , N/A ,$26.83 ,$2.25 ,$26.57 ,$25.74 ,$28.95 ,$5.63 ,$27.34 ,$2.25 ,$27.34 ,$27.34 ,$28.95 ,$28.95 ,$25.25 ,$26.57 ,$2.25 ,$20.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010413,84578,UROBILINOGEN,301,1 ,$28.63 ,$18.61 ,$4.47 ,$25.78 ,$22.90 ,$4.47 ,$22.69 ,$25.78 ,$25.78 ,$8.49 ,$24.34 ,$21.19 ,$11.18 ,$4.47 , N/A ,$23.88 ,$4.47 ,$23.65 ,$22.90 ,$25.77 ,$11.18 ,$24.34 ,$4.47 ,$24.34 ,$24.34 ,$25.77 ,$25.77 ,$22.47 ,$23.65 ,$4.47 ,$18.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010439,87172,SCOTCH TAPE TEST,306,1 ,$74.61 ,$48.50 ,$4.27 ,$67.19 ,$59.69 ,$4.27 ,$59.12 ,$67.19 ,$67.19 ,$8.11 ,$63.42 ,$55.21 ,$10.68 ,$4.27 , N/A ,$62.22 ,$4.27 ,$61.63 ,$59.69 ,$67.15 ,$10.68 ,$63.42 ,$4.27 ,$63.42 ,$63.42 ,$67.15 ,$67.15 ,$58.57 ,$61.63 ,$4.27 ,$48.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010470,87205,GRAM STAIN,306,1 ,$86.55 ,$56.26 ,$4.27 ,$77.94 ,$69.24 ,$4.27 ,$68.58 ,$77.94 ,$77.94 ,$8.11 ,$73.57 ,$64.05 ,$10.68 ,$4.27 , N/A ,$72.18 ,$4.27 ,$71.49 ,$69.24 ,$77.90 ,$10.68 ,$73.57 ,$4.27 ,$73.57 ,$73.57 ,$77.90 ,$77.90 ,$67.94 ,$71.49 ,$4.27 ,$56.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010496,82150,AMYLASE,301,1 ,$170.35 ,$110.73 ,$6.48 ,$153.40 ,$136.28 ,$6.48 ,$134.99 ,$153.40 ,$153.40 ,$12.31 ,$144.80 ,$126.06 ,$16.20 ,$6.48 , N/A ,$142.07 ,$6.48 ,$140.71 ,$136.28 ,$153.32 ,$16.20 ,$144.80 ,$6.48 ,$144.80 ,$144.80 ,$153.32 ,$153.32 ,$133.72 ,$140.71 ,$6.48 ,$110.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010504,82374,CO2,301,1 ,$143.22 ,$93.09 ,$4.88 ,$128.97 ,$114.58 ,$4.88 ,$113.49 ,$128.97 ,$128.97 ,$9.27 ,$121.74 ,$105.98 ,$12.20 ,$4.88 , N/A ,$119.45 ,$4.88 ,$118.30 ,$114.58 ,$128.90 ,$12.20 ,$121.74 ,$4.88 ,$121.74 ,$121.74 ,$128.90 ,$128.90 ,$112.43 ,$118.30 ,$4.88 ,$93.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010512,82947,GLUCOSE,301,1 ,$65.71 ,$42.71 ,$3.93 ,$59.17 ,$52.57 ,$3.93 ,$52.07 ,$59.17 ,$59.17 ,$7.47 ,$55.85 ,$48.63 ,$9.83 ,$3.93 , N/A ,$54.80 ,$3.93 ,$54.28 ,$52.57 ,$59.14 ,$9.83 ,$55.85 ,$3.93 ,$55.85 ,$55.85 ,$59.14 ,$59.14 ,$51.58 ,$54.28 ,$3.93 ,$42.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010520,84520,BUN,301,1 ,$99.34 ,$64.57 ,$3.95 ,$89.46 ,$79.47 ,$3.95 ,$78.72 ,$89.46 ,$89.46 ,$7.51 ,$84.44 ,$73.51 ,$9.88 ,$3.95 , N/A ,$82.85 ,$3.95 ,$82.05 ,$79.47 ,$89.41 ,$9.88 ,$84.44 ,$3.95 ,$84.44 ,$84.44 ,$89.41 ,$89.41 ,$77.98 ,$82.05 ,$3.95 ,$64.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010538,82310,CALCIUM,301,1 ,$101.25 ,$65.81 ,$5.16 ,$91.18 ,$81.00 ,$5.16 ,$80.23 ,$91.18 ,$91.18 ,$9.80 ,$86.06 ,$74.93 ,$12.90 ,$5.16 , N/A ,$84.44 ,$5.16 ,$83.63 ,$81.00 ,$91.13 ,$12.90 ,$86.06 ,$5.16 ,$86.06 ,$86.06 ,$91.13 ,$91.13 ,$79.48 ,$83.63 ,$5.16 ,$65.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010546,82435,CHLORIDE,301,1 ,$87.10 ,$56.62 ,$4.60 ,$78.43 ,$69.68 ,$4.60 ,$69.02 ,$78.43 ,$78.43 ,$8.74 ,$74.04 ,$64.45 ,$11.50 ,$4.60 , N/A ,$72.64 ,$4.60 ,$71.94 ,$69.68 ,$78.39 ,$11.50 ,$74.04 ,$4.60 ,$74.04 ,$74.04 ,$78.39 ,$78.39 ,$68.37 ,$71.94 ,$4.60 ,$56.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010561,82465,CHOLESTEROL,301,1 ,$86.47 ,$56.21 ,$4.35 ,$77.87 ,$69.18 ,$4.35 ,$68.52 ,$77.87 ,$77.87 ,$8.27 ,$73.50 ,$63.99 ,$10.88 ,$4.35 , N/A ,$72.12 ,$4.35 ,$71.42 ,$69.18 ,$77.82 ,$10.88 ,$73.50 ,$4.35 ,$73.50 ,$73.50 ,$77.82 ,$77.82 ,$67.88 ,$71.42 ,$4.35 ,$56.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010579,82550,CPK,301,1 ,$144.39 ,$93.85 ,$6.51 ,$130.02 ,$115.51 ,$6.51 ,$114.41 ,$130.02 ,$130.02 ,$12.37 ,$122.73 ,$106.85 ,$16.28 ,$6.51 , N/A ,$120.42 ,$6.51 ,$119.27 ,$115.51 ,$129.95 ,$16.28 ,$122.73 ,$6.51 ,$122.73 ,$122.73 ,$129.95 ,$129.95 ,$113.35 ,$119.27 ,$6.51 ,$93.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010595,82565,CREATININE SERUM,301,1 ,$114.53 ,$74.44 ,$5.12 ,$103.13 ,$91.62 ,$5.12 ,$90.75 ,$103.13 ,$103.13 ,$9.73 ,$97.35 ,$84.75 ,$12.80 ,$5.12 , N/A ,$95.52 ,$5.12 ,$94.60 ,$91.62 ,$103.08 ,$12.80 ,$97.35 ,$5.12 ,$97.35 ,$97.35 ,$103.08 ,$103.08 ,$89.91 ,$94.60 ,$5.12 ,$74.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010603,82952,GLUCOSE TOL,301,1 ,$84.72 ,$55.07 ,$3.92 ,$76.29 ,$67.78 ,$3.92 ,$67.13 ,$76.29 ,$76.29 ,$7.45 ,$72.01 ,$62.69 ,$9.80 ,$3.92 , N/A ,$70.66 ,$3.92 ,$69.98 ,$67.78 ,$76.25 ,$9.80 ,$72.01 ,$3.92 ,$72.01 ,$72.01 ,$76.25 ,$76.25 ,$66.51 ,$69.98 ,$3.92 ,$55.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010611,82952,GLUCOSE TOL 5 HR,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24010629,83615,LDH,301,1 ,$120.00 ,$78.00 ,$6.04 ,$108.06 ,$96.00 ,$6.04 ,$95.09 ,$108.06 ,$108.06 ,$11.48 ,$102.00 ,$88.80 ,$15.10 ,$6.04 , N/A ,$100.08 ,$6.04 ,$99.12 ,$96.00 ,$108.00 ,$15.10 ,$102.00 ,$6.04 ,$102.00 ,$102.00 ,$108.00 ,$108.00 ,$94.20 ,$99.12 ,$6.04 ,$78.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010637,84132,POTASSIUM,301,1 ,$80.42 ,$52.27 ,$4.76 ,$72.42 ,$64.34 ,$4.76 ,$63.72 ,$72.42 ,$72.42 ,$9.04 ,$68.36 ,$59.51 ,$11.90 ,$4.76 , N/A ,$67.07 ,$4.76 ,$66.43 ,$64.34 ,$72.38 ,$11.90 ,$68.36 ,$4.76 ,$68.36 ,$68.36 ,$72.38 ,$72.38 ,$63.13 ,$66.43 ,$4.76 ,$52.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010645,84450,SGOT,301,1 ,$127.47 ,$82.86 ,$5.18 ,$114.79 ,$101.98 ,$5.18 ,$101.01 ,$114.79 ,$114.79 ,$9.84 ,$108.35 ,$94.33 ,$12.95 ,$5.18 , N/A ,$106.31 ,$5.18 ,$105.29 ,$101.98 ,$114.72 ,$12.95 ,$108.35 ,$5.18 ,$108.35 ,$108.35 ,$114.72 ,$114.72 ,$100.06 ,$105.29 ,$5.18 ,$82.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010652,84460,SGPT,301,1 ,$121.62 ,$79.05 ,$5.30 ,$109.52 ,$97.30 ,$5.30 ,$96.37 ,$109.52 ,$109.52 ,$10.07 ,$103.38 ,$90.00 ,$13.25 ,$5.30 , N/A ,$101.43 ,$5.30 ,$100.46 ,$97.30 ,$109.46 ,$13.25 ,$103.38 ,$5.30 ,$103.38 ,$103.38 ,$109.46 ,$109.46 ,$95.47 ,$100.46 ,$5.30 ,$79.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010660,82247,BILIRUBIN TOTAL,301,1 ,$86.47 ,$56.21 ,$5.02 ,$77.87 ,$69.18 ,$5.02 ,$68.52 ,$77.87 ,$77.87 ,$9.54 ,$73.50 ,$63.99 ,$12.55 ,$5.02 , N/A ,$72.12 ,$5.02 ,$71.42 ,$69.18 ,$77.82 ,$12.55 ,$73.50 ,$5.02 ,$73.50 ,$73.50 ,$77.82 ,$77.82 ,$67.88 ,$71.42 ,$5.02 ,$56.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010678,80178,LITHIUM LEVEL,301,1 ,$100.53 ,$65.34 ,$6.61 ,$90.53 ,$80.42 ,$6.61 ,$79.66 ,$90.53 ,$90.53 ,$12.56 ,$85.45 ,$74.39 ,$16.53 ,$6.61 , N/A ,$83.84 ,$6.61 ,$83.04 ,$80.42 ,$90.48 ,$16.53 ,$85.45 ,$6.61 ,$85.45 ,$85.45 ,$90.48 ,$90.48 ,$78.92 ,$83.04 ,$6.61 ,$65.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010686,80329,SALICYLATE LEVEL,301,1 ,$133.27 ,$86.63 ,$86.63 ,$120.01 ,$106.62 , N/A ,$105.60 ,$120.01 ,$120.01 , N/A ,$113.28 ,$98.62 , N/A , N/A , N/A ,$111.15 , N/A ,$110.08 ,$106.62 ,$119.94 , N/A ,$113.28 , N/A ,$113.28 ,$113.28 ,$119.94 ,$119.94 ,$104.62 ,$110.08 , N/A ,$86.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010694,84295,SODIUM,301,1 ,$76.03 ,$49.42 ,$4.81 ,$68.47 ,$60.82 ,$4.81 ,$60.25 ,$68.47 ,$68.47 ,$9.14 ,$64.63 ,$56.26 ,$12.03 ,$4.81 , N/A ,$63.41 ,$4.81 ,$62.80 ,$60.82 ,$68.43 ,$12.03 ,$64.63 ,$4.81 ,$64.63 ,$64.63 ,$68.43 ,$68.43 ,$59.68 ,$62.80 ,$4.81 ,$49.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010710,84155,TOTAL PROTEIN,301,1 ,$80.75 ,$52.49 ,$3.67 ,$72.72 ,$64.60 ,$3.67 ,$63.99 ,$72.72 ,$72.72 ,$6.97 ,$68.64 ,$59.76 ,$9.18 ,$3.67 , N/A ,$67.35 ,$3.67 ,$66.70 ,$64.60 ,$72.68 ,$9.18 ,$68.64 ,$3.67 ,$68.64 ,$68.64 ,$72.68 ,$72.68 ,$63.39 ,$66.70 ,$3.67 ,$52.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010728,84478,TRIGLYCERIDES,301,1 ,$107.15 ,$69.65 ,$5.74 ,$96.49 ,$85.72 ,$5.74 ,$84.91 ,$96.49 ,$96.49 ,$10.91 ,$91.08 ,$79.29 ,$14.35 ,$5.74 , N/A ,$89.36 ,$5.74 ,$88.51 ,$85.72 ,$96.44 ,$14.35 ,$91.08 ,$5.74 ,$91.08 ,$91.08 ,$96.44 ,$96.44 ,$84.11 ,$88.51 ,$5.74 ,$69.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010736,84550,URIC ACID SERUM,301,1 ,$96.02 ,$62.41 ,$4.52 ,$86.47 ,$76.82 ,$4.52 ,$76.09 ,$86.47 ,$86.47 ,$8.59 ,$81.62 ,$71.05 ,$11.30 ,$4.52 , N/A ,$80.08 ,$4.52 ,$79.31 ,$76.82 ,$86.42 ,$11.30 ,$81.62 ,$4.52 ,$81.62 ,$81.62 ,$86.42 ,$86.42 ,$75.38 ,$79.31 ,$4.52 ,$62.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010739,83701,VAP CHOLESTEROL,301,1 ,$110.46 ,$71.80 ,$33.86 ,$99.47 ,$88.37 ,$33.86 ,$87.53 ,$99.47 ,$99.47 ,$64.33 ,$93.89 ,$81.74 ,$84.65 ,$33.86 , N/A ,$92.12 ,$33.86 ,$91.24 ,$88.37 ,$99.41 ,$84.65 ,$93.89 ,$33.86 ,$93.89 ,$93.89 ,$99.41 ,$99.41 ,$86.71 ,$91.24 ,$33.86 ,$71.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010744,82272,OCCULT BLOOD DIAG,301,1 ,$57.94 ,$37.66 ,$4.23 ,$52.18 ,$46.35 ,$4.23 ,$45.91 ,$52.18 ,$52.18 ,$8.04 ,$49.25 ,$42.88 ,$10.58 ,$4.23 , N/A ,$48.32 ,$4.23 ,$47.86 ,$46.35 ,$52.15 ,$10.58 ,$49.25 ,$4.23 ,$49.25 ,$49.25 ,$52.15 ,$52.15 ,$45.48 ,$47.86 ,$4.23 ,$37.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010745,82274,OCCULT BLOOD DIAG FIT,301,1 ,$65.71 ,$42.71 ,$15.92 ,$59.17 ,$52.57 ,$15.92 ,$52.07 ,$59.17 ,$59.17 ,$30.25 ,$55.85 ,$48.63 ,$39.80 ,$15.92 , N/A ,$54.80 ,$15.92 ,$54.28 ,$52.57 ,$59.14 ,$39.80 ,$55.85 ,$15.92 ,$55.85 ,$55.85 ,$59.14 ,$59.14 ,$51.58 ,$54.28 ,$15.92 ,$42.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010751,81025,PREGNANCY URINE,301,1 ,$138.96 ,$90.32 ,$8.61 ,$125.13 ,$111.17 ,$8.61 ,$110.11 ,$125.13 ,$125.13 ,$16.36 ,$118.12 ,$102.83 ,$21.53 ,$8.61 , N/A ,$115.89 ,$8.61 ,$114.78 ,$111.17 ,$125.06 ,$21.53 ,$118.12 ,$8.61 ,$118.12 ,$118.12 ,$125.06 ,$125.06 ,$109.08 ,$114.78 ,$8.61 ,$90.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010769,89321,SPERM CHECK,300,1 ,$91.70 ,$59.61 ,$12.05 ,$82.58 ,$73.36 ,$12.05 ,$72.66 ,$82.58 ,$82.58 ,$22.90 ,$77.95 ,$67.86 ,$30.13 ,$12.05 , N/A ,$76.48 ,$12.05 ,$75.74 ,$73.36 ,$82.53 ,$30.13 ,$77.95 ,$12.05 ,$77.95 ,$77.95 ,$82.53 ,$82.53 ,$71.98 ,$75.74 ,$12.05 ,$59.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010819,85049,PLATELET COUNT,305,1 ,$92.54 ,$60.15 ,$4.48 ,$83.33 ,$74.03 ,$4.48 ,$73.33 ,$83.33 ,$83.33 ,$8.51 ,$78.66 ,$68.48 ,$11.20 ,$4.48 , N/A ,$77.18 ,$4.48 ,$76.44 ,$74.03 ,$83.29 ,$11.20 ,$78.66 ,$4.48 ,$78.66 ,$78.66 ,$83.29 ,$83.29 ,$72.64 ,$76.44 ,$4.48 ,$60.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010827,87220,KOH,306,1 ,$85.04 ,$55.28 ,$4.27 ,$76.58 ,$68.03 ,$4.27 ,$67.39 ,$76.58 ,$76.58 ,$8.11 ,$72.28 ,$62.93 ,$10.68 ,$4.27 , N/A ,$70.92 ,$4.27 ,$70.24 ,$68.03 ,$76.54 ,$10.68 ,$72.28 ,$4.27 ,$72.28 ,$72.28 ,$76.54 ,$76.54 ,$66.76 ,$70.24 ,$4.27 ,$55.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010868,83986,PH URINE,301,1 ,$32.59 ,$21.18 ,$3.58 ,$29.35 ,$26.07 ,$3.58 ,$25.82 ,$29.35 ,$29.35 ,$6.80 ,$27.70 ,$24.12 ,$8.95 ,$3.58 , N/A ,$27.18 ,$3.58 ,$26.92 ,$26.07 ,$29.33 ,$8.95 ,$27.70 ,$3.58 ,$27.70 ,$27.70 ,$29.33 ,$29.33 ,$25.58 ,$26.92 ,$3.58 ,$21.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010876,82009,ACETONE-SERUM,301,1 ,$60.14 ,$39.09 ,$4.52 ,$54.16 ,$48.11 ,$4.52 ,$47.65 ,$54.16 ,$54.16 ,$8.59 ,$51.12 ,$44.50 ,$11.30 ,$4.52 , N/A ,$50.16 ,$4.52 ,$49.68 ,$48.11 ,$54.13 ,$11.30 ,$51.12 ,$4.52 ,$51.12 ,$51.12 ,$54.13 ,$54.13 ,$47.21 ,$49.68 ,$4.52 ,$39.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010892,84075,ALK PHOSPHATASE,301,1 ,$129.09 ,$83.91 ,$5.18 ,$116.25 ,$103.27 ,$5.18 ,$102.29 ,$116.25 ,$116.25 ,$9.84 ,$109.73 ,$95.53 ,$12.95 ,$5.18 , N/A ,$107.66 ,$5.18 ,$106.63 ,$103.27 ,$116.18 ,$12.95 ,$109.73 ,$5.18 ,$109.73 ,$109.73 ,$116.18 ,$116.18 ,$101.34 ,$106.63 ,$5.18 ,$83.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010934,89190,NASAL SMEAR,940,1 ,$102.04 ,$66.33 ,$5.79 ,$91.89 ,$81.63 ,$5.79 ,$80.86 ,$91.89 ,$91.89 ,$11.00 ,$86.73 ,$75.51 ,$14.48 ,$5.79 , N/A ,$85.10 ,$5.79 ,$84.29 ,$81.63 ,$91.84 ,$14.48 ,$86.73 ,$6.20 ,$86.73 ,$86.73 ,$91.84 ,$91.84 ,$80.10 ,$84.29 ,$6.20 ,$66.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24010967,82248,BILIRUBIN DIRECT,301,1 ,$69.49 ,$45.17 ,$5.02 ,$62.58 ,$55.59 ,$5.02 ,$55.06 ,$62.58 ,$62.58 ,$9.54 ,$59.07 ,$51.42 ,$12.55 ,$5.02 , N/A ,$57.95 ,$5.02 ,$57.40 ,$55.59 ,$62.54 ,$12.55 ,$59.07 ,$5.02 ,$59.07 ,$59.07 ,$62.54 ,$62.54 ,$54.55 ,$57.40 ,$5.02 ,$45.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011007,80076,LIVER PROFILE,301,1 ,$215.63 ,$140.16 ,$8.17 ,$194.17 ,$172.50 ,$8.17 ,$170.87 ,$194.17 ,$194.17 ,$15.52 ,$183.29 ,$159.57 ,$20.43 ,$8.17 , N/A ,$179.84 ,$8.17 ,$178.11 ,$172.50 ,$194.07 ,$20.43 ,$183.29 ,$8.17 ,$183.29 ,$183.29 ,$194.07 ,$194.07 ,$169.27 ,$178.11 ,$8.17 ,$140.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011023,82553,CKMB,301,1 ,$239.45 ,$155.64 ,$11.55 ,$215.62 ,$191.56 ,$11.55 ,$189.74 ,$215.62 ,$215.62 ,$21.95 ,$203.53 ,$177.19 ,$28.88 ,$11.55 , N/A ,$199.70 ,$11.55 ,$197.79 ,$191.56 ,$215.51 ,$28.88 ,$203.53 ,$11.55 ,$203.53 ,$203.53 ,$215.51 ,$215.51 ,$187.97 ,$197.79 ,$11.55 ,$155.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011072,80051,ELECTROLYTES PANEL,301,1 ,$113.58 ,$73.83 ,$7.01 ,$102.28 ,$90.86 ,$7.01 ,$90.00 ,$102.28 ,$102.28 ,$13.32 ,$96.54 ,$84.05 ,$17.53 ,$7.01 , N/A ,$94.73 ,$7.01 ,$93.82 ,$90.86 ,$102.22 ,$17.53 ,$96.54 ,$7.01 ,$96.54 ,$96.54 ,$102.22 ,$102.22 ,$89.16 ,$93.82 ,$7.01 ,$73.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011148,82247,BILIRUBIN NEONAT,301,1 ,$88.31 ,$57.40 ,$5.02 ,$79.52 ,$70.65 ,$5.02 ,$69.98 ,$79.52 ,$79.52 ,$9.54 ,$75.06 ,$65.35 ,$12.55 ,$5.02 , N/A ,$73.65 ,$5.02 ,$72.94 ,$70.65 ,$79.48 ,$12.55 ,$75.06 ,$5.02 ,$75.06 ,$75.06 ,$79.48 ,$79.48 ,$69.32 ,$72.94 ,$5.02 ,$57.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011155,99195,PHLEBOTOMY THERAPUTIC,940,1 ,$208.01 ,$135.21 ,$101.30 ,$253.24 ,$166.41 ,$101.30 ,$164.83 ,$187.31 ,$187.31 ,$192.46 ,$176.81 ,$153.93 ,$253.24 ,$101.30 , N/A ,$173.48 ,$101.30 ,$171.82 ,$166.41 ,$187.21 ,$208.01 ,$176.81 ,$108.49 ,$176.81 ,$176.81 ,$187.21 ,$187.21 ,$163.29 ,$171.82 ,$108.49 ,$135.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011163,82948,ACCU-CHEK,301,1 ,$14.75 ,$9.59 ,$5.04 ,$13.28 ,$11.80 ,$5.04 ,$11.69 ,$13.28 ,$13.28 ,$9.58 ,$12.54 ,$10.92 ,$12.60 ,$5.04 , N/A ,$12.30 ,$5.04 ,$12.18 ,$11.80 ,$13.28 ,$12.60 ,$12.54 ,$5.04 ,$12.54 ,$12.54 ,$13.28 ,$13.28 ,$11.58 ,$12.18 ,$5.04 ,$9.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011171,84144,PROGESTERONE-SER,301,1 ,$96.11 ,$62.47 ,$20.86 ,$86.55 ,$76.89 ,$20.86 ,$76.16 ,$86.55 ,$86.55 ,$39.63 ,$81.69 ,$71.12 ,$52.15 ,$20.86 , N/A ,$80.16 ,$20.86 ,$79.39 ,$76.89 ,$86.50 ,$52.15 ,$81.69 ,$20.86 ,$81.69 ,$81.69 ,$86.50 ,$86.50 ,$75.45 ,$79.39 ,$20.86 ,$62.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011197,86738,MYCOPLASMA AB,302,1 ,$164.25 ,$106.76 ,$13.24 ,$147.91 ,$131.40 ,$13.24 ,$130.15 ,$147.91 ,$147.91 ,$25.16 ,$139.61 ,$121.55 ,$33.10 ,$13.24 , N/A ,$136.98 ,$13.24 ,$135.67 ,$131.40 ,$147.83 ,$33.10 ,$139.61 ,$13.24 ,$139.61 ,$139.61 ,$147.83 ,$147.83 ,$128.94 ,$135.67 ,$13.24 ,$106.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011221,N/A,TICK ID,301,1 ,$42.16 ,$27.40 ,$27.40 ,$37.97 ,$33.73 , N/A ,$33.41 ,$37.97 ,$37.97 , N/A ,$35.84 ,$31.20 , N/A , N/A , N/A ,$35.16 , N/A ,$34.82 ,$33.73 ,$37.94 , N/A ,$35.84 , N/A ,$35.84 ,$35.84 ,$37.94 ,$37.94 ,$33.10 ,$34.82 , N/A ,$27.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011262,86903,ARC ANTIGEN 1 RRD,302,1 ,$105.85 ,$68.80 ,$68.80 ,$95.32 ,$84.68 , N/A ,$83.88 ,$95.32 ,$95.32 , N/A ,$89.97 ,$78.33 , N/A , N/A , N/A ,$88.28 , N/A ,$87.43 ,$84.68 ,$95.27 , N/A ,$89.97 , N/A ,$89.97 ,$89.97 ,$95.27 ,$95.27 ,$83.09 ,$87.43 , N/A ,$68.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011270,82784,IGG QUANT,301,1 ,$128.95 ,$83.82 ,$9.30 ,$116.12 ,$103.16 ,$9.30 ,$102.18 ,$116.12 ,$116.12 ,$17.67 ,$109.61 ,$95.42 ,$23.25 ,$9.30 , N/A ,$107.54 ,$9.30 ,$106.51 ,$103.16 ,$116.06 ,$23.25 ,$109.61 ,$9.30 ,$109.61 ,$109.61 ,$116.06 ,$116.06 ,$101.23 ,$106.51 ,$9.30 ,$83.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011278,86360,T AND B CELL COUNT,302,1 ,$85.89 ,$55.83 ,$46.98 ,$117.45 ,$68.71 ,$46.98 ,$68.06 ,$77.34 ,$77.34 ,$89.26 ,$73.01 ,$63.56 ,$117.45 ,$46.98 , N/A ,$71.63 ,$46.98 ,$70.95 ,$68.71 ,$77.30 ,$85.89 ,$73.01 ,$46.98 ,$73.01 ,$73.01 ,$77.30 ,$77.30 ,$67.42 ,$70.95 ,$46.98 ,$55.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011288,82785,IGE QUANT,301,1 ,$245.07 ,$159.30 ,$16.46 ,$220.69 ,$196.06 ,$16.46 ,$194.19 ,$220.69 ,$220.69 ,$31.27 ,$208.31 ,$181.35 ,$41.15 ,$16.46 , N/A ,$204.39 ,$16.46 ,$202.43 ,$196.06 ,$220.56 ,$41.15 ,$208.31 ,$16.46 ,$208.31 ,$208.31 ,$220.56 ,$220.56 ,$192.38 ,$202.43 ,$16.46 ,$159.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011304,84403,TESTOSTERONE TOTAL,301,1 ,$95.82 ,$62.28 ,$25.81 ,$86.29 ,$76.66 ,$25.81 ,$75.93 ,$86.29 ,$86.29 ,$49.04 ,$81.45 ,$70.91 ,$64.53 ,$25.81 , N/A ,$79.91 ,$25.81 ,$79.15 ,$76.66 ,$86.24 ,$64.53 ,$81.45 ,$25.81 ,$81.45 ,$81.45 ,$86.24 ,$86.24 ,$75.22 ,$79.15 ,$25.81 ,$62.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011312,84466,TRANSFERRIN,301,1 ,$196.18 ,$127.52 ,$12.76 ,$176.66 ,$156.94 ,$12.76 ,$155.45 ,$176.66 ,$176.66 ,$24.24 ,$166.75 ,$145.17 ,$31.90 ,$12.76 , N/A ,$163.61 ,$12.76 ,$162.04 ,$156.94 ,$176.56 ,$31.90 ,$166.75 ,$12.76 ,$166.75 ,$166.75 ,$176.56 ,$176.56 ,$154.00 ,$162.04 ,$12.76 ,$127.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011320,83735,MAGNESIUM SERUM,301,1 ,$173.91 ,$113.04 ,$6.70 ,$156.61 ,$139.13 ,$6.70 ,$137.81 ,$156.61 ,$156.61 ,$12.73 ,$147.82 ,$128.69 ,$16.75 ,$6.70 , N/A ,$145.04 ,$6.70 ,$143.65 ,$139.13 ,$156.52 ,$16.75 ,$147.82 ,$6.70 ,$147.82 ,$147.82 ,$156.52 ,$156.52 ,$136.52 ,$143.65 ,$6.70 ,$113.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011361,86701,HIV AB,302,1 ,$352.22 ,$228.94 ,$8.89 ,$317.17 ,$281.78 ,$8.89 ,$279.10 ,$317.17 ,$317.17 ,$16.89 ,$299.39 ,$260.64 ,$22.23 ,$8.89 , N/A ,$293.75 ,$8.89 ,$290.93 ,$281.78 ,$317.00 ,$22.23 ,$299.39 ,$8.89 ,$299.39 ,$299.39 ,$317.00 ,$317.00 ,$276.49 ,$290.93 ,$8.89 ,$228.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011379,80061,LIPID PROFILE,301,1 ,$158.13 ,$102.78 ,$13.39 ,$142.40 ,$126.50 ,$13.39 ,$125.30 ,$142.40 ,$142.40 ,$25.44 ,$134.41 ,$117.02 ,$33.48 ,$13.39 , N/A ,$131.88 ,$13.39 ,$130.62 ,$126.50 ,$142.32 ,$33.48 ,$134.41 ,$13.39 ,$134.41 ,$134.41 ,$142.32 ,$142.32 ,$124.13 ,$130.62 ,$13.39 ,$102.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011395,83036,GLYCOHEMOGLOBIN,301,1 ,$104.70 ,$68.06 ,$9.71 ,$94.28 ,$83.76 ,$9.71 ,$82.96 ,$94.28 ,$94.28 ,$18.45 ,$89.00 ,$77.48 ,$24.28 ,$9.71 , N/A ,$87.32 ,$9.71 ,$86.48 ,$83.76 ,$94.23 ,$24.28 ,$89.00 ,$9.71 ,$89.00 ,$89.00 ,$94.23 ,$94.23 ,$82.19 ,$86.48 ,$9.71 ,$68.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011429,83935,OSMOLALITY URINE RANDOM,301,1 ,$115.17 ,$74.86 ,$6.82 ,$103.71 ,$92.14 ,$6.82 ,$91.26 ,$103.71 ,$103.71 ,$12.96 ,$97.89 ,$85.23 ,$17.05 ,$6.82 , N/A ,$96.05 ,$6.82 ,$95.13 ,$92.14 ,$103.65 ,$17.05 ,$97.89 ,$6.82 ,$97.89 ,$97.89 ,$103.65 ,$103.65 ,$90.41 ,$95.13 ,$6.82 ,$74.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011528,82784,IGA QUANT,301,1 ,$126.30 ,$82.10 ,$9.30 ,$113.73 ,$101.04 ,$9.30 ,$100.08 ,$113.73 ,$113.73 ,$17.67 ,$107.36 ,$93.46 ,$23.25 ,$9.30 , N/A ,$105.33 ,$9.30 ,$104.32 ,$101.04 ,$113.67 ,$23.25 ,$107.36 ,$9.30 ,$107.36 ,$107.36 ,$113.67 ,$113.67 ,$99.15 ,$104.32 ,$9.30 ,$82.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011551,83010,HAPTOGLOBIN,301,1 ,$48.77 ,$31.70 ,$12.58 ,$43.92 ,$39.02 ,$12.58 ,$38.65 ,$43.92 ,$43.92 ,$23.90 ,$41.45 ,$36.09 ,$31.45 ,$12.58 , N/A ,$40.67 ,$12.58 ,$40.28 ,$39.02 ,$43.89 ,$31.45 ,$41.45 ,$12.58 ,$41.45 ,$41.45 ,$43.89 ,$43.89 ,$38.28 ,$40.28 ,$12.58 ,$31.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011552,86255,STRIATED MUSCLE IGG,301,1 ,$51.53 ,$33.49 ,$12.05 ,$46.40 ,$41.22 ,$12.05 ,$40.83 ,$46.40 ,$46.40 ,$22.90 ,$43.80 ,$38.13 ,$30.13 ,$12.05 , N/A ,$42.98 ,$12.05 ,$42.56 ,$41.22 ,$46.38 ,$30.13 ,$43.80 ,$12.05 ,$43.80 ,$43.80 ,$46.38 ,$46.38 ,$40.45 ,$42.56 ,$12.05 ,$33.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011553,N/A,PEMPHIGUS AB PANEL,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24011577,86160,COMPL C3,302,1 ,$217.83 ,$141.59 ,$12.00 ,$196.16 ,$174.26 ,$12.00 ,$172.61 ,$196.16 ,$196.16 ,$22.80 ,$185.16 ,$161.19 ,$30.00 ,$12.00 , N/A ,$181.67 ,$12.00 ,$179.93 ,$174.26 ,$196.05 ,$30.00 ,$185.16 ,$12.00 ,$185.16 ,$185.16 ,$196.05 ,$196.05 ,$171.00 ,$179.93 ,$12.00 ,$141.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011585,83945,OXALATE URINE 24 HR,301,1 ,$117.36 ,$76.28 ,$14.45 ,$105.68 ,$93.89 ,$14.45 ,$93.00 ,$105.68 ,$105.68 ,$27.46 ,$99.76 ,$86.85 ,$36.13 ,$14.45 , N/A ,$97.88 ,$14.45 ,$96.94 ,$93.89 ,$105.62 ,$36.13 ,$99.76 ,$14.45 ,$99.76 ,$99.76 ,$105.62 ,$105.62 ,$92.13 ,$96.94 ,$14.45 ,$76.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011593,83001,FSH,301,1 ,$106.82 ,$69.43 ,$18.58 ,$96.19 ,$85.46 ,$18.58 ,$84.64 ,$96.19 ,$96.19 ,$35.30 ,$90.80 ,$79.05 ,$46.45 ,$18.58 , N/A ,$89.09 ,$18.58 ,$88.23 ,$85.46 ,$96.14 ,$46.45 ,$90.80 ,$18.58 ,$90.80 ,$90.80 ,$96.14 ,$96.14 ,$83.85 ,$88.23 ,$18.58 ,$69.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011601,83002,LH,301,1 ,$107.04 ,$69.58 ,$18.52 ,$96.39 ,$85.63 ,$18.52 ,$84.82 ,$96.39 ,$96.39 ,$35.19 ,$90.98 ,$79.21 ,$46.30 ,$18.52 , N/A ,$89.27 ,$18.52 ,$88.42 ,$85.63 ,$96.34 ,$46.30 ,$90.98 ,$18.52 ,$90.98 ,$90.98 ,$96.34 ,$96.34 ,$84.03 ,$88.42 ,$18.52 ,$69.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011643,82024,ACTH,301,1 ,$221.42 ,$143.92 ,$38.62 ,$199.39 ,$177.14 ,$38.62 ,$175.45 ,$199.39 ,$199.39 ,$73.38 ,$188.21 ,$163.85 ,$96.55 ,$38.62 , N/A ,$184.66 ,$38.62 ,$182.89 ,$177.14 ,$199.28 ,$96.55 ,$188.21 ,$38.62 ,$188.21 ,$188.21 ,$199.28 ,$199.28 ,$173.81 ,$182.89 ,$38.62 ,$143.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011676,82525,COPPER SERUM,301,1 ,$173.43 ,$112.73 ,$12.41 ,$156.17 ,$138.74 ,$12.41 ,$137.43 ,$156.17 ,$156.17 ,$23.58 ,$147.42 ,$128.34 ,$31.03 ,$12.41 , N/A ,$144.64 ,$12.41 ,$143.25 ,$138.74 ,$156.09 ,$31.03 ,$147.42 ,$12.41 ,$147.42 ,$147.42 ,$156.09 ,$156.09 ,$136.14 ,$143.25 ,$12.41 ,$112.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011684,86235,SJOGREN'S ABS,302,1 ,$574.42 ,$373.37 ,$17.93 ,$517.27 ,$459.54 ,$17.93 ,$455.17 ,$517.27 ,$517.27 ,$34.07 ,$488.26 ,$425.07 ,$44.83 ,$17.93 , N/A ,$479.07 ,$17.93 ,$474.47 ,$459.54 ,$516.98 ,$44.83 ,$488.26 ,$17.93 ,$488.26 ,$488.26 ,$516.98 ,$516.98 ,$450.92 ,$474.47 ,$17.93 ,$373.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011734,80299,FLECAINIDE ACETATE LEVEL,301,1 ,$222.57 ,$144.67 ,$18.64 ,$200.42 ,$178.06 ,$18.64 ,$176.36 ,$200.42 ,$200.42 ,$35.42 ,$189.18 ,$164.70 ,$46.60 ,$18.64 , N/A ,$185.62 ,$18.64 ,$183.84 ,$178.06 ,$200.31 ,$46.60 ,$189.18 ,$18.64 ,$189.18 ,$189.18 ,$200.31 ,$200.31 ,$174.72 ,$183.84 ,$18.64 ,$144.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011775,82383,"CATECHOLAM FRACT. PLASMA (EP,NOR)",301,1 ,$162.63 ,$105.71 ,$29.08 ,$146.45 ,$130.10 ,$29.08 ,$128.87 ,$146.45 ,$146.45 ,$55.25 ,$138.24 ,$120.35 ,$72.70 ,$29.08 , N/A ,$135.63 ,$29.08 ,$134.33 ,$130.10 ,$146.37 ,$72.70 ,$138.24 ,$29.08 ,$138.24 ,$138.24 ,$146.37 ,$146.37 ,$127.66 ,$134.33 ,$29.08 ,$105.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011783,84146,PROLACTIN,301,1 ,$115.59 ,$75.13 ,$19.38 ,$104.09 ,$92.47 ,$19.38 ,$91.59 ,$104.09 ,$104.09 ,$36.82 ,$98.25 ,$85.54 ,$48.45 ,$19.38 , N/A ,$96.40 ,$19.38 ,$95.48 ,$92.47 ,$104.03 ,$48.45 ,$98.25 ,$19.38 ,$98.25 ,$98.25 ,$104.03 ,$104.03 ,$90.74 ,$95.48 ,$19.38 ,$75.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011791,86671,FUNGAL ANTIBODIES,302,1 ,$374.48 ,$243.41 ,$12.25 ,$337.22 ,$299.58 ,$12.25 ,$296.74 ,$337.22 ,$337.22 ,$23.28 ,$318.31 ,$277.12 ,$30.63 ,$12.25 , N/A ,$312.32 ,$12.25 ,$309.32 ,$299.58 ,$337.03 ,$30.63 ,$318.31 ,$12.25 ,$318.31 ,$318.31 ,$337.03 ,$337.03 ,$293.97 ,$309.32 ,$12.25 ,$243.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011809,82784,IGM QUANT,301,1 ,$128.95 ,$83.82 ,$9.30 ,$116.12 ,$103.16 ,$9.30 ,$102.18 ,$116.12 ,$116.12 ,$17.67 ,$109.61 ,$95.42 ,$23.25 ,$9.30 , N/A ,$107.54 ,$9.30 ,$106.51 ,$103.16 ,$116.06 ,$23.25 ,$109.61 ,$9.30 ,$109.61 ,$109.61 ,$116.06 ,$116.06 ,$101.23 ,$106.51 ,$9.30 ,$83.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011810,N/A,"IGM, IGG, AND IGA",301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24011825,82382,CATECHOLAMINE URINE,301,1 ,$246.10 ,$159.97 ,$27.30 ,$221.61 ,$196.88 ,$27.30 ,$195.01 ,$221.61 ,$221.61 ,$51.87 ,$209.19 ,$182.11 ,$68.25 ,$27.30 , N/A ,$205.25 ,$27.30 ,$203.28 ,$196.88 ,$221.49 ,$68.25 ,$209.19 ,$27.30 ,$209.19 ,$209.19 ,$221.49 ,$221.49 ,$193.19 ,$203.28 ,$27.30 ,$159.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011833,83835,METANEPHARINES URINE 24 HR,301,1 ,$476.14 ,$309.49 ,$16.94 ,$428.76 ,$380.91 ,$16.94 ,$377.29 ,$428.76 ,$428.76 ,$32.19 ,$404.72 ,$352.34 ,$42.35 ,$16.94 , N/A ,$397.10 ,$16.94 ,$393.29 ,$380.91 ,$428.53 ,$42.35 ,$404.72 ,$16.94 ,$404.72 ,$404.72 ,$428.53 ,$428.53 ,$373.77 ,$393.29 ,$16.94 ,$309.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011841,82787,IGG SUB 4,301,1 ,$253.50 ,$164.78 ,$8.02 ,$228.28 ,$202.80 ,$8.02 ,$200.87 ,$228.28 ,$228.28 ,$15.24 ,$215.48 ,$187.59 ,$20.05 ,$8.02 , N/A ,$211.42 ,$8.02 ,$209.39 ,$202.80 ,$228.15 ,$20.05 ,$215.48 ,$8.02 ,$215.48 ,$215.48 ,$228.15 ,$228.15 ,$199.00 ,$209.39 ,$8.02 ,$164.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011866,86226,ANTI-DNA SINGLE,302,1 ,$114.79 ,$74.61 ,$12.11 ,$103.37 ,$91.83 ,$12.11 ,$90.96 ,$103.37 ,$103.37 ,$23.01 ,$97.57 ,$84.94 ,$30.28 ,$12.11 , N/A ,$95.73 ,$12.11 ,$94.82 ,$91.83 ,$103.31 ,$30.28 ,$97.57 ,$12.11 ,$97.57 ,$97.57 ,$103.31 ,$103.31 ,$90.11 ,$94.82 ,$12.11 ,$74.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011874,83520,HISTONE IGG AB,302,1 ,$428.95 ,$278.82 ,$17.27 ,$386.27 ,$343.16 ,$17.27 ,$339.90 ,$386.27 ,$386.27 ,$32.81 ,$364.61 ,$317.42 ,$43.18 ,$17.27 , N/A ,$357.74 ,$17.27 ,$354.31 ,$343.16 ,$386.06 ,$43.18 ,$364.61 ,$17.27 ,$364.61 ,$364.61 ,$386.06 ,$386.06 ,$336.73 ,$354.31 ,$17.27 ,$278.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011940,86235,ANTI-SMITH AB,302,1 ,$146.28 ,$95.08 ,$17.93 ,$131.73 ,$117.02 ,$17.93 ,$115.91 ,$131.73 ,$131.73 ,$34.07 ,$124.34 ,$108.25 ,$44.83 ,$17.93 , N/A ,$122.00 ,$17.93 ,$120.83 ,$117.02 ,$131.65 ,$44.83 ,$124.34 ,$17.93 ,$124.34 ,$124.34 ,$131.65 ,$131.65 ,$114.83 ,$120.83 ,$17.93 ,$95.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24011973,86256,ANTI-SMOOTH MUSCLE AB,302,1 ,$449.30 ,$292.05 ,$12.05 ,$404.59 ,$359.44 ,$12.05 ,$356.03 ,$404.59 ,$404.59 ,$22.90 ,$381.91 ,$332.48 ,$30.13 ,$12.05 , N/A ,$374.72 ,$12.05 ,$371.12 ,$359.44 ,$404.37 ,$30.13 ,$381.91 ,$12.05 ,$381.91 ,$381.91 ,$404.37 ,$404.37 ,$352.70 ,$371.12 ,$12.05 ,$292.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24012039,83020,HGB ELECTROPHORESIS,301,1 ,$291.81 ,$189.68 ,$12.87 ,$262.77 ,$233.45 ,$12.87 ,$231.23 ,$262.77 ,$262.77 ,$24.45 ,$248.04 ,$215.94 ,$32.18 ,$12.87 , N/A ,$243.37 ,$12.87 ,$241.04 ,$233.45 ,$262.63 ,$32.18 ,$248.04 ,$12.87 ,$248.04 ,$248.04 ,$262.63 ,$262.63 ,$229.07 ,$241.04 ,$12.87 ,$189.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24012088,82951,LACTOSE TOLERANCE*,301,1 ,$220.22 ,$143.14 ,$12.87 ,$198.31 ,$176.18 ,$12.87 ,$174.50 ,$198.31 ,$198.31 ,$24.45 ,$187.19 ,$162.96 ,$32.18 ,$12.87 , N/A ,$183.66 ,$12.87 ,$181.90 ,$176.18 ,$198.20 ,$32.18 ,$187.19 ,$12.87 ,$187.19 ,$187.19 ,$198.20 ,$198.20 ,$172.87 ,$181.90 ,$12.87 ,$143.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24012146,87076,ANAEROBIC ID,306,1 ,$100.41 ,$65.27 ,$8.08 ,$90.42 ,$80.33 ,$8.08 ,$79.56 ,$90.42 ,$90.42 ,$15.35 ,$85.35 ,$74.30 ,$20.20 ,$8.08 , N/A ,$83.74 ,$8.08 ,$82.94 ,$80.33 ,$90.37 ,$20.20 ,$85.35 ,$8.08 ,$85.35 ,$85.35 ,$90.37 ,$90.37 ,$78.82 ,$82.94 ,$8.08 ,$65.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24012302,P9016,RBC UNIT LR,390,1 ,$463.74 ,$301.43 ,$188.51 ,$471.28 ,$370.99 ,$188.51 ,$367.47 ,$417.60 ,$417.60 ,$358.17 ,$394.18 ,$343.17 ,$471.28 ,$188.51 , N/A ,$386.76 ,$188.51 ,$383.05 ,$370.99 ,$417.37 ,$463.74 ,$394.18 ,$201.89 ,$394.18 ,$394.18 ,$417.37 ,$417.37 ,$364.04 ,$383.05 ,$201.89 ,$301.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24012310,P9034,"PLTS,UNIT PHERESIS LR",390,1 ,$970.53 ,$630.84 ,$323.99 ,$873.96 ,$776.42 ,$323.99 ,$769.05 ,$873.96 ,$873.96 ,$615.58 ,$824.95 ,$718.19 ,$809.98 ,$323.99 , N/A ,$809.42 ,$323.99 ,$801.66 ,$776.42 ,$873.48 ,$809.98 ,$824.95 ,$346.99 ,$824.95 ,$824.95 ,$873.48 ,$873.48 ,$761.87 ,$801.66 ,$346.99 ,$630.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24013516,86235,MYOSITIS ASSESS R,301,1 ,$771.44 ,$501.44 ,$17.93 ,$694.68 ,$617.15 ,$17.93 ,$611.29 ,$694.68 ,$694.68 ,$34.07 ,$655.72 ,$570.87 ,$44.83 ,$17.93 , N/A ,$643.38 ,$17.93 ,$637.21 ,$617.15 ,$694.30 ,$44.83 ,$655.72 ,$17.93 ,$655.72 ,$655.72 ,$694.30 ,$694.30 ,$605.58 ,$637.21 ,$17.93 ,$501.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24013519,83519,21 HYDROXYLASE AB,300,1 ,$148.37 ,$96.44 ,$18.40 ,$133.61 ,$118.70 ,$18.40 ,$117.57 ,$133.61 ,$133.61 ,$34.96 ,$126.11 ,$109.79 ,$46.00 ,$18.40 , N/A ,$123.74 ,$18.40 ,$122.55 ,$118.70 ,$133.53 ,$46.00 ,$126.11 ,$18.40 ,$126.11 ,$126.11 ,$133.53 ,$133.53 ,$116.47 ,$122.55 ,$18.40 ,$96.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24015600,83516,GLIADIN DEAMINATED IGG AB,301,1 ,$78.82 ,$51.23 ,$11.53 ,$70.98 ,$63.06 ,$11.53 ,$62.46 ,$70.98 ,$70.98 ,$21.91 ,$67.00 ,$58.33 ,$28.83 ,$11.53 , N/A ,$65.74 ,$11.53 ,$65.11 ,$63.06 ,$70.94 ,$28.83 ,$67.00 ,$11.53 ,$67.00 ,$67.00 ,$70.94 ,$70.94 ,$61.87 ,$65.11 ,$11.53 ,$51.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24015601,84443,THYROID PANEL T7,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24015603,83516,GLIADIN DEAMINATED IGA AB,301,1 ,$78.82 ,$51.23 ,$11.53 ,$70.98 ,$63.06 ,$11.53 ,$62.46 ,$70.98 ,$70.98 ,$21.91 ,$67.00 ,$58.33 ,$28.83 ,$11.53 , N/A ,$65.74 ,$11.53 ,$65.11 ,$63.06 ,$70.94 ,$28.83 ,$67.00 ,$11.53 ,$67.00 ,$67.00 ,$70.94 ,$70.94 ,$61.87 ,$65.11 ,$11.53 ,$51.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24015604,N/A,GLIADIN DEAMINATED IGA/IGG AB,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24016023,86023,PLATELET ASSOC Abs,302,1 ,$114.38 ,$74.35 ,$12.46 ,$103.00 ,$91.50 ,$12.46 ,$90.63 ,$103.00 ,$103.00 ,$23.67 ,$97.22 ,$84.64 ,$31.15 ,$12.46 , N/A ,$95.39 ,$12.46 ,$94.48 ,$91.50 ,$102.94 ,$31.15 ,$97.22 ,$12.46 ,$97.22 ,$97.22 ,$102.94 ,$102.94 ,$89.79 ,$94.48 ,$12.46 ,$74.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),24016689,86689,HIV Ab2 CONF TEST BY WESTERN BLOT,302,1 ,$265.72 ,$172.72 ,$19.35 ,$239.28 ,$212.58 ,$19.35 ,$210.56 ,$239.28 ,$239.28 ,$36.77 ,$225.86 ,$196.63 ,$48.38 ,$19.35 , N/A ,$221.61 ,$19.35 ,$219.48 ,$212.58 ,$239.15 ,$48.38 ,$225.86 ,$19.35 ,$225.86 ,$225.86 ,$239.15 ,$239.15 ,$208.59 ,$219.48 ,$19.35 ,$172.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24016690,86689,HIV Ab1 CONF TEST BY WESTERN BLOT,302,1 ,$83.91 ,$54.54 ,$19.35 ,$75.56 ,$67.13 ,$19.35 ,$66.49 ,$75.56 ,$75.56 ,$36.77 ,$71.32 ,$62.09 ,$48.38 ,$19.35 , N/A ,$69.98 ,$19.35 ,$69.31 ,$67.13 ,$75.52 ,$48.38 ,$71.32 ,$19.35 ,$71.32 ,$71.32 ,$75.52 ,$75.52 ,$65.87 ,$69.31 ,$19.35 ,$54.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24018389,81206,BCR/ABL QUANT GEN PATH,301,1 ,$335.81 ,$218.28 ,$163.96 ,$409.90 ,$268.65 ,$163.96 ,$266.10 ,$302.40 ,$302.40 ,$311.52 ,$285.44 ,$248.50 ,$409.90 ,$163.96 , N/A ,$280.07 ,$163.96 ,$277.38 ,$268.65 ,$302.23 ,$335.81 ,$285.44 ,$163.96 ,$285.44 ,$285.44 ,$302.23 ,$302.23 ,$263.61 ,$277.38 ,$163.96 ,$218.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24018390,81207,BCR/ABL CHARGE ONLY,301,1 ,$279.37 ,$181.59 ,$144.84 ,$362.10 ,$223.50 ,$144.84 ,$221.37 ,$251.57 ,$251.57 ,$275.20 ,$237.46 ,$206.73 ,$362.10 ,$144.84 , N/A ,$232.99 ,$144.84 ,$230.76 ,$223.50 ,$251.43 ,$279.37 ,$237.46 ,$144.84 ,$237.46 ,$237.46 ,$251.43 ,$251.43 ,$219.31 ,$230.76 ,$144.84 ,$181.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24020009,G0306,COMPLETE CBC AUTO AND AUTO WBC DIFF COUNT,300,1 ,$145.88 ,$94.82 ,$7.77 ,$131.36 ,$116.70 ,$7.77 ,$115.60 ,$131.36 ,$131.36 ,$14.76 ,$124.00 ,$107.95 ,$19.43 ,$7.77 , N/A ,$121.66 ,$7.77 ,$120.50 ,$116.70 ,$131.29 ,$19.43 ,$124.00 ,$7.77 ,$124.00 ,$124.00 ,$131.29 ,$131.29 ,$114.52 ,$120.50 ,$7.77 ,$94.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24020230,N/A,BLOOD GAS KIT,270,1 ,$15.50 ,$10.08 ,$10.08 ,$13.96 ,$12.40 , N/A ,$12.28 ,$13.96 ,$13.96 , N/A ,$13.18 ,$11.47 , N/A , N/A , N/A ,$12.93 , N/A ,$12.80 ,$12.40 ,$13.95 , N/A ,$13.18 , N/A ,$13.18 ,$13.18 ,$13.95 ,$13.95 ,$12.17 ,$12.80 , N/A ,$10.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24020545,82803,BLOOD GAS ANALYSIS,301,1 ,$272.83 ,$177.34 ,$26.07 ,$245.68 ,$218.26 ,$26.07 ,$216.19 ,$245.68 ,$245.68 ,$49.53 ,$231.91 ,$201.89 ,$65.18 ,$26.07 , N/A ,$227.54 ,$26.07 ,$225.36 ,$218.26 ,$245.55 ,$65.18 ,$231.91 ,$26.07 ,$231.91 ,$231.91 ,$245.55 ,$245.55 ,$214.17 ,$225.36 ,$26.07 ,$177.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021428,83516,IMMUN FOR ADDLYTE OTHER THAN INFECT,301,1 ,$73.74 ,$47.93 ,$11.53 ,$66.40 ,$58.99 ,$11.53 ,$58.43 ,$66.40 ,$66.40 ,$21.91 ,$62.68 ,$54.57 ,$28.83 ,$11.53 , N/A ,$61.50 ,$11.53 ,$60.91 ,$58.99 ,$66.37 ,$28.83 ,$62.68 ,$11.53 ,$62.68 ,$62.68 ,$66.37 ,$66.37 ,$57.89 ,$60.91 ,$11.53 ,$47.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021717,82271,GASTROCCULT BLOOD,301,1 ,$55.25 ,$35.91 ,$5.32 ,$49.75 ,$44.20 ,$5.32 ,$43.78 ,$49.75 ,$49.75 ,$10.11 ,$46.96 ,$40.89 ,$13.30 ,$5.32 , N/A ,$46.08 ,$5.32 ,$45.64 ,$44.20 ,$49.73 ,$13.30 ,$46.96 ,$5.32 ,$46.96 ,$46.96 ,$49.73 ,$49.73 ,$43.37 ,$45.64 ,$5.32 ,$35.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021725,84080,ALK PHOS ISOENZYME,301,1 ,$340.29 ,$221.19 ,$14.78 ,$306.43 ,$272.23 ,$14.78 ,$269.65 ,$306.43 ,$306.43 ,$28.08 ,$289.25 ,$251.81 ,$36.95 ,$14.78 , N/A ,$283.80 ,$14.78 ,$281.08 ,$272.23 ,$306.26 ,$36.95 ,$289.25 ,$14.78 ,$289.25 ,$289.25 ,$306.26 ,$306.26 ,$267.13 ,$281.08 ,$14.78 ,$221.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021733,82150,AMYLASE URINE RANDOM,301,1 ,$149.59 ,$97.23 ,$6.48 ,$134.71 ,$119.67 ,$6.48 ,$118.54 ,$134.71 ,$134.71 ,$12.31 ,$127.15 ,$110.70 ,$16.20 ,$6.48 , N/A ,$124.76 ,$6.48 ,$123.56 ,$119.67 ,$134.63 ,$16.20 ,$127.15 ,$6.48 ,$127.15 ,$127.15 ,$134.63 ,$134.63 ,$117.43 ,$123.56 ,$6.48 ,$97.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021766,82340,CALCIUM URINE 24 HR,301,1 ,$48.44 ,$31.49 ,$6.03 ,$43.62 ,$38.75 ,$6.03 ,$38.38 ,$43.62 ,$43.62 ,$11.46 ,$41.17 ,$35.85 ,$15.08 ,$6.03 , N/A ,$40.40 ,$6.03 ,$40.01 ,$38.75 ,$43.60 ,$15.08 ,$41.17 ,$6.03 ,$41.17 ,$41.17 ,$43.60 ,$43.60 ,$38.03 ,$40.01 ,$6.03 ,$31.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021790,82330,IONIZED CALCIUM SERUM,301,1 ,$265.69 ,$172.70 ,$13.68 ,$239.25 ,$212.55 ,$13.68 ,$210.53 ,$239.25 ,$239.25 ,$25.99 ,$225.84 ,$196.61 ,$34.20 ,$13.68 , N/A ,$221.59 ,$13.68 ,$219.46 ,$212.55 ,$239.12 ,$34.20 ,$225.84 ,$13.68 ,$225.84 ,$225.84 ,$239.12 ,$239.12 ,$208.57 ,$219.46 ,$13.68 ,$172.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021816,84560,URIC ACID URINE RANDOM,301,1 ,$43.26 ,$28.12 ,$5.08 ,$38.96 ,$34.61 ,$5.08 ,$34.28 ,$38.96 ,$38.96 ,$9.65 ,$36.77 ,$32.01 ,$12.70 ,$5.08 , N/A ,$36.08 ,$5.08 ,$35.73 ,$34.61 ,$38.93 ,$12.70 ,$36.77 ,$5.08 ,$36.77 ,$36.77 ,$38.93 ,$38.93 ,$33.96 ,$35.73 ,$5.08 ,$28.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021824,82570,CREATININE URINE 24 HOUR,301,1 ,$37.06 ,$24.09 ,$5.18 ,$33.37 ,$29.65 ,$5.18 ,$29.37 ,$33.37 ,$33.37 ,$9.84 ,$31.50 ,$27.42 ,$12.95 ,$5.18 , N/A ,$30.91 ,$5.18 ,$30.61 ,$29.65 ,$33.35 ,$12.95 ,$31.50 ,$5.18 ,$31.50 ,$31.50 ,$33.35 ,$33.35 ,$29.09 ,$30.61 ,$5.18 ,$24.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021825,82135,"AMINOEVULINIC ACID, URINE",301,1 ,$109.27 ,$71.03 ,$16.45 ,$98.40 ,$87.42 ,$16.45 ,$86.59 ,$98.40 ,$98.40 ,$31.26 ,$92.88 ,$80.86 ,$41.13 ,$16.45 , N/A ,$91.13 ,$16.45 ,$90.26 ,$87.42 ,$98.34 ,$41.13 ,$92.88 ,$16.45 ,$92.88 ,$92.88 ,$98.34 ,$98.34 ,$85.78 ,$90.26 ,$16.45 ,$71.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24021857,85540,LAP SCORE,305,1 ,$150.74 ,$97.98 ,$8.60 ,$135.74 ,$120.59 ,$8.60 ,$119.45 ,$135.74 ,$135.74 ,$16.34 ,$128.13 ,$111.55 ,$21.50 ,$8.60 , N/A ,$125.72 ,$8.60 ,$124.51 ,$120.59 ,$135.67 ,$21.50 ,$128.13 ,$8.60 ,$128.13 ,$128.13 ,$135.67 ,$135.67 ,$118.33 ,$124.51 ,$8.60 ,$97.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24022012,86706,HEP B SURFACE AB,302,1 ,$210.87 ,$137.07 ,$10.74 ,$189.89 ,$168.70 ,$10.74 ,$167.09 ,$189.89 ,$189.89 ,$20.41 ,$179.24 ,$156.04 ,$26.85 ,$10.74 , N/A ,$175.87 ,$10.74 ,$174.18 ,$168.70 ,$189.78 ,$26.85 ,$179.24 ,$10.74 ,$179.24 ,$179.24 ,$189.78 ,$189.78 ,$165.53 ,$174.18 ,$10.74 ,$137.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24026023,N/A,ANTI-PLATELET ABS,302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24027360,27360,"PARTIAL EXCISION BONE, FEMUR, PROXIMAL T",360,1 , N/A , N/A ,"$2,561.06 ","$6,402.65 ", N/A ,"$2,561.06 ", N/A , N/A , N/A ,"$4,866.01 ", N/A , N/A ,"$6,402.65 ","$2,561.06 ", N/A , N/A ,"$2,561.06 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24032555,86692,HEP D ANTIBODY,302,1 ,$76.65 ,$49.82 ,$17.16 ,$69.02 ,$61.32 ,$17.16 ,$60.74 ,$69.02 ,$69.02 ,$32.60 ,$65.15 ,$56.72 ,$42.90 ,$17.16 , N/A ,$63.93 ,$17.16 ,$63.31 ,$61.32 ,$68.99 ,$42.90 ,$65.15 ,$17.16 ,$65.15 ,$65.15 ,$68.99 ,$68.99 ,$60.17 ,$63.31 ,$17.16 ,$49.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24036415,36415,BLOOD DRAWING FEE,300,1 ,$15.56 ,$10.11 ,$3.00 ,$14.01 ,$12.45 ,$3.00 ,$12.33 ,$14.01 ,$14.01 ,$5.70 ,$13.23 ,$11.51 ,$7.50 ,$3.00 , N/A , N/A ,$3.00 ,$12.85 ,$12.45 ,$14.00 ,$7.50 ,$13.23 ,$3.00 ,$13.23 ,$13.23 ,$14.00 ,$14.00 ,$12.21 ,$12.85 ,$3.00 ,$10.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24041428,82784,"GAMMAGLOBULIN,IqA,IqD,IgG,IgM,each",301,1 ,$73.74 ,$47.93 ,$9.30 ,$66.40 ,$58.99 ,$9.30 ,$58.43 ,$66.40 ,$66.40 ,$17.67 ,$62.68 ,$54.57 ,$23.25 ,$9.30 , N/A ,$61.50 ,$9.30 ,$60.91 ,$58.99 ,$66.37 ,$23.25 ,$62.68 ,$9.30 ,$62.68 ,$62.68 ,$66.37 ,$66.37 ,$57.89 ,$60.91 ,$9.30 ,$47.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24060020,84238,BLOCKING ANTIBODY,300,1 ,$145.12 ,$94.33 ,$36.57 ,$130.68 ,$116.10 ,$36.57 ,$114.99 ,$130.68 ,$130.68 ,$69.48 ,$123.35 ,$107.39 ,$91.43 ,$36.57 , N/A ,$121.03 ,$36.57 ,$119.87 ,$116.10 ,$130.61 ,$91.43 ,$123.35 ,$36.57 ,$123.35 ,$123.35 ,$130.61 ,$130.61 ,$113.92 ,$119.87 ,$36.57 ,$94.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24060517,N/A,BONE MARROW TRAY,272,1 ,$401.75 ,$261.14 ,$261.14 ,$361.78 ,$321.40 , N/A ,$318.35 ,$361.78 ,$361.78 , N/A ,$341.49 ,$297.30 , N/A , N/A , N/A ,$335.06 , N/A ,$331.85 ,$321.40 ,$361.58 , N/A ,$341.49 , N/A ,$341.49 ,$341.49 ,$361.58 ,$361.58 ,$315.37 ,$331.85 , N/A ,$261.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24065555,81003,URINE KETONE,301,1 ,$31.98 ,$20.79 ,$2.25 ,$28.80 ,$25.58 ,$2.25 ,$25.34 ,$28.80 ,$28.80 ,$4.28 ,$27.18 ,$23.67 ,$5.63 ,$2.25 , N/A ,$26.67 ,$2.25 ,$26.42 ,$25.58 ,$28.78 ,$5.63 ,$27.18 ,$2.25 ,$27.18 ,$27.18 ,$28.78 ,$28.78 ,$25.10 ,$26.42 ,$2.25 ,$20.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080061,80061,LIPID PANEL (DO NOT USE),301,1 ,$124.96 ,$81.22 ,$13.39 ,$112.53 ,$99.97 ,$13.39 ,$99.02 ,$112.53 ,$112.53 ,$25.44 ,$106.22 ,$92.47 ,$33.48 ,$13.39 , N/A ,$104.22 ,$13.39 ,$103.22 ,$99.97 ,$112.46 ,$33.48 ,$106.22 ,$13.39 ,$106.22 ,$106.22 ,$112.46 ,$112.46 ,$98.09 ,$103.22 ,$13.39 ,$81.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080100,80100,"DRUG SCREEN, SERUM",301,1 ,$267.17 ,$173.66 ,$173.66 ,$240.59 ,$213.74 , N/A ,$211.71 ,$240.59 ,$240.59 , N/A ,$227.09 ,$197.71 , N/A , N/A , N/A ,$222.82 , N/A ,$220.68 ,$213.74 ,$240.45 , N/A ,$227.09 , N/A ,$227.09 ,$227.09 ,$240.45 ,$240.45 ,$209.73 ,$220.68 , N/A ,$173.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080101,80349,THC SERUM,300,1 ,$257.11 ,$167.12 ,$167.12 ,$231.53 ,$205.69 , N/A ,$203.73 ,$231.53 ,$231.53 , N/A ,$218.54 ,$190.26 , N/A , N/A , N/A ,$214.43 , N/A ,$212.37 ,$205.69 ,$231.40 , N/A ,$218.54 , N/A ,$218.54 ,$218.54 ,$231.40 ,$231.40 ,$201.83 ,$212.37 , N/A ,$167.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080102,80102,AMPHETAMINES AND METHAMPHETAMINES,301,1 ,$272.18 ,$176.92 ,$176.92 ,$245.10 ,$217.74 , N/A ,$215.68 ,$245.10 ,$245.10 , N/A ,$231.35 ,$201.41 , N/A , N/A , N/A ,$227.00 , N/A ,$224.82 ,$217.74 ,$244.96 , N/A ,$231.35 , N/A ,$231.35 ,$231.35 ,$244.96 ,$244.96 ,$213.66 ,$224.82 , N/A ,$176.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080150,80150,AMIKACIN,301,1 ,$91.79 ,$59.66 ,$15.08 ,$82.66 ,$73.43 ,$15.08 ,$72.73 ,$82.66 ,$82.66 ,$28.65 ,$78.02 ,$67.92 ,$37.70 ,$15.08 , N/A ,$76.55 ,$15.08 ,$75.82 ,$73.43 ,$82.61 ,$37.70 ,$78.02 ,$15.08 ,$78.02 ,$78.02 ,$82.61 ,$82.61 ,$72.06 ,$75.82 ,$15.08 ,$59.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080154,80154,CLONAZEPAM,301,1 ,$139.49 ,$90.67 ,$90.67 ,$125.61 ,$111.59 , N/A ,$110.53 ,$125.61 ,$125.61 , N/A ,$118.57 ,$103.22 , N/A , N/A , N/A ,$116.33 , N/A ,$115.22 ,$111.59 ,$125.54 , N/A ,$118.57 , N/A ,$118.57 ,$118.57 ,$125.54 ,$125.54 ,$109.50 ,$115.22 , N/A ,$90.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080160,80335,DESIPRAMINE,301,1 ,$74.82 ,$48.63 ,$48.63 ,$67.38 ,$59.86 , N/A ,$59.29 ,$67.38 ,$67.38 , N/A ,$63.60 ,$55.37 , N/A , N/A , N/A ,$62.40 , N/A ,$61.80 ,$59.86 ,$67.34 , N/A ,$63.60 , N/A ,$63.60 ,$63.60 ,$67.34 ,$67.34 ,$58.73 ,$61.80 , N/A ,$48.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080187,80187,POSACONAZOLE,301,1 ,$252.27 ,$163.98 ,$27.11 ,$227.17 ,$201.82 ,$27.11 ,$199.90 ,$227.17 ,$227.17 ,$51.51 ,$214.43 ,$186.68 ,$67.78 ,$27.11 , N/A ,$210.39 ,$27.11 ,$208.38 ,$201.82 ,$227.04 ,$67.78 ,$214.43 ,$27.11 ,$214.43 ,$214.43 ,$227.04 ,$227.04 ,$198.03 ,$208.38 ,$27.11 ,$163.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080202,80202,VANCOMYCIN RANDOM LEVEL,301,1 ,$259.49 ,$168.67 ,$13.54 ,$233.67 ,$207.59 ,$13.54 ,$205.62 ,$233.67 ,$233.67 ,$25.73 ,$220.57 ,$192.02 ,$33.85 ,$13.54 , N/A ,$216.41 ,$13.54 ,$214.34 ,$207.59 ,$233.54 ,$33.85 ,$220.57 ,$13.54 ,$220.57 ,$220.57 ,$233.54 ,$233.54 ,$203.70 ,$214.34 ,$13.54 ,$168.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080299,80183,TRILEPTAL LEVEL,301,1 ,$180.24 ,$117.16 ,$13.25 ,$162.31 ,$144.19 ,$13.25 ,$142.82 ,$162.31 ,$162.31 ,$25.18 ,$153.20 ,$133.38 ,$33.13 ,$13.25 , N/A ,$150.32 ,$13.25 ,$148.88 ,$144.19 ,$162.22 ,$33.13 ,$153.20 ,$13.25 ,$153.20 ,$153.20 ,$162.22 ,$162.22 ,$141.49 ,$148.88 ,$13.25 ,$117.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080301,80307,DRUG SCREEN 10 URINE,301,1 ,$100.42 ,$65.27 ,$62.14 ,$155.35 ,$80.34 ,$62.14 ,$79.57 ,$90.43 ,$90.43 ,$118.07 ,$85.36 ,$74.31 ,$155.35 ,$62.14 , N/A ,$83.75 ,$62.14 ,$82.95 ,$80.34 ,$90.38 ,$100.42 ,$85.36 ,$62.14 ,$85.36 ,$85.36 ,$90.38 ,$90.38 ,$78.83 ,$82.95 ,$62.14 ,$65.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080307,80307,DRUG SCREEN WHOLE BLOOD,301,1 ,$200.05 ,$130.03 ,$62.14 ,$180.15 ,$160.04 ,$62.14 ,$158.52 ,$180.15 ,$180.15 ,$118.07 ,$170.04 ,$148.04 ,$155.35 ,$62.14 , N/A ,$166.84 ,$62.14 ,$165.24 ,$160.04 ,$180.05 ,$155.35 ,$170.04 ,$62.14 ,$170.04 ,$170.04 ,$180.05 ,$180.05 ,$157.04 ,$165.24 ,$62.14 ,$130.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080348,80348,BUPRENORPHINE,300,1 ,$62.95 ,$40.92 ,$40.92 ,$56.69 ,$50.36 , N/A ,$49.88 ,$56.69 ,$56.69 , N/A ,$53.51 ,$46.58 , N/A , N/A , N/A ,$52.50 , N/A ,$52.00 ,$50.36 ,$56.66 , N/A ,$53.51 , N/A ,$53.51 ,$53.51 ,$56.66 ,$56.66 ,$49.42 ,$52.00 , N/A ,$40.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080361,80361,OPIATE CONFIRM TEST-SERUM,301,1 ,$57.52 ,$37.39 ,$37.39 ,$51.80 ,$46.02 , N/A ,$45.58 ,$51.80 ,$51.80 , N/A ,$48.89 ,$42.56 , N/A , N/A , N/A ,$47.97 , N/A ,$47.51 ,$46.02 ,$51.77 , N/A ,$48.89 , N/A ,$48.89 ,$48.89 ,$51.77 ,$51.77 ,$45.15 ,$47.51 , N/A ,$37.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24080368,80368,ZOLPIDEM,301,1 ,$263.46 ,$171.25 ,$171.25 ,$237.25 ,$210.77 , N/A ,$208.77 ,$237.25 ,$237.25 , N/A ,$223.94 ,$194.96 , N/A , N/A , N/A ,$219.73 , N/A ,$217.62 ,$210.77 ,$237.11 , N/A ,$223.94 , N/A ,$223.94 ,$223.94 ,$237.11 ,$237.11 ,$206.82 ,$217.62 , N/A ,$171.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081001,81001,URINALYSIS AND MICRO,300,1 ,$71.97 ,$46.78 ,$3.17 ,$64.81 ,$57.58 ,$3.17 ,$57.03 ,$64.81 ,$64.81 ,$6.02 ,$61.17 ,$53.26 ,$7.93 ,$3.17 , N/A ,$60.02 ,$3.17 ,$59.45 ,$57.58 ,$64.77 ,$7.93 ,$61.17 ,$3.17 ,$61.17 ,$61.17 ,$64.77 ,$64.77 ,$56.50 ,$59.45 ,$3.17 ,$46.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081002,81001,UA AND MICRO CULT IF INDICATED,301,1 ,$71.97 ,$46.78 ,$3.17 ,$64.81 ,$57.58 ,$3.17 ,$57.03 ,$64.81 ,$64.81 ,$6.02 ,$61.17 ,$53.26 ,$7.93 ,$3.17 , N/A ,$60.02 ,$3.17 ,$59.45 ,$57.58 ,$64.77 ,$7.93 ,$61.17 ,$3.17 ,$61.17 ,$61.17 ,$64.77 ,$64.77 ,$56.50 ,$59.45 ,$3.17 ,$46.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081003,81002,ICTOTEST CHARGE,301,1 ,$24.04 ,$15.63 ,$3.48 ,$21.65 ,$19.23 ,$3.48 ,$19.05 ,$21.65 ,$21.65 ,$6.61 ,$20.43 ,$17.79 ,$8.70 ,$3.48 , N/A ,$20.05 ,$3.48 ,$19.86 ,$19.23 ,$21.64 ,$8.70 ,$20.43 ,$3.48 ,$20.43 ,$20.43 ,$21.64 ,$21.64 ,$18.87 ,$19.86 ,$3.48 ,$15.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081004,81002,CLINITEST CHARGE,301,1 ,$24.04 ,$15.63 ,$3.48 ,$21.65 ,$19.23 ,$3.48 ,$19.05 ,$21.65 ,$21.65 ,$6.61 ,$20.43 ,$17.79 ,$8.70 ,$3.48 , N/A ,$20.05 ,$3.48 ,$19.86 ,$19.23 ,$21.64 ,$8.70 ,$20.43 ,$3.48 ,$20.43 ,$20.43 ,$21.64 ,$21.64 ,$18.87 ,$19.86 ,$3.48 ,$15.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081005,81005,INDICANS URINE,301,1 ,$54.42 ,$35.37 ,$2.17 ,$49.01 ,$43.54 ,$2.17 ,$43.12 ,$49.01 ,$49.01 ,$4.12 ,$46.26 ,$40.27 ,$5.43 ,$2.17 , N/A ,$45.39 ,$2.17 ,$44.95 ,$43.54 ,$48.98 ,$5.43 ,$46.26 ,$2.17 ,$46.26 ,$46.26 ,$48.98 ,$48.98 ,$42.72 ,$44.95 ,$2.17 ,$35.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081015,81015,URINE MICROSCOPIC ONLY,301,1 ,$28.47 ,$18.51 ,$3.05 ,$25.64 ,$22.78 ,$3.05 ,$22.56 ,$25.64 ,$25.64 ,$5.80 ,$24.20 ,$21.07 ,$7.63 ,$3.05 , N/A ,$23.74 ,$3.05 ,$23.52 ,$22.78 ,$25.62 ,$7.63 ,$24.20 ,$3.05 ,$24.20 ,$24.20 ,$25.62 ,$25.62 ,$22.35 ,$23.52 ,$3.05 ,$18.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081050,81050,VOLUME URINE 24 HR,301,1 ,$32.77 ,$21.30 ,$3.64 ,$29.51 ,$26.22 ,$3.64 ,$25.97 ,$29.51 ,$29.51 ,$6.92 ,$27.85 ,$24.25 ,$9.10 ,$3.64 , N/A ,$27.33 ,$3.64 ,$27.07 ,$26.22 ,$29.49 ,$9.10 ,$27.85 ,$3.64 ,$27.85 ,$27.85 ,$29.49 ,$29.49 ,$25.72 ,$27.07 ,$3.64 ,$21.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081099,81099,UNLISTED URINE PROCEDURE,300,1 ,$32.35 ,$21.03 ,$14.56 ,$29.13 ,$25.88 , N/A ,$25.63 ,$29.13 ,$29.13 ,$14.56 ,$27.50 ,$23.94 ,$22.65 , N/A , N/A ,$26.98 , N/A ,$26.72 ,$25.88 ,$29.12 , N/A ,$27.50 , N/A ,$27.50 ,$27.50 ,$29.12 ,$29.12 ,$25.39 ,$26.72 , N/A ,$21.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081219,81219,CALRETOCULIN CALP GENG MUT,301,1 ,$368.71 ,$239.66 ,$121.63 ,$332.02 ,$294.97 ,$121.63 ,$292.17 ,$332.02 ,$332.02 ,$231.10 ,$313.40 ,$272.85 ,$304.08 ,$121.63 , N/A ,$307.50 ,$121.63 ,$304.55 ,$294.97 ,$331.84 ,$304.08 ,$313.40 ,$121.63 ,$313.40 ,$313.40 ,$331.84 ,$331.84 ,$289.44 ,$304.55 ,$121.63 ,$239.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081381,81381,HLA B5701,301,1 ,$270.24 ,$175.66 ,$169.90 ,$424.75 ,$216.19 ,$169.90 ,$214.14 ,$243.35 ,$243.35 ,$322.81 ,$229.70 ,$199.98 ,$424.75 ,$169.90 , N/A ,$225.38 ,$169.90 ,$223.22 ,$216.19 ,$243.22 ,$270.24 ,$229.70 ,$169.90 ,$229.70 ,$229.70 ,$243.22 ,$243.22 ,$212.14 ,$223.22 ,$169.90 ,$175.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081402,81402,MUTATION ANALYSIS,301,1 ,$108.86 ,$70.76 ,$48.99 ,$98.03 ,$87.09 , N/A ,$86.26 ,$98.03 ,$98.03 ,$48.99 ,$92.53 ,$80.56 ,$76.20 , N/A , N/A ,$90.79 , N/A ,$89.92 ,$87.09 ,$97.97 , N/A ,$92.53 , N/A ,$92.53 ,$92.53 ,$97.97 ,$97.97 ,$85.46 ,$89.92 , N/A ,$70.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081403,81403,MPL,310,1 ,$371.78 ,$241.66 ,$167.30 ,$334.79 ,$297.42 , N/A ,$294.60 ,$334.79 ,$334.79 ,$167.30 ,$316.01 ,$275.12 ,$260.25 , N/A , N/A ,$310.06 , N/A ,$307.09 ,$297.42 ,$334.60 , N/A ,$316.01 , N/A ,$316.01 ,$316.01 ,$334.60 ,$334.60 ,$291.85 ,$307.09 , N/A ,$241.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081450,81512,ONKOSIGHT MPN PANEL SEQ,302,1 ,"$1,249.13 ",$811.93 ,$69.52 ,"$1,124.84 ",$999.30 ,$69.52 ,$989.81 ,"$1,124.84 ","$1,124.84 ",$132.09 ,"$1,061.76 ",$924.36 ,$173.80 ,$69.52 , N/A ,"$1,041.77 ",$69.52 ,"$1,031.78 ",$999.30 ,"$1,124.22 ",$173.80 ,"$1,061.76 ",$69.52 ,"$1,061.76 ","$1,061.76 ","$1,124.22 ","$1,124.22 ",$980.57 ,"$1,031.78 ",$69.52 ,$811.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081596,86706,HEP B SURFACE AB,302,1 ,$239.13 ,$155.43 ,$10.74 ,$215.34 ,$191.30 ,$10.74 ,$189.49 ,$215.34 ,$215.34 ,$20.41 ,$203.26 ,$176.96 ,$26.85 ,$10.74 , N/A ,$199.43 ,$10.74 ,$197.52 ,$191.30 ,$215.22 ,$26.85 ,$203.26 ,$10.74 ,$203.26 ,$203.26 ,$215.22 ,$215.22 ,$187.72 ,$197.52 ,$10.74 ,$155.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24081599,81599,HCV FIBROSURE,300,1 ,$374.62 ,$243.50 ,$243.50 ,$337.35 ,$299.70 , N/A ,$296.85 ,$337.35 ,$337.35 , N/A ,$318.43 ,$277.22 , N/A , N/A , N/A ,$312.43 , N/A ,$309.44 ,$299.70 ,$337.16 , N/A ,$318.43 , N/A ,$318.43 ,$318.43 ,$337.16 ,$337.16 ,$294.08 ,$309.44 , N/A ,$243.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082017,82017,CARNITINE PANEL,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24082043,82043,MICROALBUMIN URINE RANDOM,301,1 ,$27.68 ,$17.99 ,$5.78 ,$24.93 ,$22.14 ,$5.78 ,$21.93 ,$24.93 ,$24.93 ,$10.98 ,$23.53 ,$20.48 ,$14.45 ,$5.78 , N/A ,$23.09 ,$5.78 ,$22.86 ,$22.14 ,$24.91 ,$14.45 ,$23.53 ,$5.78 ,$23.53 ,$23.53 ,$24.91 ,$24.91 ,$21.73 ,$22.86 ,$5.78 ,$17.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082102,82104,ALPHA-1 ANTITRYPSIN PHENOTYPE,301,1 ,$93.61 ,$60.85 ,$14.46 ,$84.30 ,$74.89 ,$14.46 ,$74.18 ,$84.30 ,$84.30 ,$27.47 ,$79.57 ,$69.27 ,$36.15 ,$14.46 , N/A ,$78.07 ,$14.46 ,$77.32 ,$74.89 ,$84.25 ,$36.15 ,$79.57 ,$14.46 ,$79.57 ,$79.57 ,$84.25 ,$84.25 ,$73.48 ,$77.32 ,$14.46 ,$60.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082103,82103,"ALPHA-1 ANTITRYPSIN ,TOTAL",301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24082105,N/A,AFP QUAD MARKER,302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24082107,82107,AFP L3,301,1 ,$523.50 ,$340.28 ,$64.41 ,$471.41 ,$418.80 ,$64.41 ,$414.82 ,$471.41 ,$471.41 ,$122.38 ,$444.98 ,$387.39 ,$161.03 ,$64.41 , N/A ,$436.60 ,$64.41 ,$432.41 ,$418.80 ,$471.15 ,$161.03 ,$444.98 ,$64.41 ,$444.98 ,$444.98 ,$471.15 ,$471.15 ,$410.95 ,$432.41 ,$64.41 ,$340.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082127,82127,AMINO ACIDS SINGLE QUAL,301,1 ,$125.35 ,$81.48 ,$14.18 ,$112.88 ,$100.28 ,$14.18 ,$99.33 ,$112.88 ,$112.88 ,$26.94 ,$106.55 ,$92.76 ,$35.45 ,$14.18 , N/A ,$104.54 ,$14.18 ,$103.54 ,$100.28 ,$112.82 ,$35.45 ,$106.55 ,$14.18 ,$106.55 ,$106.55 ,$112.82 ,$112.82 ,$98.40 ,$103.54 ,$14.18 ,$81.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082131,82131,CYSTINE URINE RANDOM,301,1 ,$123.30 ,$80.15 ,$22.98 ,$111.03 ,$98.64 ,$22.98 ,$97.70 ,$111.03 ,$111.03 ,$43.66 ,$104.81 ,$91.24 ,$57.45 ,$22.98 , N/A ,$102.83 ,$22.98 ,$101.85 ,$98.64 ,$110.97 ,$57.45 ,$104.81 ,$22.98 ,$104.81 ,$104.81 ,$110.97 ,$110.97 ,$96.79 ,$101.85 ,$22.98 ,$80.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082140,82140,AMMONIA,301,1 ,$111.72 ,$72.62 ,$14.57 ,$100.60 ,$89.38 ,$14.57 ,$88.53 ,$100.60 ,$100.60 ,$27.68 ,$94.96 ,$82.67 ,$36.43 ,$14.57 , N/A ,$93.17 ,$14.57 ,$92.28 ,$89.38 ,$100.55 ,$36.43 ,$94.96 ,$14.57 ,$94.96 ,$94.96 ,$100.55 ,$100.55 ,$87.70 ,$92.28 ,$14.57 ,$72.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082145,82145,ADDERALL LEVEL,301,1 ,$308.35 ,$200.43 ,$200.43 ,$277.67 ,$246.68 , N/A ,$244.34 ,$277.67 ,$277.67 , N/A ,$262.10 ,$228.18 , N/A , N/A , N/A ,$257.16 , N/A ,$254.70 ,$246.68 ,$277.52 , N/A ,$262.10 , N/A ,$262.10 ,$262.10 ,$277.52 ,$277.52 ,$242.05 ,$254.70 , N/A ,$200.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082150,82150,AMYLASE BODY FLUID,301,1 ,$116.62 ,$75.80 ,$6.48 ,$105.02 ,$93.30 ,$6.48 ,$92.41 ,$105.02 ,$105.02 ,$12.31 ,$99.13 ,$86.30 ,$16.20 ,$6.48 , N/A ,$97.26 ,$6.48 ,$96.33 ,$93.30 ,$104.96 ,$16.20 ,$99.13 ,$6.48 ,$99.13 ,$99.13 ,$104.96 ,$104.96 ,$91.55 ,$96.33 ,$6.48 ,$75.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082180,82180,ASORBIC ACID-VIT C,301,1 ,$100.75 ,$65.49 ,$9.89 ,$90.73 ,$80.60 ,$9.89 ,$79.83 ,$90.73 ,$90.73 ,$18.79 ,$85.64 ,$74.56 ,$24.73 ,$9.89 , N/A ,$84.03 ,$9.89 ,$83.22 ,$80.60 ,$90.68 ,$24.73 ,$85.64 ,$9.89 ,$85.64 ,$85.64 ,$90.68 ,$90.68 ,$79.09 ,$83.22 ,$9.89 ,$65.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082247,82247,BILIRUBIN FRACTIONATION,301,1 ,$155.97 ,$101.38 ,$5.02 ,$140.45 ,$124.78 ,$5.02 ,$123.59 ,$140.45 ,$140.45 ,$9.54 ,$132.57 ,$115.42 ,$12.55 ,$5.02 , N/A ,$130.08 ,$5.02 ,$128.83 ,$124.78 ,$140.37 ,$12.55 ,$132.57 ,$5.02 ,$132.57 ,$132.57 ,$140.37 ,$140.37 ,$122.44 ,$128.83 ,$5.02 ,$101.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082248,82247,BILIRUBIN DIRECT FRAC,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24082306,82306,VITAMIN D2 AND D3 25-HYDROXY,301,1 ,$86.08 ,$55.95 ,$29.60 ,$77.52 ,$68.86 ,$29.60 ,$68.21 ,$77.52 ,$77.52 ,$56.24 ,$73.17 ,$63.70 ,$74.00 ,$29.60 , N/A ,$71.79 ,$29.60 ,$71.10 ,$68.86 ,$77.47 ,$74.00 ,$73.17 ,$29.60 ,$73.17 ,$73.17 ,$77.47 ,$77.47 ,$67.57 ,$71.10 ,$29.60 ,$55.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082310,82310,CALCIUM RANDOM URINE,301,1 ,$71.76 ,$46.64 ,$5.16 ,$64.62 ,$57.41 ,$5.16 ,$56.86 ,$64.62 ,$64.62 ,$9.80 ,$61.00 ,$53.10 ,$12.90 ,$5.16 , N/A ,$59.85 ,$5.16 ,$59.27 ,$57.41 ,$64.58 ,$12.90 ,$61.00 ,$5.16 ,$61.00 ,$61.00 ,$64.58 ,$64.58 ,$56.33 ,$59.27 ,$5.16 ,$46.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082378,82378,CEA,301,1 ,$145.68 ,$94.69 ,$18.96 ,$131.18 ,$116.54 ,$18.96 ,$115.44 ,$131.18 ,$131.18 ,$36.02 ,$123.83 ,$107.80 ,$47.40 ,$18.96 , N/A ,$121.50 ,$18.96 ,$120.33 ,$116.54 ,$131.11 ,$47.40 ,$123.83 ,$18.96 ,$123.83 ,$123.83 ,$131.11 ,$131.11 ,$114.36 ,$120.33 ,$18.96 ,$94.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082379,82379,CARNITINE PANEL,301,1 ,$298.91 ,$194.29 ,$16.87 ,$269.17 ,$239.13 ,$16.87 ,$236.86 ,$269.17 ,$269.17 ,$32.05 ,$254.07 ,$221.19 ,$42.18 ,$16.87 , N/A ,$249.29 ,$16.87 ,$246.90 ,$239.13 ,$269.02 ,$42.18 ,$254.07 ,$16.87 ,$254.07 ,$254.07 ,$269.02 ,$269.02 ,$234.64 ,$246.90 ,$16.87 ,$194.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082380,82380,BETA CAROTENE,301,1 ,$74.31 ,$48.30 ,$9.22 ,$66.92 ,$59.45 ,$9.22 ,$58.88 ,$66.92 ,$66.92 ,$17.52 ,$63.16 ,$54.99 ,$23.05 ,$9.22 , N/A ,$61.97 ,$9.22 ,$61.38 ,$59.45 ,$66.88 ,$23.05 ,$63.16 ,$9.22 ,$63.16 ,$63.16 ,$66.88 ,$66.88 ,$58.33 ,$61.38 ,$9.22 ,$48.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082436,82436,LEADWELL CHLORIDE URINE,300,1 ,$3.06 ,$1.99 ,$1.99 ,$7.65 ,$2.45 ,$3.06 ,$2.42 ,$2.76 ,$2.76 ,$5.81 ,$2.60 ,$2.26 ,$7.65 ,$3.06 , N/A ,$2.55 ,$3.06 ,$2.53 ,$2.45 ,$2.75 ,$3.06 ,$2.60 ,$3.06 ,$2.60 ,$2.60 ,$2.75 ,$2.75 ,$2.40 ,$2.53 ,$3.06 ,$1.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082489,82489,PLAQUENIL LEVEL,301,1 ,$575.81 ,$374.28 ,$374.28 ,$518.52 ,$460.65 , N/A ,$456.27 ,$518.52 ,$518.52 , N/A ,$489.44 ,$426.10 , N/A , N/A , N/A ,$480.23 , N/A ,$475.62 ,$460.65 ,$518.23 , N/A ,$489.44 , N/A ,$489.44 ,$489.44 ,$518.23 ,$518.23 ,$452.01 ,$475.62 , N/A ,$374.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082491,80299,MERCAPTOPURINE LEVEL,301,1 ,$438.04 ,$284.73 ,$18.64 ,$394.46 ,$350.43 ,$18.64 ,$347.10 ,$394.46 ,$394.46 ,$35.42 ,$372.33 ,$324.15 ,$46.60 ,$18.64 , N/A ,$365.33 ,$18.64 ,$361.82 ,$350.43 ,$394.24 ,$46.60 ,$372.33 ,$18.64 ,$372.33 ,$372.33 ,$394.24 ,$394.24 ,$343.86 ,$361.82 ,$18.64 ,$284.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082495,82495,CHROMIUM,300,1 ,$100.78 ,$65.51 ,$20.28 ,$90.75 ,$80.62 ,$20.28 ,$79.86 ,$90.75 ,$90.75 ,$38.53 ,$85.66 ,$74.58 ,$50.70 ,$20.28 , N/A ,$84.05 ,$20.28 ,$83.24 ,$80.62 ,$90.70 ,$50.70 ,$85.66 ,$20.28 ,$85.66 ,$85.66 ,$90.70 ,$90.70 ,$79.11 ,$83.24 ,$20.28 ,$65.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082520,82520,COCAINE CONFIRM GC/MS,301,1 ,$204.93 ,$133.20 ,$133.20 ,$184.54 ,$163.94 , N/A ,$162.39 ,$184.54 ,$184.54 , N/A ,$174.19 ,$151.65 , N/A , N/A , N/A ,$170.91 , N/A ,$169.27 ,$163.94 ,$184.44 , N/A ,$174.19 , N/A ,$174.19 ,$174.19 ,$184.44 ,$184.44 ,$160.87 ,$169.27 , N/A ,$133.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082523,82523,BETA CTX,301,1 ,$108.86 ,$70.76 ,$18.68 ,$98.03 ,$87.09 ,$18.68 ,$86.26 ,$98.03 ,$98.03 ,$35.49 ,$92.53 ,$80.56 ,$46.70 ,$18.68 , N/A ,$90.79 ,$18.68 ,$89.92 ,$87.09 ,$97.97 ,$46.70 ,$92.53 ,$18.68 ,$92.53 ,$92.53 ,$97.97 ,$97.97 ,$85.46 ,$89.92 ,$18.68 ,$70.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082530,82530,CORTISOL-FREE-SERUM,301,1 ,$401.66 ,$261.08 ,$16.71 ,$361.69 ,$321.33 ,$16.71 ,$318.28 ,$361.69 ,$361.69 ,$31.75 ,$341.41 ,$297.23 ,$41.78 ,$16.71 , N/A ,$334.98 ,$16.71 ,$331.77 ,$321.33 ,$361.49 ,$41.78 ,$341.41 ,$16.71 ,$341.41 ,$341.41 ,$361.49 ,$361.49 ,$315.30 ,$331.77 ,$16.71 ,$261.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082533,82533,CORTISOL SALIVA TEST,301,1 ,$177.20 ,$115.18 ,$16.30 ,$159.57 ,$141.76 ,$16.30 ,$140.41 ,$159.57 ,$159.57 ,$30.97 ,$150.62 ,$131.13 ,$40.75 ,$16.30 , N/A ,$147.78 ,$16.30 ,$146.37 ,$141.76 ,$159.48 ,$40.75 ,$150.62 ,$16.30 ,$150.62 ,$150.62 ,$159.48 ,$159.48 ,$139.10 ,$146.37 ,$16.30 ,$115.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082541,82541,COLUMN CHROMA/MASS SPEC ANLYST NOT ELSEW,301,1 ,$79.71 ,$51.81 ,$51.81 ,$71.78 ,$63.77 , N/A ,$63.16 ,$71.78 ,$71.78 , N/A ,$67.75 ,$58.99 , N/A , N/A , N/A ,$66.48 , N/A ,$65.84 ,$63.77 ,$71.74 , N/A ,$67.75 , N/A ,$67.75 ,$67.75 ,$71.74 ,$71.74 ,$62.57 ,$65.84 , N/A ,$51.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082542,82542,THC CONFIRMATION URINE,300,1 ,$204.93 ,$133.20 ,$24.09 ,$184.54 ,$163.94 ,$24.09 ,$162.39 ,$184.54 ,$184.54 ,$45.77 ,$174.19 ,$151.65 ,$60.23 ,$24.09 , N/A ,$170.91 ,$24.09 ,$169.27 ,$163.94 ,$184.44 ,$60.23 ,$174.19 ,$24.09 ,$174.19 ,$174.19 ,$184.44 ,$184.44 ,$160.87 ,$169.27 ,$24.09 ,$133.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082544,82725,ESSENTIAL FATTY ACID PROFILE,300,1 ,$779.21 ,$506.49 ,$18.77 ,$701.68 ,$623.37 ,$18.77 ,$617.45 ,$701.68 ,$701.68 ,$35.66 ,$662.33 ,$576.62 ,$46.93 ,$18.77 , N/A ,$649.86 ,$18.77 ,$643.63 ,$623.37 ,$701.29 ,$46.93 ,$662.33 ,$18.77 ,$662.33 ,$662.33 ,$701.29 ,$701.29 ,$611.68 ,$643.63 ,$18.77 ,$506.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082570,82570,PROTEIN/CREATININE RATIO 24 HR,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24082608,82608,VITAMIN B-12 BINDING CAPACITY,301,1 ,$83.55 ,$54.31 ,$14.32 ,$75.24 ,$66.84 ,$14.32 ,$66.21 ,$75.24 ,$75.24 ,$27.21 ,$71.02 ,$61.83 ,$35.80 ,$14.32 , N/A ,$69.68 ,$14.32 ,$69.01 ,$66.84 ,$75.20 ,$35.80 ,$71.02 ,$14.32 ,$71.02 ,$71.02 ,$75.20 ,$75.20 ,$65.59 ,$69.01 ,$14.32 ,$54.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082651,82542,5A DIHYDROTESTOSTERONE,301,1 ,$128.46 ,$83.50 ,$24.09 ,$115.68 ,$102.77 ,$24.09 ,$101.79 ,$115.68 ,$115.68 ,$45.77 ,$109.19 ,$95.06 ,$60.23 ,$24.09 , N/A ,$107.14 ,$24.09 ,$106.11 ,$102.77 ,$115.61 ,$60.23 ,$109.19 ,$24.09 ,$109.19 ,$109.19 ,$115.61 ,$115.61 ,$100.84 ,$106.11 ,$24.09 ,$83.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082657,82657,PORPHOBILINOGEN ERYTHROCYTE,301,1 ,$435.11 ,$282.82 ,$22.17 ,$391.82 ,$348.09 ,$22.17 ,$344.78 ,$391.82 ,$391.82 ,$42.12 ,$369.84 ,$321.98 ,$55.43 ,$22.17 , N/A ,$362.88 ,$22.17 ,$359.40 ,$348.09 ,$391.60 ,$55.43 ,$369.84 ,$22.17 ,$369.84 ,$369.84 ,$391.60 ,$391.60 ,$341.56 ,$359.40 ,$22.17 ,$282.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082670,82670,ESTRADIOL ULTRASENSITIVE,301,1 ,$117.81 ,$76.58 ,$27.94 ,$106.09 ,$94.25 ,$27.94 ,$93.35 ,$106.09 ,$106.09 ,$53.09 ,$100.14 ,$87.18 ,$69.85 ,$27.94 , N/A ,$98.25 ,$27.94 ,$97.31 ,$94.25 ,$106.03 ,$69.85 ,$100.14 ,$27.94 ,$100.14 ,$100.14 ,$106.03 ,$106.03 ,$92.48 ,$97.31 ,$27.94 ,$76.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082677,82677,MATERNAL SERUM SCREEN,301,1 ,$68.41 ,$44.47 ,$24.18 ,$61.60 ,$54.73 ,$24.18 ,$54.21 ,$61.60 ,$61.60 ,$45.94 ,$58.15 ,$50.62 ,$60.45 ,$24.18 , N/A ,$57.05 ,$24.18 ,$56.51 ,$54.73 ,$61.57 ,$60.45 ,$58.15 ,$24.18 ,$58.15 ,$58.15 ,$61.57 ,$61.57 ,$53.70 ,$56.51 ,$24.18 ,$44.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082679,82679,ESTRONE,301,1 ,$92.18 ,$59.92 ,$24.95 ,$83.01 ,$73.74 ,$24.95 ,$73.04 ,$83.01 ,$83.01 ,$47.41 ,$78.35 ,$68.21 ,$62.38 ,$24.95 , N/A ,$76.88 ,$24.95 ,$76.14 ,$73.74 ,$82.96 ,$62.38 ,$78.35 ,$24.95 ,$78.35 ,$78.35 ,$82.96 ,$82.96 ,$72.36 ,$76.14 ,$24.95 ,$59.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082693,82693,ETHYLENE GLYCOL,301,1 ,$225.26 ,$146.42 ,$14.90 ,$202.85 ,$180.21 ,$14.90 ,$178.50 ,$202.85 ,$202.85 ,$28.31 ,$191.47 ,$166.69 ,$37.25 ,$14.90 , N/A ,$187.87 ,$14.90 ,$186.06 ,$180.21 ,$202.73 ,$37.25 ,$191.47 ,$14.90 ,$191.47 ,$191.47 ,$202.73 ,$202.73 ,$176.83 ,$186.06 ,$14.90 ,$146.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082784,82784,IGD QUANT,301,1 ,$92.94 ,$60.41 ,$9.30 ,$83.69 ,$74.35 ,$9.30 ,$73.65 ,$83.69 ,$83.69 ,$17.67 ,$79.00 ,$68.78 ,$23.25 ,$9.30 , N/A ,$77.51 ,$9.30 ,$76.77 ,$74.35 ,$83.65 ,$23.25 ,$79.00 ,$9.30 ,$79.00 ,$79.00 ,$83.65 ,$83.65 ,$72.96 ,$76.77 ,$9.30 ,$60.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082800,82800,VENOUS PH,301,1 ,$75.87 ,$49.32 ,$11.00 ,$68.32 ,$60.70 ,$11.00 ,$60.12 ,$68.32 ,$68.32 ,$20.90 ,$64.49 ,$56.14 ,$27.50 ,$11.00 , N/A ,$63.28 ,$11.00 ,$62.67 ,$60.70 ,$68.28 ,$27.50 ,$64.49 ,$11.00 ,$64.49 ,$64.49 ,$68.28 ,$68.28 ,$59.56 ,$62.67 ,$11.00 ,$49.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082951,82951,GLUCOSE TOL 2 HR,301,1 ,$203.21 ,$132.09 ,$12.87 ,$182.99 ,$162.57 ,$12.87 ,$161.02 ,$182.99 ,$182.99 ,$24.45 ,$172.73 ,$150.38 ,$32.18 ,$12.87 , N/A ,$169.48 ,$12.87 ,$167.85 ,$162.57 ,$182.89 ,$32.18 ,$172.73 ,$12.87 ,$172.73 ,$172.73 ,$182.89 ,$182.89 ,$159.52 ,$167.85 ,$12.87 ,$132.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24082985,82985,FRUCTOSAMINE,301,1 ,$93.40 ,$60.71 ,$16.76 ,$84.11 ,$74.72 ,$16.76 ,$74.01 ,$84.11 ,$84.11 ,$31.84 ,$79.39 ,$69.12 ,$41.90 ,$16.76 , N/A ,$77.90 ,$16.76 ,$77.15 ,$74.72 ,$84.06 ,$41.90 ,$79.39 ,$16.76 ,$79.39 ,$79.39 ,$84.06 ,$84.06 ,$73.32 ,$77.15 ,$16.76 ,$60.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083010,80329,SALICYLATES URINE QUANT,301,1 ,$415.46 ,$270.05 ,$270.05 ,$374.12 ,$332.37 , N/A ,$329.21 ,$374.12 ,$374.12 , N/A ,$353.14 ,$307.44 , N/A , N/A , N/A ,$346.49 , N/A ,$343.17 ,$332.37 ,$373.91 , N/A ,$353.14 , N/A ,$353.14 ,$353.14 ,$373.91 ,$373.91 ,$326.14 ,$343.17 , N/A ,$270.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083013,83013,H PYLORI BREATH TEST,301,1 ,$224.25 ,$145.76 ,$67.36 ,$201.94 ,$179.40 ,$67.36 ,$177.70 ,$201.94 ,$201.94 ,$127.98 ,$190.61 ,$165.95 ,$168.40 ,$67.36 , N/A ,$187.02 ,$67.36 ,$185.23 ,$179.40 ,$201.83 ,$168.40 ,$190.61 ,$67.36 ,$190.61 ,$190.61 ,$201.83 ,$201.83 ,$176.04 ,$185.23 ,$67.36 ,$145.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083018,83018,COBALT LEVEL,301,1 ,$111.80 ,$72.67 ,$21.96 ,$100.68 ,$89.44 ,$21.96 ,$88.59 ,$100.68 ,$100.68 ,$41.72 ,$95.03 ,$82.73 ,$54.90 ,$21.96 , N/A ,$93.24 ,$21.96 ,$92.35 ,$89.44 ,$100.62 ,$54.90 ,$95.03 ,$21.96 ,$95.03 ,$95.03 ,$100.62 ,$100.62 ,$87.76 ,$92.35 ,$21.96 ,$72.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083070,83070,HEMOSIDERIN URINE,301,1 ,$62.34 ,$40.52 ,$4.75 ,$56.14 ,$49.87 ,$4.75 ,$49.40 ,$56.14 ,$56.14 ,$9.03 ,$52.99 ,$46.13 ,$11.88 ,$4.75 , N/A ,$51.99 ,$4.75 ,$51.49 ,$49.87 ,$56.11 ,$11.88 ,$52.99 ,$4.75 ,$52.99 ,$52.99 ,$56.11 ,$56.11 ,$48.94 ,$51.49 ,$4.75 ,$40.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083088,83088,HISTAMINE,301,1 ,$183.76 ,$119.44 ,$29.53 ,$165.48 ,$147.01 ,$29.53 ,$145.61 ,$165.48 ,$165.48 ,$56.11 ,$156.20 ,$135.98 ,$73.83 ,$29.53 , N/A ,$153.26 ,$29.53 ,$151.79 ,$147.01 ,$165.38 ,$73.83 ,$156.20 ,$29.53 ,$156.20 ,$156.20 ,$165.38 ,$165.38 ,$144.25 ,$151.79 ,$29.53 ,$119.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083498,83498,17 HYDROXY PROGESTERONE,301,1 ,$140.00 ,$91.00 ,$27.17 ,$126.07 ,$112.00 ,$27.17 ,$110.94 ,$126.07 ,$126.07 ,$51.62 ,$119.00 ,$103.60 ,$67.93 ,$27.17 , N/A ,$116.76 ,$27.17 ,$115.64 ,$112.00 ,$126.00 ,$67.93 ,$119.00 ,$27.17 ,$119.00 ,$119.00 ,$126.00 ,$126.00 ,$109.90 ,$115.64 ,$27.17 ,$91.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083510,83516,ANTI-GM1 PANEL,301,1 ,$299.13 ,$194.43 ,$11.53 ,$269.37 ,$239.30 ,$11.53 ,$237.03 ,$269.37 ,$269.37 ,$21.91 ,$254.26 ,$221.36 ,$28.83 ,$11.53 , N/A ,$249.47 ,$11.53 ,$247.08 ,$239.30 ,$269.22 ,$28.83 ,$254.26 ,$11.53 ,$254.26 ,$254.26 ,$269.22 ,$269.22 ,$234.82 ,$247.08 ,$11.53 ,$194.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083511,83516,TISSUE TRANSGLUTAMASE IgG ONLY,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24083512,83516,TISSUE TRANSGLUT IgA IgG,300,1 ,$178.03 ,$115.72 ,$11.53 ,$160.32 ,$142.42 ,$11.53 ,$141.07 ,$160.32 ,$160.32 ,$21.91 ,$151.33 ,$131.74 ,$28.83 ,$11.53 , N/A ,$148.48 ,$11.53 ,$147.05 ,$142.42 ,$160.23 ,$28.83 ,$151.33 ,$11.53 ,$151.33 ,$151.33 ,$160.23 ,$160.23 ,$139.75 ,$147.05 ,$11.53 ,$115.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083516,83516,ANTI CCP,300,1 ,$75.11 ,$48.82 ,$11.53 ,$67.64 ,$60.09 ,$11.53 ,$59.52 ,$67.64 ,$67.64 ,$21.91 ,$63.84 ,$55.58 ,$28.83 ,$11.53 , N/A ,$62.64 ,$11.53 ,$62.04 ,$60.09 ,$67.60 ,$28.83 ,$63.84 ,$11.53 ,$63.84 ,$63.84 ,$67.60 ,$67.60 ,$58.96 ,$62.04 ,$11.53 ,$48.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083517,83516,DES 1 CHARGE ONLY,301,1 ,$207.51 ,$134.88 ,$11.53 ,$186.86 ,$166.01 ,$11.53 ,$164.43 ,$186.86 ,$186.86 ,$21.91 ,$176.38 ,$153.56 ,$28.83 ,$11.53 , N/A ,$173.06 ,$11.53 ,$171.40 ,$166.01 ,$186.76 ,$28.83 ,$176.38 ,$11.53 ,$176.38 ,$176.38 ,$186.76 ,$186.76 ,$162.90 ,$171.40 ,$11.53 ,$134.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083518,83519,ALPHA SUBUNIT,301,1 ,$542.86 ,$352.86 ,$18.40 ,$488.85 ,$434.29 ,$18.40 ,$430.16 ,$488.85 ,$488.85 ,$34.96 ,$461.43 ,$401.72 ,$46.00 ,$18.40 , N/A ,$452.75 ,$18.40 ,$448.40 ,$434.29 ,$488.57 ,$46.00 ,$461.43 ,$18.40 ,$461.43 ,$461.43 ,$488.57 ,$488.57 ,$426.15 ,$448.40 ,$18.40 ,$352.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083519,82542,18-HYDROCORTICOSTEROIDS,300,1 ,$488.63 ,$317.61 ,$24.09 ,$440.01 ,$390.90 ,$24.09 ,$387.19 ,$440.01 ,$440.01 ,$45.77 ,$415.34 ,$361.59 ,$60.23 ,$24.09 , N/A ,$407.52 ,$24.09 ,$403.61 ,$390.90 ,$439.77 ,$60.23 ,$415.34 ,$24.09 ,$415.34 ,$415.34 ,$439.77 ,$439.77 ,$383.57 ,$403.61 ,$24.09 ,$317.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083520,83520,ANTI HMGCR ANTIBODIES-PROMETHEUS LAB,301,1 ,"$1,479.43 ",$961.63 ,$17.27 ,"$1,332.23 ","$1,183.54 ",$17.27 ,"$1,172.30 ","$1,332.23 ","$1,332.23 ",$32.81 ,"$1,257.52 ","$1,094.78 ",$43.18 ,$17.27 , N/A ,"$1,233.84 ",$17.27 ,"$1,222.01 ","$1,183.54 ","$1,331.49 ",$43.18 ,"$1,257.52 ",$17.27 ,"$1,257.52 ","$1,257.52 ","$1,331.49 ","$1,331.49 ","$1,161.35 ","$1,222.01 ",$17.27 ,$961.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083521,83516,DES 2 CHARGE ONLY,301,1 ,$207.51 ,$134.88 ,$11.53 ,$186.86 ,$166.01 ,$11.53 ,$164.43 ,$186.86 ,$186.86 ,$21.91 ,$176.38 ,$153.56 ,$28.83 ,$11.53 , N/A ,$173.06 ,$11.53 ,$171.40 ,$166.01 ,$186.76 ,$28.83 ,$176.38 ,$11.53 ,$176.38 ,$176.38 ,$186.76 ,$186.76 ,$162.90 ,$171.40 ,$11.53 ,$134.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083525,83525,INSULIN FREE AND TOTAL,301,1 ,$62.55 ,$40.66 ,$11.43 ,$56.33 ,$50.04 ,$11.43 ,$49.56 ,$56.33 ,$56.33 ,$21.72 ,$53.17 ,$46.29 ,$28.58 ,$11.43 , N/A ,$52.17 ,$11.43 ,$51.67 ,$50.04 ,$56.30 ,$28.58 ,$53.17 ,$11.43 ,$53.17 ,$53.17 ,$56.30 ,$56.30 ,$49.10 ,$51.67 ,$11.43 ,$40.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083527,83527,INSULIN FREE,301,1 ,$55.67 ,$36.19 ,$12.95 ,$50.13 ,$44.54 ,$12.95 ,$44.11 ,$50.13 ,$50.13 ,$24.61 ,$47.32 ,$41.20 ,$32.38 ,$12.95 , N/A ,$46.43 ,$12.95 ,$45.98 ,$44.54 ,$50.10 ,$32.38 ,$47.32 ,$12.95 ,$47.32 ,$47.32 ,$50.10 ,$50.10 ,$43.70 ,$45.98 ,$12.95 ,$36.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083529,83520,LEPTIN,301,1 ,$147.80 ,$96.07 ,$17.27 ,$133.09 ,$118.24 ,$17.27 ,$117.12 ,$133.09 ,$133.09 ,$32.81 ,$125.63 ,$109.37 ,$43.18 ,$17.27 , N/A ,$123.27 ,$17.27 ,$122.08 ,$118.24 ,$133.02 ,$43.18 ,$125.63 ,$17.27 ,$125.63 ,$125.63 ,$133.02 ,$133.02 ,$116.02 ,$122.08 ,$17.27 ,$96.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083715,83700,LIPOPROTEIN ELECTROPHORESIS,300,1 ,$205.92 ,$133.85 ,$11.26 ,$185.43 ,$164.74 ,$11.26 ,$163.17 ,$185.43 ,$185.43 ,$21.39 ,$175.03 ,$152.38 ,$28.15 ,$11.26 , N/A ,$171.74 ,$11.26 ,$170.09 ,$164.74 ,$185.33 ,$28.15 ,$175.03 ,$11.26 ,$175.03 ,$175.03 ,$185.33 ,$185.33 ,$161.65 ,$170.09 ,$11.26 ,$133.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083718,83718,WELCOME TO MEDICARE -LIPOPROTEIN,301,1 ,$189.82 ,$123.38 ,$8.19 ,$170.93 ,$151.86 ,$8.19 ,$150.41 ,$170.93 ,$170.93 ,$15.56 ,$161.35 ,$140.47 ,$20.48 ,$8.19 , N/A ,$158.31 ,$8.19 ,$156.79 ,$151.86 ,$170.84 ,$20.48 ,$161.35 ,$8.19 ,$161.35 ,$161.35 ,$170.84 ,$170.84 ,$149.01 ,$156.79 ,$8.19 ,$123.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083721,83721,LDL DIRECT,301,1 ,$93.99 ,$61.09 ,$10.50 ,$84.64 ,$75.19 ,$10.50 ,$74.48 ,$84.64 ,$84.64 ,$19.95 ,$79.89 ,$69.55 ,$26.25 ,$10.50 , N/A ,$78.39 ,$10.50 ,$77.64 ,$75.19 ,$84.59 ,$26.25 ,$79.89 ,$10.50 ,$79.89 ,$79.89 ,$84.59 ,$84.59 ,$73.78 ,$77.64 ,$10.50 ,$61.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083785,83785,MANGANESE,300,1 ,$163.52 ,$106.29 ,$26.65 ,$147.25 ,$130.82 ,$26.65 ,$129.57 ,$147.25 ,$147.25 ,$50.64 ,$138.99 ,$121.00 ,$66.63 ,$26.65 , N/A ,$136.38 ,$26.65 ,$135.07 ,$130.82 ,$147.17 ,$66.63 ,$138.99 ,$26.65 ,$138.99 ,$138.99 ,$147.17 ,$147.17 ,$128.36 ,$135.07 ,$26.65 ,$106.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083789,83789,IODINE,300,1 ,$150.39 ,$97.75 ,$24.11 ,$135.43 ,$120.31 ,$24.11 ,$119.17 ,$135.43 ,$135.43 ,$45.81 ,$127.83 ,$111.29 ,$60.28 ,$24.11 , N/A ,$125.43 ,$24.11 ,$124.22 ,$120.31 ,$135.35 ,$60.28 ,$127.83 ,$24.11 ,$127.83 ,$127.83 ,$135.35 ,$135.35 ,$118.06 ,$124.22 ,$24.11 ,$97.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083805,80369,MEPROBAMATE,301,1 ,$111.24 ,$72.31 ,$72.31 ,$100.17 ,$88.99 , N/A ,$88.15 ,$100.17 ,$100.17 , N/A ,$94.55 ,$82.32 , N/A , N/A , N/A ,$92.77 , N/A ,$91.88 ,$88.99 ,$100.12 , N/A ,$94.55 , N/A ,$94.55 ,$94.55 ,$100.12 ,$100.12 ,$87.32 ,$91.88 , N/A ,$72.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083835,83835,METANEPHRINES FRACT FREE PLASMA,301,1 ,$284.78 ,$185.11 ,$16.94 ,$256.44 ,$227.82 ,$16.94 ,$225.66 ,$256.44 ,$256.44 ,$32.19 ,$242.06 ,$210.74 ,$42.35 ,$16.94 , N/A ,$237.51 ,$16.94 ,$235.23 ,$227.82 ,$256.30 ,$42.35 ,$242.06 ,$16.94 ,$242.06 ,$242.06 ,$256.30 ,$256.30 ,$223.55 ,$235.23 ,$16.94 ,$185.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083840,83840,METHADONE-QUANT,301,1 ,$183.23 ,$119.10 ,$119.10 ,$165.00 ,$146.58 , N/A ,$145.19 ,$165.00 ,$165.00 , N/A ,$155.75 ,$135.59 , N/A , N/A , N/A ,$152.81 , N/A ,$151.35 ,$146.58 ,$164.91 , N/A ,$155.75 , N/A ,$155.75 ,$155.75 ,$164.91 ,$164.91 ,$143.84 ,$151.35 , N/A ,$119.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083880,83880,NT proBNP,301,1 ,$331.98 ,$215.79 ,$39.26 ,$298.95 ,$265.58 ,$39.26 ,$263.06 ,$298.95 ,$298.95 ,$74.59 ,$282.18 ,$245.67 ,$98.15 ,$39.26 , N/A ,$276.87 ,$39.26 ,$274.22 ,$265.58 ,$298.78 ,$98.15 ,$282.18 ,$39.26 ,$282.18 ,$282.18 ,$298.78 ,$298.78 ,$260.60 ,$274.22 ,$39.26 ,$215.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083883,83883,FREE LIGHT CHAINS,301,1 ,$310.23 ,$201.65 ,$13.60 ,$279.36 ,$248.18 ,$13.60 ,$245.83 ,$279.36 ,$279.36 ,$25.84 ,$263.70 ,$229.57 ,$34.00 ,$13.60 , N/A ,$258.73 ,$13.60 ,$256.25 ,$248.18 ,$279.21 ,$34.00 ,$263.70 ,$13.60 ,$263.70 ,$263.70 ,$279.21 ,$279.21 ,$243.53 ,$256.25 ,$13.60 ,$201.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083884,83883,KAPPA LAMBDA 24 HR URINE,301,1 ,$231.74 ,$150.63 ,$13.60 ,$208.68 ,$185.39 ,$13.60 ,$183.63 ,$208.68 ,$208.68 ,$25.84 ,$196.98 ,$171.49 ,$34.00 ,$13.60 , N/A ,$193.27 ,$13.60 ,$191.42 ,$185.39 ,$208.57 ,$34.00 ,$196.98 ,$13.60 ,$196.98 ,$196.98 ,$208.57 ,$208.57 ,$181.92 ,$191.42 ,$13.60 ,$150.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083887,80323,NICOTINE AND COTININE METAB-URINE,301,1 ,$226.33 ,$147.11 ,$147.11 ,$203.81 ,$181.06 , N/A ,$179.34 ,$203.81 ,$203.81 , N/A ,$192.38 ,$167.48 , N/A , N/A , N/A ,$188.76 , N/A ,$186.95 ,$181.06 ,$203.70 , N/A ,$192.38 , N/A ,$192.38 ,$192.38 ,$203.70 ,$203.70 ,$177.67 ,$186.95 , N/A ,$147.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083890,81382,"MOLECULER dx, MOLECULAR ISOLATION EXTRAC",310,1 ,$36.07 ,$23.45 ,$23.45 ,$90.18 ,$28.86 ,$36.07 ,$28.58 ,$32.48 ,$32.48 ,$68.53 ,$30.66 ,$26.69 ,$90.18 ,$36.07 , N/A ,$30.08 ,$36.07 ,$29.79 ,$28.86 ,$32.46 ,$36.07 ,$30.66 ,$36.07 ,$30.66 ,$30.66 ,$32.46 ,$32.46 ,$28.32 ,$29.79 ,$36.07 ,$23.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083891,81270,"MOLEC DIAG,ISOLA OR EXTR OF PUR NUC ACID",301,1 ,$253.16 ,$164.55 ,$91.66 ,$229.15 ,$202.53 ,$91.66 ,$200.60 ,$227.97 ,$227.97 ,$174.15 ,$215.19 ,$187.34 ,$229.15 ,$91.66 , N/A ,$211.14 ,$91.66 ,$209.11 ,$202.53 ,$227.84 ,$229.15 ,$215.19 ,$91.66 ,$215.19 ,$215.19 ,$227.84 ,$227.84 ,$198.73 ,$209.11 ,$91.66 ,$164.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083893,83893,"MOLEC DIAG,ISOLA OR EXTR OF PUR NUC ACID",301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24083894,81270,MOLECULAR SEPERATION,301,1 ,$253.18 ,$164.57 ,$91.66 ,$229.15 ,$202.54 ,$91.66 ,$200.62 ,$227.99 ,$227.99 ,$174.15 ,$215.20 ,$187.35 ,$229.15 ,$91.66 , N/A ,$211.15 ,$91.66 ,$209.13 ,$202.54 ,$227.86 ,$229.15 ,$215.20 ,$91.66 ,$215.20 ,$215.20 ,$227.86 ,$227.86 ,$198.75 ,$209.13 ,$91.66 ,$164.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083896,81382,"MOLECULAR DX,NUCLEIC ACID PROBE,EA",310,1 ,$36.07 ,$23.45 ,$23.45 ,$90.18 ,$28.86 ,$36.07 ,$28.58 ,$32.48 ,$32.48 ,$68.53 ,$30.66 ,$26.69 ,$90.18 ,$36.07 , N/A ,$30.08 ,$36.07 ,$29.79 ,$28.86 ,$32.46 ,$36.07 ,$30.66 ,$36.07 ,$30.66 ,$30.66 ,$32.46 ,$32.46 ,$28.32 ,$29.79 ,$36.07 ,$23.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083897,81382,NUCLEIC ACID TRANSFER,301,1 ,$67.95 ,$44.17 ,$44.17 ,$169.88 ,$54.36 ,$67.95 ,$53.84 ,$61.19 ,$61.19 ,$129.11 ,$57.76 ,$50.28 ,$169.88 ,$67.95 , N/A ,$56.67 ,$67.95 ,$56.13 ,$54.36 ,$61.16 ,$67.95 ,$57.76 ,$67.95 ,$57.76 ,$57.76 ,$61.16 ,$61.16 ,$53.34 ,$56.13 ,$67.95 ,$44.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083898,81382,"MOLECULAR dx,AMPL OF PT NUC ACID EA SEQ",310,1 ,$253.18 ,$164.57 ,$123.68 ,$309.20 ,$202.54 ,$123.68 ,$200.62 ,$227.99 ,$227.99 ,$234.99 ,$215.20 ,$187.35 ,$309.20 ,$123.68 , N/A ,$211.15 ,$123.68 ,$209.13 ,$202.54 ,$227.86 ,$253.18 ,$215.20 ,$123.68 ,$215.20 ,$215.20 ,$227.86 ,$227.86 ,$198.75 ,$209.13 ,$123.68 ,$164.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083900,81270,AMPLIFICATION OF NA MULT PLEX 1ST 2N SEQ,301,1 ,$379.05 ,$246.38 ,$91.66 ,$341.33 ,$303.24 ,$91.66 ,$300.36 ,$341.33 ,$341.33 ,$174.15 ,$322.19 ,$280.50 ,$229.15 ,$91.66 , N/A ,$316.13 ,$91.66 ,$313.10 ,$303.24 ,$341.15 ,$229.15 ,$322.19 ,$91.66 ,$322.19 ,$322.19 ,$341.15 ,$341.15 ,$297.55 ,$313.10 ,$91.66 ,$246.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083909,81382,MOLECULAR DIAG SEP AND ID BY HI RESOL TECH,301,1 ,$316.53 ,$205.74 ,$123.68 ,$309.20 ,$253.22 ,$123.68 ,$250.82 ,$285.04 ,$285.04 ,$234.99 ,$269.05 ,$234.23 ,$309.20 ,$123.68 , N/A ,$263.99 ,$123.68 ,$261.45 ,$253.22 ,$284.88 ,$309.20 ,$269.05 ,$123.68 ,$269.05 ,$269.05 ,$284.88 ,$284.88 ,$248.48 ,$261.45 ,$123.68 ,$205.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083912,83912,MOLEC DIAG INTE,301,1 ,$165.99 ,$107.89 ,$107.89 ,$149.47 ,$132.79 , N/A ,$131.53 ,$149.47 ,$149.47 , N/A ,$141.09 ,$122.83 , N/A , N/A , N/A ,$138.44 , N/A ,$137.11 ,$132.79 ,$149.39 , N/A ,$141.09 , N/A ,$141.09 ,$141.09 ,$149.39 ,$149.39 ,$130.30 ,$137.11 , N/A ,$107.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083914,81270,MUTATION ID BY ENZYMATIC LIG OR PRIME EX,301,1 ,$144.65 ,$94.02 ,$91.66 ,$229.15 ,$115.72 ,$91.66 ,$114.62 ,$130.26 ,$130.26 ,$174.15 ,$122.95 ,$107.04 ,$229.15 ,$91.66 , N/A ,$120.64 ,$91.66 ,$119.48 ,$115.72 ,$130.19 ,$144.65 ,$122.95 ,$91.66 ,$122.95 ,$122.95 ,$130.19 ,$130.19 ,$113.55 ,$119.48 ,$91.66 ,$94.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083915,83915,S NUCLEOTIDASE,301,1 ,$113.15 ,$73.55 ,$11.15 ,$101.89 ,$90.52 ,$11.15 ,$89.66 ,$101.89 ,$101.89 ,$21.19 ,$96.18 ,$83.73 ,$27.88 ,$11.15 , N/A ,$94.37 ,$11.15 ,$93.46 ,$90.52 ,$101.84 ,$27.88 ,$96.18 ,$11.15 ,$96.18 ,$96.18 ,$101.84 ,$101.84 ,$88.82 ,$93.46 ,$11.15 ,$73.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083918,83918,URINE ORGANIC ACID PANEL,301,1 ,$339.82 ,$220.88 ,$23.60 ,$306.01 ,$271.86 ,$23.60 ,$269.27 ,$306.01 ,$306.01 ,$44.84 ,$288.85 ,$251.47 ,$59.00 ,$23.60 , N/A ,$283.41 ,$23.60 ,$280.69 ,$271.86 ,$305.84 ,$59.00 ,$288.85 ,$23.60 ,$288.85 ,$288.85 ,$305.84 ,$305.84 ,$266.76 ,$280.69 ,$23.60 ,$220.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083921,83921,METHYLMALONIC ACID-URINE,301,1 ,$145.11 ,$94.32 ,$21.21 ,$130.67 ,$116.09 ,$21.21 ,$114.99 ,$130.67 ,$130.67 ,$40.30 ,$123.34 ,$107.38 ,$53.03 ,$21.21 , N/A ,$121.02 ,$21.21 ,$119.86 ,$116.09 ,$130.60 ,$53.03 ,$123.34 ,$21.21 ,$123.34 ,$123.34 ,$130.60 ,$130.60 ,$113.91 ,$119.86 ,$21.21 ,$94.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083925,83925,OPIATE CONFIRM SERUM/PLASMA,301,1 ,$247.65 ,$160.97 ,$160.97 ,$223.01 ,$198.12 , N/A ,$196.24 ,$223.01 ,$223.01 , N/A ,$210.50 ,$183.26 , N/A , N/A , N/A ,$206.54 , N/A ,$204.56 ,$198.12 ,$222.89 , N/A ,$210.50 , N/A ,$210.50 ,$210.50 ,$222.89 ,$222.89 ,$194.41 ,$204.56 , N/A ,$160.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083945,83945,OXALATE-SERUM,301,1 ,$161.84 ,$105.20 ,$14.45 ,$145.74 ,$129.47 ,$14.45 ,$128.24 ,$145.74 ,$145.74 ,$27.46 ,$137.56 ,$119.76 ,$36.13 ,$14.45 , N/A ,$134.97 ,$14.45 ,$133.68 ,$129.47 ,$145.66 ,$36.13 ,$137.56 ,$14.45 ,$137.56 ,$137.56 ,$145.66 ,$145.66 ,$127.04 ,$133.68 ,$14.45 ,$105.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083951,83951,PIVKA II,301,1 ,$341.19 ,$221.77 ,$64.41 ,$307.24 ,$272.95 ,$64.41 ,$270.36 ,$307.24 ,$307.24 ,$122.38 ,$290.01 ,$252.48 ,$161.03 ,$64.41 , N/A ,$284.55 ,$64.41 ,$281.82 ,$272.95 ,$307.07 ,$161.03 ,$290.01 ,$64.41 ,$290.01 ,$290.01 ,$307.07 ,$307.07 ,$267.83 ,$281.82 ,$64.41 ,$221.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083986,83986,PH AND REDUCING SUBSTANCES FECES,301,1 ,$74.83 ,$48.64 ,$3.58 ,$67.38 ,$59.86 ,$3.58 ,$59.30 ,$67.38 ,$67.38 ,$6.80 ,$63.61 ,$55.37 ,$8.95 ,$3.58 , N/A ,$62.41 ,$3.58 ,$61.81 ,$59.86 ,$67.35 ,$8.95 ,$63.61 ,$3.58 ,$63.61 ,$63.61 ,$67.35 ,$67.35 ,$58.74 ,$61.81 ,$3.58 ,$48.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24083993,83993,CALPROTECTIN FECES,301,1 ,$459.26 ,$298.52 ,$19.63 ,$413.56 ,$367.41 ,$19.63 ,$363.92 ,$413.56 ,$413.56 ,$37.30 ,$390.37 ,$339.85 ,$49.08 ,$19.63 , N/A ,$383.02 ,$19.63 ,$379.35 ,$367.41 ,$413.33 ,$49.08 ,$390.37 ,$19.63 ,$390.37 ,$390.37 ,$413.33 ,$413.33 ,$360.52 ,$379.35 ,$19.63 ,$298.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084066,84066,PROSTATIC PHOSPHATASE,301,1 ,$69.73 ,$45.32 ,$9.66 ,$62.79 ,$55.78 ,$9.66 ,$55.25 ,$62.79 ,$62.79 ,$18.35 ,$59.27 ,$51.60 ,$24.15 ,$9.66 , N/A ,$58.15 ,$9.66 ,$57.60 ,$55.78 ,$62.76 ,$24.15 ,$59.27 ,$9.66 ,$59.27 ,$59.27 ,$62.76 ,$62.76 ,$54.74 ,$57.60 ,$9.66 ,$45.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084140,84140,PREGNENOLONE,301,1 ,$104.44 ,$67.89 ,$20.67 ,$94.05 ,$83.55 ,$20.67 ,$82.76 ,$94.05 ,$94.05 ,$39.27 ,$88.77 ,$77.29 ,$51.68 ,$20.67 , N/A ,$87.10 ,$20.67 ,$86.27 ,$83.55 ,$94.00 ,$51.68 ,$88.77 ,$20.67 ,$88.77 ,$88.77 ,$94.00 ,$94.00 ,$81.99 ,$86.27 ,$20.67 ,$67.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084145,84145,PROCALCITONIN,301,1 ,$493.75 ,$320.94 ,$27.22 ,$444.62 ,$395.00 ,$27.22 ,$391.25 ,$444.62 ,$444.62 ,$51.72 ,$419.69 ,$365.38 ,$68.05 ,$27.22 , N/A ,$411.79 ,$27.22 ,$407.84 ,$395.00 ,$444.38 ,$68.05 ,$419.69 ,$27.22 ,$419.69 ,$419.69 ,$444.38 ,$444.38 ,$387.59 ,$407.84 ,$27.22 ,$320.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084153,84153,PSA-TOTAL-SCREEN,301,1 ,$259.62 ,$168.75 ,$18.39 ,$233.79 ,$207.70 ,$18.39 ,$205.72 ,$233.79 ,$233.79 ,$34.94 ,$220.68 ,$192.12 ,$45.98 ,$18.39 , N/A ,$216.52 ,$18.39 ,$214.45 ,$207.70 ,$233.66 ,$45.98 ,$220.68 ,$18.39 ,$220.68 ,$220.68 ,$233.66 ,$233.66 ,$203.80 ,$214.45 ,$18.39 ,$168.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084154,N/A,PSA FREE AND TOTAL,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24084156,N/A,PROT/CREAT URINE RANDOM,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24084210,84210,PYRUVATE,301,1 ,$124.73 ,$81.07 ,$14.48 ,$112.32 ,$99.78 ,$14.48 ,$98.84 ,$112.32 ,$112.32 ,$27.51 ,$106.02 ,$92.30 ,$36.20 ,$14.48 , N/A ,$104.02 ,$14.48 ,$103.03 ,$99.78 ,$112.26 ,$36.20 ,$106.02 ,$14.48 ,$106.02 ,$106.02 ,$112.26 ,$112.26 ,$97.91 ,$103.03 ,$14.48 ,$81.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084238,84238,ACETYLCHOL RECEPT-MOD AB,300,1 ,$145.12 ,$94.33 ,$36.57 ,$130.68 ,$116.10 ,$36.57 ,$114.99 ,$130.68 ,$130.68 ,$69.48 ,$123.35 ,$107.39 ,$91.43 ,$36.57 , N/A ,$121.03 ,$36.57 ,$119.87 ,$116.10 ,$130.61 ,$91.43 ,$123.35 ,$36.57 ,$123.35 ,$123.35 ,$130.61 ,$130.61 ,$113.92 ,$119.87 ,$36.57 ,$94.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084244,84244,ALDOSTERONE/RENIN ACTIVITY RATIO,301,1 ,$177.59 ,$115.43 ,$21.99 ,$159.92 ,$142.07 ,$21.99 ,$140.72 ,$159.92 ,$159.92 ,$41.78 ,$150.95 ,$131.42 ,$54.98 ,$21.99 , N/A ,$148.11 ,$21.99 ,$146.69 ,$142.07 ,$159.83 ,$54.98 ,$150.95 ,$21.99 ,$150.95 ,$150.95 ,$159.83 ,$159.83 ,$139.41 ,$146.69 ,$21.99 ,$115.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084255,84255,SELENIUM,301,1 ,$157.52 ,$102.39 ,$25.53 ,$141.85 ,$126.02 ,$25.53 ,$124.82 ,$141.85 ,$141.85 ,$48.51 ,$133.89 ,$116.56 ,$63.83 ,$25.53 , N/A ,$131.37 ,$25.53 ,$130.11 ,$126.02 ,$141.77 ,$63.83 ,$133.89 ,$25.53 ,$133.89 ,$133.89 ,$141.77 ,$141.77 ,$123.65 ,$130.11 ,$25.53 ,$102.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084311,84311,"CHYMOTRYPSIN, FECES",301,1 ,$265.24 ,$172.41 ,$8.10 ,$238.85 ,$212.19 ,$8.10 ,$210.18 ,$238.85 ,$238.85 ,$15.39 ,$225.45 ,$196.28 ,$20.25 ,$8.10 , N/A ,$221.21 ,$8.10 ,$219.09 ,$212.19 ,$238.72 ,$20.25 ,$225.45 ,$8.10 ,$225.45 ,$225.45 ,$238.72 ,$238.72 ,$208.21 ,$219.09 ,$8.10 ,$172.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084376,N/A,SUGARS SINGLE QUALATATIVE,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24084378,84378,GALACTOSE I PHOSPHATE RBC,301,1 ,$179.61 ,$116.75 ,$11.53 ,$161.74 ,$143.69 ,$11.53 ,$142.32 ,$161.74 ,$161.74 ,$21.91 ,$152.67 ,$132.91 ,$28.83 ,$11.53 , N/A ,$149.79 ,$11.53 ,$148.36 ,$143.69 ,$161.65 ,$28.83 ,$152.67 ,$11.53 ,$152.67 ,$152.67 ,$161.65 ,$161.65 ,$140.99 ,$148.36 ,$11.53 ,$116.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084392,84392,SULFATE URINE,301,1 ,$43.01 ,$27.96 ,$5.49 ,$38.73 ,$34.41 ,$5.49 ,$34.08 ,$38.73 ,$38.73 ,$10.43 ,$36.56 ,$31.83 ,$13.73 ,$5.49 , N/A ,$35.87 ,$5.49 ,$35.53 ,$34.41 ,$38.71 ,$13.73 ,$36.56 ,$5.49 ,$36.56 ,$36.56 ,$38.71 ,$38.71 ,$33.76 ,$35.53 ,$5.49 ,$27.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084403,84403,"TESTOSTERONE,FREE AND TOTAL",301,1 ,$256.34 ,$166.62 ,$25.81 ,$230.83 ,$205.07 ,$25.81 ,$203.12 ,$230.83 ,$230.83 ,$49.04 ,$217.89 ,$189.69 ,$64.53 ,$25.81 , N/A ,$213.79 ,$25.81 ,$211.74 ,$205.07 ,$230.71 ,$64.53 ,$217.89 ,$25.81 ,$217.89 ,$217.89 ,$230.71 ,$230.71 ,$201.23 ,$211.74 ,$25.81 ,$166.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084436,84436,THYROXINE TOTAL,301,1 ,$107.15 ,$69.65 ,$6.87 ,$96.49 ,$85.72 ,$6.87 ,$84.91 ,$96.49 ,$96.49 ,$13.05 ,$91.08 ,$79.29 ,$17.18 ,$6.87 , N/A ,$89.36 ,$6.87 ,$88.51 ,$85.72 ,$96.44 ,$17.18 ,$91.08 ,$6.87 ,$91.08 ,$91.08 ,$96.44 ,$96.44 ,$84.11 ,$88.51 ,$6.87 ,$69.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084442,84442,THYROXINE BINDING GLOBULIN,301,1 ,$105.55 ,$68.61 ,$14.78 ,$95.05 ,$84.44 ,$14.78 ,$83.64 ,$95.05 ,$95.05 ,$28.08 ,$89.72 ,$78.11 ,$36.95 ,$14.78 , N/A ,$88.03 ,$14.78 ,$87.18 ,$84.44 ,$95.00 ,$36.95 ,$89.72 ,$14.78 ,$89.72 ,$89.72 ,$95.00 ,$95.00 ,$82.86 ,$87.18 ,$14.78 ,$68.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084443,84443,TSH (DO NOT USE),301,1 ,$21.89 ,$14.23 ,$14.23 ,$42.00 ,$17.51 ,$16.80 ,$17.35 ,$19.71 ,$19.71 ,$31.92 ,$18.61 ,$16.20 ,$42.00 ,$16.80 , N/A ,$18.26 ,$16.80 ,$18.08 ,$17.51 ,$19.70 ,$21.89 ,$18.61 ,$16.80 ,$18.61 ,$18.61 ,$19.70 ,$19.70 ,$17.18 ,$18.08 ,$16.80 ,$14.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084446,84446,VITAMIN E,301,1 ,$92.57 ,$60.17 ,$14.18 ,$83.36 ,$74.06 ,$14.18 ,$73.35 ,$83.36 ,$83.36 ,$26.94 ,$78.68 ,$68.50 ,$35.45 ,$14.18 , N/A ,$77.20 ,$14.18 ,$76.46 ,$74.06 ,$83.31 ,$35.45 ,$78.68 ,$14.18 ,$78.68 ,$78.68 ,$83.31 ,$83.31 ,$72.67 ,$76.46 ,$14.18 ,$60.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084478,84478,TRIGLYCERIDES BODY FLUID,301,1 ,$71.97 ,$46.78 ,$5.74 ,$64.81 ,$57.58 ,$5.74 ,$57.03 ,$64.81 ,$64.81 ,$10.91 ,$61.17 ,$53.26 ,$14.35 ,$5.74 , N/A ,$60.02 ,$5.74 ,$59.45 ,$57.58 ,$64.77 ,$14.35 ,$61.17 ,$5.74 ,$61.17 ,$61.17 ,$64.77 ,$64.77 ,$56.50 ,$59.45 ,$5.74 ,$46.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084479,84479,THYROID HORMONE UPTAKE OR THYROID HORMON,301,1 ,$37.39 ,$24.30 ,$6.47 ,$33.67 ,$29.91 ,$6.47 ,$29.63 ,$33.67 ,$33.67 ,$12.29 ,$31.78 ,$27.67 ,$16.18 ,$6.47 , N/A ,$31.18 ,$6.47 ,$30.88 ,$29.91 ,$33.65 ,$16.18 ,$31.78 ,$6.47 ,$31.78 ,$31.78 ,$33.65 ,$33.65 ,$29.35 ,$30.88 ,$6.47 ,$24.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084482,84482,T3 REVERSE,301,1 ,$105.03 ,$68.27 ,$15.76 ,$94.58 ,$84.02 ,$15.76 ,$83.23 ,$94.58 ,$94.58 ,$29.94 ,$89.28 ,$77.72 ,$39.40 ,$15.76 , N/A ,$87.60 ,$15.76 ,$86.75 ,$84.02 ,$94.53 ,$39.40 ,$89.28 ,$15.76 ,$89.28 ,$89.28 ,$94.53 ,$94.53 ,$82.45 ,$86.75 ,$15.76 ,$68.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084484,84484,"TROPONIN I ADV, QUANT",301,1 ,$140.40 ,$91.26 ,$12.47 ,$126.43 ,$112.32 ,$12.47 ,$111.25 ,$126.43 ,$126.43 ,$23.69 ,$119.34 ,$103.90 ,$31.18 ,$12.47 , N/A ,$117.09 ,$12.47 ,$115.97 ,$112.32 ,$126.36 ,$31.18 ,$119.34 ,$12.47 ,$119.34 ,$119.34 ,$126.36 ,$126.36 ,$110.21 ,$115.97 ,$12.47 ,$91.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084485,84484,TROPONIN I,301,1 ,$204.62 ,$133.00 ,$12.47 ,$184.26 ,$163.70 ,$12.47 ,$162.14 ,$184.26 ,$184.26 ,$23.69 ,$173.93 ,$151.42 ,$31.18 ,$12.47 , N/A ,$170.65 ,$12.47 ,$169.02 ,$163.70 ,$184.16 ,$31.18 ,$173.93 ,$12.47 ,$173.93 ,$173.93 ,$184.16 ,$184.16 ,$160.63 ,$169.02 ,$12.47 ,$133.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084588,84588,ARGININE VASOPRESSIN HORMONE,301,1 ,$122.06 ,$79.34 ,$33.94 ,$109.92 ,$97.65 ,$33.94 ,$96.72 ,$109.92 ,$109.92 ,$64.49 ,$103.75 ,$90.32 ,$84.85 ,$33.94 , N/A ,$101.80 ,$33.94 ,$100.82 ,$97.65 ,$109.85 ,$84.85 ,$103.75 ,$33.94 ,$103.75 ,$103.75 ,$109.85 ,$109.85 ,$95.82 ,$100.82 ,$33.94 ,$79.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084590,84590,VITAMIN A,301,1 ,$81.63 ,$53.06 ,$11.61 ,$73.51 ,$65.30 ,$11.61 ,$64.68 ,$73.51 ,$73.51 ,$22.06 ,$69.39 ,$60.41 ,$29.03 ,$11.61 , N/A ,$68.08 ,$11.61 ,$67.43 ,$65.30 ,$73.47 ,$29.03 ,$69.39 ,$11.61 ,$69.39 ,$69.39 ,$73.47 ,$73.47 ,$64.08 ,$67.43 ,$11.61 ,$53.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084591,84591,VITAMIN B3,301,1 ,$303.80 ,$197.47 ,$17.06 ,$273.57 ,$243.04 ,$17.06 ,$240.73 ,$273.57 ,$273.57 ,$32.41 ,$258.23 ,$224.81 ,$42.65 ,$17.06 , N/A ,$253.37 ,$17.06 ,$250.94 ,$243.04 ,$273.42 ,$42.65 ,$258.23 ,$17.06 ,$258.23 ,$258.23 ,$273.42 ,$273.42 ,$238.48 ,$250.94 ,$17.06 ,$197.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084600,84600,METHANOL SERUM,301,1 ,$90.67 ,$58.94 ,$17.11 ,$81.65 ,$72.54 ,$17.11 ,$71.85 ,$81.65 ,$81.65 ,$32.51 ,$77.07 ,$67.10 ,$42.78 ,$17.11 , N/A ,$75.62 ,$17.11 ,$74.89 ,$72.54 ,$81.60 ,$42.78 ,$77.07 ,$17.11 ,$77.07 ,$77.07 ,$81.60 ,$81.60 ,$71.18 ,$74.89 ,$17.11 ,$58.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084702,84702,"GONADOTROPIN,CHORIONIC;QUANTITATIVE",302,1 ,$95.48 ,$62.06 ,$15.05 ,$85.98 ,$76.38 ,$15.05 ,$75.66 ,$85.98 ,$85.98 ,$28.60 ,$81.16 ,$70.66 ,$37.63 ,$15.05 , N/A ,$79.63 ,$15.05 ,$78.87 ,$76.38 ,$85.93 ,$37.63 ,$81.16 ,$15.05 ,$81.16 ,$81.16 ,$85.93 ,$85.93 ,$74.95 ,$78.87 ,$15.05 ,$62.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084703,84702,BETA HCG,302,1 ,$205.57 ,$133.62 ,$15.05 ,$185.12 ,$164.46 ,$15.05 ,$162.89 ,$185.12 ,$185.12 ,$28.60 ,$174.73 ,$152.12 ,$37.63 ,$15.05 , N/A ,$171.45 ,$15.05 ,$169.80 ,$164.46 ,$185.01 ,$37.63 ,$174.73 ,$15.05 ,$174.73 ,$174.73 ,$185.01 ,$185.01 ,$161.37 ,$169.80 ,$15.05 ,$133.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),24084999,81503,OVA1,310,1 ,"$1,974.35 ","$1,283.33 ",$888.46 ,"$1,777.90 ","$1,579.48 ", N/A ,"$1,564.47 ","$1,777.90 ","$1,777.90 ",$888.46 ,"$1,678.20 ","$1,461.02 ","$1,382.05 ", N/A , N/A ,"$1,646.61 ", N/A ,"$1,630.81 ","$1,579.48 ","$1,776.92 ", N/A ,"$1,678.20 ", N/A ,"$1,678.20 ","$1,678.20 ","$1,776.92 ","$1,776.92 ","$1,549.86 ","$1,630.81 ", N/A ,"$1,283.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),24085008,85008,BLOOD SMEAR MICRO EXAM WO MAN DIFF,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24085027,85027,AUTO/MAN DIFF,300,1 ,$89.76 ,$58.34 ,$6.47 ,$80.83 ,$71.81 ,$6.47 ,$71.13 ,$80.83 ,$80.83 ,$12.29 ,$76.30 ,$66.42 ,$16.18 ,$6.47 , N/A ,$74.86 ,$6.47 ,$74.14 ,$71.81 ,$80.78 ,$16.18 ,$76.30 ,$6.47 ,$76.30 ,$76.30 ,$80.78 ,$80.78 ,$70.46 ,$74.14 ,$6.47 ,$58.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085210,85210,FACTOR II ASSAY,305,1 ,$121.92 ,$79.25 ,$12.98 ,$109.79 ,$97.54 ,$12.98 ,$96.61 ,$109.79 ,$109.79 ,$24.66 ,$103.63 ,$90.22 ,$32.45 ,$12.98 , N/A ,$101.68 ,$12.98 ,$100.71 ,$97.54 ,$109.73 ,$32.45 ,$103.63 ,$12.98 ,$103.63 ,$103.63 ,$109.73 ,$109.73 ,$95.71 ,$100.71 ,$12.98 ,$79.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085240,85240,CLOTTING FACT VIII AHG ONE STAGE,305,1 ,$231.28 ,$150.33 ,$17.90 ,$208.27 ,$185.02 ,$17.90 ,$183.27 ,$208.27 ,$208.27 ,$34.01 ,$196.59 ,$171.15 ,$44.75 ,$17.90 , N/A ,$192.89 ,$17.90 ,$191.04 ,$185.02 ,$208.15 ,$44.75 ,$196.59 ,$17.90 ,$196.59 ,$196.59 ,$208.15 ,$208.15 ,$181.55 ,$191.04 ,$17.90 ,$150.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085245,85245,CLOTTING FACTOR FACTOR VIII VW FACT RIST,305,1 ,$183.08 ,$119.00 ,$22.94 ,$164.86 ,$146.46 ,$22.94 ,$145.07 ,$164.86 ,$164.86 ,$43.59 ,$155.62 ,$135.48 ,$57.35 ,$22.94 , N/A ,$152.69 ,$22.94 ,$151.22 ,$146.46 ,$164.77 ,$57.35 ,$155.62 ,$22.94 ,$155.62 ,$155.62 ,$164.77 ,$164.77 ,$143.72 ,$151.22 ,$22.94 ,$119.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085246,85246,NON WILLEBRAND AG,305,1 ,$179.70 ,$116.81 ,$22.94 ,$161.82 ,$143.76 ,$22.94 ,$142.39 ,$161.82 ,$161.82 ,$43.59 ,$152.75 ,$132.98 ,$57.35 ,$22.94 , N/A ,$149.87 ,$22.94 ,$148.43 ,$143.76 ,$161.73 ,$57.35 ,$152.75 ,$22.94 ,$152.75 ,$152.75 ,$161.73 ,$161.73 ,$141.06 ,$148.43 ,$22.94 ,$116.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085247,85247,VON WILLEBRAND FACTOR MULTIMERS,305,1 ,$155.80 ,$101.27 ,$22.94 ,$140.30 ,$124.64 ,$22.94 ,$123.46 ,$140.30 ,$140.30 ,$43.59 ,$132.43 ,$115.29 ,$57.35 ,$22.94 , N/A ,$129.94 ,$22.94 ,$128.69 ,$124.64 ,$140.22 ,$57.35 ,$132.43 ,$22.94 ,$132.43 ,$132.43 ,$140.22 ,$140.22 ,$122.30 ,$128.69 ,$22.94 ,$101.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085250,85250,FACTOR IX,305,1 ,$182.51 ,$118.63 ,$19.04 ,$164.35 ,$146.01 ,$19.04 ,$144.62 ,$164.35 ,$164.35 ,$36.18 ,$155.13 ,$135.06 ,$47.60 ,$19.04 , N/A ,$152.21 ,$19.04 ,$150.75 ,$146.01 ,$164.26 ,$47.60 ,$155.13 ,$19.04 ,$155.13 ,$155.13 ,$164.26 ,$164.26 ,$143.27 ,$150.75 ,$19.04 ,$118.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085270,85270,FACTOR XI,305,1 ,$160.38 ,$104.25 ,$17.90 ,$144.42 ,$128.30 ,$17.90 ,$127.09 ,$144.42 ,$144.42 ,$34.01 ,$136.32 ,$118.68 ,$44.75 ,$17.90 , N/A ,$133.76 ,$17.90 ,$132.47 ,$128.30 ,$144.34 ,$44.75 ,$136.32 ,$17.90 ,$136.32 ,$136.32 ,$144.34 ,$144.34 ,$125.90 ,$132.47 ,$17.90 ,$104.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085280,85280,FACTOR XII,305,1 ,$160.38 ,$104.25 ,$19.35 ,$144.42 ,$128.30 ,$19.35 ,$127.09 ,$144.42 ,$144.42 ,$36.77 ,$136.32 ,$118.68 ,$48.38 ,$19.35 , N/A ,$133.76 ,$19.35 ,$132.47 ,$128.30 ,$144.34 ,$48.38 ,$136.32 ,$19.35 ,$136.32 ,$136.32 ,$144.34 ,$144.34 ,$125.90 ,$132.47 ,$19.35 ,$104.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085292,85292,Pre Kallikrein Factor Activity,305,1 ,$434.58 ,$282.48 ,$18.93 ,$391.34 ,$347.66 ,$18.93 ,$344.36 ,$391.34 ,$391.34 ,$35.97 ,$369.39 ,$321.59 ,$47.33 ,$18.93 , N/A ,$362.44 ,$18.93 ,$358.96 ,$347.66 ,$391.12 ,$47.33 ,$369.39 ,$18.93 ,$369.39 ,$369.39 ,$391.12 ,$391.12 ,$341.15 ,$358.96 ,$18.93 ,$282.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085301,85301,ANTITHROMBIN III AG,301,1 ,$82.73 ,$53.77 ,$10.81 ,$74.50 ,$66.18 ,$10.81 ,$65.56 ,$74.50 ,$74.50 ,$20.54 ,$70.32 ,$61.22 ,$27.03 ,$10.81 , N/A ,$69.00 ,$10.81 ,$68.34 ,$66.18 ,$74.46 ,$27.03 ,$70.32 ,$10.81 ,$70.32 ,$70.32 ,$74.46 ,$74.46 ,$64.94 ,$68.34 ,$10.81 ,$53.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085302,85305,PROTEIN S PANEL,305,1 ,$93.69 ,$60.90 ,$11.61 ,$84.37 ,$74.95 ,$11.61 ,$74.24 ,$84.37 ,$84.37 ,$22.06 ,$79.64 ,$69.33 ,$29.03 ,$11.61 , N/A ,$78.14 ,$11.61 ,$77.39 ,$74.95 ,$84.32 ,$29.03 ,$79.64 ,$11.61 ,$79.64 ,$79.64 ,$84.32 ,$84.32 ,$73.55 ,$77.39 ,$11.61 ,$60.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085303,85303,PROTEIN C FUNCTIONAL,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24085305,85305,"CLOTTING UNHIB OR ANTI COAG PROT S,TOTAL",305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24085306,85306,PROTEIN S FREE AG,305,1 ,$247.33 ,$160.76 ,$15.32 ,$222.72 ,$197.86 ,$15.32 ,$195.98 ,$222.72 ,$222.72 ,$29.11 ,$210.23 ,$183.02 ,$38.30 ,$15.32 , N/A ,$206.27 ,$15.32 ,$204.29 ,$197.86 ,$222.60 ,$38.30 ,$210.23 ,$15.32 ,$210.23 ,$210.23 ,$222.60 ,$222.60 ,$194.15 ,$204.29 ,$15.32 ,$160.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085307,85307,ACTIVATED PROTEIN C RESISTANCE,305,1 ,$124.06 ,$80.64 ,$15.32 ,$111.72 ,$99.25 ,$15.32 ,$98.31 ,$111.72 ,$111.72 ,$29.11 ,$105.45 ,$91.80 ,$38.30 ,$15.32 , N/A ,$103.47 ,$15.32 ,$102.47 ,$99.25 ,$111.65 ,$38.30 ,$105.45 ,$15.32 ,$105.45 ,$105.45 ,$111.65 ,$111.65 ,$97.39 ,$102.47 ,$15.32 ,$80.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085379,85379,D-DIMER,305,1 ,$60.82 ,$39.53 ,$10.18 ,$54.77 ,$48.66 ,$10.18 ,$48.19 ,$54.77 ,$54.77 ,$19.34 ,$51.70 ,$45.01 ,$25.45 ,$10.18 , N/A ,$50.72 ,$10.18 ,$50.24 ,$48.66 ,$54.74 ,$25.45 ,$51.70 ,$10.18 ,$51.70 ,$51.70 ,$54.74 ,$54.74 ,$47.74 ,$50.24 ,$10.18 ,$39.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085460,85460,KLEIHAUER-BETKE STAIN,305,1 ,$126.79 ,$82.41 ,$7.73 ,$114.17 ,$101.43 ,$7.73 ,$100.47 ,$114.17 ,$114.17 ,$14.69 ,$107.77 ,$93.82 ,$19.33 ,$7.73 , N/A ,$105.74 ,$7.73 ,$104.73 ,$101.43 ,$114.11 ,$19.33 ,$107.77 ,$7.73 ,$107.77 ,$107.77 ,$114.11 ,$114.11 ,$99.53 ,$104.73 ,$7.73 ,$82.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085549,85549,LYSOZYME,305,1 ,$108.86 ,$70.76 ,$18.75 ,$98.03 ,$87.09 ,$18.75 ,$86.26 ,$98.03 ,$98.03 ,$35.63 ,$92.53 ,$80.56 ,$46.88 ,$18.75 , N/A ,$90.79 ,$18.75 ,$89.92 ,$87.09 ,$97.97 ,$46.88 ,$92.53 ,$18.75 ,$92.53 ,$92.53 ,$97.97 ,$97.97 ,$85.46 ,$89.92 ,$18.75 ,$70.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085555,85555,"OSMOTIC FRAGILITY, ERYTHROCYTE",305,1 ,$218.75 ,$142.19 ,$7.47 ,$196.98 ,$175.00 ,$7.47 ,$173.34 ,$196.98 ,$196.98 ,$14.19 ,$185.94 ,$161.88 ,$18.68 ,$7.47 , N/A ,$182.44 ,$7.47 ,$180.69 ,$175.00 ,$196.88 ,$18.68 ,$185.94 ,$7.47 ,$185.94 ,$185.94 ,$196.88 ,$196.88 ,$171.72 ,$180.69 ,$7.47 ,$142.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085576,85576,PLATELET FUNCTION ANALYSIS,301,1 ,$455.84 ,$296.30 ,$24.91 ,$410.48 ,$364.67 ,$24.91 ,$361.21 ,$410.48 ,$410.48 ,$47.33 ,$387.46 ,$337.32 ,$62.28 ,$24.91 , N/A ,$380.17 ,$24.91 ,$376.52 ,$364.67 ,$410.26 ,$62.28 ,$387.46 ,$24.91 ,$387.46 ,$387.46 ,$410.26 ,$410.26 ,$357.83 ,$376.52 ,$24.91 ,$296.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085610,85610,PROTHROMBIN TIME,310,1 ,$57.94 ,$37.66 ,$4.29 ,$52.18 ,$46.35 ,$4.29 ,$45.91 ,$52.18 ,$52.18 ,$8.15 ,$49.25 ,$42.88 ,$10.73 ,$4.29 , N/A ,$48.32 ,$4.29 ,$47.86 ,$46.35 ,$52.15 ,$10.73 ,$49.25 ,$4.29 ,$49.25 ,$49.25 ,$52.15 ,$52.15 ,$45.48 ,$47.86 ,$4.29 ,$37.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085613,85613,DILUTE RUSSELL VIPER VENOM TIME,310,1 ,$43.84 ,$28.50 ,$9.58 ,$39.48 ,$35.07 ,$9.58 ,$34.74 ,$39.48 ,$39.48 ,$18.20 ,$37.26 ,$32.44 ,$23.95 ,$9.58 , N/A ,$36.56 ,$9.58 ,$36.21 ,$35.07 ,$39.46 ,$23.95 ,$37.26 ,$9.58 ,$37.26 ,$37.26 ,$39.46 ,$39.46 ,$34.41 ,$36.21 ,$9.58 ,$28.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085705,85705,"THROMBOPLASTIC INHIBITION, TISSUE",310,1 ,$74.03 ,$48.12 ,$9.63 ,$66.66 ,$59.22 ,$9.63 ,$58.66 ,$66.66 ,$66.66 ,$18.30 ,$62.93 ,$54.78 ,$24.08 ,$9.63 , N/A ,$61.74 ,$9.63 ,$61.15 ,$59.22 ,$66.63 ,$24.08 ,$62.93 ,$9.63 ,$62.93 ,$62.93 ,$66.63 ,$66.63 ,$58.11 ,$61.15 ,$9.63 ,$48.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085730,85730,"THROMBOPLAS TIME,PARTIAL(PTT)PLASMA /BLD",310,1 ,$73.83 ,$47.99 ,$6.01 ,$66.48 ,$59.06 ,$6.01 ,$58.50 ,$66.48 ,$66.48 ,$11.42 ,$62.76 ,$54.63 ,$15.03 ,$6.01 , N/A ,$61.57 ,$6.01 ,$60.98 ,$59.06 ,$66.45 ,$15.03 ,$62.76 ,$6.01 ,$62.76 ,$62.76 ,$66.45 ,$66.45 ,$57.96 ,$60.98 ,$6.01 ,$47.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24085732,85732,PTT MIXING STUDIES,310,1 ,$82.10 ,$53.37 ,$6.47 ,$73.93 ,$65.68 ,$6.47 ,$65.06 ,$73.93 ,$73.93 ,$12.29 ,$69.79 ,$60.75 ,$16.18 ,$6.47 , N/A ,$68.47 ,$6.47 ,$67.81 ,$65.68 ,$73.89 ,$16.18 ,$69.79 ,$6.47 ,$69.79 ,$69.79 ,$73.89 ,$73.89 ,$64.45 ,$67.81 ,$6.47 ,$53.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086000,86000,FEBRILE AGGL PANEL(TYPHUS),302,1 ,$441.90 ,$287.24 ,$6.98 ,$397.93 ,$353.52 ,$6.98 ,$350.16 ,$397.93 ,$397.93 ,$13.26 ,$375.62 ,$327.01 ,$17.45 ,$6.98 , N/A ,$368.54 ,$6.98 ,$365.01 ,$353.52 ,$397.71 ,$17.45 ,$375.62 ,$6.98 ,$375.62 ,$375.62 ,$397.71 ,$397.71 ,$346.89 ,$365.01 ,$6.98 ,$287.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086003,86003,PENICILLIN,302,1 ,$56.31 ,$36.60 ,$5.22 ,$50.71 ,$45.05 ,$5.22 ,$44.62 ,$50.71 ,$50.71 ,$9.92 ,$47.86 ,$41.67 ,$13.05 ,$5.22 , N/A ,$46.96 ,$5.22 ,$46.51 ,$45.05 ,$50.68 ,$13.05 ,$47.86 ,$5.22 ,$47.86 ,$47.86 ,$50.68 ,$50.68 ,$44.20 ,$46.51 ,$5.22 ,$36.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086021,86021,ANTI-NEUTROPHIL Ab,302,1 ,$284.15 ,$184.70 ,$15.05 ,$255.88 ,$227.32 ,$15.05 ,$225.16 ,$255.88 ,$255.88 ,$28.60 ,$241.53 ,$210.27 ,$37.63 ,$15.05 , N/A ,$236.98 ,$15.05 ,$234.71 ,$227.32 ,$255.74 ,$37.63 ,$241.53 ,$15.05 ,$241.53 ,$241.53 ,$255.74 ,$255.74 ,$223.06 ,$234.71 ,$15.05 ,$184.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086022,86022,PLATELET ABS INDIRECT,302,1 ,$189.50 ,$123.18 ,$18.37 ,$170.64 ,$151.60 ,$18.37 ,$150.16 ,$170.64 ,$170.64 ,$34.90 ,$161.08 ,$140.23 ,$45.93 ,$18.37 , N/A ,$158.04 ,$18.37 ,$156.53 ,$151.60 ,$170.55 ,$45.93 ,$161.08 ,$18.37 ,$161.08 ,$161.08 ,$170.55 ,$170.55 ,$148.76 ,$156.53 ,$18.37 ,$123.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086023,86023,ANTI-PLATELET Ab,302,1 ,$133.51 ,$86.78 ,$12.46 ,$120.23 ,$106.81 ,$12.46 ,$105.79 ,$120.23 ,$120.23 ,$23.67 ,$113.48 ,$98.80 ,$31.15 ,$12.46 , N/A ,$111.35 ,$12.46 ,$110.28 ,$106.81 ,$120.16 ,$31.15 ,$113.48 ,$12.46 ,$113.48 ,$113.48 ,$120.16 ,$120.16 ,$104.81 ,$110.28 ,$12.46 ,$86.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086078,86078,DONOR UNIT CULTURE,305,1 , N/A , N/A ,$134.97 ,$337.41 , N/A ,$134.97 , N/A , N/A , N/A ,$256.44 , N/A , N/A ,$337.41 ,$134.97 , N/A , N/A ,$134.97 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24086147,86147,ANTICARDIOLIPIN,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24086148,86148,PHOSPHATIDYL SERINE Ab,302,1 ,$188.24 ,$122.36 ,$16.07 ,$169.51 ,$150.59 ,$16.07 ,$149.16 ,$169.51 ,$169.51 ,$30.53 ,$160.00 ,$139.30 ,$40.18 ,$16.07 , N/A ,$156.99 ,$16.07 ,$155.49 ,$150.59 ,$169.42 ,$40.18 ,$160.00 ,$16.07 ,$160.00 ,$160.00 ,$169.42 ,$169.42 ,$147.77 ,$155.49 ,$16.07 ,$122.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086160,86160,COMPLEMENT COMPONENT 2,302,1 ,$159.01 ,$103.36 ,$12.00 ,$143.19 ,$127.21 ,$12.00 ,$126.00 ,$143.19 ,$143.19 ,$22.80 ,$135.16 ,$117.67 ,$30.00 ,$12.00 , N/A ,$132.61 ,$12.00 ,$131.34 ,$127.21 ,$143.11 ,$30.00 ,$135.16 ,$12.00 ,$135.16 ,$135.16 ,$143.11 ,$143.11 ,$124.82 ,$131.34 ,$12.00 ,$103.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086225,86225,LUPUS PROFILE 1 BASIC,302,1 ,$275.37 ,$178.99 ,$13.74 ,$247.97 ,$220.30 ,$13.74 ,$218.20 ,$247.97 ,$247.97 ,$26.11 ,$234.06 ,$203.77 ,$34.35 ,$13.74 , N/A ,$229.66 ,$13.74 ,$227.46 ,$220.30 ,$247.83 ,$34.35 ,$234.06 ,$13.74 ,$234.06 ,$234.06 ,$247.83 ,$247.83 ,$216.17 ,$227.46 ,$13.74 ,$178.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086235,86235,EXTRACTABLE NUCLEAR AB,302,1 ,$160.68 ,$104.44 ,$17.93 ,$144.69 ,$128.54 ,$17.93 ,$127.32 ,$144.69 ,$144.69 ,$34.07 ,$136.58 ,$118.90 ,$44.83 ,$17.93 , N/A ,$134.01 ,$17.93 ,$132.72 ,$128.54 ,$144.61 ,$44.83 ,$136.58 ,$17.93 ,$136.58 ,$136.58 ,$144.61 ,$144.61 ,$126.13 ,$132.72 ,$17.93 ,$104.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086255,86255,ANCA EVALUATION (P C A),301,1 ,$119.89 ,$77.93 ,$12.05 ,$107.96 ,$95.91 ,$12.05 ,$95.00 ,$107.96 ,$107.96 ,$22.90 ,$101.91 ,$88.72 ,$30.13 ,$12.05 , N/A ,$99.99 ,$12.05 ,$99.03 ,$95.91 ,$107.90 ,$30.13 ,$101.91 ,$12.05 ,$101.91 ,$101.91 ,$107.90 ,$107.90 ,$94.11 ,$99.03 ,$12.05 ,$77.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086256,86256,FLOURESCENT NON-INFECT AGENT ANTIBODY,301,1 ,$347.74 ,$226.03 ,$12.05 ,$313.14 ,$278.19 ,$12.05 ,$275.55 ,$313.14 ,$313.14 ,$22.90 ,$295.58 ,$257.33 ,$30.13 ,$12.05 , N/A ,$290.02 ,$12.05 ,$287.23 ,$278.19 ,$312.97 ,$30.13 ,$295.58 ,$12.05 ,$295.58 ,$295.58 ,$312.97 ,$312.97 ,$272.98 ,$287.23 ,$12.05 ,$226.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086305,86305,HUMAN EPIDIDYMIS 4,302,1 ,$464.26 ,$301.77 ,$20.81 ,$418.07 ,$371.41 ,$20.81 ,$367.88 ,$418.07 ,$418.07 ,$39.54 ,$394.62 ,$343.55 ,$52.03 ,$20.81 , N/A ,$387.19 ,$20.81 ,$383.48 ,$371.41 ,$417.83 ,$52.03 ,$394.62 ,$20.81 ,$394.62 ,$394.62 ,$417.83 ,$417.83 ,$364.44 ,$383.48 ,$20.81 ,$301.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086316,86316,NMP 22,300,1 ,$205.10 ,$133.32 ,$20.81 ,$184.69 ,$164.08 ,$20.81 ,$162.52 ,$184.69 ,$184.69 ,$39.54 ,$174.34 ,$151.77 ,$52.03 ,$20.81 , N/A ,$171.05 ,$20.81 ,$169.41 ,$164.08 ,$184.59 ,$52.03 ,$174.34 ,$20.81 ,$174.34 ,$174.34 ,$184.59 ,$184.59 ,$161.00 ,$169.41 ,$20.81 ,$133.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086317,86317,HAEMOPHILUS INFLUENZAE AB,300,1 ,$108.76 ,$70.69 ,$14.99 ,$97.94 ,$87.01 ,$14.99 ,$86.18 ,$97.94 ,$97.94 ,$28.48 ,$92.45 ,$80.48 ,$37.48 ,$14.99 , N/A ,$90.71 ,$14.99 ,$89.84 ,$87.01 ,$97.88 ,$37.48 ,$92.45 ,$14.99 ,$92.45 ,$92.45 ,$97.88 ,$97.88 ,$85.38 ,$89.84 ,$14.99 ,$70.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086331,86331,HYPERSENSITIVITY PNEUMONITIS 1,302,1 ,$273.81 ,$177.98 ,$11.98 ,$246.57 ,$219.05 ,$11.98 ,$216.97 ,$246.57 ,$246.57 ,$22.76 ,$232.74 ,$202.62 ,$29.95 ,$11.98 , N/A ,$228.36 ,$11.98 ,$226.17 ,$219.05 ,$246.43 ,$29.95 ,$232.74 ,$11.98 ,$232.74 ,$232.74 ,$246.43 ,$246.43 ,$214.94 ,$226.17 ,$11.98 ,$177.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086332,86332,C1Q BINDING ASSAY,302,1 ,$97.06 ,$63.09 ,$24.37 ,$87.40 ,$77.65 ,$24.37 ,$76.91 ,$87.40 ,$87.40 ,$46.30 ,$82.50 ,$71.82 ,$60.93 ,$24.37 , N/A ,$80.95 ,$24.37 ,$80.17 ,$77.65 ,$87.35 ,$60.93 ,$82.50 ,$24.37 ,$82.50 ,$82.50 ,$87.35 ,$87.35 ,$76.19 ,$80.17 ,$24.37 ,$63.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086340,86340,ANTI-INTRINSIC FACTOR AB,302,1 ,$121.10 ,$78.72 ,$15.08 ,$109.05 ,$96.88 ,$15.08 ,$95.96 ,$109.05 ,$109.05 ,$28.65 ,$102.94 ,$89.61 ,$37.70 ,$15.08 , N/A ,$101.00 ,$15.08 ,$100.03 ,$96.88 ,$108.99 ,$37.70 ,$102.94 ,$15.08 ,$102.94 ,$102.94 ,$108.99 ,$108.99 ,$95.06 ,$100.03 ,$15.08 ,$78.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086341,86341,ICA 512 ANTIBODY,302,1 ,$617.66 ,$401.48 ,$23.57 ,$556.20 ,$494.13 ,$23.57 ,$489.43 ,$556.20 ,$556.20 ,$44.78 ,$525.01 ,$457.07 ,$58.93 ,$23.57 , N/A ,$515.13 ,$23.57 ,$510.19 ,$494.13 ,$555.89 ,$58.93 ,$525.01 ,$23.57 ,$525.01 ,$525.01 ,$555.89 ,$555.89 ,$484.86 ,$510.19 ,$23.57 ,$401.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086355,86355,B-CELLS TOTAL COUNT,302,1 ,$79.89 ,$51.93 ,$37.73 ,$94.33 ,$63.91 ,$37.73 ,$63.30 ,$71.94 ,$71.94 ,$71.69 ,$67.91 ,$59.12 ,$94.33 ,$37.73 , N/A ,$66.63 ,$37.73 ,$65.99 ,$63.91 ,$71.90 ,$79.89 ,$67.91 ,$37.73 ,$67.91 ,$67.91 ,$71.90 ,$71.90 ,$62.71 ,$65.99 ,$37.73 ,$51.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086356,86356,MONONUCLEAR CELL ANTIGEN QUANT EA ANTIGE,302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24086357,86357,CD 57,302,1 ,$304.95 ,$198.22 ,$37.73 ,$274.61 ,$243.96 ,$37.73 ,$241.64 ,$274.61 ,$274.61 ,$71.69 ,$259.21 ,$225.66 ,$94.33 ,$37.73 , N/A ,$254.33 ,$37.73 ,$251.89 ,$243.96 ,$274.46 ,$94.33 ,$259.21 ,$37.73 ,$259.21 ,$259.21 ,$274.46 ,$274.46 ,$239.39 ,$251.89 ,$37.73 ,$198.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086359,86359,HC T-CELLS ; TOTAL COUNT,302,1 ,$61.58 ,$40.03 ,$37.73 ,$94.33 ,$49.26 ,$37.73 ,$48.80 ,$55.45 ,$55.45 ,$71.69 ,$52.34 ,$45.57 ,$94.33 ,$37.73 , N/A ,$51.36 ,$37.73 ,$50.87 ,$49.26 ,$55.42 ,$61.58 ,$52.34 ,$37.73 ,$52.34 ,$52.34 ,$55.42 ,$55.42 ,$48.34 ,$50.87 ,$37.73 ,$40.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086361,86361,"T-CELLS,CD4 ONLY, BY FLOW CYTOMETRY",302,1 ,$150.62 ,$97.90 ,$26.78 ,$135.63 ,$120.50 ,$26.78 ,$119.35 ,$135.63 ,$135.63 ,$50.88 ,$128.03 ,$111.46 ,$66.95 ,$26.78 , N/A ,$125.62 ,$26.78 ,$124.41 ,$120.50 ,$135.56 ,$66.95 ,$128.03 ,$26.78 ,$128.03 ,$128.03 ,$135.56 ,$135.56 ,$118.24 ,$124.41 ,$26.78 ,$97.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086480,86480,TB QUANTIFERON,302,1 ,$180.71 ,$117.46 ,$61.98 ,$162.73 ,$144.57 ,$61.98 ,$143.19 ,$162.73 ,$162.73 ,$117.76 ,$153.60 ,$133.73 ,$154.95 ,$61.98 , N/A ,$150.71 ,$61.98 ,$149.27 ,$144.57 ,$162.64 ,$154.95 ,$153.60 ,$61.98 ,$153.60 ,$153.60 ,$162.64 ,$162.64 ,$141.86 ,$149.27 ,$61.98 ,$117.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086593,86593,RPR TITER,302,1 ,$54.55 ,$35.46 ,$4.40 ,$49.12 ,$43.64 ,$4.40 ,$43.23 ,$49.12 ,$49.12 ,$8.36 ,$46.37 ,$40.37 ,$11.00 ,$4.40 , N/A ,$45.49 ,$4.40 ,$45.06 ,$43.64 ,$49.10 ,$11.00 ,$46.37 ,$4.40 ,$46.37 ,$46.37 ,$49.10 ,$49.10 ,$42.82 ,$45.06 ,$4.40 ,$35.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086615,86615,BORDETELLA PERTUSSIS AB TITER,302,1 ,$168.59 ,$109.58 ,$13.19 ,$151.82 ,$134.87 ,$13.19 ,$133.59 ,$151.82 ,$151.82 ,$25.06 ,$143.30 ,$124.76 ,$32.98 ,$13.19 , N/A ,$140.60 ,$13.19 ,$139.26 ,$134.87 ,$151.73 ,$32.98 ,$143.30 ,$13.19 ,$143.30 ,$143.30 ,$151.73 ,$151.73 ,$132.34 ,$139.26 ,$13.19 ,$109.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086618,86618,WA1 IGG AB IFA OR (BABESIA DUNCANI),302,1 ,$138.71 ,$90.16 ,$17.03 ,$124.91 ,$110.97 ,$17.03 ,$109.91 ,$124.91 ,$124.91 ,$32.36 ,$117.90 ,$102.65 ,$42.58 ,$17.03 , N/A ,$115.68 ,$17.03 ,$114.57 ,$110.97 ,$124.84 ,$42.58 ,$117.90 ,$17.03 ,$117.90 ,$117.90 ,$124.84 ,$124.84 ,$108.89 ,$114.57 ,$17.03 ,$90.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086628,86628,"CANDIDA ALBICANS AB IgG,IgA,IgM",302,1 ,$113.02 ,$73.46 ,$12.01 ,$101.77 ,$90.42 ,$12.01 ,$89.56 ,$101.77 ,$101.77 ,$22.82 ,$96.07 ,$83.63 ,$30.03 ,$12.01 , N/A ,$94.26 ,$12.01 ,$93.35 ,$90.42 ,$101.72 ,$30.03 ,$96.07 ,$12.01 ,$96.07 ,$96.07 ,$101.72 ,$101.72 ,$88.72 ,$93.35 ,$12.01 ,$73.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086632,86632,PSITTACOSIS AB PANEL,302,1 ,$637.84 ,$414.60 ,$12.68 ,$574.37 ,$510.27 ,$12.68 ,$505.42 ,$574.37 ,$574.37 ,$24.09 ,$542.16 ,$472.00 ,$31.70 ,$12.68 , N/A ,$531.96 ,$12.68 ,$526.86 ,$510.27 ,$574.06 ,$31.70 ,$542.16 ,$12.68 ,$542.16 ,$542.16 ,$574.06 ,$574.06 ,$500.70 ,$526.86 ,$12.68 ,$414.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086668,86668,FRANCISELLA TULARENSIS IGG AND IGM Abs,302,1 ,$177.59 ,$115.43 ,$14.16 ,$159.92 ,$142.07 ,$14.16 ,$140.72 ,$159.92 ,$159.92 ,$26.90 ,$150.95 ,$131.42 ,$35.40 ,$14.16 , N/A ,$148.11 ,$14.16 ,$146.69 ,$142.07 ,$159.83 ,$35.40 ,$150.95 ,$14.16 ,$150.95 ,$150.95 ,$159.83 ,$159.83 ,$139.41 ,$146.69 ,$14.16 ,$115.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086671,86671,SACCHAROMYCES CEREVISINE ABS IGG IGA,302,1 ,$213.54 ,$138.80 ,$12.25 ,$192.29 ,$170.83 ,$12.25 ,$169.21 ,$192.29 ,$192.29 ,$23.28 ,$181.51 ,$158.02 ,$30.63 ,$12.25 , N/A ,$178.09 ,$12.25 ,$176.38 ,$170.83 ,$192.19 ,$30.63 ,$181.51 ,$12.25 ,$181.51 ,$181.51 ,$192.19 ,$192.19 ,$167.63 ,$176.38 ,$12.25 ,$138.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086677,86331,H PYLORI IGM,302,1 ,$90.32 ,$58.71 ,$11.98 ,$81.33 ,$72.26 ,$11.98 ,$71.57 ,$81.33 ,$81.33 ,$22.76 ,$76.77 ,$66.84 ,$29.95 ,$11.98 , N/A ,$75.33 ,$11.98 ,$74.60 ,$72.26 ,$81.29 ,$29.95 ,$76.77 ,$11.98 ,$76.77 ,$76.77 ,$81.29 ,$81.29 ,$70.90 ,$74.60 ,$11.98 ,$58.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086682,86682,STRONGYLOIDES Ab,302,1 ,$107.26 ,$69.72 ,$13.01 ,$96.59 ,$85.81 ,$13.01 ,$84.99 ,$96.59 ,$96.59 ,$24.72 ,$91.17 ,$79.37 ,$32.53 ,$13.01 , N/A ,$89.45 ,$13.01 ,$88.60 ,$85.81 ,$96.53 ,$32.53 ,$91.17 ,$13.01 ,$91.17 ,$91.17 ,$96.53 ,$96.53 ,$84.20 ,$88.60 ,$13.01 ,$69.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086687,86687,ANTI-HTLV I/II,302,1 ,$107.73 ,$70.02 ,$9.09 ,$97.01 ,$86.18 ,$9.09 ,$85.37 ,$97.01 ,$97.01 ,$17.27 ,$91.57 ,$79.72 ,$22.73 ,$9.09 , N/A ,$89.85 ,$9.09 ,$88.99 ,$86.18 ,$96.96 ,$22.73 ,$91.57 ,$9.09 ,$91.57 ,$91.57 ,$96.96 ,$96.96 ,$84.57 ,$88.99 ,$9.09 ,$70.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086689,86689,HTLV CONFIRMATION,302,1 ,$310.73 ,$201.97 ,$19.35 ,$279.81 ,$248.58 ,$19.35 ,$246.22 ,$279.81 ,$279.81 ,$36.77 ,$264.12 ,$229.94 ,$48.38 ,$19.35 , N/A ,$259.15 ,$19.35 ,$256.66 ,$248.58 ,$279.66 ,$48.38 ,$264.12 ,$19.35 ,$264.12 ,$264.12 ,$279.66 ,$279.66 ,$243.92 ,$256.66 ,$19.35 ,$201.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086694,86696,HERPES TYP 2 IGG,302,1 ,$309.05 ,$200.88 ,$19.35 ,$278.30 ,$247.24 ,$19.35 ,$244.89 ,$278.30 ,$278.30 ,$36.77 ,$262.69 ,$228.70 ,$48.38 ,$19.35 , N/A ,$257.75 ,$19.35 ,$255.28 ,$247.24 ,$278.15 ,$48.38 ,$262.69 ,$19.35 ,$262.69 ,$262.69 ,$278.15 ,$278.15 ,$242.60 ,$255.28 ,$19.35 ,$200.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086696,N/A,HERPES SIMPLEX VIRUS I AND II IGG,302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24086703,86703,HIV 1 AND 2 Ab inhouse,302,1 ,$105.10 ,$68.32 ,$13.71 ,$94.64 ,$84.08 ,$13.71 ,$83.28 ,$94.64 ,$94.64 ,$26.05 ,$89.34 ,$77.77 ,$34.28 ,$13.71 , N/A ,$87.65 ,$13.71 ,$86.81 ,$84.08 ,$94.59 ,$34.28 ,$89.34 ,$13.71 ,$89.34 ,$89.34 ,$94.59 ,$94.59 ,$82.50 ,$86.81 ,$13.71 ,$68.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086711,86711,JCV AB,301,1 ,$31.33 ,$20.36 ,$16.89 ,$42.23 ,$25.06 ,$16.89 ,$24.83 ,$28.21 ,$28.21 ,$32.09 ,$26.63 ,$23.18 ,$42.23 ,$16.89 , N/A ,$26.13 ,$16.89 ,$25.88 ,$25.06 ,$28.20 ,$31.33 ,$26.63 ,$16.89 ,$26.63 ,$26.63 ,$28.20 ,$28.20 ,$24.59 ,$25.88 ,$16.89 ,$20.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086735,86735,MUMPS IgG Ab,302,1 ,$79.93 ,$51.95 ,$13.05 ,$71.98 ,$63.94 ,$13.05 ,$63.34 ,$71.98 ,$71.98 ,$24.80 ,$67.94 ,$59.15 ,$32.63 ,$13.05 , N/A ,$66.66 ,$13.05 ,$66.02 ,$63.94 ,$71.94 ,$32.63 ,$67.94 ,$13.05 ,$67.94 ,$67.94 ,$71.94 ,$71.94 ,$62.75 ,$66.02 ,$13.05 ,$51.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086747,86747,HC PARVOVIRUS AB,300,1 ,$44.18 ,$28.72 ,$15.03 ,$39.78 ,$35.34 ,$15.03 ,$35.01 ,$39.78 ,$39.78 ,$28.56 ,$37.55 ,$32.69 ,$37.58 ,$15.03 , N/A ,$36.85 ,$15.03 ,$36.49 ,$35.34 ,$39.76 ,$37.58 ,$37.55 ,$15.03 ,$37.55 ,$37.55 ,$39.76 ,$39.76 ,$34.68 ,$36.49 ,$15.03 ,$28.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086753,86753,E.HISTOLYTICA SEROLOGY,302,1 ,$146.24 ,$95.06 ,$12.39 ,$131.69 ,$116.99 ,$12.39 ,$115.88 ,$131.69 ,$131.69 ,$23.54 ,$124.30 ,$108.22 ,$30.98 ,$12.39 , N/A ,$121.96 ,$12.39 ,$120.79 ,$116.99 ,$131.62 ,$30.98 ,$124.30 ,$12.39 ,$124.30 ,$124.30 ,$131.62 ,$131.62 ,$114.80 ,$120.79 ,$12.39 ,$95.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086757,86757,MURINE TYPHUS,302,1 ,$265.56 ,$172.61 ,$19.35 ,$239.14 ,$212.45 ,$19.35 ,$210.43 ,$239.14 ,$239.14 ,$36.77 ,$225.73 ,$196.51 ,$48.38 ,$19.35 , N/A ,$221.48 ,$19.35 ,$219.35 ,$212.45 ,$239.00 ,$48.38 ,$225.73 ,$19.35 ,$225.73 ,$225.73 ,$239.00 ,$239.00 ,$208.46 ,$219.35 ,$19.35 ,$172.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086769,87635,HC SARS COV 2 COVID 19 ANTIBODY,302,1 ,$417.90 ,$271.64 ,$51.31 ,$376.32 ,$334.32 ,$51.31 ,$331.14 ,$376.32 ,$376.32 ,$97.49 ,$355.22 ,$309.25 ,$128.28 ,$51.31 , N/A ,$348.53 ,$51.31 ,$345.19 ,$334.32 ,$376.11 ,$128.28 ,$355.22 ,$51.31 ,$355.22 ,$355.22 ,$376.11 ,$376.11 ,$328.05 ,$345.19 ,$51.31 ,$271.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086780,86780,TREPONEMA PALLIDUM AB PA,301,1 ,$69.60 ,$45.24 ,$13.24 ,$62.67 ,$55.68 ,$13.24 ,$55.15 ,$62.67 ,$62.67 ,$25.16 ,$59.16 ,$51.50 ,$33.10 ,$13.24 , N/A ,$58.05 ,$13.24 ,$57.49 ,$55.68 ,$62.64 ,$33.10 ,$59.16 ,$13.24 ,$59.16 ,$59.16 ,$62.64 ,$62.64 ,$54.64 ,$57.49 ,$13.24 ,$45.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086787,86787,VARICELLA-ZOSTER VIRUS IgG Ab,302,1 ,$83.44 ,$54.24 ,$12.88 ,$75.14 ,$66.75 ,$12.88 ,$66.12 ,$75.14 ,$75.14 ,$24.47 ,$70.92 ,$61.75 ,$32.20 ,$12.88 , N/A ,$69.59 ,$12.88 ,$68.92 ,$66.75 ,$75.10 ,$32.20 ,$70.92 ,$12.88 ,$70.92 ,$70.92 ,$75.10 ,$75.10 ,$65.50 ,$68.92 ,$12.88 ,$54.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086790,86790,HEPATITIS E AB IGG IGM,300,1 ,$410.76 ,$266.99 ,$12.88 ,$369.89 ,$328.61 ,$12.88 ,$325.49 ,$369.89 ,$369.89 ,$24.47 ,$349.15 ,$303.96 ,$32.20 ,$12.88 , N/A ,$342.57 ,$12.88 ,$339.29 ,$328.61 ,$369.68 ,$32.20 ,$349.15 ,$12.88 ,$349.15 ,$349.15 ,$369.68 ,$369.68 ,$322.45 ,$339.29 ,$12.88 ,$266.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086800,86800,THYROGLOBULIN QUANT,301,1 ,$13.32 ,$8.66 ,$8.66 ,$33.30 ,$10.66 ,$13.32 ,$10.55 ,$11.99 ,$11.99 ,$25.31 ,$11.32 ,$9.86 ,$33.30 ,$13.32 , N/A ,$11.11 ,$13.32 ,$11.00 ,$10.66 ,$11.99 ,$13.32 ,$11.32 ,$13.32 ,$11.32 ,$11.32 ,$11.99 ,$11.99 ,$10.46 ,$11.00 ,$13.32 ,$8.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086885,86885,ARC Ab ID/ea. selected reagent cell,302,1 ,$135.94 ,$88.36 ,$88.36 ,$337.41 ,$108.75 ,$134.97 ,$107.72 ,$122.41 ,$122.41 ,$256.44 ,$115.55 ,$100.60 ,$337.41 ,$134.97 , N/A ,$113.37 ,$134.97 ,$112.29 ,$108.75 ,$122.35 ,$135.94 ,$115.55 ,$134.97 ,$115.55 ,$115.55 ,$122.35 ,$122.35 ,$106.71 ,$112.29 ,$134.97 ,$88.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086886,86886,Anti A-1 Titer,302,1 ,$61.84 ,$40.20 ,$40.20 ,$337.41 ,$49.47 ,$134.97 ,$49.00 ,$55.69 ,$55.69 ,$256.44 ,$52.56 ,$45.76 ,$337.41 ,$134.97 , N/A ,$51.57 ,$134.97 ,$51.08 ,$49.47 ,$55.66 ,$61.84 ,$52.56 ,$61.84 ,$52.56 ,$52.56 ,$55.66 ,$55.66 ,$48.54 ,$51.08 ,$61.84 ,$40.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086900,86900,ABO BLOOD GROUP,301,1 ,$59.97 ,$38.98 ,$38.98 ,$253.24 ,$47.98 ,$101.30 ,$47.52 ,$54.00 ,$54.00 ,$192.46 ,$50.97 ,$44.38 ,$253.24 ,$101.30 , N/A ,$50.02 ,$101.30 ,$49.54 ,$47.98 ,$53.97 ,$59.97 ,$50.97 ,$59.97 ,$50.97 ,$50.97 ,$53.97 ,$53.97 ,$47.08 ,$49.54 ,$59.97 ,$38.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086902,86902,ARC AG TYPE DONOR RBCS PER AG,302,1 ,$30.58 ,$19.88 ,$19.88 ,$658.86 ,$24.46 ,$263.54 ,$24.23 ,$27.54 ,$27.54 ,$500.73 ,$25.99 ,$22.63 ,$658.86 ,$263.54 , N/A ,$25.50 ,$263.54 ,$25.26 ,$24.46 ,$27.52 ,$30.58 ,$25.99 ,$30.58 ,$25.99 ,$25.99 ,$27.52 ,$27.52 ,$24.01 ,$25.26 ,$30.58 ,$19.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086903,86902,ARC RED CELL Ag NEG 1 Ag per unit,302,1 ,$113.39 ,$73.70 ,$73.70 ,$658.86 ,$90.71 ,$263.54 ,$89.85 ,$102.11 ,$102.11 ,$500.73 ,$96.38 ,$83.91 ,$658.86 ,$263.54 , N/A ,$94.57 ,$263.54 ,$93.66 ,$90.71 ,$102.05 ,$113.39 ,$96.38 ,$113.39 ,$96.38 ,$96.38 ,$102.05 ,$102.05 ,$89.01 ,$93.66 ,$113.39 ,$73.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24086905,86905,"ARC-RBC Ag Typing (other than A,B,O,D)ea",302,1 ,$197.20 ,$128.18 ,$128.18 ,$658.86 ,$157.76 ,$263.54 ,$156.26 ,$177.58 ,$177.58 ,$500.73 ,$167.62 ,$145.93 ,$658.86 ,$263.54 , N/A ,$164.46 ,$263.54 ,$162.89 ,$157.76 ,$177.48 ,$197.20 ,$167.62 ,$197.20 ,$167.62 ,$167.62 ,$177.48 ,$177.48 ,$154.80 ,$162.89 ,$197.20 ,$128.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087015,87015,CONCENTRATION(ANY TYPE) FOR INFECT AGENT,306,1 ,$53.43 ,$34.73 ,$6.68 ,$48.11 ,$42.74 ,$6.68 ,$42.34 ,$48.11 ,$48.11 ,$12.69 ,$45.42 ,$39.54 ,$16.70 ,$6.68 , N/A ,$44.56 ,$6.68 ,$44.13 ,$42.74 ,$48.09 ,$16.70 ,$45.42 ,$6.68 ,$45.42 ,$45.42 ,$48.09 ,$48.09 ,$41.94 ,$44.13 ,$6.68 ,$34.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087070,87070,CULTURE VAGINAL,306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087181,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$85.89 ,$55.83 ,$4.75 ,$77.34 ,$68.71 ,$4.75 ,$68.06 ,$77.34 ,$77.34 ,$9.03 ,$73.01 ,$63.56 ,$11.88 ,$4.75 , N/A ,$71.63 ,$4.75 ,$70.95 ,$68.71 ,$77.30 ,$11.88 ,$73.01 ,$4.75 ,$73.01 ,$73.01 ,$77.30 ,$77.30 ,$67.42 ,$70.95 ,$4.75 ,$55.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087185,87185,BETA LACTAMASEODILTION,306,1 ,$35.65 ,$23.17 ,$4.75 ,$32.10 ,$28.52 ,$4.75 ,$28.25 ,$32.10 ,$32.10 ,$9.03 ,$30.30 ,$26.38 ,$11.88 ,$4.75 , N/A ,$29.73 ,$4.75 ,$29.45 ,$28.52 ,$32.09 ,$11.88 ,$30.30 ,$4.75 ,$30.30 ,$30.30 ,$32.09 ,$32.09 ,$27.99 ,$29.45 ,$4.75 ,$23.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087207,87207,MICROSPORIDIA STAIN,306,1 ,$53.43 ,$34.73 ,$5.99 ,$48.11 ,$42.74 ,$5.99 ,$42.34 ,$48.11 ,$48.11 ,$11.38 ,$45.42 ,$39.54 ,$14.98 ,$5.99 , N/A ,$44.56 ,$5.99 ,$44.13 ,$42.74 ,$48.09 ,$14.98 ,$45.42 ,$5.99 ,$45.42 ,$45.42 ,$48.09 ,$48.09 ,$41.94 ,$44.13 ,$5.99 ,$34.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087209,87209,COMPLEX SPECIAL STAIN FOR O AND P,306,1 ,$64.46 ,$41.90 ,$17.98 ,$58.05 ,$51.57 ,$17.98 ,$51.08 ,$58.05 ,$58.05 ,$34.16 ,$54.79 ,$47.70 ,$44.95 ,$17.98 , N/A ,$53.76 ,$17.98 ,$53.24 ,$51.57 ,$58.01 ,$44.95 ,$54.79 ,$17.98 ,$54.79 ,$54.79 ,$58.01 ,$58.01 ,$50.60 ,$53.24 ,$17.98 ,$41.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087210,87210,WET PREP,306,1 ,$90.83 ,$59.04 ,$5.82 ,$81.79 ,$72.66 ,$5.82 ,$71.97 ,$81.79 ,$81.79 ,$11.06 ,$77.21 ,$67.21 ,$14.55 ,$5.82 , N/A ,$75.75 ,$5.82 ,$75.03 ,$72.66 ,$81.75 ,$14.55 ,$77.21 ,$5.82 ,$77.21 ,$77.21 ,$81.75 ,$81.75 ,$71.30 ,$75.03 ,$5.82 ,$59.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087230,87230,C DIFF CYTOTOXIN Ab NEUTRALIZATION,306,1 ,$239.76 ,$155.84 ,$19.74 ,$215.90 ,$191.81 ,$19.74 ,$189.99 ,$215.90 ,$215.90 ,$37.51 ,$203.80 ,$177.42 ,$49.35 ,$19.74 , N/A ,$199.96 ,$19.74 ,$198.04 ,$191.81 ,$215.78 ,$49.35 ,$203.80 ,$19.74 ,$203.80 ,$203.80 ,$215.78 ,$215.78 ,$188.21 ,$198.04 ,$19.74 ,$155.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087273,87273,VARICELLA-ZOSTER HERPES SIMPLEX VIRUS,306,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24087274,87274,VARICELLA-ZOSTER HERPES SIMPLEX VIRUS,306,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24087290,87290,VARICELLA-ZOSTER VIRUS DFA (SWAB),306,1 ,$260.80 ,$169.52 ,$13.42 ,$234.85 ,$208.64 ,$13.42 ,$206.66 ,$234.85 ,$234.85 ,$25.50 ,$221.68 ,$192.99 ,$33.55 ,$13.42 , N/A ,$217.51 ,$13.42 ,$215.42 ,$208.64 ,$234.72 ,$33.55 ,$221.68 ,$13.42 ,$221.68 ,$221.68 ,$234.72 ,$234.72 ,$204.73 ,$215.42 ,$13.42 ,$169.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087301,87301,STOOL FOR ADENOVIRUS AG EIA,306,1 ,$147.59 ,$95.93 ,$11.98 ,$132.90 ,$118.07 ,$11.98 ,$116.95 ,$132.90 ,$132.90 ,$22.76 ,$125.45 ,$109.22 ,$29.95 ,$11.98 , N/A ,$123.09 ,$11.98 ,$121.91 ,$118.07 ,$132.83 ,$29.95 ,$125.45 ,$11.98 ,$125.45 ,$125.45 ,$132.83 ,$132.83 ,$115.86 ,$121.91 ,$11.98 ,$95.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087324,87324,CLOSTRIDIUM DIFFICILE TOXINS,306,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24087389,87389,HIV 1/G/2 Ab,300,1 ,$72.54 ,$47.15 ,$24.08 ,$65.32 ,$58.03 ,$24.08 ,$57.48 ,$65.32 ,$65.32 ,$45.75 ,$61.66 ,$53.68 ,$60.20 ,$24.08 , N/A ,$60.50 ,$24.08 ,$59.92 ,$58.03 ,$65.29 ,$60.20 ,$61.66 ,$24.08 ,$61.66 ,$61.66 ,$65.29 ,$65.29 ,$56.94 ,$59.92 ,$24.08 ,$47.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087400,87400,H1N1 TO IDPH,301,1 ,$56.36 ,$36.63 ,$14.13 ,$50.75 ,$45.09 ,$14.13 ,$44.66 ,$50.75 ,$50.75 ,$26.85 ,$47.91 ,$41.71 ,$35.33 ,$14.13 , N/A ,$47.00 ,$14.13 ,$46.55 ,$45.09 ,$50.72 ,$35.33 ,$47.91 ,$14.13 ,$47.91 ,$47.91 ,$50.72 ,$50.72 ,$44.24 ,$46.55 ,$14.13 ,$36.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087491,87491,URINE FOR CHLAMYDIA,301,1 ,$44.19 ,$28.72 ,$28.72 ,$87.73 ,$35.35 ,$35.09 ,$35.02 ,$39.79 ,$39.79 ,$66.67 ,$37.56 ,$32.70 ,$87.73 ,$35.09 , N/A ,$36.85 ,$35.09 ,$36.50 ,$35.35 ,$39.77 ,$44.19 ,$37.56 ,$35.09 ,$37.56 ,$37.56 ,$39.77 ,$39.77 ,$34.69 ,$36.50 ,$35.09 ,$28.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087493,87493,CLOSTRIDIUM DIFFICILE TOXIN GENES AMP PR,306,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24087497,87497,CMV PCR QUANT,306,1 ,$838.94 ,$545.31 ,$42.84 ,$755.47 ,$671.15 ,$42.84 ,$664.78 ,$755.47 ,$755.47 ,$81.40 ,$713.10 ,$620.82 ,$107.10 ,$42.84 , N/A ,$699.68 ,$42.84 ,$692.96 ,$671.15 ,$755.05 ,$107.10 ,$713.10 ,$42.84 ,$713.10 ,$713.10 ,$755.05 ,$755.05 ,$658.57 ,$692.96 ,$42.84 ,$545.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087507,87507,GI PANEL PCR,305,1 ,$807.86 ,$525.11 ,$416.78 ,"$1,041.95 ",$646.29 ,$416.78 ,$640.15 ,$727.48 ,$727.48 ,$791.88 ,$686.68 ,$597.82 ,"$1,041.95 ",$416.78 , N/A ,$673.76 ,$416.78 ,$667.29 ,$646.29 ,$727.07 ,$807.86 ,$686.68 ,$416.78 ,$686.68 ,$686.68 ,$727.07 ,$727.07 ,$634.17 ,$667.29 ,$416.78 ,$525.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087517,87517,HEP B DNA QUANT,306,1 ,$422.32 ,$274.51 ,$42.84 ,$380.30 ,$337.86 ,$42.84 ,$334.65 ,$380.30 ,$380.30 ,$81.40 ,$358.97 ,$312.52 ,$107.10 ,$42.84 , N/A ,$352.21 ,$42.84 ,$348.84 ,$337.86 ,$380.09 ,$107.10 ,$358.97 ,$42.84 ,$358.97 ,$358.97 ,$380.09 ,$380.09 ,$331.52 ,$348.84 ,$42.84 ,$274.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087529,87529,HERPES PCR,306,1 ,$436.69 ,$283.85 ,$35.09 ,$393.24 ,$349.35 ,$35.09 ,$346.03 ,$393.24 ,$393.24 ,$66.67 ,$371.19 ,$323.15 ,$87.73 ,$35.09 , N/A ,$364.20 ,$35.09 ,$360.71 ,$349.35 ,$393.02 ,$87.73 ,$371.19 ,$35.09 ,$371.19 ,$371.19 ,$393.02 ,$393.02 ,$342.80 ,$360.71 ,$35.09 ,$283.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087536,87536,HIV 1 RNA PCR QUANT,306,1 ,$362.57 ,$235.67 ,$85.10 ,$326.49 ,$290.06 ,$85.10 ,$287.30 ,$326.49 ,$326.49 ,$161.69 ,$308.18 ,$268.30 ,$212.75 ,$85.10 , N/A ,$302.38 ,$85.10 ,$299.48 ,$290.06 ,$326.31 ,$212.75 ,$308.18 ,$85.10 ,$308.18 ,$308.18 ,$326.31 ,$326.31 ,$284.62 ,$299.48 ,$85.10 ,$235.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087591,N/A,GC AND CHLAMYDIA URINE,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24087621,87621,HPV,301,1 ,$140.81 ,$91.53 ,$91.53 ,$126.80 ,$112.65 , N/A ,$111.58 ,$126.80 ,$126.80 , N/A ,$119.69 ,$104.20 , N/A , N/A , N/A ,$117.44 , N/A ,$116.31 ,$112.65 ,$126.73 , N/A ,$119.69 , N/A ,$119.69 ,$119.69 ,$126.73 ,$126.73 ,$110.54 ,$116.31 , N/A ,$91.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087635,87635,COVID 19 TESTING QUEST,302,1 ,$417.90 ,$271.64 ,$51.31 ,$376.32 ,$334.32 ,$51.31 ,$331.14 ,$376.32 ,$376.32 ,$97.49 ,$355.22 ,$309.25 ,$128.28 ,$51.31 , N/A ,$348.53 ,$51.31 ,$345.19 ,$334.32 ,$376.11 ,$128.28 ,$355.22 ,$51.31 ,$355.22 ,$355.22 ,$376.11 ,$376.11 ,$328.05 ,$345.19 ,$51.31 ,$271.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087641,87641,MRSA BY PCR,302,1 ,$242.10 ,$157.37 ,$35.09 ,$218.01 ,$193.68 ,$35.09 ,$191.84 ,$218.01 ,$218.01 ,$66.67 ,$205.79 ,$179.15 ,$87.73 ,$35.09 , N/A ,$201.91 ,$35.09 ,$199.97 ,$193.68 ,$217.89 ,$87.73 ,$205.79 ,$35.09 ,$205.79 ,$205.79 ,$217.89 ,$217.89 ,$190.05 ,$199.97 ,$35.09 ,$157.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087798,87798,BORDETELLA PERTUSSIS BY PCR,302,1 ,$271.35 ,$176.38 ,$35.09 ,$244.35 ,$217.08 ,$35.09 ,$215.02 ,$244.35 ,$244.35 ,$66.67 ,$230.65 ,$200.80 ,$87.73 ,$35.09 , N/A ,$226.31 ,$35.09 ,$224.14 ,$217.08 ,$244.22 ,$87.73 ,$230.65 ,$35.09 ,$230.65 ,$230.65 ,$244.22 ,$244.22 ,$213.01 ,$224.14 ,$35.09 ,$176.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087799,87799,BKV - PCR QUANT (WHOLE BLOOD),302,1 ,$725.10 ,$471.32 ,$42.84 ,$652.95 ,$580.08 ,$42.84 ,$574.57 ,$652.95 ,$652.95 ,$81.40 ,$616.34 ,$536.57 ,$107.10 ,$42.84 , N/A ,$604.73 ,$42.84 ,$598.93 ,$580.08 ,$652.59 ,$107.10 ,$616.34 ,$42.84 ,$616.34 ,$616.34 ,$652.59 ,$652.59 ,$569.20 ,$598.93 ,$42.84 ,$471.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087801,87801,H1N1 - to SBLHC,302,1 ,$596.03 ,$387.42 ,$70.20 ,$536.73 ,$476.82 ,$70.20 ,$472.29 ,$536.73 ,$536.73 ,$133.38 ,$506.63 ,$441.06 ,$175.50 ,$70.20 , N/A ,$497.09 ,$70.20 ,$492.32 ,$476.82 ,$536.43 ,$175.50 ,$506.63 ,$70.20 ,$506.63 ,$506.63 ,$536.43 ,$536.43 ,$467.88 ,$492.32 ,$70.20 ,$387.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087806,87806,HIV 1 AG/HIV 1-2 AB SMD,302,1 ,$127.81 ,$83.08 ,$32.77 ,$115.09 ,$102.25 ,$32.77 ,$101.28 ,$115.09 ,$115.09 ,$62.26 ,$108.64 ,$94.58 ,$81.93 ,$32.77 , N/A ,$106.59 ,$32.77 ,$105.57 ,$102.25 ,$115.03 ,$81.93 ,$108.64 ,$32.77 ,$108.64 ,$108.64 ,$115.03 ,$115.03 ,$100.33 ,$105.57 ,$32.77 ,$83.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087899,87899,SHIGA TOXIN (E COLI 0157),306,1 ,$83.12 ,$54.03 ,$16.07 ,$74.85 ,$66.50 ,$16.07 ,$65.86 ,$74.85 ,$74.85 ,$30.53 ,$70.65 ,$61.51 ,$40.18 ,$16.07 , N/A ,$69.32 ,$16.07 ,$68.66 ,$66.50 ,$74.81 ,$40.18 ,$70.65 ,$16.07 ,$70.65 ,$70.65 ,$74.81 ,$74.81 ,$65.25 ,$68.66 ,$16.07 ,$54.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087901,87901,HIV 1 GENOTYPING BY SEQUENCING,301,1 ,$542.77 ,$352.80 ,$257.45 ,$643.63 ,$434.22 ,$257.45 ,$430.09 ,$488.76 ,$488.76 ,$489.16 ,$461.35 ,$401.65 ,$643.63 ,$257.45 , N/A ,$452.67 ,$257.45 ,$448.33 ,$434.22 ,$488.49 ,$542.77 ,$461.35 ,$257.45 ,$461.35 ,$461.35 ,$488.49 ,$488.49 ,$426.07 ,$448.33 ,$257.45 ,$352.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24087902,87902,NS5A,301,1 ,$831.71 ,$540.61 ,$257.45 ,$748.95 ,$665.37 ,$257.45 ,$659.05 ,$748.95 ,$748.95 ,$489.16 ,$706.95 ,$615.47 ,$643.63 ,$257.45 , N/A ,$693.65 ,$257.45 ,$686.99 ,$665.37 ,$748.54 ,$643.63 ,$706.95 ,$257.45 ,$706.95 ,$706.95 ,$748.54 ,$748.54 ,$652.89 ,$686.99 ,$257.45 ,$540.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088104,88104,CYTO PATH FLD WASH W/CENT 5130000361,310,1 ,$109.27 ,$71.03 ,$30.62 ,$98.40 ,$87.42 ,$30.62 ,$86.59 ,$98.40 ,$98.40 ,$58.18 ,$92.88 ,$80.86 ,$76.55 ,$30.62 , N/A ,$91.13 ,$30.62 ,$90.26 ,$87.42 ,$98.34 ,$76.55 ,$92.88 ,$30.62 ,$92.88 ,$92.88 ,$98.34 ,$98.34 ,$85.78 ,$90.26 ,$30.62 ,$71.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088106,88106,CYTO PATH FLT MTD W/INTRP 5130000362,310,1 ,$137.89 ,$89.63 ,$22.32 ,$124.17 ,$110.31 ,$22.32 ,$109.26 ,$124.17 ,$124.17 ,$42.41 ,$117.21 ,$102.04 ,$55.81 ,$22.32 , N/A ,$115.00 ,$22.32 ,$113.90 ,$110.31 ,$124.10 ,$55.81 ,$117.21 ,$22.32 ,$117.21 ,$117.21 ,$124.10 ,$124.10 ,$108.24 ,$113.90 ,$22.32 ,$89.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088107,88107,CYTO PATH SM AND FLT PREP 5130000364,310,1 ,$156.03 ,$101.42 ,$101.42 ,$140.51 ,$124.82 , N/A ,$123.64 ,$140.51 ,$140.51 , N/A ,$132.63 ,$115.46 , N/A , N/A , N/A ,$130.13 , N/A ,$128.88 ,$124.82 ,$140.43 , N/A ,$132.63 , N/A ,$132.63 ,$132.63 ,$140.43 ,$140.43 ,$122.48 ,$128.88 , N/A ,$101.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088108,88108,CYTO PATH CONCUR SMRS INT 513000036,310,1 ,$128.82 ,$83.73 ,$30.62 ,$116.00 ,$103.06 ,$30.62 ,$102.08 ,$116.00 ,$116.00 ,$58.18 ,$109.50 ,$95.33 ,$76.55 ,$30.62 , N/A ,$107.44 ,$30.62 ,$106.41 ,$103.06 ,$115.94 ,$76.55 ,$109.50 ,$30.62 ,$109.50 ,$109.50 ,$115.94 ,$115.94 ,$101.12 ,$106.41 ,$30.62 ,$83.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088112,88112,CYTOPATH CEII INHANCE TECH 5130000369,310,1 ,$127.44 ,$82.84 ,$45.02 ,$114.76 ,$101.95 ,$45.02 ,$100.98 ,$114.76 ,$114.76 ,$85.55 ,$108.32 ,$94.31 ,$112.56 ,$45.02 , N/A ,$106.29 ,$45.02 ,$105.27 ,$101.95 ,$114.70 ,$112.56 ,$108.32 ,$45.02 ,$108.32 ,$108.32 ,$114.70 ,$114.70 ,$100.04 ,$105.27 ,$45.02 ,$82.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088161,88161,CYTO PATH OTH SOUR PREP SC 5130000367,310,1 ,$99.54 ,$64.70 ,$22.32 ,$89.64 ,$79.63 ,$22.32 ,$78.88 ,$89.64 ,$89.64 ,$42.41 ,$84.61 ,$73.66 ,$55.81 ,$22.32 , N/A ,$83.02 ,$22.32 ,$82.22 ,$79.63 ,$89.59 ,$55.81 ,$84.61 ,$22.32 ,$84.61 ,$84.61 ,$89.59 ,$89.59 ,$78.14 ,$82.22 ,$22.32 ,$64.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088162,88162,EXT CYTO STD/5SLD A/OR MU 5130000425,310,1 ,$116.28 ,$75.58 ,$45.02 ,$112.56 ,$93.02 ,$45.02 ,$92.14 ,$104.71 ,$104.71 ,$85.55 ,$98.84 ,$86.05 ,$112.56 ,$45.02 , N/A ,$96.98 ,$45.02 ,$96.05 ,$93.02 ,$104.65 ,$112.56 ,$98.84 ,$45.02 ,$98.84 ,$98.84 ,$104.65 ,$104.65 ,$91.28 ,$96.05 ,$45.02 ,$75.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088165,88165,CYTOPATHY SLIDES CERV OR VAG MAN SCR,310,1 ,"$1,058.41 ",$687.97 ,$42.22 ,$953.10 ,$846.73 ,$42.22 ,$838.68 ,$953.10 ,$953.10 ,$80.22 ,$899.65 ,$783.22 ,$105.55 ,$42.22 , N/A ,$882.71 ,$42.22 ,$874.25 ,$846.73 ,$952.57 ,$105.55 ,$899.65 ,$42.22 ,$899.65 ,$899.65 ,$952.57 ,$952.57 ,$830.85 ,$874.25 ,$42.22 ,$687.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088172,88172,EVAL OF FINE NDL ASP 5130000409,310,1 ,$87.66 ,$56.98 ,$56.98 ,$337.41 ,$70.13 ,$134.97 ,$69.46 ,$78.94 ,$78.94 ,$256.44 ,$74.51 ,$64.87 ,$337.41 ,$134.97 , N/A ,$73.11 ,$134.97 ,$72.41 ,$70.13 ,$78.89 ,$87.66 ,$74.51 ,$87.66 ,$74.51 ,$74.51 ,$78.89 ,$78.89 ,$68.81 ,$72.41 ,$87.66 ,$56.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088184,88184,FMH SCREEN,310,1 ,$166.74 ,$108.38 ,$108.38 ,$658.86 ,$133.39 ,$263.54 ,$132.12 ,$150.15 ,$150.15 ,$500.73 ,$141.73 ,$123.39 ,$658.86 ,$263.54 , N/A ,$139.06 ,$263.54 ,$137.73 ,$133.39 ,$150.07 ,$166.74 ,$141.73 ,$166.74 ,$141.73 ,$141.73 ,$150.07 ,$150.07 ,$130.89 ,$137.73 ,$166.74 ,$108.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088185,88185,FLOW CYTOMETRY CELL SURF NUC MARKER,310,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24088189,88189,FLOW CYTOMETRY 16 + MARKERS,310,1 ,"$1,058.40 ",$687.96 ,$687.96 ,$953.09 ,$846.72 , N/A ,$838.68 ,$953.09 ,$953.09 , N/A ,$899.64 ,$783.22 , N/A , N/A , N/A ,$882.71 , N/A ,$874.24 ,$846.72 ,$952.56 , N/A ,$899.64 , N/A ,$899.64 ,$899.64 ,$952.56 ,$952.56 ,$830.84 ,$874.24 , N/A ,$687.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088230,88230,TISS CULT FOR NONNEOPLASTIC DISORDER;LYM,310,1 ,$701.30 ,$455.85 ,$116.49 ,$631.52 ,$561.04 ,$116.49 ,$555.71 ,$631.52 ,$631.52 ,$221.33 ,$596.11 ,$518.96 ,$291.23 ,$116.49 , N/A ,$584.88 ,$116.49 ,$579.27 ,$561.04 ,$631.17 ,$291.23 ,$596.11 ,$116.49 ,$596.11 ,$596.11 ,$631.17 ,$631.17 ,$550.52 ,$579.27 ,$116.49 ,$455.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088271,88374,BCR/ABL T(9 22) BY FISH GEN PATH,310,1 ,$829.21 ,$538.99 ,$134.97 ,$746.70 ,$663.37 ,$134.97 ,$657.07 ,$746.70 ,$746.70 ,$256.44 ,$704.83 ,$613.62 ,$337.41 ,$134.97 , N/A ,$691.56 ,$134.97 ,$684.93 ,$663.37 ,$746.29 ,$337.41 ,$704.83 ,$134.97 ,$704.83 ,$704.83 ,$746.29 ,$746.29 ,$650.93 ,$684.93 ,$134.97 ,$538.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088275,88275,MOLECULAR CYLOGENETUS DNA PROBE EA INTER,310,1 ,$276.45 ,$179.69 ,$51.19 ,$248.94 ,$221.16 ,$51.19 ,$219.06 ,$248.94 ,$248.94 ,$97.26 ,$234.98 ,$204.57 ,$127.98 ,$51.19 , N/A ,$230.56 ,$51.19 ,$228.35 ,$221.16 ,$248.81 ,$127.98 ,$234.98 ,$51.19 ,$234.98 ,$234.98 ,$248.81 ,$248.81 ,$217.01 ,$228.35 ,$51.19 ,$179.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088289,88289,ADDN HIGH RESOLUTION STUDY,310,1 ,$550.39 ,$357.75 ,$34.43 ,$495.63 ,$440.31 ,$34.43 ,$436.13 ,$495.63 ,$495.63 ,$65.42 ,$467.83 ,$407.29 ,$86.08 ,$34.43 , N/A ,$459.03 ,$34.43 ,$454.62 ,$440.31 ,$495.35 ,$86.08 ,$467.83 ,$34.43 ,$467.83 ,$467.83 ,$495.35 ,$495.35 ,$432.06 ,$454.62 ,$34.43 ,$357.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088291,88271,CYTOGENETICS AND MOLECULAR CYTOGENETICS,310,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24088300,88300,SURG PATH LEVEL I 5130000853,310,1 ,$81.40 ,$52.91 ,$22.32 ,$73.30 ,$65.12 ,$22.32 ,$64.50 ,$73.30 ,$73.30 ,$42.41 ,$69.19 ,$60.24 ,$55.81 ,$22.32 , N/A ,$67.89 ,$22.32 ,$67.24 ,$65.12 ,$73.26 ,$55.81 ,$69.19 ,$22.32 ,$69.19 ,$69.19 ,$73.26 ,$73.26 ,$63.90 ,$67.24 ,$22.32 ,$52.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088302,88302,SURG PATH LEVEL II 5130000854,310,1 ,$125.34 ,$81.47 ,$22.32 ,$112.87 ,$100.27 ,$22.32 ,$99.32 ,$112.87 ,$112.87 ,$42.41 ,$106.54 ,$92.75 ,$55.81 ,$22.32 , N/A ,$104.53 ,$22.32 ,$103.53 ,$100.27 ,$112.81 ,$55.81 ,$106.54 ,$22.32 ,$106.54 ,$106.54 ,$112.81 ,$112.81 ,$98.39 ,$103.53 ,$22.32 ,$81.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088304,88304,SURG PATH LEVEL III 5130000855,310,1 ,$141.37 ,$91.89 ,$45.02 ,$127.30 ,$113.10 ,$45.02 ,$112.02 ,$127.30 ,$127.30 ,$85.55 ,$120.16 ,$104.61 ,$112.56 ,$45.02 , N/A ,$117.90 ,$45.02 ,$116.77 ,$113.10 ,$127.23 ,$112.56 ,$120.16 ,$45.02 ,$120.16 ,$120.16 ,$127.23 ,$127.23 ,$110.98 ,$116.77 ,$45.02 ,$91.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088305,88305,SURG PATH LEVEL IV 5130000856,310,1 ,$169.96 ,$110.47 ,$45.02 ,$153.05 ,$135.97 ,$45.02 ,$134.68 ,$153.05 ,$153.05 ,$85.55 ,$144.47 ,$125.77 ,$112.56 ,$45.02 , N/A ,$141.75 ,$45.02 ,$140.39 ,$135.97 ,$152.96 ,$112.56 ,$144.47 ,$45.02 ,$144.47 ,$144.47 ,$152.96 ,$152.96 ,$133.42 ,$140.39 ,$45.02 ,$110.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088307,88307,SURG PATH LEVEL V 5130000857,310,1 ,$295.51 ,$192.08 ,$192.08 ,$658.86 ,$236.41 ,$263.54 ,$234.16 ,$266.11 ,$266.11 ,$500.73 ,$251.18 ,$218.68 ,$658.86 ,$263.54 , N/A ,$246.46 ,$263.54 ,$244.09 ,$236.41 ,$265.96 ,$295.51 ,$251.18 ,$263.54 ,$251.18 ,$251.18 ,$265.96 ,$265.96 ,$231.98 ,$244.09 ,$263.54 ,$192.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088309,88309,SURG PATH LEVEL VI 5130000858,310,1 ,$391.31 ,$254.35 ,$254.35 ,"$1,484.28 ",$313.05 ,$593.71 ,$310.07 ,$352.37 ,$352.37 ,"$1,128.05 ",$332.61 ,$289.57 ,"$1,484.28 ",$593.71 , N/A ,$326.35 ,$593.71 ,$323.22 ,$313.05 ,$352.18 ,$391.31 ,$332.61 ,$391.31 ,$332.61 ,$332.61 ,$352.18 ,$352.18 ,$307.18 ,$323.22 ,$391.31 ,$254.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088311,88311,DECALCIFICATION 5130000370,310,1 ,$56.30 ,$36.60 ,$36.60 ,$50.70 ,$45.04 , N/A ,$44.61 ,$50.70 ,$50.70 , N/A ,$47.86 ,$41.66 , N/A , N/A , N/A ,$46.95 , N/A ,$46.50 ,$45.04 ,$50.67 , N/A ,$47.86 , N/A ,$47.86 ,$47.86 ,$50.67 ,$50.67 ,$44.20 ,$46.50 , N/A ,$36.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088312,88312,SPEC ST GRP 1 MICRO-ORG 5130000838,310,1 ,$151.67 ,$98.59 ,$45.02 ,$136.58 ,$121.34 ,$45.02 ,$120.18 ,$136.58 ,$136.58 ,$85.55 ,$128.92 ,$112.24 ,$112.56 ,$45.02 , N/A ,$126.49 ,$45.02 ,$125.28 ,$121.34 ,$136.50 ,$112.56 ,$128.92 ,$45.02 ,$128.92 ,$128.92 ,$136.50 ,$136.50 ,$119.06 ,$125.28 ,$45.02 ,$98.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088313,88313,SPEC ST GRP II OTHER NOIC 5130000839,310,1 ,$160.92 ,$104.60 ,$30.62 ,$144.91 ,$128.74 ,$30.62 ,$127.51 ,$144.91 ,$144.91 ,$58.18 ,$136.78 ,$119.08 ,$76.55 ,$30.62 , N/A ,$134.21 ,$30.62 ,$132.92 ,$128.74 ,$144.83 ,$76.55 ,$136.78 ,$30.62 ,$136.78 ,$136.78 ,$144.83 ,$144.83 ,$126.32 ,$132.92 ,$30.62 ,$104.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088331,88331,CONSULT DURING SURG W/FS 5130000320,310,1 ,$99.54 ,$64.70 ,$64.70 ,$337.41 ,$79.63 ,$134.97 ,$78.88 ,$89.64 ,$89.64 ,$256.44 ,$84.61 ,$73.66 ,$337.41 ,$134.97 , N/A ,$83.02 ,$134.97 ,$82.22 ,$79.63 ,$89.59 ,$99.54 ,$84.61 ,$99.54 ,$84.61 ,$84.61 ,$89.59 ,$89.59 ,$78.14 ,$82.22 ,$99.54 ,$64.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088342,88342,IHC STAIN EA Ab SBL 5130000565,310,1 ,$143.01 ,$92.96 ,$92.96 ,$337.41 ,$114.41 ,$134.97 ,$113.32 ,$128.78 ,$128.78 ,$256.44 ,$121.56 ,$105.83 ,$337.41 ,$134.97 , N/A ,$119.27 ,$134.97 ,$118.13 ,$114.41 ,$128.71 ,$143.01 ,$121.56 ,$134.97 ,$121.56 ,$121.56 ,$128.71 ,$128.71 ,$112.26 ,$118.13 ,$134.97 ,$92.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088346,88346,EPI AB1 CHARGE,301,1 ,$207.51 ,$134.88 ,$134.88 ,$658.86 ,$166.01 ,$263.54 ,$164.43 ,$186.86 ,$186.86 ,$500.73 ,$176.38 ,$153.56 ,$658.86 ,$263.54 , N/A ,$173.06 ,$263.54 ,$171.40 ,$166.01 ,$186.76 ,$207.51 ,$176.38 ,$207.51 ,$176.38 ,$176.38 ,$186.76 ,$186.76 ,$162.90 ,$171.40 ,$207.51 ,$134.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24088347,88347,PEMPHIGOLD BASEMENT MEMBRANE,310,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24088350,88350,EPI AB2 CHARGE,301,1 ,$207.51 ,$134.88 ,$134.88 ,$186.86 ,$166.01 , N/A ,$164.43 ,$186.86 ,$186.86 , N/A ,$176.38 ,$153.56 , N/A , N/A , N/A ,$173.06 , N/A ,$171.40 ,$166.01 ,$186.76 , N/A ,$176.38 , N/A ,$176.38 ,$176.38 ,$186.76 ,$186.76 ,$162.90 ,$171.40 , N/A ,$134.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24090428,N/A,MV RBC MOLECULAR TYPE,301,1 ,$368.71 ,$239.66 ,$239.66 ,$332.02 ,$294.97 , N/A ,$292.17 ,$332.02 ,$332.02 , N/A ,$313.40 ,$272.85 , N/A , N/A , N/A ,$307.50 , N/A ,$304.55 ,$294.97 ,$331.84 , N/A ,$313.40 , N/A ,$313.40 ,$313.40 ,$331.84 ,$331.84 ,$289.44 ,$304.55 , N/A ,$239.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),2411239,N/A,LEUK/LYMPH IMMUN BY FLOW CYTO GEN PATH,310,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24113890,81382,"HLA, DRB, DQB DISEASE ASSN",310,1 ,$934.46 ,$607.40 ,$123.68 ,$841.48 ,$747.57 ,$123.68 ,$740.47 ,$841.48 ,$841.48 ,$234.99 ,$794.29 ,$691.50 ,$309.20 ,$123.68 , N/A ,$779.34 ,$123.68 ,$771.86 ,$747.57 ,$841.01 ,$309.20 ,$794.29 ,$123.68 ,$794.29 ,$794.29 ,$841.01 ,$841.01 ,$733.55 ,$771.86 ,$123.68 ,$607.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24136415,36415,LEADWELLBLOOD DRAWING FEE,300,1 ,$4.39 ,$2.85 ,$2.85 ,$7.50 ,$3.51 ,$3.00 ,$3.48 ,$3.95 ,$3.95 ,$5.70 ,$3.73 ,$3.25 ,$7.50 ,$3.00 , N/A , N/A ,$3.00 ,$3.63 ,$3.51 ,$3.95 ,$4.39 ,$3.73 ,$3.00 ,$3.73 ,$3.73 ,$3.95 ,$3.95 ,$3.45 ,$3.63 ,$3.00 ,$2.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24143752,43752,NASO OR ORD-GASTRIC TUBE PLACEMENT,360,1 ,$386.72 ,$251.37 ,$244.51 ,$611.26 ,$309.38 ,$244.51 ,$306.44 ,$348.24 ,$348.24 ,$464.56 ,$328.71 ,$286.17 ,$611.26 ,$244.51 , N/A ,$322.52 ,$244.51 ,$319.43 ,$309.38 ,$348.05 ,$386.72 ,$328.71 ,$261.87 ,$328.71 ,$328.71 ,$348.05 ,$348.05 ,$303.58 ,$319.43 ,$261.87 ,$251.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24170076,80076,LEADWELL LIVER PANEL,300,1 ,$4.42 ,$2.87 ,$2.87 ,$11.05 ,$3.54 ,$4.42 ,$3.50 ,$3.98 ,$3.98 ,$8.40 ,$3.76 ,$3.27 ,$11.05 ,$4.42 , N/A ,$3.69 ,$4.42 ,$3.65 ,$3.54 ,$3.98 ,$4.42 ,$3.76 ,$4.42 ,$3.76 ,$3.76 ,$3.98 ,$3.98 ,$3.47 ,$3.65 ,$4.42 ,$2.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180047,36415,LEADWELL BMP,300,1 ,$4.58 ,$2.98 ,$2.98 ,$7.50 ,$3.66 ,$3.00 ,$3.63 ,$4.12 ,$4.12 ,$5.70 ,$3.89 ,$3.39 ,$7.50 ,$3.00 , N/A , N/A ,$3.00 ,$3.78 ,$3.66 ,$4.12 ,$4.58 ,$3.89 ,$3.00 ,$3.89 ,$3.89 ,$4.12 ,$4.12 ,$3.60 ,$3.78 ,$3.00 ,$2.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180048,80048,LEADWELL BASIC METABOLIC PROFILE,301,1 ,$4.58 ,$2.98 ,$2.98 ,$11.45 ,$3.66 ,$4.58 ,$3.63 ,$4.12 ,$4.12 ,$8.70 ,$3.89 ,$3.39 ,$11.45 ,$4.58 , N/A ,$3.82 ,$4.58 ,$3.78 ,$3.66 ,$4.12 ,$4.58 ,$3.89 ,$4.58 ,$3.89 ,$3.89 ,$4.12 ,$4.12 ,$3.60 ,$3.78 ,$4.58 ,$2.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180050,80050,LEADWELL GENERAL HEALTH PANEL,300,1 ,$10.49 ,$6.82 ,$6.82 ,$9.45 ,$8.39 , N/A ,$8.31 ,$9.45 ,$9.45 , N/A ,$8.92 ,$7.76 , N/A , N/A , N/A ,$8.75 , N/A ,$8.66 ,$8.39 ,$9.44 , N/A ,$8.92 , N/A ,$8.92 ,$8.92 ,$9.44 ,$9.44 ,$8.23 ,$8.66 , N/A ,$6.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180051,80051,LEADWELL ELECTROLYTE PANEL,300,1 ,$2.65 ,$1.72 ,$1.72 ,$6.63 ,$2.12 ,$2.65 ,$2.10 ,$2.39 ,$2.39 ,$5.04 ,$2.25 ,$1.96 ,$6.63 ,$2.65 , N/A ,$2.21 ,$2.65 ,$2.19 ,$2.12 ,$2.39 ,$2.65 ,$2.25 ,$2.65 ,$2.25 ,$2.25 ,$2.39 ,$2.39 ,$2.08 ,$2.19 ,$2.65 ,$1.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180053,80053,LEADWELL COMP METABOLIC PROFILE,300,1 ,$5.52 ,$3.59 ,$3.59 ,$13.80 ,$4.42 ,$5.52 ,$4.37 ,$4.97 ,$4.97 ,$10.49 ,$4.69 ,$4.08 ,$13.80 ,$5.52 , N/A ,$4.60 ,$5.52 ,$4.56 ,$4.42 ,$4.97 ,$5.52 ,$4.69 ,$5.52 ,$4.69 ,$4.69 ,$4.97 ,$4.97 ,$4.33 ,$4.56 ,$5.52 ,$3.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180061,83704,ADVANCED LIPID PANEL,300,1 ,$112.02 ,$72.81 ,$34.19 ,$100.87 ,$89.62 ,$34.19 ,$88.76 ,$100.87 ,$100.87 ,$64.96 ,$95.22 ,$82.89 ,$85.48 ,$34.19 , N/A ,$93.42 ,$34.19 ,$92.53 ,$89.62 ,$100.82 ,$85.48 ,$95.22 ,$34.19 ,$95.22 ,$95.22 ,$100.82 ,$100.82 ,$87.94 ,$92.53 ,$34.19 ,$72.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180069,80069,LEADWELL RENAL PANEL,300,1 ,$4.28 ,$2.78 ,$2.78 ,$10.70 ,$3.42 ,$4.28 ,$3.39 ,$3.85 ,$3.85 ,$8.13 ,$3.64 ,$3.17 ,$10.70 ,$4.28 , N/A ,$3.57 ,$4.28 ,$3.54 ,$3.42 ,$3.85 ,$4.28 ,$3.64 ,$4.28 ,$3.64 ,$3.64 ,$3.85 ,$3.85 ,$3.36 ,$3.54 ,$4.28 ,$2.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180074,80074,LEADWELL HEPATITIS PANEL ACUTE,300,1 ,$26.95 ,$17.52 ,$17.52 ,$67.38 ,$21.56 ,$26.95 ,$21.36 ,$24.27 ,$24.27 ,$51.21 ,$22.91 ,$19.94 ,$67.38 ,$26.95 , N/A ,$22.48 ,$26.95 ,$22.26 ,$21.56 ,$24.26 ,$26.95 ,$22.91 ,$26.95 ,$22.91 ,$22.91 ,$24.26 ,$24.26 ,$21.16 ,$22.26 ,$26.95 ,$17.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180101,80361,OPIATE CONFIRM TEST-URINE,301,1 ,$70.29 ,$45.69 ,$45.69 ,$63.30 ,$56.23 , N/A ,$55.70 ,$63.30 ,$63.30 , N/A ,$59.75 ,$52.01 , N/A , N/A , N/A ,$58.62 , N/A ,$58.06 ,$56.23 ,$63.26 , N/A ,$59.75 , N/A ,$59.75 ,$59.75 ,$63.26 ,$63.26 ,$55.18 ,$58.06 , N/A ,$45.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180102,80326,AMPHET-METHAMPHET CONFIRM TEST-URINE,301,1 ,$120.80 ,$78.52 ,$78.52 ,$108.78 ,$96.64 , N/A ,$95.72 ,$108.78 ,$108.78 , N/A ,$102.68 ,$89.39 , N/A , N/A , N/A ,$100.75 , N/A ,$99.78 ,$96.64 ,$108.72 , N/A ,$102.68 , N/A ,$102.68 ,$102.68 ,$108.72 ,$108.72 ,$94.83 ,$99.78 , N/A ,$78.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180156,80156,LEADWELL CARBAMAZEPINE TOTAL,300,1 ,$6.38 ,$4.15 ,$4.15 ,$15.95 ,$5.10 ,$6.38 ,$5.06 ,$5.75 ,$5.75 ,$12.12 ,$5.42 ,$4.72 ,$15.95 ,$6.38 , N/A ,$5.32 ,$6.38 ,$5.27 ,$5.10 ,$5.74 ,$6.38 ,$5.42 ,$6.38 ,$5.42 ,$5.42 ,$5.74 ,$5.74 ,$5.01 ,$5.27 ,$6.38 ,$4.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180158,80158,LEADWELL CYCLOSPORINE,300,1 ,$17.76 ,$11.54 ,$11.54 ,$44.40 ,$14.21 ,$17.76 ,$14.07 ,$15.99 ,$15.99 ,$33.74 ,$15.10 ,$13.14 ,$44.40 ,$17.76 , N/A ,$14.81 ,$17.76 ,$14.67 ,$14.21 ,$15.98 ,$17.76 ,$15.10 ,$17.76 ,$15.10 ,$15.10 ,$15.98 ,$15.98 ,$13.94 ,$14.67 ,$17.76 ,$11.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180162,80162,LEADWELL DIGOXIN,300,1 ,$6.76 ,$4.39 ,$4.39 ,$16.90 ,$5.41 ,$6.76 ,$5.36 ,$6.09 ,$6.09 ,$12.84 ,$5.75 ,$5.00 ,$16.90 ,$6.76 , N/A ,$5.64 ,$6.76 ,$5.58 ,$5.41 ,$6.08 ,$6.76 ,$5.75 ,$6.76 ,$5.75 ,$5.75 ,$6.08 ,$6.08 ,$5.31 ,$5.58 ,$6.76 ,$4.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180164,80164,LEADWELL VALPROIC ACID,300,1 ,$6.76 ,$4.39 ,$4.39 ,$16.90 ,$5.41 ,$6.76 ,$5.36 ,$6.09 ,$6.09 ,$12.84 ,$5.75 ,$5.00 ,$16.90 ,$6.76 , N/A ,$5.64 ,$6.76 ,$5.58 ,$5.41 ,$6.08 ,$6.76 ,$5.75 ,$6.76 ,$5.75 ,$5.75 ,$6.08 ,$6.08 ,$5.31 ,$5.58 ,$6.76 ,$4.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180175,80175,LEADWELL VALPROIC ACID,300,1 ,$10.58 ,$6.88 ,$6.88 ,$26.45 ,$8.46 ,$10.58 ,$8.38 ,$9.53 ,$9.53 ,$20.10 ,$8.99 ,$7.83 ,$26.45 ,$10.58 , N/A ,$8.82 ,$10.58 ,$8.74 ,$8.46 ,$9.52 ,$10.58 ,$8.99 ,$10.58 ,$8.99 ,$8.99 ,$9.52 ,$9.52 ,$8.31 ,$8.74 ,$10.58 ,$6.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180176,80176,LEADWELL LIDOCAINE,300,1 ,$10.15 ,$6.60 ,$6.60 ,$25.38 ,$8.12 ,$10.15 ,$8.04 ,$9.14 ,$9.14 ,$19.29 ,$8.63 ,$7.51 ,$25.38 ,$10.15 , N/A ,$8.47 ,$10.15 ,$8.38 ,$8.12 ,$9.14 ,$10.15 ,$8.63 ,$10.15 ,$8.63 ,$8.63 ,$9.14 ,$9.14 ,$7.97 ,$8.38 ,$10.15 ,$6.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180177,80177,LEADWELL LEVETIRACETAM,300,1 ,$22.83 ,$14.84 ,$13.25 ,$33.13 ,$18.26 ,$13.25 ,$18.09 ,$20.56 ,$20.56 ,$25.18 ,$19.41 ,$16.89 ,$33.13 ,$13.25 , N/A ,$19.04 ,$13.25 ,$18.86 ,$18.26 ,$20.55 ,$22.83 ,$19.41 ,$13.25 ,$19.41 ,$19.41 ,$20.55 ,$20.55 ,$17.92 ,$18.86 ,$13.25 ,$14.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180178,80178,LEADWELL LITHIUM,300,1 ,$8.11 ,$5.27 ,$5.27 ,$16.53 ,$6.49 ,$6.61 ,$6.43 ,$7.30 ,$7.30 ,$12.56 ,$6.89 ,$6.00 ,$16.53 ,$6.61 , N/A ,$6.76 ,$6.61 ,$6.70 ,$6.49 ,$7.30 ,$8.11 ,$6.89 ,$6.61 ,$6.89 ,$6.89 ,$7.30 ,$7.30 ,$6.37 ,$6.70 ,$6.61 ,$5.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180183,80183,LEADWELL OXARBAZEPINE,300,1 ,$33.85 ,$22.00 ,$13.25 ,$33.13 ,$27.08 ,$13.25 ,$26.82 ,$30.48 ,$30.48 ,$25.18 ,$28.77 ,$25.05 ,$33.13 ,$13.25 , N/A ,$28.23 ,$13.25 ,$27.96 ,$27.08 ,$30.47 ,$33.13 ,$28.77 ,$13.25 ,$28.77 ,$28.77 ,$30.47 ,$30.47 ,$26.57 ,$27.96 ,$13.25 ,$22.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180184,80184,LEADWELL PHENOBARBITAL,300,1 ,$6.25 ,$4.06 ,$4.06 ,$15.63 ,$5.00 ,$6.25 ,$4.95 ,$5.63 ,$5.63 ,$11.88 ,$5.31 ,$4.63 ,$15.63 ,$6.25 , N/A ,$5.21 ,$6.25 ,$5.16 ,$5.00 ,$5.63 ,$6.25 ,$5.31 ,$6.25 ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 ,$6.25 ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180185,80185,LEADWELL PHENYTION TOTAL,300,1 ,$6.25 ,$4.06 ,$4.06 ,$15.63 ,$5.00 ,$6.25 ,$4.95 ,$5.63 ,$5.63 ,$11.88 ,$5.31 ,$4.63 ,$15.63 ,$6.25 , N/A ,$5.21 ,$6.25 ,$5.16 ,$5.00 ,$5.63 ,$6.25 ,$5.31 ,$6.25 ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 ,$6.25 ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180197,80197,LEADWELL TACROLIMUS,300,1 ,$25.27 ,$16.43 ,$13.73 ,$34.33 ,$20.22 ,$13.73 ,$20.02 ,$22.76 ,$22.76 ,$26.09 ,$21.48 ,$18.70 ,$34.33 ,$13.73 , N/A ,$21.08 ,$13.73 ,$20.87 ,$20.22 ,$22.74 ,$25.27 ,$21.48 ,$13.73 ,$21.48 ,$21.48 ,$22.74 ,$22.74 ,$19.84 ,$20.87 ,$13.73 ,$16.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180198,80198,LEADWELL THEOPHYLLINE,300,1 ,$6.25 ,$4.06 ,$4.06 ,$15.63 ,$5.00 ,$6.25 ,$4.95 ,$5.63 ,$5.63 ,$11.88 ,$5.31 ,$4.63 ,$15.63 ,$6.25 , N/A ,$5.21 ,$6.25 ,$5.16 ,$5.00 ,$5.63 ,$6.25 ,$5.31 ,$6.25 ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 ,$6.25 ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180201,80201,LEADWELL TOPIRAMATE,300,1 ,$25.27 ,$16.43 ,$11.92 ,$29.80 ,$20.22 ,$11.92 ,$20.02 ,$22.76 ,$22.76 ,$22.65 ,$21.48 ,$18.70 ,$29.80 ,$11.92 , N/A ,$21.08 ,$11.92 ,$20.87 ,$20.22 ,$22.74 ,$25.27 ,$21.48 ,$11.92 ,$21.48 ,$21.48 ,$22.74 ,$22.74 ,$19.84 ,$20.87 ,$11.92 ,$16.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180299,80195,SIROLIMUS,301,1 ,$205.25 ,$133.41 ,$13.73 ,$184.83 ,$164.20 ,$13.73 ,$162.64 ,$184.83 ,$184.83 ,$26.09 ,$174.46 ,$151.89 ,$34.33 ,$13.73 , N/A ,$171.18 ,$13.73 ,$169.54 ,$164.20 ,$184.73 ,$34.33 ,$174.46 ,$13.73 ,$174.46 ,$174.46 ,$184.73 ,$184.73 ,$161.12 ,$169.54 ,$13.73 ,$133.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24180356,80356,HEROIN MET CHARGE ONLY,301,1 ,$268.38 ,$174.45 ,$174.45 ,$241.68 ,$214.70 , N/A ,$212.66 ,$241.68 ,$241.68 , N/A ,$228.12 ,$198.60 , N/A , N/A , N/A ,$223.83 , N/A ,$221.68 ,$214.70 ,$241.54 , N/A ,$228.12 , N/A ,$228.12 ,$228.12 ,$241.54 ,$241.54 ,$210.68 ,$221.68 , N/A ,$174.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181001,81001,LEADWELL URINALYSIS,300,1 ,$3.14 ,$2.04 ,$2.04 ,$7.85 ,$2.51 ,$3.14 ,$2.49 ,$2.83 ,$2.83 ,$5.97 ,$2.67 ,$2.32 ,$7.85 ,$3.14 , N/A ,$2.62 ,$3.14 ,$2.59 ,$2.51 ,$2.83 ,$3.14 ,$2.67 ,$3.14 ,$2.67 ,$2.67 ,$2.83 ,$2.83 ,$2.46 ,$2.59 ,$3.14 ,$2.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181002,81002,LEADWELL NON AUTO W/O MICRO,300,1 ,$4.06 ,$2.64 ,$2.64 ,$8.70 ,$3.25 ,$3.48 ,$3.22 ,$3.66 ,$3.66 ,$6.61 ,$3.45 ,$3.00 ,$8.70 ,$3.48 , N/A ,$3.39 ,$3.48 ,$3.35 ,$3.25 ,$3.65 ,$4.06 ,$3.45 ,$3.48 ,$3.45 ,$3.45 ,$3.65 ,$3.65 ,$3.19 ,$3.35 ,$3.48 ,$2.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181003,81003,LEADWELL AUTO W/O MICRO,300,1 ,$2.60 ,$1.69 ,$1.69 ,$5.63 ,$2.08 ,$2.25 ,$2.06 ,$2.34 ,$2.34 ,$4.28 ,$2.21 ,$1.92 ,$5.63 ,$2.25 , N/A ,$2.17 ,$2.25 ,$2.15 ,$2.08 ,$2.34 ,$2.60 ,$2.21 ,$2.25 ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 ,$2.25 ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181015,81015,LEADWELL MICRO ONLY,300,1 ,$4.82 ,$3.13 ,$3.05 ,$7.63 ,$3.86 ,$3.05 ,$3.82 ,$4.34 ,$4.34 ,$5.80 ,$4.10 ,$3.57 ,$7.63 ,$3.05 , N/A ,$4.02 ,$3.05 ,$3.98 ,$3.86 ,$4.34 ,$4.82 ,$4.10 ,$3.05 ,$4.10 ,$4.10 ,$4.34 ,$4.34 ,$3.78 ,$3.98 ,$3.05 ,$3.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181025,81025,LEADWELL PREGNANCY TEST,300,1 ,$6.46 ,$4.20 ,$4.20 ,$16.15 ,$5.17 ,$6.46 ,$5.12 ,$5.82 ,$5.82 ,$12.27 ,$5.49 ,$4.78 ,$16.15 ,$6.46 , N/A ,$5.39 ,$6.46 ,$5.34 ,$5.17 ,$5.81 ,$6.46 ,$5.49 ,$6.46 ,$5.49 ,$5.49 ,$5.81 ,$5.81 ,$5.07 ,$5.34 ,$6.46 ,$4.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181050,81050,STOOL-24HR SPEC FOR WEIGHT,301,1 ,$49.35 ,$32.08 ,$3.64 ,$44.44 ,$39.48 ,$3.64 ,$39.10 ,$44.44 ,$44.44 ,$6.92 ,$41.95 ,$36.52 ,$9.10 ,$3.64 , N/A ,$41.16 ,$3.64 ,$40.76 ,$39.48 ,$44.42 ,$9.10 ,$41.95 ,$3.64 ,$41.95 ,$41.95 ,$44.42 ,$44.42 ,$38.74 ,$40.76 ,$3.64 ,$32.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181241,81241,LEADWELL F5 GENE ANALYSIS,300,1 ,$49.77 ,$32.35 ,$32.35 ,$124.43 ,$39.82 ,$49.77 ,$39.44 ,$44.82 ,$44.82 ,$94.56 ,$42.30 ,$36.83 ,$124.43 ,$49.77 , N/A ,$41.51 ,$49.77 ,$41.11 ,$39.82 ,$44.79 ,$49.77 ,$42.30 ,$49.77 ,$42.30 ,$42.30 ,$44.79 ,$44.79 ,$39.07 ,$41.11 ,$49.77 ,$32.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181401,81401,GALACTOSEMIA MUTATION ANALYSIS,301,1 ,$434.23 ,$282.25 ,$195.40 ,$391.02 ,$347.38 , N/A ,$344.08 ,$391.02 ,$391.02 ,$195.40 ,$369.10 ,$321.33 ,$303.96 , N/A , N/A ,$362.15 , N/A ,$358.67 ,$347.38 ,$390.81 , N/A ,$369.10 , N/A ,$369.10 ,$369.10 ,$390.81 ,$390.81 ,$340.87 ,$358.67 , N/A ,$282.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181403,81403,MV RBC MOLECULAR,302,1 ,$117.11 ,$76.12 ,$52.70 ,$105.46 ,$93.69 , N/A ,$92.80 ,$105.46 ,$105.46 ,$52.70 ,$99.54 ,$86.66 ,$81.98 , N/A , N/A ,$97.67 , N/A ,$96.73 ,$93.69 ,$105.40 , N/A ,$99.54 , N/A ,$99.54 ,$99.54 ,$105.40 ,$105.40 ,$91.93 ,$96.73 , N/A ,$76.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24181596,81596,LIVER FIBROSIS FIBROTEST ACTITEST PANEL,301,1 ,$421.80 ,$274.17 ,$72.19 ,$379.83 ,$337.44 ,$72.19 ,$334.23 ,$379.83 ,$379.83 ,$137.16 ,$358.53 ,$312.13 ,$180.48 ,$72.19 , N/A ,$351.78 ,$72.19 ,$348.41 ,$337.44 ,$379.62 ,$180.48 ,$358.53 ,$72.19 ,$358.53 ,$358.53 ,$379.62 ,$379.62 ,$331.11 ,$348.41 ,$72.19 ,$274.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182010,82010,LEADWELL ACETONE KETONES,300,1 ,$7.43 ,$4.83 ,$4.83 ,$18.58 ,$5.94 ,$7.43 ,$5.89 ,$6.69 ,$6.69 ,$14.12 ,$6.32 ,$5.50 ,$18.58 ,$7.43 , N/A ,$6.20 ,$7.43 ,$6.14 ,$5.94 ,$6.69 ,$7.43 ,$6.32 ,$7.43 ,$6.32 ,$6.32 ,$6.69 ,$6.69 ,$5.83 ,$6.14 ,$7.43 ,$4.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182024,82024,LEADWELL ACTH,300,1 ,$18.95 ,$12.32 ,$12.32 ,$47.38 ,$15.16 ,$18.95 ,$15.02 ,$17.06 ,$17.06 ,$36.01 ,$16.11 ,$14.02 ,$47.38 ,$18.95 , N/A ,$15.80 ,$18.95 ,$15.65 ,$15.16 ,$17.06 ,$18.95 ,$16.11 ,$18.95 ,$16.11 ,$16.11 ,$17.06 ,$17.06 ,$14.88 ,$15.65 ,$18.95 ,$12.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182040,82040,LEADWELL ALBUMIN,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182043,82043,LEADWELL MICROALBUMIN,300,1 ,$7.53 ,$4.89 ,$4.89 ,$14.45 ,$6.02 ,$5.78 ,$5.97 ,$6.78 ,$6.78 ,$10.98 ,$6.40 ,$5.57 ,$14.45 ,$5.78 , N/A ,$6.28 ,$5.78 ,$6.22 ,$6.02 ,$6.78 ,$7.53 ,$6.40 ,$5.78 ,$6.40 ,$6.40 ,$6.78 ,$6.78 ,$5.91 ,$6.22 ,$5.78 ,$4.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182055,82055,LEADWELL ALCOHOL,300,1 ,$5.70 ,$3.71 ,$3.71 ,$5.13 ,$4.56 , N/A ,$4.52 ,$5.13 ,$5.13 , N/A ,$4.85 ,$4.22 , N/A , N/A , N/A ,$4.75 , N/A ,$4.71 ,$4.56 ,$5.13 , N/A ,$4.85 , N/A ,$4.85 ,$4.85 ,$5.13 ,$5.13 ,$4.47 ,$4.71 , N/A ,$3.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182085,82085,LEADWELL ALDOLASE,300,1 ,$8.10 ,$5.27 ,$5.27 ,$20.25 ,$6.48 ,$8.10 ,$6.42 ,$7.29 ,$7.29 ,$15.39 ,$6.89 ,$5.99 ,$20.25 ,$8.10 , N/A ,$6.76 ,$8.10 ,$6.69 ,$6.48 ,$7.29 ,$8.10 ,$6.89 ,$8.10 ,$6.89 ,$6.89 ,$7.29 ,$7.29 ,$6.36 ,$6.69 ,$8.10 ,$5.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182088,82088,LEADWELL ALDOSTERONE,300,1 ,$16.28 ,$10.58 ,$10.58 ,$40.70 ,$13.02 ,$16.28 ,$12.90 ,$14.66 ,$14.66 ,$30.93 ,$13.84 ,$12.05 ,$40.70 ,$16.28 , N/A ,$13.58 ,$16.28 ,$13.45 ,$13.02 ,$14.65 ,$16.28 ,$13.84 ,$16.28 ,$13.84 ,$13.84 ,$14.65 ,$14.65 ,$12.78 ,$13.45 ,$16.28 ,$10.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182103,82103,LEADWELL ALPHA 1 ANTITRYSPIN TOTAL,300,1 ,$10.58 ,$6.88 ,$6.88 ,$26.45 ,$8.46 ,$10.58 ,$8.38 ,$9.53 ,$9.53 ,$20.10 ,$8.99 ,$7.83 ,$26.45 ,$10.58 , N/A ,$8.82 ,$10.58 ,$8.74 ,$8.46 ,$9.52 ,$10.58 ,$8.99 ,$10.58 ,$8.99 ,$8.99 ,$9.52 ,$9.52 ,$8.31 ,$8.74 ,$10.58 ,$6.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182104,82104,LEADWELL ALPHA 1 ANTITRYSPIN PHENO,300,1 ,$86.80 ,$56.42 ,$14.46 ,$78.16 ,$69.44 ,$14.46 ,$68.78 ,$78.16 ,$78.16 ,$27.47 ,$73.78 ,$64.23 ,$36.15 ,$14.46 , N/A ,$72.39 ,$14.46 ,$71.70 ,$69.44 ,$78.12 ,$36.15 ,$73.78 ,$14.46 ,$73.78 ,$73.78 ,$78.12 ,$78.12 ,$68.14 ,$71.70 ,$14.46 ,$56.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182105,82105,AFP MATERNAL SERUM,301,1 ,$106.48 ,$69.21 ,$16.77 ,$95.89 ,$85.18 ,$16.77 ,$84.37 ,$95.89 ,$95.89 ,$31.86 ,$90.51 ,$78.80 ,$41.93 ,$16.77 , N/A ,$88.80 ,$16.77 ,$87.95 ,$85.18 ,$95.83 ,$41.93 ,$90.51 ,$16.77 ,$90.51 ,$90.51 ,$95.83 ,$95.83 ,$83.59 ,$87.95 ,$16.77 ,$69.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182108,82108,LEADWELL ALUMINUM,301,1 ,$11.80 ,$7.67 ,$7.67 ,$29.50 ,$9.44 ,$11.80 ,$9.35 ,$10.63 ,$10.63 ,$22.42 ,$10.03 ,$8.73 ,$29.50 ,$11.80 , N/A ,$9.84 ,$11.80 ,$9.75 ,$9.44 ,$10.62 ,$11.80 ,$10.03 ,$11.80 ,$10.03 ,$10.03 ,$10.62 ,$10.62 ,$9.26 ,$9.75 ,$11.80 ,$7.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182140,82105,AFP MATERNAL SERUM,301,1 ,$106.48 ,$69.21 ,$16.77 ,$95.89 ,$85.18 ,$16.77 ,$84.37 ,$95.89 ,$95.89 ,$31.86 ,$90.51 ,$78.80 ,$41.93 ,$16.77 , N/A ,$88.80 ,$16.77 ,$87.95 ,$85.18 ,$95.83 ,$41.93 ,$90.51 ,$16.77 ,$90.51 ,$90.51 ,$95.83 ,$95.83 ,$83.59 ,$87.95 ,$16.77 ,$69.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182145,82145,URINE AMPHET METH,301,1 ,$154.75 ,$100.59 ,$100.59 ,$139.35 ,$123.80 , N/A ,$122.62 ,$139.35 ,$139.35 , N/A ,$131.54 ,$114.52 , N/A , N/A , N/A ,$129.06 , N/A ,$127.82 ,$123.80 ,$139.28 , N/A ,$131.54 , N/A ,$131.54 ,$131.54 ,$139.28 ,$139.28 ,$121.48 ,$127.82 , N/A ,$100.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182150,82150,LEADWELL AMYLASE,300,1 ,$3.39 ,$2.20 ,$2.20 ,$8.48 ,$2.71 ,$3.39 ,$2.69 ,$3.05 ,$3.05 ,$6.44 ,$2.88 ,$2.51 ,$8.48 ,$3.39 , N/A ,$2.83 ,$3.39 ,$2.80 ,$2.71 ,$3.05 ,$3.39 ,$2.88 ,$3.39 ,$2.88 ,$2.88 ,$3.05 ,$3.05 ,$2.66 ,$2.80 ,$3.39 ,$2.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182164,82164,LEADWELLANGIOTENSIN I ENZYME,300,1 ,$15.48 ,$10.06 ,$10.06 ,$36.50 ,$12.38 ,$14.60 ,$12.27 ,$13.94 ,$13.94 ,$27.74 ,$13.16 ,$11.46 ,$36.50 ,$14.60 , N/A ,$12.91 ,$14.60 ,$12.79 ,$12.38 ,$13.93 ,$15.48 ,$13.16 ,$14.60 ,$13.16 ,$13.16 ,$13.93 ,$13.93 ,$12.15 ,$12.79 ,$14.60 ,$10.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182172,82172,LEADWELL APOLIPOPROTEIN SERUM,300,1 ,$7.94 ,$5.16 ,$5.16 ,$19.85 ,$6.35 ,$7.94 ,$6.29 ,$7.15 ,$7.15 ,$15.09 ,$6.75 ,$5.88 ,$19.85 ,$7.94 , N/A ,$6.62 ,$7.94 ,$6.56 ,$6.35 ,$7.15 ,$7.94 ,$6.75 ,$7.94 ,$6.75 ,$6.75 ,$7.15 ,$7.15 ,$6.23 ,$6.56 ,$7.94 ,$5.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182175,82175,LEADWELL ARSENIC,300,1 ,$20.45 ,$13.29 ,$13.29 ,$47.43 ,$16.36 ,$18.97 ,$16.20 ,$18.42 ,$18.42 ,$36.04 ,$17.38 ,$15.13 ,$47.43 ,$18.97 , N/A ,$17.06 ,$18.97 ,$16.89 ,$16.36 ,$18.41 ,$20.45 ,$17.38 ,$18.97 ,$17.38 ,$17.38 ,$18.41 ,$18.41 ,$16.05 ,$16.89 ,$18.97 ,$13.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182247,82247,LEADWELL BILIRUBIN,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182248,82248,LEADWELL BILIRUBIN DIRECT T1,300,1 ,$2.85 ,$1.85 ,$1.85 ,$7.13 ,$2.28 ,$2.85 ,$2.26 ,$2.57 ,$2.57 ,$5.42 ,$2.42 ,$2.11 ,$7.13 ,$2.85 , N/A ,$2.38 ,$2.85 ,$2.35 ,$2.28 ,$2.57 ,$2.85 ,$2.42 ,$2.85 ,$2.42 ,$2.42 ,$2.57 ,$2.57 ,$2.24 ,$2.35 ,$2.85 ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182270,82270,LEADWELL OCCULT BLD SCREEN,300,1 ,$1.82 ,$1.18 ,$1.18 ,$4.55 ,$1.46 ,$1.82 ,$1.44 ,$1.64 ,$1.64 ,$3.46 ,$1.55 ,$1.35 ,$4.55 ,$1.82 , N/A ,$1.52 ,$1.82 ,$1.50 ,$1.46 ,$1.64 ,$1.82 ,$1.55 ,$1.82 ,$1.55 ,$1.55 ,$1.64 ,$1.64 ,$1.43 ,$1.50 ,$1.82 ,$1.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182272,82272,LEADWELL OCCULT BLOOD FECAL DIA,300,1 ,$1.82 ,$1.18 ,$1.18 ,$4.55 ,$1.46 ,$1.82 ,$1.44 ,$1.64 ,$1.64 ,$3.46 ,$1.55 ,$1.35 ,$4.55 ,$1.82 , N/A ,$1.52 ,$1.82 ,$1.50 ,$1.46 ,$1.64 ,$1.82 ,$1.55 ,$1.82 ,$1.55 ,$1.55 ,$1.64 ,$1.64 ,$1.43 ,$1.50 ,$1.82 ,$1.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182300,82300,LEADWELL CADMIUM T1,300,1 ,$30.24 ,$19.66 ,$19.66 ,$59.10 ,$24.19 ,$23.64 ,$23.96 ,$27.23 ,$27.23 ,$44.92 ,$25.70 ,$22.38 ,$59.10 ,$23.64 , N/A ,$25.22 ,$23.64 ,$24.98 ,$24.19 ,$27.22 ,$30.24 ,$25.70 ,$23.64 ,$25.70 ,$25.70 ,$27.22 ,$27.22 ,$23.74 ,$24.98 ,$23.64 ,$19.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182306,82306,VITAMIN D 25-HYDROXY (HSHS),301,1 ,$150.32 ,$97.71 ,$29.60 ,$135.36 ,$120.26 ,$29.60 ,$119.11 ,$135.36 ,$135.36 ,$56.24 ,$127.77 ,$111.24 ,$74.00 ,$29.60 , N/A ,$125.37 ,$29.60 ,$124.16 ,$120.26 ,$135.29 ,$74.00 ,$127.77 ,$29.60 ,$127.77 ,$127.77 ,$135.29 ,$135.29 ,$118.00 ,$124.16 ,$29.60 ,$97.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182308,82308,LEADWELL CALCITONIN,300,1 ,$18.42 ,$11.97 ,$11.97 ,$46.05 ,$14.74 ,$18.42 ,$14.60 ,$16.59 ,$16.59 ,$35.00 ,$15.66 ,$13.63 ,$46.05 ,$18.42 , N/A ,$15.36 ,$18.42 ,$15.21 ,$14.74 ,$16.58 ,$18.42 ,$15.66 ,$18.42 ,$15.66 ,$15.66 ,$16.58 ,$16.58 ,$14.46 ,$15.21 ,$18.42 ,$11.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182310,82310,LEADWELL CALCIUM,300,1 ,$3.12 ,$2.03 ,$2.03 ,$7.80 ,$2.50 ,$3.12 ,$2.47 ,$2.81 ,$2.81 ,$5.93 ,$2.65 ,$2.31 ,$7.80 ,$3.12 , N/A ,$2.60 ,$3.12 ,$2.58 ,$2.50 ,$2.81 ,$3.12 ,$2.65 ,$3.12 ,$2.65 ,$2.65 ,$2.81 ,$2.81 ,$2.45 ,$2.58 ,$3.12 ,$2.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182330,82330,LEADWELL CALCIUM IONIZED,300,1 ,$1.64 ,$1.07 ,$1.07 ,$4.10 ,$1.31 ,$1.64 ,$1.30 ,$1.48 ,$1.48 ,$3.12 ,$1.39 ,$1.21 ,$4.10 ,$1.64 , N/A ,$1.37 ,$1.64 ,$1.35 ,$1.31 ,$1.48 ,$1.64 ,$1.39 ,$1.64 ,$1.39 ,$1.39 ,$1.48 ,$1.48 ,$1.29 ,$1.35 ,$1.64 ,$1.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182340,82340,LEADWELL CALCIUM URINE,300,1 ,$3.12 ,$2.03 ,$2.03 ,$7.80 ,$2.50 ,$3.12 ,$2.47 ,$2.81 ,$2.81 ,$5.93 ,$2.65 ,$2.31 ,$7.80 ,$3.12 , N/A ,$2.60 ,$3.12 ,$2.58 ,$2.50 ,$2.81 ,$3.12 ,$2.65 ,$3.12 ,$2.65 ,$2.65 ,$2.81 ,$2.81 ,$2.45 ,$2.58 ,$3.12 ,$2.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182365,82365,LEADWELL CALCIUM URINE QB TIMED,300,1 ,$16.10 ,$10.47 ,$10.47 ,$32.25 ,$12.88 ,$12.90 ,$12.76 ,$14.50 ,$14.50 ,$24.51 ,$13.69 ,$11.91 ,$32.25 ,$12.90 , N/A ,$13.43 ,$12.90 ,$13.30 ,$12.88 ,$14.49 ,$16.10 ,$13.69 ,$12.90 ,$13.69 ,$13.69 ,$14.49 ,$14.49 ,$12.64 ,$13.30 ,$12.90 ,$10.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182374,82374,LEADWELL CO2,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182378,82378,LEADWELL CARCINOEMBRYONIC AG,300,1 ,$8.39 ,$5.45 ,$5.45 ,$20.98 ,$6.71 ,$8.39 ,$6.65 ,$7.56 ,$7.56 ,$15.94 ,$7.13 ,$6.21 ,$20.98 ,$8.39 , N/A ,$7.00 ,$8.39 ,$6.93 ,$6.71 ,$7.55 ,$8.39 ,$7.13 ,$8.39 ,$7.13 ,$7.13 ,$7.55 ,$7.55 ,$6.59 ,$6.93 ,$8.39 ,$5.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182384,82384,LEADWELL CATECHOLAMINES FRACTION,300,1 ,$17.27 ,$11.23 ,$11.23 ,$43.18 ,$13.82 ,$17.27 ,$13.68 ,$15.55 ,$15.55 ,$32.81 ,$14.68 ,$12.78 ,$43.18 ,$17.27 , N/A ,$14.40 ,$17.27 ,$14.27 ,$13.82 ,$15.54 ,$17.27 ,$14.68 ,$17.27 ,$14.68 ,$14.68 ,$15.54 ,$15.54 ,$13.56 ,$14.27 ,$17.27 ,$11.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182390,82390,LEADWELL CERULOPLASMIN,300,1 ,$7.64 ,$4.97 ,$4.97 ,$19.10 ,$6.11 ,$7.64 ,$6.05 ,$6.88 ,$6.88 ,$14.52 ,$6.49 ,$5.65 ,$19.10 ,$7.64 , N/A ,$6.37 ,$7.64 ,$6.31 ,$6.11 ,$6.88 ,$7.64 ,$6.49 ,$7.64 ,$6.49 ,$6.49 ,$6.88 ,$6.88 ,$6.00 ,$6.31 ,$7.64 ,$4.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182397,82397,ANTI MULLERIAN HORMONE,302,1 ,$88.62 ,$57.60 ,$14.12 ,$79.80 ,$70.90 ,$14.12 ,$70.22 ,$79.80 ,$79.80 ,$26.83 ,$75.33 ,$65.58 ,$35.30 ,$14.12 , N/A ,$73.91 ,$14.12 ,$73.20 ,$70.90 ,$79.76 ,$35.30 ,$75.33 ,$14.12 ,$75.33 ,$75.33 ,$79.76 ,$79.76 ,$69.57 ,$73.20 ,$14.12 ,$57.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182465,82465,LEADWELL CHLOSTEROL,300,1 ,$2.87 ,$1.87 ,$1.87 ,$7.18 ,$2.30 ,$2.87 ,$2.27 ,$2.58 ,$2.58 ,$5.45 ,$2.44 ,$2.12 ,$7.18 ,$2.87 , N/A ,$2.39 ,$2.87 ,$2.37 ,$2.30 ,$2.58 ,$2.87 ,$2.44 ,$2.87 ,$2.44 ,$2.44 ,$2.58 ,$2.58 ,$2.25 ,$2.37 ,$2.87 ,$1.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182491,82491,ESCITALOPRAM OXALATE,301,1 ,$412.68 ,$268.24 ,$268.24 ,$371.62 ,$330.14 , N/A ,$327.01 ,$371.62 ,$371.62 , N/A ,$350.78 ,$305.38 , N/A , N/A , N/A ,$344.18 , N/A ,$340.87 ,$330.14 ,$371.41 , N/A ,$350.78 , N/A ,$350.78 ,$350.78 ,$371.41 ,$371.41 ,$323.95 ,$340.87 , N/A ,$268.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182495,82465,LEADWELL CHROMIUM,300,1 ,$46.10 ,$29.97 ,$4.35 ,$41.51 ,$36.88 ,$4.35 ,$36.53 ,$41.51 ,$41.51 ,$8.27 ,$39.19 ,$34.11 ,$10.88 ,$4.35 , N/A ,$38.45 ,$4.35 ,$38.08 ,$36.88 ,$41.49 ,$10.88 ,$39.19 ,$4.35 ,$39.19 ,$39.19 ,$41.49 ,$41.49 ,$36.19 ,$38.08 ,$4.35 ,$29.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182523,82523,C-TELOPEPTIDE,301,1 ,$100.41 ,$65.27 ,$18.68 ,$90.42 ,$80.33 ,$18.68 ,$79.56 ,$90.42 ,$90.42 ,$35.49 ,$85.35 ,$74.30 ,$46.70 ,$18.68 , N/A ,$83.74 ,$18.68 ,$82.94 ,$80.33 ,$90.37 ,$46.70 ,$85.35 ,$18.68 ,$85.35 ,$85.35 ,$90.37 ,$90.37 ,$78.82 ,$82.94 ,$18.68 ,$65.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182525,82525,LEADWELL COPPER,300,1 ,$11.49 ,$7.47 ,$7.47 ,$28.73 ,$9.19 ,$11.49 ,$9.10 ,$10.35 ,$10.35 ,$21.83 ,$9.77 ,$8.50 ,$28.73 ,$11.49 , N/A ,$9.58 ,$11.49 ,$9.49 ,$9.19 ,$10.34 ,$11.49 ,$9.77 ,$11.49 ,$9.77 ,$9.77 ,$10.34 ,$10.34 ,$9.02 ,$9.49 ,$11.49 ,$7.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182530,82530,FREE CORTISOL 24HR URINE,301,1 ,$159.36 ,$103.58 ,$16.71 ,$143.50 ,$127.49 ,$16.71 ,$126.28 ,$143.50 ,$143.50 ,$31.75 ,$135.46 ,$117.93 ,$41.78 ,$16.71 , N/A ,$132.91 ,$16.71 ,$131.63 ,$127.49 ,$143.42 ,$41.78 ,$135.46 ,$16.71 ,$135.46 ,$135.46 ,$143.42 ,$143.42 ,$125.10 ,$131.63 ,$16.71 ,$103.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182533,82533,ACTH STIMULATION TEST,301,1 ,$425.76 ,$276.74 ,$16.30 ,$383.40 ,$340.61 ,$16.30 ,$337.37 ,$383.40 ,$383.40 ,$30.97 ,$361.90 ,$315.06 ,$40.75 ,$16.30 , N/A ,$355.08 ,$16.30 ,$351.68 ,$340.61 ,$383.18 ,$40.75 ,$361.90 ,$16.30 ,$361.90 ,$361.90 ,$383.18 ,$383.18 ,$334.22 ,$351.68 ,$16.30 ,$276.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182542,82542,OXYMORPHINE,301,1 ,$141.66 ,$92.08 ,$24.09 ,$127.56 ,$113.33 ,$24.09 ,$112.25 ,$127.56 ,$127.56 ,$45.77 ,$120.41 ,$104.83 ,$60.23 ,$24.09 , N/A ,$118.14 ,$24.09 ,$117.01 ,$113.33 ,$127.49 ,$60.23 ,$120.41 ,$24.09 ,$120.41 ,$120.41 ,$127.49 ,$127.49 ,$111.20 ,$117.01 ,$24.09 ,$92.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182550,82550,LEADWELL CREATINE KINASE CPK,300,1 ,$3.18 ,$2.07 ,$2.07 ,$7.95 ,$2.54 ,$3.18 ,$2.52 ,$2.86 ,$2.86 ,$6.04 ,$2.70 ,$2.35 ,$7.95 ,$3.18 , N/A ,$2.65 ,$3.18 ,$2.63 ,$2.54 ,$2.86 ,$3.18 ,$2.70 ,$3.18 ,$2.70 ,$2.70 ,$2.86 ,$2.86 ,$2.50 ,$2.63 ,$3.18 ,$2.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182553,82553,LEADWELL CREATINE KINASE MB FRAC,300,1 ,$5.91 ,$3.84 ,$3.84 ,$14.78 ,$4.73 ,$5.91 ,$4.68 ,$5.32 ,$5.32 ,$11.23 ,$5.02 ,$4.37 ,$14.78 ,$5.91 , N/A ,$4.93 ,$5.91 ,$4.88 ,$4.73 ,$5.32 ,$5.91 ,$5.02 ,$5.91 ,$5.02 ,$5.02 ,$5.32 ,$5.32 ,$4.64 ,$4.88 ,$5.91 ,$3.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182565,82565,LEADWELL CREATININE T1,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182570,82570,METANEPHARINES URINE RANDOM,301,1 ,$104.72 ,$68.07 ,$5.18 ,$94.30 ,$83.78 ,$5.18 ,$82.98 ,$94.30 ,$94.30 ,$9.84 ,$89.01 ,$77.49 ,$12.95 ,$5.18 , N/A ,$87.34 ,$5.18 ,$86.50 ,$83.78 ,$94.25 ,$12.95 ,$89.01 ,$5.18 ,$89.01 ,$89.01 ,$94.25 ,$94.25 ,$82.21 ,$86.50 ,$5.18 ,$68.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182607,82570,METANEPHARINES URINE RANDOM,301,1 ,$104.72 ,$68.07 ,$5.18 ,$94.30 ,$83.78 ,$5.18 ,$82.98 ,$94.30 ,$94.30 ,$9.84 ,$89.01 ,$77.49 ,$12.95 ,$5.18 , N/A ,$87.34 ,$5.18 ,$86.50 ,$83.78 ,$94.25 ,$12.95 ,$89.01 ,$5.18 ,$89.01 ,$89.01 ,$94.25 ,$94.25 ,$82.21 ,$86.50 ,$5.18 ,$68.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182626,82626,LEADWELL DHEA,300,1 ,$18.42 ,$11.97 ,$11.97 ,$46.05 ,$14.74 ,$18.42 ,$14.60 ,$16.59 ,$16.59 ,$35.00 ,$15.66 ,$13.63 ,$46.05 ,$18.42 , N/A ,$15.36 ,$18.42 ,$15.21 ,$14.74 ,$16.58 ,$18.42 ,$15.66 ,$18.42 ,$15.66 ,$15.66 ,$16.58 ,$16.58 ,$14.46 ,$15.21 ,$18.42 ,$11.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182627,82627,LEADWELL DHEA SULFATE,300,1 ,$9.61 ,$6.25 ,$6.25 ,$24.03 ,$7.69 ,$9.61 ,$7.62 ,$8.65 ,$8.65 ,$18.26 ,$8.17 ,$7.11 ,$24.03 ,$9.61 , N/A ,$8.01 ,$9.61 ,$7.94 ,$7.69 ,$8.65 ,$9.61 ,$8.17 ,$9.61 ,$8.17 ,$8.17 ,$8.65 ,$8.65 ,$7.54 ,$7.94 ,$9.61 ,$6.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182652,82652,LEADWELL VITAMIN D,300,1 ,$15.48 ,$10.06 ,$10.06 ,$38.70 ,$12.38 ,$15.48 ,$12.27 ,$13.94 ,$13.94 ,$29.41 ,$13.16 ,$11.46 ,$38.70 ,$15.48 , N/A ,$12.91 ,$15.48 ,$12.79 ,$12.38 ,$13.93 ,$15.48 ,$13.16 ,$15.48 ,$13.16 ,$13.16 ,$13.93 ,$13.93 ,$12.15 ,$12.79 ,$15.48 ,$10.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182656,82656,LEADWELL PANCREATIC ELASTASE,300,1 ,$92.64 ,$60.22 ,$11.53 ,$83.42 ,$74.11 ,$11.53 ,$73.41 ,$83.42 ,$83.42 ,$21.91 ,$78.74 ,$68.55 ,$28.83 ,$11.53 , N/A ,$77.26 ,$11.53 ,$76.52 ,$74.11 ,$83.38 ,$28.83 ,$78.74 ,$11.53 ,$78.74 ,$78.74 ,$83.38 ,$83.38 ,$72.72 ,$76.52 ,$11.53 ,$60.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182657,82657,TPMT:ENZYME -PROMETHENS LABS,301,1 ,$402.40 ,$261.56 ,$22.17 ,$362.36 ,$321.92 ,$22.17 ,$318.86 ,$362.36 ,$362.36 ,$42.12 ,$342.04 ,$297.78 ,$55.43 ,$22.17 , N/A ,$335.60 ,$22.17 ,$332.38 ,$321.92 ,$362.16 ,$55.43 ,$342.04 ,$22.17 ,$342.04 ,$342.04 ,$362.16 ,$362.16 ,$315.88 ,$332.38 ,$22.17 ,$261.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182670,82670,LEADWELL ESTRADIOL T1,300,1 ,$4.58 ,$2.98 ,$2.98 ,$11.45 ,$3.66 ,$4.58 ,$3.63 ,$4.12 ,$4.12 ,$8.70 ,$3.89 ,$3.39 ,$11.45 ,$4.58 , N/A ,$3.82 ,$4.58 ,$3.78 ,$3.66 ,$4.12 ,$4.58 ,$3.89 ,$4.58 ,$3.89 ,$3.89 ,$4.12 ,$4.12 ,$3.60 ,$3.78 ,$4.58 ,$2.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182671,82671,LEADWELL ESTROGEN,300,1 ,$105.64 ,$68.67 ,$32.30 ,$95.13 ,$84.51 ,$32.30 ,$83.71 ,$95.13 ,$95.13 ,$61.37 ,$89.79 ,$78.17 ,$80.75 ,$32.30 , N/A ,$88.10 ,$32.30 ,$87.26 ,$84.51 ,$95.08 ,$80.75 ,$89.79 ,$32.30 ,$89.79 ,$89.79 ,$95.08 ,$95.08 ,$82.93 ,$87.26 ,$32.30 ,$68.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182679,82671,LEADWELL ESTRONE,300,1 ,$24.30 ,$15.80 ,$15.80 ,$60.75 ,$19.44 ,$24.30 ,$19.26 ,$21.88 ,$21.88 ,$46.17 ,$20.66 ,$17.98 ,$60.75 ,$24.30 , N/A ,$20.27 ,$24.30 ,$20.07 ,$19.44 ,$21.87 ,$24.30 ,$20.66 ,$24.30 ,$20.66 ,$20.66 ,$21.87 ,$21.87 ,$19.08 ,$20.07 ,$24.30 ,$15.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182705,82705,LEADWELL FECAL FAT QL,300,1 ,$5.63 ,$3.66 ,$3.66 ,$12.75 ,$4.50 ,$5.10 ,$4.46 ,$5.07 ,$5.07 ,$9.69 ,$4.79 ,$4.17 ,$12.75 ,$5.10 , N/A ,$4.70 ,$5.10 ,$4.65 ,$4.50 ,$5.07 ,$5.63 ,$4.79 ,$5.10 ,$4.79 ,$4.79 ,$5.07 ,$5.07 ,$4.42 ,$4.65 ,$5.10 ,$3.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182728,82728,LEADWELL FERRITIN,300,1 ,$6.35 ,$4.13 ,$4.13 ,$15.88 ,$5.08 ,$6.35 ,$5.03 ,$5.72 ,$5.72 ,$12.07 ,$5.40 ,$4.70 ,$15.88 ,$6.35 , N/A ,$5.30 ,$6.35 ,$5.25 ,$5.08 ,$5.72 ,$6.35 ,$5.40 ,$6.35 ,$5.40 ,$5.40 ,$5.72 ,$5.72 ,$4.98 ,$5.25 ,$6.35 ,$4.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182746,82746,LEADWELL FOLIC ACID,300,1 ,$5.28 ,$3.43 ,$3.43 ,$13.20 ,$4.22 ,$5.28 ,$4.18 ,$4.75 ,$4.75 ,$10.03 ,$4.49 ,$3.91 ,$13.20 ,$5.28 , N/A ,$4.40 ,$5.28 ,$4.36 ,$4.22 ,$4.75 ,$5.28 ,$4.49 ,$5.28 ,$4.49 ,$4.49 ,$4.75 ,$4.75 ,$4.14 ,$4.36 ,$5.28 ,$3.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182747,82747,LEADWELL FOLIC ACID RBC T1,300,1 ,$6.91 ,$4.49 ,$4.49 ,$17.28 ,$5.53 ,$6.91 ,$5.48 ,$6.22 ,$6.22 ,$13.13 ,$5.87 ,$5.11 ,$17.28 ,$6.91 , N/A ,$5.76 ,$6.91 ,$5.71 ,$5.53 ,$6.22 ,$6.91 ,$5.87 ,$6.91 ,$5.87 ,$5.87 ,$6.22 ,$6.22 ,$5.42 ,$5.71 ,$6.91 ,$4.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182784,82784,LEADWELL GAMMAGLOBULIN,300,1 ,$5.10 ,$3.32 ,$3.32 ,$12.75 ,$4.08 ,$5.10 ,$4.04 ,$4.59 ,$4.59 ,$9.69 ,$4.34 ,$3.77 ,$12.75 ,$5.10 , N/A ,$4.25 ,$5.10 ,$4.21 ,$4.08 ,$4.59 ,$5.10 ,$4.34 ,$5.10 ,$4.34 ,$4.34 ,$4.59 ,$4.59 ,$4.00 ,$4.21 ,$5.10 ,$3.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182785,82785,LEADWELL GAMMAGLOBULIN IGE,300,1 ,$9.61 ,$6.25 ,$6.25 ,$24.03 ,$7.69 ,$9.61 ,$7.62 ,$8.65 ,$8.65 ,$18.26 ,$8.17 ,$7.11 ,$24.03 ,$9.61 , N/A ,$8.01 ,$9.61 ,$7.94 ,$7.69 ,$8.65 ,$9.61 ,$8.17 ,$9.61 ,$8.17 ,$8.17 ,$8.65 ,$8.65 ,$7.54 ,$7.94 ,$9.61 ,$6.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182787,82787,LEADWELL GIMMUNOGLOBULIN SUBCLASSES,300,1 ,$15.66 ,$10.18 ,$8.02 ,$20.05 ,$12.53 ,$8.02 ,$12.41 ,$14.10 ,$14.10 ,$15.24 ,$13.31 ,$11.59 ,$20.05 ,$8.02 , N/A ,$13.06 ,$8.02 ,$12.94 ,$12.53 ,$14.09 ,$15.66 ,$13.31 ,$8.02 ,$13.31 ,$13.31 ,$14.09 ,$14.09 ,$12.29 ,$12.94 ,$8.02 ,$10.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182941,82941,LEADWELL GASTRIN,300,1 ,$10.58 ,$6.88 ,$6.88 ,$26.45 ,$8.46 ,$10.58 ,$8.38 ,$9.53 ,$9.53 ,$20.10 ,$8.99 ,$7.83 ,$26.45 ,$10.58 , N/A ,$8.82 ,$10.58 ,$8.74 ,$8.46 ,$9.52 ,$10.58 ,$8.99 ,$10.58 ,$8.99 ,$8.99 ,$9.52 ,$9.52 ,$8.31 ,$8.74 ,$10.58 ,$6.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182947,82947,LEADWELL GLUCOSE,300,1 ,$2.87 ,$1.87 ,$1.87 ,$7.18 ,$2.30 ,$2.87 ,$2.27 ,$2.58 ,$2.58 ,$5.45 ,$2.44 ,$2.12 ,$7.18 ,$2.87 , N/A ,$2.39 ,$2.87 ,$2.37 ,$2.30 ,$2.58 ,$2.87 ,$2.44 ,$2.87 ,$2.44 ,$2.44 ,$2.58 ,$2.58 ,$2.25 ,$2.37 ,$2.87 ,$1.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182950,82950,LEADWELL GLUCOSE SCREEN,300,1 ,$6.01 ,$3.91 ,$3.91 ,$11.88 ,$4.81 ,$4.75 ,$4.76 ,$5.41 ,$5.41 ,$9.03 ,$5.11 ,$4.45 ,$11.88 ,$4.75 , N/A ,$5.01 ,$4.75 ,$4.96 ,$4.81 ,$5.41 ,$6.01 ,$5.11 ,$4.75 ,$5.11 ,$5.11 ,$5.41 ,$5.41 ,$4.72 ,$4.96 ,$4.75 ,$3.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182977,82977,LEADWELL GLUCOSE SCREEN,300,1 ,$3.06 ,$1.99 ,$1.99 ,$7.65 ,$2.45 ,$3.06 ,$2.42 ,$2.76 ,$2.76 ,$5.81 ,$2.60 ,$2.26 ,$7.65 ,$3.06 , N/A ,$2.55 ,$3.06 ,$2.53 ,$2.45 ,$2.75 ,$3.06 ,$2.60 ,$3.06 ,$2.60 ,$2.60 ,$2.75 ,$2.75 ,$2.40 ,$2.53 ,$3.06 ,$1.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182985,82985,LEADWELL FRUCTOSAMINE,300,1 ,$6.50 ,$4.23 ,$4.23 ,$16.25 ,$5.20 ,$6.50 ,$5.15 ,$5.85 ,$5.85 ,$12.35 ,$5.53 ,$4.81 ,$16.25 ,$6.50 , N/A ,$5.42 ,$6.50 ,$5.37 ,$5.20 ,$5.85 ,$6.50 ,$5.53 ,$6.50 ,$5.53 ,$5.53 ,$5.85 ,$5.85 ,$5.10 ,$5.37 ,$6.50 ,$4.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24182999,81403,MPL,310,1 ,$371.78 ,$241.66 ,$167.30 ,$334.79 ,$297.42 , N/A ,$294.60 ,$334.79 ,$334.79 ,$167.30 ,$316.01 ,$275.12 ,$260.25 , N/A , N/A ,$310.06 , N/A ,$307.09 ,$297.42 ,$334.60 , N/A ,$316.01 , N/A ,$316.01 ,$316.01 ,$334.60 ,$334.60 ,$291.85 ,$307.09 , N/A ,$241.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183001,83001,LEADWELL FSH,300,1 ,$5.34 ,$3.47 ,$3.47 ,$13.35 ,$4.27 ,$5.34 ,$4.23 ,$4.81 ,$4.81 ,$10.15 ,$4.54 ,$3.95 ,$13.35 ,$5.34 , N/A ,$4.45 ,$5.34 ,$4.41 ,$4.27 ,$4.81 ,$5.34 ,$4.54 ,$5.34 ,$4.54 ,$4.54 ,$4.81 ,$4.81 ,$4.19 ,$4.41 ,$5.34 ,$3.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183002,83002,LEADWELL LUTEINIZINE HORMONE,300,1 ,$5.67 ,$3.69 ,$3.69 ,$14.18 ,$4.54 ,$5.67 ,$4.49 ,$5.11 ,$5.11 ,$10.77 ,$4.82 ,$4.20 ,$14.18 ,$5.67 , N/A ,$4.73 ,$5.67 ,$4.68 ,$4.54 ,$5.10 ,$5.67 ,$4.82 ,$5.67 ,$4.82 ,$4.82 ,$5.10 ,$5.10 ,$4.45 ,$4.68 ,$5.67 ,$3.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183003,83003,LEADWELL GROWTH HORMONE,300,1 ,$8.62 ,$5.60 ,$5.60 ,$21.55 ,$6.90 ,$8.62 ,$6.83 ,$7.76 ,$7.76 ,$16.38 ,$7.33 ,$6.38 ,$21.55 ,$8.62 , N/A ,$7.19 ,$8.62 ,$7.12 ,$6.90 ,$7.76 ,$8.62 ,$7.33 ,$8.62 ,$7.33 ,$7.33 ,$7.76 ,$7.76 ,$6.77 ,$7.12 ,$8.62 ,$5.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183010,83010,LEADWELL HAPTAGLOBIN,300,1 ,$9.61 ,$6.25 ,$6.25 ,$24.03 ,$7.69 ,$9.61 ,$7.62 ,$8.65 ,$8.65 ,$18.26 ,$8.17 ,$7.11 ,$24.03 ,$9.61 , N/A ,$8.01 ,$9.61 ,$7.94 ,$7.69 ,$8.65 ,$9.61 ,$8.17 ,$9.61 ,$8.17 ,$8.17 ,$8.65 ,$8.65 ,$7.54 ,$7.94 ,$9.61 ,$6.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183018,83018,LEADWELLHEAVY METAL QN EA T1,300,1 ,$74.89 ,$48.68 ,$21.96 ,$67.44 ,$59.91 ,$21.96 ,$59.34 ,$67.44 ,$67.44 ,$41.72 ,$63.66 ,$55.42 ,$54.90 ,$21.96 , N/A ,$62.46 ,$21.96 ,$61.86 ,$59.91 ,$67.40 ,$54.90 ,$63.66 ,$21.96 ,$63.66 ,$63.66 ,$67.40 ,$67.40 ,$58.79 ,$61.86 ,$21.96 ,$48.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183020,83020,LEADWELL HGB ELECTROPHORESIS,300,1 ,$18.72 ,$12.17 ,$12.17 ,$32.18 ,$14.98 ,$12.87 ,$14.83 ,$16.86 ,$16.86 ,$24.45 ,$15.91 ,$13.85 ,$32.18 ,$12.87 , N/A ,$15.61 ,$12.87 ,$15.46 ,$14.98 ,$16.85 ,$18.72 ,$15.91 ,$12.87 ,$15.91 ,$15.91 ,$16.85 ,$16.85 ,$14.70 ,$15.46 ,$12.87 ,$12.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183021,83021,LEADWELL HEMOGLOBIN FRACT QN,300,1 ,$16.62 ,$10.80 ,$10.80 ,$41.55 ,$13.30 ,$16.62 ,$13.17 ,$14.97 ,$14.97 ,$31.58 ,$14.13 ,$12.30 ,$41.55 ,$16.62 , N/A ,$13.86 ,$16.62 ,$13.73 ,$13.30 ,$14.96 ,$16.62 ,$14.13 ,$16.62 ,$14.13 ,$14.13 ,$14.96 ,$14.96 ,$13.05 ,$13.73 ,$16.62 ,$10.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183090,83090,LEADWELL HOMOCYSTEINE,300,1 ,$30.31 ,$19.70 ,$17.92 ,$44.80 ,$24.25 ,$17.92 ,$24.02 ,$27.29 ,$27.29 ,$34.05 ,$25.76 ,$22.43 ,$44.80 ,$17.92 , N/A ,$25.28 ,$17.92 ,$25.04 ,$24.25 ,$27.28 ,$30.31 ,$25.76 ,$17.92 ,$25.76 ,$25.76 ,$27.28 ,$27.28 ,$23.79 ,$25.04 ,$17.92 ,$19.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183498,83498,LEADWELL HYDROXYPROGEST 17 D T2,300,1 ,$18.46 ,$12.00 ,$12.00 ,$46.15 ,$14.77 ,$18.46 ,$14.63 ,$16.62 ,$16.62 ,$35.07 ,$15.69 ,$13.66 ,$46.15 ,$18.46 , N/A ,$15.40 ,$18.46 ,$15.25 ,$14.77 ,$16.61 ,$18.46 ,$15.69 ,$18.46 ,$15.69 ,$15.69 ,$16.61 ,$16.61 ,$14.49 ,$15.25 ,$18.46 ,$12.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183516,83516,ANTITRANSGLUTAMINASE IGA,301,1 ,$110.96 ,$72.12 ,$11.53 ,$99.92 ,$88.77 ,$11.53 ,$87.92 ,$99.92 ,$99.92 ,$21.91 ,$94.32 ,$82.11 ,$28.83 ,$11.53 , N/A ,$92.54 ,$11.53 ,$91.65 ,$88.77 ,$99.86 ,$28.83 ,$94.32 ,$11.53 ,$94.32 ,$94.32 ,$99.86 ,$99.86 ,$87.10 ,$91.65 ,$11.53 ,$72.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183519,83519,"IMMUNO ASSAY, ANALYTE, QUANT BY RIA",301,1 ,"$1,411.18 ",$917.27 ,$18.40 ,"$1,270.77 ","$1,128.94 ",$18.40 ,"$1,118.22 ","$1,270.77 ","$1,270.77 ",$34.96 ,"$1,199.50 ","$1,044.27 ",$46.00 ,$18.40 , N/A ,"$1,176.92 ",$18.40 ,"$1,165.63 ","$1,128.94 ","$1,270.06 ",$46.00 ,"$1,199.50 ",$18.40 ,"$1,199.50 ","$1,199.50 ","$1,270.06 ","$1,270.06 ","$1,107.78 ","$1,165.63 ",$18.40 ,$917.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183520,83520,ANTI-SULFATIDE ANTIBODIES,301,1 ,"$1,278.49 ",$831.02 ,$17.27 ,"$1,151.28 ","$1,022.79 ",$17.27 ,"$1,013.08 ","$1,151.28 ","$1,151.28 ",$32.81 ,"$1,086.72 ",$946.08 ,$43.18 ,$17.27 , N/A ,"$1,066.26 ",$17.27 ,"$1,056.03 ","$1,022.79 ","$1,150.64 ",$43.18 ,"$1,086.72 ",$17.27 ,"$1,086.72 ","$1,086.72 ","$1,150.64 ","$1,150.64 ","$1,003.61 ","$1,056.03 ",$17.27 ,$831.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183525,83516,ANTITRANSGLUTAMINASE IGA,301,1 ,$110.96 ,$72.12 ,$11.53 ,$99.92 ,$88.77 ,$11.53 ,$87.92 ,$99.92 ,$99.92 ,$21.91 ,$94.32 ,$82.11 ,$28.83 ,$11.53 , N/A ,$92.54 ,$11.53 ,$91.65 ,$88.77 ,$99.86 ,$28.83 ,$94.32 ,$11.53 ,$94.32 ,$94.32 ,$99.86 ,$99.86 ,$87.10 ,$91.65 ,$11.53 ,$72.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183540,83516,ANTITRANSGLUTAMINASE IGA,301,1 ,$110.96 ,$72.12 ,$11.53 ,$99.92 ,$88.77 ,$11.53 ,$87.92 ,$99.92 ,$99.92 ,$21.91 ,$94.32 ,$82.11 ,$28.83 ,$11.53 , N/A ,$92.54 ,$11.53 ,$91.65 ,$88.77 ,$99.86 ,$28.83 ,$94.32 ,$11.53 ,$94.32 ,$94.32 ,$99.86 ,$99.86 ,$87.10 ,$91.65 ,$11.53 ,$72.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183550,83516,ANTITRANSGLUTAMINASE IGA,301,1 ,$110.96 ,$72.12 ,$11.53 ,$99.92 ,$88.77 ,$11.53 ,$87.92 ,$99.92 ,$99.92 ,$21.91 ,$94.32 ,$82.11 ,$28.83 ,$11.53 , N/A ,$92.54 ,$11.53 ,$91.65 ,$88.77 ,$99.86 ,$28.83 ,$94.32 ,$11.53 ,$94.32 ,$94.32 ,$99.86 ,$99.86 ,$87.10 ,$91.65 ,$11.53 ,$72.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183605,83605,LEADWELL LACTATE/LACTIC ACID,300,1 ,$4.69 ,$3.05 ,$3.05 ,$11.73 ,$3.75 ,$4.69 ,$3.72 ,$4.22 ,$4.22 ,$8.91 ,$3.99 ,$3.47 ,$11.73 ,$4.69 , N/A ,$3.91 ,$4.69 ,$3.87 ,$3.75 ,$4.22 ,$4.69 ,$3.99 ,$4.69 ,$3.99 ,$3.99 ,$4.22 ,$4.22 ,$3.68 ,$3.87 ,$4.69 ,$3.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183615,83615,LEADWELL LACTATE DEHYDRO,300,1 ,$2.87 ,$1.87 ,$1.87 ,$7.18 ,$2.30 ,$2.87 ,$2.27 ,$2.58 ,$2.58 ,$5.45 ,$2.44 ,$2.12 ,$7.18 ,$2.87 , N/A ,$2.39 ,$2.87 ,$2.37 ,$2.30 ,$2.58 ,$2.87 ,$2.44 ,$2.87 ,$2.44 ,$2.44 ,$2.58 ,$2.58 ,$2.25 ,$2.37 ,$2.87 ,$1.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183655,83655,LEADWELL LEAD,300,1 ,$5.99 ,$3.89 ,$3.89 ,$14.98 ,$4.79 ,$5.99 ,$4.75 ,$5.39 ,$5.39 ,$11.38 ,$5.09 ,$4.43 ,$14.98 ,$5.99 , N/A ,$5.00 ,$5.99 ,$4.95 ,$4.79 ,$5.39 ,$5.99 ,$5.09 ,$5.99 ,$5.09 ,$5.09 ,$5.39 ,$5.39 ,$4.70 ,$4.95 ,$5.99 ,$3.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183690,83690,LEADWELL LIPASE,300,1 ,$3.39 ,$2.20 ,$2.20 ,$8.48 ,$2.71 ,$3.39 ,$2.69 ,$3.05 ,$3.05 ,$6.44 ,$2.88 ,$2.51 ,$8.48 ,$3.39 , N/A ,$2.83 ,$3.39 ,$2.80 ,$2.71 ,$3.05 ,$3.39 ,$2.88 ,$3.39 ,$2.88 ,$2.88 ,$3.05 ,$3.05 ,$2.66 ,$2.80 ,$3.39 ,$2.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183695,83695,LEADWELL LIPOPROTEIN A,300,1 ,$4.82 ,$3.13 ,$3.13 ,$12.05 ,$3.86 ,$4.82 ,$3.82 ,$4.34 ,$4.34 ,$9.16 ,$4.10 ,$3.57 ,$12.05 ,$4.82 , N/A ,$4.02 ,$4.82 ,$3.98 ,$3.86 ,$4.34 ,$4.82 ,$4.10 ,$4.82 ,$4.10 ,$4.10 ,$4.34 ,$4.34 ,$3.78 ,$3.98 ,$4.82 ,$3.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183704,83704,ADVANCED LIPID PANEL,300,1 ,$112.02 ,$72.81 ,$34.19 ,$100.87 ,$89.62 ,$34.19 ,$88.76 ,$100.87 ,$100.87 ,$64.96 ,$95.22 ,$82.89 ,$85.48 ,$34.19 , N/A ,$93.42 ,$34.19 ,$92.53 ,$89.62 ,$100.82 ,$85.48 ,$95.22 ,$34.19 ,$95.22 ,$95.22 ,$100.82 ,$100.82 ,$87.94 ,$92.53 ,$34.19 ,$72.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183718,83718,LEADWELLCHLOSTEROL HDL,300,1 ,$4.14 ,$2.69 ,$2.69 ,$10.35 ,$3.31 ,$4.14 ,$3.28 ,$3.73 ,$3.73 ,$7.87 ,$3.52 ,$3.06 ,$10.35 ,$4.14 , N/A ,$3.45 ,$4.14 ,$3.42 ,$3.31 ,$3.73 ,$4.14 ,$3.52 ,$4.14 ,$3.52 ,$3.52 ,$3.73 ,$3.73 ,$3.25 ,$3.42 ,$4.14 ,$2.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183721,83516,ANTITRANSGLUTAMINASE IGA,301,1 ,$110.96 ,$72.12 ,$11.53 ,$99.92 ,$88.77 ,$11.53 ,$87.92 ,$99.92 ,$99.92 ,$21.91 ,$94.32 ,$82.11 ,$28.83 ,$11.53 , N/A ,$92.54 ,$11.53 ,$91.65 ,$88.77 ,$99.86 ,$28.83 ,$94.32 ,$11.53 ,$94.32 ,$94.32 ,$99.86 ,$99.86 ,$87.10 ,$91.65 ,$11.53 ,$72.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183735,83735,LEADWELL MAGNESIUM,300,1 ,$3.18 ,$2.07 ,$2.07 ,$7.95 ,$2.54 ,$3.18 ,$2.52 ,$2.86 ,$2.86 ,$6.04 ,$2.70 ,$2.35 ,$7.95 ,$3.18 , N/A ,$2.65 ,$3.18 ,$2.63 ,$2.54 ,$2.86 ,$3.18 ,$2.70 ,$3.18 ,$2.70 ,$2.70 ,$2.86 ,$2.86 ,$2.50 ,$2.63 ,$3.18 ,$2.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183825,83825,LEADWELL MERCURY,300,1 ,$17.44 ,$11.34 ,$11.34 ,$40.65 ,$13.95 ,$16.26 ,$13.82 ,$15.70 ,$15.70 ,$30.89 ,$14.82 ,$12.91 ,$40.65 ,$16.26 , N/A ,$14.55 ,$16.26 ,$14.41 ,$13.95 ,$15.70 ,$17.44 ,$14.82 ,$16.26 ,$14.82 ,$14.82 ,$15.70 ,$15.70 ,$13.69 ,$14.41 ,$16.26 ,$11.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183835,83835,METANEPHRINES-PLASMA,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24183874,83874,LEADWELL MYOGLOBIN,300,1 ,$8.51 ,$5.53 ,$5.53 ,$21.28 ,$6.81 ,$8.51 ,$6.74 ,$7.66 ,$7.66 ,$16.17 ,$7.23 ,$6.30 ,$21.28 ,$8.51 , N/A ,$7.10 ,$8.51 ,$7.03 ,$6.81 ,$7.66 ,$8.51 ,$7.23 ,$8.51 ,$7.23 ,$7.23 ,$7.66 ,$7.66 ,$6.68 ,$7.03 ,$8.51 ,$5.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183880,83880,LEADWELL BNP NATRIURETIC PEPTIDE,300,1 ,$32.31 ,$21.00 ,$21.00 ,$80.78 ,$25.85 ,$32.31 ,$25.60 ,$29.10 ,$29.10 ,$61.39 ,$27.46 ,$23.91 ,$80.78 ,$32.31 , N/A ,$26.95 ,$32.31 ,$26.69 ,$25.85 ,$29.08 ,$32.31 ,$27.46 ,$32.31 ,$27.46 ,$27.46 ,$29.08 ,$29.08 ,$25.36 ,$26.69 ,$32.31 ,$21.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183887,80323,NICOTINE SCREEN - SERUM,301,1 ,$213.48 ,$138.76 ,$138.76 ,$192.24 ,$170.78 , N/A ,$169.16 ,$192.24 ,$192.24 , N/A ,$181.46 ,$157.98 , N/A , N/A , N/A ,$178.04 , N/A ,$176.33 ,$170.78 ,$192.13 , N/A ,$181.46 , N/A ,$181.46 ,$181.46 ,$192.13 ,$192.13 ,$167.58 ,$176.33 , N/A ,$138.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183890,81240,PROTHROMBIN GENE MUTATION,310,1 ,$104.94 ,$68.21 ,$65.69 ,$164.23 ,$83.95 ,$65.69 ,$83.15 ,$94.50 ,$94.50 ,$124.81 ,$89.20 ,$77.66 ,$164.23 ,$65.69 , N/A ,$87.52 ,$65.69 ,$86.68 ,$83.95 ,$94.45 ,$104.94 ,$89.20 ,$65.69 ,$89.20 ,$89.20 ,$94.45 ,$94.45 ,$82.38 ,$86.68 ,$65.69 ,$68.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183891,81270,"MOLEC DX,ISOLA OR EXTRA OF PUR NUC ACID",301,1 ,$418.83 ,$272.24 ,$91.66 ,$377.16 ,$335.06 ,$91.66 ,$331.88 ,$377.16 ,$377.16 ,$174.15 ,$356.01 ,$309.93 ,$229.15 ,$91.66 , N/A ,$349.30 ,$91.66 ,$345.95 ,$335.06 ,$376.95 ,$229.15 ,$356.01 ,$91.66 ,$356.01 ,$356.01 ,$376.95 ,$376.95 ,$328.78 ,$345.95 ,$91.66 ,$272.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183896,81382,"MOLECULAR DX,NUCLEIC ACID PROBE EA",305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24183898,81382,"MOLECULAR DX,AMPLIFICATION,TARGET,EA NUC",305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24183912,81270,TPMT GENETIC,301,1 ,"$1,465.96 ",$952.87 ,$91.66 ,"$1,320.10 ","$1,172.77 ",$91.66 ,"$1,161.63 ","$1,320.10 ","$1,320.10 ",$174.15 ,"$1,246.07 ","$1,084.81 ",$229.15 ,$91.66 , N/A ,"$1,222.61 ",$91.66 ,"$1,210.88 ","$1,172.77 ","$1,319.36 ",$229.15 ,"$1,246.07 ",$91.66 ,"$1,246.07 ","$1,246.07 ","$1,319.36 ","$1,319.36 ","$1,150.78 ","$1,210.88 ",$91.66 ,$952.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183915,83915,LEADWELL NUCLEOTIDASE,300,1 ,$65.22 ,$42.39 ,$11.15 ,$58.73 ,$52.18 ,$11.15 ,$51.68 ,$58.73 ,$58.73 ,$21.19 ,$55.44 ,$48.26 ,$27.88 ,$11.15 , N/A ,$54.39 ,$11.15 ,$53.87 ,$52.18 ,$58.70 ,$27.88 ,$55.44 ,$11.15 ,$55.44 ,$55.44 ,$58.70 ,$58.70 ,$51.20 ,$53.87 ,$11.15 ,$42.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183925,83925,CODEINE URINE,301,1 ,$128.46 ,$83.50 ,$83.50 ,$115.68 ,$102.77 , N/A ,$101.79 ,$115.68 ,$115.68 , N/A ,$109.19 ,$95.06 , N/A , N/A , N/A ,$107.14 , N/A ,$106.11 ,$102.77 ,$115.61 , N/A ,$109.19 , N/A ,$109.19 ,$109.19 ,$115.61 ,$115.61 ,$100.84 ,$106.11 , N/A ,$83.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183930,83930,LEADWELL OSMOLAITY BLOOD,300,1 ,$9.08 ,$5.90 ,$5.90 ,$16.53 ,$7.26 ,$6.61 ,$7.20 ,$8.18 ,$8.18 ,$12.56 ,$7.72 ,$6.72 ,$16.53 ,$6.61 , N/A ,$7.57 ,$6.61 ,$7.50 ,$7.26 ,$8.17 ,$9.08 ,$7.72 ,$6.61 ,$7.72 ,$7.72 ,$8.17 ,$8.17 ,$7.13 ,$7.50 ,$6.61 ,$5.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183970,83970,LEADWELL PARATHYTORID HORMONE,300,1 ,$12.42 ,$8.07 ,$8.07 ,$31.05 ,$9.94 ,$12.42 ,$9.84 ,$11.18 ,$11.18 ,$23.60 ,$10.56 ,$9.19 ,$31.05 ,$12.42 , N/A ,$10.36 ,$12.42 ,$10.26 ,$9.94 ,$11.18 ,$12.42 ,$10.56 ,$12.42 ,$10.56 ,$10.56 ,$11.18 ,$11.18 ,$9.75 ,$10.26 ,$12.42 ,$8.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24183986,83986,LEADWELL PH BODY FLUID,300,1 ,$8.99 ,$5.84 ,$3.58 ,$8.95 ,$7.19 ,$3.58 ,$7.12 ,$8.10 ,$8.10 ,$6.80 ,$7.64 ,$6.65 ,$8.95 ,$3.58 , N/A ,$7.50 ,$3.58 ,$7.43 ,$7.19 ,$8.09 ,$8.95 ,$7.64 ,$3.58 ,$7.64 ,$7.64 ,$8.09 ,$8.09 ,$7.06 ,$7.43 ,$3.58 ,$5.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184075,84075,LEADWELL ALKALINE PHOSPHATASE,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184080,84080,LEADWELL ALK PHOS,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184100,84100,LEADWELL PHOSPHORUS,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184105,84105,LEADWELL PHOSPHORUS UR,300,1 ,$3.06 ,$1.99 ,$1.99 ,$7.65 ,$2.45 ,$3.06 ,$2.42 ,$2.76 ,$2.76 ,$5.81 ,$2.60 ,$2.26 ,$7.65 ,$3.06 , N/A ,$2.55 ,$3.06 ,$2.53 ,$2.45 ,$2.75 ,$3.06 ,$2.60 ,$3.06 ,$2.60 ,$2.60 ,$2.75 ,$2.75 ,$2.40 ,$2.53 ,$3.06 ,$1.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184132,84132,LEADWELL POTASSIUM,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184133,84133,LEADWELL POTASSIUM UR,300,1 ,$3.12 ,$2.03 ,$2.03 ,$7.80 ,$2.50 ,$3.12 ,$2.47 ,$2.81 ,$2.81 ,$5.93 ,$2.65 ,$2.31 ,$7.80 ,$3.12 , N/A ,$2.60 ,$3.12 ,$2.58 ,$2.50 ,$2.81 ,$3.12 ,$2.65 ,$3.12 ,$2.65 ,$2.65 ,$2.81 ,$2.81 ,$2.45 ,$2.58 ,$3.12 ,$2.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184134,84134,LEADWELL PREALBUMIN,300,1 ,$4.76 ,$3.09 ,$3.09 ,$11.90 ,$3.81 ,$4.76 ,$3.77 ,$4.29 ,$4.29 ,$9.04 ,$4.05 ,$3.52 ,$11.90 ,$4.76 , N/A ,$3.97 ,$4.76 ,$3.93 ,$3.81 ,$4.28 ,$4.76 ,$4.05 ,$4.76 ,$4.05 ,$4.05 ,$4.28 ,$4.28 ,$3.74 ,$3.93 ,$4.76 ,$3.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184144,84144,LEADWELL PROGESTERONE,300,1 ,$6.38 ,$4.15 ,$4.15 ,$15.95 ,$5.10 ,$6.38 ,$5.06 ,$5.75 ,$5.75 ,$12.12 ,$5.42 ,$4.72 ,$15.95 ,$6.38 , N/A ,$5.32 ,$6.38 ,$5.27 ,$5.10 ,$5.74 ,$6.38 ,$5.42 ,$6.38 ,$5.42 ,$5.42 ,$5.74 ,$5.74 ,$5.01 ,$5.27 ,$6.38 ,$4.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184145,84145,LEADWELL PROCALCITONIN,300,1 ,$147.75 ,$96.04 ,$27.22 ,$133.05 ,$118.20 ,$27.22 ,$117.08 ,$133.05 ,$133.05 ,$51.72 ,$125.59 ,$109.34 ,$68.05 ,$27.22 , N/A ,$123.22 ,$27.22 ,$122.04 ,$118.20 ,$132.98 ,$68.05 ,$125.59 ,$27.22 ,$125.59 ,$125.59 ,$132.98 ,$132.98 ,$115.98 ,$122.04 ,$27.22 ,$96.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184146,84146,LEADWELL PROLACTIN,300,1 ,$5.20 ,$3.38 ,$3.38 ,$13.00 ,$4.16 ,$5.20 ,$4.12 ,$4.68 ,$4.68 ,$9.88 ,$4.42 ,$3.85 ,$13.00 ,$5.20 , N/A ,$4.34 ,$5.20 ,$4.30 ,$4.16 ,$4.68 ,$5.20 ,$4.42 ,$5.20 ,$4.42 ,$4.42 ,$4.68 ,$4.68 ,$4.08 ,$4.30 ,$5.20 ,$3.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184153,84153,PSA-TOTAL-DIAGNOSTIC,301,1 ,$259.62 ,$168.75 ,$18.39 ,$233.79 ,$207.70 ,$18.39 ,$205.72 ,$233.79 ,$233.79 ,$34.94 ,$220.68 ,$192.12 ,$45.98 ,$18.39 , N/A ,$216.52 ,$18.39 ,$214.45 ,$207.70 ,$233.66 ,$45.98 ,$220.68 ,$18.39 ,$220.68 ,$220.68 ,$233.66 ,$233.66 ,$203.80 ,$214.45 ,$18.39 ,$168.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184154,84154,PSA FREE / SBL,301,1 ,$157.50 ,$102.38 ,$18.39 ,$141.83 ,$126.00 ,$18.39 ,$124.80 ,$141.83 ,$141.83 ,$34.94 ,$133.88 ,$116.55 ,$45.98 ,$18.39 , N/A ,$131.36 ,$18.39 ,$130.10 ,$126.00 ,$141.75 ,$45.98 ,$133.88 ,$18.39 ,$133.88 ,$133.88 ,$141.75 ,$141.75 ,$123.64 ,$130.10 ,$18.39 ,$102.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184155,84155,LEADWELL PROTEIN TOTAL BLOOD,300,1 ,$2.42 ,$1.57 ,$1.57 ,$6.05 ,$1.94 ,$2.42 ,$1.92 ,$2.18 ,$2.18 ,$4.60 ,$2.06 ,$1.79 ,$6.05 ,$2.42 , N/A ,$2.02 ,$2.42 ,$2.00 ,$1.94 ,$2.18 ,$2.42 ,$2.06 ,$2.42 ,$2.06 ,$2.06 ,$2.18 ,$2.18 ,$1.90 ,$2.00 ,$2.42 ,$1.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184156,84156,LEADWELL PROTEIN TOTAL BLOOD,300,1 ,$3.83 ,$2.49 ,$2.49 ,$9.18 ,$3.06 ,$3.67 ,$3.03 ,$3.45 ,$3.45 ,$6.97 ,$3.26 ,$2.83 ,$9.18 ,$3.67 , N/A ,$3.19 ,$3.67 ,$3.16 ,$3.06 ,$3.45 ,$3.83 ,$3.26 ,$3.67 ,$3.26 ,$3.26 ,$3.45 ,$3.45 ,$3.01 ,$3.16 ,$3.67 ,$2.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184165,84165,LEADWELL PROTEIN ELECTROPHORESIS,300,1 ,$14.99 ,$9.74 ,$9.74 ,$26.85 ,$11.99 ,$10.74 ,$11.88 ,$13.50 ,$13.50 ,$20.41 ,$12.74 ,$11.09 ,$26.85 ,$10.74 , N/A ,$12.50 ,$10.74 ,$12.38 ,$11.99 ,$13.49 ,$14.99 ,$12.74 ,$10.74 ,$12.74 ,$12.74 ,$13.49 ,$13.49 ,$11.77 ,$12.38 ,$10.74 ,$9.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184166,84166,LEADWELL PROTEIN EP OTHER FLUIDS,300,1 ,$21.88 ,$14.22 ,$14.22 ,$44.58 ,$17.50 ,$17.83 ,$17.34 ,$19.70 ,$19.70 ,$33.88 ,$18.60 ,$16.19 ,$44.58 ,$17.83 , N/A ,$18.25 ,$17.83 ,$18.07 ,$17.50 ,$19.69 ,$21.88 ,$18.60 ,$17.83 ,$18.60 ,$18.60 ,$19.69 ,$19.69 ,$17.18 ,$18.07 ,$17.83 ,$14.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184206,81003,LEADWELL AUTO W/O MICRO,300,1 ,$40.76 ,$26.49 ,$2.25 ,$36.70 ,$32.61 ,$2.25 ,$32.30 ,$36.70 ,$36.70 ,$4.28 ,$34.65 ,$30.16 ,$5.63 ,$2.25 , N/A ,$33.99 ,$2.25 ,$33.67 ,$32.61 ,$36.68 ,$5.63 ,$34.65 ,$2.25 ,$34.65 ,$34.65 ,$36.68 ,$36.68 ,$32.00 ,$33.67 ,$2.25 ,$26.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184207,84207,LEADWELL VITAMIN B6,300,1 ,$19.15 ,$12.45 ,$12.45 ,$47.88 ,$15.32 ,$19.15 ,$15.17 ,$17.24 ,$17.24 ,$36.39 ,$16.28 ,$14.17 ,$47.88 ,$19.15 , N/A ,$15.97 ,$19.15 ,$15.82 ,$15.32 ,$17.24 ,$19.15 ,$16.28 ,$19.15 ,$16.28 ,$16.28 ,$17.24 ,$17.24 ,$15.03 ,$15.82 ,$19.15 ,$12.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184238,84238,SOLUBLE TRANSFERRIN RECEPTOR,301,1 ,$103.92 ,$67.55 ,$36.57 ,$93.58 ,$83.14 ,$36.57 ,$82.35 ,$93.58 ,$93.58 ,$69.48 ,$88.33 ,$76.90 ,$91.43 ,$36.57 , N/A ,$86.67 ,$36.57 ,$85.84 ,$83.14 ,$93.53 ,$91.43 ,$88.33 ,$36.57 ,$88.33 ,$88.33 ,$93.53 ,$93.53 ,$81.58 ,$85.84 ,$36.57 ,$67.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184255,84255,LEADWELL SELENIUM,300,1 ,$23.30 ,$15.15 ,$15.15 ,$58.25 ,$18.64 ,$23.30 ,$18.46 ,$20.98 ,$20.98 ,$44.27 ,$19.81 ,$17.24 ,$58.25 ,$23.30 , N/A ,$19.43 ,$23.30 ,$19.25 ,$18.64 ,$20.97 ,$23.30 ,$19.81 ,$23.30 ,$19.81 ,$19.81 ,$20.97 ,$20.97 ,$18.29 ,$19.25 ,$23.30 ,$15.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184270,84270,LEADWELL SEX HORMONE BIND GLOB,300,1 ,$16.15 ,$10.50 ,$10.50 ,$40.38 ,$12.92 ,$16.15 ,$12.80 ,$14.54 ,$14.54 ,$30.69 ,$13.73 ,$11.95 ,$40.38 ,$16.15 , N/A ,$13.47 ,$16.15 ,$13.34 ,$12.92 ,$14.54 ,$16.15 ,$13.73 ,$16.15 ,$13.73 ,$13.73 ,$14.54 ,$14.54 ,$12.68 ,$13.34 ,$16.15 ,$10.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184295,84295,LEADWELL SODIUM,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184300,84300,LEADWELL SODIUM,300,1 ,$2.89 ,$1.88 ,$1.88 ,$7.23 ,$2.31 ,$2.89 ,$2.29 ,$2.60 ,$2.60 ,$5.49 ,$2.46 ,$2.14 ,$7.23 ,$2.89 , N/A ,$2.41 ,$2.89 ,$2.39 ,$2.31 ,$2.60 ,$2.89 ,$2.46 ,$2.89 ,$2.46 ,$2.46 ,$2.60 ,$2.60 ,$2.27 ,$2.39 ,$2.89 ,$1.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184305,84305,LEADWELL IGF 1,300,1 ,$20.63 ,$13.41 ,$13.41 ,$51.58 ,$16.50 ,$20.63 ,$16.35 ,$18.58 ,$18.58 ,$39.20 ,$17.54 ,$15.27 ,$51.58 ,$20.63 , N/A ,$17.21 ,$20.63 ,$17.04 ,$16.50 ,$18.57 ,$20.63 ,$17.54 ,$20.63 ,$17.54 ,$17.54 ,$18.57 ,$18.57 ,$16.19 ,$17.04 ,$20.63 ,$13.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184311,84311,LEADWELL SPECTROPHOTOMETRY T1,300,1 ,$2.82 ,$1.83 ,$1.83 ,$7.05 ,$2.26 ,$2.82 ,$2.23 ,$2.54 ,$2.54 ,$5.36 ,$2.40 ,$2.09 ,$7.05 ,$2.82 , N/A ,$2.35 ,$2.82 ,$2.33 ,$2.26 ,$2.54 ,$2.82 ,$2.40 ,$2.82 ,$2.40 ,$2.40 ,$2.54 ,$2.54 ,$2.21 ,$2.33 ,$2.82 ,$1.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184376,84376,LEADWELL SUGARS SINGLE,300,1 ,$3.44 ,$2.24 ,$2.24 ,$8.60 ,$2.75 ,$3.44 ,$2.73 ,$3.10 ,$3.10 ,$6.54 ,$2.92 ,$2.55 ,$8.60 ,$3.44 , N/A ,$2.87 ,$3.44 ,$2.84 ,$2.75 ,$3.10 ,$3.44 ,$2.92 ,$3.44 ,$2.92 ,$2.92 ,$3.10 ,$3.10 ,$2.70 ,$2.84 ,$3.44 ,$2.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184402,84402,LEADWELL TESTOSTERONE FREE,300,1 ,$10.25 ,$6.66 ,$6.66 ,$25.63 ,$8.20 ,$10.25 ,$8.12 ,$9.23 ,$9.23 ,$19.48 ,$8.71 ,$7.59 ,$25.63 ,$10.25 , N/A ,$8.55 ,$10.25 ,$8.47 ,$8.20 ,$9.23 ,$10.25 ,$8.71 ,$10.25 ,$8.71 ,$8.71 ,$9.23 ,$9.23 ,$8.05 ,$8.47 ,$10.25 ,$6.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184403,84403,LEADWELL TESTOSTERONE TOTAL,300,1 ,$7.93 ,$5.15 ,$5.15 ,$19.83 ,$6.34 ,$7.93 ,$6.28 ,$7.14 ,$7.14 ,$15.07 ,$6.74 ,$5.87 ,$19.83 ,$7.93 , N/A ,$6.61 ,$7.93 ,$6.55 ,$6.34 ,$7.14 ,$7.93 ,$6.74 ,$7.93 ,$6.74 ,$6.74 ,$7.14 ,$7.14 ,$6.23 ,$6.55 ,$7.93 ,$5.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184425,84425,LEADWELL VIT B1,300,1 ,$13.64 ,$8.87 ,$8.87 ,$34.10 ,$10.91 ,$13.64 ,$10.81 ,$12.28 ,$12.28 ,$25.92 ,$11.59 ,$10.09 ,$34.10 ,$13.64 , N/A ,$11.38 ,$13.64 ,$11.27 ,$10.91 ,$12.28 ,$13.64 ,$11.59 ,$13.64 ,$11.59 ,$11.59 ,$12.28 ,$12.28 ,$10.71 ,$11.27 ,$13.64 ,$8.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184432,84432,LEADWELL THYROGLOBLIN,300,1 ,$20.07 ,$13.05 ,$13.05 ,$40.15 ,$16.06 ,$16.06 ,$15.90 ,$18.07 ,$18.07 ,$30.51 ,$17.06 ,$14.85 ,$40.15 ,$16.06 , N/A ,$16.74 ,$16.06 ,$16.58 ,$16.06 ,$18.06 ,$20.07 ,$17.06 ,$16.06 ,$17.06 ,$17.06 ,$18.06 ,$18.06 ,$15.76 ,$16.58 ,$16.06 ,$13.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184436,84436,LEADWELL T4,300,1 ,$4.35 ,$2.83 ,$2.83 ,$10.88 ,$3.48 ,$4.35 ,$3.45 ,$3.92 ,$3.92 ,$8.27 ,$3.70 ,$3.22 ,$10.88 ,$4.35 , N/A ,$3.63 ,$4.35 ,$3.59 ,$3.48 ,$3.92 ,$4.35 ,$3.70 ,$4.35 ,$3.70 ,$3.70 ,$3.92 ,$3.92 ,$3.41 ,$3.59 ,$4.35 ,$2.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184439,84439,LEADWELL FREE T4,300,1 ,$5.49 ,$3.57 ,$3.57 ,$13.73 ,$4.39 ,$5.49 ,$4.35 ,$4.94 ,$4.94 ,$10.43 ,$4.67 ,$4.06 ,$13.73 ,$5.49 , N/A ,$4.58 ,$5.49 ,$4.53 ,$4.39 ,$4.94 ,$5.49 ,$4.67 ,$5.49 ,$4.67 ,$4.67 ,$4.94 ,$4.94 ,$4.31 ,$4.53 ,$5.49 ,$3.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184442,81003,LEADWELL THYROXINE BIND GLOB,300,1 ,$10.57 ,$6.87 ,$2.25 ,$9.52 ,$8.46 ,$2.25 ,$8.38 ,$9.52 ,$9.52 ,$4.28 ,$8.98 ,$7.82 ,$5.63 ,$2.25 , N/A ,$8.82 ,$2.25 ,$8.73 ,$8.46 ,$9.51 ,$5.63 ,$8.98 ,$2.25 ,$8.98 ,$8.98 ,$9.51 ,$9.51 ,$8.30 ,$8.73 ,$2.25 ,$6.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184443,84443,LEADWELL THYROID STIMULATING HORM,300,1 ,$5.39 ,$3.50 ,$3.50 ,$13.48 ,$4.31 ,$5.39 ,$4.27 ,$4.85 ,$4.85 ,$10.24 ,$4.58 ,$3.99 ,$13.48 ,$5.39 , N/A ,$4.50 ,$5.39 ,$4.45 ,$4.31 ,$4.85 ,$5.39 ,$4.58 ,$5.39 ,$4.58 ,$4.58 ,$4.85 ,$4.85 ,$4.23 ,$4.45 ,$5.39 ,$3.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184445,84445,LEADWELL THYROID STIMULATING HORM,300,1 ,$36.17 ,$23.51 ,$23.51 ,$90.43 ,$28.94 ,$36.17 ,$28.66 ,$32.57 ,$32.57 ,$68.72 ,$30.74 ,$26.77 ,$90.43 ,$36.17 , N/A ,$30.17 ,$36.17 ,$29.88 ,$28.94 ,$32.55 ,$36.17 ,$30.74 ,$36.17 ,$30.74 ,$30.74 ,$32.55 ,$32.55 ,$28.39 ,$29.88 ,$36.17 ,$23.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184446,84446,LEADWELL VITAMIN E,300,1 ,$14.50 ,$9.43 ,$9.43 ,$35.45 ,$11.60 ,$14.18 ,$11.49 ,$13.06 ,$13.06 ,$26.94 ,$12.33 ,$10.73 ,$35.45 ,$14.18 , N/A ,$12.09 ,$14.18 ,$11.98 ,$11.60 ,$13.05 ,$14.50 ,$12.33 ,$14.18 ,$12.33 ,$12.33 ,$13.05 ,$13.05 ,$11.38 ,$11.98 ,$14.18 ,$9.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184450,84450,LEADWELL AST,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184460,84460,LEADWELL ALT T1,300,1 ,$2.14 ,$1.39 ,$1.39 ,$5.35 ,$1.71 ,$2.14 ,$1.70 ,$1.93 ,$1.93 ,$4.07 ,$1.82 ,$1.58 ,$5.35 ,$2.14 , N/A ,$1.78 ,$2.14 ,$1.77 ,$1.71 ,$1.93 ,$2.14 ,$1.82 ,$2.14 ,$1.82 ,$1.82 ,$1.93 ,$1.93 ,$1.68 ,$1.77 ,$2.14 ,$1.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184466,84466,LEADWELL TRANSFERRIN,300,1 ,$5.24 ,$3.41 ,$3.41 ,$13.10 ,$4.19 ,$5.24 ,$4.15 ,$4.72 ,$4.72 ,$9.96 ,$4.45 ,$3.88 ,$13.10 ,$5.24 , N/A ,$4.37 ,$5.24 ,$4.33 ,$4.19 ,$4.72 ,$5.24 ,$4.45 ,$5.24 ,$4.45 ,$4.45 ,$4.72 ,$4.72 ,$4.11 ,$4.33 ,$5.24 ,$3.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184478,84478,LEADWELL TRIGLYCERIDES,300,1 ,$2.87 ,$1.87 ,$1.87 ,$7.18 ,$2.30 ,$2.87 ,$2.27 ,$2.58 ,$2.58 ,$5.45 ,$2.44 ,$2.12 ,$7.18 ,$2.87 , N/A ,$2.39 ,$2.87 ,$2.37 ,$2.30 ,$2.58 ,$2.87 ,$2.44 ,$2.87 ,$2.44 ,$2.44 ,$2.58 ,$2.58 ,$2.25 ,$2.37 ,$2.87 ,$1.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184479,84479,LEADWELL T3 UPTAKE,300,1 ,$5.39 ,$3.50 ,$3.50 ,$13.48 ,$4.31 ,$5.39 ,$4.27 ,$4.85 ,$4.85 ,$10.24 ,$4.58 ,$3.99 ,$13.48 ,$5.39 , N/A ,$4.50 ,$5.39 ,$4.45 ,$4.31 ,$4.85 ,$5.39 ,$4.58 ,$5.39 ,$4.58 ,$4.58 ,$4.85 ,$4.85 ,$4.23 ,$4.45 ,$5.39 ,$3.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184480,84480,LEADWELL TRIIODOTHYRO (T-3) TOTAL,300,1 ,$5.49 ,$3.57 ,$3.57 ,$13.73 ,$4.39 ,$5.49 ,$4.35 ,$4.94 ,$4.94 ,$10.43 ,$4.67 ,$4.06 ,$13.73 ,$5.49 , N/A ,$4.58 ,$5.49 ,$4.53 ,$4.39 ,$4.94 ,$5.49 ,$4.67 ,$5.49 ,$4.67 ,$4.67 ,$4.94 ,$4.94 ,$4.31 ,$4.53 ,$5.49 ,$3.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184481,84481,LEADWELL TRIIODOTHYRO (T-3) FREE,300,1 ,$5.49 ,$3.57 ,$3.57 ,$13.73 ,$4.39 ,$5.49 ,$4.35 ,$4.94 ,$4.94 ,$10.43 ,$4.67 ,$4.06 ,$13.73 ,$5.49 , N/A ,$4.58 ,$5.49 ,$4.53 ,$4.39 ,$4.94 ,$5.49 ,$4.67 ,$5.49 ,$4.67 ,$4.67 ,$4.94 ,$4.94 ,$4.31 ,$4.53 ,$5.49 ,$3.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184482,84482,LEADWELL TRIIODOTHYRO (T-3) REVERSE,300,1 ,$15.48 ,$10.06 ,$10.06 ,$38.70 ,$12.38 ,$15.48 ,$12.27 ,$13.94 ,$13.94 ,$29.41 ,$13.16 ,$11.46 ,$38.70 ,$15.48 , N/A ,$12.91 ,$15.48 ,$12.79 ,$12.38 ,$13.93 ,$15.48 ,$13.16 ,$15.48 ,$13.16 ,$13.16 ,$13.93 ,$13.93 ,$12.15 ,$12.79 ,$15.48 ,$10.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184484,84484,TROPONIN - T,301,1 ,$180.44 ,$117.29 ,$12.47 ,$162.49 ,$144.35 ,$12.47 ,$142.98 ,$162.49 ,$162.49 ,$23.69 ,$153.37 ,$133.53 ,$31.18 ,$12.47 , N/A ,$150.49 ,$12.47 ,$149.04 ,$144.35 ,$162.40 ,$31.18 ,$153.37 ,$12.47 ,$153.37 ,$153.37 ,$162.40 ,$162.40 ,$141.65 ,$149.04 ,$12.47 ,$117.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184520,84520,LEADWELL BUN,300,1 ,$2.31 ,$1.50 ,$1.50 ,$5.78 ,$1.85 ,$2.31 ,$1.83 ,$2.08 ,$2.08 ,$4.39 ,$1.96 ,$1.71 ,$5.78 ,$2.31 , N/A ,$1.93 ,$2.31 ,$1.91 ,$1.85 ,$2.08 ,$2.31 ,$1.96 ,$2.31 ,$1.96 ,$1.96 ,$2.08 ,$2.08 ,$1.81 ,$1.91 ,$2.31 ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184550,84550,LEADWELL URIC ACID T1,300,1 ,$2.87 ,$1.87 ,$1.87 ,$7.18 ,$2.30 ,$2.87 ,$2.27 ,$2.58 ,$2.58 ,$5.45 ,$2.44 ,$2.12 ,$7.18 ,$2.87 , N/A ,$2.39 ,$2.87 ,$2.37 ,$2.30 ,$2.58 ,$2.87 ,$2.44 ,$2.87 ,$2.44 ,$2.44 ,$2.58 ,$2.58 ,$2.25 ,$2.37 ,$2.87 ,$1.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184588,84588,LEADWELL VASOPRESSIN (ADH),300,1 ,$98.76 ,$64.19 ,$33.94 ,$88.93 ,$79.01 ,$33.94 ,$78.26 ,$88.93 ,$88.93 ,$64.49 ,$83.95 ,$73.08 ,$84.85 ,$33.94 , N/A ,$82.37 ,$33.94 ,$81.58 ,$79.01 ,$88.88 ,$84.85 ,$83.95 ,$33.94 ,$83.95 ,$83.95 ,$88.88 ,$88.88 ,$77.53 ,$81.58 ,$33.94 ,$64.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184590,84590,LEADWELL VITAMIN A,300,1 ,$14.50 ,$9.43 ,$9.43 ,$29.03 ,$11.60 ,$11.61 ,$11.49 ,$13.06 ,$13.06 ,$22.06 ,$12.33 ,$10.73 ,$29.03 ,$11.61 , N/A ,$12.09 ,$11.61 ,$11.98 ,$11.60 ,$13.05 ,$14.50 ,$12.33 ,$11.61 ,$12.33 ,$12.33 ,$13.05 ,$13.05 ,$11.38 ,$11.98 ,$11.61 ,$9.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184630,84630,LEADWELL ZINC,300,1 ,$12.10 ,$7.87 ,$7.87 ,$28.48 ,$9.68 ,$11.39 ,$9.59 ,$10.90 ,$10.90 ,$21.64 ,$10.29 ,$8.95 ,$28.48 ,$11.39 , N/A ,$10.09 ,$11.39 ,$9.99 ,$9.68 ,$10.89 ,$12.10 ,$10.29 ,$11.39 ,$10.29 ,$10.29 ,$10.89 ,$10.89 ,$9.50 ,$9.99 ,$11.39 ,$7.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184681,84681,LEADWELL C-PEPTIDE,300,1 ,$14.02 ,$9.11 ,$9.11 ,$35.05 ,$11.22 ,$14.02 ,$11.11 ,$12.63 ,$12.63 ,$26.64 ,$11.92 ,$10.37 ,$35.05 ,$14.02 , N/A ,$11.69 ,$14.02 ,$11.58 ,$11.22 ,$12.62 ,$14.02 ,$11.92 ,$14.02 ,$11.92 ,$11.92 ,$12.62 ,$12.62 ,$11.01 ,$11.58 ,$14.02 ,$9.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184702,84702,LEADWELL HCG QN T1,300,1 ,$5.67 ,$3.69 ,$3.69 ,$14.18 ,$4.54 ,$5.67 ,$4.49 ,$5.11 ,$5.11 ,$10.77 ,$4.82 ,$4.20 ,$14.18 ,$5.67 , N/A ,$4.73 ,$5.67 ,$4.68 ,$4.54 ,$5.10 ,$5.67 ,$4.82 ,$5.67 ,$4.82 ,$4.82 ,$5.10 ,$5.10 ,$4.45 ,$4.68 ,$5.67 ,$3.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24184703,84703,LEADWELL HCG QL,300,1 ,$5.64 ,$3.67 ,$3.67 ,$14.10 ,$4.51 ,$5.64 ,$4.47 ,$5.08 ,$5.08 ,$10.72 ,$4.79 ,$4.17 ,$14.10 ,$5.64 , N/A ,$4.70 ,$5.64 ,$4.66 ,$4.51 ,$5.08 ,$5.64 ,$4.79 ,$5.64 ,$4.79 ,$4.79 ,$5.08 ,$5.08 ,$4.43 ,$4.66 ,$5.64 ,$3.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185007,85007,LEADWELL BLD COUNT MANUAL DIFF WBC,300,1 ,$3.75 ,$2.44 ,$2.44 ,$9.38 ,$3.00 ,$3.75 ,$2.97 ,$3.38 ,$3.38 ,$7.13 ,$3.19 ,$2.78 ,$9.38 ,$3.75 , N/A ,$3.13 ,$3.75 ,$3.10 ,$3.00 ,$3.38 ,$3.75 ,$3.19 ,$3.75 ,$3.19 ,$3.19 ,$3.38 ,$3.38 ,$2.94 ,$3.10 ,$3.75 ,$2.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185014,85014,LEADWELL HEMATOCRIT,300,1 ,$4.48 ,$2.91 ,$2.37 ,$5.93 ,$3.58 ,$2.37 ,$3.55 ,$4.03 ,$4.03 ,$4.50 ,$3.81 ,$3.32 ,$5.93 ,$2.37 , N/A ,$3.74 ,$2.37 ,$3.70 ,$3.58 ,$4.03 ,$4.48 ,$3.81 ,$2.37 ,$3.81 ,$3.81 ,$4.03 ,$4.03 ,$3.52 ,$3.70 ,$2.37 ,$2.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185018,85018,LEADWELL HEMOGLOBIN,300,1 ,$4.48 ,$2.91 ,$2.37 ,$5.93 ,$3.58 ,$2.37 ,$3.55 ,$4.03 ,$4.03 ,$4.50 ,$3.81 ,$3.32 ,$5.93 ,$2.37 , N/A ,$3.74 ,$2.37 ,$3.70 ,$3.58 ,$4.03 ,$4.48 ,$3.81 ,$2.37 ,$3.81 ,$3.81 ,$4.03 ,$4.03 ,$3.52 ,$3.70 ,$2.37 ,$2.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185025,85025,LEADWELL CBC AUTO W AUTO DIFF,300,1 ,$4.49 ,$2.92 ,$2.92 ,$11.23 ,$3.59 ,$4.49 ,$3.56 ,$4.04 ,$4.04 ,$8.53 ,$3.82 ,$3.32 ,$11.23 ,$4.49 , N/A ,$3.74 ,$4.49 ,$3.71 ,$3.59 ,$4.04 ,$4.49 ,$3.82 ,$4.49 ,$3.82 ,$3.82 ,$4.04 ,$4.04 ,$3.52 ,$3.71 ,$4.49 ,$2.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185027,85027,HEMOGRAM,300,1 ,$127.38 ,$82.80 ,$6.47 ,$114.71 ,$101.90 ,$6.47 ,$100.94 ,$114.71 ,$114.71 ,$12.29 ,$108.27 ,$94.26 ,$16.18 ,$6.47 , N/A ,$106.23 ,$6.47 ,$105.22 ,$101.90 ,$114.64 ,$16.18 ,$108.27 ,$6.47 ,$108.27 ,$108.27 ,$114.64 ,$114.64 ,$99.99 ,$105.22 ,$6.47 ,$82.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185045,85045,LEADWELL RETIC COUNT AUTO,300,1 ,$3.64 ,$2.37 ,$2.37 ,$9.10 ,$2.91 ,$3.64 ,$2.88 ,$3.28 ,$3.28 ,$6.92 ,$3.09 ,$2.69 ,$9.10 ,$3.64 , N/A ,$3.04 ,$3.64 ,$3.01 ,$2.91 ,$3.28 ,$3.64 ,$3.09 ,$3.64 ,$3.09 ,$3.09 ,$3.28 ,$3.28 ,$2.86 ,$3.01 ,$3.64 ,$2.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185046,85046,LEADWELL RETIC COUNT AUTO W/PARAMETER,300,1 ,$6.13 ,$3.98 ,$3.98 ,$13.93 ,$4.90 ,$5.57 ,$4.86 ,$5.52 ,$5.52 ,$10.58 ,$5.21 ,$4.54 ,$13.93 ,$5.57 , N/A ,$5.11 ,$5.57 ,$5.06 ,$4.90 ,$5.52 ,$6.13 ,$5.21 ,$5.57 ,$5.21 ,$5.21 ,$5.52 ,$5.52 ,$4.81 ,$5.06 ,$5.57 ,$3.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185048,85048,LEADWELL BLD COUNT LEUKOCYTE AUTO,300,1 ,$5.54 ,$3.60 ,$2.54 ,$6.35 ,$4.43 ,$2.54 ,$4.39 ,$4.99 ,$4.99 ,$4.83 ,$4.71 ,$4.10 ,$6.35 ,$2.54 , N/A ,$4.62 ,$2.54 ,$4.58 ,$4.43 ,$4.99 ,$5.54 ,$4.71 ,$2.54 ,$4.71 ,$4.71 ,$4.99 ,$4.99 ,$4.35 ,$4.58 ,$2.54 ,$3.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185049,85049,LEADWELL PLATELET COUNT AUTO,300,1 ,$4.08 ,$2.65 ,$2.65 ,$10.20 ,$3.26 ,$4.08 ,$3.23 ,$3.67 ,$3.67 ,$7.75 ,$3.47 ,$3.02 ,$10.20 ,$4.08 , N/A ,$3.40 ,$4.08 ,$3.37 ,$3.26 ,$3.67 ,$4.08 ,$3.47 ,$4.08 ,$3.47 ,$3.47 ,$3.67 ,$3.67 ,$3.20 ,$3.37 ,$4.08 ,$2.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185220,85220,LEADWELL FACTOR V,300,1 ,$98.76 ,$64.19 ,$17.65 ,$88.93 ,$79.01 ,$17.65 ,$78.26 ,$88.93 ,$88.93 ,$33.54 ,$83.95 ,$73.08 ,$44.13 ,$17.65 , N/A ,$82.37 ,$17.65 ,$81.58 ,$79.01 ,$88.88 ,$44.13 ,$83.95 ,$17.65 ,$83.95 ,$83.95 ,$88.88 ,$88.88 ,$77.53 ,$81.58 ,$17.65 ,$64.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185240,85240,LEADWELL FACTOR VIII AHG,300,1 ,$13.50 ,$8.78 ,$8.78 ,$33.75 ,$10.80 ,$13.50 ,$10.70 ,$12.16 ,$12.16 ,$25.65 ,$11.48 ,$9.99 ,$33.75 ,$13.50 , N/A ,$11.26 ,$13.50 ,$11.15 ,$10.80 ,$12.15 ,$13.50 ,$11.48 ,$13.50 ,$11.48 ,$11.48 ,$12.15 ,$12.15 ,$10.60 ,$11.15 ,$13.50 ,$8.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185246,85246,LEADWELL FACTOR VIII VW AG,300,1 ,$74.27 ,$48.28 ,$22.94 ,$66.88 ,$59.42 ,$22.94 ,$58.85 ,$66.88 ,$66.88 ,$43.59 ,$63.13 ,$54.96 ,$57.35 ,$22.94 , N/A ,$61.94 ,$22.94 ,$61.35 ,$59.42 ,$66.84 ,$57.35 ,$63.13 ,$22.94 ,$63.13 ,$63.13 ,$66.84 ,$66.84 ,$58.30 ,$61.35 ,$22.94 ,$48.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185250,85250,LEADWELL FACTOR IX,300,1 ,$80.39 ,$52.25 ,$19.04 ,$72.39 ,$64.31 ,$19.04 ,$63.70 ,$72.39 ,$72.39 ,$36.18 ,$68.33 ,$59.49 ,$47.60 ,$19.04 , N/A ,$67.05 ,$19.04 ,$66.40 ,$64.31 ,$72.35 ,$47.60 ,$68.33 ,$19.04 ,$68.33 ,$68.33 ,$72.35 ,$72.35 ,$63.11 ,$66.40 ,$19.04 ,$52.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185300,85300,LEADWELL ANTITHROMBIN III ACT,300,1 ,$17.73 ,$11.52 ,$11.52 ,$29.63 ,$14.18 ,$11.85 ,$14.05 ,$15.97 ,$15.97 ,$22.52 ,$15.07 ,$13.12 ,$29.63 ,$11.85 , N/A ,$14.79 ,$11.85 ,$14.65 ,$14.18 ,$15.96 ,$17.73 ,$15.07 ,$11.85 ,$15.07 ,$15.07 ,$15.96 ,$15.96 ,$13.92 ,$14.65 ,$11.85 ,$11.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185302,85302,PROTEIN C ANTIGEN,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24185303,85303,LEADWELL PROTEIN C ACTIVITY,300,1 ,$19.15 ,$12.45 ,$12.45 ,$34.60 ,$15.32 ,$13.84 ,$15.17 ,$17.24 ,$17.24 ,$26.30 ,$16.28 ,$14.17 ,$34.60 ,$13.84 , N/A ,$15.97 ,$13.84 ,$15.82 ,$15.32 ,$17.24 ,$19.15 ,$16.28 ,$13.84 ,$16.28 ,$16.28 ,$17.24 ,$17.24 ,$15.03 ,$15.82 ,$13.84 ,$12.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185306,N/A,PROTEIN S FREE AG,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24185307,85307,HYPERCOAGULATION PROFILE,305,1 ,"$1,118.80 ",$727.22 ,$15.32 ,"$1,007.48 ",$895.04 ,$15.32 ,$886.54 ,"$1,007.48 ","$1,007.48 ",$29.11 ,$950.98 ,$827.91 ,$38.30 ,$15.32 , N/A ,$933.08 ,$15.32 ,$924.13 ,$895.04 ,"$1,006.92 ",$38.30 ,$950.98 ,$15.32 ,$950.98 ,$950.98 ,"$1,006.92 ","$1,006.92 ",$878.26 ,$924.13 ,$15.32 ,$727.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185379,85379,LEADWELL D-DIMER QN,300,1 ,$32.94 ,$21.41 ,$10.18 ,$29.66 ,$26.35 ,$10.18 ,$26.10 ,$29.66 ,$29.66 ,$19.34 ,$28.00 ,$24.38 ,$25.45 ,$10.18 , N/A ,$27.47 ,$10.18 ,$27.21 ,$26.35 ,$29.65 ,$25.45 ,$28.00 ,$10.18 ,$28.00 ,$28.00 ,$29.65 ,$29.65 ,$25.86 ,$27.21 ,$10.18 ,$21.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185520,85520,HEPARIN ASSAY,305,1 ,$213.93 ,$139.05 ,$13.09 ,$192.64 ,$171.14 ,$13.09 ,$169.52 ,$192.64 ,$192.64 ,$24.87 ,$181.84 ,$158.31 ,$32.73 ,$13.09 , N/A ,$178.42 ,$13.09 ,$176.71 ,$171.14 ,$192.54 ,$32.73 ,$181.84 ,$13.09 ,$181.84 ,$181.84 ,$192.54 ,$192.54 ,$167.94 ,$176.71 ,$13.09 ,$139.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185597,85597,LEADWELL PLATELET NEUTRALIZATION,300,1 ,$15.48 ,$10.06 ,$10.06 ,$38.70 ,$12.38 ,$15.48 ,$12.27 ,$13.94 ,$13.94 ,$29.41 ,$13.16 ,$11.46 ,$38.70 ,$15.48 , N/A ,$12.91 ,$15.48 ,$12.79 ,$12.38 ,$13.93 ,$15.48 ,$13.16 ,$15.48 ,$13.16 ,$13.16 ,$13.93 ,$13.93 ,$12.15 ,$12.79 ,$15.48 ,$10.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185598,85598,LEADWELL HEXAGN NEUTRALIZATION PHOSPH,300,1 ,$15.48 ,$10.06 ,$10.06 ,$38.70 ,$12.38 ,$15.48 ,$12.27 ,$13.94 ,$13.94 ,$29.41 ,$13.16 ,$11.46 ,$38.70 ,$15.48 , N/A ,$12.91 ,$15.48 ,$12.79 ,$12.38 ,$13.93 ,$15.48 ,$13.16 ,$15.48 ,$13.16 ,$13.16 ,$13.93 ,$13.93 ,$12.15 ,$12.79 ,$15.48 ,$10.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185610,85610,PROTIME,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24185613,85613,DILUTE RUSSELL VIPER VENOM TIME,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24185652,85652,LEADWELL SEDIMENTATION RATE AUTO T1,300,1 ,$2.24 ,$1.46 ,$1.46 ,$5.60 ,$1.79 ,$2.24 ,$1.78 ,$2.02 ,$2.02 ,$4.26 ,$1.90 ,$1.66 ,$5.60 ,$2.24 , N/A ,$1.87 ,$2.24 ,$1.85 ,$1.79 ,$2.02 ,$2.24 ,$1.90 ,$2.24 ,$1.90 ,$1.90 ,$2.02 ,$2.02 ,$1.76 ,$1.85 ,$2.24 ,$1.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185660,85660,LEADWELL SICKLE CELL RBC,300,1 ,$5.21 ,$3.39 ,$3.39 ,$13.03 ,$4.17 ,$5.21 ,$4.13 ,$4.69 ,$4.69 ,$9.90 ,$4.43 ,$3.86 ,$13.03 ,$5.21 , N/A ,$4.35 ,$5.21 ,$4.30 ,$4.17 ,$4.69 ,$5.21 ,$4.43 ,$5.21 ,$4.43 ,$4.43 ,$4.69 ,$4.69 ,$4.09 ,$4.30 ,$5.21 ,$3.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185670,85670,LEADWELL THROMBIN TIME PLASMA,300,1 ,$5.44 ,$3.54 ,$3.54 ,$13.60 ,$4.35 ,$5.44 ,$4.31 ,$4.90 ,$4.90 ,$10.34 ,$4.62 ,$4.03 ,$13.60 ,$5.44 , N/A ,$4.54 ,$5.44 ,$4.49 ,$4.35 ,$4.90 ,$5.44 ,$4.62 ,$5.44 ,$4.62 ,$4.62 ,$4.90 ,$4.90 ,$4.27 ,$4.49 ,$5.44 ,$3.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24185705,85705,"THROMBOPLASTIN INHIBITION, TISSUE",305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24185730,85730,"PTT, PLASMA OR WHOLEBLOOD",305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24185732,85732,LEADWELL PT-PTT MIXING STUDY,300,1 ,$4.96 ,$3.22 ,$3.22 ,$12.40 ,$3.97 ,$4.96 ,$3.93 ,$4.47 ,$4.47 ,$9.42 ,$4.22 ,$3.67 ,$12.40 ,$4.96 , N/A ,$4.14 ,$4.96 ,$4.10 ,$3.97 ,$4.46 ,$4.96 ,$4.22 ,$4.96 ,$4.22 ,$4.22 ,$4.46 ,$4.46 ,$3.89 ,$4.10 ,$4.96 ,$3.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186003,86003,LEADWELL RAST ALLERGEN IGE PANEL,300,1 ,$8.04 ,$5.23 ,$5.22 ,$13.05 ,$6.43 ,$5.22 ,$6.37 ,$7.24 ,$7.24 ,$9.92 ,$6.83 ,$5.95 ,$13.05 ,$5.22 , N/A ,$6.71 ,$5.22 ,$6.64 ,$6.43 ,$7.24 ,$8.04 ,$6.83 ,$5.22 ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 ,$5.22 ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186021,86021,LEADWELL LEUKO AB ID,300,1 ,$19.15 ,$12.45 ,$12.45 ,$37.63 ,$15.32 ,$15.05 ,$15.17 ,$17.24 ,$17.24 ,$28.60 ,$16.28 ,$14.17 ,$37.63 ,$15.05 , N/A ,$15.97 ,$15.05 ,$15.82 ,$15.32 ,$17.24 ,$19.15 ,$16.28 ,$15.05 ,$16.28 ,$16.28 ,$17.24 ,$17.24 ,$15.03 ,$15.82 ,$15.05 ,$12.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186022,86022,PLATELET AB SCREEN INDIRECT,302,1 ,$114.82 ,$74.63 ,$18.37 ,$103.40 ,$91.86 ,$18.37 ,$90.98 ,$103.40 ,$103.40 ,$34.90 ,$97.60 ,$84.97 ,$45.93 ,$18.37 , N/A ,$95.76 ,$18.37 ,$94.84 ,$91.86 ,$103.34 ,$45.93 ,$97.60 ,$18.37 ,$97.60 ,$97.60 ,$103.34 ,$103.34 ,$90.13 ,$94.84 ,$18.37 ,$74.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186038,86038,LEADWELL ANA SCREEN,300,1 ,$4.36 ,$2.83 ,$2.83 ,$10.90 ,$3.49 ,$4.36 ,$3.45 ,$3.93 ,$3.93 ,$8.28 ,$3.71 ,$3.23 ,$10.90 ,$4.36 , N/A ,$3.64 ,$4.36 ,$3.60 ,$3.49 ,$3.92 ,$4.36 ,$3.71 ,$4.36 ,$3.71 ,$3.71 ,$3.92 ,$3.92 ,$3.42 ,$3.60 ,$4.36 ,$2.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186039,86039,LEADWELL ANA TITER,300,1 ,$8.66 ,$5.63 ,$5.63 ,$21.65 ,$6.93 ,$8.66 ,$6.86 ,$7.80 ,$7.80 ,$16.45 ,$7.36 ,$6.41 ,$21.65 ,$8.66 , N/A ,$7.22 ,$8.66 ,$7.15 ,$6.93 ,$7.79 ,$8.66 ,$7.36 ,$8.66 ,$7.36 ,$7.36 ,$7.79 ,$7.79 ,$6.80 ,$7.15 ,$8.66 ,$5.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186060,86060,LEADWELL ASO,300,1 ,$4.69 ,$3.05 ,$3.05 ,$11.73 ,$3.75 ,$4.69 ,$3.72 ,$4.22 ,$4.22 ,$8.91 ,$3.99 ,$3.47 ,$11.73 ,$4.69 , N/A ,$3.91 ,$4.69 ,$3.87 ,$3.75 ,$4.22 ,$4.69 ,$3.99 ,$4.69 ,$3.99 ,$3.99 ,$4.22 ,$4.22 ,$3.68 ,$3.87 ,$4.69 ,$3.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186140,86140,LEADWELL C-REACTIVE PROTEIN,300,1 ,$4.62 ,$3.00 ,$3.00 ,$11.55 ,$3.70 ,$4.62 ,$3.66 ,$4.16 ,$4.16 ,$8.78 ,$3.93 ,$3.42 ,$11.55 ,$4.62 , N/A ,$3.85 ,$4.62 ,$3.82 ,$3.70 ,$4.16 ,$4.62 ,$3.93 ,$4.62 ,$3.93 ,$3.93 ,$4.16 ,$4.16 ,$3.63 ,$3.82 ,$4.62 ,$3.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186141,86141,LEADWELL C-REACTIVE PROTEIN (HS),300,1 ,$5.67 ,$3.69 ,$3.69 ,$14.18 ,$4.54 ,$5.67 ,$4.49 ,$5.11 ,$5.11 ,$10.77 ,$4.82 ,$4.20 ,$14.18 ,$5.67 , N/A ,$4.73 ,$5.67 ,$4.68 ,$4.54 ,$5.10 ,$5.67 ,$4.82 ,$5.67 ,$4.82 ,$4.82 ,$5.10 ,$5.10 ,$4.45 ,$4.68 ,$5.67 ,$3.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186146,86146,LEADWELL BETA 2 GLYCO AB,300,1 ,$12.06 ,$7.84 ,$7.84 ,$30.15 ,$9.65 ,$12.06 ,$9.56 ,$10.86 ,$10.86 ,$22.91 ,$10.25 ,$8.92 ,$30.15 ,$12.06 , N/A ,$10.06 ,$12.06 ,$9.96 ,$9.65 ,$10.85 ,$12.06 ,$10.25 ,$12.06 ,$10.25 ,$10.25 ,$10.85 ,$10.85 ,$9.47 ,$9.96 ,$12.06 ,$7.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186147,86147,LEADWELL CARDIOLIPIN AB EA,300,1 ,$6.11 ,$3.97 ,$3.97 ,$15.28 ,$4.89 ,$6.11 ,$4.84 ,$5.50 ,$5.50 ,$11.61 ,$5.19 ,$4.52 ,$15.28 ,$6.11 , N/A ,$5.10 ,$6.11 ,$5.05 ,$4.89 ,$5.50 ,$6.11 ,$5.19 ,$6.11 ,$5.19 ,$5.19 ,$5.50 ,$5.50 ,$4.80 ,$5.05 ,$6.11 ,$3.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186148,86148,ANTIPHOSPHATIDYLSERINE ABS,301,1 ,$84.10 ,$54.67 ,$16.07 ,$75.73 ,$67.28 ,$16.07 ,$66.64 ,$75.73 ,$75.73 ,$30.53 ,$71.49 ,$62.23 ,$40.18 ,$16.07 , N/A ,$70.14 ,$16.07 ,$69.47 ,$67.28 ,$75.69 ,$40.18 ,$71.49 ,$16.07 ,$71.49 ,$71.49 ,$75.69 ,$75.69 ,$66.02 ,$69.47 ,$16.07 ,$54.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186160,86160,LEADWELL COMPLEMENT AG EA,300,1 ,$62.02 ,$40.31 ,$12.00 ,$55.85 ,$49.62 ,$12.00 ,$49.14 ,$55.85 ,$55.85 ,$22.80 ,$52.72 ,$45.89 ,$30.00 ,$12.00 , N/A ,$51.72 ,$12.00 ,$51.23 ,$49.62 ,$55.82 ,$30.00 ,$52.72 ,$12.00 ,$52.72 ,$52.72 ,$55.82 ,$55.82 ,$48.69 ,$51.23 ,$12.00 ,$40.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186162,86162,LEADWELL COMPLEMENT TOTAL (CH50),300,1 ,$9.61 ,$6.25 ,$6.25 ,$24.03 ,$7.69 ,$9.61 ,$7.62 ,$8.65 ,$8.65 ,$18.26 ,$8.17 ,$7.11 ,$24.03 ,$9.61 , N/A ,$8.01 ,$9.61 ,$7.94 ,$7.69 ,$8.65 ,$9.61 ,$8.17 ,$9.61 ,$8.17 ,$8.17 ,$8.65 ,$8.65 ,$7.54 ,$7.94 ,$9.61 ,$6.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186200,86200,LEADWELL CCP AB,300,1 ,$13.03 ,$8.47 ,$8.47 ,$32.38 ,$10.42 ,$12.95 ,$10.33 ,$11.73 ,$11.73 ,$24.61 ,$11.08 ,$9.64 ,$32.38 ,$12.95 , N/A ,$10.87 ,$12.95 ,$10.76 ,$10.42 ,$11.73 ,$13.03 ,$11.08 ,$12.95 ,$11.08 ,$11.08 ,$11.73 ,$11.73 ,$10.23 ,$10.76 ,$12.95 ,$8.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186215,86215,LEADWELL DEOXYRIBONUCLEASE AB,300,1 ,$29.07 ,$18.90 ,$13.25 ,$33.13 ,$23.26 ,$13.25 ,$23.04 ,$26.18 ,$26.18 ,$25.18 ,$24.71 ,$21.51 ,$33.13 ,$13.25 , N/A ,$24.24 ,$13.25 ,$24.01 ,$23.26 ,$26.16 ,$29.07 ,$24.71 ,$13.25 ,$24.71 ,$24.71 ,$26.16 ,$26.16 ,$22.82 ,$24.01 ,$13.25 ,$18.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186225,86225,LEADWELL DNA DOUBLE STRAND AB,300,1 ,$5.73 ,$3.72 ,$3.72 ,$14.33 ,$4.58 ,$5.73 ,$4.54 ,$5.16 ,$5.16 ,$10.89 ,$4.87 ,$4.24 ,$14.33 ,$5.73 , N/A ,$4.78 ,$5.73 ,$4.73 ,$4.58 ,$5.16 ,$5.73 ,$4.87 ,$5.73 ,$4.87 ,$4.87 ,$5.16 ,$5.16 ,$4.50 ,$4.73 ,$5.73 ,$3.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186235,86235,ANTI MI 2,302,1 ,$141.83 ,$92.19 ,$17.93 ,$127.72 ,$113.46 ,$17.93 ,$112.39 ,$127.72 ,$127.72 ,$34.07 ,$120.56 ,$104.95 ,$44.83 ,$17.93 , N/A ,$118.29 ,$17.93 ,$117.15 ,$113.46 ,$127.65 ,$44.83 ,$120.56 ,$17.93 ,$120.56 ,$120.56 ,$127.65 ,$127.65 ,$111.34 ,$117.15 ,$17.93 ,$92.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186255,86255,FLUORESCENT NONINFECTIOUS AGENT ANTIBODY,301,1 ,$101.25 ,$65.81 ,$12.05 ,$91.18 ,$81.00 ,$12.05 ,$80.23 ,$91.18 ,$91.18 ,$22.90 ,$86.06 ,$74.93 ,$30.13 ,$12.05 , N/A ,$84.44 ,$12.05 ,$83.63 ,$81.00 ,$91.13 ,$30.13 ,$86.06 ,$12.05 ,$86.06 ,$86.06 ,$91.13 ,$91.13 ,$79.48 ,$83.63 ,$12.05 ,$65.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186256,86256,CELIAC PANEL,301,1 ,$349.19 ,$226.97 ,$12.05 ,$314.45 ,$279.35 ,$12.05 ,$276.70 ,$314.45 ,$314.45 ,$22.90 ,$296.81 ,$258.40 ,$30.13 ,$12.05 , N/A ,$291.22 ,$12.05 ,$288.43 ,$279.35 ,$314.27 ,$30.13 ,$296.81 ,$12.05 ,$296.81 ,$296.81 ,$314.27 ,$314.27 ,$274.11 ,$288.43 ,$12.05 ,$226.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186300,86300,LEADWELL TUMOR AG CA 15-3 (27.29),300,1 ,$14.53 ,$9.44 ,$9.44 ,$36.33 ,$11.62 ,$14.53 ,$11.51 ,$13.08 ,$13.08 ,$27.61 ,$12.35 ,$10.75 ,$36.33 ,$14.53 , N/A ,$12.12 ,$14.53 ,$12.00 ,$11.62 ,$13.08 ,$14.53 ,$12.35 ,$14.53 ,$12.35 ,$12.35 ,$13.08 ,$13.08 ,$11.41 ,$12.00 ,$14.53 ,$9.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186301,86301,LEADWELL TUMOR AG CA 19-9,300,1 ,$10.93 ,$7.10 ,$7.10 ,$27.33 ,$8.74 ,$10.93 ,$8.66 ,$9.84 ,$9.84 ,$20.77 ,$9.29 ,$8.09 ,$27.33 ,$10.93 , N/A ,$9.12 ,$10.93 ,$9.03 ,$8.74 ,$9.84 ,$10.93 ,$9.29 ,$10.93 ,$9.29 ,$9.29 ,$9.84 ,$9.84 ,$8.58 ,$9.03 ,$10.93 ,$7.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186304,86304,LEADWELL TUMOR AG CA 125,300,1 ,$8.41 ,$5.47 ,$5.47 ,$21.03 ,$6.73 ,$8.41 ,$6.66 ,$7.57 ,$7.57 ,$15.98 ,$7.15 ,$6.22 ,$21.03 ,$8.41 , N/A ,$7.01 ,$8.41 ,$6.95 ,$6.73 ,$7.57 ,$8.41 ,$7.15 ,$8.41 ,$7.15 ,$7.15 ,$7.57 ,$7.57 ,$6.60 ,$6.95 ,$8.41 ,$5.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186305,86305,LEADWELL HE4 OVARIAN CANCER,300,1 ,$184.50 ,$119.93 ,$20.81 ,$166.14 ,$147.60 ,$20.81 ,$146.20 ,$166.14 ,$166.14 ,$39.54 ,$156.83 ,$136.53 ,$52.03 ,$20.81 , N/A ,$153.87 ,$20.81 ,$152.40 ,$147.60 ,$166.05 ,$52.03 ,$156.83 ,$20.81 ,$156.83 ,$156.83 ,$166.05 ,$166.05 ,$144.83 ,$152.40 ,$20.81 ,$119.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186308,86308,LEADWELL HETEROPHILE SCR MONO,300,1 ,$5.51 ,$3.58 ,$3.58 ,$12.95 ,$4.41 ,$5.18 ,$4.37 ,$4.96 ,$4.96 ,$9.84 ,$4.68 ,$4.08 ,$12.95 ,$5.18 , N/A ,$4.60 ,$5.18 ,$4.55 ,$4.41 ,$4.96 ,$5.51 ,$4.68 ,$5.18 ,$4.68 ,$4.68 ,$4.96 ,$4.96 ,$4.33 ,$4.55 ,$5.18 ,$3.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186316,86316,LEADWELL TUMOR AG OTHER AG QN,300,1 ,$52.89 ,$34.38 ,$20.81 ,$52.03 ,$42.31 ,$20.81 ,$41.91 ,$47.63 ,$47.63 ,$39.54 ,$44.96 ,$39.14 ,$52.03 ,$20.81 , N/A ,$44.11 ,$20.81 ,$43.69 ,$42.31 ,$47.60 ,$52.03 ,$44.96 ,$20.81 ,$44.96 ,$44.96 ,$47.60 ,$47.60 ,$41.52 ,$43.69 ,$20.81 ,$34.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186317,86317,STREP PNEUMO Ab - 14 Serotype,300,1 ,$171.03 ,$111.17 ,$14.99 ,$154.01 ,$136.82 ,$14.99 ,$135.52 ,$154.01 ,$154.01 ,$28.48 ,$145.38 ,$126.56 ,$37.48 ,$14.99 , N/A ,$142.64 ,$14.99 ,$141.27 ,$136.82 ,$153.93 ,$37.48 ,$145.38 ,$14.99 ,$145.38 ,$145.38 ,$153.93 ,$153.93 ,$134.26 ,$141.27 ,$14.99 ,$111.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186331,86331,H PYLORI IGA,302,1 ,$102.43 ,$66.58 ,$11.98 ,$92.24 ,$81.94 ,$11.98 ,$81.17 ,$92.24 ,$92.24 ,$22.76 ,$87.07 ,$75.80 ,$29.95 ,$11.98 , N/A ,$85.43 ,$11.98 ,$84.61 ,$81.94 ,$92.19 ,$29.95 ,$87.07 ,$11.98 ,$87.07 ,$87.07 ,$92.19 ,$92.19 ,$80.41 ,$84.61 ,$11.98 ,$66.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186334,86334,LEADWELL IMMUNOFIX ELECTRO SERUM,300,1 ,$14.75 ,$9.59 ,$9.59 ,$36.88 ,$11.80 ,$14.75 ,$11.69 ,$13.28 ,$13.28 ,$28.03 ,$12.54 ,$10.92 ,$36.88 ,$14.75 , N/A ,$12.30 ,$14.75 ,$12.18 ,$11.80 ,$13.28 ,$14.75 ,$12.54 ,$14.75 ,$12.54 ,$12.54 ,$13.28 ,$13.28 ,$11.58 ,$12.18 ,$14.75 ,$9.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186335,86335,LEADWELL IMMUNOFIX ELECTRO OTH,300,1 ,$15.13 ,$9.83 ,$9.83 ,$37.83 ,$12.10 ,$15.13 ,$11.99 ,$13.62 ,$13.62 ,$28.75 ,$12.86 ,$11.20 ,$37.83 ,$15.13 , N/A ,$12.62 ,$15.13 ,$12.50 ,$12.10 ,$13.62 ,$15.13 ,$12.86 ,$15.13 ,$12.86 ,$12.86 ,$13.62 ,$13.62 ,$11.88 ,$12.50 ,$15.13 ,$9.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186336,86336,INHIBIN A,301,1 ,$98.79 ,$64.21 ,$15.59 ,$88.96 ,$79.03 ,$15.59 ,$78.28 ,$88.96 ,$88.96 ,$29.62 ,$83.97 ,$73.10 ,$38.98 ,$15.59 , N/A ,$82.39 ,$15.59 ,$81.60 ,$79.03 ,$88.91 ,$38.98 ,$83.97 ,$15.59 ,$83.97 ,$83.97 ,$88.91 ,$88.91 ,$77.55 ,$81.60 ,$15.59 ,$64.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186337,86337,LEADWELL INSULIN AB,300,1 ,$111.01 ,$72.16 ,$21.41 ,$99.96 ,$88.81 ,$21.41 ,$87.96 ,$99.96 ,$99.96 ,$40.68 ,$94.36 ,$82.15 ,$53.53 ,$21.41 , N/A ,$92.58 ,$21.41 ,$91.69 ,$88.81 ,$99.91 ,$53.53 ,$94.36 ,$21.41 ,$94.36 ,$94.36 ,$99.91 ,$99.91 ,$87.14 ,$91.69 ,$21.41 ,$72.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186340,86340,LEADWELL INTRINSIC FACTOR AB,300,1 ,$10.93 ,$7.10 ,$7.10 ,$27.33 ,$8.74 ,$10.93 ,$8.66 ,$9.84 ,$9.84 ,$20.77 ,$9.29 ,$8.09 ,$27.33 ,$10.93 , N/A ,$9.12 ,$10.93 ,$9.03 ,$8.74 ,$9.84 ,$10.93 ,$9.29 ,$10.93 ,$9.29 ,$9.29 ,$9.84 ,$9.84 ,$8.58 ,$9.03 ,$10.93 ,$7.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186341,86341,ISLET CELL ANTIBODIES,302,1 ,$121.58 ,$79.03 ,$23.57 ,$109.48 ,$97.26 ,$23.57 ,$96.34 ,$109.48 ,$109.48 ,$44.78 ,$103.34 ,$89.97 ,$58.93 ,$23.57 , N/A ,$101.40 ,$23.57 ,$100.43 ,$97.26 ,$109.42 ,$58.93 ,$103.34 ,$23.57 ,$103.34 ,$103.34 ,$109.42 ,$109.42 ,$95.44 ,$100.43 ,$23.57 ,$79.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186355,N/A,"T-CELLS,CD4/C08;B-CELLS-NK CELLS BY FLOW",302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24186357,86357,"NATURAL KILLER CELLS,TOTAL COUNT (NK)",302,1 ,$63.02 ,$40.96 ,$37.73 ,$94.33 ,$50.42 ,$37.73 ,$49.94 ,$56.75 ,$56.75 ,$71.69 ,$53.57 ,$46.63 ,$94.33 ,$37.73 , N/A ,$52.56 ,$37.73 ,$52.05 ,$50.42 ,$56.72 ,$63.02 ,$53.57 ,$37.73 ,$53.57 ,$53.57 ,$56.72 ,$56.72 ,$49.47 ,$52.05 ,$37.73 ,$40.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186359,86359,"T CELLS, TOTAL COUNT",302,1 ,$63.02 ,$40.96 ,$37.73 ,$94.33 ,$50.42 ,$37.73 ,$49.94 ,$56.75 ,$56.75 ,$71.69 ,$53.57 ,$46.63 ,$94.33 ,$37.73 , N/A ,$52.56 ,$37.73 ,$52.05 ,$50.42 ,$56.72 ,$63.02 ,$53.57 ,$37.73 ,$53.57 ,$53.57 ,$56.72 ,$56.72 ,$49.47 ,$52.05 ,$37.73 ,$40.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186360,86360,T CELLS TOTAL COUNT ABSOLUTE CD4 AND CD8CT,302,1 ,$63.02 ,$40.96 ,$40.96 ,$117.45 ,$50.42 ,$46.98 ,$49.94 ,$56.75 ,$56.75 ,$89.26 ,$53.57 ,$46.63 ,$117.45 ,$46.98 , N/A ,$52.56 ,$46.98 ,$52.05 ,$50.42 ,$56.72 ,$63.02 ,$53.57 ,$46.98 ,$53.57 ,$53.57 ,$56.72 ,$56.72 ,$49.47 ,$52.05 ,$46.98 ,$40.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186376,86376,LEADWELL MICROSOMAL AB,300,1 ,$7.84 ,$5.10 ,$5.10 ,$19.60 ,$6.27 ,$7.84 ,$6.21 ,$7.06 ,$7.06 ,$14.90 ,$6.66 ,$5.80 ,$19.60 ,$7.84 , N/A ,$6.54 ,$7.84 ,$6.48 ,$6.27 ,$7.06 ,$7.84 ,$6.66 ,$7.84 ,$6.66 ,$6.66 ,$7.06 ,$7.06 ,$6.15 ,$6.48 ,$7.84 ,$5.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186430,86430,LEADWELL RHEUMATOID FACTOR QL,300,1 ,$3.72 ,$2.42 ,$2.42 ,$9.30 ,$2.98 ,$3.72 ,$2.95 ,$3.35 ,$3.35 ,$7.07 ,$3.16 ,$2.75 ,$9.30 ,$3.72 , N/A ,$3.10 ,$3.72 ,$3.07 ,$2.98 ,$3.35 ,$3.72 ,$3.16 ,$3.72 ,$3.16 ,$3.16 ,$3.35 ,$3.35 ,$2.92 ,$3.07 ,$3.72 ,$2.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186431,86431,LEADWELL RHEUMATOID FACTOR QN,300,1 ,$4.07 ,$2.65 ,$2.65 ,$10.18 ,$3.26 ,$4.07 ,$3.23 ,$3.67 ,$3.67 ,$7.73 ,$3.46 ,$3.01 ,$10.18 ,$4.07 , N/A ,$3.39 ,$4.07 ,$3.36 ,$3.26 ,$3.66 ,$4.07 ,$3.46 ,$4.07 ,$3.46 ,$3.46 ,$3.66 ,$3.66 ,$3.20 ,$3.36 ,$4.07 ,$2.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186480,86480,LEADWELL TB CELL IMM MEAS INT AG,300,1 ,$29.10 ,$18.92 ,$18.92 ,$72.75 ,$23.28 ,$29.10 ,$23.06 ,$26.20 ,$26.20 ,$55.29 ,$24.74 ,$21.53 ,$72.75 ,$29.10 , N/A ,$24.27 ,$29.10 ,$24.04 ,$23.28 ,$26.19 ,$29.10 ,$24.74 ,$29.10 ,$24.74 ,$24.74 ,$26.19 ,$26.19 ,$22.84 ,$24.04 ,$29.10 ,$18.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186592,86592,LEADWELL SYPHILIS VDRL RPR QL,300,1 ,$3.54 ,$2.30 ,$2.30 ,$8.85 ,$2.83 ,$3.54 ,$2.81 ,$3.19 ,$3.19 ,$6.73 ,$3.01 ,$2.62 ,$8.85 ,$3.54 , N/A ,$2.95 ,$3.54 ,$2.92 ,$2.83 ,$3.19 ,$3.54 ,$3.01 ,$3.54 ,$3.01 ,$3.01 ,$3.19 ,$3.19 ,$2.78 ,$2.92 ,$3.54 ,$2.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186593,86593,LEADWELL SYPHILIS VDRL RPR QN,300,1 ,$4.17 ,$2.71 ,$2.71 ,$10.43 ,$3.34 ,$4.17 ,$3.30 ,$3.76 ,$3.76 ,$7.92 ,$3.54 ,$3.09 ,$10.43 ,$4.17 , N/A ,$3.48 ,$4.17 ,$3.44 ,$3.34 ,$3.75 ,$4.17 ,$3.54 ,$4.17 ,$3.54 ,$3.54 ,$3.75 ,$3.75 ,$3.27 ,$3.44 ,$4.17 ,$2.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186606,86606,LEADWELL ASPERGILLUS AB,300,1 ,$10.71 ,$6.96 ,$6.96 ,$26.78 ,$8.57 ,$10.71 ,$8.49 ,$9.64 ,$9.64 ,$20.35 ,$9.10 ,$7.93 ,$26.78 ,$10.71 , N/A ,$8.93 ,$10.71 ,$8.85 ,$8.57 ,$9.64 ,$10.71 ,$9.10 ,$10.71 ,$9.10 ,$9.10 ,$9.64 ,$9.64 ,$8.41 ,$8.85 ,$10.71 ,$6.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186612,86612,LEADWELL BLASTOMYCES AB,300,1 ,$8.90 ,$5.79 ,$5.79 ,$22.25 ,$7.12 ,$8.90 ,$7.05 ,$8.01 ,$8.01 ,$16.91 ,$7.57 ,$6.59 ,$22.25 ,$8.90 , N/A ,$7.42 ,$8.90 ,$7.35 ,$7.12 ,$8.01 ,$8.90 ,$7.57 ,$8.90 ,$7.57 ,$7.57 ,$8.01 ,$8.01 ,$6.99 ,$7.35 ,$8.90 ,$5.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186615,86615,PERTUSSIS AB TITER,302,1 ,$177.75 ,$115.54 ,$13.19 ,$160.06 ,$142.20 ,$13.19 ,$140.85 ,$160.06 ,$160.06 ,$25.06 ,$151.09 ,$131.54 ,$32.98 ,$13.19 , N/A ,$148.24 ,$13.19 ,$146.82 ,$142.20 ,$159.98 ,$32.98 ,$151.09 ,$13.19 ,$151.09 ,$151.09 ,$159.98 ,$159.98 ,$139.53 ,$146.82 ,$13.19 ,$115.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186618,86618,LEADWELL LYME AB,300,1 ,$15.81 ,$10.28 ,$10.28 ,$39.53 ,$12.65 ,$15.81 ,$12.53 ,$14.24 ,$14.24 ,$30.04 ,$13.44 ,$11.70 ,$39.53 ,$15.81 , N/A ,$13.19 ,$15.81 ,$13.06 ,$12.65 ,$14.23 ,$15.81 ,$13.44 ,$15.81 ,$13.44 ,$13.44 ,$14.23 ,$14.23 ,$12.41 ,$13.06 ,$15.81 ,$10.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186635,86635,LEADWELL COCCIDIOIDES AB,300,1 ,$11.57 ,$7.52 ,$7.52 ,$28.68 ,$9.26 ,$11.47 ,$9.17 ,$10.42 ,$10.42 ,$21.79 ,$9.83 ,$8.56 ,$28.68 ,$11.47 , N/A ,$9.65 ,$11.47 ,$9.56 ,$9.26 ,$10.41 ,$11.57 ,$9.83 ,$11.47 ,$9.83 ,$9.83 ,$10.41 ,$10.41 ,$9.08 ,$9.56 ,$11.47 ,$7.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186644,86644,LEADWELL CMV AB,300,1 ,$9.36 ,$6.08 ,$6.08 ,$23.40 ,$7.49 ,$9.36 ,$7.42 ,$8.43 ,$8.43 ,$17.78 ,$7.96 ,$6.93 ,$23.40 ,$9.36 , N/A ,$7.81 ,$9.36 ,$7.73 ,$7.49 ,$8.42 ,$9.36 ,$7.96 ,$9.36 ,$7.96 ,$7.96 ,$8.42 ,$8.42 ,$7.35 ,$7.73 ,$9.36 ,$6.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186645,86645,LEADWELL CMV AB IGM,300,1 ,$14.50 ,$9.43 ,$9.43 ,$36.25 ,$11.60 ,$14.50 ,$11.49 ,$13.06 ,$13.06 ,$27.55 ,$12.33 ,$10.73 ,$36.25 ,$14.50 , N/A ,$12.09 ,$14.50 ,$11.98 ,$11.60 ,$13.05 ,$14.50 ,$12.33 ,$14.50 ,$12.33 ,$12.33 ,$13.05 ,$13.05 ,$11.38 ,$11.98 ,$14.50 ,$9.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186664,86664,LEADWELL EBV NUCLEAR AG,300,1 ,$12.73 ,$8.27 ,$8.27 ,$31.83 ,$10.18 ,$12.73 ,$10.09 ,$11.46 ,$11.46 ,$24.19 ,$10.82 ,$9.42 ,$31.83 ,$12.73 , N/A ,$10.62 ,$12.73 ,$10.52 ,$10.18 ,$11.46 ,$12.73 ,$10.82 ,$12.73 ,$10.82 ,$10.82 ,$11.46 ,$11.46 ,$9.99 ,$10.52 ,$12.73 ,$8.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186665,86665,LEADWELL EBV VIRAL CAP,300,1 ,$43.35 ,$28.18 ,$18.14 ,$45.35 ,$34.68 ,$18.14 ,$34.35 ,$39.04 ,$39.04 ,$34.47 ,$36.85 ,$32.08 ,$45.35 ,$18.14 , N/A ,$36.15 ,$18.14 ,$35.81 ,$34.68 ,$39.02 ,$43.35 ,$36.85 ,$18.14 ,$36.85 ,$36.85 ,$39.02 ,$39.02 ,$34.03 ,$35.81 ,$18.14 ,$28.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186677,86677,H PYLORI IgG,300,1 ,$136.40 ,$88.66 ,$16.85 ,$122.83 ,$109.12 ,$16.85 ,$108.08 ,$122.83 ,$122.83 ,$32.02 ,$115.94 ,$100.94 ,$42.13 ,$16.85 , N/A ,$113.76 ,$16.85 ,$112.67 ,$109.12 ,$122.76 ,$42.13 ,$115.94 ,$16.85 ,$115.94 ,$115.94 ,$122.76 ,$122.76 ,$107.07 ,$112.67 ,$16.85 ,$88.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186694,86694,LEADWELL HERPES SIMPLEX AB,300,1 ,$22.23 ,$14.45 ,$14.39 ,$35.98 ,$17.78 ,$14.39 ,$17.62 ,$20.02 ,$20.02 ,$27.34 ,$18.90 ,$16.45 ,$35.98 ,$14.39 , N/A ,$18.54 ,$14.39 ,$18.36 ,$17.78 ,$20.01 ,$22.23 ,$18.90 ,$14.39 ,$18.90 ,$18.90 ,$20.01 ,$20.01 ,$17.45 ,$18.36 ,$14.39 ,$14.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186695,86695,LEADWELL HERPES SIMPLEX I AB,300,1 ,$4.86 ,$3.16 ,$3.16 ,$12.15 ,$3.89 ,$4.86 ,$3.85 ,$4.38 ,$4.38 ,$9.23 ,$4.13 ,$3.60 ,$12.15 ,$4.86 , N/A ,$4.05 ,$4.86 ,$4.01 ,$3.89 ,$4.37 ,$4.86 ,$4.13 ,$4.86 ,$4.13 ,$4.13 ,$4.37 ,$4.37 ,$3.82 ,$4.01 ,$4.86 ,$3.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186696,86696,HSV 2 1GM TITER,302,1 ,$85.49 ,$55.57 ,$19.35 ,$76.98 ,$68.39 ,$19.35 ,$67.74 ,$76.98 ,$76.98 ,$36.77 ,$72.67 ,$63.26 ,$48.38 ,$19.35 , N/A ,$71.30 ,$19.35 ,$70.61 ,$68.39 ,$76.94 ,$48.38 ,$72.67 ,$19.35 ,$72.67 ,$72.67 ,$76.94 ,$76.94 ,$67.11 ,$70.61 ,$19.35 ,$55.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186698,86698,LEADWELL HISTOPLASMA AB,300,1 ,$11.85 ,$7.70 ,$7.70 ,$29.63 ,$9.48 ,$11.85 ,$9.39 ,$10.67 ,$10.67 ,$22.52 ,$10.07 ,$8.77 ,$29.63 ,$11.85 , N/A ,$9.88 ,$11.85 ,$9.79 ,$9.48 ,$10.67 ,$11.85 ,$10.07 ,$11.85 ,$10.07 ,$10.07 ,$10.67 ,$10.67 ,$9.30 ,$9.79 ,$11.85 ,$7.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186701,86701,LEADWELL HIV AB,300,1 ,$8.25 ,$5.36 ,$5.36 ,$20.63 ,$6.60 ,$8.25 ,$6.54 ,$7.43 ,$7.43 ,$15.68 ,$7.01 ,$6.11 ,$20.63 ,$8.25 , N/A ,$6.88 ,$8.25 ,$6.81 ,$6.60 ,$7.43 ,$8.25 ,$7.01 ,$8.25 ,$7.01 ,$7.01 ,$7.43 ,$7.43 ,$6.48 ,$6.81 ,$8.25 ,$5.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186703,86703,LEADWELL HIV 1 HIV 2 AB SGL ASSAY,300,1 ,$9.58 ,$6.23 ,$6.23 ,$23.95 ,$7.66 ,$9.58 ,$7.59 ,$8.63 ,$8.63 ,$18.20 ,$8.14 ,$7.09 ,$23.95 ,$9.58 , N/A ,$7.99 ,$9.58 ,$7.91 ,$7.66 ,$8.62 ,$9.58 ,$8.14 ,$9.58 ,$8.14 ,$8.14 ,$8.62 ,$8.62 ,$7.52 ,$7.91 ,$9.58 ,$6.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186704,86704,LEADWELL HEP B CORE AB,300,1 ,$7.26 ,$4.72 ,$4.72 ,$18.15 ,$5.81 ,$7.26 ,$5.75 ,$6.54 ,$6.54 ,$13.79 ,$6.17 ,$5.37 ,$18.15 ,$7.26 , N/A ,$6.05 ,$7.26 ,$6.00 ,$5.81 ,$6.53 ,$7.26 ,$6.17 ,$7.26 ,$6.17 ,$6.17 ,$6.53 ,$6.53 ,$5.70 ,$6.00 ,$7.26 ,$4.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186705,86705,LEADWELL HEP B CORE IGM,300,1 ,$8.13 ,$5.28 ,$5.28 ,$20.33 ,$6.50 ,$8.13 ,$6.44 ,$7.32 ,$7.32 ,$15.45 ,$6.91 ,$6.02 ,$20.33 ,$8.13 , N/A ,$6.78 ,$8.13 ,$6.72 ,$6.50 ,$7.32 ,$8.13 ,$6.91 ,$8.13 ,$6.91 ,$6.91 ,$7.32 ,$7.32 ,$6.38 ,$6.72 ,$8.13 ,$5.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186706,86706,LEADWELL HEP B SURFACE AB,300,1 ,$7.09 ,$4.61 ,$4.61 ,$17.73 ,$5.67 ,$7.09 ,$5.62 ,$6.38 ,$6.38 ,$13.47 ,$6.03 ,$5.25 ,$17.73 ,$7.09 , N/A ,$5.91 ,$7.09 ,$5.86 ,$5.67 ,$6.38 ,$7.09 ,$6.03 ,$7.09 ,$6.03 ,$6.03 ,$6.38 ,$6.38 ,$5.57 ,$5.86 ,$7.09 ,$4.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186707,86707,LEADWELL HEP BE AB (HBEAB),300,1 ,$8.62 ,$5.60 ,$5.60 ,$21.55 ,$6.90 ,$8.62 ,$6.83 ,$7.76 ,$7.76 ,$16.38 ,$7.33 ,$6.38 ,$21.55 ,$8.62 , N/A ,$7.19 ,$8.62 ,$7.12 ,$6.90 ,$7.76 ,$8.62 ,$7.33 ,$8.62 ,$7.33 ,$7.33 ,$7.76 ,$7.76 ,$6.77 ,$7.12 ,$8.62 ,$5.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186708,86708,LEADWELL HEP A AB (HAAB) TOTAL,300,1 ,$9.61 ,$6.25 ,$6.25 ,$24.03 ,$7.69 ,$9.61 ,$7.62 ,$8.65 ,$8.65 ,$18.26 ,$8.17 ,$7.11 ,$24.03 ,$9.61 , N/A ,$8.01 ,$9.61 ,$7.94 ,$7.69 ,$8.65 ,$9.61 ,$8.17 ,$9.61 ,$8.17 ,$8.17 ,$8.65 ,$8.65 ,$7.54 ,$7.94 ,$9.61 ,$6.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186709,86709,LEADWELL HEP A AB (HAAB) IGM,300,1 ,$8.62 ,$5.60 ,$5.60 ,$21.55 ,$6.90 ,$8.62 ,$6.83 ,$7.76 ,$7.76 ,$16.38 ,$7.33 ,$6.38 ,$21.55 ,$8.62 , N/A ,$7.19 ,$8.62 ,$7.12 ,$6.90 ,$7.76 ,$8.62 ,$7.33 ,$8.62 ,$7.33 ,$7.33 ,$7.76 ,$7.76 ,$6.77 ,$7.12 ,$8.62 ,$5.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186735,86735,LEADWELL MUMPS AB,300,1 ,$8.13 ,$5.28 ,$5.28 ,$20.33 ,$6.50 ,$8.13 ,$6.44 ,$7.32 ,$7.32 ,$15.45 ,$6.91 ,$6.02 ,$20.33 ,$8.13 , N/A ,$6.78 ,$8.13 ,$6.72 ,$6.50 ,$7.32 ,$8.13 ,$6.91 ,$8.13 ,$6.91 ,$6.91 ,$7.32 ,$7.32 ,$6.38 ,$6.72 ,$8.13 ,$5.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186738,86738,LEADWELL MYCOPLASMA AB,300,1 ,$10.15 ,$6.60 ,$6.60 ,$25.38 ,$8.12 ,$10.15 ,$8.04 ,$9.14 ,$9.14 ,$19.29 ,$8.63 ,$7.51 ,$25.38 ,$10.15 , N/A ,$8.47 ,$10.15 ,$8.38 ,$8.12 ,$9.14 ,$10.15 ,$8.63 ,$10.15 ,$8.63 ,$8.63 ,$9.14 ,$9.14 ,$7.97 ,$8.38 ,$10.15 ,$6.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186753,86753,T CRUZI,302,1 ,$109.23 ,$71.00 ,$12.39 ,$98.36 ,$87.38 ,$12.39 ,$86.55 ,$98.36 ,$98.36 ,$23.54 ,$92.85 ,$80.83 ,$30.98 ,$12.39 , N/A ,$91.10 ,$12.39 ,$90.22 ,$87.38 ,$98.31 ,$30.98 ,$92.85 ,$12.39 ,$92.85 ,$92.85 ,$98.31 ,$98.31 ,$85.75 ,$90.22 ,$12.39 ,$71.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186757,86757,LEADWELL RICKETTSIA AB,300,1 ,$16.54 ,$10.75 ,$10.75 ,$41.35 ,$13.23 ,$16.54 ,$13.11 ,$14.89 ,$14.89 ,$31.43 ,$14.06 ,$12.24 ,$41.35 ,$16.54 , N/A ,$13.79 ,$16.54 ,$13.66 ,$13.23 ,$14.89 ,$16.54 ,$14.06 ,$16.54 ,$14.06 ,$14.06 ,$14.89 ,$14.89 ,$12.98 ,$13.66 ,$16.54 ,$10.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186762,86762,LEADWELL RUBELLA AB,300,1 ,$19.38 ,$12.60 ,$12.60 ,$35.98 ,$15.50 ,$14.39 ,$15.36 ,$17.45 ,$17.45 ,$27.34 ,$16.47 ,$14.34 ,$35.98 ,$14.39 , N/A ,$16.16 ,$14.39 ,$16.01 ,$15.50 ,$17.44 ,$19.38 ,$16.47 ,$14.39 ,$16.47 ,$16.47 ,$17.44 ,$17.44 ,$15.21 ,$16.01 ,$14.39 ,$12.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186765,86765,LEADWELL RUBEOLA AB,300,1 ,$8.22 ,$5.34 ,$5.34 ,$20.55 ,$6.58 ,$8.22 ,$6.51 ,$7.40 ,$7.40 ,$15.62 ,$6.99 ,$6.08 ,$20.55 ,$8.22 , N/A ,$6.86 ,$8.22 ,$6.79 ,$6.58 ,$7.40 ,$8.22 ,$6.99 ,$8.22 ,$6.99 ,$6.99 ,$7.40 ,$7.40 ,$6.45 ,$6.79 ,$8.22 ,$5.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186774,86774,LEADWELL TETANUS AB,300,1 ,$28.31 ,$18.40 ,$14.80 ,$37.00 ,$22.65 ,$14.80 ,$22.43 ,$25.49 ,$25.49 ,$28.12 ,$24.06 ,$20.95 ,$37.00 ,$14.80 , N/A ,$23.61 ,$14.80 ,$23.38 ,$22.65 ,$25.48 ,$28.31 ,$24.06 ,$14.80 ,$24.06 ,$24.06 ,$25.48 ,$25.48 ,$22.22 ,$23.38 ,$14.80 ,$18.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186780,86780,LEADWELL TREPONEMA P AB CONFIRM,300,1 ,$9.99 ,$6.49 ,$6.49 ,$24.98 ,$7.99 ,$9.99 ,$7.92 ,$9.00 ,$9.00 ,$18.98 ,$8.49 ,$7.39 ,$24.98 ,$9.99 , N/A ,$8.33 ,$9.99 ,$8.25 ,$7.99 ,$8.99 ,$9.99 ,$8.49 ,$9.99 ,$8.49 ,$8.49 ,$8.99 ,$8.99 ,$7.84 ,$8.25 ,$9.99 ,$6.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186787,86787,VARICELLA-ZOSTER VIRUS IgM Ab,302,1 ,$95.75 ,$62.24 ,$12.88 ,$86.22 ,$76.60 ,$12.88 ,$75.87 ,$86.22 ,$86.22 ,$24.47 ,$81.39 ,$70.86 ,$32.20 ,$12.88 , N/A ,$79.86 ,$12.88 ,$79.09 ,$76.60 ,$86.18 ,$32.20 ,$81.39 ,$12.88 ,$81.39 ,$81.39 ,$86.18 ,$86.18 ,$75.16 ,$79.09 ,$12.88 ,$62.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186788,86788,WEST NILE VIRUS,302,1 ,$97.10 ,$63.12 ,$16.85 ,$87.44 ,$77.68 ,$16.85 ,$76.94 ,$87.44 ,$87.44 ,$32.02 ,$82.54 ,$71.85 ,$42.13 ,$16.85 , N/A ,$80.98 ,$16.85 ,$80.20 ,$77.68 ,$87.39 ,$42.13 ,$82.54 ,$16.85 ,$82.54 ,$82.54 ,$87.39 ,$87.39 ,$76.22 ,$80.20 ,$16.85 ,$63.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186789,86789,WEST NILE VIRUS IGM IGG,302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24186790,86790,HTLV I/II ABS,300,1 ,$79.71 ,$51.81 ,$12.88 ,$71.78 ,$63.77 ,$12.88 ,$63.16 ,$71.78 ,$71.78 ,$24.47 ,$67.75 ,$58.99 ,$32.20 ,$12.88 , N/A ,$66.48 ,$12.88 ,$65.84 ,$63.77 ,$71.74 ,$32.20 ,$67.75 ,$12.88 ,$67.75 ,$67.75 ,$71.74 ,$71.74 ,$62.57 ,$65.84 ,$12.88 ,$51.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186800,86800,LEADWELL THYROGLOBULIN AB,300,1 ,$6.26 ,$4.07 ,$4.07 ,$15.65 ,$5.01 ,$6.26 ,$4.96 ,$5.64 ,$5.64 ,$11.89 ,$5.32 ,$4.63 ,$15.65 ,$6.26 , N/A ,$5.22 ,$6.26 ,$5.17 ,$5.01 ,$5.63 ,$6.26 ,$5.32 ,$6.26 ,$5.32 ,$5.32 ,$5.63 ,$5.63 ,$4.91 ,$5.17 ,$6.26 ,$4.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186803,86803,LEADWELL HEP C AB,300,1 ,$8.53 ,$5.54 ,$5.54 ,$21.33 ,$6.82 ,$8.53 ,$6.76 ,$7.68 ,$7.68 ,$16.21 ,$7.25 ,$6.31 ,$21.33 ,$8.53 , N/A ,$7.11 ,$8.53 ,$7.05 ,$6.82 ,$7.68 ,$8.53 ,$7.25 ,$8.53 ,$7.25 ,$7.25 ,$7.68 ,$7.68 ,$6.70 ,$7.05 ,$8.53 ,$5.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186812,86812,LEADWELL HLA TYPING SINGLE A/B/C,300,1 ,$17.31 ,$11.25 ,$11.25 ,$43.28 ,$13.85 ,$17.31 ,$13.72 ,$15.59 ,$15.59 ,$32.89 ,$14.71 ,$12.81 ,$43.28 ,$17.31 , N/A ,$14.44 ,$17.31 ,$14.30 ,$13.85 ,$15.58 ,$17.31 ,$14.71 ,$17.31 ,$14.71 ,$14.71 ,$15.58 ,$15.58 ,$13.59 ,$14.30 ,$17.31 ,$11.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186850,86850,LEADWELL AB SCR,300,1 ,$5.86 ,$3.81 ,$3.81 ,$112.56 ,$4.69 ,$45.02 ,$4.64 ,$5.28 ,$5.28 ,$85.55 ,$4.98 ,$4.34 ,$112.56 ,$45.02 , N/A ,$4.89 ,$45.02 ,$4.84 ,$4.69 ,$5.27 ,$5.86 ,$4.98 ,$5.86 ,$4.98 ,$4.98 ,$5.27 ,$5.27 ,$4.60 ,$4.84 ,$5.86 ,$3.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186900,86900,LEADWELL BLOOD TYPING ABO,300,1 ,$6.43 ,$4.18 ,$4.18 ,$253.24 ,$5.14 ,$101.30 ,$5.10 ,$5.79 ,$5.79 ,$192.46 ,$5.47 ,$4.76 ,$253.24 ,$101.30 , N/A ,$5.36 ,$101.30 ,$5.31 ,$5.14 ,$5.79 ,$6.43 ,$5.47 ,$6.43 ,$5.47 ,$5.47 ,$5.79 ,$5.79 ,$5.05 ,$5.31 ,$6.43 ,$4.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186901,86901,LEADWELL BLOOD TYPING RH(D),300,1 ,$5.48 ,$3.56 ,$3.56 ,$76.55 ,$4.38 ,$30.62 ,$4.34 ,$4.93 ,$4.93 ,$58.18 ,$4.66 ,$4.06 ,$76.55 ,$30.62 , N/A ,$4.57 ,$30.62 ,$4.53 ,$4.38 ,$4.93 ,$5.48 ,$4.66 ,$5.48 ,$4.66 ,$4.66 ,$4.93 ,$4.93 ,$4.30 ,$4.53 ,$5.48 ,$3.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186903,86902,"ARC Ag Screening,spec,prder 1-10",302,1 ,$44.40 ,$28.86 ,$28.86 ,$658.86 ,$35.52 ,$263.54 ,$35.18 ,$39.98 ,$39.98 ,$500.73 ,$37.74 ,$32.86 ,$658.86 ,$263.54 , N/A ,$37.03 ,$263.54 ,$36.67 ,$35.52 ,$39.96 ,$44.40 ,$37.74 ,$44.40 ,$37.74 ,$37.74 ,$39.96 ,$39.96 ,$34.85 ,$36.67 ,$44.40 ,$28.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),24186905,86905,MV T1 A1;C;E;K,302,1 ,$84.79 ,$55.11 ,$55.11 ,$658.86 ,$67.83 ,$263.54 ,$67.19 ,$76.35 ,$76.35 ,$500.73 ,$72.07 ,$62.74 ,$658.86 ,$263.54 , N/A ,$70.71 ,$263.54 ,$70.04 ,$67.83 ,$76.31 ,$84.79 ,$72.07 ,$84.79 ,$72.07 ,$72.07 ,$76.31 ,$76.31 ,$66.56 ,$70.04 ,$84.79 ,$55.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187015,87015,LEADWELL CONCENTRATION INFECTIOUS AGENT,300,1 ,$4.59 ,$2.98 ,$2.98 ,$11.48 ,$3.67 ,$4.59 ,$3.64 ,$4.13 ,$4.13 ,$8.72 ,$3.90 ,$3.40 ,$11.48 ,$4.59 , N/A ,$3.83 ,$4.59 ,$3.79 ,$3.67 ,$4.13 ,$4.59 ,$3.90 ,$4.59 ,$3.90 ,$3.90 ,$4.13 ,$4.13 ,$3.60 ,$3.79 ,$4.59 ,$2.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187040,87040,LEADWELL BACTERIA BLOOD CULTURE,300,1 ,$8.43 ,$5.48 ,$5.48 ,$21.08 ,$6.74 ,$8.43 ,$6.68 ,$7.59 ,$7.59 ,$16.02 ,$7.17 ,$6.24 ,$21.08 ,$8.43 , N/A ,$7.03 ,$8.43 ,$6.96 ,$6.74 ,$7.59 ,$8.43 ,$7.17 ,$8.43 ,$7.17 ,$7.17 ,$7.59 ,$7.59 ,$6.62 ,$6.96 ,$8.43 ,$5.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187045,87045,LEADWELL BLOOD CULTURE STOOL,300,1 ,$10.75 ,$6.99 ,$6.99 ,$23.60 ,$8.60 ,$9.44 ,$8.52 ,$9.68 ,$9.68 ,$17.94 ,$9.14 ,$7.96 ,$23.60 ,$9.44 , N/A ,$8.97 ,$9.44 ,$8.88 ,$8.60 ,$9.68 ,$10.75 ,$9.14 ,$9.44 ,$9.14 ,$9.14 ,$9.68 ,$9.68 ,$8.44 ,$8.88 ,$9.44 ,$6.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187046,87046,LEADWELL CULTURE STOOL OTH SRC,300,1 ,$2.99 ,$1.94 ,$1.94 ,$7.48 ,$2.39 ,$2.99 ,$2.37 ,$2.69 ,$2.69 ,$5.68 ,$2.54 ,$2.21 ,$7.48 ,$2.99 , N/A ,$2.49 ,$2.99 ,$2.47 ,$2.39 ,$2.69 ,$2.99 ,$2.54 ,$2.99 ,$2.54 ,$2.54 ,$2.69 ,$2.69 ,$2.35 ,$2.47 ,$2.99 ,$1.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187070,87070,CULTURE BODY FLUID (AEROBIC AND ANAEROBIC),306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187071,87071,LEADWELL CULTURE AEROBIC OTH QN,300,1 ,$31.50 ,$20.48 ,$9.89 ,$28.37 ,$25.20 ,$9.89 ,$24.96 ,$28.37 ,$28.37 ,$18.79 ,$26.78 ,$23.31 ,$24.73 ,$9.89 , N/A ,$26.27 ,$9.89 ,$26.02 ,$25.20 ,$28.35 ,$24.73 ,$26.78 ,$9.89 ,$26.78 ,$26.78 ,$28.35 ,$28.35 ,$24.73 ,$26.02 ,$9.89 ,$20.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187075,87075,LEADWELL CULTURE ANAEROBIC,300,1 ,$22.82 ,$14.83 ,$9.47 ,$23.68 ,$18.26 ,$9.47 ,$18.08 ,$20.55 ,$20.55 ,$17.99 ,$19.40 ,$16.89 ,$23.68 ,$9.47 , N/A ,$19.03 ,$9.47 ,$18.85 ,$18.26 ,$20.54 ,$22.82 ,$19.40 ,$9.47 ,$19.40 ,$19.40 ,$20.54 ,$20.54 ,$17.91 ,$18.85 ,$9.47 ,$14.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187077,87077,LEADWELL CULTURE AEROBIC ID ADDL,300,1 ,$10.00 ,$6.50 ,$6.50 ,$20.20 ,$8.00 ,$8.08 ,$7.92 ,$9.01 ,$9.01 ,$15.35 ,$8.50 ,$7.40 ,$20.20 ,$8.08 , N/A ,$8.34 ,$8.08 ,$8.26 ,$8.00 ,$9.00 ,$10.00 ,$8.50 ,$8.08 ,$8.50 ,$8.50 ,$9.00 ,$9.00 ,$7.85 ,$8.26 ,$8.08 ,$6.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187081,87081,LEADWELL CULTURE SCR PATHOGENS,300,1 ,$6.58 ,$4.28 ,$4.28 ,$16.45 ,$5.26 ,$6.58 ,$5.21 ,$5.93 ,$5.93 ,$12.50 ,$5.59 ,$4.87 ,$16.45 ,$6.58 , N/A ,$5.49 ,$6.58 ,$5.44 ,$5.26 ,$5.92 ,$6.58 ,$5.59 ,$6.58 ,$5.59 ,$5.59 ,$5.92 ,$5.92 ,$5.17 ,$5.44 ,$6.58 ,$4.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187084,87084,LEADWELL CULTURE SCR COLONY W/ EST,300,1 ,$25.08 ,$16.30 ,$16.30 ,$62.70 ,$20.06 ,$25.08 ,$19.87 ,$22.58 ,$22.58 ,$47.65 ,$21.32 ,$18.56 ,$62.70 ,$25.08 , N/A ,$20.92 ,$25.08 ,$20.72 ,$20.06 ,$22.57 ,$25.08 ,$21.32 ,$25.08 ,$21.32 ,$21.32 ,$22.57 ,$22.57 ,$19.69 ,$20.72 ,$25.08 ,$16.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187086,87086,LEADWELL CULTURE URINE W/COLONY CT,300,1 ,$4.44 ,$2.89 ,$2.89 ,$11.10 ,$3.55 ,$4.44 ,$3.52 ,$4.00 ,$4.00 ,$8.44 ,$3.77 ,$3.29 ,$11.10 ,$4.44 , N/A ,$3.70 ,$4.44 ,$3.67 ,$3.55 ,$4.00 ,$4.44 ,$3.77 ,$4.44 ,$3.77 ,$3.77 ,$4.00 ,$4.00 ,$3.49 ,$3.67 ,$4.44 ,$2.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187088,87088,LEADWELL CULTURE URINE ID EA ISOLATE,300,1 ,$2.53 ,$1.64 ,$1.64 ,$6.33 ,$2.02 ,$2.53 ,$2.00 ,$2.28 ,$2.28 ,$4.81 ,$2.15 ,$1.87 ,$6.33 ,$2.53 , N/A ,$2.11 ,$2.53 ,$2.09 ,$2.02 ,$2.28 ,$2.53 ,$2.15 ,$2.53 ,$2.15 ,$2.15 ,$2.28 ,$2.28 ,$1.99 ,$2.09 ,$2.53 ,$1.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187101,87101,LEADWELL CULTURE FUNGUS SKIN/HAIR/NAIL,300,1 ,$11.66 ,$7.58 ,$7.58 ,$19.28 ,$9.33 ,$7.71 ,$9.24 ,$10.50 ,$10.50 ,$14.65 ,$9.91 ,$8.63 ,$19.28 ,$7.71 , N/A ,$9.72 ,$7.71 ,$9.63 ,$9.33 ,$10.49 ,$11.66 ,$9.91 ,$7.71 ,$9.91 ,$9.91 ,$10.49 ,$10.49 ,$9.15 ,$9.63 ,$7.71 ,$7.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187102,87102,LEADWELL CULTURE FUNGUS OTHER,300,1 ,$10.59 ,$6.88 ,$6.88 ,$21.03 ,$8.47 ,$8.41 ,$8.39 ,$9.54 ,$9.54 ,$15.98 ,$9.00 ,$7.84 ,$21.03 ,$8.41 , N/A ,$8.83 ,$8.41 ,$8.75 ,$8.47 ,$9.53 ,$10.59 ,$9.00 ,$8.41 ,$9.00 ,$9.00 ,$9.53 ,$9.53 ,$8.31 ,$8.75 ,$8.41 ,$6.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187106,87106,LEADWELL CULTURE FUNGUS ID YEAST,300,1 ,$11.20 ,$7.28 ,$7.28 ,$25.80 ,$8.96 ,$10.32 ,$8.87 ,$10.09 ,$10.09 ,$19.61 ,$9.52 ,$8.29 ,$25.80 ,$10.32 , N/A ,$9.34 ,$10.32 ,$9.25 ,$8.96 ,$10.08 ,$11.20 ,$9.52 ,$10.32 ,$9.52 ,$9.52 ,$10.08 ,$10.08 ,$8.79 ,$9.25 ,$10.32 ,$7.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187110,87110,LEADWELL CULTURE CHLAMYDIA,300,1 ,$29.99 ,$19.49 ,$19.49 ,$49.00 ,$23.99 ,$19.60 ,$23.76 ,$27.01 ,$27.01 ,$37.24 ,$25.49 ,$22.19 ,$49.00 ,$19.60 , N/A ,$25.01 ,$19.60 ,$24.77 ,$23.99 ,$26.99 ,$29.99 ,$25.49 ,$19.60 ,$25.49 ,$25.49 ,$26.99 ,$26.99 ,$23.54 ,$24.77 ,$19.60 ,$19.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187116,87116,LEADWELL CULTURE AFB/TB/MYCOBACT,300,1 ,$14.43 ,$9.38 ,$9.38 ,$27.00 ,$11.54 ,$10.80 ,$11.43 ,$12.99 ,$12.99 ,$20.52 ,$12.27 ,$10.68 ,$27.00 ,$10.80 , N/A ,$12.03 ,$10.80 ,$11.92 ,$11.54 ,$12.99 ,$14.43 ,$12.27 ,$10.80 ,$12.27 ,$12.27 ,$12.99 ,$12.99 ,$11.33 ,$11.92 ,$10.80 ,$9.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187147,87147,LEADWELL CULTURE TYPING SEROLOGIC,300,1 ,$2.52 ,$1.64 ,$1.64 ,$6.30 ,$2.02 ,$2.52 ,$2.00 ,$2.27 ,$2.27 ,$4.79 ,$2.14 ,$1.86 ,$6.30 ,$2.52 , N/A ,$2.10 ,$2.52 ,$2.08 ,$2.02 ,$2.27 ,$2.52 ,$2.14 ,$2.52 ,$2.14 ,$2.14 ,$2.27 ,$2.27 ,$1.98 ,$2.08 ,$2.52 ,$1.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187168,87168,TICK ID WITH REFLEX TG LYME,302,1 ,$42.16 ,$27.40 ,$4.27 ,$37.97 ,$33.73 ,$4.27 ,$33.41 ,$37.97 ,$37.97 ,$8.11 ,$35.84 ,$31.20 ,$10.68 ,$4.27 , N/A ,$35.16 ,$4.27 ,$34.82 ,$33.73 ,$37.94 ,$10.68 ,$35.84 ,$4.27 ,$35.84 ,$35.84 ,$37.94 ,$37.94 ,$33.10 ,$34.82 ,$4.27 ,$27.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187172,87172,LEADWELL PINWORM EXAM,300,1 ,$6.95 ,$4.52 ,$4.27 ,$10.68 ,$5.56 ,$4.27 ,$5.51 ,$6.26 ,$6.26 ,$8.11 ,$5.91 ,$5.14 ,$10.68 ,$4.27 , N/A ,$5.80 ,$4.27 ,$5.74 ,$5.56 ,$6.26 ,$6.95 ,$5.91 ,$4.27 ,$5.91 ,$5.91 ,$6.26 ,$6.26 ,$5.46 ,$5.74 ,$4.27 ,$4.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187177,87177,LEADWELL SMEAR OVA PARASITE CONC/ID,300,1 ,$21.85 ,$14.20 ,$8.90 ,$22.25 ,$17.48 ,$8.90 ,$17.31 ,$19.68 ,$19.68 ,$16.91 ,$18.57 ,$16.17 ,$22.25 ,$8.90 , N/A ,$18.22 ,$8.90 ,$18.05 ,$17.48 ,$19.67 ,$21.85 ,$18.57 ,$8.90 ,$18.57 ,$18.57 ,$19.67 ,$19.67 ,$17.15 ,$18.05 ,$8.90 ,$14.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187181,87181,LEADWELL SENSITIVITY STUDY AGAR,300,1 ,$3.97 ,$2.58 ,$2.58 ,$9.93 ,$3.18 ,$3.97 ,$3.15 ,$3.58 ,$3.58 ,$7.54 ,$3.37 ,$2.94 ,$9.93 ,$3.97 , N/A ,$3.31 ,$3.97 ,$3.28 ,$3.18 ,$3.57 ,$3.97 ,$3.37 ,$3.97 ,$3.37 ,$3.37 ,$3.57 ,$3.57 ,$3.12 ,$3.28 ,$3.97 ,$2.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187184,87184,LEADWELL SENSITIVITY DISK KB,300,1 ,$6.63 ,$4.31 ,$4.31 ,$16.58 ,$5.30 ,$6.63 ,$5.25 ,$5.97 ,$5.97 ,$12.60 ,$5.64 ,$4.91 ,$16.58 ,$6.63 , N/A ,$5.53 ,$6.63 ,$5.48 ,$5.30 ,$5.97 ,$6.63 ,$5.64 ,$6.63 ,$5.64 ,$5.64 ,$5.97 ,$5.97 ,$5.20 ,$5.48 ,$6.63 ,$4.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187185,87185,LEADWELL BETA LACTAMASE,300,1 ,$4.54 ,$2.95 ,$2.95 ,$11.35 ,$3.63 ,$4.54 ,$3.60 ,$4.09 ,$4.09 ,$8.63 ,$3.86 ,$3.36 ,$11.35 ,$4.54 , N/A ,$3.79 ,$4.54 ,$3.75 ,$3.63 ,$4.09 ,$4.54 ,$3.86 ,$4.54 ,$3.86 ,$3.86 ,$4.09 ,$4.09 ,$3.56 ,$3.75 ,$4.54 ,$2.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187186,87186,LEADWELL SENSITIVITY MIC,300,1 ,$5.97 ,$3.88 ,$3.88 ,$14.93 ,$4.78 ,$5.97 ,$4.73 ,$5.38 ,$5.38 ,$11.34 ,$5.07 ,$4.42 ,$14.93 ,$5.97 , N/A ,$4.98 ,$5.97 ,$4.93 ,$4.78 ,$5.37 ,$5.97 ,$5.07 ,$5.97 ,$5.07 ,$5.07 ,$5.37 ,$5.37 ,$4.69 ,$4.93 ,$5.97 ,$3.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187188,87188,LEADWELL MACROTUBE DIL METH 4DRG PNL,300,1 ,$58.12 ,$37.78 ,$6.64 ,$52.34 ,$46.50 ,$6.64 ,$46.05 ,$52.34 ,$52.34 ,$12.62 ,$49.40 ,$43.01 ,$16.60 ,$6.64 , N/A ,$48.47 ,$6.64 ,$48.01 ,$46.50 ,$52.31 ,$16.60 ,$49.40 ,$6.64 ,$49.40 ,$49.40 ,$52.31 ,$52.31 ,$45.62 ,$48.01 ,$6.64 ,$37.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187205,87205,LEADWELL SMEAR GRAM/GIEMSA,300,1 ,$6.71 ,$4.36 ,$4.27 ,$10.68 ,$5.37 ,$4.27 ,$5.32 ,$6.04 ,$6.04 ,$8.11 ,$5.70 ,$4.97 ,$10.68 ,$4.27 , N/A ,$5.60 ,$4.27 ,$5.54 ,$5.37 ,$6.04 ,$6.71 ,$5.70 ,$4.27 ,$5.70 ,$5.70 ,$6.04 ,$6.04 ,$5.27 ,$5.54 ,$4.27 ,$4.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187206,87206,LEADWELL SMEAR ACID FAST/FLUOR,300,1 ,$7.25 ,$4.71 ,$4.71 ,$13.48 ,$5.80 ,$5.39 ,$5.74 ,$6.53 ,$6.53 ,$10.24 ,$6.16 ,$5.37 ,$13.48 ,$5.39 , N/A ,$6.05 ,$5.39 ,$5.99 ,$5.80 ,$6.53 ,$7.25 ,$6.16 ,$5.39 ,$6.16 ,$6.16 ,$6.53 ,$6.53 ,$5.69 ,$5.99 ,$5.39 ,$4.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187209,87209,LEADWELL O AND P SMEAR W/STAIN,300,1 ,$7.96 ,$5.17 ,$5.17 ,$19.90 ,$6.37 ,$7.96 ,$6.31 ,$7.17 ,$7.17 ,$15.12 ,$6.77 ,$5.89 ,$19.90 ,$7.96 , N/A ,$6.64 ,$7.96 ,$6.58 ,$6.37 ,$7.16 ,$7.96 ,$6.77 ,$7.96 ,$6.77 ,$6.77 ,$7.16 ,$7.16 ,$6.25 ,$6.58 ,$7.96 ,$5.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187210,87210,LEADWELL SMEAR WET MOUNT,300,1 ,$5.08 ,$3.30 ,$3.30 ,$12.70 ,$4.06 ,$5.08 ,$4.03 ,$4.57 ,$4.57 ,$9.65 ,$4.32 ,$3.76 ,$12.70 ,$5.08 , N/A ,$4.24 ,$5.08 ,$4.20 ,$4.06 ,$4.57 ,$5.08 ,$4.32 ,$5.08 ,$4.32 ,$4.32 ,$4.57 ,$4.57 ,$3.99 ,$4.20 ,$5.08 ,$3.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187220,87220,LEADWELL TISSUE KOH PREP,300,1 ,$9.18 ,$5.97 ,$4.27 ,$10.68 ,$7.34 ,$4.27 ,$7.27 ,$8.27 ,$8.27 ,$8.11 ,$7.80 ,$6.79 ,$10.68 ,$4.27 , N/A ,$7.66 ,$4.27 ,$7.58 ,$7.34 ,$8.26 ,$9.18 ,$7.80 ,$4.27 ,$7.80 ,$7.80 ,$8.26 ,$8.26 ,$7.21 ,$7.58 ,$4.27 ,$5.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187252,87252,LEADWELL CULTURE VIRUS ID TISSUE,300,1 ,$30.05 ,$19.53 ,$19.53 ,$65.18 ,$24.04 ,$26.07 ,$23.81 ,$27.06 ,$27.06 ,$49.53 ,$25.54 ,$22.24 ,$65.18 ,$26.07 , N/A ,$25.06 ,$26.07 ,$24.82 ,$24.04 ,$27.05 ,$30.05 ,$25.54 ,$26.07 ,$25.54 ,$25.54 ,$27.05 ,$27.05 ,$23.59 ,$24.82 ,$26.07 ,$19.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187254,87254,LEADWELL VIRUS ISOLATE SHELL ID,300,1 ,$14.92 ,$9.70 ,$9.70 ,$37.30 ,$11.94 ,$14.92 ,$11.82 ,$13.44 ,$13.44 ,$28.35 ,$12.68 ,$11.04 ,$37.30 ,$14.92 , N/A ,$12.44 ,$14.92 ,$12.32 ,$11.94 ,$13.43 ,$14.92 ,$12.68 ,$14.92 ,$12.68 ,$12.68 ,$13.43 ,$13.43 ,$11.71 ,$12.32 ,$14.92 ,$9.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187269,87269,LEADWELL IF GIARDIA AG,300,1 ,$9.07 ,$5.90 ,$5.90 ,$22.68 ,$7.26 ,$9.07 ,$7.19 ,$8.17 ,$8.17 ,$17.23 ,$7.71 ,$6.71 ,$22.68 ,$9.07 , N/A ,$7.56 ,$9.07 ,$7.49 ,$7.26 ,$8.16 ,$9.07 ,$7.71 ,$9.07 ,$7.71 ,$7.71 ,$8.16 ,$8.16 ,$7.12 ,$7.49 ,$9.07 ,$5.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187272,87272,LEADWELL IF CRYPTOSPORIDIUM AG,300,1 ,$9.59 ,$6.23 ,$6.23 ,$23.98 ,$7.67 ,$9.59 ,$7.60 ,$8.64 ,$8.64 ,$18.22 ,$8.15 ,$7.10 ,$23.98 ,$9.59 , N/A ,$8.00 ,$9.59 ,$7.92 ,$7.67 ,$8.63 ,$9.59 ,$8.15 ,$9.59 ,$8.15 ,$8.15 ,$8.63 ,$8.63 ,$7.53 ,$7.92 ,$9.59 ,$6.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187273,87273,LEADWELL IF HERPES SIMPLEX 2 AG,300,1 ,$10.49 ,$6.82 ,$6.82 ,$26.23 ,$8.39 ,$10.49 ,$8.31 ,$9.45 ,$9.45 ,$19.93 ,$8.92 ,$7.76 ,$26.23 ,$10.49 , N/A ,$8.75 ,$10.49 ,$8.66 ,$8.39 ,$9.44 ,$10.49 ,$8.92 ,$10.49 ,$8.92 ,$8.92 ,$9.44 ,$9.44 ,$8.23 ,$8.66 ,$10.49 ,$6.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187274,87274,LEADWELL IF HERPES SIMPLEX 1 AG,300,1 ,$10.49 ,$6.82 ,$6.82 ,$26.23 ,$8.39 ,$10.49 ,$8.31 ,$9.45 ,$9.45 ,$19.93 ,$8.92 ,$7.76 ,$26.23 ,$10.49 , N/A ,$8.75 ,$10.49 ,$8.66 ,$8.39 ,$9.44 ,$10.49 ,$8.92 ,$10.49 ,$8.92 ,$8.92 ,$9.44 ,$9.44 ,$8.23 ,$8.66 ,$10.49 ,$6.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187324,87324,LEADWELL EIA QL CLOS DIFF TOXIN AG,300,1 ,$13.49 ,$8.77 ,$8.77 ,$29.95 ,$10.79 ,$11.98 ,$10.69 ,$12.15 ,$12.15 ,$22.76 ,$11.47 ,$9.98 ,$29.95 ,$11.98 , N/A ,$11.25 ,$11.98 ,$11.14 ,$10.79 ,$12.14 ,$13.49 ,$11.47 ,$11.98 ,$11.47 ,$11.47 ,$12.14 ,$12.14 ,$10.59 ,$11.14 ,$11.98 ,$8.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187327,87327,LEADWELL EIA QL CRYPTOCOCCUS AG,300,1 ,$13.77 ,$8.95 ,$8.95 ,$33.55 ,$11.02 ,$13.42 ,$10.91 ,$12.40 ,$12.40 ,$25.50 ,$11.70 ,$10.19 ,$33.55 ,$13.42 , N/A ,$11.48 ,$13.42 ,$11.37 ,$11.02 ,$12.39 ,$13.77 ,$11.70 ,$13.42 ,$11.70 ,$11.70 ,$12.39 ,$12.39 ,$10.81 ,$11.37 ,$13.42 ,$8.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187328,87328,LEADWELL EIA QL CRYPTOSPORIDIUM AG,300,1 ,$12.93 ,$8.40 ,$8.40 ,$32.33 ,$10.34 ,$12.93 ,$10.25 ,$11.64 ,$11.64 ,$24.57 ,$10.99 ,$9.57 ,$32.33 ,$12.93 , N/A ,$10.78 ,$12.93 ,$10.68 ,$10.34 ,$11.64 ,$12.93 ,$10.99 ,$12.93 ,$10.99 ,$10.99 ,$11.64 ,$11.64 ,$10.15 ,$10.68 ,$12.93 ,$8.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187338,87338,LEADWELL EIA QL H PYLORI AG STOOL,300,1 ,$13.03 ,$8.47 ,$8.47 ,$32.58 ,$10.42 ,$13.03 ,$10.33 ,$11.73 ,$11.73 ,$24.76 ,$11.08 ,$9.64 ,$32.58 ,$13.03 , N/A ,$10.87 ,$13.03 ,$10.76 ,$10.42 ,$11.73 ,$13.03 ,$11.08 ,$13.03 ,$11.08 ,$11.08 ,$11.73 ,$11.73 ,$10.23 ,$10.76 ,$13.03 ,$8.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187340,87340,LEADWELL EIA QL HEPATITIS B AG,300,1 ,$4.74 ,$3.08 ,$3.08 ,$11.85 ,$3.79 ,$4.74 ,$3.76 ,$4.27 ,$4.27 ,$9.01 ,$4.03 ,$3.51 ,$11.85 ,$4.74 , N/A ,$3.95 ,$4.74 ,$3.92 ,$3.79 ,$4.27 ,$4.74 ,$4.03 ,$4.74 ,$4.03 ,$4.03 ,$4.27 ,$4.27 ,$3.72 ,$3.92 ,$4.74 ,$3.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187350,87350,LEADWELL HEPATITIS BE AG QL,300,1 ,$8.62 ,$5.60 ,$5.60 ,$21.55 ,$6.90 ,$8.62 ,$6.83 ,$7.76 ,$7.76 ,$16.38 ,$7.33 ,$6.38 ,$21.55 ,$8.62 , N/A ,$7.19 ,$8.62 ,$7.12 ,$6.90 ,$7.76 ,$8.62 ,$7.33 ,$8.62 ,$7.33 ,$7.33 ,$7.76 ,$7.76 ,$6.77 ,$7.12 ,$8.62 ,$5.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187385,87385,LEADWELL EIA QL HISTOPLASMA AG,300,1 ,$105.49 ,$68.57 ,$13.25 ,$94.99 ,$84.39 ,$13.25 ,$83.59 ,$94.99 ,$94.99 ,$25.18 ,$89.67 ,$78.06 ,$33.13 ,$13.25 , N/A ,$87.98 ,$13.25 ,$87.13 ,$84.39 ,$94.94 ,$33.13 ,$89.67 ,$13.25 ,$89.67 ,$89.67 ,$94.94 ,$94.94 ,$82.81 ,$87.13 ,$13.25 ,$68.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187389,87389,HIV AGV FIB 4TH GEN W REFLEX,301,1 ,$56.40 ,$36.66 ,$24.08 ,$60.20 ,$45.12 ,$24.08 ,$44.69 ,$50.79 ,$50.79 ,$45.75 ,$47.94 ,$41.74 ,$60.20 ,$24.08 , N/A ,$47.04 ,$24.08 ,$46.59 ,$45.12 ,$50.76 ,$56.40 ,$47.94 ,$24.08 ,$47.94 ,$47.94 ,$50.76 ,$50.76 ,$44.27 ,$46.59 ,$24.08 ,$36.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187400,87400,LEADWELL INFLUENZA A/B AG QL,300,1 ,$17.39 ,$11.30 ,$11.30 ,$35.33 ,$13.91 ,$14.13 ,$13.78 ,$15.66 ,$15.66 ,$26.85 ,$14.78 ,$12.87 ,$35.33 ,$14.13 , N/A ,$14.50 ,$14.13 ,$14.36 ,$13.91 ,$15.65 ,$17.39 ,$14.78 ,$14.13 ,$14.78 ,$14.78 ,$15.65 ,$15.65 ,$13.65 ,$14.36 ,$14.13 ,$11.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187420,87420,LEADWELL RSV AG QL,300,1 ,$26.17 ,$17.01 ,$13.91 ,$34.78 ,$20.94 ,$13.91 ,$20.74 ,$23.57 ,$23.57 ,$26.43 ,$22.24 ,$19.37 ,$34.78 ,$13.91 , N/A ,$21.83 ,$13.91 ,$21.62 ,$20.94 ,$23.55 ,$26.17 ,$22.24 ,$13.91 ,$22.24 ,$22.24 ,$23.55 ,$23.55 ,$20.54 ,$21.62 ,$13.91 ,$17.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187430,87430,LEADWELL EIA QL STREP GROUP ANTIGN,300,1 ,$7.80 ,$5.07 ,$5.07 ,$19.50 ,$6.24 ,$7.80 ,$6.18 ,$7.02 ,$7.02 ,$14.82 ,$6.63 ,$5.77 ,$19.50 ,$7.80 , N/A ,$6.51 ,$7.80 ,$6.44 ,$6.24 ,$7.02 ,$7.80 ,$6.63 ,$7.80 ,$6.63 ,$6.63 ,$7.02 ,$7.02 ,$6.12 ,$6.44 ,$7.80 ,$5.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187449,87449,NOROVIRUS STOOL,306,1 ,$317.62 ,$206.45 ,$11.98 ,$286.02 ,$254.10 ,$11.98 ,$251.68 ,$286.02 ,$286.02 ,$22.76 ,$269.98 ,$235.04 ,$29.95 ,$11.98 , N/A ,$264.90 ,$11.98 ,$262.35 ,$254.10 ,$285.86 ,$29.95 ,$269.98 ,$11.98 ,$269.98 ,$269.98 ,$285.86 ,$285.86 ,$249.33 ,$262.35 ,$11.98 ,$206.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187450,84126,"PORPHYRINS, STOOL",306,1 ,$354.92 ,$230.70 ,$39.11 ,$319.61 ,$283.94 ,$39.11 ,$281.24 ,$319.61 ,$319.61 ,$74.31 ,$301.68 ,$262.64 ,$97.78 ,$39.11 , N/A ,$296.00 ,$39.11 ,$293.16 ,$283.94 ,$319.43 ,$97.78 ,$301.68 ,$39.11 ,$301.68 ,$301.68 ,$319.43 ,$319.43 ,$278.61 ,$293.16 ,$39.11 ,$230.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187480,87480,LEADWELL CANDIDA DNA DIRECT PROBE,300,1 ,$15.56 ,$10.11 ,$10.11 ,$38.90 ,$12.45 ,$15.56 ,$12.33 ,$14.01 ,$14.01 ,$29.56 ,$13.23 ,$11.51 ,$38.90 ,$15.56 , N/A ,$12.98 ,$15.56 ,$12.85 ,$12.45 ,$14.00 ,$15.56 ,$13.23 ,$15.56 ,$13.23 ,$13.23 ,$14.00 ,$14.00 ,$12.21 ,$12.85 ,$15.56 ,$10.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187491,87491,LEADWELL CHLAMYDIA TRACH AMP,300,1 ,$14.18 ,$9.22 ,$9.22 ,$35.45 ,$11.34 ,$14.18 ,$11.24 ,$12.77 ,$12.77 ,$26.94 ,$12.05 ,$10.49 ,$35.45 ,$14.18 , N/A ,$11.83 ,$14.18 ,$11.71 ,$11.34 ,$12.76 ,$14.18 ,$12.05 ,$14.18 ,$12.05 ,$12.05 ,$12.76 ,$12.76 ,$11.13 ,$11.71 ,$14.18 ,$9.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187493,87493,LEADWELL CLOSTRIDIUM DIFFICILE,300,1 ,$57.81 ,$37.58 ,$37.27 ,$93.18 ,$46.25 ,$37.27 ,$45.81 ,$52.06 ,$52.06 ,$70.81 ,$49.14 ,$42.78 ,$93.18 ,$37.27 , N/A ,$48.21 ,$37.27 ,$47.75 ,$46.25 ,$52.03 ,$57.81 ,$49.14 ,$37.27 ,$49.14 ,$49.14 ,$52.03 ,$52.03 ,$45.38 ,$47.75 ,$37.27 ,$37.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187496,87496,LEADWELL CMV AMP,300,1 ,$80.39 ,$52.25 ,$35.09 ,$87.73 ,$64.31 ,$35.09 ,$63.70 ,$72.39 ,$72.39 ,$66.67 ,$68.33 ,$59.49 ,$87.73 ,$35.09 , N/A ,$67.05 ,$35.09 ,$66.40 ,$64.31 ,$72.35 ,$80.39 ,$68.33 ,$35.09 ,$68.33 ,$68.33 ,$72.35 ,$72.35 ,$63.11 ,$66.40 ,$35.09 ,$52.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187497,87497,LEADWELL CMV QN,300,1 ,$88.97 ,$57.83 ,$42.84 ,$107.10 ,$71.18 ,$42.84 ,$70.50 ,$80.12 ,$80.12 ,$81.40 ,$75.62 ,$65.84 ,$107.10 ,$42.84 , N/A ,$74.20 ,$42.84 ,$73.49 ,$71.18 ,$80.07 ,$88.97 ,$75.62 ,$42.84 ,$75.62 ,$75.62 ,$80.07 ,$80.07 ,$69.84 ,$73.49 ,$42.84 ,$57.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187502,87502,LEADWELL INFLUENZA VIRUS MULT DNA/RNA,300,1 ,$221.85 ,$144.20 ,$95.80 ,$239.50 ,$177.48 ,$95.80 ,$175.79 ,$199.78 ,$199.78 ,$182.02 ,$188.57 ,$164.17 ,$239.50 ,$95.80 , N/A ,$185.02 ,$95.80 ,$183.25 ,$177.48 ,$199.67 ,$221.85 ,$188.57 ,$95.80 ,$188.57 ,$188.57 ,$199.67 ,$199.67 ,$174.15 ,$183.25 ,$95.80 ,$144.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187510,87510,LEADWELL GARDNER VAG DNA DIR PROBE,300,1 ,$15.56 ,$10.11 ,$10.11 ,$38.90 ,$12.45 ,$15.56 ,$12.33 ,$14.01 ,$14.01 ,$29.56 ,$13.23 ,$11.51 ,$38.90 ,$15.56 , N/A ,$12.98 ,$15.56 ,$12.85 ,$12.45 ,$14.00 ,$15.56 ,$13.23 ,$15.56 ,$13.23 ,$13.23 ,$14.00 ,$14.00 ,$12.21 ,$12.85 ,$15.56 ,$10.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187517,87517,LEADWELL HEPATITIS B QN,300,1 ,$86.51 ,$56.23 ,$42.84 ,$107.10 ,$69.21 ,$42.84 ,$68.55 ,$77.90 ,$77.90 ,$81.40 ,$73.53 ,$64.02 ,$107.10 ,$42.84 , N/A ,$72.15 ,$42.84 ,$71.46 ,$69.21 ,$77.86 ,$86.51 ,$73.53 ,$42.84 ,$73.53 ,$73.53 ,$77.86 ,$77.86 ,$67.91 ,$71.46 ,$42.84 ,$56.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187522,87522,LEADWELL HEPATITIS C QN,300,1 ,$87.00 ,$56.55 ,$42.84 ,$107.10 ,$69.60 ,$42.84 ,$68.94 ,$78.34 ,$78.34 ,$81.40 ,$73.95 ,$64.38 ,$107.10 ,$42.84 , N/A ,$72.56 ,$42.84 ,$71.86 ,$69.60 ,$78.30 ,$87.00 ,$73.95 ,$42.84 ,$73.95 ,$73.95 ,$78.30 ,$78.30 ,$68.30 ,$71.86 ,$42.84 ,$56.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187529,87529,LEADWELL HERPES SIMPLEX AMP,300,1 ,$74.27 ,$48.28 ,$35.09 ,$87.73 ,$59.42 ,$35.09 ,$58.85 ,$66.88 ,$66.88 ,$66.67 ,$63.13 ,$54.96 ,$87.73 ,$35.09 , N/A ,$61.94 ,$35.09 ,$61.35 ,$59.42 ,$66.84 ,$74.27 ,$63.13 ,$35.09 ,$63.13 ,$63.13 ,$66.84 ,$66.84 ,$58.30 ,$61.35 ,$35.09 ,$48.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187591,87591,LEADWELL NEISSERIA AMP,300,1 ,$14.18 ,$9.22 ,$9.22 ,$35.45 ,$11.34 ,$14.18 ,$11.24 ,$12.77 ,$12.77 ,$26.94 ,$12.05 ,$10.49 ,$35.45 ,$14.18 , N/A ,$11.83 ,$14.18 ,$11.71 ,$11.34 ,$12.76 ,$14.18 ,$12.05 ,$14.18 ,$12.05 ,$12.05 ,$12.76 ,$12.76 ,$11.13 ,$11.71 ,$14.18 ,$9.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187621,87621,LEADWELL HPV AMP T2,300,1 ,$25.89 ,$16.83 ,$16.83 ,$23.31 ,$20.71 , N/A ,$20.52 ,$23.31 ,$23.31 , N/A ,$22.01 ,$19.16 , N/A , N/A , N/A ,$21.59 , N/A ,$21.39 ,$20.71 ,$23.30 , N/A ,$22.01 , N/A ,$22.01 ,$22.01 ,$23.30 ,$23.30 ,$20.32 ,$21.39 , N/A ,$16.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187623,87623,"LEADWELL HPV LOW RISK (6,11,42,43,44)",300,1 ,$25.27 ,$16.43 ,$16.43 ,$63.18 ,$20.22 ,$25.27 ,$20.02 ,$22.76 ,$22.76 ,$48.01 ,$21.48 ,$18.70 ,$63.18 ,$25.27 , N/A ,$21.08 ,$25.27 ,$20.87 ,$20.22 ,$22.74 ,$25.27 ,$21.48 ,$25.27 ,$21.48 ,$21.48 ,$22.74 ,$22.74 ,$19.84 ,$20.87 ,$25.27 ,$16.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187624,87624,LEADWELL HPV HIGH RISK ALL OTHERS,300,1 ,$25.27 ,$16.43 ,$16.43 ,$63.18 ,$20.22 ,$25.27 ,$20.02 ,$22.76 ,$22.76 ,$48.01 ,$21.48 ,$18.70 ,$63.18 ,$25.27 , N/A ,$21.08 ,$25.27 ,$20.87 ,$20.22 ,$22.74 ,$25.27 ,$21.48 ,$25.27 ,$21.48 ,$21.48 ,$22.74 ,$22.74 ,$19.84 ,$20.87 ,$25.27 ,$16.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187635,87635,COVID 19 TESTING GSS / IDPH,302,1 ,$417.90 ,$271.64 ,$51.31 ,$376.32 ,$334.32 ,$51.31 ,$331.14 ,$376.32 ,$376.32 ,$97.49 ,$355.22 ,$309.25 ,$128.28 ,$51.31 , N/A ,$348.53 ,$51.31 ,$345.19 ,$334.32 ,$376.11 ,$128.28 ,$355.22 ,$51.31 ,$355.22 ,$355.22 ,$376.11 ,$376.11 ,$328.05 ,$345.19 ,$51.31 ,$271.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187641,87641,LEADWELL MRSA AMP,300,1 ,$61.08 ,$39.70 ,$35.09 ,$87.73 ,$48.86 ,$35.09 ,$48.40 ,$55.00 ,$55.00 ,$66.67 ,$51.92 ,$45.20 ,$87.73 ,$35.09 , N/A ,$50.94 ,$35.09 ,$50.45 ,$48.86 ,$54.97 ,$61.08 ,$51.92 ,$35.09 ,$51.92 ,$51.92 ,$54.97 ,$54.97 ,$47.95 ,$50.45 ,$35.09 ,$39.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187653,87653,LEADWELL STREP B DNA AMP PROBE TECH,300,1 ,$38.50 ,$25.03 ,$25.03 ,$87.73 ,$30.80 ,$35.09 ,$30.51 ,$34.67 ,$34.67 ,$66.67 ,$32.73 ,$28.49 ,$87.73 ,$35.09 , N/A ,$32.11 ,$35.09 ,$31.80 ,$30.80 ,$34.65 ,$38.50 ,$32.73 ,$35.09 ,$32.73 ,$32.73 ,$34.65 ,$34.65 ,$30.22 ,$31.80 ,$35.09 ,$25.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187660,87660,LEADWELL TRICHOMONAS VAG DIR PROBE,300,1 ,$14.30 ,$9.30 ,$9.30 ,$35.75 ,$11.44 ,$14.30 ,$11.33 ,$12.88 ,$12.88 ,$27.17 ,$12.16 ,$10.58 ,$35.75 ,$14.30 , N/A ,$11.93 ,$14.30 ,$11.81 ,$11.44 ,$12.87 ,$14.30 ,$12.16 ,$14.30 ,$12.16 ,$12.16 ,$12.87 ,$12.87 ,$11.23 ,$11.81 ,$14.30 ,$9.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187661,87661,TRICHOMONAS PROBE,302,1 ,$56.47 ,$36.71 ,$35.09 ,$87.73 ,$45.18 ,$35.09 ,$44.75 ,$50.85 ,$50.85 ,$66.67 ,$48.00 ,$41.79 ,$87.73 ,$35.09 , N/A ,$47.10 ,$35.09 ,$46.64 ,$45.18 ,$50.82 ,$56.47 ,$48.00 ,$35.09 ,$48.00 ,$48.00 ,$50.82 ,$50.82 ,$44.33 ,$46.64 ,$35.09 ,$36.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187798,87798,MUMPS PCR,301,1 ,$782.57 ,$508.67 ,$35.09 ,$704.70 ,$626.06 ,$35.09 ,$620.11 ,$704.70 ,$704.70 ,$66.67 ,$665.18 ,$579.10 ,$87.73 ,$35.09 , N/A ,$652.66 ,$35.09 ,$646.40 ,$626.06 ,$704.31 ,$87.73 ,$665.18 ,$35.09 ,$665.18 ,$665.18 ,$704.31 ,$704.31 ,$614.32 ,$646.40 ,$35.09 ,$508.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187799,87799,BK VIRUS QUANT PCR URINE,302,1 ,$413.32 ,$268.66 ,$42.84 ,$372.19 ,$330.66 ,$42.84 ,$327.51 ,$372.19 ,$372.19 ,$81.40 ,$351.32 ,$305.86 ,$107.10 ,$42.84 , N/A ,$344.71 ,$42.84 ,$341.40 ,$330.66 ,$371.99 ,$107.10 ,$351.32 ,$42.84 ,$351.32 ,$351.32 ,$371.99 ,$371.99 ,$324.46 ,$341.40 ,$42.84 ,$268.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187804,87804,LEADWELL OPTICAL INFLUENZA,300,1 ,$16.57 ,$10.77 ,$10.77 ,$41.38 ,$13.26 ,$16.55 ,$13.13 ,$14.92 ,$14.92 ,$31.45 ,$14.08 ,$12.26 ,$41.38 ,$16.55 , N/A ,$13.82 ,$16.55 ,$13.69 ,$13.26 ,$14.91 ,$16.57 ,$14.08 ,$16.55 ,$14.08 ,$14.08 ,$14.91 ,$14.91 ,$13.01 ,$13.69 ,$16.55 ,$10.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187807,87807,LEADWELL OPTICAL RSV,300,1 ,$16.67 ,$10.84 ,$10.84 ,$32.75 ,$13.34 ,$13.10 ,$13.21 ,$15.01 ,$15.01 ,$24.89 ,$14.17 ,$12.34 ,$32.75 ,$13.10 , N/A ,$13.90 ,$13.10 ,$13.77 ,$13.34 ,$15.00 ,$16.67 ,$14.17 ,$13.10 ,$14.17 ,$14.17 ,$15.00 ,$15.00 ,$13.09 ,$13.77 ,$13.10 ,$10.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187880,87880,LEADWELL IMMUNO OPTICAL STREP A,300,1 ,$6.24 ,$4.06 ,$4.06 ,$15.60 ,$4.99 ,$6.24 ,$4.94 ,$5.62 ,$5.62 ,$11.86 ,$5.30 ,$4.62 ,$15.60 ,$6.24 , N/A ,$5.20 ,$6.24 ,$5.15 ,$4.99 ,$5.62 ,$6.24 ,$5.30 ,$6.24 ,$5.30 ,$5.30 ,$5.62 ,$5.62 ,$4.90 ,$5.15 ,$6.24 ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24187899,87899,LEADWELL OPTICAL ORG,300,1 ,$11.87 ,$7.72 ,$7.72 ,$29.68 ,$9.50 ,$11.87 ,$9.41 ,$10.69 ,$10.69 ,$22.55 ,$10.09 ,$8.78 ,$29.68 ,$11.87 , N/A ,$9.90 ,$11.87 ,$9.80 ,$9.50 ,$10.68 ,$11.87 ,$10.09 ,$11.87 ,$10.09 ,$10.09 ,$10.68 ,$10.68 ,$9.32 ,$9.80 ,$11.87 ,$7.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188104,88104,LEADWELL CYTOPATH FLD SMEAR,300,1 ,$20.11 ,$13.07 ,$13.07 ,$76.55 ,$16.09 ,$30.62 ,$15.94 ,$18.11 ,$18.11 ,$58.18 ,$17.09 ,$14.88 ,$76.55 ,$30.62 , N/A ,$16.77 ,$30.62 ,$16.61 ,$16.09 ,$18.10 ,$20.11 ,$17.09 ,$20.11 ,$17.09 ,$17.09 ,$18.10 ,$18.10 ,$15.79 ,$16.61 ,$20.11 ,$13.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188112,88112,LEADWELL CYTOPATH CELL ENHANCE NGYN,300,1 ,$29.44 ,$19.14 ,$19.14 ,$112.56 ,$23.55 ,$45.02 ,$23.33 ,$26.51 ,$26.51 ,$85.55 ,$25.02 ,$21.79 ,$112.56 ,$45.02 , N/A ,$24.55 ,$45.02 ,$24.32 ,$23.55 ,$26.50 ,$29.44 ,$25.02 ,$29.44 ,$25.02 ,$25.02 ,$26.50 ,$26.50 ,$23.11 ,$24.32 ,$29.44 ,$19.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188121,88121,BLADDER CANCER FISH,301,1 ,$324.14 ,$210.69 ,$210.69 ,$658.86 ,$259.31 ,$263.54 ,$256.85 ,$291.89 ,$291.89 ,$500.73 ,$275.52 ,$239.86 ,$658.86 ,$263.54 , N/A ,$270.33 ,$263.54 ,$267.74 ,$259.31 ,$291.73 ,$324.14 ,$275.52 ,$263.54 ,$275.52 ,$275.52 ,$291.73 ,$291.73 ,$254.45 ,$267.74 ,$263.54 ,$210.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188142,88142,LEADWELL CYTOPATH PAP GYN TLP MAN,300,1 ,$33.61 ,$21.85 ,$20.26 ,$50.65 ,$26.89 ,$20.26 ,$26.63 ,$30.27 ,$30.27 ,$38.49 ,$28.57 ,$24.87 ,$50.65 ,$20.26 , N/A ,$28.03 ,$20.26 ,$27.76 ,$26.89 ,$30.25 ,$33.61 ,$28.57 ,$20.26 ,$28.57 ,$28.57 ,$30.25 ,$30.25 ,$26.38 ,$27.76 ,$20.26 ,$21.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188173,88173,FINE NEEDLE ASPIRATION,301,1 ,$107.51 ,$69.88 ,$45.02 ,$112.56 ,$86.01 ,$45.02 ,$85.19 ,$96.81 ,$96.81 ,$85.55 ,$91.38 ,$79.56 ,$112.56 ,$45.02 , N/A ,$89.66 ,$45.02 ,$88.80 ,$86.01 ,$96.76 ,$107.51 ,$91.38 ,$45.02 ,$91.38 ,$91.38 ,$96.76 ,$96.76 ,$84.40 ,$88.80 ,$45.02 ,$69.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188174,88174,LEADWELL CYTOPATH SMEAR C/V AUTO FLUID,300,1 ,$33.61 ,$21.85 ,$21.85 ,$63.43 ,$26.89 ,$25.37 ,$26.63 ,$30.27 ,$30.27 ,$48.20 ,$28.57 ,$24.87 ,$63.43 ,$25.37 , N/A ,$28.03 ,$25.37 ,$27.76 ,$26.89 ,$30.25 ,$33.61 ,$28.57 ,$25.37 ,$28.57 ,$28.57 ,$30.25 ,$30.25 ,$26.38 ,$27.76 ,$25.37 ,$21.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188175,88175,LEADWELL CYTOPATH PAP DIAG INIT/REDO,300,1 ,$27.52 ,$17.89 ,$17.89 ,$66.53 ,$22.02 ,$26.61 ,$21.81 ,$24.78 ,$24.78 ,$50.56 ,$23.39 ,$20.36 ,$66.53 ,$26.61 , N/A ,$22.95 ,$26.61 ,$22.73 ,$22.02 ,$24.77 ,$27.52 ,$23.39 ,$26.61 ,$23.39 ,$23.39 ,$24.77 ,$24.77 ,$21.60 ,$22.73 ,$26.61 ,$17.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188184,88184,"FLOW CYTOMETRY,CELL SURFACE,CYTOPLASMIC",310,1 ,$226.83 ,$147.44 ,$147.44 ,$658.86 ,$181.46 ,$263.54 ,$179.74 ,$204.26 ,$204.26 ,$500.73 ,$192.81 ,$167.85 ,$658.86 ,$263.54 , N/A ,$189.18 ,$263.54 ,$187.36 ,$181.46 ,$204.15 ,$226.83 ,$192.81 ,$226.83 ,$192.81 ,$192.81 ,$204.15 ,$204.15 ,$178.06 ,$187.36 ,$226.83 ,$147.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188185,88185,IA ADDITIONER MARKER,310,1 ,"$1,058.41 ",$687.97 ,$687.97 ,$953.10 ,$846.73 , N/A ,$838.68 ,$953.10 ,$953.10 , N/A ,$899.65 ,$783.22 , N/A , N/A , N/A ,$882.71 , N/A ,$874.25 ,$846.73 ,$952.57 , N/A ,$899.65 , N/A ,$899.65 ,$899.65 ,$952.57 ,$952.57 ,$830.85 ,$874.25 , N/A ,$687.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188230,88230,CHROMOSOME ANALYSIS,310,1 ,"$1,234.09 ",$802.16 ,$116.49 ,"$1,111.30 ",$987.27 ,$116.49 ,$977.89 ,"$1,111.30 ","$1,111.30 ",$221.33 ,"$1,048.98 ",$913.23 ,$291.23 ,$116.49 , N/A ,"$1,029.23 ",$116.49 ,"$1,019.36 ",$987.27 ,"$1,110.68 ",$291.23 ,"$1,048.98 ",$116.49 ,"$1,048.98 ","$1,048.98 ","$1,110.68 ","$1,110.68 ",$968.76 ,"$1,019.36 ",$116.49 ,$802.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188271,88271,PDGF RECEPTORGENE MUTATION,310,1 ,"$1,521.84 ",$989.20 ,$21.42 ,"$1,370.42 ","$1,217.47 ",$21.42 ,"$1,205.91 ","$1,370.42 ","$1,370.42 ",$40.70 ,"$1,293.56 ","$1,126.16 ",$53.55 ,$21.42 , N/A ,"$1,269.21 ",$21.42 ,"$1,257.04 ","$1,217.47 ","$1,369.66 ",$53.55 ,"$1,293.56 ",$21.42 ,"$1,293.56 ","$1,293.56 ","$1,369.66 ","$1,369.66 ","$1,194.64 ","$1,257.04 ",$21.42 ,$989.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24188275,88271,MOLECULAR CYTOGENETICS INTERPHASE IN SIT,310,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24188347,88347,"IMMUNOFLUORESCENT STUDY,EA ANTIBODY IND",310,1 ,$350.71 ,$227.96 ,$227.96 ,$315.81 ,$280.57 , N/A ,$277.90 ,$315.81 ,$315.81 , N/A ,$298.10 ,$259.53 , N/A , N/A , N/A ,$292.49 , N/A ,$289.69 ,$280.57 ,$315.64 , N/A ,$298.10 , N/A ,$298.10 ,$298.10 ,$315.64 ,$315.64 ,$275.31 ,$289.69 , N/A ,$227.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24189051,89051,LEADWELL CELL CT BODY FLUID W/DIFF,300,1 ,$16.18 ,$10.52 ,$5.60 ,$14.57 ,$12.94 ,$5.60 ,$12.82 ,$14.57 ,$14.57 ,$10.64 ,$13.75 ,$11.97 ,$14.00 ,$5.60 , N/A ,$13.49 ,$5.60 ,$13.36 ,$12.94 ,$14.56 ,$14.00 ,$13.75 ,$5.60 ,$13.75 ,$13.75 ,$14.56 ,$14.56 ,$12.70 ,$13.36 ,$5.60 ,$10.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24189055,89055,LEADWELL LEUKO ASSESS STOOL QN/SEMI QN,300,1 ,$6.84 ,$4.45 ,$4.27 ,$10.68 ,$5.47 ,$4.27 ,$5.42 ,$6.16 ,$6.16 ,$8.11 ,$5.81 ,$5.06 ,$10.68 ,$4.27 , N/A ,$5.70 ,$4.27 ,$5.65 ,$5.47 ,$6.16 ,$6.84 ,$5.81 ,$4.27 ,$5.81 ,$5.81 ,$6.16 ,$6.16 ,$5.37 ,$5.65 ,$4.27 ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24189060,89060,LEADWELL CRYSTAL ID LIGHT MICRO,300,1 ,$10.75 ,$6.99 ,$6.99 ,$18.33 ,$8.60 ,$7.33 ,$8.52 ,$9.68 ,$9.68 ,$13.93 ,$9.14 ,$7.96 ,$18.33 ,$7.33 , N/A ,$8.97 ,$7.33 ,$8.88 ,$8.60 ,$9.68 ,$10.75 ,$9.14 ,$7.33 ,$9.14 ,$9.14 ,$9.68 ,$9.68 ,$8.44 ,$8.88 ,$7.33 ,$6.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24280101,80307,SERUM DRUG SCREEN -9 PANEL,301,1 ,$229.98 ,$149.49 ,$62.14 ,$207.10 ,$183.98 ,$62.14 ,$182.24 ,$207.10 ,$207.10 ,$118.07 ,$195.48 ,$170.19 ,$155.35 ,$62.14 , N/A ,$191.80 ,$62.14 ,$189.96 ,$183.98 ,$206.98 ,$155.35 ,$195.48 ,$62.14 ,$195.48 ,$195.48 ,$206.98 ,$206.98 ,$180.53 ,$189.96 ,$62.14 ,$149.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),24280102,83992,PHENCYCLIDINE CONFIRM TEST,301,1 ,$120.80 ,$78.52 ,$78.52 ,$108.78 ,$96.64 , N/A ,$95.72 ,$108.78 ,$108.78 , N/A ,$102.68 ,$89.39 , N/A , N/A , N/A ,$100.75 , N/A ,$99.78 ,$96.64 ,$108.72 , N/A ,$102.68 , N/A ,$102.68 ,$102.68 ,$108.72 ,$108.72 ,$94.83 ,$99.78 , N/A ,$78.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24280299,80177,LEVETIRACETAM,301,1 ,$262.99 ,$170.94 ,$13.25 ,$236.82 ,$210.39 ,$13.25 ,$208.39 ,$236.82 ,$236.82 ,$25.18 ,$223.54 ,$194.61 ,$33.13 ,$13.25 , N/A ,$219.33 ,$13.25 ,$217.23 ,$210.39 ,$236.69 ,$33.13 ,$223.54 ,$13.25 ,$223.54 ,$223.54 ,$236.69 ,$236.69 ,$206.45 ,$217.23 ,$13.25 ,$170.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24281050,81050,LEADWELL VOLUME MEASUREMENT URINE,300,1 ,$7.60 ,$4.94 ,$3.64 ,$9.10 ,$6.08 ,$3.64 ,$6.02 ,$6.84 ,$6.84 ,$6.92 ,$6.46 ,$5.62 ,$9.10 ,$3.64 , N/A ,$6.34 ,$3.64 ,$6.28 ,$6.08 ,$6.84 ,$7.60 ,$6.46 ,$3.64 ,$6.46 ,$6.46 ,$6.84 ,$6.84 ,$5.97 ,$6.28 ,$3.64 ,$4.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24282105,81512,PENTA SCREEN,302,1 ,$998.82 ,$649.23 ,$69.52 ,$899.44 ,$799.06 ,$69.52 ,$791.47 ,$899.44 ,$899.44 ,$132.09 ,$849.00 ,$739.13 ,$173.80 ,$69.52 , N/A ,$833.02 ,$69.52 ,$825.03 ,$799.06 ,$898.94 ,$173.80 ,$849.00 ,$69.52 ,$849.00 ,$849.00 ,$898.94 ,$898.94 ,$784.07 ,$825.03 ,$69.52 ,$649.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),24282306,82306,VITAMIN D2 25-HYDROXY,301,1 ,$39.74 ,$25.83 ,$25.83 ,$74.00 ,$31.79 ,$29.60 ,$31.49 ,$35.79 ,$35.79 ,$56.24 ,$33.78 ,$29.41 ,$74.00 ,$29.60 , N/A ,$33.14 ,$29.60 ,$32.83 ,$31.79 ,$35.77 ,$39.74 ,$33.78 ,$29.60 ,$33.78 ,$33.78 ,$35.77 ,$35.77 ,$31.20 ,$32.83 ,$29.60 ,$25.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24282491,82491,TRAZODONE,301,1 ,$118.32 ,$76.91 ,$76.91 ,$106.55 ,$94.66 , N/A ,$93.76 ,$106.55 ,$106.55 , N/A ,$100.57 ,$87.56 , N/A , N/A , N/A ,$98.68 , N/A ,$97.73 ,$94.66 ,$106.49 , N/A ,$100.57 , N/A ,$100.57 ,$100.57 ,$106.49 ,$106.49 ,$92.88 ,$97.73 , N/A ,$76.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),24282542,82542,6 AMPHETAMINE,301,1 ,$147.74 ,$96.03 ,$24.09 ,$133.04 ,$118.19 ,$24.09 ,$117.07 ,$133.04 ,$133.04 ,$45.77 ,$125.58 ,$109.33 ,$60.23 ,$24.09 , N/A ,$123.22 ,$24.09 ,$122.03 ,$118.19 ,$132.97 ,$60.23 ,$125.58 ,$24.09 ,$125.58 ,$125.58 ,$132.97 ,$132.97 ,$115.98 ,$122.03 ,$24.09 ,$96.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),24282570,82570,LEADWELL CREATININE OTH SRC,300,1 ,$3.06 ,$1.99 ,$1.99 ,$7.65 ,$2.45 ,$3.06 ,$2.42 ,$2.76 ,$2.76 ,$5.81 ,$2.60 ,$2.26 ,$7.65 ,$3.06 , N/A ,$2.55 ,$3.06 ,$2.53 ,$2.45 ,$2.75 ,$3.06 ,$2.60 ,$3.06 ,$2.60 ,$2.60 ,$2.75 ,$2.75 ,$2.40 ,$2.53 ,$3.06 ,$1.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24282657,82657,"ENZYME ACTIVITY IN BLD CELLS,CULT CELLS,",301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24283516,83516,MPO-PR3 ANCA,301,1 ,$192.78 ,$125.31 ,$11.53 ,$173.60 ,$154.22 ,$11.53 ,$152.76 ,$173.60 ,$173.60 ,$21.91 ,$163.86 ,$142.66 ,$28.83 ,$11.53 , N/A ,$160.78 ,$11.53 ,$159.24 ,$154.22 ,$173.50 ,$28.83 ,$163.86 ,$11.53 ,$163.86 ,$163.86 ,$173.50 ,$173.50 ,$151.33 ,$159.24 ,$11.53 ,$125.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24283519,83520,TSH RECEPTOR AB,301,1 ,$181.85 ,$118.20 ,$17.27 ,$163.76 ,$145.48 ,$17.27 ,$144.10 ,$163.76 ,$163.76 ,$32.81 ,$154.57 ,$134.57 ,$43.18 ,$17.27 , N/A ,$151.66 ,$17.27 ,$150.21 ,$145.48 ,$163.67 ,$43.18 ,$154.57 ,$17.27 ,$154.57 ,$154.57 ,$163.67 ,$163.67 ,$142.75 ,$150.21 ,$17.27 ,$118.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24283520,83520,CELIAC PLUS SERO.PANEL TO PROMETHEUS LAB,301,1 ,"$1,602.69 ","$1,041.75 ",$17.27 ,"$1,443.22 ","$1,282.15 ",$17.27 ,"$1,269.97 ","$1,443.22 ","$1,443.22 ",$32.81 ,"$1,362.29 ","$1,185.99 ",$43.18 ,$17.27 , N/A ,"$1,336.64 ",$17.27 ,"$1,323.82 ","$1,282.15 ","$1,442.42 ",$43.18 ,"$1,362.29 ",$17.27 ,"$1,362.29 ","$1,362.29 ","$1,442.42 ","$1,442.42 ","$1,258.11 ","$1,323.82 ",$17.27 ,"$1,041.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),24283835,83835,NORMETANEPHRIN URINE,301,1 ,$50.51 ,$32.83 ,$16.94 ,$45.48 ,$40.41 ,$16.94 ,$40.02 ,$45.48 ,$45.48 ,$32.19 ,$42.93 ,$37.38 ,$42.35 ,$16.94 , N/A ,$42.13 ,$16.94 ,$41.72 ,$40.41 ,$45.46 ,$42.35 ,$42.93 ,$16.94 ,$42.93 ,$42.93 ,$45.46 ,$45.46 ,$39.65 ,$41.72 ,$16.94 ,$32.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24283890,81382,"MOLECULAR DX,MOLECULAR ISOLATION EXTRACT",305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24283891,81270,JAK 2 (V617F) MUTATION,301,1 ,$267.09 ,$173.61 ,$91.66 ,$240.51 ,$213.67 ,$91.66 ,$211.64 ,$240.51 ,$240.51 ,$174.15 ,$227.03 ,$197.65 ,$229.15 ,$91.66 , N/A ,$222.75 ,$91.66 ,$220.62 ,$213.67 ,$240.38 ,$229.15 ,$227.03 ,$91.66 ,$227.03 ,$227.03 ,$240.38 ,$240.38 ,$209.67 ,$220.62 ,$91.66 ,$173.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24283896,81382,"MOLECULAR DX,NUCLEIC ACID PROBE EA",301,1 ,$129.34 ,$84.07 ,$84.07 ,$309.20 ,$103.47 ,$123.68 ,$102.49 ,$116.47 ,$116.47 ,$234.99 ,$109.94 ,$95.71 ,$309.20 ,$123.68 , N/A ,$107.87 ,$123.68 ,$106.83 ,$103.47 ,$116.41 ,$129.34 ,$109.94 ,$123.68 ,$109.94 ,$109.94 ,$116.41 ,$116.41 ,$101.53 ,$106.83 ,$123.68 ,$84.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24283898,81382,"MOLECULAR DX,AMP,TARGET,EA NUC",301,1 ,$129.34 ,$84.07 ,$84.07 ,$309.20 ,$103.47 ,$123.68 ,$102.49 ,$116.47 ,$116.47 ,$234.99 ,$109.94 ,$95.71 ,$309.20 ,$123.68 , N/A ,$107.87 ,$123.68 ,$106.83 ,$103.47 ,$116.41 ,$129.34 ,$109.94 ,$123.68 ,$109.94 ,$109.94 ,$116.41 ,$116.41 ,$101.53 ,$106.83 ,$123.68 ,$84.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24283912,81270,"MOLECULAR DX,INTERP AND REPORT",301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24283925,83925,HYDROCODONE BY MS,301,1 ,$209.90 ,$136.44 ,$136.44 ,$189.02 ,$167.92 , N/A ,$166.32 ,$189.02 ,$189.02 , N/A ,$178.42 ,$155.33 , N/A , N/A , N/A ,$175.06 , N/A ,$173.38 ,$167.92 ,$188.91 , N/A ,$178.42 , N/A ,$178.42 ,$178.42 ,$188.91 ,$188.91 ,$164.77 ,$173.38 , N/A ,$136.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),24284153,84153,PSA-TOTAL / SBL,301,1 ,$45.05 ,$29.28 ,$18.39 ,$45.98 ,$36.04 ,$18.39 ,$35.70 ,$40.57 ,$40.57 ,$34.94 ,$38.29 ,$33.34 ,$45.98 ,$18.39 , N/A ,$37.57 ,$18.39 ,$37.21 ,$36.04 ,$40.55 ,$45.05 ,$38.29 ,$18.39 ,$38.29 ,$38.29 ,$40.55 ,$40.55 ,$35.36 ,$37.21 ,$18.39 ,$29.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),24284238,N/A,MYASTHENIA GRAVIS PANEL,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24284443,84443,TSH ULTRASENSITIVE,301,1 ,$40.65 ,$26.42 ,$16.80 ,$42.00 ,$32.52 ,$16.80 ,$32.21 ,$36.61 ,$36.61 ,$31.92 ,$34.55 ,$30.08 ,$42.00 ,$16.80 , N/A ,$33.90 ,$16.80 ,$33.58 ,$32.52 ,$36.59 ,$40.65 ,$34.55 ,$16.80 ,$34.55 ,$34.55 ,$36.59 ,$36.59 ,$31.91 ,$33.58 ,$16.80 ,$26.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),24284484,84484,LEADWELL TROPONIN QN,300,1 ,$6.47 ,$4.21 ,$4.21 ,$16.18 ,$5.18 ,$6.47 ,$5.13 ,$5.83 ,$5.83 ,$12.29 ,$5.50 ,$4.79 ,$16.18 ,$6.47 , N/A ,$5.40 ,$6.47 ,$5.34 ,$5.18 ,$5.82 ,$6.47 ,$5.50 ,$6.47 ,$5.50 ,$5.50 ,$5.82 ,$5.82 ,$5.08 ,$5.34 ,$6.47 ,$4.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),24285027,85027,LEADWELL CBC W/O DIFF,300,1 ,$4.92 ,$3.20 ,$3.20 ,$12.30 ,$3.94 ,$4.92 ,$3.90 ,$4.43 ,$4.43 ,$9.35 ,$4.18 ,$3.64 ,$12.30 ,$4.92 , N/A ,$4.10 ,$4.92 ,$4.06 ,$3.94 ,$4.43 ,$4.92 ,$4.18 ,$4.92 ,$4.18 ,$4.18 ,$4.43 ,$4.43 ,$3.86 ,$4.06 ,$4.92 ,$3.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),24285302,85302,LEADWELL PROTEIN C AG,300,1 ,$19.15 ,$12.45 ,$12.01 ,$30.03 ,$15.32 ,$12.01 ,$15.17 ,$17.24 ,$17.24 ,$22.82 ,$16.28 ,$14.17 ,$30.03 ,$12.01 , N/A ,$15.97 ,$12.01 ,$15.82 ,$15.32 ,$17.24 ,$19.15 ,$16.28 ,$12.01 ,$16.28 ,$16.28 ,$17.24 ,$17.24 ,$15.03 ,$15.82 ,$12.01 ,$12.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24285306,85306,LEADWELL PROTEIN S FREE,300,1 ,$19.15 ,$12.45 ,$12.45 ,$38.30 ,$15.32 ,$15.32 ,$15.17 ,$17.24 ,$17.24 ,$29.11 ,$16.28 ,$14.17 ,$38.30 ,$15.32 , N/A ,$15.97 ,$15.32 ,$15.82 ,$15.32 ,$17.24 ,$19.15 ,$16.28 ,$15.32 ,$16.28 ,$16.28 ,$17.24 ,$17.24 ,$15.03 ,$15.82 ,$15.32 ,$12.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24285307,85307,ACTIVATED PROTEIN C RESISTANCE,305,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24285610,85610,LEADWELL PROTHROMBIN TIME (PT),300,1 ,$4.25 ,$2.76 ,$2.76 ,$10.63 ,$3.40 ,$4.25 ,$3.37 ,$3.83 ,$3.83 ,$8.08 ,$3.61 ,$3.15 ,$10.63 ,$4.25 , N/A ,$3.54 ,$4.25 ,$3.51 ,$3.40 ,$3.83 ,$4.25 ,$3.61 ,$4.25 ,$3.61 ,$3.61 ,$3.83 ,$3.83 ,$3.34 ,$3.51 ,$4.25 ,$2.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),24285613,85613,LEADWELL RUSSELL VIPER VENOM DIL,300,1 ,$37.53 ,$24.39 ,$9.58 ,$33.80 ,$30.02 ,$9.58 ,$29.74 ,$33.80 ,$33.80 ,$18.20 ,$31.90 ,$27.77 ,$23.95 ,$9.58 , N/A ,$31.30 ,$9.58 ,$31.00 ,$30.02 ,$33.78 ,$23.95 ,$31.90 ,$9.58 ,$31.90 ,$31.90 ,$33.78 ,$33.78 ,$29.46 ,$31.00 ,$9.58 ,$24.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),24285730,85730,LEADWELL PARTIAL THRO TIME (PTT),300,1 ,$4.54 ,$2.95 ,$2.95 ,$11.35 ,$3.63 ,$4.54 ,$3.60 ,$4.09 ,$4.09 ,$8.63 ,$3.86 ,$3.36 ,$11.35 ,$4.54 , N/A ,$3.79 ,$4.54 ,$3.75 ,$3.63 ,$4.09 ,$4.54 ,$3.86 ,$4.54 ,$3.86 ,$3.86 ,$4.09 ,$4.09 ,$3.56 ,$3.75 ,$4.54 ,$2.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286148,86148,BANTIPHOSPHATIDYLSERING IGG,301,1 ,$90.15 ,$58.60 ,$16.07 ,$81.18 ,$72.12 ,$16.07 ,$71.43 ,$81.18 ,$81.18 ,$30.53 ,$76.63 ,$66.71 ,$40.18 ,$16.07 , N/A ,$75.19 ,$16.07 ,$74.46 ,$72.12 ,$81.14 ,$40.18 ,$76.63 ,$16.07 ,$76.63 ,$76.63 ,$81.14 ,$81.14 ,$70.77 ,$74.46 ,$16.07 ,$58.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286235,86235,LEADWELL ENA AB,300,1 ,$6.26 ,$4.07 ,$4.07 ,$15.65 ,$5.01 ,$6.26 ,$4.96 ,$5.64 ,$5.64 ,$11.89 ,$5.32 ,$4.63 ,$15.65 ,$6.26 , N/A ,$5.22 ,$6.26 ,$5.17 ,$5.01 ,$5.63 ,$6.26 ,$5.32 ,$6.26 ,$5.32 ,$5.32 ,$5.63 ,$5.63 ,$4.91 ,$5.17 ,$6.26 ,$4.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286255,86255,LEADWELL FLUOR AB SCR,300,1 ,$8.47 ,$5.51 ,$5.51 ,$21.18 ,$6.78 ,$8.47 ,$6.71 ,$7.63 ,$7.63 ,$16.09 ,$7.20 ,$6.27 ,$21.18 ,$8.47 , N/A ,$7.06 ,$8.47 ,$7.00 ,$6.78 ,$7.62 ,$8.47 ,$7.20 ,$8.47 ,$7.20 ,$7.20 ,$7.62 ,$7.62 ,$6.65 ,$7.00 ,$8.47 ,$5.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286256,86256,LEADWELL FLUOR AB TITER,300,1 ,$12.06 ,$7.84 ,$7.84 ,$30.13 ,$9.65 ,$12.05 ,$9.56 ,$10.86 ,$10.86 ,$22.90 ,$10.25 ,$8.92 ,$30.13 ,$12.05 , N/A ,$10.06 ,$12.05 ,$9.96 ,$9.65 ,$10.85 ,$12.06 ,$10.25 ,$12.05 ,$10.25 ,$10.25 ,$10.85 ,$10.85 ,$9.47 ,$9.96 ,$12.05 ,$7.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286317,86317,TETANUS IGG AB,300,1 ,$68.15 ,$44.30 ,$14.99 ,$61.37 ,$54.52 ,$14.99 ,$54.00 ,$61.37 ,$61.37 ,$28.48 ,$57.93 ,$50.43 ,$37.48 ,$14.99 , N/A ,$56.84 ,$14.99 ,$56.29 ,$54.52 ,$61.34 ,$37.48 ,$57.93 ,$14.99 ,$57.93 ,$57.93 ,$61.34 ,$61.34 ,$53.50 ,$56.29 ,$14.99 ,$44.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286341,86341,LEADWELL ISLET CELL AB,300,1 ,$17.97 ,$11.68 ,$11.68 ,$44.93 ,$14.38 ,$17.97 ,$14.24 ,$16.18 ,$16.18 ,$34.14 ,$15.27 ,$13.30 ,$44.93 ,$17.97 , N/A ,$14.99 ,$17.97 ,$14.84 ,$14.38 ,$16.17 ,$17.97 ,$15.27 ,$17.97 ,$15.27 ,$15.27 ,$16.17 ,$16.17 ,$14.11 ,$14.84 ,$17.97 ,$11.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286355,86355,"T-CELLS,CD4/CD8;B-CELLS,BY FLOW CYTOMETR",302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24286359,86359,"T CELLS, TOTAL COUNT",302,1 ,$52.56 ,$34.16 ,$34.16 ,$94.33 ,$42.05 ,$37.73 ,$41.65 ,$47.33 ,$47.33 ,$71.69 ,$44.68 ,$38.89 ,$94.33 ,$37.73 , N/A ,$43.84 ,$37.73 ,$43.41 ,$42.05 ,$47.30 ,$52.56 ,$44.68 ,$37.73 ,$44.68 ,$44.68 ,$47.30 ,$47.30 ,$41.26 ,$43.41 ,$37.73 ,$34.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286360,86360,TCELLS:TOTAL CT ABSOLUTE CD4 AND CD8 CT INCL,302,1 ,$70.98 ,$46.14 ,$46.14 ,$117.45 ,$56.78 ,$46.98 ,$56.24 ,$63.92 ,$63.92 ,$89.26 ,$60.33 ,$52.53 ,$117.45 ,$46.98 , N/A ,$59.20 ,$46.98 ,$58.63 ,$56.78 ,$63.88 ,$70.98 ,$60.33 ,$46.98 ,$60.33 ,$60.33 ,$63.88 ,$63.88 ,$55.72 ,$58.63 ,$46.98 ,$46.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286615,86615,LEADWELL BORDETELLA AB,300,1 ,$43.65 ,$28.37 ,$13.19 ,$39.31 ,$34.92 ,$13.19 ,$34.59 ,$39.31 ,$39.31 ,$25.06 ,$37.10 ,$32.30 ,$32.98 ,$13.19 , N/A ,$36.40 ,$13.19 ,$36.05 ,$34.92 ,$39.29 ,$32.98 ,$37.10 ,$13.19 ,$37.10 ,$37.10 ,$39.29 ,$39.29 ,$34.27 ,$36.05 ,$13.19 ,$28.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286677,86677,LEADWELL H PYLORI AB,300,1 ,$19.24 ,$12.51 ,$12.51 ,$42.13 ,$15.39 ,$16.85 ,$15.25 ,$17.33 ,$17.33 ,$32.02 ,$16.35 ,$14.24 ,$42.13 ,$16.85 , N/A ,$16.05 ,$16.85 ,$15.89 ,$15.39 ,$17.32 ,$19.24 ,$16.35 ,$16.85 ,$16.35 ,$16.35 ,$17.32 ,$17.32 ,$15.10 ,$15.89 ,$16.85 ,$12.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286696,86696,LEADWELL HERPES SIMPLEX II AB,300,1 ,$4.86 ,$3.16 ,$3.16 ,$12.15 ,$3.89 ,$4.86 ,$3.85 ,$4.38 ,$4.38 ,$9.23 ,$4.13 ,$3.60 ,$12.15 ,$4.86 , N/A ,$4.05 ,$4.86 ,$4.01 ,$3.89 ,$4.37 ,$4.86 ,$4.13 ,$4.86 ,$4.13 ,$4.13 ,$4.37 ,$4.37 ,$3.82 ,$4.01 ,$4.86 ,$3.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286787,86787,LEADWELL VARICELLA ZOSTER AB,300,1 ,$10.25 ,$6.66 ,$6.66 ,$25.63 ,$8.20 ,$10.25 ,$8.12 ,$9.23 ,$9.23 ,$19.48 ,$8.71 ,$7.59 ,$25.63 ,$10.25 , N/A ,$8.55 ,$10.25 ,$8.47 ,$8.20 ,$9.23 ,$10.25 ,$8.71 ,$10.25 ,$8.71 ,$8.71 ,$9.23 ,$9.23 ,$8.05 ,$8.47 ,$10.25 ,$6.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24286788,86788,LEADWELL WEST NILE VIRUS AB IGM,300,1 ,$39.24 ,$25.51 ,$16.85 ,$42.13 ,$31.39 ,$16.85 ,$31.09 ,$35.34 ,$35.34 ,$32.02 ,$33.35 ,$29.04 ,$42.13 ,$16.85 , N/A ,$32.73 ,$16.85 ,$32.41 ,$31.39 ,$35.32 ,$39.24 ,$33.35 ,$16.85 ,$33.35 ,$33.35 ,$35.32 ,$35.32 ,$30.80 ,$32.41 ,$16.85 ,$25.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),24287070,87070,CULTURE CATHETER TIP,306,1 ,$164.57 ,$106.97 ,$8.62 ,$148.20 ,$131.66 ,$8.62 ,$130.41 ,$148.20 ,$148.20 ,$16.38 ,$139.88 ,$121.78 ,$21.55 ,$8.62 , N/A ,$137.25 ,$8.62 ,$135.93 ,$131.66 ,$148.11 ,$21.55 ,$139.88 ,$8.62 ,$139.88 ,$139.88 ,$148.11 ,$148.11 ,$129.19 ,$135.93 ,$8.62 ,$106.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),24287389,87389,LEADWELL HIV-1 AG W/HIV-1 AND HIV-2 AB,300,1 ,$23.00 ,$14.95 ,$14.95 ,$57.50 ,$18.40 ,$23.00 ,$18.23 ,$20.71 ,$20.71 ,$43.70 ,$19.55 ,$17.02 ,$57.50 ,$23.00 , N/A ,$19.18 ,$23.00 ,$19.00 ,$18.40 ,$20.70 ,$23.00 ,$19.55 ,$23.00 ,$19.55 ,$19.55 ,$20.70 ,$20.70 ,$18.06 ,$19.00 ,$23.00 ,$14.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),24287449,87449,LEADWELL EIA QL MLT AG INFEC,300,1 ,$15.47 ,$10.06 ,$10.06 ,$29.95 ,$12.38 ,$11.98 ,$12.26 ,$13.93 ,$13.93 ,$22.76 ,$13.15 ,$11.45 ,$29.95 ,$11.98 , N/A ,$12.90 ,$11.98 ,$12.78 ,$12.38 ,$13.92 ,$15.47 ,$13.15 ,$11.98 ,$13.15 ,$13.15 ,$13.92 ,$13.92 ,$12.14 ,$12.78 ,$11.98 ,$10.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),24287450,87450,LEADWELL EIA QL SGL AG,300,1 ,$23.06 ,$14.99 ,$14.99 ,$20.77 ,$18.45 , N/A ,$18.27 ,$20.77 ,$20.77 , N/A ,$19.60 ,$17.06 , N/A , N/A , N/A ,$19.23 , N/A ,$19.05 ,$18.45 ,$20.75 , N/A ,$19.60 , N/A ,$19.60 ,$19.60 ,$20.75 ,$20.75 ,$18.10 ,$19.05 , N/A ,$14.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24287798,87798,LEADWELL INFECT AMP DRUG RESIST TB,300,1 ,$85.45 ,$55.54 ,$35.09 ,$87.73 ,$68.36 ,$35.09 ,$67.71 ,$76.95 ,$76.95 ,$66.67 ,$72.63 ,$63.23 ,$87.73 ,$35.09 , N/A ,$71.27 ,$35.09 ,$70.58 ,$68.36 ,$76.91 ,$85.45 ,$72.63 ,$35.09 ,$72.63 ,$72.63 ,$76.91 ,$76.91 ,$67.08 ,$70.58 ,$35.09 ,$55.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24287799,87799,LEADWELL INFECT AGENT QN,300,1 ,$337.59 ,$219.43 ,$42.84 ,$304.00 ,$270.07 ,$42.84 ,$267.51 ,$304.00 ,$304.00 ,$81.40 ,$286.95 ,$249.82 ,$107.10 ,$42.84 , N/A ,$281.55 ,$42.84 ,$278.85 ,$270.07 ,$303.83 ,$107.10 ,$286.95 ,$42.84 ,$286.95 ,$286.95 ,$303.83 ,$303.83 ,$265.01 ,$278.85 ,$42.84 ,$219.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24288347,83516,IMMUNOASSAY FOR ANALYTE OTHER THAN INFEC,301,1 ,$350.71 ,$227.96 ,$11.53 ,$315.81 ,$280.57 ,$11.53 ,$277.90 ,$315.81 ,$315.81 ,$21.91 ,$298.10 ,$259.53 ,$28.83 ,$11.53 , N/A ,$292.49 ,$11.53 ,$289.69 ,$280.57 ,$315.64 ,$28.83 ,$298.10 ,$11.53 ,$298.10 ,$298.10 ,$315.64 ,$315.64 ,$275.31 ,$289.69 ,$11.53 ,$227.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24380101,80307,TCA QUAL SERUM,301,1 ,$91.23 ,$59.30 ,$59.30 ,$155.35 ,$72.98 ,$62.14 ,$72.29 ,$82.15 ,$82.15 ,$118.07 ,$77.55 ,$67.51 ,$155.35 ,$62.14 , N/A ,$76.09 ,$62.14 ,$75.36 ,$72.98 ,$82.11 ,$91.23 ,$77.55 ,$62.14 ,$77.55 ,$77.55 ,$82.11 ,$82.11 ,$71.62 ,$75.36 ,$62.14 ,$59.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24380102,80102,BENZODIAZEPINE CONFIRMATORY TEST,301,1 ,$120.80 ,$78.52 ,$78.52 ,$108.78 ,$96.64 , N/A ,$95.72 ,$108.78 ,$108.78 , N/A ,$102.68 ,$89.39 , N/A , N/A , N/A ,$100.75 , N/A ,$99.78 ,$96.64 ,$108.72 , N/A ,$102.68 , N/A ,$102.68 ,$102.68 ,$108.72 ,$108.72 ,$94.83 ,$99.78 , N/A ,$78.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24380299,80299,NORCLOZAPINE,301,1 ,$271.17 ,$176.26 ,$18.64 ,$244.19 ,$216.94 ,$18.64 ,$214.88 ,$244.19 ,$244.19 ,$35.42 ,$230.49 ,$200.67 ,$46.60 ,$18.64 , N/A ,$226.16 ,$18.64 ,$223.99 ,$216.94 ,$244.05 ,$46.60 ,$230.49 ,$18.64 ,$230.49 ,$230.49 ,$244.05 ,$244.05 ,$212.87 ,$223.99 ,$18.64 ,$176.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382105,82105,LEADWELL ALPHA FETOPROTEIN SERUM,300,1 ,$6.71 ,$4.36 ,$4.36 ,$16.78 ,$5.37 ,$6.71 ,$5.32 ,$6.04 ,$6.04 ,$12.75 ,$5.70 ,$4.97 ,$16.78 ,$6.71 , N/A ,$5.60 ,$6.71 ,$5.54 ,$5.37 ,$6.04 ,$6.71 ,$5.70 ,$6.71 ,$5.70 ,$5.70 ,$6.04 ,$6.04 ,$5.27 ,$5.54 ,$6.71 ,$4.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382140,82140,LEADWELL AMMONIA,300,1 ,$5.02 ,$3.26 ,$3.26 ,$12.55 ,$4.02 ,$5.02 ,$3.98 ,$4.52 ,$4.52 ,$9.54 ,$4.27 ,$3.71 ,$12.55 ,$5.02 , N/A ,$4.19 ,$5.02 ,$4.15 ,$4.02 ,$4.52 ,$5.02 ,$4.27 ,$5.02 ,$4.27 ,$4.27 ,$4.52 ,$4.52 ,$3.94 ,$4.15 ,$5.02 ,$3.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382306,82306,LEADWELL VITAMIN D 25 OH,300,1 ,$11.50 ,$7.48 ,$7.48 ,$28.75 ,$9.20 ,$11.50 ,$9.11 ,$10.36 ,$10.36 ,$21.85 ,$9.78 ,$8.51 ,$28.75 ,$11.50 , N/A ,$9.59 ,$11.50 ,$9.50 ,$9.20 ,$10.35 ,$11.50 ,$9.78 ,$11.50 ,$9.78 ,$9.78 ,$10.35 ,$10.35 ,$9.03 ,$9.50 ,$11.50 ,$7.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382491,82491,URINE FOR IODIDE,301,1 ,$307.88 ,$200.12 ,$200.12 ,$277.25 ,$246.30 , N/A ,$243.96 ,$277.25 ,$277.25 , N/A ,$261.70 ,$227.83 , N/A , N/A , N/A ,$256.77 , N/A ,$254.31 ,$246.30 ,$277.09 , N/A ,$261.70 , N/A ,$261.70 ,$261.70 ,$277.09 ,$277.09 ,$241.69 ,$254.31 , N/A ,$200.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382523,82523,LEADWELL COLLAGEN CROSS LINKS T1,300,1 ,$85.90 ,$55.84 ,$18.68 ,$77.35 ,$68.72 ,$18.68 ,$68.07 ,$77.35 ,$77.35 ,$35.49 ,$73.02 ,$63.57 ,$46.70 ,$18.68 , N/A ,$71.64 ,$18.68 ,$70.95 ,$68.72 ,$77.31 ,$46.70 ,$73.02 ,$18.68 ,$73.02 ,$73.02 ,$77.31 ,$77.31 ,$67.43 ,$70.95 ,$18.68 ,$55.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382533,82533,LEADWELL CORTISOL,300,1 ,$6.56 ,$4.26 ,$4.26 ,$16.40 ,$5.25 ,$6.56 ,$5.20 ,$5.91 ,$5.91 ,$12.46 ,$5.58 ,$4.85 ,$16.40 ,$6.56 , N/A ,$5.47 ,$6.56 ,$5.42 ,$5.25 ,$5.90 ,$6.56 ,$5.58 ,$6.56 ,$5.58 ,$5.58 ,$5.90 ,$5.90 ,$5.15 ,$5.42 ,$6.56 ,$4.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382542,82542,HYDROMORPHINE,301,1 ,$141.66 ,$92.08 ,$24.09 ,$127.56 ,$113.33 ,$24.09 ,$112.25 ,$127.56 ,$127.56 ,$45.77 ,$120.41 ,$104.83 ,$60.23 ,$24.09 , N/A ,$118.14 ,$24.09 ,$117.01 ,$113.33 ,$127.49 ,$60.23 ,$120.41 ,$24.09 ,$120.41 ,$120.41 ,$127.49 ,$127.49 ,$111.20 ,$117.01 ,$24.09 ,$92.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382607,82607,LEADWELL VIT B12,301,1 ,$5.28 ,$3.43 ,$3.43 ,$13.20 ,$4.22 ,$5.28 ,$4.18 ,$4.75 ,$4.75 ,$10.03 ,$4.49 ,$3.91 ,$13.20 ,$5.28 , N/A ,$4.40 ,$5.28 ,$4.36 ,$4.22 ,$4.75 ,$5.28 ,$4.49 ,$5.28 ,$4.49 ,$4.49 ,$4.75 ,$4.75 ,$4.14 ,$4.36 ,$5.28 ,$3.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24382657,82657,"ENZYME ACTIVITY IN BLOOD CELLS,CULTURED",301,1 ,$397.10 ,$258.12 ,$22.17 ,$357.59 ,$317.68 ,$22.17 ,$314.66 ,$357.59 ,$357.59 ,$42.12 ,$337.54 ,$293.85 ,$55.43 ,$22.17 , N/A ,$331.18 ,$22.17 ,$328.00 ,$317.68 ,$357.39 ,$55.43 ,$337.54 ,$22.17 ,$337.54 ,$337.54 ,$357.39 ,$357.39 ,$311.72 ,$328.00 ,$22.17 ,$258.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24383516,86200,CYCLIC CITRULLINATED PEPTIDE IGG AB,301,1 ,$135.03 ,$87.77 ,$12.95 ,$121.59 ,$108.02 ,$12.95 ,$107.00 ,$121.59 ,$121.59 ,$24.61 ,$114.78 ,$99.92 ,$32.38 ,$12.95 , N/A ,$112.62 ,$12.95 ,$111.53 ,$108.02 ,$121.53 ,$32.38 ,$114.78 ,$12.95 ,$114.78 ,$114.78 ,$121.53 ,$121.53 ,$106.00 ,$111.53 ,$12.95 ,$87.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24383519,83519,GLUTAMIC ACID DECARBOXYLASE AB,301,1 ,$269.51 ,$175.18 ,$18.40 ,$242.69 ,$215.61 ,$18.40 ,$213.56 ,$242.69 ,$242.69 ,$34.96 ,$229.08 ,$199.44 ,$46.00 ,$18.40 , N/A ,$224.77 ,$18.40 ,$222.62 ,$215.61 ,$242.56 ,$46.00 ,$229.08 ,$18.40 ,$229.08 ,$229.08 ,$242.56 ,$242.56 ,$211.57 ,$222.62 ,$18.40 ,$175.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24383520,83520,"IMMUNOASSAY,ANALYTE,QUANTITATURE:NOT OTH",301,1 ,$173.41 ,$112.72 ,$17.27 ,$156.16 ,$138.73 ,$17.27 ,$137.41 ,$156.16 ,$156.16 ,$32.81 ,$147.40 ,$128.32 ,$43.18 ,$17.27 , N/A ,$144.62 ,$17.27 ,$143.24 ,$138.73 ,$156.07 ,$43.18 ,$147.40 ,$17.27 ,$147.40 ,$147.40 ,$156.07 ,$156.07 ,$136.13 ,$143.24 ,$17.27 ,$112.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24383525,83516,ANTITRANSGLUTAMINASE IGA,301,1 ,$110.96 ,$72.12 ,$11.53 ,$99.92 ,$88.77 ,$11.53 ,$87.92 ,$99.92 ,$99.92 ,$21.91 ,$94.32 ,$82.11 ,$28.83 ,$11.53 , N/A ,$92.54 ,$11.53 ,$91.65 ,$88.77 ,$99.86 ,$28.83 ,$94.32 ,$11.53 ,$94.32 ,$94.32 ,$99.86 ,$99.86 ,$87.10 ,$91.65 ,$11.53 ,$72.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24383890,81382,PT MUTATION 20210-A,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24383891,81270,HLA-A SEQUENCE-BASED TYPING,301,1 ,"$1,216.73 ",$790.87 ,$91.66 ,"$1,095.67 ",$973.38 ,$91.66 ,$964.14 ,"$1,095.67 ","$1,095.67 ",$174.15 ,"$1,034.22 ",$900.38 ,$229.15 ,$91.66 , N/A ,"$1,014.75 ",$91.66 ,"$1,005.02 ",$973.38 ,"$1,095.06 ",$229.15 ,"$1,034.22 ",$91.66 ,"$1,034.22 ","$1,034.22 ","$1,095.06 ","$1,095.06 ",$955.13 ,"$1,005.02 ",$91.66 ,$790.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24383896,81382,NUCLEA ACID PROBE,301,1 ,$28.35 ,$18.43 ,$18.43 ,$70.88 ,$22.68 ,$28.35 ,$22.46 ,$25.53 ,$25.53 ,$53.87 ,$24.10 ,$20.98 ,$70.88 ,$28.35 , N/A ,$23.64 ,$28.35 ,$23.42 ,$22.68 ,$25.52 ,$28.35 ,$24.10 ,$28.35 ,$24.10 ,$24.10 ,$25.52 ,$25.52 ,$22.25 ,$23.42 ,$28.35 ,$18.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24383898,81382,MOLECULAR AMPLIFICATION,301,1 ,$28.35 ,$18.43 ,$18.43 ,$70.88 ,$22.68 ,$28.35 ,$22.46 ,$25.53 ,$25.53 ,$53.87 ,$24.10 ,$20.98 ,$70.88 ,$28.35 , N/A ,$23.64 ,$28.35 ,$23.42 ,$22.68 ,$25.52 ,$28.35 ,$24.10 ,$28.35 ,$24.10 ,$24.10 ,$25.52 ,$25.52 ,$22.25 ,$23.42 ,$28.35 ,$18.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24383912,81270,"MOLECULAR DX,INTERP AND REPORT",301,1 ,$129.34 ,$84.07 ,$84.07 ,$229.15 ,$103.47 ,$91.66 ,$102.49 ,$116.47 ,$116.47 ,$174.15 ,$109.94 ,$95.71 ,$229.15 ,$91.66 , N/A ,$107.87 ,$91.66 ,$106.83 ,$103.47 ,$116.41 ,$129.34 ,$109.94 ,$91.66 ,$109.94 ,$109.94 ,$116.41 ,$116.41 ,$101.53 ,$106.83 ,$91.66 ,$84.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24384153,84153,PSA NO CHARGE,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24384238,84238,"RECEPTOR ASSAY, NON-ENDROCRINE",301,1 ,$101.25 ,$65.81 ,$36.57 ,$91.43 ,$81.00 ,$36.57 ,$80.23 ,$91.18 ,$91.18 ,$69.48 ,$86.06 ,$74.93 ,$91.43 ,$36.57 , N/A ,$84.44 ,$36.57 ,$83.63 ,$81.00 ,$91.13 ,$91.43 ,$86.06 ,$36.57 ,$86.06 ,$86.06 ,$91.13 ,$91.13 ,$79.48 ,$83.63 ,$36.57 ,$65.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),24385307,85307,LEADWELL ACTIVATED PROTEIN C RESIST,300,1 ,$51.75 ,$33.64 ,$15.32 ,$46.60 ,$41.40 ,$15.32 ,$41.01 ,$46.60 ,$46.60 ,$29.11 ,$43.99 ,$38.30 ,$38.30 ,$15.32 , N/A ,$43.16 ,$15.32 ,$42.75 ,$41.40 ,$46.58 ,$38.30 ,$43.99 ,$15.32 ,$43.99 ,$43.99 ,$46.58 ,$46.58 ,$40.62 ,$42.75 ,$15.32 ,$33.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),24386148,86148,ANTIPHOSPHATIDYLSERING IGM,301,1 ,$90.15 ,$58.60 ,$16.07 ,$81.18 ,$72.12 ,$16.07 ,$71.43 ,$81.18 ,$81.18 ,$30.53 ,$76.63 ,$66.71 ,$40.18 ,$16.07 , N/A ,$75.19 ,$16.07 ,$74.46 ,$72.12 ,$81.14 ,$40.18 ,$76.63 ,$16.07 ,$76.63 ,$76.63 ,$81.14 ,$81.14 ,$70.77 ,$74.46 ,$16.07 ,$58.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24386215,86215,DNASE-B AB,301,1 ,$60.89 ,$39.58 ,$13.25 ,$54.83 ,$48.71 ,$13.25 ,$48.25 ,$54.83 ,$54.83 ,$25.18 ,$51.76 ,$45.06 ,$33.13 ,$13.25 , N/A ,$50.78 ,$13.25 ,$50.30 ,$48.71 ,$54.80 ,$33.13 ,$51.76 ,$13.25 ,$51.76 ,$51.76 ,$54.80 ,$54.80 ,$47.80 ,$50.30 ,$13.25 ,$39.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),24386317,86317,LEADWELL INFECTIOUS AB QN,300,1 ,$8.62 ,$5.60 ,$5.60 ,$21.55 ,$6.90 ,$8.62 ,$6.83 ,$7.76 ,$7.76 ,$16.38 ,$7.33 ,$6.38 ,$21.55 ,$8.62 , N/A ,$7.19 ,$8.62 ,$7.12 ,$6.90 ,$7.76 ,$8.62 ,$7.33 ,$8.62 ,$7.33 ,$7.33 ,$7.76 ,$7.76 ,$6.77 ,$7.12 ,$8.62 ,$5.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),24386355,86355,LEADWELL B CELLS TOTAL COUNT,300,1 ,$49.11 ,$31.92 ,$31.92 ,$94.33 ,$39.29 ,$37.73 ,$38.91 ,$44.22 ,$44.22 ,$71.69 ,$41.74 ,$36.34 ,$94.33 ,$37.73 , N/A ,$40.96 ,$37.73 ,$40.56 ,$39.29 ,$44.20 ,$49.11 ,$41.74 ,$37.73 ,$41.74 ,$41.74 ,$44.20 ,$44.20 ,$38.55 ,$40.56 ,$37.73 ,$31.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24386359,86359,"T-CELLS,CD4/CD8,BY FLOW CYTOMETRY",302,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24386360,86360,"T CELLS,TOTAL CT,ABS CD4 AND CD8 CT INC RATI",302,1 ,$85.89 ,$55.83 ,$46.98 ,$117.45 ,$68.71 ,$46.98 ,$68.06 ,$77.34 ,$77.34 ,$89.26 ,$73.01 ,$63.56 ,$117.45 ,$46.98 , N/A ,$71.63 ,$46.98 ,$70.95 ,$68.71 ,$77.30 ,$85.89 ,$73.01 ,$46.98 ,$73.01 ,$73.01 ,$77.30 ,$77.30 ,$67.42 ,$70.95 ,$46.98 ,$55.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24387070,87070,CULTURE EAR,306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24388184,88184,PNH FLAER,310,1 ,$464.26 ,$301.77 ,$263.54 ,$658.86 ,$371.41 ,$263.54 ,$367.88 ,$418.07 ,$418.07 ,$500.73 ,$394.62 ,$343.55 ,$658.86 ,$263.54 , N/A ,$387.19 ,$263.54 ,$383.48 ,$371.41 ,$417.83 ,$464.26 ,$394.62 ,$263.54 ,$394.62 ,$394.62 ,$417.83 ,$417.83 ,$364.44 ,$383.48 ,$263.54 ,$301.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),24480101,80307,DRUG SCREEN 9 - SERUM,301,1 ,$262.13 ,$170.38 ,$62.14 ,$236.05 ,$209.70 ,$62.14 ,$207.71 ,$236.05 ,$236.05 ,$118.07 ,$222.81 ,$193.98 ,$155.35 ,$62.14 , N/A ,$218.62 ,$62.14 ,$216.52 ,$209.70 ,$235.92 ,$155.35 ,$222.81 ,$62.14 ,$222.81 ,$222.81 ,$235.92 ,$235.92 ,$205.77 ,$216.52 ,$62.14 ,$170.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24480102,80345,BARBITURATE CONFIRM URINE,301,1 ,$107.15 ,$69.65 ,$69.65 ,$96.49 ,$85.72 , N/A ,$84.91 ,$96.49 ,$96.49 , N/A ,$91.08 ,$79.29 , N/A , N/A , N/A ,$89.36 , N/A ,$88.51 ,$85.72 ,$96.44 , N/A ,$91.08 , N/A ,$91.08 ,$91.08 ,$96.44 ,$96.44 ,$84.11 ,$88.51 , N/A ,$69.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24480299,80299,ARIPIPRAZOLE,301,1 ,$308.75 ,$200.69 ,$18.64 ,$278.03 ,$247.00 ,$18.64 ,$244.65 ,$278.03 ,$278.03 ,$35.42 ,$262.44 ,$228.48 ,$46.60 ,$18.64 , N/A ,$257.50 ,$18.64 ,$255.03 ,$247.00 ,$277.88 ,$46.60 ,$262.44 ,$18.64 ,$262.44 ,$262.44 ,$277.88 ,$277.88 ,$242.37 ,$255.03 ,$18.64 ,$200.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24482491,82542,THIOPURINE METABOLITES-PROMETHEUS LAB,301,1 ,$910.28 ,$591.68 ,$24.09 ,$819.71 ,$728.22 ,$24.09 ,$721.31 ,$819.71 ,$819.71 ,$45.77 ,$773.74 ,$673.61 ,$60.23 ,$24.09 , N/A ,$759.17 ,$24.09 ,$751.89 ,$728.22 ,$819.25 ,$60.23 ,$773.74 ,$24.09 ,$773.74 ,$773.74 ,$819.25 ,$819.25 ,$714.57 ,$751.89 ,$24.09 ,$591.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24482542,82542,PROPOXYPHENE CONFIRMATION URINE,300,1 ,$162.58 ,$105.68 ,$24.09 ,$146.40 ,$130.06 ,$24.09 ,$128.83 ,$146.40 ,$146.40 ,$45.77 ,$138.19 ,$120.31 ,$60.23 ,$24.09 , N/A ,$135.59 ,$24.09 ,$134.29 ,$130.06 ,$146.32 ,$60.23 ,$138.19 ,$24.09 ,$138.19 ,$138.19 ,$146.32 ,$146.32 ,$127.63 ,$134.29 ,$24.09 ,$105.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),24483516,83516,PROTEASE 3 IGG AB,301,1 ,$104.49 ,$67.92 ,$11.53 ,$94.09 ,$83.59 ,$11.53 ,$82.80 ,$94.09 ,$94.09 ,$21.91 ,$88.82 ,$77.32 ,$28.83 ,$11.53 , N/A ,$87.14 ,$11.53 ,$86.31 ,$83.59 ,$94.04 ,$28.83 ,$88.82 ,$11.53 ,$88.82 ,$88.82 ,$94.04 ,$94.04 ,$82.02 ,$86.31 ,$11.53 ,$67.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),24483519,83519,VOLTAGE-GATED CALCIUM CHAN. 1gG AUTO AB,301,1 ,$744.17 ,$483.71 ,$18.40 ,$670.13 ,$595.34 ,$18.40 ,$589.68 ,$670.13 ,$670.13 ,$34.96 ,$632.54 ,$550.69 ,$46.00 ,$18.40 , N/A ,$620.64 ,$18.40 ,$614.68 ,$595.34 ,$669.75 ,$46.00 ,$632.54 ,$18.40 ,$632.54 ,$632.54 ,$669.75 ,$669.75 ,$584.17 ,$614.68 ,$18.40 ,$483.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24483520,88347,"IMMUNOFLUORESCENT STUDY,EACH ANTIBODY IN",301,1 ,$173.41 ,$112.72 ,$112.72 ,$156.16 ,$138.73 , N/A ,$137.41 ,$156.16 ,$156.16 , N/A ,$147.40 ,$128.32 , N/A , N/A , N/A ,$144.62 , N/A ,$143.24 ,$138.73 ,$156.07 , N/A ,$147.40 , N/A ,$147.40 ,$147.40 ,$156.07 ,$156.07 ,$136.13 ,$143.24 , N/A ,$112.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24483525,83516,ANTITRANSGLUTAMINASE IGA,301,1 ,$110.96 ,$72.12 ,$11.53 ,$99.92 ,$88.77 ,$11.53 ,$87.92 ,$99.92 ,$99.92 ,$21.91 ,$94.32 ,$82.11 ,$28.83 ,$11.53 , N/A ,$92.54 ,$11.53 ,$91.65 ,$88.77 ,$99.86 ,$28.83 ,$94.32 ,$11.53 ,$94.32 ,$94.32 ,$99.86 ,$99.86 ,$87.10 ,$91.65 ,$11.53 ,$72.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24483550,83550,LEADWELL IRON BINDING CAPACTIY,300,1 ,$3.36 ,$2.18 ,$2.18 ,$8.40 ,$2.69 ,$3.36 ,$2.66 ,$3.03 ,$3.03 ,$6.38 ,$2.86 ,$2.49 ,$8.40 ,$3.36 , N/A ,$2.80 ,$3.36 ,$2.78 ,$2.69 ,$3.02 ,$3.36 ,$2.86 ,$3.36 ,$2.86 ,$2.86 ,$3.02 ,$3.02 ,$2.64 ,$2.78 ,$3.36 ,$2.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),24483835,83835,LEADWELL METANEPHRINES,300,1 ,$21.45 ,$13.94 ,$13.94 ,$42.35 ,$17.16 ,$16.94 ,$17.00 ,$19.32 ,$19.32 ,$32.19 ,$18.23 ,$15.87 ,$42.35 ,$16.94 , N/A ,$17.89 ,$16.94 ,$17.72 ,$17.16 ,$19.31 ,$21.45 ,$18.23 ,$16.94 ,$18.23 ,$18.23 ,$19.31 ,$19.31 ,$16.84 ,$17.72 ,$16.94 ,$13.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),24483891,81270,HLA-B SEQUENCE-BASED TYPING,301,1 ,"$1,216.73 ",$790.87 ,$91.66 ,"$1,095.67 ",$973.38 ,$91.66 ,$964.14 ,"$1,095.67 ","$1,095.67 ",$174.15 ,"$1,034.22 ",$900.38 ,$229.15 ,$91.66 , N/A ,"$1,014.75 ",$91.66 ,"$1,005.02 ",$973.38 ,"$1,095.06 ",$229.15 ,"$1,034.22 ",$91.66 ,"$1,034.22 ","$1,034.22 ","$1,095.06 ","$1,095.06 ",$955.13 ,"$1,005.02 ",$91.66 ,$790.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24483912,81270,"MOLECULAR DX,INTERP AND REPORT",301,1 ,$28.35 ,$18.43 ,$18.43 ,$70.88 ,$22.68 ,$28.35 ,$22.46 ,$25.53 ,$25.53 ,$53.87 ,$24.10 ,$20.98 ,$70.88 ,$28.35 , N/A ,$23.64 ,$28.35 ,$23.42 ,$22.68 ,$25.52 ,$28.35 ,$24.10 ,$28.35 ,$24.10 ,$24.10 ,$25.52 ,$25.52 ,$22.25 ,$23.42 ,$28.35 ,$18.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24484153,84153,LEADWELL PSA,300,1 ,$8.35 ,$5.43 ,$5.43 ,$20.88 ,$6.68 ,$8.35 ,$6.62 ,$7.52 ,$7.52 ,$15.87 ,$7.10 ,$6.18 ,$20.88 ,$8.35 , N/A ,$6.96 ,$8.35 ,$6.90 ,$6.68 ,$7.52 ,$8.35 ,$7.10 ,$8.35 ,$7.10 ,$7.10 ,$7.52 ,$7.52 ,$6.55 ,$6.90 ,$8.35 ,$5.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),24484154,84154,LEADWELL PSA FREE,300,1 ,$15.63 ,$10.16 ,$10.16 ,$39.08 ,$12.50 ,$15.63 ,$12.39 ,$14.07 ,$14.07 ,$29.70 ,$13.29 ,$11.57 ,$39.08 ,$15.63 , N/A ,$13.04 ,$15.63 ,$12.91 ,$12.50 ,$14.07 ,$15.63 ,$13.29 ,$15.63 ,$13.29 ,$13.29 ,$14.07 ,$14.07 ,$12.27 ,$12.91 ,$15.63 ,$10.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24484238,84238,LEADWELL RECEPTOR ASSAY NON ENDO,300,1 ,$187.83 ,$122.09 ,$36.57 ,$169.14 ,$150.26 ,$36.57 ,$148.84 ,$169.14 ,$169.14 ,$69.48 ,$159.66 ,$138.99 ,$91.43 ,$36.57 , N/A ,$156.65 ,$36.57 ,$155.15 ,$150.26 ,$169.05 ,$91.43 ,$159.66 ,$36.57 ,$159.66 ,$159.66 ,$169.05 ,$169.05 ,$147.45 ,$155.15 ,$36.57 ,$122.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),24486359,86359,"T-CELLS.CD4/CD8,BY FLOW CYTOMETRY",302,1 ,$85.89 ,$55.83 ,$37.73 ,$94.33 ,$68.71 ,$37.73 ,$68.06 ,$77.34 ,$77.34 ,$71.69 ,$73.01 ,$63.56 ,$94.33 ,$37.73 , N/A ,$71.63 ,$37.73 ,$70.95 ,$68.71 ,$77.30 ,$85.89 ,$73.01 ,$37.73 ,$73.01 ,$73.01 ,$77.30 ,$77.30 ,$67.42 ,$70.95 ,$37.73 ,$55.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),24486360,86360,LEADWELL ABS T CELLS CD4 CD8 RATIO,300,1 ,$29.07 ,$18.90 ,$18.90 ,$72.68 ,$23.26 ,$29.07 ,$23.04 ,$26.18 ,$26.18 ,$55.23 ,$24.71 ,$21.51 ,$72.68 ,$29.07 , N/A ,$24.24 ,$29.07 ,$24.01 ,$23.26 ,$26.16 ,$29.07 ,$24.71 ,$29.07 ,$24.71 ,$24.71 ,$26.16 ,$26.16 ,$22.82 ,$24.01 ,$29.07 ,$18.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),24487070,87070,CULTURE EYE,306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24488121,88121,FISH URINE UROVYSION,301,1 ,$300.12 ,$195.08 ,$195.08 ,$658.86 ,$240.10 ,$263.54 ,$237.82 ,$270.26 ,$270.26 ,$500.73 ,$255.10 ,$222.09 ,$658.86 ,$263.54 , N/A ,$250.30 ,$263.54 ,$247.90 ,$240.10 ,$270.11 ,$300.12 ,$255.10 ,$263.54 ,$255.10 ,$255.10 ,$270.11 ,$270.11 ,$235.59 ,$247.90 ,$263.54 ,$195.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),24500410,N/A,********* DO NOT USE / PER T.W. ********,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24500411,83735,MAGNESIUM URINE 24 HR,301,1 ,$150.00 ,$97.50 ,$6.70 ,$135.08 ,$120.00 ,$6.70 ,$118.86 ,$135.08 ,$135.08 ,$12.73 ,$127.50 ,$111.00 ,$16.75 ,$6.70 , N/A ,$125.10 ,$6.70 ,$123.90 ,$120.00 ,$135.00 ,$16.75 ,$127.50 ,$6.70 ,$127.50 ,$127.50 ,$135.00 ,$135.00 ,$117.75 ,$123.90 ,$6.70 ,$97.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),24500412,87205,STOOL FOR WBC,306,1 ,$88.92 ,$57.80 ,$4.27 ,$80.07 ,$71.14 ,$4.27 ,$70.46 ,$80.07 ,$80.07 ,$8.11 ,$75.58 ,$65.80 ,$10.68 ,$4.27 , N/A ,$74.16 ,$4.27 ,$73.45 ,$71.14 ,$80.03 ,$10.68 ,$75.58 ,$4.27 ,$75.58 ,$75.58 ,$80.03 ,$80.03 ,$69.80 ,$73.45 ,$4.27 ,$57.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24500413,82164,ANGIOTENSIN CONVERTING ENZYME,301,1 ,$198.45 ,$128.99 ,$14.60 ,$178.70 ,$158.76 ,$14.60 ,$157.25 ,$178.70 ,$178.70 ,$27.74 ,$168.68 ,$146.85 ,$36.50 ,$14.60 , N/A ,$165.51 ,$14.60 ,$163.92 ,$158.76 ,$178.61 ,$36.50 ,$168.68 ,$14.60 ,$168.68 ,$168.68 ,$178.61 ,$178.61 ,$155.78 ,$163.92 ,$14.60 ,$128.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),24500415,86778,TOXOPLASMA IGM/IGG AB,302,1 ,$226.63 ,$147.31 ,$14.41 ,$204.08 ,$181.30 ,$14.41 ,$179.58 ,$204.08 ,$204.08 ,$27.38 ,$192.64 ,$167.71 ,$36.03 ,$14.41 , N/A ,$189.01 ,$14.41 ,$187.20 ,$181.30 ,$203.97 ,$36.03 ,$192.64 ,$14.41 ,$192.64 ,$192.64 ,$203.97 ,$203.97 ,$177.90 ,$187.20 ,$14.41 ,$147.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),24500416,83015,HEAVY METAL URINE RANDOM,301,1 ,$403.60 ,$262.34 ,$20.94 ,$363.44 ,$322.88 ,$20.94 ,$319.81 ,$363.44 ,$363.44 ,$39.79 ,$343.06 ,$298.66 ,$52.35 ,$20.94 , N/A ,$336.60 ,$20.94 ,$333.37 ,$322.88 ,$363.24 ,$52.35 ,$343.06 ,$20.94 ,$343.06 ,$343.06 ,$363.24 ,$363.24 ,$316.83 ,$333.37 ,$20.94 ,$262.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24580299,80299,CLOMIPRAMINE,301,1 ,$120.58 ,$78.38 ,$18.64 ,$108.58 ,$96.46 ,$18.64 ,$95.55 ,$108.58 ,$108.58 ,$35.42 ,$102.49 ,$89.23 ,$46.60 ,$18.64 , N/A ,$100.56 ,$18.64 ,$99.60 ,$96.46 ,$108.52 ,$46.60 ,$102.49 ,$18.64 ,$102.49 ,$102.49 ,$108.52 ,$108.52 ,$94.66 ,$99.60 ,$18.64 ,$78.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),24582491,82657,TPMT ENZYME,301,1 ,$842.87 ,$547.87 ,$22.17 ,$759.00 ,$674.30 ,$22.17 ,$667.89 ,$759.00 ,$759.00 ,$42.12 ,$716.44 ,$623.72 ,$55.43 ,$22.17 , N/A ,$702.95 ,$22.17 ,$696.21 ,$674.30 ,$758.58 ,$55.43 ,$716.44 ,$22.17 ,$716.44 ,$716.44 ,$758.58 ,$758.58 ,$661.65 ,$696.21 ,$22.17 ,$547.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24582542,80365,OXYCODONE CONFIRM-URINE,301,1 ,$268.38 ,$174.45 ,$174.45 ,$241.68 ,$214.70 , N/A ,$212.66 ,$241.68 ,$241.68 , N/A ,$228.12 ,$198.60 , N/A , N/A , N/A ,$223.83 , N/A ,$221.68 ,$214.70 ,$241.54 , N/A ,$228.12 , N/A ,$228.12 ,$228.12 ,$241.54 ,$241.54 ,$210.68 ,$221.68 , N/A ,$174.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24583516,83516,ANTI-BASEMENT MEMBRANE AB (GLOMERULAR),301,1 ,$164.09 ,$106.66 ,$11.53 ,$147.76 ,$131.27 ,$11.53 ,$130.02 ,$147.76 ,$147.76 ,$21.91 ,$139.48 ,$121.43 ,$28.83 ,$11.53 , N/A ,$136.85 ,$11.53 ,$135.54 ,$131.27 ,$147.68 ,$28.83 ,$139.48 ,$11.53 ,$139.48 ,$139.48 ,$147.68 ,$147.68 ,$128.81 ,$135.54 ,$11.53 ,$106.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),24583519,83516,ACETYLCHOLINE REC AB: BLOCKING,301,1 ,$193.90 ,$126.04 ,$11.53 ,$174.61 ,$155.12 ,$11.53 ,$153.65 ,$174.61 ,$174.61 ,$21.91 ,$164.82 ,$143.49 ,$28.83 ,$11.53 , N/A ,$161.71 ,$11.53 ,$160.16 ,$155.12 ,$174.51 ,$28.83 ,$164.82 ,$11.53 ,$164.82 ,$164.82 ,$174.51 ,$174.51 ,$152.21 ,$160.16 ,$11.53 ,$126.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24583520,82784,"GAMMAGLOBULIN:1qA,1qD,1qG,1gm,each",301,1 ,$173.41 ,$112.72 ,$9.30 ,$156.16 ,$138.73 ,$9.30 ,$137.41 ,$156.16 ,$156.16 ,$17.67 ,$147.40 ,$128.32 ,$23.25 ,$9.30 , N/A ,$144.62 ,$9.30 ,$143.24 ,$138.73 ,$156.07 ,$23.25 ,$147.40 ,$9.30 ,$147.40 ,$147.40 ,$156.07 ,$156.07 ,$136.13 ,$143.24 ,$9.30 ,$112.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),24583540,83540,LEADWELL IRON TOTAL,300,1 ,$2.87 ,$1.87 ,$1.87 ,$7.18 ,$2.30 ,$2.87 ,$2.27 ,$2.58 ,$2.58 ,$5.45 ,$2.44 ,$2.12 ,$7.18 ,$2.87 , N/A ,$2.39 ,$2.87 ,$2.37 ,$2.30 ,$2.58 ,$2.87 ,$2.44 ,$2.87 ,$2.44 ,$2.44 ,$2.58 ,$2.58 ,$2.25 ,$2.37 ,$2.87 ,$1.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),24583721,83721,LEADWELL CHOLESTEROL,300,1 ,$4.91 ,$3.19 ,$3.19 ,$12.28 ,$3.93 ,$4.91 ,$3.89 ,$4.42 ,$4.42 ,$9.33 ,$4.17 ,$3.63 ,$12.28 ,$4.91 , N/A ,$4.09 ,$4.91 ,$4.06 ,$3.93 ,$4.42 ,$4.91 ,$4.17 ,$4.91 ,$4.17 ,$4.17 ,$4.42 ,$4.42 ,$3.85 ,$4.06 ,$4.91 ,$3.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24583890,81382,MOLECULAR DX ISOLATION,301,1 ,$28.38 ,$18.45 ,$18.45 ,$70.95 ,$22.70 ,$28.38 ,$22.49 ,$25.56 ,$25.56 ,$53.92 ,$24.12 ,$21.00 ,$70.95 ,$28.38 , N/A ,$23.67 ,$28.38 ,$23.44 ,$22.70 ,$25.54 ,$28.38 ,$24.12 ,$28.38 ,$24.12 ,$24.12 ,$25.54 ,$25.54 ,$22.28 ,$23.44 ,$28.38 ,$18.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24583891,81270,"MOLECULAR DX,ISOL EXT OF HIGHLY PUR NA",301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24586355,86355,"HC B CELLS,TOTAL COUNT",302,1 ,$58.65 ,$38.12 ,$37.73 ,$94.33 ,$46.92 ,$37.73 ,$46.47 ,$52.81 ,$52.81 ,$71.69 ,$49.85 ,$43.40 ,$94.33 ,$37.73 , N/A ,$48.91 ,$37.73 ,$48.44 ,$46.92 ,$52.79 ,$58.65 ,$49.85 ,$37.73 ,$49.85 ,$49.85 ,$52.79 ,$52.79 ,$46.04 ,$48.44 ,$37.73 ,$38.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),24586359,86359,LEADWELL FC T CELLS TOTAL COUNT,300,1 ,$126.09 ,$81.96 ,$37.73 ,$113.54 ,$100.87 ,$37.73 ,$99.91 ,$113.54 ,$113.54 ,$71.69 ,$107.18 ,$93.31 ,$94.33 ,$37.73 , N/A ,$105.16 ,$37.73 ,$104.15 ,$100.87 ,$113.48 ,$94.33 ,$107.18 ,$37.73 ,$107.18 ,$107.18 ,$113.48 ,$113.48 ,$98.98 ,$104.15 ,$37.73 ,$81.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),24587070,87070,CULTURE GENITAL,306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24680299,80299,ITRACONAZOLE,301,1 ,$226.86 ,$147.46 ,$18.64 ,$204.29 ,$181.49 ,$18.64 ,$179.76 ,$204.29 ,$204.29 ,$35.42 ,$192.83 ,$167.88 ,$46.60 ,$18.64 , N/A ,$189.20 ,$18.64 ,$187.39 ,$181.49 ,$204.17 ,$46.60 ,$192.83 ,$18.64 ,$192.83 ,$192.83 ,$204.17 ,$204.17 ,$178.09 ,$187.39 ,$18.64 ,$147.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),24682491,82491,CHROMATOGRAPHY QUA COL SINGLE ANALYTE,301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24682542,82542,COTININE SCREEN URINE,300,1 ,$180.53 ,$117.34 ,$24.09 ,$162.57 ,$144.42 ,$24.09 ,$143.05 ,$162.57 ,$162.57 ,$45.77 ,$153.45 ,$133.59 ,$60.23 ,$24.09 , N/A ,$150.56 ,$24.09 ,$149.12 ,$144.42 ,$162.48 ,$60.23 ,$153.45 ,$24.09 ,$153.45 ,$153.45 ,$162.48 ,$162.48 ,$141.72 ,$149.12 ,$24.09 ,$117.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),24683516,83516,MYELOPEROXIDASE/PROTEINASE-3ABS,301,1 ,$104.02 ,$67.61 ,$11.53 ,$93.67 ,$83.22 ,$11.53 ,$82.43 ,$93.67 ,$93.67 ,$21.91 ,$88.42 ,$76.97 ,$28.83 ,$11.53 , N/A ,$86.75 ,$11.53 ,$85.92 ,$83.22 ,$93.62 ,$28.83 ,$88.42 ,$11.53 ,$88.42 ,$88.42 ,$93.62 ,$93.62 ,$81.66 ,$85.92 ,$11.53 ,$67.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),24683519,83516,ACETYLCHOLINE REC AB: MODULATING,301,1 ,$193.90 ,$126.04 ,$11.53 ,$174.61 ,$155.12 ,$11.53 ,$153.65 ,$174.61 ,$174.61 ,$21.91 ,$164.82 ,$143.49 ,$28.83 ,$11.53 , N/A ,$161.71 ,$11.53 ,$160.16 ,$155.12 ,$174.51 ,$28.83 ,$164.82 ,$11.53 ,$164.82 ,$164.82 ,$174.51 ,$174.51 ,$152.21 ,$160.16 ,$11.53 ,$126.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),24683891,N/A,HLA-DR OLIGOTYPING (1 AND 2),301,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24686355,86355,"B CELLS, TOTAL COUNT",302,1 ,$70.98 ,$46.14 ,$37.73 ,$94.33 ,$56.78 ,$37.73 ,$56.24 ,$63.92 ,$63.92 ,$71.69 ,$60.33 ,$52.53 ,$94.33 ,$37.73 , N/A ,$59.20 ,$37.73 ,$58.63 ,$56.78 ,$63.88 ,$70.98 ,$60.33 ,$37.73 ,$60.33 ,$60.33 ,$63.88 ,$63.88 ,$55.72 ,$58.63 ,$37.73 ,$46.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),24687070,87070,CULTURE NASAL,306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),24780299,80299,SULFAMETHOXAZOLE LEVEL,301,1 ,$76.13 ,$49.48 ,$18.64 ,$68.56 ,$60.90 ,$18.64 ,$60.33 ,$68.56 ,$68.56 ,$35.42 ,$64.71 ,$56.34 ,$46.60 ,$18.64 , N/A ,$63.49 ,$18.64 ,$62.88 ,$60.90 ,$68.52 ,$46.60 ,$64.71 ,$18.64 ,$64.71 ,$64.71 ,$68.52 ,$68.52 ,$59.76 ,$62.88 ,$18.64 ,$49.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24782491,82542,TPMT METABOLITES,301,1 ,$900.11 ,$585.07 ,$24.09 ,$810.55 ,$720.09 ,$24.09 ,$713.25 ,$810.55 ,$810.55 ,$45.77 ,$765.09 ,$666.08 ,$60.23 ,$24.09 , N/A ,$750.69 ,$24.09 ,$743.49 ,$720.09 ,$810.10 ,$60.23 ,$765.09 ,$24.09 ,$765.09 ,$765.09 ,$810.10 ,$810.10 ,$706.59 ,$743.49 ,$24.09 ,$585.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),24782542,82542,BUPRENORPHINE QUANT URINE,300,1 ,$241.83 ,$157.19 ,$24.09 ,$217.77 ,$193.46 ,$24.09 ,$191.63 ,$217.77 ,$217.77 ,$45.77 ,$205.56 ,$178.95 ,$60.23 ,$24.09 , N/A ,$201.69 ,$24.09 ,$199.75 ,$193.46 ,$217.65 ,$60.23 ,$205.56 ,$24.09 ,$205.56 ,$205.56 ,$217.65 ,$217.65 ,$189.84 ,$199.75 ,$24.09 ,$157.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),24783516,83516,MYELOPEROXIDASE AB,301,1 ,$134.85 ,$87.65 ,$11.53 ,$121.43 ,$107.88 ,$11.53 ,$106.86 ,$121.43 ,$121.43 ,$21.91 ,$114.62 ,$99.79 ,$28.83 ,$11.53 , N/A ,$112.46 ,$11.53 ,$111.39 ,$107.88 ,$121.37 ,$28.83 ,$114.62 ,$11.53 ,$114.62 ,$114.62 ,$121.37 ,$121.37 ,$105.86 ,$111.39 ,$11.53 ,$87.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),24783519,83519,ACETYLCHOLINE REC AB: BINDING,301,1 ,$122.44 ,$79.59 ,$18.40 ,$110.26 ,$97.95 ,$18.40 ,$97.02 ,$110.26 ,$110.26 ,$34.96 ,$104.07 ,$90.61 ,$46.00 ,$18.40 , N/A ,$102.12 ,$18.40 ,$101.14 ,$97.95 ,$110.20 ,$46.00 ,$104.07 ,$18.40 ,$104.07 ,$104.07 ,$110.20 ,$110.20 ,$96.12 ,$101.14 ,$18.40 ,$79.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),24783891,81270,"MOLEC DX,ISOLA OR EXTRA OF PUR NUC ACID",301,1 ,$129.47 ,$84.16 ,$84.16 ,$229.15 ,$103.58 ,$91.66 ,$102.59 ,$116.59 ,$116.59 ,$174.15 ,$110.05 ,$95.81 ,$229.15 ,$91.66 , N/A ,$107.98 ,$91.66 ,$106.94 ,$103.58 ,$116.52 ,$129.47 ,$110.05 ,$91.66 ,$110.05 ,$110.05 ,$116.52 ,$116.52 ,$101.63 ,$106.94 ,$91.66 ,$84.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),24787070,87070,CULTURE RECTAL,306,1 ,$195.59 ,$127.13 ,$8.62 ,$176.13 ,$156.47 ,$8.62 ,$154.99 ,$176.13 ,$176.13 ,$16.38 ,$166.25 ,$144.74 ,$21.55 ,$8.62 , N/A ,$163.12 ,$8.62 ,$161.56 ,$156.47 ,$176.03 ,$21.55 ,$166.25 ,$8.62 ,$166.25 ,$166.25 ,$176.03 ,$176.03 ,$153.54 ,$161.56 ,$8.62 ,$127.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),2482103,82104,ALPHA-1 ANTITRYPSIN ;PHENOTYPE,301,1 ,$34.66 ,$22.53 ,$14.46 ,$36.15 ,$27.73 ,$14.46 ,$27.46 ,$31.21 ,$31.21 ,$27.47 ,$29.46 ,$25.65 ,$36.15 ,$14.46 , N/A ,$28.91 ,$14.46 ,$28.63 ,$27.73 ,$31.19 ,$34.66 ,$29.46 ,$14.46 ,$29.46 ,$29.46 ,$31.19 ,$31.19 ,$27.21 ,$28.63 ,$14.46 ,$22.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),2483630,83630,LACTOFERRIN FECES,306,1 ,$191.60 ,$124.54 ,$19.70 ,$172.54 ,$153.28 ,$19.70 ,$151.82 ,$172.54 ,$172.54 ,$37.43 ,$162.86 ,$141.78 ,$49.25 ,$19.70 , N/A ,$159.79 ,$19.70 ,$158.26 ,$153.28 ,$172.44 ,$49.25 ,$162.86 ,$19.70 ,$162.86 ,$162.86 ,$172.44 ,$172.44 ,$150.41 ,$158.26 ,$19.70 ,$124.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),24880296,80299,DEXAMETHASONE LEVEL,301,1 ,$237.89 ,$154.63 ,$18.64 ,$214.22 ,$190.31 ,$18.64 ,$188.50 ,$214.22 ,$214.22 ,$35.42 ,$202.21 ,$176.04 ,$46.60 ,$18.64 , N/A ,$198.40 ,$18.64 ,$196.50 ,$190.31 ,$214.10 ,$46.60 ,$202.21 ,$18.64 ,$202.21 ,$202.21 ,$214.10 ,$214.10 ,$186.74 ,$196.50 ,$18.64 ,$154.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),24882491,82491,CO-enzyme Q10,301,1 ,$404.17 ,$262.71 ,$262.71 ,$363.96 ,$323.34 , N/A ,$320.26 ,$363.96 ,$363.96 , N/A ,$343.54 ,$299.09 , N/A , N/A , N/A ,$337.08 , N/A ,$333.84 ,$323.34 ,$363.75 , N/A ,$343.54 , N/A ,$343.54 ,$343.54 ,$363.75 ,$363.75 ,$317.27 ,$333.84 , N/A ,$262.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),24882542,82542,BILE ACIDS FRACTIONATED,300,1 ,$40.15 ,$26.10 ,$24.09 ,$60.23 ,$32.12 ,$24.09 ,$31.81 ,$36.16 ,$36.16 ,$45.77 ,$34.13 ,$29.71 ,$60.23 ,$24.09 , N/A ,$33.49 ,$24.09 ,$33.16 ,$32.12 ,$36.14 ,$40.15 ,$34.13 ,$24.09 ,$34.13 ,$34.13 ,$36.14 ,$36.14 ,$31.52 ,$33.16 ,$24.09 ,$26.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),24883516,83516,ANTI-MULLERIAN HORMONE,301,1 ,$320.46 ,$208.30 ,$11.53 ,$288.57 ,$256.37 ,$11.53 ,$253.93 ,$288.57 ,$288.57 ,$21.91 ,$272.39 ,$237.14 ,$28.83 ,$11.53 , N/A ,$267.26 ,$11.53 ,$264.70 ,$256.37 ,$288.41 ,$28.83 ,$272.39 ,$11.53 ,$272.39 ,$272.39 ,$288.41 ,$288.41 ,$251.56 ,$264.70 ,$11.53 ,$208.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),24883519,83519,IGF - II (ESOTERIX),301,1 ,$235.75 ,$153.24 ,$18.40 ,$212.29 ,$188.60 ,$18.40 ,$186.81 ,$212.29 ,$212.29 ,$34.96 ,$200.39 ,$174.46 ,$46.00 ,$18.40 , N/A ,$196.62 ,$18.40 ,$194.73 ,$188.60 ,$212.18 ,$46.00 ,$200.39 ,$18.40 ,$200.39 ,$200.39 ,$212.18 ,$212.18 ,$185.06 ,$194.73 ,$18.40 ,$153.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),24883520,83520,INHIBIN B,301,1 ,$271.57 ,$176.52 ,$17.27 ,$244.55 ,$217.26 ,$17.27 ,$215.19 ,$244.55 ,$244.55 ,$32.81 ,$230.83 ,$200.96 ,$43.18 ,$17.27 , N/A ,$226.49 ,$17.27 ,$224.32 ,$217.26 ,$244.41 ,$43.18 ,$230.83 ,$17.27 ,$230.83 ,$230.83 ,$244.41 ,$244.41 ,$213.18 ,$224.32 ,$17.27 ,$176.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),24883525,83525,LEADWELL INSULIN TOTAL,300,1 ,$8.75 ,$5.69 ,$5.69 ,$21.88 ,$7.00 ,$8.75 ,$6.93 ,$7.88 ,$7.88 ,$16.63 ,$7.44 ,$6.48 ,$21.88 ,$8.75 , N/A ,$7.30 ,$8.75 ,$7.23 ,$7.00 ,$7.88 ,$8.75 ,$7.44 ,$8.75 ,$7.44 ,$7.44 ,$7.88 ,$7.88 ,$6.87 ,$7.23 ,$8.75 ,$5.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),24883891,81270,VON HIPPEL LINDAU SYND DILUTION DUPLICAT,301,1 ,"$2,616.85 ","$1,700.95 ",$91.66 ,"$2,356.47 ","$2,093.48 ",$91.66 ,"$2,073.59 ","$2,356.47 ","$2,356.47 ",$174.15 ,"$2,224.32 ","$1,936.47 ",$229.15 ,$91.66 , N/A ,"$2,182.45 ",$91.66 ,"$2,161.52 ","$2,093.48 ","$2,355.17 ",$229.15 ,"$2,224.32 ",$91.66 ,"$2,224.32 ","$2,224.32 ","$2,355.17 ","$2,355.17 ","$2,054.23 ","$2,161.52 ",$91.66 ,"$1,700.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),24887070,87070,LEADWELL CULTURE FLUID,300,1 ,$9.86 ,$6.41 ,$6.41 ,$21.55 ,$7.89 ,$8.62 ,$7.81 ,$8.88 ,$8.88 ,$16.38 ,$8.38 ,$7.30 ,$21.55 ,$8.62 , N/A ,$8.22 ,$8.62 ,$8.14 ,$7.89 ,$8.87 ,$9.86 ,$8.38 ,$8.62 ,$8.38 ,$8.38 ,$8.87 ,$8.87 ,$7.74 ,$8.14 ,$8.62 ,$6.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),24980299,80299,AMIODARONE LEVEL,301,1 ,$44.31 ,$28.80 ,$18.64 ,$46.60 ,$35.45 ,$18.64 ,$35.11 ,$39.90 ,$39.90 ,$35.42 ,$37.66 ,$32.79 ,$46.60 ,$18.64 , N/A ,$36.95 ,$18.64 ,$36.60 ,$35.45 ,$39.88 ,$44.31 ,$37.66 ,$18.64 ,$37.66 ,$37.66 ,$39.88 ,$39.88 ,$34.78 ,$36.60 ,$18.64 ,$28.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),24982491,82491,WARFARIN LEVEL,301,1 ,$344.51 ,$223.93 ,$223.93 ,$310.23 ,$275.61 , N/A ,$272.99 ,$310.23 ,$310.23 , N/A ,$292.83 ,$254.94 , N/A , N/A , N/A ,$287.32 , N/A ,$284.57 ,$275.61 ,$310.06 , N/A ,$292.83 , N/A ,$292.83 ,$292.83 ,$310.06 ,$310.06 ,$270.44 ,$284.57 , N/A ,$223.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),24983516,83516,LEADWELL MLT NON INFECT QL/SQ,300,1 ,$19.15 ,$12.45 ,$11.53 ,$28.83 ,$15.32 ,$11.53 ,$15.17 ,$17.24 ,$17.24 ,$21.91 ,$16.28 ,$14.17 ,$28.83 ,$11.53 , N/A ,$15.97 ,$11.53 ,$15.82 ,$15.32 ,$17.24 ,$19.15 ,$16.28 ,$11.53 ,$16.28 ,$16.28 ,$17.24 ,$17.24 ,$15.03 ,$15.82 ,$11.53 ,$12.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),24983519,83519,PANCREATIC POLYPEPTIDE,301,1 ,$316.13 ,$205.48 ,$18.40 ,$284.68 ,$252.90 ,$18.40 ,$250.50 ,$284.68 ,$284.68 ,$34.96 ,$268.71 ,$233.94 ,$46.00 ,$18.40 , N/A ,$263.65 ,$18.40 ,$261.12 ,$252.90 ,$284.52 ,$46.00 ,$268.71 ,$18.40 ,$268.71 ,$268.71 ,$284.52 ,$284.52 ,$248.16 ,$261.12 ,$18.40 ,$205.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),24999998,N/A,POSITIVE RESULT NOTIFICATION-IC,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),24999999,N/A,POSITIVE RESULT NOTIFICATION,300,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),25,N/A,NF-GLIMEPIRIDE ORAL TABLET 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2500366,N/A,SPECIAL NURSING,110,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),26,N/A,NF-PRAVASTATIN ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),27,N/A,NF-ARICEPT TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),28,N/A,NF-LANTISEPTIC SKIN PROTECTANT OINTMENT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),29,N/A,NF-NATURE'S BLEND VITAMIN D ORAL TAB 400,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2910160,10160,ASP ABSC/HEMA/CYST/BULLA,510,1 ,$237.01 ,$154.06 ,$154.06 ,$782.32 ,$189.61 ,$312.93 ,$187.81 ,$213.43 ,$213.43 ,$594.57 ,$201.46 ,$175.39 ,$782.32 ,$312.93 , N/A ,$197.67 ,$312.93 ,$195.77 ,$189.61 ,$213.31 ,$237.01 ,$201.46 ,$237.01 ,$201.46 ,$201.46 ,$213.31 ,$213.31 ,$186.05 ,$195.77 ,$237.01 ,$154.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),29201040,J1040,METHYLPREDNISOLONE ACETATE 80MG,636,1 ,$55.97 ,$36.38 ,$36.38 ,$50.40 ,$44.78 , N/A ,$44.35 ,$50.40 ,$50.40 , N/A ,$47.57 ,$41.42 , N/A , N/A , N/A ,$46.68 , N/A ,$46.23 ,$44.78 ,$50.37 , N/A ,$47.57 , N/A ,$47.57 ,$47.57 ,$50.37 ,$50.37 ,$43.94 ,$46.23 , N/A ,$36.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),2920526,20526,INJ CARPAL TUNNEL THERAPUTIC,510,1 ,$218.86 ,$142.26 ,$142.26 ,$590.79 ,$175.09 ,$236.32 ,$173.42 ,$197.08 ,$197.08 ,$449.00 ,$186.03 ,$161.96 ,$590.79 ,$236.32 , N/A ,$182.53 ,$236.32 ,$180.78 ,$175.09 ,$196.97 ,$218.86 ,$186.03 ,$218.86 ,$186.03 ,$186.03 ,$196.97 ,$196.97 ,$171.81 ,$180.78 ,$218.86 ,$142.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),2920550,20550,INJ SINGLE TENDON/LIGAMENT,510,1 ,$590.11 ,$383.57 ,$236.32 ,$590.79 ,$472.09 ,$236.32 ,$467.60 ,$531.39 ,$531.39 ,$449.00 ,$501.59 ,$436.68 ,$590.79 ,$236.32 , N/A ,$492.15 ,$236.32 ,$487.43 ,$472.09 ,$531.10 ,$590.11 ,$501.59 ,$253.10 ,$501.59 ,$501.59 ,$531.10 ,$531.10 ,$463.24 ,$487.43 ,$253.10 ,$383.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),2920551,20551,INJ SGL TNDN/LIGM ORIG/INS,510,1 ,$590.11 ,$383.57 ,$236.32 ,$590.79 ,$472.09 ,$236.32 ,$467.60 ,$531.39 ,$531.39 ,$449.00 ,$501.59 ,$436.68 ,$590.79 ,$236.32 , N/A ,$492.15 ,$236.32 ,$487.43 ,$472.09 ,$531.10 ,$590.11 ,$501.59 ,$253.10 ,$501.59 ,$501.59 ,$531.10 ,$531.10 ,$463.24 ,$487.43 ,$253.10 ,$383.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),2920552,20552,INJ TRIGGER PT 1-2 MUSCLES,510,1 ,$527.93 ,$343.15 ,$236.32 ,$590.79 ,$422.34 ,$236.32 ,$418.33 ,$475.40 ,$475.40 ,$449.00 ,$448.74 ,$390.67 ,$590.79 ,$236.32 , N/A ,$440.29 ,$236.32 ,$436.07 ,$422.34 ,$475.14 ,$527.93 ,$448.74 ,$253.10 ,$448.74 ,$448.74 ,$475.14 ,$475.14 ,$414.43 ,$436.07 ,$253.10 ,$343.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),2920600,20600,ARTH/ASP/INJ SMALL W/O USGD,510,1 ,$640.31 ,$416.20 ,$236.32 ,$590.79 ,$512.25 ,$236.32 ,$507.38 ,$576.60 ,$576.60 ,$449.00 ,$544.26 ,$473.83 ,$590.79 ,$236.32 , N/A ,$534.02 ,$236.32 ,$528.90 ,$512.25 ,$576.28 ,$590.79 ,$544.26 ,$253.10 ,$544.26 ,$544.26 ,$576.28 ,$576.28 ,$502.64 ,$528.90 ,$253.10 ,$416.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),2920605,20605,ARTH/ASP/INJ INTRM W/O USGD,510,1 ,$694.44 ,$451.39 ,$236.32 ,$625.34 ,$555.55 ,$236.32 ,$550.27 ,$625.34 ,$625.34 ,$449.00 ,$590.27 ,$513.89 ,$590.79 ,$236.32 , N/A ,$579.16 ,$236.32 ,$573.61 ,$555.55 ,$625.00 ,$590.79 ,$590.27 ,$253.10 ,$590.27 ,$590.27 ,$625.00 ,$625.00 ,$545.14 ,$573.61 ,$253.10 ,$451.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),2920610,20610,ARTH/ASP/INJ MAJOR W/O USGD,510,1 ,$900.49 ,$585.32 ,$236.32 ,$810.89 ,$720.39 ,$236.32 ,$713.55 ,$810.89 ,$810.89 ,$449.00 ,$765.42 ,$666.36 ,$590.79 ,$236.32 , N/A ,$751.01 ,$236.32 ,$743.80 ,$720.39 ,$810.44 ,$590.79 ,$765.42 ,$253.10 ,$765.42 ,$765.42 ,$810.44 ,$810.44 ,$706.88 ,$743.80 ,$253.10 ,$585.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),2920612,20612,INJ GANGLION CYST,510,1 ,$381.45 ,$247.94 ,$236.32 ,$590.79 ,$305.16 ,$236.32 ,$302.26 ,$343.50 ,$343.50 ,$449.00 ,$324.23 ,$282.27 ,$590.79 ,$236.32 , N/A ,$318.13 ,$236.32 ,$315.08 ,$305.16 ,$343.31 ,$381.45 ,$324.23 ,$253.10 ,$324.23 ,$324.23 ,$343.31 ,$343.31 ,$299.44 ,$315.08 ,$253.10 ,$247.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),29207321,J7321,HYLAURONIAN OR DERIVATIVE,636,1 ,$55.97 ,$36.38 ,$36.38 ,$50.40 ,$44.78 , N/A ,$44.35 ,$50.40 ,$50.40 , N/A ,$47.57 ,$41.42 , N/A , N/A , N/A ,$46.68 , N/A ,$46.23 ,$44.78 ,$50.37 , N/A ,$47.57 , N/A ,$47.57 ,$47.57 ,$50.37 ,$50.37 ,$43.94 ,$46.23 , N/A ,$36.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),2925605,25605,TX FX RADIUS/ULNA W/ MAN CLS,761,1 ,$272.56 ,$177.16 ,$177.16 ,"$3,149.64 ",$218.05 ,"$1,259.85 ",$215.98 ,$245.44 ,$245.44 ,"$2,393.72 ",$231.68 ,$201.69 ,"$3,149.64 ","$1,259.85 ", N/A ,$227.32 ,"$1,259.85 ",$225.13 ,$218.05 ,$245.30 ,$272.56 ,$231.68 ,$272.56 ,$231.68 ,$231.68 ,$245.30 ,$245.30 ,$213.96 ,$225.13 ,$272.56 ,$177.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),2925660,25660,CLOSED TREATMENT OF RADIAL AND ULNAR FRA,510,1 ,$269.94 ,$175.46 ,$175.46 ,$466.42 ,$215.95 ,$186.57 ,$213.90 ,$243.08 ,$243.08 ,$354.48 ,$229.45 ,$199.76 ,$466.42 ,$186.57 , N/A ,$225.13 ,$186.57 ,$222.97 ,$215.95 ,$242.95 ,$269.94 ,$229.45 ,$199.82 ,$229.45 ,$229.45 ,$242.95 ,$242.95 ,$211.90 ,$222.97 ,$199.82 ,$175.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),2926605,26605,TX FX METACARPAL PROX W/ MAN CLS,510,1 ,$272.56 ,$177.16 ,$177.16 ,$466.42 ,$218.05 ,$186.57 ,$215.98 ,$245.44 ,$245.44 ,$354.48 ,$231.68 ,$201.69 ,$466.42 ,$186.57 , N/A ,$227.32 ,$186.57 ,$225.13 ,$218.05 ,$245.30 ,$272.56 ,$231.68 ,$199.82 ,$231.68 ,$231.68 ,$245.30 ,$245.30 ,$213.96 ,$225.13 ,$199.82 ,$177.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),2926725,26725,TX FX PHALANX PROX W/ MAN CLS,510,1 ,$272.56 ,$177.16 ,$177.16 ,$466.42 ,$218.05 ,$186.57 ,$215.98 ,$245.44 ,$245.44 ,$354.48 ,$231.68 ,$201.69 ,$466.42 ,$186.57 , N/A ,$227.32 ,$186.57 ,$225.13 ,$218.05 ,$245.30 ,$272.56 ,$231.68 ,$199.82 ,$231.68 ,$231.68 ,$245.30 ,$245.30 ,$213.96 ,$225.13 ,$199.82 ,$177.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929065,29065,APPL CAST ARM LONG,510,1 ,$340.37 ,$221.24 ,$218.22 ,$545.55 ,$272.30 ,$218.22 ,$269.71 ,$306.50 ,$306.50 ,$414.62 ,$289.31 ,$251.87 ,$545.55 ,$218.22 , N/A ,$283.87 ,$218.22 ,$281.15 ,$272.30 ,$306.33 ,$340.37 ,$289.31 ,$233.71 ,$289.31 ,$289.31 ,$306.33 ,$306.33 ,$267.19 ,$281.15 ,$233.71 ,$221.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929075,29075,APPL CAST ARM SHRT,510,1 ,$354.71 ,$230.56 ,$218.22 ,$545.55 ,$283.77 ,$218.22 ,$281.07 ,$319.42 ,$319.42 ,$414.62 ,$301.50 ,$262.49 ,$545.55 ,$218.22 , N/A ,$295.83 ,$218.22 ,$292.99 ,$283.77 ,$319.24 ,$354.71 ,$301.50 ,$233.71 ,$301.50 ,$301.50 ,$319.24 ,$319.24 ,$278.45 ,$292.99 ,$233.71 ,$230.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929085,29085,APPL CAST ARM CAST,510,1 ,$354.71 ,$230.56 ,$127.75 ,$319.42 ,$283.77 ,$127.75 ,$281.07 ,$319.42 ,$319.42 ,$242.72 ,$301.50 ,$262.49 ,$319.36 ,$127.75 , N/A ,$295.83 ,$127.75 ,$292.99 ,$283.77 ,$319.24 ,$319.36 ,$301.50 ,$136.82 ,$301.50 ,$301.50 ,$319.24 ,$319.24 ,$278.45 ,$292.99 ,$136.82 ,$230.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929105,29105,APPL SPLNT ARM LONG,510,1 ,$213.87 ,$139.02 ,$127.75 ,$319.36 ,$171.10 ,$127.75 ,$169.47 ,$192.59 ,$192.59 ,$242.72 ,$181.79 ,$158.26 ,$319.36 ,$127.75 , N/A ,$178.37 ,$127.75 ,$176.66 ,$171.10 ,$192.48 ,$213.87 ,$181.79 ,$136.82 ,$181.79 ,$181.79 ,$192.48 ,$192.48 ,$167.89 ,$176.66 ,$136.82 ,$139.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929125,29125,APPL SHRT ARM SPLINT STAT,510,1 ,$213.87 ,$139.02 ,$101.30 ,$253.24 ,$171.10 ,$101.30 ,$169.47 ,$192.59 ,$192.59 ,$192.46 ,$181.79 ,$158.26 ,$253.24 ,$101.30 , N/A ,$178.37 ,$101.30 ,$176.66 ,$171.10 ,$192.48 ,$213.87 ,$181.79 ,$108.49 ,$181.79 ,$181.79 ,$192.48 ,$192.48 ,$167.89 ,$176.66 ,$108.49 ,$139.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929345,29345,APPL CAST LEG LONG,510,1 ,$389.28 ,$253.03 ,$218.22 ,$545.55 ,$311.42 ,$218.22 ,$308.47 ,$350.55 ,$350.55 ,$414.62 ,$330.89 ,$288.07 ,$545.55 ,$218.22 , N/A ,$324.66 ,$218.22 ,$321.55 ,$311.42 ,$350.35 ,$389.28 ,$330.89 ,$233.71 ,$330.89 ,$330.89 ,$350.35 ,$350.35 ,$305.58 ,$321.55 ,$233.71 ,$253.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929365,29365,APPL CYLINDER CAST THGH,510,1 ,$559.46 ,$363.65 ,$218.22 ,$545.55 ,$447.57 ,$218.22 ,$443.32 ,$503.79 ,$503.79 ,$414.62 ,$475.54 ,$414.00 ,$545.55 ,$218.22 , N/A ,$466.59 ,$218.22 ,$462.11 ,$447.57 ,$503.51 ,$545.55 ,$475.54 ,$233.71 ,$475.54 ,$475.54 ,$503.51 ,$503.51 ,$439.18 ,$462.11 ,$233.71 ,$363.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929405,29405,APPL SHORT LEG CAST,510,1 ,$496.22 ,$322.54 ,$218.22 ,$545.55 ,$396.98 ,$218.22 ,$393.20 ,$446.85 ,$446.85 ,$414.62 ,$421.79 ,$367.20 ,$545.55 ,$218.22 , N/A ,$413.85 ,$218.22 ,$409.88 ,$396.98 ,$446.60 ,$496.22 ,$421.79 ,$233.71 ,$421.79 ,$421.79 ,$446.60 ,$446.60 ,$389.53 ,$409.88 ,$233.71 ,$322.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929505,29505,APPL LONG LEG SPLINT,510,1 ,$436.22 ,$283.54 ,$127.75 ,$392.82 ,$348.98 ,$127.75 ,$345.66 ,$392.82 ,$392.82 ,$242.72 ,$370.79 ,$322.80 ,$319.36 ,$127.75 , N/A ,$363.81 ,$127.75 ,$360.32 ,$348.98 ,$392.60 ,$319.36 ,$370.79 ,$136.82 ,$370.79 ,$370.79 ,$392.60 ,$392.60 ,$342.43 ,$360.32 ,$136.82 ,$283.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),2929515,29515,APPL SHORT LEG SPLINT,510,1 ,$213.87 ,$139.02 ,$127.75 ,$319.36 ,$171.10 ,$127.75 ,$169.47 ,$192.59 ,$192.59 ,$242.72 ,$181.79 ,$158.26 ,$319.36 ,$127.75 , N/A ,$178.37 ,$127.75 ,$176.66 ,$171.10 ,$192.48 ,$213.87 ,$181.79 ,$136.82 ,$181.79 ,$181.79 ,$192.48 ,$192.48 ,$167.89 ,$176.66 ,$136.82 ,$139.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),2964450,64450,INJ ANES NERVE PERIPHERAL,510,1 ,$967.00 ,$628.55 ,$574.20 ,"$1,435.51 ",$773.60 ,$574.20 ,$766.25 ,$870.78 ,$870.78 ,"$1,090.98 ",$821.95 ,$715.58 ,"$1,435.51 ",$574.20 , N/A ,$806.48 ,$574.20 ,$798.74 ,$773.60 ,$870.30 ,$967.00 ,$821.95 ,$614.97 ,$821.95 ,$821.95 ,$870.30 ,$870.30 ,$759.10 ,$798.74 ,$614.97 ,$628.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),299204,99204,POST OP FOLLOW UP VISIT,510,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),2999202,99202,VISIT NEW LEVEL 2,510,1 ,$172.14 ,$111.89 ,$111.89 ,$155.01 ,$137.71 , N/A ,$136.40 ,$155.01 ,$155.01 , N/A ,$146.32 ,$127.38 , N/A , N/A , N/A ,$143.56 , N/A ,$142.19 ,$137.71 ,$154.93 , N/A ,$146.32 , N/A ,$146.32 ,$146.32 ,$154.93 ,$154.93 ,$135.13 ,$142.19 , N/A ,$111.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),2999203,99203,VISIT NEW LEVEL 3,510,1 ,$263.42 ,$171.22 ,$171.22 ,$237.21 ,$210.74 , N/A ,$208.73 ,$237.21 ,$237.21 , N/A ,$223.91 ,$194.93 , N/A , N/A , N/A ,$219.69 , N/A ,$217.58 ,$210.74 ,$237.08 , N/A ,$223.91 , N/A ,$223.91 ,$223.91 ,$237.08 ,$237.08 ,$206.78 ,$217.58 , N/A ,$171.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),2999204,99204,VISIT NEW LEVEL 4,510,1 ,$451.22 ,$293.29 ,$293.29 ,$406.32 ,$360.98 , N/A ,$357.55 ,$406.32 ,$406.32 , N/A ,$383.54 ,$333.90 , N/A , N/A , N/A ,$376.32 , N/A ,$372.71 ,$360.98 ,$406.10 , N/A ,$383.54 , N/A ,$383.54 ,$383.54 ,$406.10 ,$406.10 ,$354.21 ,$372.71 , N/A ,$293.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),2999211,99211,VISIT ESTAB LEVEL 1,510,1 ,$31.95 ,$20.77 ,$20.77 ,$28.77 ,$25.56 , N/A ,$25.32 ,$28.77 ,$28.77 , N/A ,$27.16 ,$23.64 , N/A , N/A , N/A ,$26.65 , N/A ,$26.39 ,$25.56 ,$28.76 , N/A ,$27.16 , N/A ,$27.16 ,$27.16 ,$28.76 ,$28.76 ,$25.08 ,$26.39 , N/A ,$20.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),2999212,99212,VISIT ESTAB LEVEL 2,510,1 ,$87.37 ,$56.79 ,$56.79 ,$78.68 ,$69.90 , N/A ,$69.23 ,$78.68 ,$78.68 , N/A ,$74.26 ,$64.65 , N/A , N/A , N/A ,$72.87 , N/A ,$72.17 ,$69.90 ,$78.63 , N/A ,$74.26 , N/A ,$74.26 ,$74.26 ,$78.63 ,$78.63 ,$68.59 ,$72.17 , N/A ,$56.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),2999213,99213,VISIT ESTAB LEVEL 3,510,1 ,$176.05 ,$114.43 ,$114.43 ,$158.53 ,$140.84 , N/A ,$139.50 ,$158.53 ,$158.53 , N/A ,$149.64 ,$130.28 , N/A , N/A , N/A ,$146.83 , N/A ,$145.42 ,$140.84 ,$158.45 , N/A ,$149.64 , N/A ,$149.64 ,$149.64 ,$158.45 ,$158.45 ,$138.20 ,$145.42 , N/A ,$114.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),2999214,99214,VISIT ESTAB LEVEL 4,510,1 ,$269.94 ,$175.46 ,$175.46 ,$243.08 ,$215.95 , N/A ,$213.90 ,$243.08 ,$243.08 , N/A ,$229.45 ,$199.76 , N/A , N/A , N/A ,$225.13 , N/A ,$222.97 ,$215.95 ,$242.95 , N/A ,$229.45 , N/A ,$229.45 ,$229.45 ,$242.95 ,$242.95 ,$211.90 ,$222.97 , N/A ,$175.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),2999215,99215,VISIT ESTAB LEVEL 5,510,1 ,$379.49 ,$246.67 ,$246.67 ,$341.73 ,$303.59 , N/A ,$300.71 ,$341.73 ,$341.73 , N/A ,$322.57 ,$280.82 , N/A , N/A , N/A ,$316.49 , N/A ,$313.46 ,$303.59 ,$341.54 , N/A ,$322.57 , N/A ,$322.57 ,$322.57 ,$341.54 ,$341.54 ,$297.90 ,$313.46 , N/A ,$246.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),2999243,99243,CONSULT REFERRAL LEVEL 3,510,1 ,$219.43 ,$142.63 ,$142.63 ,$197.60 ,$175.54 , N/A ,$173.88 ,$197.60 ,$197.60 , N/A ,$186.52 ,$162.38 , N/A , N/A , N/A ,$183.00 , N/A ,$181.25 ,$175.54 ,$197.49 , N/A ,$186.52 , N/A ,$186.52 ,$186.52 ,$197.49 ,$197.49 ,$172.25 ,$181.25 , N/A ,$142.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),30,N/A,NF-RISPERIDONE ORAL TABLET 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30000000,75571,CT CALCIUM HEART STUDY,352,1 ,$44.23 ,$28.75 ,$28.75 ,$183.00 ,$35.38 ,$73.20 ,$35.05 ,$39.83 ,$39.83 ,$139.08 ,$37.60 ,$32.73 ,$183.00 ,$73.20 , N/A ,$36.89 ,$73.20 ,$36.53 ,$35.38 ,$39.81 ,$44.23 ,$37.60 ,$44.23 ,$37.60 ,$37.60 ,$39.81 ,$39.81 ,$44.23 ,$36.53 ,$44.23 ,$28.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000001,N/A,NM QC,352,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30000130,77080,DEXA SCREENING -WELCOME TO MEDICARE,320,1 ,$436.82 ,$283.93 ,$98.60 ,$393.36 ,$349.46 ,$98.60 ,$346.14 ,$393.36 ,$393.36 ,$187.34 ,$371.30 ,$323.25 ,$246.50 ,$98.60 , N/A ,$364.31 ,$98.60 ,$360.81 ,$349.46 ,$393.14 ,$246.50 ,$371.30 ,$105.60 ,$371.30 ,$371.30 ,$393.14 ,$393.14 ,$342.90 ,$360.81 ,$105.60 ,$283.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000204,77066,MM FFD DIAG BILAT,401,1 ,$586.14 ,$380.99 ,$106.70 ,$527.82 ,$468.91 ,$106.70 ,$464.46 ,$527.82 ,$527.82 ,$202.73 ,$498.22 ,$433.74 ,$266.75 ,$106.70 , N/A ,$488.84 ,$106.70 ,$484.15 ,$468.91 ,$527.53 ,$266.75 ,$498.22 ,$106.70 ,$498.22 ,$498.22 ,$527.53 ,$527.53 ,$460.12 ,$484.15 ,$106.70 ,$380.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000205,77065,MM FFD DIAG UNILAT LT,401,1 ,$464.79 ,$302.11 ,$83.47 ,$418.54 ,$371.83 ,$83.47 ,$368.30 ,$418.54 ,$418.54 ,$158.59 ,$395.07 ,$343.94 ,$208.68 ,$83.47 , N/A ,$387.63 ,$83.47 ,$383.92 ,$371.83 ,$418.31 ,$208.68 ,$395.07 ,$83.47 ,$395.07 ,$395.07 ,$418.31 ,$418.31 ,$364.86 ,$383.92 ,$83.47 ,$302.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000206,77065,MM FFD DIAG UNILAT RT,401,1 ,$464.79 ,$302.11 ,$83.47 ,$418.54 ,$371.83 ,$83.47 ,$368.30 ,$418.54 ,$418.54 ,$158.59 ,$395.07 ,$343.94 ,$208.68 ,$83.47 , N/A ,$387.63 ,$83.47 ,$383.92 ,$371.83 ,$418.31 ,$208.68 ,$395.07 ,$83.47 ,$395.07 ,$395.07 ,$418.31 ,$418.31 ,$364.86 ,$383.92 ,$83.47 ,$302.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000207,77067,MM FFD SCREEN BILAT,403,1 ,$316.10 ,$205.47 ,$88.24 ,$284.65 ,$252.88 ,$88.24 ,$250.48 ,$284.65 ,$284.65 ,$167.66 ,$268.69 ,$233.91 ,$220.60 ,$88.24 , N/A ,$263.63 ,$88.24 ,$261.10 ,$252.88 ,$284.49 ,$220.60 ,$268.69 ,$88.24 ,$268.69 ,$268.69 ,$284.49 ,$284.49 ,$248.14 ,$261.10 ,$88.24 ,$205.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000208,77067,MM FFD SCREEN UNILAT RT,403,1 ,$416.29 ,$270.59 ,$88.24 ,$374.87 ,$333.03 ,$88.24 ,$329.87 ,$374.87 ,$374.87 ,$167.66 ,$353.85 ,$308.05 ,$220.60 ,$88.24 , N/A ,$347.19 ,$88.24 ,$343.86 ,$333.03 ,$374.66 ,$220.60 ,$353.85 ,$88.24 ,$353.85 ,$353.85 ,$374.66 ,$374.66 ,$326.79 ,$343.86 ,$88.24 ,$270.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000210,77067,MM FFD IMPLANT SCR BILAT,403,1 ,$331.98 ,$215.79 ,$88.24 ,$298.95 ,$265.58 ,$88.24 ,$263.06 ,$298.95 ,$298.95 ,$167.66 ,$282.18 ,$245.67 ,$220.60 ,$88.24 , N/A ,$276.87 ,$88.24 ,$274.22 ,$265.58 ,$298.78 ,$220.60 ,$282.18 ,$88.24 ,$282.18 ,$282.18 ,$298.78 ,$298.78 ,$260.60 ,$274.22 ,$88.24 ,$215.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000211,77067,MM FFD IMPLANT SCR LT,403,1 ,$241.45 ,$156.94 ,$88.24 ,$220.60 ,$193.16 ,$88.24 ,$191.33 ,$217.43 ,$217.43 ,$167.66 ,$205.23 ,$178.67 ,$220.60 ,$88.24 , N/A ,$201.37 ,$88.24 ,$199.44 ,$193.16 ,$217.31 ,$220.60 ,$205.23 ,$88.24 ,$205.23 ,$205.23 ,$217.31 ,$217.31 ,$189.54 ,$199.44 ,$88.24 ,$156.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000212,77067,MM FFD IMPLANT SCR RT,403,1 ,$241.45 ,$156.94 ,$88.24 ,$220.60 ,$193.16 ,$88.24 ,$191.33 ,$217.43 ,$217.43 ,$167.66 ,$205.23 ,$178.67 ,$220.60 ,$88.24 , N/A ,$201.37 ,$88.24 ,$199.44 ,$193.16 ,$217.31 ,$220.60 ,$205.23 ,$88.24 ,$205.23 ,$205.23 ,$217.31 ,$217.31 ,$189.54 ,$199.44 ,$88.24 ,$156.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000213,77066,MM FFD IMPLANT DIAG BILAT,401,1 ,$372.23 ,$241.95 ,$106.70 ,$335.19 ,$297.78 ,$106.70 ,$294.96 ,$335.19 ,$335.19 ,$202.73 ,$316.40 ,$275.45 ,$266.75 ,$106.70 , N/A ,$310.44 ,$106.70 ,$307.46 ,$297.78 ,$335.01 ,$266.75 ,$316.40 ,$106.70 ,$316.40 ,$316.40 ,$335.01 ,$335.01 ,$292.20 ,$307.46 ,$106.70 ,$241.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000214,77065,MM FFD IMPLANT DIAG LT,401,1 ,$301.80 ,$196.17 ,$83.47 ,$271.77 ,$241.44 ,$83.47 ,$239.15 ,$271.77 ,$271.77 ,$158.59 ,$256.53 ,$223.33 ,$208.68 ,$83.47 , N/A ,$251.70 ,$83.47 ,$249.29 ,$241.44 ,$271.62 ,$208.68 ,$256.53 ,$83.47 ,$256.53 ,$256.53 ,$271.62 ,$271.62 ,$236.91 ,$249.29 ,$83.47 ,$196.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000215,77065,MM FFD IMPLANT DIAG RT,401,1 ,$301.80 ,$196.17 ,$83.47 ,$271.77 ,$241.44 ,$83.47 ,$239.15 ,$271.77 ,$271.77 ,$158.59 ,$256.53 ,$223.33 ,$208.68 ,$83.47 , N/A ,$251.70 ,$83.47 ,$249.29 ,$241.44 ,$271.62 ,$208.68 ,$256.53 ,$83.47 ,$256.53 ,$256.53 ,$271.62 ,$271.62 ,$236.91 ,$249.29 ,$83.47 ,$196.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),30000216,77067,MM FFD SCREEN UNILAT LT,403,1 ,$352.79 ,$229.31 ,$88.24 ,$317.69 ,$282.23 ,$88.24 ,$279.55 ,$317.69 ,$317.69 ,$167.66 ,$299.87 ,$261.06 ,$220.60 ,$88.24 , N/A ,$294.23 ,$88.24 ,$291.40 ,$282.23 ,$317.51 ,$220.60 ,$299.87 ,$88.24 ,$299.87 ,$299.87 ,$317.51 ,$317.51 ,$276.94 ,$291.40 ,$88.24 ,$229.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3000070,N/A,NO CHARGE MAMMOGRAM,401,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3000071,N/A,NO CHARGE ULTRASOUND,402,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3000073,N/A,NO CHARGE XRAY,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30001000,N/A,<=ECHO ORDER=>,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30006641,76641,US BREAST RT COMPLETE,402,1 ,$804.72 ,$523.07 ,$98.60 ,$724.65 ,$643.78 ,$98.60 ,$637.66 ,$724.65 ,$724.65 ,$187.34 ,$684.01 ,$595.49 ,$246.50 ,$98.60 , N/A ,$671.14 ,$98.60 ,$664.70 ,$643.78 ,$724.25 ,$246.50 ,$684.01 ,$105.60 ,$684.01 ,$684.01 ,$724.25 ,$724.25 ,$631.71 ,$664.70 ,$105.60 ,$523.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),30006643,76641,US BREAST LT COMPLETE,402,1 ,$804.72 ,$523.07 ,$98.60 ,$724.65 ,$643.78 ,$98.60 ,$637.66 ,$724.65 ,$724.65 ,$187.34 ,$684.01 ,$595.49 ,$246.50 ,$98.60 , N/A ,$671.14 ,$98.60 ,$664.70 ,$643.78 ,$724.25 ,$246.50 ,$684.01 ,$105.60 ,$684.01 ,$684.01 ,$724.25 ,$724.25 ,$631.71 ,$664.70 ,$105.60 ,$523.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),30009987,N/A,<=ER ULTRASOUND ORDER=>,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009988,N/A,<=ER CAT SCAN ORDER=>,352,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009989,N/A,<=ER MRI ORDER=>,610,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009991,N/A,<=CAT SCAN ORDER=>,352,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009992,N/A,<=MAMMOGRAPHY ORDER=>,401,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009993,N/A,<=ER NUCLEAR MEDICINE=>,341,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009994,N/A,<=NUCLEAR MEDICINE=>,341,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009995,N/A,<=MRI ORDER=>,610,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009996,N/A,<=CANCEL ORDER=>,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009997,N/A,<=ER X-RAY ORDER=>,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009998,N/A,<=ULTRASOUND ORDER=>,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30009999,N/A,<=X-RAY ORDER=>,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30010000,N/A,ADD XRAY VIEWS N/C,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30019290,19290,"PREOP PLACEMENT OF NEEDLE, BREAST",320,1 ,$970.24 ,$630.66 ,$630.66 ,$873.70 ,$776.19 , N/A ,$768.82 ,$873.70 ,$873.70 , N/A ,$824.70 ,$717.98 , N/A , N/A , N/A ,$809.18 , N/A ,$801.42 ,$776.19 ,$873.22 , N/A ,$824.70 , N/A ,$824.70 ,$824.70 ,$873.22 ,$873.22 ,$761.64 ,$801.42 , N/A ,$630.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),30019291,19291,PREOP PLACEMENT NEEDLE EA ADD'L LESION,320,1 ,$479.48 ,$311.66 ,$311.66 ,$431.77 ,$383.58 , N/A ,$379.94 ,$431.77 ,$431.77 , N/A ,$407.56 ,$354.82 , N/A , N/A , N/A ,$399.89 , N/A ,$396.05 ,$383.58 ,$431.53 , N/A ,$407.56 , N/A ,$407.56 ,$407.56 ,$431.53 ,$431.53 ,$376.39 ,$396.05 , N/A ,$311.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),30022020,93306,US ECHOCARDIOGRAM,483,1 ,"$1,991.36 ","$1,294.38 ",$436.94 ,"$1,793.22 ","$1,593.09 ",$436.94 ,"$1,577.95 ","$1,793.22 ","$1,793.22 ",$830.18 ,"$1,692.66 ","$1,473.61 ","$1,092.35 ",$436.94 , N/A ,"$1,660.79 ",$436.94 ,"$1,644.86 ","$1,593.09 ","$1,792.22 ","$1,092.35 ","$1,692.66 ",$467.96 ,"$1,692.66 ","$1,692.66 ","$1,792.22 ","$1,792.22 ","$1,563.22 ","$1,644.86 ",$467.96 ,"$1,294.38 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30022025,93308,US ECHO LIMITED,480,1 ,$539.47 ,$350.66 ,$208.23 ,$520.58 ,$431.58 ,$208.23 ,$427.48 ,$485.79 ,$485.79 ,$395.64 ,$458.55 ,$399.21 ,$520.58 ,$208.23 , N/A ,$449.92 ,$208.23 ,$445.60 ,$431.58 ,$485.52 ,$520.58 ,$458.55 ,$223.02 ,$458.55 ,$458.55 ,$485.52 ,$485.52 ,$423.48 ,$445.60 ,$223.02 ,$350.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),30022026,93306,US ECHO WITH CONTRAST,480,1 ,"$3,088.30 ","$2,007.40 ",$436.94 ,"$2,781.01 ","$2,470.64 ",$436.94 ,"$2,447.17 ","$2,781.01 ","$2,781.01 ",$830.18 ,"$2,625.06 ","$2,285.34 ","$1,092.35 ",$436.94 , N/A ,"$2,575.64 ",$436.94 ,"$2,550.94 ","$2,470.64 ","$2,779.47 ","$1,092.35 ","$2,625.06 ",$467.96 ,"$2,625.06 ","$2,625.06 ","$2,779.47 ","$2,779.47 ","$2,424.32 ","$2,550.94 ",$467.96 ,"$2,007.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30022027,Q9957,US CONTRAST FOR ECHO,636,1 ,$805.11 ,$523.32 ,$523.32 ,$725.00 ,$644.09 , N/A ,$637.97 ,$725.00 ,$725.00 , N/A ,$684.34 ,$595.78 , N/A , N/A , N/A ,$671.46 , N/A ,$665.02 ,$644.09 ,$724.60 , N/A ,$684.34 , N/A ,$684.34 ,$684.34 ,$724.60 ,$724.60 ,$632.01 ,$665.02 , N/A ,$523.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),30032557,32555,US GUIDED THORACENTESIS,402,1 ,"$2,408.62 ","$1,565.60 ",$490.08 ,"$2,168.96 ","$1,926.90 ",$490.08 ,"$1,908.59 ","$2,168.96 ","$2,168.96 ",$931.15 ,"$2,047.33 ","$1,782.38 ","$1,225.20 ",$490.08 , N/A ,"$2,008.79 ",$490.08 ,"$1,989.52 ","$1,926.90 ","$2,167.76 ","$1,225.20 ","$2,047.33 ",$524.88 ,"$2,047.33 ","$2,047.33 ","$2,167.76 ","$2,167.76 ","$1,890.77 ","$1,989.52 ",$524.88 ,"$1,565.60 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30049083,49083,US GUIDED PARACENTESIS,402,1 ,"$2,408.62 ","$1,565.60 ",$732.56 ,"$2,168.96 ","$1,926.90 ",$732.56 ,"$1,908.59 ","$2,168.96 ","$2,168.96 ","$1,391.86 ","$2,047.33 ","$1,782.38 ","$1,831.40 ",$732.56 , N/A ,"$2,008.79 ",$732.56 ,"$1,989.52 ","$1,926.90 ","$2,167.76 ","$1,831.40 ","$2,047.33 ",$784.57 ,"$2,047.33 ","$2,047.33 ","$2,167.76 ","$2,167.76 ","$1,890.77 ","$1,989.52 ",$784.57 ,"$1,565.60 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30050005,70110,MANDIBLE MIN 4V,320,1 ,$546.47 ,$355.21 ,$98.60 ,$492.10 ,$437.18 ,$98.60 ,$433.02 ,$492.10 ,$492.10 ,$187.34 ,$464.50 ,$404.39 ,$246.50 ,$98.60 , N/A ,$455.76 ,$98.60 ,$451.38 ,$437.18 ,$491.82 ,$246.50 ,$464.50 ,$105.60 ,$464.50 ,$464.50 ,$491.82 ,$491.82 ,$428.98 ,$451.38 ,$105.60 ,$355.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050012,10022,FINE NEEDLE ASP W/ IMAGING GUIDANCE,360,1 ,$308.08 ,$200.25 ,$200.25 ,$277.43 ,$246.46 , N/A ,$244.12 ,$277.43 ,$277.43 , N/A ,$261.87 ,$227.98 , N/A , N/A , N/A ,$256.94 , N/A ,$254.47 ,$246.46 ,$277.27 , N/A ,$261.87 , N/A ,$261.87 ,$261.87 ,$277.27 ,$277.27 ,$241.84 ,$254.47 , N/A ,$200.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050013,70130,MASTOIDS-LT,320,1 ,$481.48 ,$312.96 ,$98.60 ,$433.57 ,$385.18 ,$98.60 ,$381.52 ,$433.57 ,$433.57 ,$187.34 ,$409.26 ,$356.30 ,$246.50 ,$98.60 , N/A ,$401.55 ,$98.60 ,$397.70 ,$385.18 ,$433.33 ,$246.50 ,$409.26 ,$105.60 ,$409.26 ,$409.26 ,$433.33 ,$433.33 ,$377.96 ,$397.70 ,$105.60 ,$312.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050021,70150,FACIAL BONES MIN 3V,320,1 ,$535.48 ,$348.06 ,$98.60 ,$482.20 ,$428.38 ,$98.60 ,$424.31 ,$482.20 ,$482.20 ,$187.34 ,$455.16 ,$396.26 ,$246.50 ,$98.60 , N/A ,$446.59 ,$98.60 ,$442.31 ,$428.38 ,$481.93 ,$246.50 ,$455.16 ,$105.60 ,$455.16 ,$455.16 ,$481.93 ,$481.93 ,$420.35 ,$442.31 ,$105.60 ,$348.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050022,77080,DEXASCAN,320,1 ,$515.45 ,$335.04 ,$98.60 ,$464.16 ,$412.36 ,$98.60 ,$408.44 ,$464.16 ,$464.16 ,$187.34 ,$438.13 ,$381.43 ,$246.50 ,$98.60 , N/A ,$429.89 ,$98.60 ,$425.76 ,$412.36 ,$463.91 ,$246.50 ,$438.13 ,$105.60 ,$438.13 ,$438.13 ,$463.91 ,$463.91 ,$404.63 ,$425.76 ,$105.60 ,$335.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050039,70150,ZYGOMATIC MIN 3V,320,1 ,$416.26 ,$270.57 ,$98.60 ,$374.84 ,$333.01 ,$98.60 ,$329.84 ,$374.84 ,$374.84 ,$187.34 ,$353.82 ,$308.03 ,$246.50 ,$98.60 , N/A ,$347.16 ,$98.60 ,$343.83 ,$333.01 ,$374.63 ,$246.50 ,$353.82 ,$105.60 ,$353.82 ,$353.82 ,$374.63 ,$374.63 ,$326.76 ,$343.83 ,$105.60 ,$270.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050040,73620,FOOT 2 VIEW RT,320,1 ,$512.42 ,$333.07 ,$73.20 ,$461.43 ,$409.94 ,$73.20 ,$406.04 ,$461.43 ,$461.43 ,$139.08 ,$435.56 ,$379.19 ,$183.00 ,$73.20 , N/A ,$427.36 ,$73.20 ,$423.26 ,$409.94 ,$461.18 ,$183.00 ,$435.56 ,$78.40 ,$435.56 ,$435.56 ,$461.18 ,$461.18 ,$402.25 ,$423.26 ,$78.40 ,$333.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050041,73620,FOOT 2 VIEW LT,320,1 ,$512.42 ,$333.07 ,$73.20 ,$461.43 ,$409.94 ,$73.20 ,$406.04 ,$461.43 ,$461.43 ,$139.08 ,$435.56 ,$379.19 ,$183.00 ,$73.20 , N/A ,$427.36 ,$73.20 ,$423.26 ,$409.94 ,$461.18 ,$183.00 ,$435.56 ,$78.40 ,$435.56 ,$435.56 ,$461.18 ,$461.18 ,$402.25 ,$423.26 ,$78.40 ,$333.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050047,70160,NOSE MIN 3V,320,1 ,$411.69 ,$267.60 ,$73.20 ,$370.73 ,$329.35 ,$73.20 ,$326.22 ,$370.73 ,$370.73 ,$139.08 ,$349.94 ,$304.65 ,$183.00 ,$73.20 , N/A ,$343.35 ,$73.20 ,$340.06 ,$329.35 ,$370.52 ,$183.00 ,$349.94 ,$78.40 ,$349.94 ,$349.94 ,$370.52 ,$370.52 ,$323.18 ,$340.06 ,$78.40 ,$267.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050054,70220,SINUSES MIN 3V,320,1 ,$535.48 ,$348.06 ,$73.20 ,$482.20 ,$428.38 ,$73.20 ,$424.31 ,$482.20 ,$482.20 ,$139.08 ,$455.16 ,$396.26 ,$183.00 ,$73.20 , N/A ,$446.59 ,$73.20 ,$442.31 ,$428.38 ,$481.93 ,$183.00 ,$455.16 ,$78.40 ,$455.16 ,$455.16 ,$481.93 ,$481.93 ,$420.35 ,$442.31 ,$78.40 ,$348.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050070,70250,SKULL LESS THAN 4 VIEWS,320,1 ,$146.85 ,$95.45 ,$95.45 ,$246.50 ,$117.48 ,$98.60 ,$116.36 ,$132.24 ,$132.24 ,$187.34 ,$124.82 ,$108.67 ,$246.50 ,$98.60 , N/A ,$122.47 ,$98.60 ,$121.30 ,$117.48 ,$132.17 ,$146.85 ,$124.82 ,$105.60 ,$124.82 ,$124.82 ,$132.17 ,$132.17 ,$115.28 ,$121.30 ,$105.60 ,$95.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050088,70260,SKULL MINIMUM 4 VIEWS,320,1 ,$584.56 ,$379.96 ,$98.60 ,$526.40 ,$467.65 ,$98.60 ,$463.21 ,$526.40 ,$526.40 ,$187.34 ,$496.88 ,$432.57 ,$246.50 ,$98.60 , N/A ,$487.52 ,$98.60 ,$482.85 ,$467.65 ,$526.10 ,$246.50 ,$496.88 ,$105.60 ,$496.88 ,$496.88 ,$526.10 ,$526.10 ,$458.88 ,$482.85 ,$105.60 ,$379.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050090,76098,RAD EXAM SURG SPECIMEN,320,1 ,$359.60 ,$233.74 ,$233.74 ,"$1,092.35 ",$287.68 ,$436.94 ,$284.95 ,$323.82 ,$323.82 ,$830.18 ,$305.66 ,$266.10 ,"$1,092.35 ",$436.94 , N/A ,$299.91 ,$436.94 ,$297.03 ,$287.68 ,$323.64 ,$359.60 ,$305.66 ,$359.60 ,$305.66 ,$305.66 ,$323.64 ,$323.64 ,$282.29 ,$297.03 ,$359.60 ,$233.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050096,70360,NECK SOFT TISSUE,320,1 ,$314.88 ,$204.67 ,$73.20 ,$283.55 ,$251.90 ,$73.20 ,$249.51 ,$283.55 ,$283.55 ,$139.08 ,$267.65 ,$233.01 ,$183.00 ,$73.20 , N/A ,$262.61 ,$73.20 ,$260.09 ,$251.90 ,$283.39 ,$183.00 ,$267.65 ,$78.40 ,$267.65 ,$267.65 ,$283.39 ,$283.39 ,$247.18 ,$260.09 ,$78.40 ,$204.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050112,70330,TM JOINTS,320,1 ,$512.42 ,$333.07 ,$73.20 ,$461.43 ,$409.94 ,$73.20 ,$406.04 ,$461.43 ,$461.43 ,$139.08 ,$435.56 ,$379.19 ,$183.00 ,$73.20 , N/A ,$427.36 ,$73.20 ,$423.26 ,$409.94 ,$461.18 ,$183.00 ,$435.56 ,$78.40 ,$435.56 ,$435.56 ,$461.18 ,$461.18 ,$402.25 ,$423.26 ,$78.40 ,$333.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050121,70130,MASTOIDS-RT,320,1 ,$481.48 ,$312.96 ,$98.60 ,$433.57 ,$385.18 ,$98.60 ,$381.52 ,$433.57 ,$433.57 ,$187.34 ,$409.26 ,$356.30 ,$246.50 ,$98.60 , N/A ,$401.55 ,$98.60 ,$397.70 ,$385.18 ,$433.33 ,$246.50 ,$409.26 ,$105.60 ,$409.26 ,$409.26 ,$433.33 ,$433.33 ,$377.96 ,$397.70 ,$105.60 ,$312.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050141,70130,MASTOIDS-BILAT,320,1 ,$481.48 ,$312.96 ,$98.60 ,$433.57 ,$385.18 ,$98.60 ,$381.52 ,$433.57 ,$433.57 ,$187.34 ,$409.26 ,$356.30 ,$246.50 ,$98.60 , N/A ,$401.55 ,$98.60 ,$397.70 ,$385.18 ,$433.33 ,$246.50 ,$409.26 ,$105.60 ,$409.26 ,$409.26 ,$433.33 ,$433.33 ,$377.96 ,$397.70 ,$105.60 ,$312.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050144,76942,US GUID FOR NDL PLACMT,360,1 ,$386.70 ,$251.36 ,$251.36 ,$348.22 ,$309.36 , N/A ,$306.42 ,$348.22 ,$348.22 , N/A ,$328.70 ,$286.16 , N/A , N/A , N/A ,$322.51 , N/A ,$319.41 ,$309.36 ,$348.03 , N/A ,$328.70 , N/A ,$328.70 ,$328.70 ,$348.03 ,$348.03 ,$303.56 ,$319.41 , N/A ,$251.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050146,N/A,*******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050222,71048,CHEST 4 VIEWS OR MORE,324,1 ,$250.48 ,$162.81 ,$98.60 ,$246.50 ,$200.38 ,$98.60 ,$198.48 ,$225.56 ,$225.56 ,$187.34 ,$212.91 ,$185.36 ,$246.50 ,$98.60 , N/A ,$208.90 ,$98.60 ,$206.90 ,$200.38 ,$225.43 ,$246.50 ,$212.91 ,$105.60 ,$212.91 ,$212.91 ,$225.43 ,$225.43 ,$196.63 ,$206.90 ,$105.60 ,$162.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050237,N/A,* DO NOT USE *,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050260,71045,CHEST 1 VIEW,320,1 ,$250.48 ,$162.81 ,$73.20 ,$225.56 ,$200.38 ,$73.20 ,$198.48 ,$225.56 ,$225.56 ,$139.08 ,$212.91 ,$185.36 ,$183.00 ,$73.20 , N/A ,$208.90 ,$73.20 ,$206.90 ,$200.38 ,$225.43 ,$183.00 ,$212.91 ,$78.40 ,$212.91 ,$212.91 ,$225.43 ,$225.43 ,$196.63 ,$206.90 ,$78.40 ,$162.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050278,71046,CHEST 2 VIEWS,320,1 ,$314.88 ,$204.67 ,$73.20 ,$283.55 ,$251.90 ,$73.20 ,$249.51 ,$283.55 ,$283.55 ,$139.08 ,$267.65 ,$233.01 ,$183.00 ,$73.20 , N/A ,$262.61 ,$73.20 ,$260.09 ,$251.90 ,$283.39 ,$183.00 ,$267.65 ,$78.40 ,$267.65 ,$267.65 ,$283.39 ,$283.39 ,$247.18 ,$260.09 ,$78.40 ,$204.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050286,N/A,********INACTIVATE********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050287,71101,RIBS UNILATERAL W/AP CHEST,320,1 ,$443.12 ,$288.03 ,$98.60 ,$399.03 ,$354.50 ,$98.60 ,$351.13 ,$399.03 ,$399.03 ,$187.34 ,$376.65 ,$327.91 ,$246.50 ,$98.60 , N/A ,$369.56 ,$98.60 ,$366.02 ,$354.50 ,$398.81 ,$246.50 ,$376.65 ,$105.60 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$105.60 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050294,71111,RIBS BILATERAL,320,1 ,$616.14 ,$400.49 ,$98.60 ,$554.83 ,$492.91 ,$98.60 ,$488.23 ,$554.83 ,$554.83 ,$187.34 ,$523.72 ,$455.94 ,$246.50 ,$98.60 , N/A ,$513.86 ,$98.60 ,$508.93 ,$492.91 ,$554.53 ,$246.50 ,$523.72 ,$105.60 ,$523.72 ,$523.72 ,$554.53 ,$554.53 ,$483.67 ,$508.93 ,$105.60 ,$400.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050300,N/A,US ADD US VIEWS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050302,71120,STERNUM,320,1 ,$411.69 ,$267.60 ,$73.20 ,$370.73 ,$329.35 ,$73.20 ,$326.22 ,$370.73 ,$370.73 ,$139.08 ,$349.94 ,$304.65 ,$183.00 ,$73.20 , N/A ,$343.35 ,$73.20 ,$340.06 ,$329.35 ,$370.52 ,$183.00 ,$349.94 ,$78.40 ,$349.94 ,$349.94 ,$370.52 ,$370.52 ,$323.18 ,$340.06 ,$78.40 ,$267.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050310,71130,SC JOINTS MIN 3V,320,1 ,$443.12 ,$288.03 ,$73.20 ,$399.03 ,$354.50 ,$73.20 ,$351.13 ,$399.03 ,$399.03 ,$139.08 ,$376.65 ,$327.91 ,$183.00 ,$73.20 , N/A ,$369.56 ,$73.20 ,$366.02 ,$354.50 ,$398.81 ,$183.00 ,$376.65 ,$78.40 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$78.40 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050320,76705,US RIGHT UPPER QUAD,402,1 ,$851.05 ,$553.18 ,$98.60 ,$766.37 ,$680.84 ,$98.60 ,$674.37 ,$766.37 ,$766.37 ,$187.34 ,$723.39 ,$629.78 ,$246.50 ,$98.60 , N/A ,$709.78 ,$98.60 ,$702.97 ,$680.84 ,$765.95 ,$246.50 ,$723.39 ,$105.60 ,$723.39 ,$723.39 ,$765.95 ,$765.95 ,$668.07 ,$702.97 ,$105.60 ,$553.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050328,76700,US ABDOMEN COMPLETE,402,1 ,$989.03 ,$642.87 ,$98.60 ,$890.62 ,$791.22 ,$98.60 ,$783.71 ,$890.62 ,$890.62 ,$187.34 ,$840.68 ,$731.88 ,$246.50 ,$98.60 , N/A ,$824.85 ,$98.60 ,$816.94 ,$791.22 ,$890.13 ,$246.50 ,$840.68 ,$105.60 ,$840.68 ,$840.68 ,$890.13 ,$890.13 ,$776.39 ,$816.94 ,$105.60 ,$642.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050335,76706,US AORTA SCREENING,402,1 ,$609.83 ,$396.39 ,$98.60 ,$549.15 ,$487.86 ,$98.60 ,$483.23 ,$549.15 ,$549.15 ,$187.34 ,$518.36 ,$451.27 ,$246.50 ,$98.60 , N/A ,$508.60 ,$98.60 ,$503.72 ,$487.86 ,$548.85 ,$246.50 ,$518.36 ,$105.60 ,$518.36 ,$518.36 ,$548.85 ,$548.85 ,$478.72 ,$503.72 ,$105.60 ,$396.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050336,76770,US RETROPERITINEAL COMPLETE,402,1 ,$719.61 ,$467.75 ,$98.60 ,$648.01 ,$575.69 ,$98.60 ,$570.22 ,$648.01 ,$648.01 ,$187.34 ,$611.67 ,$532.51 ,$246.50 ,$98.60 , N/A ,$600.15 ,$98.60 ,$594.40 ,$575.69 ,$647.65 ,$246.50 ,$611.67 ,$105.60 ,$611.67 ,$611.67 ,$647.65 ,$647.65 ,$564.89 ,$594.40 ,$105.60 ,$467.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050344,76857,US BLADDER,402,1 ,$719.61 ,$467.75 ,$98.60 ,$648.01 ,$575.69 ,$98.60 ,$570.22 ,$648.01 ,$648.01 ,$187.34 ,$611.67 ,$532.51 ,$246.50 ,$98.60 , N/A ,$600.15 ,$98.60 ,$594.40 ,$575.69 ,$647.65 ,$246.50 ,$611.67 ,$105.60 ,$611.67 ,$611.67 ,$647.65 ,$647.65 ,$564.89 ,$594.40 ,$105.60 ,$467.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050351,76705,US GALLBLADDER,402,1 ,$786.77 ,$511.40 ,$98.60 ,$708.49 ,$629.42 ,$98.60 ,$623.44 ,$708.49 ,$708.49 ,$187.34 ,$668.75 ,$582.21 ,$246.50 ,$98.60 , N/A ,$656.17 ,$98.60 ,$649.87 ,$629.42 ,$708.09 ,$246.50 ,$668.75 ,$105.60 ,$668.75 ,$668.75 ,$708.09 ,$708.09 ,$617.61 ,$649.87 ,$105.60 ,$511.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050369,76705,US HEPATIC-LIVER,402,1 ,$737.43 ,$479.33 ,$98.60 ,$664.06 ,$589.94 ,$98.60 ,$584.34 ,$664.06 ,$664.06 ,$187.34 ,$626.82 ,$545.70 ,$246.50 ,$98.60 , N/A ,$615.02 ,$98.60 ,$609.12 ,$589.94 ,$663.69 ,$246.50 ,$626.82 ,$105.60 ,$626.82 ,$626.82 ,$663.69 ,$663.69 ,$578.88 ,$609.12 ,$105.60 ,$479.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050377,76705,US PANCREAS,402,1 ,$894.59 ,$581.48 ,$98.60 ,$805.58 ,$715.67 ,$98.60 ,$708.87 ,$805.58 ,$805.58 ,$187.34 ,$760.40 ,$662.00 ,$246.50 ,$98.60 , N/A ,$746.09 ,$98.60 ,$738.93 ,$715.67 ,$805.13 ,$246.50 ,$760.40 ,$105.60 ,$760.40 ,$760.40 ,$805.13 ,$805.13 ,$702.25 ,$738.93 ,$105.60 ,$581.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050385,76775,US RENAL,402,1 ,$894.59 ,$581.48 ,$98.60 ,$805.58 ,$715.67 ,$98.60 ,$708.87 ,$805.58 ,$805.58 ,$187.34 ,$760.40 ,$662.00 ,$246.50 ,$98.60 , N/A ,$746.09 ,$98.60 ,$738.93 ,$715.67 ,$805.13 ,$246.50 ,$760.40 ,$105.60 ,$760.40 ,$760.40 ,$805.13 ,$805.13 ,$702.25 ,$738.93 ,$105.60 ,$581.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050401,76705,US SPLEEN,402,1 ,$719.61 ,$467.75 ,$98.60 ,$648.01 ,$575.69 ,$98.60 ,$570.22 ,$648.01 ,$648.01 ,$187.34 ,$611.67 ,$532.51 ,$246.50 ,$98.60 , N/A ,$600.15 ,$98.60 ,$594.40 ,$575.69 ,$647.65 ,$246.50 ,$611.67 ,$105.60 ,$611.67 ,$611.67 ,$647.65 ,$647.65 ,$564.89 ,$594.40 ,$105.60 ,$467.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050412,76802,US PREG<14 WKS EA ADDTL GESTATION,402,1 ,$456.89 ,$296.98 ,$296.98 ,$411.43 ,$365.51 , N/A ,$362.04 ,$411.43 ,$411.43 , N/A ,$388.36 ,$338.10 , N/A , N/A , N/A ,$381.05 , N/A ,$377.39 ,$365.51 ,$411.20 , N/A ,$388.36 , N/A ,$388.36 ,$388.36 ,$411.20 ,$411.20 ,$358.66 ,$377.39 , N/A ,$296.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050413,76810,US+PREG EVAL>14 WKS EA ADDITIONAL,402,1 ,$456.89 ,$296.98 ,$296.98 ,$411.43 ,$365.51 , N/A ,$362.04 ,$411.43 ,$411.43 , N/A ,$388.36 ,$338.10 , N/A , N/A , N/A ,$381.05 , N/A ,$377.39 ,$365.51 ,$411.20 , N/A ,$388.36 , N/A ,$388.36 ,$388.36 ,$411.20 ,$411.20 ,$358.66 ,$377.39 , N/A ,$296.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050419,76805,US PREG EVAL> 14 WKS,402,1 ,$609.01 ,$395.86 ,$98.60 ,$548.41 ,$487.21 ,$98.60 ,$482.58 ,$548.41 ,$548.41 ,$187.34 ,$517.66 ,$450.67 ,$246.50 ,$98.60 , N/A ,$507.91 ,$98.60 ,$503.04 ,$487.21 ,$548.11 ,$246.50 ,$517.66 ,$105.60 ,$517.66 ,$517.66 ,$548.11 ,$548.11 ,$478.07 ,$503.04 ,$105.60 ,$395.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050421,76812,US PREG >14W EA ADD GEST,402,1 ,$392.95 ,$255.42 ,$255.42 ,$353.85 ,$314.36 , N/A ,$311.37 ,$353.85 ,$353.85 , N/A ,$334.01 ,$290.78 , N/A , N/A , N/A ,$327.72 , N/A ,$324.58 ,$314.36 ,$353.66 , N/A ,$334.01 , N/A ,$334.01 ,$334.01 ,$353.66 ,$353.66 ,$308.47 ,$324.58 , N/A ,$255.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050427,76818,US FETAL BIOPHYSIC W/NON STRESS,402,1 ,$717.14 ,$466.14 ,$98.60 ,$645.78 ,$573.71 ,$98.60 ,$568.26 ,$645.78 ,$645.78 ,$187.34 ,$609.57 ,$530.68 ,$246.50 ,$98.60 , N/A ,$598.09 ,$98.60 ,$592.36 ,$573.71 ,$645.43 ,$246.50 ,$609.57 ,$105.60 ,$609.57 ,$609.57 ,$645.43 ,$645.43 ,$562.95 ,$592.36 ,$105.60 ,$466.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050433,76801,US PREG UTERUS EVAL<14WKS,402,1 ,$609.01 ,$395.86 ,$98.60 ,$548.41 ,$487.21 ,$98.60 ,$482.58 ,$548.41 ,$548.41 ,$187.34 ,$517.66 ,$450.67 ,$246.50 ,$98.60 , N/A ,$507.91 ,$98.60 ,$503.04 ,$487.21 ,$548.11 ,$246.50 ,$517.66 ,$105.60 ,$517.66 ,$517.66 ,$548.11 ,$548.11 ,$478.07 ,$503.04 ,$105.60 ,$395.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050443,76830,US TRANSVAGINAL,402,1 ,$822.65 ,$534.72 ,$98.60 ,$740.80 ,$658.12 ,$98.60 ,$651.87 ,$740.80 ,$740.80 ,$187.34 ,$699.25 ,$608.76 ,$246.50 ,$98.60 , N/A ,$686.09 ,$98.60 ,$679.51 ,$658.12 ,$740.39 ,$246.50 ,$699.25 ,$105.60 ,$699.25 ,$699.25 ,$740.39 ,$740.39 ,$645.78 ,$679.51 ,$105.60 ,$534.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050444,76811,US PREG >14 SINGLE/1ST GEST,402,1 ,$524.00 ,$340.60 ,$208.23 ,$520.58 ,$419.20 ,$208.23 ,$415.22 ,$471.86 ,$471.86 ,$395.64 ,$445.40 ,$387.76 ,$520.58 ,$208.23 , N/A ,$437.02 ,$208.23 ,$432.82 ,$419.20 ,$471.60 ,$520.58 ,$445.40 ,$223.02 ,$445.40 ,$445.40 ,$471.60 ,$471.60 ,$411.34 ,$432.82 ,$223.02 ,$340.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050450,76536,US S T NECK,402,1 ,$685.32 ,$445.46 ,$98.60 ,$617.13 ,$548.26 ,$98.60 ,$543.05 ,$617.13 ,$617.13 ,$187.34 ,$582.52 ,$507.14 ,$246.50 ,$98.60 , N/A ,$571.56 ,$98.60 ,$566.07 ,$548.26 ,$616.79 ,$246.50 ,$582.52 ,$105.60 ,$582.52 ,$582.52 ,$616.79 ,$616.79 ,$537.98 ,$566.07 ,$105.60 ,$445.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050468,76705,US LIMITED STUDY,402,1 ,$236.41 ,$153.67 ,$98.60 ,$246.50 ,$189.13 ,$98.60 ,$187.33 ,$212.89 ,$212.89 ,$187.34 ,$200.95 ,$174.94 ,$246.50 ,$98.60 , N/A ,$197.17 ,$98.60 ,$195.27 ,$189.13 ,$212.77 ,$236.41 ,$200.95 ,$105.60 ,$200.95 ,$200.95 ,$212.77 ,$212.77 ,$185.58 ,$195.27 ,$105.60 ,$153.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050476,76856,US PELVIC-NON OB,402,1 ,$899.16 ,$584.45 ,$98.60 ,$809.69 ,$719.33 ,$98.60 ,$712.49 ,$809.69 ,$809.69 ,$187.34 ,$764.29 ,$665.38 ,$246.50 ,$98.60 , N/A ,$749.90 ,$98.60 ,$742.71 ,$719.33 ,$809.24 ,$246.50 ,$764.29 ,$105.60 ,$764.29 ,$764.29 ,$809.24 ,$809.24 ,$705.84 ,$742.71 ,$105.60 ,$584.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050484,76775,US AORTA,402,1 ,$719.61 ,$467.75 ,$98.60 ,$648.01 ,$575.69 ,$98.60 ,$570.22 ,$648.01 ,$648.01 ,$187.34 ,$611.67 ,$532.51 ,$246.50 ,$98.60 , N/A ,$600.15 ,$98.60 ,$594.40 ,$575.69 ,$647.65 ,$246.50 ,$611.67 ,$105.60 ,$611.67 ,$611.67 ,$647.65 ,$647.65 ,$564.89 ,$594.40 ,$105.60 ,$467.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050485,93979,US AORTA ILIAC LIMITED,921,1 ,$719.61 ,$467.75 ,$98.60 ,$648.01 ,$575.69 ,$98.60 ,$570.22 ,$648.01 ,$648.01 ,$187.34 ,$611.67 ,$532.51 ,$246.50 ,$98.60 , N/A ,$600.15 ,$98.60 ,$594.40 ,$575.69 ,$647.65 ,$246.50 ,$611.67 ,$105.60 ,$611.67 ,$611.67 ,$647.65 ,$647.65 ,$564.89 ,$594.40 ,$105.60 ,$467.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050492,N/A,******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050493,76642,US BREAST RT,402,1 ,$804.72 ,$523.07 ,$73.20 ,$724.65 ,$643.78 ,$73.20 ,$637.66 ,$724.65 ,$724.65 ,$139.08 ,$684.01 ,$595.49 ,$183.00 ,$73.20 , N/A ,$671.14 ,$73.20 ,$664.70 ,$643.78 ,$724.25 ,$183.00 ,$684.01 ,$78.40 ,$684.01 ,$684.01 ,$724.25 ,$724.25 ,$631.71 ,$664.70 ,$78.40 ,$523.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050494,76642,US BREAST LT,402,1 ,$804.72 ,$523.07 ,$73.20 ,$724.65 ,$643.78 ,$73.20 ,$637.66 ,$724.65 ,$724.65 ,$139.08 ,$684.01 ,$595.49 ,$183.00 ,$73.20 , N/A ,$671.14 ,$73.20 ,$664.70 ,$643.78 ,$724.25 ,$183.00 ,$684.01 ,$78.40 ,$684.01 ,$684.01 ,$724.25 ,$724.25 ,$631.71 ,$664.70 ,$78.40 ,$523.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050495,76642,US BREAST BILATERAL,402,1 ,"$1,609.44 ","$1,046.14 ",$73.20 ,"$1,449.30 ","$1,287.55 ",$73.20 ,"$1,275.32 ","$1,449.30 ","$1,449.30 ",$139.08 ,"$1,368.02 ","$1,190.99 ",$183.00 ,$73.20 , N/A ,"$1,342.27 ",$73.20 ,"$1,329.40 ","$1,287.55 ","$1,448.50 ",$183.00 ,"$1,368.02 ",$78.40 ,"$1,368.02 ","$1,368.02 ","$1,448.50 ","$1,448.50 ","$1,263.41 ","$1,329.40 ",$78.40 ,"$1,046.14 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30050526,72050,SPINE CERVICAL 4 OR 5 VIEWS,320,1 ,$616.14 ,$400.49 ,$98.60 ,$554.83 ,$492.91 ,$98.60 ,$488.23 ,$554.83 ,$554.83 ,$187.34 ,$523.72 ,$455.94 ,$246.50 ,$98.60 , N/A ,$513.86 ,$98.60 ,$508.93 ,$492.91 ,$554.53 ,$246.50 ,$523.72 ,$105.60 ,$523.72 ,$523.72 ,$554.53 ,$554.53 ,$483.67 ,$508.93 ,$105.60 ,$400.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050534,72072,T SPINE 3 VIEWS,320,1 ,$443.12 ,$288.03 ,$98.60 ,$399.03 ,$354.50 ,$98.60 ,$351.13 ,$399.03 ,$399.03 ,$187.34 ,$376.65 ,$327.91 ,$246.50 ,$98.60 , N/A ,$369.56 ,$98.60 ,$366.02 ,$354.50 ,$398.81 ,$246.50 ,$376.65 ,$105.60 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$105.60 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050542,72074,T SPINE MINIMUM 4 VIEWS,320,1 ,$750.82 ,$488.03 ,$98.60 ,$676.11 ,$600.66 ,$98.60 ,$594.95 ,$676.11 ,$676.11 ,$187.34 ,$638.20 ,$555.61 ,$246.50 ,$98.60 , N/A ,$626.18 ,$98.60 ,$620.18 ,$600.66 ,$675.74 ,$246.50 ,$638.20 ,$105.60 ,$638.20 ,$638.20 ,$675.74 ,$675.74 ,$589.39 ,$620.18 ,$105.60 ,$488.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050567,72100,L/S SPINE 2 OR 3 VIEWS,320,1 ,$450.05 ,$292.53 ,$98.60 ,$405.27 ,$360.04 ,$98.60 ,$356.62 ,$405.27 ,$405.27 ,$187.34 ,$382.54 ,$333.04 ,$246.50 ,$98.60 , N/A ,$375.34 ,$98.60 ,$371.74 ,$360.04 ,$405.05 ,$246.50 ,$382.54 ,$105.60 ,$382.54 ,$382.54 ,$405.05 ,$405.05 ,$353.29 ,$371.74 ,$105.60 ,$292.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050575,72110,L/S SPINE MINIMUM 4 VIEWS,320,1 ,$681.35 ,$442.88 ,$98.60 ,$613.56 ,$545.08 ,$98.60 ,$539.90 ,$613.56 ,$613.56 ,$187.34 ,$579.15 ,$504.20 ,$246.50 ,$98.60 , N/A ,$568.25 ,$98.60 ,$562.80 ,$545.08 ,$613.22 ,$246.50 ,$579.15 ,$105.60 ,$579.15 ,$579.15 ,$613.22 ,$613.22 ,$534.86 ,$562.80 ,$105.60 ,$442.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050591,72170,PELVIS 1 OR 2 VIEWS,320,1 ,$314.88 ,$204.67 ,$98.60 ,$283.55 ,$251.90 ,$98.60 ,$249.51 ,$283.55 ,$283.55 ,$187.34 ,$267.65 ,$233.01 ,$246.50 ,$98.60 , N/A ,$262.61 ,$98.60 ,$260.09 ,$251.90 ,$283.39 ,$246.50 ,$267.65 ,$105.60 ,$267.65 ,$267.65 ,$283.39 ,$283.39 ,$247.18 ,$260.09 ,$105.60 ,$204.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050617,72202,SI JOINTS MIN 3 VIEWS,320,1 ,$481.48 ,$312.96 ,$98.60 ,$433.57 ,$385.18 ,$98.60 ,$381.52 ,$433.57 ,$433.57 ,$187.34 ,$409.26 ,$356.30 ,$246.50 ,$98.60 , N/A ,$401.55 ,$98.60 ,$397.70 ,$385.18 ,$433.33 ,$246.50 ,$409.26 ,$105.60 ,$409.26 ,$409.26 ,$433.33 ,$433.33 ,$377.96 ,$397.70 ,$105.60 ,$312.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050625,72220,SACRUM COCCYX MIN 2V,320,1 ,$443.12 ,$288.03 ,$73.20 ,$399.03 ,$354.50 ,$73.20 ,$351.13 ,$399.03 ,$399.03 ,$139.08 ,$376.65 ,$327.91 ,$183.00 ,$73.20 , N/A ,$369.56 ,$73.20 ,$366.02 ,$354.50 ,$398.81 ,$183.00 ,$376.65 ,$78.40 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$78.40 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050724,N/A,GLUCAGON,270,1 ,$155.14 ,$100.84 ,$100.84 ,$139.70 ,$124.11 , N/A ,$122.93 ,$139.70 ,$139.70 , N/A ,$131.87 ,$114.80 , N/A , N/A , N/A ,$129.39 , N/A ,$128.15 ,$124.11 ,$139.63 , N/A ,$131.87 , N/A ,$131.87 ,$131.87 ,$139.63 ,$139.63 ,$121.78 ,$128.15 , N/A ,$100.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050742,73501,HIP LT 1V W OR W/O PELVIS,320,1 ,$160.01 ,$104.01 ,$73.20 ,$183.00 ,$128.01 ,$73.20 ,$126.79 ,$144.09 ,$144.09 ,$139.08 ,$136.01 ,$118.41 ,$183.00 ,$73.20 , N/A ,$133.45 ,$73.20 ,$132.17 ,$128.01 ,$144.01 ,$160.01 ,$136.01 ,$78.40 ,$136.01 ,$136.01 ,$144.01 ,$144.01 ,$125.61 ,$132.17 ,$78.40 ,$104.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050743,73501,HIP RT 1V W OR W/O PELVIS,320,1 ,$160.01 ,$104.01 ,$73.20 ,$183.00 ,$128.01 ,$73.20 ,$126.79 ,$144.09 ,$144.09 ,$139.08 ,$136.01 ,$118.41 ,$183.00 ,$73.20 , N/A ,$133.45 ,$73.20 ,$132.17 ,$128.01 ,$144.01 ,$160.01 ,$136.01 ,$78.40 ,$136.01 ,$136.01 ,$144.01 ,$144.01 ,$125.61 ,$132.17 ,$78.40 ,$104.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050756,73000,CLAVICLE LEFT,320,1 ,$411.69 ,$267.60 ,$73.20 ,$370.73 ,$329.35 ,$73.20 ,$326.22 ,$370.73 ,$370.73 ,$139.08 ,$349.94 ,$304.65 ,$183.00 ,$73.20 , N/A ,$343.35 ,$73.20 ,$340.06 ,$329.35 ,$370.52 ,$183.00 ,$349.94 ,$78.40 ,$349.94 ,$349.94 ,$370.52 ,$370.52 ,$323.18 ,$340.06 ,$78.40 ,$267.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050757,73000,CLAVICLE RIGHT,320,1 ,$411.69 ,$267.60 ,$73.20 ,$370.73 ,$329.35 ,$73.20 ,$326.22 ,$370.73 ,$370.73 ,$139.08 ,$349.94 ,$304.65 ,$183.00 ,$73.20 , N/A ,$343.35 ,$73.20 ,$340.06 ,$329.35 ,$370.52 ,$183.00 ,$349.94 ,$78.40 ,$349.94 ,$349.94 ,$370.52 ,$370.52 ,$323.18 ,$340.06 ,$78.40 ,$267.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050765,73010,SCAPULA RIGHT,320,1 ,$443.12 ,$288.03 ,$98.60 ,$399.03 ,$354.50 ,$98.60 ,$351.13 ,$399.03 ,$399.03 ,$187.34 ,$376.65 ,$327.91 ,$246.50 ,$98.60 , N/A ,$369.56 ,$98.60 ,$366.02 ,$354.50 ,$398.81 ,$246.50 ,$376.65 ,$105.60 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$105.60 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050766,73010,SCAPULA LEFT,320,1 ,$443.12 ,$288.03 ,$98.60 ,$399.03 ,$354.50 ,$98.60 ,$351.13 ,$399.03 ,$399.03 ,$187.34 ,$376.65 ,$327.91 ,$246.50 ,$98.60 , N/A ,$369.56 ,$98.60 ,$366.02 ,$354.50 ,$398.81 ,$246.50 ,$376.65 ,$105.60 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$105.60 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050773,73030,SHOULDER RIGHT,320,1 ,$443.12 ,$288.03 ,$73.20 ,$399.03 ,$354.50 ,$73.20 ,$351.13 ,$399.03 ,$399.03 ,$139.08 ,$376.65 ,$327.91 ,$183.00 ,$73.20 , N/A ,$369.56 ,$73.20 ,$366.02 ,$354.50 ,$398.81 ,$183.00 ,$376.65 ,$78.40 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$78.40 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050774,73030,SHOULDER LEFT,320,1 ,$443.12 ,$288.03 ,$73.20 ,$399.03 ,$354.50 ,$73.20 ,$351.13 ,$399.03 ,$399.03 ,$139.08 ,$376.65 ,$327.91 ,$183.00 ,$73.20 , N/A ,$369.56 ,$73.20 ,$366.02 ,$354.50 ,$398.81 ,$183.00 ,$376.65 ,$78.40 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$78.40 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050775,73020,SHOULDER RT 1 VIEW,320,1 ,$200.05 ,$130.03 ,$73.20 ,$183.00 ,$160.04 ,$73.20 ,$158.52 ,$180.15 ,$180.15 ,$139.08 ,$170.04 ,$148.04 ,$183.00 ,$73.20 , N/A ,$166.84 ,$73.20 ,$165.24 ,$160.04 ,$180.05 ,$183.00 ,$170.04 ,$78.40 ,$170.04 ,$170.04 ,$180.05 ,$180.05 ,$157.04 ,$165.24 ,$78.40 ,$130.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050776,73020,SHOULDER LT 1 VIEW,320,1 ,$200.05 ,$130.03 ,$73.20 ,$183.00 ,$160.04 ,$73.20 ,$158.52 ,$180.15 ,$180.15 ,$139.08 ,$170.04 ,$148.04 ,$183.00 ,$73.20 , N/A ,$166.84 ,$73.20 ,$165.24 ,$160.04 ,$180.05 ,$183.00 ,$170.04 ,$78.40 ,$170.04 ,$170.04 ,$180.05 ,$180.05 ,$157.04 ,$165.24 ,$78.40 ,$130.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050781,73050,AC JOINTS BILATW/W/O WEIGHTS,320,1 ,$450.05 ,$292.53 ,$73.20 ,$405.27 ,$360.04 ,$73.20 ,$356.62 ,$405.27 ,$405.27 ,$139.08 ,$382.54 ,$333.04 ,$183.00 ,$73.20 , N/A ,$375.34 ,$73.20 ,$371.74 ,$360.04 ,$405.05 ,$183.00 ,$382.54 ,$78.40 ,$382.54 ,$382.54 ,$405.05 ,$405.05 ,$353.29 ,$371.74 ,$78.40 ,$292.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050799,73060,HUMERUS RT MIN 2V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050800,73060,HUMERUS LT MIN 2V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050802,72040,SPINE CERVICAL 3 VIEWS OR LESS,320,1 ,$749.30 ,$487.05 ,$73.20 ,$674.74 ,$599.44 ,$73.20 ,$593.75 ,$674.74 ,$674.74 ,$139.08 ,$636.91 ,$554.48 ,$183.00 ,$73.20 , N/A ,$624.92 ,$73.20 ,$618.92 ,$599.44 ,$674.37 ,$183.00 ,$636.91 ,$78.40 ,$636.91 ,$636.91 ,$674.37 ,$674.37 ,$588.20 ,$618.92 ,$78.40 ,$487.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050807,73080,ELBOW COMPLETE-RT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050808,73080,ELBOW COMPLETE-LT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050810,76000,FLUORO C ARM,320,1 ,$439.96 ,$285.97 ,$208.23 ,$520.58 ,$351.97 ,$208.23 ,$348.62 ,$396.18 ,$396.18 ,$395.64 ,$373.97 ,$325.57 ,$520.58 ,$208.23 , N/A ,$366.93 ,$208.23 ,$363.41 ,$351.97 ,$395.96 ,$439.96 ,$373.97 ,$223.02 ,$373.97 ,$373.97 ,$395.96 ,$395.96 ,$345.37 ,$363.41 ,$223.02 ,$285.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050811,70200,"ORBITS, COMPLETE MIN 4 VIEWS",320,1 ,$269.73 ,$175.32 ,$98.60 ,$246.50 ,$215.78 ,$98.60 ,$213.73 ,$242.89 ,$242.89 ,$187.34 ,$229.27 ,$199.60 ,$246.50 ,$98.60 , N/A ,$224.95 ,$98.60 ,$222.80 ,$215.78 ,$242.76 ,$246.50 ,$229.27 ,$105.60 ,$229.27 ,$229.27 ,$242.76 ,$242.76 ,$211.74 ,$222.80 ,$105.60 ,$175.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050812,73070,ELBOW RT-2V,320,1 ,$314.62 ,$204.50 ,$73.20 ,$283.32 ,$251.70 ,$73.20 ,$249.30 ,$283.32 ,$283.32 ,$139.08 ,$267.43 ,$232.82 ,$183.00 ,$73.20 , N/A ,$262.39 ,$73.20 ,$259.88 ,$251.70 ,$283.16 ,$183.00 ,$267.43 ,$78.40 ,$267.43 ,$267.43 ,$283.16 ,$283.16 ,$246.98 ,$259.88 ,$78.40 ,$204.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050815,73090,FOREARM RT 2V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050816,73090,FOREARM LT 2V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050817,73140,FINGER(S),320,1 ,$314.88 ,$204.67 ,$73.20 ,$283.55 ,$251.90 ,$73.20 ,$249.51 ,$283.55 ,$283.55 ,$139.08 ,$267.65 ,$233.01 ,$183.00 ,$73.20 , N/A ,$262.61 ,$73.20 ,$260.09 ,$251.90 ,$283.39 ,$183.00 ,$267.65 ,$78.40 ,$267.65 ,$267.65 ,$283.39 ,$283.39 ,$247.18 ,$260.09 ,$78.40 ,$204.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050819,N/A,******INACTIVATE*********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050820,73070,ELBOW LT-2V,320,1 ,$314.62 ,$204.50 ,$73.20 ,$283.32 ,$251.70 ,$73.20 ,$249.30 ,$283.32 ,$283.32 ,$139.08 ,$267.43 ,$232.82 ,$183.00 ,$73.20 , N/A ,$262.39 ,$73.20 ,$259.88 ,$251.70 ,$283.16 ,$183.00 ,$267.43 ,$78.40 ,$267.43 ,$267.43 ,$283.16 ,$283.16 ,$246.98 ,$259.88 ,$78.40 ,$204.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050822,N/A,******INACTIVATE******,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050823,73110,WRIST RT MIN 3V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050824,73110,WRIST LT MIN 3V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050825,N/A,******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050826,N/A,******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050827,N/A,******INACTIVATED********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050828,N/A,******INACTIVATED*****,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050829,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050830,73660,TOE(S),320,1 ,$314.88 ,$204.67 ,$73.20 ,$283.55 ,$251.90 ,$73.20 ,$249.51 ,$283.55 ,$283.55 ,$139.08 ,$267.65 ,$233.01 ,$183.00 ,$73.20 , N/A ,$262.61 ,$73.20 ,$260.09 ,$251.90 ,$283.39 ,$183.00 ,$267.65 ,$78.40 ,$267.65 ,$267.65 ,$283.39 ,$283.39 ,$247.18 ,$260.09 ,$78.40 ,$204.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050831,73130,HAND 3 VIEW RIGHT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050832,73130,HAND 3 VIEW LEFT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050833,N/A,******INACTIVATE*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050834,N/A,*******INACTIVATE******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050835,N/A,******INACTIVATE**********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050836,N/A,*******INACTIVATED********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050837,N/A,******INACTIVATED********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050838,N/A,*******INACTIVATED**********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050839,N/A,*******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050840,73070,ELBOW 2V-BIL,320,1 ,$361.80 ,$235.17 ,$73.20 ,$325.80 ,$289.44 ,$73.20 ,$286.69 ,$325.80 ,$325.80 ,$139.08 ,$307.53 ,$267.73 ,$183.00 ,$73.20 , N/A ,$301.74 ,$73.20 ,$298.85 ,$289.44 ,$325.62 ,$183.00 ,$307.53 ,$78.40 ,$307.53 ,$307.53 ,$325.62 ,$325.62 ,$284.01 ,$298.85 ,$78.40 ,$235.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050841,73092,UP EXTREM INFANT-RT,320,1 ,$377.74 ,$245.53 ,$98.60 ,$340.15 ,$302.19 ,$98.60 ,$299.32 ,$340.15 ,$340.15 ,$187.34 ,$321.08 ,$279.53 ,$246.50 ,$98.60 , N/A ,$315.04 ,$98.60 ,$312.01 ,$302.19 ,$339.97 ,$246.50 ,$321.08 ,$105.60 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$105.60 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050842,73092,UP EXTREM INFANT-LT,320,1 ,$377.74 ,$245.53 ,$98.60 ,$340.15 ,$302.19 ,$98.60 ,$299.32 ,$340.15 ,$340.15 ,$187.34 ,$321.08 ,$279.53 ,$246.50 ,$98.60 , N/A ,$315.04 ,$98.60 ,$312.01 ,$302.19 ,$339.97 ,$246.50 ,$321.08 ,$105.60 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$105.60 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050843,73540,PELVIS 2V CHILD INFANT,320,1 ,$132.69 ,$86.25 ,$86.25 ,$119.49 ,$106.15 , N/A ,$105.14 ,$119.49 ,$119.49 , N/A ,$112.79 ,$98.19 , N/A , N/A , N/A ,$110.66 , N/A ,$109.60 ,$106.15 ,$119.42 , N/A ,$112.79 , N/A ,$112.79 ,$112.79 ,$119.42 ,$119.42 ,$104.16 ,$109.60 , N/A ,$86.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050845,70030,ORBITS FOR BODY - LT,320,1 ,$134.96 ,$87.72 ,$73.20 ,$183.00 ,$107.97 ,$73.20 ,$106.94 ,$121.53 ,$121.53 ,$139.08 ,$114.72 ,$99.87 ,$183.00 ,$73.20 , N/A ,$112.56 ,$73.20 ,$111.48 ,$107.97 ,$121.46 ,$134.96 ,$114.72 ,$78.40 ,$114.72 ,$114.72 ,$121.46 ,$121.46 ,$105.94 ,$111.48 ,$78.40 ,$87.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050846,70030,ORBITS FOR BODY- RT,320,1 ,$134.96 ,$87.72 ,$73.20 ,$183.00 ,$107.97 ,$73.20 ,$106.94 ,$121.53 ,$121.53 ,$139.08 ,$114.72 ,$99.87 ,$183.00 ,$73.20 , N/A ,$112.56 ,$73.20 ,$111.48 ,$107.97 ,$121.46 ,$134.96 ,$114.72 ,$78.40 ,$114.72 ,$114.72 ,$121.46 ,$121.46 ,$105.94 ,$111.48 ,$78.40 ,$87.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050847,70030,ORBITS FOR BODY- BILAT,320,1 ,$269.73 ,$175.32 ,$73.20 ,$242.89 ,$215.78 ,$73.20 ,$213.73 ,$242.89 ,$242.89 ,$139.08 ,$229.27 ,$199.60 ,$183.00 ,$73.20 , N/A ,$224.95 ,$73.20 ,$222.80 ,$215.78 ,$242.76 ,$183.00 ,$229.27 ,$78.40 ,$229.27 ,$229.27 ,$242.76 ,$242.76 ,$211.74 ,$222.80 ,$78.40 ,$175.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050848,71047,CHEST 3 VIEWS,324,1 ,$569.25 ,$370.01 ,$73.20 ,$512.61 ,$455.40 ,$73.20 ,$451.07 ,$512.61 ,$512.61 ,$139.08 ,$483.86 ,$421.25 ,$183.00 ,$73.20 , N/A ,$474.75 ,$73.20 ,$470.20 ,$455.40 ,$512.33 ,$183.00 ,$483.86 ,$78.40 ,$483.86 ,$483.86 ,$512.33 ,$512.33 ,$446.86 ,$470.20 ,$78.40 ,$370.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050849,N/A,******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050850,N/A,******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30050852,72052,SPINE CERVICAL 6 OR MORE VIEWS,320,1 ,$659.40 ,$428.61 ,$98.60 ,$593.79 ,$527.52 ,$98.60 ,$522.51 ,$593.79 ,$593.79 ,$187.34 ,$560.49 ,$487.96 ,$246.50 ,$98.60 , N/A ,$549.94 ,$98.60 ,$544.66 ,$527.52 ,$593.46 ,$246.50 ,$560.49 ,$105.60 ,$560.49 ,$560.49 ,$593.46 ,$593.46 ,$517.63 ,$544.66 ,$105.60 ,$428.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050854,23350,SHOULDER INJ ARTHRO-RT,361,1 ,$509.90 ,$331.44 ,$331.44 ,$459.17 ,$407.92 , N/A ,$404.04 ,$459.17 ,$459.17 , N/A ,$433.42 ,$377.33 , N/A , N/A , N/A ,$425.26 , N/A ,$421.18 ,$407.92 ,$458.91 , N/A ,$433.42 , N/A ,$433.42 ,$433.42 ,$458.91 ,$458.91 ,$400.27 ,$421.18 , N/A ,$331.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050855,23350,SHOULDER INJ ARTHRO-LT,361,1 ,$509.90 ,$331.44 ,$331.44 ,$459.17 ,$407.92 , N/A ,$404.04 ,$459.17 ,$459.17 , N/A ,$433.42 ,$377.33 , N/A , N/A , N/A ,$425.26 , N/A ,$421.18 ,$407.92 ,$458.91 , N/A ,$433.42 , N/A ,$433.42 ,$433.42 ,$458.91 ,$458.91 ,$400.27 ,$421.18 , N/A ,$331.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050856,73564,KNEE 4V COMPLETE-RT,320,1 ,$449.39 ,$292.10 ,$98.60 ,$404.68 ,$359.51 ,$98.60 ,$356.10 ,$404.68 ,$404.68 ,$187.34 ,$381.98 ,$332.55 ,$246.50 ,$98.60 , N/A ,$374.79 ,$98.60 ,$371.20 ,$359.51 ,$404.45 ,$246.50 ,$381.98 ,$105.60 ,$381.98 ,$381.98 ,$404.45 ,$404.45 ,$352.77 ,$371.20 ,$105.60 ,$292.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050857,73564,KNEE 4V COMPLETE-LT,320,1 ,$449.39 ,$292.10 ,$98.60 ,$404.68 ,$359.51 ,$98.60 ,$356.10 ,$404.68 ,$404.68 ,$187.34 ,$381.98 ,$332.55 ,$246.50 ,$98.60 , N/A ,$374.79 ,$98.60 ,$371.20 ,$359.51 ,$404.45 ,$246.50 ,$381.98 ,$105.60 ,$381.98 ,$381.98 ,$404.45 ,$404.45 ,$352.77 ,$371.20 ,$105.60 ,$292.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050858,73565,BOTH KNEES STANDING AP,320,1 ,$411.69 ,$267.60 ,$73.20 ,$370.73 ,$329.35 ,$73.20 ,$326.22 ,$370.73 ,$370.73 ,$139.08 ,$349.94 ,$304.65 ,$183.00 ,$73.20 , N/A ,$343.35 ,$73.20 ,$340.06 ,$329.35 ,$370.52 ,$183.00 ,$349.94 ,$78.40 ,$349.94 ,$349.94 ,$370.52 ,$370.52 ,$323.18 ,$340.06 ,$78.40 ,$267.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050859,73120,HAND LEFT 2V,320,1 ,$317.75 ,$206.54 ,$98.60 ,$286.13 ,$254.20 ,$98.60 ,$251.79 ,$286.13 ,$286.13 ,$187.34 ,$270.09 ,$235.14 ,$246.50 ,$98.60 , N/A ,$265.00 ,$98.60 ,$262.46 ,$254.20 ,$285.98 ,$246.50 ,$270.09 ,$105.60 ,$270.09 ,$270.09 ,$285.98 ,$285.98 ,$249.43 ,$262.46 ,$105.60 ,$206.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050860,73120,HAND RIGHT 2V,320,1 ,$317.75 ,$206.54 ,$98.60 ,$286.13 ,$254.20 ,$98.60 ,$251.79 ,$286.13 ,$286.13 ,$187.34 ,$270.09 ,$235.14 ,$246.50 ,$98.60 , N/A ,$265.00 ,$98.60 ,$262.46 ,$254.20 ,$285.98 ,$246.50 ,$270.09 ,$105.60 ,$270.09 ,$270.09 ,$285.98 ,$285.98 ,$249.43 ,$262.46 ,$105.60 ,$206.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050861,74240,UGI SINGLE W/SMALL BOWEL,320,1 ,$899.16 ,$584.45 ,$161.56 ,$809.69 ,$719.33 ,$161.56 ,$712.49 ,$809.69 ,$809.69 ,$306.96 ,$764.29 ,$665.38 ,$403.90 ,$161.56 , N/A ,$749.90 ,$161.56 ,$742.71 ,$719.33 ,$809.24 ,$403.90 ,$764.29 ,$173.03 ,$764.29 ,$764.29 ,$809.24 ,$809.24 ,$705.84 ,$742.71 ,$173.03 ,$584.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050862,74246,UGI A/C W/SMALL BOWEL,320,1 ,$989.03 ,$642.87 ,$161.56 ,$890.62 ,$791.22 ,$161.56 ,$783.71 ,$890.62 ,$890.62 ,$306.96 ,$840.68 ,$731.88 ,$403.90 ,$161.56 , N/A ,$824.85 ,$161.56 ,$816.94 ,$791.22 ,$890.13 ,$403.90 ,$840.68 ,$173.03 ,$840.68 ,$840.68 ,$890.13 ,$890.13 ,$776.39 ,$816.94 ,$173.03 ,$642.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050864,47505,INJ PROC CHOLANGIO VIA EXIST CATH,361,1 ,$168.13 ,$109.28 ,$109.28 ,$151.40 ,$134.50 , N/A ,$133.23 ,$151.40 ,$151.40 , N/A ,$142.91 ,$124.42 , N/A , N/A , N/A ,$140.22 , N/A ,$138.88 ,$134.50 ,$151.32 , N/A ,$142.91 , N/A ,$142.91 ,$142.91 ,$151.32 ,$151.32 ,$131.98 ,$138.88 , N/A ,$109.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050865,51600,INJ PROC FOR CYSTOGRAPHY,361,1 ,$134.62 ,$87.50 ,$87.50 ,$121.23 ,$107.70 , N/A ,$106.67 ,$121.23 ,$121.23 , N/A ,$114.43 ,$99.62 , N/A , N/A , N/A ,$112.27 , N/A ,$111.20 ,$107.70 ,$121.16 , N/A ,$114.43 , N/A ,$114.43 ,$114.43 ,$121.16 ,$121.16 ,$105.68 ,$111.20 , N/A ,$87.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050866,70336,MRI TMJ'S-BILAT,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30050867,70336,MRI TMJ'S-RT,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30050869,73592,LWR EXTREM INFANT 2V-RT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050870,73592,LWR EXTREM INFANT 2V-LT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050871,73592,LWR EXTREM INFANT 2V-BIL,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050873,10022,FINE NEEDLE ASPIRATION W IMAGING,361,1 ,$259.10 ,$168.42 ,$168.42 ,$233.32 ,$207.28 , N/A ,$205.31 ,$233.32 ,$233.32 , N/A ,$220.24 ,$191.73 , N/A , N/A , N/A ,$216.09 , N/A ,$214.02 ,$207.28 ,$233.19 , N/A ,$220.24 , N/A ,$220.24 ,$220.24 ,$233.19 ,$233.19 ,$203.39 ,$214.02 , N/A ,$168.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050880,76536,US THYROID,402,1 ,$719.61 ,$467.75 ,$98.60 ,$648.01 ,$575.69 ,$98.60 ,$570.22 ,$648.01 ,$648.01 ,$187.34 ,$611.67 ,$532.51 ,$246.50 ,$98.60 , N/A ,$600.15 ,$98.60 ,$594.40 ,$575.69 ,$647.65 ,$246.50 ,$611.67 ,$105.60 ,$611.67 ,$611.67 ,$647.65 ,$647.65 ,$564.89 ,$594.40 ,$105.60 ,$467.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050930,93880,US CAROTID ARTERY STUDY,921,1 ,"$1,087.92 ",$707.15 ,$208.23 ,$979.67 ,$870.34 ,$208.23 ,$862.07 ,$979.67 ,$979.67 ,$395.64 ,$924.73 ,$805.06 ,$520.58 ,$208.23 , N/A ,$907.33 ,$208.23 ,$898.62 ,$870.34 ,$979.13 ,$520.58 ,$924.73 ,$223.02 ,$924.73 ,$924.73 ,$979.13 ,$979.13 ,$854.02 ,$898.62 ,$223.02 ,$707.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050948,N/A,IVP PREP KIT ONLY,270,1 ,$39.42 ,$25.62 ,$25.62 ,$35.50 ,$31.54 , N/A ,$31.24 ,$35.50 ,$35.50 , N/A ,$33.51 ,$29.17 , N/A , N/A , N/A ,$32.88 , N/A ,$32.56 ,$31.54 ,$35.48 , N/A ,$33.51 , N/A ,$33.51 ,$33.51 ,$35.48 ,$35.48 ,$30.94 ,$32.56 , N/A ,$25.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),30050963,76870,US TESTICLE(S),402,1 ,$685.32 ,$445.46 ,$98.60 ,$617.13 ,$548.26 ,$98.60 ,$543.05 ,$617.13 ,$617.13 ,$187.34 ,$582.52 ,$507.14 ,$246.50 ,$98.60 , N/A ,$571.56 ,$98.60 ,$566.07 ,$548.26 ,$616.79 ,$246.50 ,$582.52 ,$105.60 ,$582.52 ,$582.52 ,$616.79 ,$616.79 ,$537.98 ,$566.07 ,$105.60 ,$445.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051003,N/A,******INACTIVATED******,999,1 ,$148.68 ,$96.64 ,$96.64 ,$133.89 ,$118.94 , N/A ,$117.81 ,$133.89 ,$133.89 , N/A ,$126.38 ,$110.02 , N/A , N/A , N/A ,$124.00 , N/A ,$122.81 ,$118.94 ,$133.81 , N/A ,$126.38 , N/A ,$126.38 ,$126.38 ,$133.81 ,$133.81 ,$116.71 ,$122.81 , N/A ,$96.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051004,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051011,73523,HIPS BILAT MIN5V W OR W/OUT PELVIS,320,1 ,$755.16 ,$490.85 ,$98.60 ,$680.02 ,$604.13 ,$98.60 ,$598.39 ,$680.02 ,$680.02 ,$187.34 ,$641.89 ,$558.82 ,$246.50 ,$98.60 , N/A ,$629.80 ,$98.60 ,$623.76 ,$604.13 ,$679.64 ,$246.50 ,$641.89 ,$105.60 ,$641.89 ,$641.89 ,$679.64 ,$679.64 ,$592.80 ,$623.76 ,$105.60 ,$490.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051012,73522,HIPS BILATERAL 3 OR 4V W OR W/O PELVIS,320,1 ,$755.16 ,$490.85 ,$98.60 ,$680.02 ,$604.13 ,$98.60 ,$598.39 ,$680.02 ,$680.02 ,$187.34 ,$641.89 ,$558.82 ,$246.50 ,$98.60 , N/A ,$629.80 ,$98.60 ,$623.76 ,$604.13 ,$679.64 ,$246.50 ,$641.89 ,$105.60 ,$641.89 ,$641.89 ,$679.64 ,$679.64 ,$592.80 ,$623.76 ,$105.60 ,$490.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051013,73521,HIPS BILATERAL 2V W OR W/O PELVIS,320,1 ,$755.16 ,$490.85 ,$98.60 ,$680.02 ,$604.13 ,$98.60 ,$598.39 ,$680.02 ,$680.02 ,$187.34 ,$641.89 ,$558.82 ,$246.50 ,$98.60 , N/A ,$629.80 ,$98.60 ,$623.76 ,$604.13 ,$679.64 ,$246.50 ,$641.89 ,$105.60 ,$641.89 ,$641.89 ,$679.64 ,$679.64 ,$592.80 ,$623.76 ,$105.60 ,$490.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051029,73530,HIP DURING OP RIGHT,320,1 ,$750.82 ,$488.03 ,$488.03 ,$676.11 ,$600.66 , N/A ,$594.95 ,$676.11 ,$676.11 , N/A ,$638.20 ,$555.61 , N/A , N/A , N/A ,$626.18 , N/A ,$620.18 ,$600.66 ,$675.74 , N/A ,$638.20 , N/A ,$638.20 ,$638.20 ,$675.74 ,$675.74 ,$589.39 ,$620.18 , N/A ,$488.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051030,73530,HIP DURING OP LEFT,320,1 ,$750.82 ,$488.03 ,$488.03 ,$676.11 ,$600.66 , N/A ,$594.95 ,$676.11 ,$676.11 , N/A ,$638.20 ,$555.61 , N/A , N/A , N/A ,$626.18 , N/A ,$620.18 ,$600.66 ,$675.74 , N/A ,$638.20 , N/A ,$638.20 ,$638.20 ,$675.74 ,$675.74 ,$589.39 ,$620.18 , N/A ,$488.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051039,73552,FEMUR RT MIN2V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051040,73552,FEMUR LT MIN2V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051041,73551,FEMUR RT 1V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051042,73551,FEMUR LT 1V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051045,73562,KNEE 3 VIEW RIGHT,320,1 ,$411.69 ,$267.60 ,$73.20 ,$370.73 ,$329.35 ,$73.20 ,$326.22 ,$370.73 ,$370.73 ,$139.08 ,$349.94 ,$304.65 ,$183.00 ,$73.20 , N/A ,$343.35 ,$73.20 ,$340.06 ,$329.35 ,$370.52 ,$183.00 ,$349.94 ,$78.40 ,$349.94 ,$349.94 ,$370.52 ,$370.52 ,$323.18 ,$340.06 ,$78.40 ,$267.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051046,73562,KNEE 3 VIEW LEFT,320,1 ,$411.69 ,$267.60 ,$73.20 ,$370.73 ,$329.35 ,$73.20 ,$326.22 ,$370.73 ,$370.73 ,$139.08 ,$349.94 ,$304.65 ,$183.00 ,$73.20 , N/A ,$343.35 ,$73.20 ,$340.06 ,$329.35 ,$370.52 ,$183.00 ,$349.94 ,$78.40 ,$349.94 ,$349.94 ,$370.52 ,$370.52 ,$323.18 ,$340.06 ,$78.40 ,$267.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051052,73590,TIBIA AND FIBULA 2 VIEWS RIGHT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051053,73590,TIBIA AND FIBULA 2 VIEWS LEFT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051078,73610,ANKLE RT MIN 3V,320,1 ,$359.89 ,$233.93 ,$73.20 ,$324.08 ,$287.91 ,$73.20 ,$285.18 ,$324.08 ,$324.08 ,$139.08 ,$305.91 ,$266.32 ,$183.00 ,$73.20 , N/A ,$300.15 ,$73.20 ,$297.27 ,$287.91 ,$323.90 ,$183.00 ,$305.91 ,$78.40 ,$305.91 ,$305.91 ,$323.90 ,$323.90 ,$282.51 ,$297.27 ,$78.40 ,$233.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051079,73610,ANKLE LT MIN 3V,320,1 ,$359.89 ,$233.93 ,$73.20 ,$324.08 ,$287.91 ,$73.20 ,$285.18 ,$324.08 ,$324.08 ,$139.08 ,$305.91 ,$266.32 ,$183.00 ,$73.20 , N/A ,$300.15 ,$73.20 ,$297.27 ,$287.91 ,$323.90 ,$183.00 ,$305.91 ,$78.40 ,$305.91 ,$305.91 ,$323.90 ,$323.90 ,$282.51 ,$297.27 ,$78.40 ,$233.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051080,73600,ANKLE RT MIN 2V,320,1 ,$304.99 ,$198.24 ,$73.20 ,$274.64 ,$243.99 ,$73.20 ,$241.67 ,$274.64 ,$274.64 ,$139.08 ,$259.24 ,$225.69 ,$183.00 ,$73.20 , N/A ,$254.36 ,$73.20 ,$251.92 ,$243.99 ,$274.49 ,$183.00 ,$259.24 ,$78.40 ,$259.24 ,$259.24 ,$274.49 ,$274.49 ,$239.42 ,$251.92 ,$78.40 ,$198.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051081,73600,ANKLE LT MIN 2V,320,1 ,$304.99 ,$198.24 ,$73.20 ,$274.64 ,$243.99 ,$73.20 ,$241.67 ,$274.64 ,$274.64 ,$139.08 ,$259.24 ,$225.69 ,$183.00 ,$73.20 , N/A ,$254.36 ,$73.20 ,$251.92 ,$243.99 ,$274.49 ,$183.00 ,$259.24 ,$78.40 ,$259.24 ,$259.24 ,$274.49 ,$274.49 ,$239.42 ,$251.92 ,$78.40 ,$198.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051086,73630,FOOT MIN 3 VIEWS RIGHT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051087,73630,FOOT MIN 3 VIEWS LEFT,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051094,73650,HEEL RT MIN 2V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051095,73650,HEEL LT MIN 2V,320,1 ,$377.74 ,$245.53 ,$73.20 ,$340.15 ,$302.19 ,$73.20 ,$299.32 ,$340.15 ,$340.15 ,$139.08 ,$321.08 ,$279.53 ,$183.00 ,$73.20 , N/A ,$315.04 ,$73.20 ,$312.01 ,$302.19 ,$339.97 ,$183.00 ,$321.08 ,$78.40 ,$321.08 ,$321.08 ,$339.97 ,$339.97 ,$296.53 ,$312.01 ,$78.40 ,$245.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051102,N/A,******INACTIVATED**********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051103,N/A,********INACTIVATED*********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051140,N/A,*******INACTIVATED********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051151,93971,US DUPLEX VENOUS IMAGE UNILATERAL RT,921,1 ,$900.44 ,$585.29 ,$98.60 ,$810.85 ,$720.35 ,$98.60 ,$713.51 ,$810.85 ,$810.85 ,$187.34 ,$765.37 ,$666.33 ,$246.50 ,$98.60 , N/A ,$750.97 ,$98.60 ,$743.76 ,$720.35 ,$810.40 ,$246.50 ,$765.37 ,$105.60 ,$765.37 ,$765.37 ,$810.40 ,$810.40 ,$706.85 ,$743.76 ,$105.60 ,$585.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051152,93971,US DUPLEX VENOUS IMAGE UNILATERAL LT,921,1 ,$900.44 ,$585.29 ,$98.60 ,$810.85 ,$720.35 ,$98.60 ,$713.51 ,$810.85 ,$810.85 ,$187.34 ,$765.37 ,$666.33 ,$246.50 ,$98.60 , N/A ,$750.97 ,$98.60 ,$743.76 ,$720.35 ,$810.40 ,$246.50 ,$765.37 ,$105.60 ,$765.37 ,$765.37 ,$810.40 ,$810.40 ,$706.85 ,$743.76 ,$105.60 ,$585.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051153,93970,US DUPLEX VENOUS IMAGE BILATERAL,921,1 ,"$1,665.63 ","$1,082.66 ",$208.23 ,"$1,499.90 ","$1,332.50 ",$208.23 ,"$1,319.85 ","$1,499.90 ","$1,499.90 ",$395.64 ,"$1,415.79 ","$1,232.57 ",$520.58 ,$208.23 , N/A ,"$1,389.14 ",$208.23 ,"$1,375.81 ","$1,332.50 ","$1,499.07 ",$520.58 ,"$1,415.79 ",$223.02 ,"$1,415.79 ","$1,415.79 ","$1,499.07 ","$1,499.07 ","$1,307.52 ","$1,375.81 ",$223.02 ,"$1,082.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30051177,93925,US ARTERIAL LOWER BILAT,921,1 ,"$1,955.06 ","$1,270.79 ",$208.23 ,"$1,760.53 ","$1,564.05 ",$208.23 ,"$1,549.19 ","$1,760.53 ","$1,760.53 ",$395.64 ,"$1,661.80 ","$1,446.74 ",$520.58 ,$208.23 , N/A ,"$1,630.52 ",$208.23 ,"$1,614.88 ","$1,564.05 ","$1,759.55 ",$520.58 ,"$1,661.80 ",$223.02 ,"$1,661.80 ","$1,661.80 ","$1,759.55 ","$1,759.55 ","$1,534.72 ","$1,614.88 ",$223.02 ,"$1,270.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30051250,74018,KUB,320,1 ,$422.64 ,$274.72 ,$73.20 ,$380.59 ,$338.11 ,$73.20 ,$334.90 ,$380.59 ,$380.59 ,$139.08 ,$359.24 ,$312.75 ,$183.00 ,$73.20 , N/A ,$352.48 ,$73.20 ,$349.10 ,$338.11 ,$380.38 ,$183.00 ,$359.24 ,$78.40 ,$359.24 ,$359.24 ,$380.38 ,$380.38 ,$331.77 ,$349.10 ,$78.40 ,$274.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051284,74220,ESOPHAGRAM,320,1 ,$476.72 ,$309.87 ,$161.56 ,$429.29 ,$381.38 ,$161.56 ,$377.75 ,$429.29 ,$429.29 ,$306.96 ,$405.21 ,$352.77 ,$403.90 ,$161.56 , N/A ,$397.58 ,$161.56 ,$393.77 ,$381.38 ,$429.05 ,$403.90 ,$405.21 ,$173.03 ,$405.21 ,$405.21 ,$429.05 ,$429.05 ,$374.23 ,$393.77 ,$173.03 ,$309.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051292,74240,UGI SINGLE W/O KUB,320,1 ,$701.44 ,$455.94 ,$161.56 ,$631.65 ,$561.15 ,$161.56 ,$555.82 ,$631.65 ,$631.65 ,$306.96 ,$596.22 ,$519.07 ,$403.90 ,$161.56 , N/A ,$585.00 ,$161.56 ,$579.39 ,$561.15 ,$631.30 ,$403.90 ,$596.22 ,$173.03 ,$596.22 ,$596.22 ,$631.30 ,$631.30 ,$550.63 ,$579.39 ,$173.03 ,$455.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051300,74250,SMALL BOWEL,320,1 ,$681.35 ,$442.88 ,$161.56 ,$613.56 ,$545.08 ,$161.56 ,$539.90 ,$613.56 ,$613.56 ,$306.96 ,$579.15 ,$504.20 ,$403.90 ,$161.56 , N/A ,$568.25 ,$161.56 ,$562.80 ,$545.08 ,$613.22 ,$403.90 ,$579.15 ,$173.03 ,$579.15 ,$579.15 ,$613.22 ,$613.22 ,$534.86 ,$562.80 ,$173.03 ,$442.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051326,74270,COLON BARIUM ENEMA W/WO KUB,320,1 ,$786.77 ,$511.40 ,$161.56 ,$708.49 ,$629.42 ,$161.56 ,$623.44 ,$708.49 ,$708.49 ,$306.96 ,$668.75 ,$582.21 ,$403.90 ,$161.56 , N/A ,$656.17 ,$161.56 ,$649.87 ,$629.42 ,$708.09 ,$403.90 ,$668.75 ,$173.03 ,$668.75 ,$668.75 ,$708.09 ,$708.09 ,$617.61 ,$649.87 ,$173.03 ,$511.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051334,74280,COLON AIR CONTRAST,320,1 ,"$1,123.79 ",$730.46 ,$161.56 ,"$1,011.97 ",$899.03 ,$161.56 ,$890.49 ,"$1,011.97 ","$1,011.97 ",$306.96 ,$955.22 ,$831.60 ,$403.90 ,$161.56 , N/A ,$937.24 ,$161.56 ,$928.25 ,$899.03 ,"$1,011.41 ",$403.90 ,$955.22 ,$173.03 ,$955.22 ,$955.22 ,"$1,011.41 ","$1,011.41 ",$882.18 ,$928.25 ,$173.03 ,$730.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051368,74300,CHOLANGIO OP RAD SI,320,1 ,$546.47 ,$355.21 ,$355.21 ,$492.10 ,$437.18 , N/A ,$433.02 ,$492.10 ,$492.10 , N/A ,$464.50 ,$404.39 , N/A , N/A , N/A ,$455.76 , N/A ,$451.38 ,$437.18 ,$491.82 , N/A ,$464.50 , N/A ,$464.50 ,$464.50 ,$491.82 ,$491.82 ,$428.98 ,$451.38 , N/A ,$355.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051383,74400,IV PYELOGRAM,320,1 ,$854.34 ,$555.32 ,$161.56 ,$769.33 ,$683.47 ,$161.56 ,$676.98 ,$769.33 ,$769.33 ,$306.96 ,$726.19 ,$632.21 ,$403.90 ,$161.56 , N/A ,$712.52 ,$161.56 ,$705.68 ,$683.47 ,$768.91 ,$403.90 ,$726.19 ,$173.03 ,$726.19 ,$726.19 ,$768.91 ,$768.91 ,$670.66 ,$705.68 ,$173.03 ,$555.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051409,74018,ABD 1 VIEW,320,1 ,$422.64 ,$274.72 ,$73.20 ,$380.59 ,$338.11 ,$73.20 ,$334.90 ,$380.59 ,$380.59 ,$139.08 ,$359.24 ,$312.75 ,$183.00 ,$73.20 , N/A ,$352.48 ,$73.20 ,$349.10 ,$338.11 ,$380.38 ,$183.00 ,$359.24 ,$78.40 ,$359.24 ,$359.24 ,$380.38 ,$380.38 ,$331.77 ,$349.10 ,$78.40 ,$274.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051417,74021,ABD WITH OBLIQUE,320,1 ,$389.40 ,$253.11 ,$98.60 ,$350.65 ,$311.52 ,$98.60 ,$308.56 ,$350.65 ,$350.65 ,$187.34 ,$330.99 ,$288.16 ,$246.50 ,$98.60 , N/A ,$324.76 ,$98.60 ,$321.64 ,$311.52 ,$350.46 ,$246.50 ,$330.99 ,$105.60 ,$330.99 ,$330.99 ,$350.46 ,$350.46 ,$305.68 ,$321.64 ,$105.60 ,$253.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051420,74019,ABD 2 VIEWS,320,1 ,$385.33 ,$250.46 ,$98.60 ,$346.99 ,$308.26 ,$98.60 ,$305.34 ,$346.99 ,$346.99 ,$187.34 ,$327.53 ,$285.14 ,$246.50 ,$98.60 , N/A ,$321.37 ,$98.60 ,$318.28 ,$308.26 ,$346.80 ,$246.50 ,$327.53 ,$105.60 ,$327.53 ,$327.53 ,$346.80 ,$346.80 ,$302.48 ,$318.28 ,$105.60 ,$250.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051425,N/A,******DO NOT USE***************,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051442,72082,SPINE SCOLIOSIS 2 OR 3V,320,1 ,$443.12 ,$288.03 ,$98.60 ,$399.03 ,$354.50 ,$98.60 ,$351.13 ,$399.03 ,$399.03 ,$187.34 ,$376.65 ,$327.91 ,$246.50 ,$98.60 , N/A ,$369.56 ,$98.60 ,$366.02 ,$354.50 ,$398.81 ,$246.50 ,$376.65 ,$105.60 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$105.60 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051443,72083,SPINE SCOLIOSIS 4 OR 5V,320,1 ,$443.12 ,$288.03 ,$98.60 ,$399.03 ,$354.50 ,$98.60 ,$351.13 ,$399.03 ,$399.03 ,$187.34 ,$376.65 ,$327.91 ,$246.50 ,$98.60 , N/A ,$369.56 ,$98.60 ,$366.02 ,$354.50 ,$398.81 ,$246.50 ,$376.65 ,$105.60 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$105.60 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051444,72084,SPINE SCOLIOSIS MIN 6V,320,1 ,$443.12 ,$288.03 ,$98.60 ,$399.03 ,$354.50 ,$98.60 ,$351.13 ,$399.03 ,$399.03 ,$187.34 ,$376.65 ,$327.91 ,$246.50 ,$98.60 , N/A ,$369.56 ,$98.60 ,$366.02 ,$354.50 ,$398.81 ,$246.50 ,$376.65 ,$105.60 ,$376.65 ,$376.65 ,$398.81 ,$398.81 ,$347.85 ,$366.02 ,$105.60 ,$288.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051516,77075,BONE SURVEY COMPLETE ADULT,320,1 ,"$1,236.36 ",$803.63 ,$98.60 ,"$1,113.34 ",$989.09 ,$98.60 ,$979.69 ,"$1,113.34 ","$1,113.34 ",$187.34 ,"$1,050.91 ",$914.91 ,$246.50 ,$98.60 , N/A ,"$1,031.12 ",$98.60 ,"$1,021.23 ",$989.09 ,"$1,112.72 ",$246.50 ,"$1,050.91 ",$105.60 ,"$1,050.91 ","$1,050.91 ","$1,112.72 ","$1,112.72 ",$970.54 ,"$1,021.23 ",$105.60 ,$803.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051541,N/A,MM ADD VIEWS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051565,N/A,MM BIOPSY NEEDLE,270,1 ,$35.90 ,$23.34 ,$23.34 ,$32.33 ,$28.72 , N/A ,$28.45 ,$32.33 ,$32.33 , N/A ,$30.52 ,$26.57 , N/A , N/A , N/A ,$29.94 , N/A ,$29.65 ,$28.72 ,$32.31 , N/A ,$30.52 , N/A ,$30.52 ,$30.52 ,$32.31 ,$32.31 ,$28.18 ,$29.65 , N/A ,$23.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051573,N/A,MM BIOPSY TRAY,270,1 ,$95.45 ,$62.04 ,$62.04 ,$85.95 ,$76.36 , N/A ,$75.63 ,$85.95 ,$85.95 , N/A ,$81.13 ,$70.63 , N/A , N/A , N/A ,$79.61 , N/A ,$78.84 ,$76.36 ,$85.91 , N/A ,$81.13 , N/A ,$81.13 ,$81.13 ,$85.91 ,$85.91 ,$74.93 ,$78.84 , N/A ,$62.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051615,N/A,******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051623,N/A,GASTROGRAFIN,270,1 ,$30.81 ,$20.03 ,$20.03 ,$27.74 ,$24.65 , N/A ,$24.41 ,$27.74 ,$27.74 , N/A ,$26.19 ,$22.80 , N/A , N/A , N/A ,$25.70 , N/A ,$25.45 ,$24.65 ,$27.73 , N/A ,$26.19 , N/A ,$26.19 ,$26.19 ,$27.73 ,$27.73 ,$24.19 ,$25.45 , N/A ,$20.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051649,74246,UGI A/C W/O KUB,320,1 ,$831.27 ,$540.33 ,$161.56 ,$748.56 ,$665.02 ,$161.56 ,$658.70 ,$748.56 ,$748.56 ,$306.96 ,$706.58 ,$615.14 ,$403.90 ,$161.56 , N/A ,$693.28 ,$161.56 ,$686.63 ,$665.02 ,$748.14 ,$403.90 ,$706.58 ,$173.03 ,$706.58 ,$706.58 ,$748.14 ,$748.14 ,$652.55 ,$686.63 ,$173.03 ,$540.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051656,73040,SHOULDER ARTHRO RIGHT,320,1 ,$681.35 ,$442.88 ,$333.09 ,$832.72 ,$545.08 ,$333.09 ,$539.90 ,$613.56 ,$613.56 ,$632.87 ,$579.15 ,$504.20 ,$832.72 ,$333.09 , N/A ,$568.25 ,$333.09 ,$562.80 ,$545.08 ,$613.22 ,$681.35 ,$579.15 ,$356.74 ,$579.15 ,$579.15 ,$613.22 ,$613.22 ,$534.86 ,$562.80 ,$356.74 ,$442.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051657,73040,SHOULDER ARTHRO LEFT,320,1 ,$681.35 ,$442.88 ,$333.09 ,$832.72 ,$545.08 ,$333.09 ,$539.90 ,$613.56 ,$613.56 ,$632.87 ,$579.15 ,$504.20 ,$832.72 ,$333.09 , N/A ,$568.25 ,$333.09 ,$562.80 ,$545.08 ,$613.22 ,$681.35 ,$579.15 ,$356.74 ,$579.15 ,$579.15 ,$613.22 ,$613.22 ,$534.86 ,$562.80 ,$356.74 ,$442.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051673,N/A,******INACTIVATED******.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051681,N/A,******INACTIVATE******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30051862,93922,US ABI LOWER EXTREMITY,921,1 ,$289.92 ,$188.45 ,$101.30 ,$261.07 ,$231.94 ,$101.30 ,$229.73 ,$261.07 ,$261.07 ,$192.46 ,$246.43 ,$214.54 ,$253.24 ,$101.30 , N/A ,$241.79 ,$101.30 ,$239.47 ,$231.94 ,$260.93 ,$253.24 ,$246.43 ,$108.49 ,$246.43 ,$246.43 ,$260.93 ,$260.93 ,$227.59 ,$239.47 ,$108.49 ,$188.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),30051888,74420,IVP RETROGRADE,320,1 ,"$1,122.67 ",$729.74 ,$333.09 ,"$1,010.96 ",$898.14 ,$333.09 ,$889.60 ,"$1,010.96 ","$1,010.96 ",$632.87 ,$954.27 ,$830.78 ,$832.72 ,$333.09 , N/A ,$936.31 ,$333.09 ,$927.33 ,$898.14 ,"$1,010.40 ",$832.72 ,$954.27 ,$356.74 ,$954.27 ,$954.27 ,"$1,010.40 ","$1,010.40 ",$881.30 ,$927.33 ,$356.74 ,$729.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),30052001,N/A,ADDL VIEWS,999,1 ,$101.09 ,$65.71 ,$65.71 ,$91.03 ,$80.87 , N/A ,$80.10 ,$91.03 ,$91.03 , N/A ,$85.93 ,$74.81 , N/A , N/A , N/A ,$84.31 , N/A ,$83.50 ,$80.87 ,$90.98 , N/A ,$85.93 , N/A ,$85.93 ,$85.93 ,$90.98 ,$90.98 ,$79.36 ,$83.50 , N/A ,$65.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),30060100,N/A,BIOPSY THYROID,402,1 ,$411.44 ,$267.44 ,$267.44 ,$370.50 ,$329.15 , N/A ,$326.03 ,$370.50 ,$370.50 , N/A ,$349.72 ,$304.47 , N/A , N/A , N/A ,$343.14 , N/A ,$339.85 ,$329.15 ,$370.30 , N/A ,$349.72 , N/A ,$349.72 ,$349.72 ,$370.30 ,$370.30 ,$322.98 ,$339.85 , N/A ,$267.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),30070030,70030,RAD EXAM EYE DETECTION OF FB,320,1 ,$135.80 ,$88.27 ,$73.20 ,$183.00 ,$108.64 ,$73.20 ,$107.61 ,$122.29 ,$122.29 ,$139.08 ,$115.43 ,$100.49 ,$183.00 ,$73.20 , N/A ,$113.26 ,$73.20 ,$112.17 ,$108.64 ,$122.22 ,$135.80 ,$115.43 ,$78.40 ,$115.43 ,$115.43 ,$122.22 ,$122.22 ,$106.60 ,$112.17 ,$78.40 ,$88.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),30070140,70140,FACIAL BONES 1 or 2 VIEW,320,1 ,$430.50 ,$279.83 ,$73.20 ,$387.67 ,$344.40 ,$73.20 ,$341.13 ,$387.67 ,$387.67 ,$139.08 ,$365.93 ,$318.57 ,$183.00 ,$73.20 , N/A ,$359.04 ,$73.20 ,$355.59 ,$344.40 ,$387.45 ,$183.00 ,$365.93 ,$78.40 ,$365.93 ,$365.93 ,$387.45 ,$387.45 ,$337.94 ,$355.59 ,$78.40 ,$279.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),30070250,70250,SKULL LESS THAN 4 VIEWS,320,1 ,$542.30 ,$352.50 ,$98.60 ,$488.34 ,$433.84 ,$98.60 ,$429.72 ,$488.34 ,$488.34 ,$187.34 ,$460.96 ,$401.30 ,$246.50 ,$98.60 , N/A ,$452.28 ,$98.60 ,$447.94 ,$433.84 ,$488.07 ,$246.50 ,$460.96 ,$105.60 ,$460.96 ,$460.96 ,$488.07 ,$488.07 ,$425.71 ,$447.94 ,$105.60 ,$352.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),30070498,70498,CT ANGIO NECK INCLUDES POST PROCESSING,351,1 ,"$2,500.53 ","$1,625.34 ",$161.56 ,"$2,251.73 ","$2,000.42 ",$161.56 ,"$1,981.42 ","$2,251.73 ","$2,251.73 ",$306.96 ,"$2,125.45 ","$1,850.39 ",$403.90 ,$161.56 , N/A ,"$2,085.44 ",$161.56 ,"$2,065.44 ","$2,000.42 ","$2,250.48 ",$403.90 ,"$2,125.45 ",$173.03 ,"$2,125.45 ","$2,125.45 ","$2,250.48 ","$2,250.48 ","$1,038.00 ","$2,065.44 ",$173.03 ,"$1,625.34 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30071100,71100,"RIBS UNILAT, 2 VIEWS",320,1 ,$314.88 ,$204.67 ,$73.20 ,$283.55 ,$251.90 ,$73.20 ,$249.51 ,$283.55 ,$283.55 ,$139.08 ,$267.65 ,$233.01 ,$183.00 ,$73.20 , N/A ,$262.61 ,$73.20 ,$260.09 ,$251.90 ,$283.39 ,$183.00 ,$267.65 ,$78.40 ,$267.65 ,$267.65 ,$283.39 ,$283.39 ,$247.18 ,$260.09 ,$78.40 ,$204.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),30071275,71275,CT ANGIO CHEST INCLUDES POSTPROCESSING,352,1 ,"$2,966.27 ","$1,928.08 ",$161.56 ,"$2,671.13 ","$2,373.02 ",$161.56 ,"$2,350.47 ","$2,671.13 ","$2,671.13 ",$306.96 ,"$2,521.33 ","$2,195.04 ",$403.90 ,$161.56 , N/A ,"$2,473.87 ",$161.56 ,"$2,450.14 ","$2,373.02 ","$2,669.64 ",$403.90 ,"$2,521.33 ",$173.03 ,"$2,521.33 ","$2,521.33 ","$2,669.64 ","$2,669.64 ","$1,038.00 ","$2,450.14 ",$173.03 ,"$1,928.08 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30072020,72020,SPINE SINGLE VIEW,320,1 ,$250.48 ,$162.81 ,$73.20 ,$225.56 ,$200.38 ,$73.20 ,$198.48 ,$225.56 ,$225.56 ,$139.08 ,$212.91 ,$185.36 ,$183.00 ,$73.20 , N/A ,$208.90 ,$73.20 ,$206.90 ,$200.38 ,$225.43 ,$183.00 ,$212.91 ,$78.40 ,$212.91 ,$212.91 ,$225.43 ,$225.43 ,$196.63 ,$206.90 ,$78.40 ,$162.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),30072070,72070,T SPINE 2 VIEW,320,1 ,$295.44 ,$192.04 ,$98.60 ,$266.04 ,$236.35 ,$98.60 ,$234.11 ,$266.04 ,$266.04 ,$187.34 ,$251.12 ,$218.63 ,$246.50 ,$98.60 , N/A ,$246.40 ,$98.60 ,$244.03 ,$236.35 ,$265.90 ,$246.50 ,$251.12 ,$105.60 ,$251.12 ,$251.12 ,$265.90 ,$265.90 ,$231.92 ,$244.03 ,$105.60 ,$192.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),30072114,72114,L/S SPINE W/BENDING MIN 6 VIEW,320,1 ,$797.20 ,$518.18 ,$98.60 ,$717.88 ,$637.76 ,$98.60 ,$631.70 ,$717.88 ,$717.88 ,$187.34 ,$677.62 ,$589.93 ,$246.50 ,$98.60 , N/A ,$664.86 ,$98.60 ,$658.49 ,$637.76 ,$717.48 ,$246.50 ,$677.62 ,$105.60 ,$677.62 ,$677.62 ,$717.48 ,$717.48 ,$625.80 ,$658.49 ,$105.60 ,$518.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),30072132,72132,CT LUMBAR WITH CONTRAST,352,1 ,"$2,476.71 ","$1,609.86 ",$333.09 ,"$2,230.28 ","$1,981.37 ",$333.09 ,"$1,962.55 ","$2,230.28 ","$2,230.28 ",$632.87 ,"$2,105.20 ","$1,832.77 ",$832.72 ,$333.09 , N/A ,"$2,065.58 ",$333.09 ,"$2,045.76 ","$1,981.37 ","$2,229.04 ",$832.72 ,"$2,105.20 ",$356.74 ,"$2,105.20 ","$2,105.20 ","$2,229.04 ","$2,229.04 ","$1,038.00 ","$2,045.76 ",$356.74 ,"$1,609.86 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30073100,73100,WRIST RT 2V,320,1 ,$356.83 ,$231.94 ,$73.20 ,$321.33 ,$285.46 ,$73.20 ,$282.75 ,$321.33 ,$321.33 ,$139.08 ,$303.31 ,$264.05 ,$183.00 ,$73.20 , N/A ,$297.60 ,$73.20 ,$294.74 ,$285.46 ,$321.15 ,$183.00 ,$303.31 ,$78.40 ,$303.31 ,$303.31 ,$321.15 ,$321.15 ,$280.11 ,$294.74 ,$78.40 ,$231.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),30073511,73503,HIP LT MIN 4V W OR W/O PELVIS,320,1 ,$361.69 ,$235.10 ,$98.60 ,$325.70 ,$289.35 ,$98.60 ,$286.60 ,$325.70 ,$325.70 ,$187.34 ,$307.44 ,$267.65 ,$246.50 ,$98.60 , N/A ,$301.65 ,$98.60 ,$298.76 ,$289.35 ,$325.52 ,$246.50 ,$307.44 ,$105.60 ,$307.44 ,$307.44 ,$325.52 ,$325.52 ,$283.93 ,$298.76 ,$105.60 ,$235.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),30073512,73503,HIP RT MIN 4V W OR W/O PELVIS,320,1 ,$361.69 ,$235.10 ,$98.60 ,$325.70 ,$289.35 ,$98.60 ,$286.60 ,$325.70 ,$325.70 ,$187.34 ,$307.44 ,$267.65 ,$246.50 ,$98.60 , N/A ,$301.65 ,$98.60 ,$298.76 ,$289.35 ,$325.52 ,$246.50 ,$307.44 ,$105.60 ,$307.44 ,$307.44 ,$325.52 ,$325.52 ,$283.93 ,$298.76 ,$105.60 ,$235.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),30073513,73502,HIP RT 2 OR 3V W OR W/O PELVIS,320,1 ,$361.69 ,$235.10 ,$73.20 ,$325.70 ,$289.35 ,$73.20 ,$286.60 ,$325.70 ,$325.70 ,$139.08 ,$307.44 ,$267.65 ,$183.00 ,$73.20 , N/A ,$301.65 ,$73.20 ,$298.76 ,$289.35 ,$325.52 ,$183.00 ,$307.44 ,$78.40 ,$307.44 ,$307.44 ,$325.52 ,$325.52 ,$283.93 ,$298.76 ,$78.40 ,$235.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),30073514,73502,HIP LT 2 OR 3V W OR W/O PELVIS,320,1 ,$361.69 ,$235.10 ,$73.20 ,$325.70 ,$289.35 ,$73.20 ,$286.60 ,$325.70 ,$325.70 ,$139.08 ,$307.44 ,$267.65 ,$183.00 ,$73.20 , N/A ,$301.65 ,$73.20 ,$298.76 ,$289.35 ,$325.52 ,$183.00 ,$307.44 ,$78.40 ,$307.44 ,$307.44 ,$325.52 ,$325.52 ,$283.93 ,$298.76 ,$78.40 ,$235.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),30073560,73560,KNEE RT 1 OR 2VIEW,320,1 ,$379.72 ,$246.82 ,$73.20 ,$341.94 ,$303.78 ,$73.20 ,$300.89 ,$341.94 ,$341.94 ,$139.08 ,$322.76 ,$280.99 ,$183.00 ,$73.20 , N/A ,$316.69 ,$73.20 ,$313.65 ,$303.78 ,$341.75 ,$183.00 ,$322.76 ,$78.40 ,$322.76 ,$322.76 ,$341.75 ,$341.75 ,$298.08 ,$313.65 ,$78.40 ,$246.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),30073706,73706,CTA LOWER EXT INCLUDES POST PROCESSING,352,1 ,"$2,966.27 ","$1,928.08 ",$161.56 ,"$2,671.13 ","$2,373.02 ",$161.56 ,"$2,350.47 ","$2,671.13 ","$2,671.13 ",$306.96 ,"$2,521.33 ","$2,195.04 ",$403.90 ,$161.56 , N/A ,"$2,473.87 ",$161.56 ,"$2,450.14 ","$2,373.02 ","$2,669.64 ",$403.90 ,"$2,521.33 ",$173.03 ,"$2,521.33 ","$2,521.33 ","$2,669.64 ","$2,669.64 ","$1,038.00 ","$2,450.14 ",$173.03 ,"$1,928.08 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30073720,73720,MRI FEMUR RT W/WO,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30073721,73720,MRI FEMUR LT W/WO,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30073722,73720,MRI TIB FIB LT W/WO,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30073723,73720,MRI TIB FIB RT W/WO,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30074022,74022,ABD SERIES,320,1 ,$508.03 ,$330.22 ,$98.60 ,$457.48 ,$406.42 ,$98.60 ,$402.56 ,$457.48 ,$457.48 ,$187.34 ,$431.83 ,$375.94 ,$246.50 ,$98.60 , N/A ,$423.70 ,$98.60 ,$419.63 ,$406.42 ,$457.23 ,$246.50 ,$431.83 ,$105.60 ,$431.83 ,$431.83 ,$457.23 ,$457.23 ,$398.80 ,$419.63 ,$105.60 ,$330.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),30074175,74175,CT ANGIO ABDOMEN,352,1 ,"$2,966.27 ","$1,928.08 ",$161.56 ,"$2,671.13 ","$2,373.02 ",$161.56 ,"$2,350.47 ","$2,671.13 ","$2,671.13 ",$306.96 ,"$2,521.33 ","$2,195.04 ",$403.90 ,$161.56 , N/A ,"$2,473.87 ",$161.56 ,"$2,450.14 ","$2,373.02 ","$2,669.64 ",$403.90 ,"$2,521.33 ",$173.03 ,"$2,521.33 ","$2,521.33 ","$2,669.64 ","$2,669.64 ","$1,038.00 ","$2,450.14 ",$173.03 ,"$1,928.08 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30074176,74176,CT ABD-PELVIS W/O CONT,352,1 ,"$4,726.85 ","$3,072.45 ",$208.23 ,"$4,256.53 ","$3,781.48 ",$208.23 ,"$3,745.56 ","$4,256.53 ","$4,256.53 ",$395.64 ,"$4,017.82 ","$3,497.87 ",$520.58 ,$208.23 , N/A ,"$3,942.19 ",$208.23 ,"$3,904.38 ","$3,781.48 ","$4,254.17 ",$520.58 ,"$4,017.82 ",$223.02 ,"$4,017.82 ","$4,017.82 ","$4,254.17 ","$4,254.17 ","$1,038.00 ","$3,904.38 ",$223.02 ,"$3,072.45 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30074177,74177,CT ABD-PELVIS W/ CONTRAST,352,1 ,"$5,610.44 ","$3,646.79 ",$333.09 ,"$5,052.20 ","$4,488.35 ",$333.09 ,"$4,445.71 ","$5,052.20 ","$5,052.20 ",$632.87 ,"$4,768.87 ","$4,151.73 ",$832.72 ,$333.09 , N/A ,"$4,679.11 ",$333.09 ,"$4,634.22 ","$4,488.35 ","$5,049.40 ",$832.72 ,"$4,768.87 ",$356.74 ,"$4,768.87 ","$4,768.87 ","$5,049.40 ","$5,049.40 ","$1,038.00 ","$4,634.22 ",$356.74 ,"$3,646.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30074178,74178,CT ABD-PELVIS W/WO CONT,352,1 ,"$5,231.27 ","$3,400.33 ",$333.09 ,"$4,710.76 ","$4,185.02 ",$333.09 ,"$4,145.26 ","$4,710.76 ","$4,710.76 ",$632.87 ,"$4,446.58 ","$3,871.14 ",$832.72 ,$333.09 , N/A ,"$4,362.88 ",$333.09 ,"$4,321.03 ","$4,185.02 ","$4,708.14 ",$832.72 ,"$4,446.58 ",$356.74 ,"$4,446.58 ","$4,446.58 ","$4,708.14 ","$4,708.14 ","$1,038.00 ","$4,321.03 ",$356.74 ,"$3,400.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30074230,74230,MOD BARIUM SWALLOW,320,1 ,$788.13 ,$512.28 ,$161.56 ,$709.71 ,$630.50 ,$161.56 ,$624.51 ,$709.71 ,$709.71 ,$306.96 ,$669.91 ,$583.22 ,$403.90 ,$161.56 , N/A ,$657.30 ,$161.56 ,$651.00 ,$630.50 ,$709.32 ,$403.90 ,$669.91 ,$173.03 ,$669.91 ,$669.91 ,$709.32 ,$709.32 ,$618.68 ,$651.00 ,$173.03 ,$512.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),30074241,74240,UGI SINGLE WITH KUB,320,1 ,$701.44 ,$455.94 ,$161.56 ,$631.65 ,$561.15 ,$161.56 ,$555.82 ,$631.65 ,$631.65 ,$306.96 ,$596.22 ,$519.07 ,$403.90 ,$161.56 , N/A ,$585.00 ,$161.56 ,$579.39 ,$561.15 ,$631.30 ,$403.90 ,$596.22 ,$173.03 ,$596.22 ,$596.22 ,$631.30 ,$631.30 ,$550.63 ,$579.39 ,$173.03 ,$455.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),30074247,74246,UGI A/C WITH KUB,320,1 ,$831.27 ,$540.33 ,$161.56 ,$748.56 ,$665.02 ,$161.56 ,$658.70 ,$748.56 ,$748.56 ,$306.96 ,$706.58 ,$615.14 ,$403.90 ,$161.56 , N/A ,$693.28 ,$161.56 ,$686.63 ,$665.02 ,$748.14 ,$403.90 ,$706.58 ,$173.03 ,$706.58 ,$706.58 ,$748.14 ,$748.14 ,$652.55 ,$686.63 ,$173.03 ,$540.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),30074415,74415,IV PYELOGRAM W NEPHROTOMOGRAPHY,320,1 ,$854.34 ,$555.32 ,$161.56 ,$769.33 ,$683.47 ,$161.56 ,$676.98 ,$769.33 ,$769.33 ,$306.96 ,$726.19 ,$632.21 ,$403.90 ,$161.56 , N/A ,$712.52 ,$161.56 ,$705.68 ,$683.47 ,$768.91 ,$403.90 ,$726.19 ,$173.03 ,$726.19 ,$726.19 ,$768.91 ,$768.91 ,$670.66 ,$705.68 ,$173.03 ,$555.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),30075998,77032,FLUOROGUIDE FOR VEIN DEVICE C ARM,320,1 ,$570.77 ,$371.00 ,$371.00 ,$513.98 ,$456.62 , N/A ,$452.28 ,$513.98 ,$513.98 , N/A ,$485.15 ,$422.37 , N/A , N/A , N/A ,$476.02 , N/A ,$471.46 ,$456.62 ,$513.69 , N/A ,$485.15 , N/A ,$485.15 ,$485.15 ,$513.69 ,$513.69 ,$448.05 ,$471.46 , N/A ,$371.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076065,77076,BONE SURVEY INFANT LESS THAN 1YR,320,1 ,"$1,236.36 ",$803.63 ,$98.60 ,"$1,113.34 ",$989.09 ,$98.60 ,$979.69 ,"$1,113.34 ","$1,113.34 ",$187.34 ,"$1,050.91 ",$914.91 ,$246.50 ,$98.60 , N/A ,"$1,031.12 ",$98.60 ,"$1,021.23 ",$989.09 ,"$1,112.72 ",$246.50 ,"$1,050.91 ",$105.60 ,"$1,050.91 ","$1,050.91 ","$1,112.72 ","$1,112.72 ",$970.54 ,"$1,021.23 ",$105.60 ,$803.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076080,76080,RAD EX ABCESS FIST/ SINUS TRACK STUDY,320,1 ,$747.50 ,$485.88 ,$436.94 ,"$1,092.35 ",$598.00 ,$436.94 ,$592.32 ,$673.12 ,$673.12 ,$830.18 ,$635.38 ,$553.15 ,"$1,092.35 ",$436.94 , N/A ,$623.42 ,$436.94 ,$617.44 ,$598.00 ,$672.75 ,$747.50 ,$635.38 ,$467.96 ,$635.38 ,$635.38 ,$672.75 ,$672.75 ,$586.79 ,$617.44 ,$467.96 ,$485.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076084,77052,SCREENING MAMMO CAD EMPLOYEE,403,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30076090,77051,DX MAMMO CAD UNILATERAL,401,1 ,$179.22 ,$116.49 ,$116.49 ,$161.39 ,$143.38 , N/A ,$142.01 ,$161.39 ,$161.39 , N/A ,$152.34 ,$132.62 , N/A , N/A , N/A ,$149.47 , N/A ,$148.04 ,$143.38 ,$161.30 , N/A ,$152.34 , N/A ,$152.34 ,$152.34 ,$161.30 ,$161.30 ,$140.69 ,$148.04 , N/A ,$116.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076091,77051,DX MAMMO CAD BILATERAL,401,1 ,$224.13 ,$145.68 ,$145.68 ,$201.83 ,$179.30 , N/A ,$177.60 ,$201.83 ,$201.83 , N/A ,$190.51 ,$165.86 , N/A , N/A , N/A ,$186.92 , N/A ,$185.13 ,$179.30 ,$201.72 , N/A ,$190.51 , N/A ,$190.51 ,$190.51 ,$201.72 ,$201.72 ,$175.94 ,$185.13 , N/A ,$145.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076604,76604,US ST CHEST WALL UPPER BACK,402,1 ,$442.26 ,$287.47 ,$98.60 ,$398.26 ,$353.81 ,$98.60 ,$350.45 ,$398.26 ,$398.26 ,$187.34 ,$375.92 ,$327.27 ,$246.50 ,$98.60 , N/A ,$368.84 ,$98.60 ,$365.31 ,$353.81 ,$398.03 ,$246.50 ,$375.92 ,$105.60 ,$375.92 ,$375.92 ,$398.03 ,$398.03 ,$347.17 ,$365.31 ,$105.60 ,$287.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076641,76641,US BREAST BILAT COMPLETE,402,1 ,"$1,609.44 ","$1,046.14 ",$98.60 ,"$1,449.30 ","$1,287.55 ",$98.60 ,"$1,275.32 ","$1,449.30 ","$1,449.30 ",$187.34 ,"$1,368.02 ","$1,190.99 ",$246.50 ,$98.60 , N/A ,"$1,342.27 ",$98.60 ,"$1,329.40 ","$1,287.55 ","$1,448.50 ",$246.50 ,"$1,368.02 ",$105.60 ,"$1,368.02 ","$1,368.02 ","$1,448.50 ","$1,448.50 ","$1,263.41 ","$1,329.40 ",$105.60 ,"$1,046.14 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30076817,76817,US PREG TRANS VAG,402,1 ,$822.65 ,$534.72 ,$98.60 ,$740.80 ,$658.12 ,$98.60 ,$651.87 ,$740.80 ,$740.80 ,$187.34 ,$699.25 ,$608.76 ,$246.50 ,$98.60 , N/A ,$686.09 ,$98.60 ,$679.51 ,$658.12 ,$740.39 ,$246.50 ,$699.25 ,$105.60 ,$699.25 ,$699.25 ,$740.39 ,$740.39 ,$645.78 ,$679.51 ,$105.60 ,$534.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076857,76857,US SOFT TISSUE PELVIC WALL OR BUTTOCK,402,1 ,$442.26 ,$287.47 ,$98.60 ,$398.26 ,$353.81 ,$98.60 ,$350.45 ,$398.26 ,$398.26 ,$187.34 ,$375.92 ,$327.27 ,$246.50 ,$98.60 , N/A ,$368.84 ,$98.60 ,$365.31 ,$353.81 ,$398.03 ,$246.50 ,$375.92 ,$105.60 ,$375.92 ,$375.92 ,$398.03 ,$398.03 ,$347.17 ,$365.31 ,$105.60 ,$287.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076872,76872,US PROSTATE,402,1 ,$822.65 ,$534.72 ,$98.60 ,$740.80 ,$658.12 ,$98.60 ,$651.87 ,$740.80 ,$740.80 ,$187.34 ,$699.25 ,$608.76 ,$246.50 ,$98.60 , N/A ,$686.09 ,$98.60 ,$679.51 ,$658.12 ,$740.39 ,$246.50 ,$699.25 ,$105.60 ,$699.25 ,$699.25 ,$740.39 ,$740.39 ,$645.78 ,$679.51 ,$105.60 ,$534.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076880,76882,US EXTREMITY NON VASCULAR,402,1 ,$442.34 ,$287.52 ,$98.60 ,$398.33 ,$353.87 ,$98.60 ,$350.51 ,$398.33 ,$398.33 ,$187.34 ,$375.99 ,$327.33 ,$246.50 ,$98.60 , N/A ,$368.91 ,$98.60 ,$365.37 ,$353.87 ,$398.11 ,$246.50 ,$375.99 ,$105.60 ,$375.99 ,$375.99 ,$398.11 ,$398.11 ,$347.24 ,$365.37 ,$105.60 ,$287.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),30076942,76942,US GD THYROID CORE BX,402,1 ,$989.03 ,$642.87 ,$642.87 ,$890.62 ,$791.22 , N/A ,$783.71 ,$890.62 ,$890.62 , N/A ,$840.68 ,$731.88 , N/A , N/A , N/A ,$824.85 , N/A ,$816.94 ,$791.22 ,$890.13 , N/A ,$840.68 , N/A ,$840.68 ,$840.68 ,$890.13 ,$890.13 ,$776.39 ,$816.94 , N/A ,$642.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),30077072,77072,BONE AGE STUDY,320,1 ,$486.97 ,$316.53 ,$98.60 ,$438.52 ,$389.58 ,$98.60 ,$385.88 ,$438.52 ,$438.52 ,$187.34 ,$413.92 ,$360.36 ,$246.50 ,$98.60 , N/A ,$406.13 ,$98.60 ,$402.24 ,$389.58 ,$438.27 ,$246.50 ,$413.92 ,$105.60 ,$413.92 ,$413.92 ,$438.27 ,$438.27 ,$382.27 ,$402.24 ,$105.60 ,$316.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),30077077,77077,JOINT SURVEY 1 VIEW,320,1 ,$494.06 ,$321.14 ,$98.60 ,$444.90 ,$395.25 ,$98.60 ,$391.49 ,$444.90 ,$444.90 ,$187.34 ,$419.95 ,$365.60 ,$246.50 ,$98.60 , N/A ,$412.05 ,$98.60 ,$408.09 ,$395.25 ,$444.65 ,$246.50 ,$419.95 ,$105.60 ,$419.95 ,$419.95 ,$444.65 ,$444.65 ,$387.84 ,$408.09 ,$105.60 ,$321.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),30078264,78264,NM GASTRIC EMPTY,341,1 ,"$2,585.76 ","$1,680.74 ",$341.23 ,"$2,328.48 ","$2,068.61 ",$341.23 ,"$2,048.96 ","$2,328.48 ","$2,328.48 ",$648.34 ,"$2,197.90 ","$1,913.46 ",$853.08 ,$341.23 , N/A ,"$2,156.52 ",$341.23 ,"$2,135.84 ","$2,068.61 ","$2,327.18 ",$853.08 ,"$2,197.90 ",$365.46 ,"$2,197.90 ","$2,197.90 ","$2,327.18 ","$2,327.18 ","$2,029.82 ","$2,135.84 ",$365.46 ,"$1,680.74 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30078464,78451,NM CARDIO SINGLE SPECT,341,1 ,"$4,981.14 ","$3,237.74 ","$1,181.67 ","$4,485.52 ","$3,984.91 ","$1,181.67 ","$3,947.06 ","$4,485.52 ","$4,485.52 ","$2,245.17 ","$4,233.97 ","$3,686.04 ","$2,954.17 ","$1,181.67 ", N/A ,"$4,154.27 ","$1,181.67 ","$4,114.42 ","$3,984.91 ","$4,483.03 ","$2,954.17 ","$4,233.97 ","$1,265.57 ","$4,233.97 ","$4,233.97 ","$4,483.03 ","$4,483.03 ","$3,910.19 ","$4,114.42 ","$1,265.57 ","$3,237.74 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30078465,78452,NM CARDIO NO GATE,341,1 ,"$4,399.35 ","$2,859.58 ","$1,181.67 ","$3,961.61 ","$3,519.48 ","$1,181.67 ","$3,486.04 ","$3,961.61 ","$3,961.61 ","$2,245.17 ","$3,739.45 ","$3,255.52 ","$2,954.17 ","$1,181.67 ", N/A ,"$3,669.06 ","$1,181.67 ","$3,633.86 ","$3,519.48 ","$3,959.42 ","$2,954.17 ","$3,739.45 ","$1,265.57 ","$3,739.45 ","$3,739.45 ","$3,959.42 ","$3,959.42 ","$3,453.49 ","$3,633.86 ","$1,265.57 ","$2,859.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30078472,78472,NM MUGA/BLOOD POOL CARDIAC,341,1 ,"$1,974.35 ","$1,283.33 ",$341.23 ,"$1,777.90 ","$1,579.48 ",$341.23 ,"$1,564.47 ","$1,777.90 ","$1,777.90 ",$648.34 ,"$1,678.20 ","$1,461.02 ",$853.08 ,$341.23 , N/A ,"$1,646.61 ",$341.23 ,"$1,630.81 ","$1,579.48 ","$1,776.92 ",$853.08 ,"$1,678.20 ",$365.46 ,"$1,678.20 ","$1,678.20 ","$1,776.92 ","$1,776.92 ","$1,549.86 ","$1,630.81 ",$365.46 ,"$1,283.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30078473,N/A,NM ULTRATAG KIT,270,1 ,$337.31 ,$219.25 ,$219.25 ,$303.75 ,$269.85 , N/A ,$267.28 ,$303.75 ,$303.75 , N/A ,$286.71 ,$249.61 , N/A , N/A , N/A ,$281.32 , N/A ,$278.62 ,$269.85 ,$303.58 , N/A ,$286.71 , N/A ,$286.71 ,$286.71 ,$303.58 ,$303.58 ,$264.79 ,$278.62 , N/A ,$219.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),30093308,93308,US ECHO LIMITED W/CONTRAST,480,1 ,$854.18 ,$555.22 ,$208.23 ,$769.19 ,$683.34 ,$208.23 ,$676.85 ,$769.19 ,$769.19 ,$395.64 ,$726.05 ,$632.09 ,$520.58 ,$208.23 , N/A ,$712.39 ,$208.23 ,$705.55 ,$683.34 ,$768.76 ,$520.58 ,$726.05 ,$223.02 ,$726.05 ,$726.05 ,$768.76 ,$768.76 ,$670.53 ,$705.55 ,$223.02 ,$555.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),30093926,93926,US ARTERIAL LOWER LIMITED/UNILAT,921,1 ,"$1,216.10 ",$790.47 ,$98.60 ,"$1,095.10 ",$972.88 ,$98.60 ,$963.64 ,"$1,095.10 ","$1,095.10 ",$187.34 ,"$1,033.69 ",$899.91 ,$246.50 ,$98.60 , N/A ,"$1,014.23 ",$98.60 ,"$1,004.50 ",$972.88 ,"$1,094.49 ",$246.50 ,"$1,033.69 ",$105.60 ,"$1,033.69 ","$1,033.69 ","$1,094.49 ","$1,094.49 ",$954.64 ,"$1,004.50 ",$105.60 ,$790.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),30093930,93930,US ARTERIAL UPPER BILAT,921,1 ,"$1,570.81 ","$1,021.03 ",$208.23 ,"$1,414.51 ","$1,256.65 ",$208.23 ,"$1,244.71 ","$1,414.51 ","$1,414.51 ",$395.64 ,"$1,335.19 ","$1,162.40 ",$520.58 ,$208.23 , N/A ,"$1,310.06 ",$208.23 ,"$1,297.49 ","$1,256.65 ","$1,413.73 ",$520.58 ,"$1,335.19 ",$223.02 ,"$1,335.19 ","$1,335.19 ","$1,413.73 ","$1,413.73 ","$1,233.09 ","$1,297.49 ",$223.02 ,"$1,021.03 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30093931,93931,US ARTERIAL UPPER UNILAT OR LIMITED,921,1 ,"$1,034.53 ",$672.44 ,$98.60 ,$931.59 ,$827.62 ,$98.60 ,$819.76 ,$931.59 ,$931.59 ,$187.34 ,$879.35 ,$765.55 ,$246.50 ,$98.60 , N/A ,$862.80 ,$98.60 ,$854.52 ,$827.62 ,$931.08 ,$246.50 ,$879.35 ,$105.60 ,$879.35 ,$879.35 ,$931.08 ,$931.08 ,$812.11 ,$854.52 ,$105.60 ,$672.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),30093975,93975,US RENAL ART DOP/COMPLETE,921,1 ,"$1,829.23 ","$1,189.00 ",$208.23 ,"$1,647.22 ","$1,463.38 ",$208.23 ,"$1,449.48 ","$1,647.22 ","$1,647.22 ",$395.64 ,"$1,554.85 ","$1,353.63 ",$520.58 ,$208.23 , N/A ,"$1,525.58 ",$208.23 ,"$1,510.94 ","$1,463.38 ","$1,646.31 ",$520.58 ,"$1,554.85 ",$223.02 ,"$1,554.85 ","$1,554.85 ","$1,646.31 ","$1,646.31 ","$1,435.95 ","$1,510.94 ",$223.02 ,"$1,189.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30093978,93978,US AORTA ILIAC DUPLEX COMPLETE,921,1 ,$719.61 ,$467.75 ,$208.23 ,$648.01 ,$575.69 ,$208.23 ,$570.22 ,$648.01 ,$648.01 ,$395.64 ,$611.67 ,$532.51 ,$520.58 ,$208.23 , N/A ,$600.15 ,$208.23 ,$594.40 ,$575.69 ,$647.65 ,$520.58 ,$611.67 ,$223.02 ,$611.67 ,$611.67 ,$647.65 ,$647.65 ,$564.89 ,$594.40 ,$223.02 ,$467.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),30101140,80307,HC DRUG SCREEN PRESUMTIVE INTRUMENT T1,300,1 ,$90.73 ,$58.97 ,$58.97 ,$155.35 ,$72.58 ,$62.14 ,$71.89 ,$81.70 ,$81.70 ,$118.07 ,$77.12 ,$67.14 ,$155.35 ,$62.14 , N/A ,$75.67 ,$62.14 ,$74.94 ,$72.58 ,$81.66 ,$90.73 ,$77.12 ,$62.14 ,$77.12 ,$77.12 ,$81.66 ,$81.66 ,$71.22 ,$74.94 ,$62.14 ,$58.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),30101302,83519,HC QN RIA 90,301,1 ,$304.35 ,$197.83 ,$18.40 ,$274.07 ,$243.48 ,$18.40 ,$241.17 ,$274.07 ,$274.07 ,$34.96 ,$258.70 ,$225.22 ,$46.00 ,$18.40 , N/A ,$253.83 ,$18.40 ,$251.39 ,$243.48 ,$273.92 ,$46.00 ,$258.70 ,$18.40 ,$258.70 ,$258.70 ,$273.92 ,$273.92 ,$238.91 ,$251.39 ,$18.40 ,$197.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),30101655,82009,ACETONE,301,1 ,$66.45 ,$43.19 ,$4.52 ,$59.84 ,$53.16 ,$4.52 ,$52.66 ,$59.84 ,$59.84 ,$8.59 ,$56.48 ,$49.17 ,$11.30 ,$4.52 , N/A ,$55.42 ,$4.52 ,$54.89 ,$53.16 ,$59.81 ,$11.30 ,$56.48 ,$4.52 ,$56.48 ,$56.48 ,$59.81 ,$59.81 ,$52.16 ,$54.89 ,$4.52 ,$43.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),30110130,N/A,* DO NOT USE THIS CODE SEE NEW CODES***,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30110155,A9561,NM TC 99M WBC STUDY,343,1 ,$102.78 ,$66.81 ,$66.81 ,$92.55 ,$82.22 , N/A ,$81.44 ,$92.55 ,$92.55 , N/A ,$87.36 ,$76.06 , N/A , N/A , N/A ,$85.72 , N/A ,$84.90 ,$82.22 ,$92.50 , N/A ,$87.36 , N/A ,$87.36 ,$87.36 ,$92.50 ,$92.50 ,$80.68 ,$84.90 , N/A ,$66.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),30110156,A9560,NM TC 99M RBC STUDY,343,1 ,$320.97 ,$208.63 ,$208.63 ,$289.03 ,$256.78 , N/A ,$254.34 ,$289.03 ,$289.03 , N/A ,$272.82 ,$237.52 , N/A , N/A , N/A ,$267.69 , N/A ,$265.12 ,$256.78 ,$288.87 , N/A ,$272.82 , N/A ,$272.82 ,$272.82 ,$288.87 ,$288.87 ,$251.96 ,$265.12 , N/A ,$208.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111018,78306,NM BONE SCAN TOTAL,341,1 ,"$1,990.97 ","$1,294.13 ",$341.23 ,"$1,792.87 ","$1,592.78 ",$341.23 ,"$1,577.64 ","$1,792.87 ","$1,792.87 ",$648.34 ,"$1,692.32 ","$1,473.32 ",$853.08 ,$341.23 , N/A ,"$1,660.47 ",$341.23 ,"$1,644.54 ","$1,592.78 ","$1,791.87 ",$853.08 ,"$1,692.32 ",$365.46 ,"$1,692.32 ","$1,692.32 ","$1,791.87 ","$1,791.87 ","$1,562.91 ","$1,644.54 ",$365.46 ,"$1,294.13 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111020,N/A,NM ISOTOPE 123,270,1 ,$243.45 ,$158.24 ,$158.24 ,$219.23 ,$194.76 , N/A ,$192.91 ,$219.23 ,$219.23 , N/A ,$206.93 ,$180.15 , N/A , N/A , N/A ,$203.04 , N/A ,$201.09 ,$194.76 ,$219.11 , N/A ,$206.93 , N/A ,$206.93 ,$206.93 ,$219.11 ,$219.11 ,$191.11 ,$201.09 , N/A ,$158.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111025,78582,NM LUNG VENT/PERF,341,1 ,"$2,297.34 ","$1,493.27 ",$442.83 ,"$2,068.75 ","$1,837.87 ",$442.83 ,"$1,820.41 ","$2,068.75 ","$2,068.75 ",$841.37 ,"$1,952.74 ","$1,700.03 ","$1,107.07 ",$442.83 , N/A ,"$1,915.98 ",$442.83 ,"$1,897.60 ","$1,837.87 ","$2,067.61 ","$1,107.07 ","$1,952.74 ",$474.27 ,"$1,952.74 ","$1,952.74 ","$2,067.61 ","$2,067.61 ","$1,803.41 ","$1,897.60 ",$474.27 ,"$1,493.27 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111039,78215,NM LIVER SPLEEN SCAN,341,1 ,"$1,498.01 ",$973.71 ,$341.23 ,"$1,348.96 ","$1,198.41 ",$341.23 ,"$1,187.02 ","$1,348.96 ","$1,348.96 ",$648.34 ,"$1,273.31 ","$1,108.53 ",$853.08 ,$341.23 , N/A ,"$1,249.34 ",$341.23 ,"$1,237.36 ","$1,198.41 ","$1,348.21 ",$853.08 ,"$1,273.31 ",$365.46 ,"$1,273.31 ","$1,273.31 ","$1,348.21 ","$1,348.21 ","$1,175.94 ","$1,237.36 ",$365.46 ,$973.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111040,A9541,NM ISOTOPE SULFUR COLLOID,343,1 ,$218.69 ,$142.15 ,$142.15 ,$196.93 ,$174.95 , N/A ,$173.29 ,$196.93 ,$196.93 , N/A ,$185.89 ,$161.83 , N/A , N/A , N/A ,$182.39 , N/A ,$180.64 ,$174.95 ,$196.82 , N/A ,$185.89 , N/A ,$185.89 ,$185.89 ,$196.82 ,$196.82 ,$171.67 ,$180.64 , N/A ,$142.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111047,78278,NM GI BLEED ADULT,341,1 ,"$1,309.92 ",$851.45 ,$341.23 ,"$1,179.58 ","$1,047.94 ",$341.23 ,"$1,037.98 ","$1,179.58 ","$1,179.58 ",$648.34 ,"$1,113.43 ",$969.34 ,$853.08 ,$341.23 , N/A ,"$1,092.47 ",$341.23 ,"$1,081.99 ","$1,047.94 ","$1,178.93 ",$853.08 ,"$1,113.43 ",$365.46 ,"$1,113.43 ","$1,113.43 ","$1,178.93 ","$1,178.93 ","$1,028.29 ","$1,081.99 ",$365.46 ,$851.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111052,A9500,NM ISOTOPE CARDIOLYTE SINGLE DOSE,343,1 ,$157.95 ,$102.67 ,$102.67 ,$142.23 ,$126.36 , N/A ,$125.16 ,$142.23 ,$142.23 , N/A ,$134.26 ,$116.88 , N/A , N/A , N/A ,$131.73 , N/A ,$130.47 ,$126.36 ,$142.16 , N/A ,$134.26 , N/A ,$134.26 ,$134.26 ,$142.16 ,$142.16 ,$123.99 ,$130.47 , N/A ,$102.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111053,78070,NM PARATHYROID,341,1 ,"$1,672.00 ","$1,086.80 ",$341.23 ,"$1,505.64 ","$1,337.60 ",$341.23 ,"$1,324.89 ","$1,505.64 ","$1,505.64 ",$648.34 ,"$1,421.20 ","$1,237.28 ",$853.08 ,$341.23 , N/A ,"$1,394.45 ",$341.23 ,"$1,381.07 ","$1,337.60 ","$1,504.80 ",$853.08 ,"$1,421.20 ",$365.46 ,"$1,421.20 ","$1,421.20 ","$1,504.80 ","$1,504.80 ","$1,312.52 ","$1,381.07 ",$365.46 ,"$1,086.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111054,78580,NM LUNG PERF SCAN,341,1 ,"$1,521.84 ",$989.20 ,$341.23 ,"$1,370.42 ","$1,217.47 ",$341.23 ,"$1,205.91 ","$1,370.42 ","$1,370.42 ",$648.34 ,"$1,293.56 ","$1,126.16 ",$853.08 ,$341.23 , N/A ,"$1,269.21 ",$341.23 ,"$1,257.04 ","$1,217.47 ","$1,369.66 ",$853.08 ,"$1,293.56 ",$365.46 ,"$1,293.56 ","$1,293.56 ","$1,369.66 ","$1,369.66 ","$1,194.64 ","$1,257.04 ",$365.46 ,$989.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111055,A9540,NM ISOTOPE TCMAA,343,1 ,$351.83 ,$228.69 ,$228.69 ,$316.82 ,$281.46 , N/A ,$278.79 ,$316.82 ,$316.82 , N/A ,$299.06 ,$260.35 , N/A , N/A , N/A ,$293.43 , N/A ,$290.61 ,$281.46 ,$316.65 , N/A ,$299.06 , N/A ,$299.06 ,$299.06 ,$316.65 ,$316.65 ,$276.19 ,$290.61 , N/A ,$228.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111062,78579,NM LUNG VENT SCAN,341,1 ,"$1,487.56 ",$966.91 ,$341.23 ,"$1,339.55 ","$1,190.05 ",$341.23 ,"$1,178.74 ","$1,339.55 ","$1,339.55 ",$648.34 ,"$1,264.43 ","$1,100.79 ",$853.08 ,$341.23 , N/A ,"$1,240.63 ",$341.23 ,"$1,228.72 ","$1,190.05 ","$1,338.80 ",$853.08 ,"$1,264.43 ",$365.46 ,"$1,264.43 ","$1,264.43 ","$1,338.80 ","$1,338.80 ","$1,167.73 ","$1,228.72 ",$365.46 ,$966.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111063,N/A,NM LUNG VENT KIT,270,1 ,$200.80 ,$130.52 ,$130.52 ,$180.82 ,$160.64 , N/A ,$159.11 ,$180.82 ,$180.82 , N/A ,$170.68 ,$148.59 , N/A , N/A , N/A ,$167.47 , N/A ,$165.86 ,$160.64 ,$180.72 , N/A ,$170.68 , N/A ,$170.68 ,$170.68 ,$180.72 ,$180.72 ,$157.63 ,$165.86 , N/A ,$130.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111088,78305,NM BONE SCAN MULTIPLE,341,1 ,"$1,711.84 ","$1,112.70 ",$341.23 ,"$1,541.51 ","$1,369.47 ",$341.23 ,"$1,356.46 ","$1,541.51 ","$1,541.51 ",$648.34 ,"$1,455.06 ","$1,266.76 ",$853.08 ,$341.23 , N/A ,"$1,427.67 ",$341.23 ,"$1,413.98 ","$1,369.47 ","$1,540.66 ",$853.08 ,"$1,455.06 ",$365.46 ,"$1,455.06 ","$1,455.06 ","$1,540.66 ","$1,540.66 ","$1,343.79 ","$1,413.98 ",$365.46 ,"$1,112.70 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111102,78226,NM HIDA W/O EJECT FRAC,341,1 ,"$1,521.84 ",$989.20 ,$341.23 ,"$1,370.42 ","$1,217.47 ",$341.23 ,"$1,205.91 ","$1,370.42 ","$1,370.42 ",$648.34 ,"$1,293.56 ","$1,126.16 ",$853.08 ,$341.23 , N/A ,"$1,269.21 ",$341.23 ,"$1,257.04 ","$1,217.47 ","$1,369.66 ",$853.08 ,"$1,293.56 ",$365.46 ,"$1,293.56 ","$1,293.56 ","$1,369.66 ","$1,369.66 ","$1,194.64 ","$1,257.04 ",$365.46 ,$989.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111103,J2805,NM SINCALIDE CCK,636,1 ,$248.49 ,$161.52 ,$161.52 ,$223.77 ,$198.79 , N/A ,$196.90 ,$223.77 ,$223.77 , N/A ,$211.22 ,$183.88 , N/A , N/A , N/A ,$207.24 , N/A ,$205.25 ,$198.79 ,$223.64 , N/A ,$211.22 , N/A ,$211.22 ,$211.22 ,$223.64 ,$223.64 ,$195.06 ,$205.25 , N/A ,$161.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111104,78227,NM HIDA W/ EJECT FRAC,341,1 ,"$1,521.84 ",$989.20 ,$442.83 ,"$1,370.42 ","$1,217.47 ",$442.83 ,"$1,205.91 ","$1,370.42 ","$1,370.42 ",$841.37 ,"$1,293.56 ","$1,126.16 ","$1,107.07 ",$442.83 , N/A ,"$1,269.21 ",$442.83 ,"$1,257.04 ","$1,217.47 ","$1,369.66 ","$1,107.07 ","$1,293.56 ",$474.27 ,"$1,293.56 ","$1,293.56 ","$1,369.66 ","$1,369.66 ","$1,194.64 ","$1,257.04 ",$474.27 ,$989.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111105,A9537,NM ISOTOPE CHOLETEC,343,1 ,$122.19 ,$79.42 ,$79.42 ,$110.03 ,$97.75 , N/A ,$96.82 ,$110.03 ,$110.03 , N/A ,$103.86 ,$90.42 , N/A , N/A , N/A ,$101.91 , N/A ,$100.93 ,$97.75 ,$109.97 , N/A ,$103.86 , N/A ,$103.86 ,$103.86 ,$109.97 ,$109.97 ,$95.92 ,$100.93 , N/A ,$79.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111113,A9567,NM ISOTOPE TCDTPA,343,1 ,$208.15 ,$135.30 ,$135.30 ,$187.44 ,$166.52 , N/A ,$164.94 ,$187.44 ,$187.44 , N/A ,$176.93 ,$154.03 , N/A , N/A , N/A ,$173.60 , N/A ,$171.93 ,$166.52 ,$187.34 , N/A ,$176.93 , N/A ,$176.93 ,$176.93 ,$187.34 ,$187.34 ,$163.40 ,$171.93 , N/A ,$135.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111114,A9562,NM ISOTOPE MAG3,343,1 ,$438.29 ,$284.89 ,$284.89 ,$394.68 ,$350.63 , N/A ,$347.30 ,$394.68 ,$394.68 , N/A ,$372.55 ,$324.33 , N/A , N/A , N/A ,$365.53 , N/A ,$362.03 ,$350.63 ,$394.46 , N/A ,$372.55 , N/A ,$372.55 ,$372.55 ,$394.46 ,$394.46 ,$344.06 ,$362.03 , N/A ,$284.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111180,78012,NM THYROID SCAN UPTAKE MULTI,341,1 ,"$1,699.61 ","$1,104.75 ",$341.23 ,"$1,530.50 ","$1,359.69 ",$341.23 ,"$1,346.77 ","$1,530.50 ","$1,530.50 ",$648.34 ,"$1,444.67 ","$1,257.71 ",$853.08 ,$341.23 , N/A ,"$1,417.47 ",$341.23 ,"$1,403.88 ","$1,359.69 ","$1,529.65 ",$853.08 ,"$1,444.67 ",$365.46 ,"$1,444.67 ","$1,444.67 ","$1,529.65 ","$1,529.65 ","$1,334.19 ","$1,403.88 ",$365.46 ,"$1,104.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111181,A9516,NM ISOTOPE I-123,343,1 ,$233.58 ,$151.83 ,$151.83 ,$210.34 ,$186.86 , N/A ,$185.09 ,$210.34 ,$210.34 , N/A ,$198.54 ,$172.85 , N/A , N/A , N/A ,$194.81 , N/A ,$192.94 ,$186.86 ,$210.22 , N/A ,$198.54 , N/A ,$198.54 ,$198.54 ,$210.22 ,$210.22 ,$183.36 ,$192.94 , N/A ,$151.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111195,78466,NM ACUTE MI SCAN,341,1 ,"$1,545.31 ","$1,004.45 ",$341.23 ,"$1,391.55 ","$1,236.25 ",$341.23 ,"$1,224.50 ","$1,391.55 ","$1,391.55 ",$648.34 ,"$1,313.51 ","$1,143.53 ",$853.08 ,$341.23 , N/A ,"$1,288.79 ",$341.23 ,"$1,276.43 ","$1,236.25 ","$1,390.78 ",$853.08 ,"$1,313.51 ",$365.46 ,"$1,313.51 ","$1,313.51 ","$1,390.78 ","$1,390.78 ","$1,213.07 ","$1,276.43 ",$365.46 ,"$1,004.45 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111211,78709,NM RENOGRAM COMP,341,1 ,$797.76 ,$518.54 ,$442.83 ,"$1,107.07 ",$638.21 ,$442.83 ,$632.15 ,$718.38 ,$718.38 ,$841.37 ,$678.10 ,$590.34 ,"$1,107.07 ",$442.83 , N/A ,$665.33 ,$442.83 ,$658.95 ,$638.21 ,$717.98 ,$797.76 ,$678.10 ,$474.27 ,$678.10 ,$678.10 ,$717.98 ,$717.98 ,$626.24 ,$658.95 ,$474.27 ,$518.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111212,78708,NM RENAL MAG3,341,1 ,"$1,520.54 ",$988.35 ,$442.83 ,"$1,369.25 ","$1,216.43 ",$442.83 ,"$1,204.88 ","$1,369.25 ","$1,369.25 ",$841.37 ,"$1,292.46 ","$1,125.20 ","$1,107.07 ",$442.83 , N/A ,"$1,268.13 ",$442.83 ,"$1,255.97 ","$1,216.43 ","$1,368.49 ","$1,107.07 ","$1,292.46 ",$474.27 ,"$1,292.46 ","$1,292.46 ","$1,368.49 ","$1,368.49 ","$1,193.62 ","$1,255.97 ",$474.27 ,$988.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111213,78708,NM RENAL DTPA,341,1 ,"$1,520.54 ",$988.35 ,$442.83 ,"$1,369.25 ","$1,216.43 ",$442.83 ,"$1,204.88 ","$1,369.25 ","$1,369.25 ",$841.37 ,"$1,292.46 ","$1,125.20 ","$1,107.07 ",$442.83 , N/A ,"$1,268.13 ",$442.83 ,"$1,255.97 ","$1,216.43 ","$1,368.49 ","$1,107.07 ","$1,292.46 ",$474.27 ,"$1,292.46 ","$1,292.46 ","$1,368.49 ","$1,368.49 ","$1,193.62 ","$1,255.97 ",$474.27 ,$988.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111246,A9512,NM ISOTOPE TC04,343,1 ,$79.79 ,$51.86 ,$51.86 ,$71.85 ,$63.83 , N/A ,$63.23 ,$71.85 ,$71.85 , N/A ,$67.82 ,$59.04 , N/A , N/A , N/A ,$66.54 , N/A ,$65.91 ,$63.83 ,$71.81 , N/A ,$67.82 , N/A ,$67.82 ,$67.82 ,$71.81 ,$71.81 ,$62.64 ,$65.91 , N/A ,$51.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111302,78300,NM BONE SCAN LIMITED,341,1 ,"$1,309.92 ",$851.45 ,$341.23 ,"$1,179.58 ","$1,047.94 ",$341.23 ,"$1,037.98 ","$1,179.58 ","$1,179.58 ",$648.34 ,"$1,113.43 ",$969.34 ,$853.08 ,$341.23 , N/A ,"$1,092.47 ",$341.23 ,"$1,081.99 ","$1,047.94 ","$1,178.93 ",$853.08 ,"$1,113.43 ",$365.46 ,"$1,113.43 ","$1,113.43 ","$1,178.93 ","$1,178.93 ","$1,028.29 ","$1,081.99 ",$365.46 ,$851.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111303,A9503,NM ISOTOPE TCMDP,343,1 ,$147.90 ,$96.14 ,$96.14 ,$133.18 ,$118.32 , N/A ,$117.20 ,$133.18 ,$133.18 , N/A ,$125.72 ,$109.45 , N/A , N/A , N/A ,$123.35 , N/A ,$122.17 ,$118.32 ,$133.11 , N/A ,$125.72 , N/A ,$125.72 ,$125.72 ,$133.11 ,$133.11 ,$116.10 ,$122.17 , N/A ,$96.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111310,78315,NM BONE SCAN 3 PART,341,1 ,"$1,925.95 ","$1,251.87 ",$341.23 ,"$1,734.32 ","$1,540.76 ",$341.23 ,"$1,526.12 ","$1,734.32 ","$1,734.32 ",$648.34 ,"$1,637.06 ","$1,425.20 ",$853.08 ,$341.23 , N/A ,"$1,606.24 ",$341.23 ,"$1,590.83 ","$1,540.76 ","$1,733.36 ",$853.08 ,"$1,637.06 ",$365.46 ,"$1,637.06 ","$1,637.06 ","$1,733.36 ","$1,733.36 ","$1,511.87 ","$1,590.83 ",$365.46 ,"$1,251.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111336,A9500,NM ISOTOPE CARDIOLYTE,343,1 ,$315.90 ,$205.34 ,$205.34 ,$284.47 ,$252.72 , N/A ,$250.32 ,$284.47 ,$284.47 , N/A ,$268.52 ,$233.77 , N/A , N/A , N/A ,$263.46 , N/A ,$260.93 ,$252.72 ,$284.31 , N/A ,$268.52 , N/A ,$268.52 ,$268.52 ,$284.31 ,$284.31 ,$247.98 ,$260.93 , N/A ,$205.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),30111351,78803,NM BONE SCAN SPECT,341,1 ,"$2,483.63 ","$1,614.36 ","$1,181.67 ","$2,954.17 ","$1,986.90 ","$1,181.67 ","$1,968.03 ","$2,236.51 ","$2,236.51 ","$2,245.17 ","$2,111.09 ","$1,837.89 ","$2,954.17 ","$1,181.67 ", N/A ,"$2,071.35 ","$1,181.67 ","$2,051.48 ","$1,986.90 ","$2,235.27 ","$2,483.63 ","$2,111.09 ","$1,265.57 ","$2,111.09 ","$2,111.09 ","$2,235.27 ","$2,235.27 ","$1,949.65 ","$2,051.48 ","$1,265.57 ","$1,614.36 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111385,78452,NM CARDIOLYTE SPEC,341,1 ,"$6,853.64 ","$4,454.87 ","$1,181.67 ","$6,171.70 ","$5,482.91 ","$1,181.67 ","$5,430.82 ","$6,171.70 ","$6,171.70 ","$2,245.17 ","$5,825.59 ","$5,071.69 ","$2,954.17 ","$1,181.67 ", N/A ,"$5,715.94 ","$1,181.67 ","$5,661.11 ","$5,482.91 ","$6,168.28 ","$2,954.17 ","$5,825.59 ","$1,265.57 ","$5,825.59 ","$5,825.59 ","$6,168.28 ","$6,168.28 ","$5,380.11 ","$5,661.11 ","$1,265.57 ","$4,454.87 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30111394,N/A,*****DO NOT USE******************,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30120610,20610,INJECT ASPIRATION MAJOR JT LEFT,320,1 ,$869.78 ,$565.36 ,$236.32 ,$783.24 ,$695.82 ,$236.32 ,$689.21 ,$783.24 ,$783.24 ,$449.00 ,$739.31 ,$643.64 ,$590.79 ,$236.32 , N/A ,$725.40 ,$236.32 ,$718.44 ,$695.82 ,$782.80 ,$590.79 ,$739.31 ,$253.10 ,$739.31 ,$739.31 ,$782.80 ,$782.80 ,$682.78 ,$718.44 ,$253.10 ,$565.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),30120611,20610,INJECT ASPIRATION MAJOR JT RIGHT,320,1 ,$869.78 ,$565.36 ,$236.32 ,$783.24 ,$695.82 ,$236.32 ,$689.21 ,$783.24 ,$783.24 ,$449.00 ,$739.31 ,$643.64 ,$590.79 ,$236.32 , N/A ,$725.40 ,$236.32 ,$718.44 ,$695.82 ,$782.80 ,$590.79 ,$739.31 ,$253.10 ,$739.31 ,$739.31 ,$782.80 ,$782.80 ,$682.78 ,$718.44 ,$253.10 ,$565.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3012630,N/A,AUGMENTIN SUSP. 125MG/5ML : 150ML,637,1 ,$130.85 ,$85.05 ,$85.05 ,$130.85 ,$104.68 , N/A ,$103.69 ,$117.83 ,$117.83 , N/A ,$111.22 ,$96.83 , N/A , N/A , N/A ,$109.13 , N/A ,$108.08 ,$104.68 ,$117.77 ,$130.85 ,$111.22 , N/A ,$111.22 ,$111.22 ,$117.77 ,$117.77 ,$102.72 ,$108.08 , N/A ,$85.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),30173100,73100,WRIST LEFT 2V,320,1 ,$356.83 ,$231.94 ,$73.20 ,$321.33 ,$285.46 ,$73.20 ,$282.75 ,$321.33 ,$321.33 ,$139.08 ,$303.31 ,$264.05 ,$183.00 ,$73.20 , N/A ,$297.60 ,$73.20 ,$294.74 ,$285.46 ,$321.15 ,$183.00 ,$303.31 ,$78.40 ,$303.31 ,$303.31 ,$321.15 ,$321.15 ,$280.11 ,$294.74 ,$78.40 ,$231.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),30173560,73560,KNEE LEFT 1 OR 2 VIEW,320,1 ,$379.72 ,$246.82 ,$73.20 ,$341.94 ,$303.78 ,$73.20 ,$300.89 ,$341.94 ,$341.94 ,$139.08 ,$322.76 ,$280.99 ,$183.00 ,$73.20 , N/A ,$316.69 ,$73.20 ,$313.65 ,$303.78 ,$341.75 ,$183.00 ,$322.76 ,$78.40 ,$322.76 ,$322.76 ,$341.75 ,$341.75 ,$298.08 ,$313.65 ,$78.40 ,$246.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),30176000,76000,FLUORO UP TO 1 HOUR,320,1 ,$250.48 ,$162.81 ,$162.81 ,$520.58 ,$200.38 ,$208.23 ,$198.48 ,$225.56 ,$225.56 ,$395.64 ,$212.91 ,$185.36 ,$520.58 ,$208.23 , N/A ,$208.90 ,$208.23 ,$206.90 ,$200.38 ,$225.43 ,$250.48 ,$212.91 ,$223.02 ,$212.91 ,$212.91 ,$225.43 ,$225.43 ,$196.63 ,$206.90 ,$223.02 ,$162.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),30177002,77002,FLUORO GUIDANCE,320,1 ,$227.48 ,$147.86 ,$147.86 ,$204.85 ,$181.98 , N/A ,$180.26 ,$204.85 ,$204.85 , N/A ,$193.36 ,$168.34 , N/A , N/A , N/A ,$189.72 , N/A ,$187.90 ,$181.98 ,$204.73 , N/A ,$193.36 , N/A ,$193.36 ,$193.36 ,$204.73 ,$204.73 ,$178.57 ,$187.90 , N/A ,$147.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),30178815,78815,"NM PET/CT,TUMOR IMAGING SKULL BASE-THIGH",404,1 ,"$6,114.31 ","$3,974.30 ","$1,339.47 ","$5,505.94 ","$4,891.45 ","$1,339.47 ","$4,844.98 ","$5,505.94 ","$5,505.94 ","$2,544.99 ","$5,197.16 ","$4,524.59 ","$3,348.68 ","$1,339.47 ", N/A ,"$5,099.33 ","$1,339.47 ","$5,050.42 ","$4,891.45 ","$5,502.88 ","$3,348.68 ","$5,197.16 ","$1,434.57 ","$5,197.16 ","$5,197.16 ","$5,502.88 ","$5,502.88 ","$4,799.73 ","$5,050.42 ","$1,434.57 ","$3,974.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30193308,93308,US ECHO LIMITED W/O DEFINITY,480,1 ,$539.47 ,$350.66 ,$208.23 ,$520.58 ,$431.58 ,$208.23 ,$427.48 ,$485.79 ,$485.79 ,$395.64 ,$458.55 ,$399.21 ,$520.58 ,$208.23 , N/A ,$449.92 ,$208.23 ,$445.60 ,$431.58 ,$485.52 ,$520.58 ,$458.55 ,$223.02 ,$458.55 ,$458.55 ,$485.52 ,$485.52 ,$423.48 ,$445.60 ,$223.02 ,$350.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),30193975,93975,US LIVER DOPPLER,921,1 ,"$1,829.23 ","$1,189.00 ",$208.23 ,"$1,647.22 ","$1,463.38 ",$208.23 ,"$1,449.48 ","$1,647.22 ","$1,647.22 ",$395.64 ,"$1,554.85 ","$1,353.63 ",$520.58 ,$208.23 , N/A ,"$1,525.58 ",$208.23 ,"$1,510.94 ","$1,463.38 ","$1,646.31 ",$520.58 ,"$1,554.85 ",$223.02 ,"$1,554.85 ","$1,554.85 ","$1,646.31 ","$1,646.31 ","$1,435.95 ","$1,510.94 ",$223.02 ,"$1,189.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30200878,86255,HC FLUOR AB SCR 90,301,1 ,$332.82 ,$216.33 ,$12.05 ,$299.70 ,$266.26 ,$12.05 ,$263.73 ,$299.70 ,$299.70 ,$22.90 ,$282.90 ,$246.29 ,$30.13 ,$12.05 , N/A ,$277.57 ,$12.05 ,$274.91 ,$266.26 ,$299.54 ,$30.13 ,$282.90 ,$12.05 ,$282.90 ,$282.90 ,$299.54 ,$299.54 ,$261.26 ,$274.91 ,$12.05 ,$216.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),30800001,N/A,NO CHARGE CT,352,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30800067,74261,CT COLONOGRAPHY DIAGNOSTIC,352,1 ,"$4,563.33 ","$2,966.16 ",$98.60 ,"$4,109.28 ","$3,650.66 ",$98.60 ,"$3,615.98 ","$4,109.28 ","$4,109.28 ",$187.34 ,"$3,878.83 ","$3,376.86 ",$246.50 ,$98.60 , N/A ,"$3,805.82 ",$98.60 ,"$3,769.31 ","$3,650.66 ","$4,107.00 ",$246.50 ,"$3,878.83 ",$105.60 ,"$3,878.83 ","$3,878.83 ","$4,107.00 ","$4,107.00 ","$1,038.00 ","$3,769.31 ",$105.60 ,"$2,966.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30800068,74263,CT COLONOGRAPHY SCREENING,352,1 ,"$4,346.03 ","$2,824.92 ","$1,038.00 ","$3,913.60 ","$3,476.82 ", N/A ,"$3,443.79 ","$3,913.60 ","$3,913.60 ", N/A ,"$3,694.13 ","$3,216.06 ", N/A , N/A , N/A ,"$3,624.59 ", N/A ,"$3,589.82 ","$3,476.82 ","$3,911.43 ", N/A ,"$3,694.13 ", N/A ,"$3,694.13 ","$3,694.13 ","$3,911.43 ","$3,911.43 ","$1,038.00 ","$3,589.82 ", N/A ,"$2,824.92 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30850065,N/A,******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30850099,N/A,CT ORAL CONTRAST,270,1 ,$30.81 ,$20.03 ,$20.03 ,$27.74 ,$24.65 , N/A ,$24.41 ,$27.74 ,$27.74 , N/A ,$26.19 ,$22.80 , N/A , N/A , N/A ,$25.70 , N/A ,$25.45 ,$24.65 ,$27.73 , N/A ,$26.19 , N/A ,$26.19 ,$26.19 ,$27.73 ,$27.73 ,$24.19 ,$25.45 , N/A ,$20.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),30850198,N/A,OPTIRAY 350,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30850394,N/A,OPTIRAY 300,636,1 ,$186.91 ,$121.49 ,$121.49 ,$168.31 ,$149.53 , N/A ,$148.11 ,$168.31 ,$168.31 , N/A ,$158.87 ,$138.31 , N/A , N/A , N/A ,$155.88 , N/A ,$154.39 ,$149.53 ,$168.22 , N/A ,$158.87 , N/A ,$158.87 ,$158.87 ,$168.22 ,$168.22 ,$146.72 ,$154.39 , N/A ,$121.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),30850396,N/A,******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30850453,N/A,BARIUM,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30850495,N/A,BARIUM BAG A/C,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30850503,N/A,BARIUM BAG SINGLE,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30850545,N/A,******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30859017,70450,CT HEAD OR BRAIN W/O CONT,351,1 ,"$1,933.10 ","$1,256.52 ",$98.60 ,"$1,740.76 ","$1,546.48 ",$98.60 ,"$1,531.79 ","$1,740.76 ","$1,740.76 ",$187.34 ,"$1,643.14 ","$1,430.49 ",$246.50 ,$98.60 , N/A ,"$1,612.21 ",$98.60 ,"$1,596.74 ","$1,546.48 ","$1,739.79 ",$246.50 ,"$1,643.14 ",$105.60 ,"$1,643.14 ","$1,643.14 ","$1,739.79 ","$1,739.79 ","$1,038.00 ","$1,596.74 ",$105.60 ,"$1,256.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859025,70470,CT HEAD OR BRAIN W/WO CONT,351,1 ,"$2,475.53 ","$1,609.09 ",$161.56 ,"$2,229.21 ","$1,980.42 ",$161.56 ,"$1,961.61 ","$2,229.21 ","$2,229.21 ",$306.96 ,"$2,104.20 ","$1,831.89 ",$403.90 ,$161.56 , N/A ,"$2,064.59 ",$161.56 ,"$2,044.79 ","$1,980.42 ","$2,227.98 ",$403.90 ,"$2,104.20 ",$173.03 ,"$2,104.20 ","$2,104.20 ","$2,227.98 ","$2,227.98 ","$1,038.00 ","$2,044.79 ",$173.03 ,"$1,609.09 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859033,70460,CT HEAD OR BRAIN W/CONT,351,1 ,"$1,933.10 ","$1,256.52 ",$161.56 ,"$1,740.76 ","$1,546.48 ",$161.56 ,"$1,531.79 ","$1,740.76 ","$1,740.76 ",$306.96 ,"$1,643.14 ","$1,430.49 ",$403.90 ,$161.56 , N/A ,"$1,612.21 ",$161.56 ,"$1,596.74 ","$1,546.48 ","$1,739.79 ",$403.90 ,"$1,643.14 ",$173.03 ,"$1,643.14 ","$1,643.14 ","$1,739.79 ","$1,739.79 ","$1,038.00 ","$1,596.74 ",$173.03 ,"$1,256.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859058,73200,CT EXTREMITY UPPER W/O CONT,352,1 ,"$2,037.74 ","$1,324.53 ",$98.60 ,"$1,834.98 ","$1,630.19 ",$98.60 ,"$1,614.71 ","$1,834.98 ","$1,834.98 ",$187.34 ,"$1,732.08 ","$1,507.93 ",$246.50 ,$98.60 , N/A ,"$1,699.48 ",$98.60 ,"$1,683.17 ","$1,630.19 ","$1,833.97 ",$246.50 ,"$1,732.08 ",$105.60 ,"$1,732.08 ","$1,732.08 ","$1,833.97 ","$1,833.97 ","$1,038.00 ","$1,683.17 ",$105.60 ,"$1,324.53 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859074,70481,CT ORB/SEL/IACS W CON,351,1 ,"$1,933.10 ","$1,256.52 ",$161.56 ,"$1,740.76 ","$1,546.48 ",$161.56 ,"$1,531.79 ","$1,740.76 ","$1,740.76 ",$306.96 ,"$1,643.14 ","$1,430.49 ",$403.90 ,$161.56 , N/A ,"$1,612.21 ",$161.56 ,"$1,596.74 ","$1,546.48 ","$1,739.79 ",$403.90 ,"$1,643.14 ",$173.03 ,"$1,643.14 ","$1,643.14 ","$1,739.79 ","$1,739.79 ","$1,038.00 ","$1,596.74 ",$173.03 ,"$1,256.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859124,71250,CT CHEST WO CONTRAST,352,1 ,"$2,226.30 ","$1,447.10 ",$98.60 ,"$2,004.78 ","$1,781.04 ",$98.60 ,"$1,764.12 ","$2,004.78 ","$2,004.78 ",$187.34 ,"$1,892.36 ","$1,647.46 ",$246.50 ,$98.60 , N/A ,"$1,856.73 ",$98.60 ,"$1,838.92 ","$1,781.04 ","$2,003.67 ",$246.50 ,"$1,892.36 ",$105.60 ,"$1,892.36 ","$1,892.36 ","$2,003.67 ","$2,003.67 ","$1,038.00 ","$1,838.92 ",$105.60 ,"$1,447.10 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859132,71260,CT CHEST W CONTRAST,352,1 ,"$2,967.38 ","$1,928.80 ",$161.56 ,"$2,672.13 ","$2,373.90 ",$161.56 ,"$2,351.35 ","$2,672.13 ","$2,672.13 ",$306.96 ,"$2,522.27 ","$2,195.86 ",$403.90 ,$161.56 , N/A ,"$2,474.79 ",$161.56 ,"$2,451.06 ","$2,373.90 ","$2,670.64 ",$403.90 ,"$2,522.27 ",$173.03 ,"$2,522.27 ","$2,522.27 ","$2,670.64 ","$2,670.64 ","$1,038.00 ","$2,451.06 ",$173.03 ,"$1,928.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859140,74150,CT ABD WO CONTRAST,352,1 ,"$2,381.46 ","$1,547.95 ",$98.60 ,"$2,144.50 ","$1,905.17 ",$98.60 ,"$1,887.07 ","$2,144.50 ","$2,144.50 ",$187.34 ,"$2,024.24 ","$1,762.28 ",$246.50 ,$98.60 , N/A ,"$1,986.14 ",$98.60 ,"$1,967.09 ","$1,905.17 ","$2,143.31 ",$246.50 ,"$2,024.24 ",$105.60 ,"$2,024.24 ","$2,024.24 ","$2,143.31 ","$2,143.31 ","$1,038.00 ","$1,967.09 ",$105.60 ,"$1,547.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859146,X0004,CT CHEST ABD PELVIS W CONT,352,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30859147,X0006,CT CHEST ABD PELVIS W/O CONTRAST,352,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30859155,X0001,**Don't Use** CT ABD-PELVIS W CONTRAST,351,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30859160,N/A,*******INACTIVATE*********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30859165,74170,CT ABD W/WO CONTRAST,352,1 ,"$2,600.73 ","$1,690.47 ",$161.56 ,"$2,341.96 ","$2,080.58 ",$161.56 ,"$2,060.82 ","$2,341.96 ","$2,341.96 ",$306.96 ,"$2,210.62 ","$1,924.54 ",$403.90 ,$161.56 , N/A ,"$2,169.01 ",$161.56 ,"$2,148.20 ","$2,080.58 ","$2,340.66 ",$403.90 ,"$2,210.62 ",$173.03 ,"$2,210.62 ","$2,210.62 ","$2,340.66 ","$2,340.66 ","$1,038.00 ","$2,148.20 ",$173.03 ,"$1,690.47 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859173,74160,CT ABD W CONTRAST,352,1 ,"$3,007.45 ","$1,954.84 ",$161.56 ,"$2,708.21 ","$2,405.96 ",$161.56 ,"$2,383.10 ","$2,708.21 ","$2,708.21 ",$306.96 ,"$2,556.33 ","$2,225.51 ",$403.90 ,$161.56 , N/A ,"$2,508.21 ",$161.56 ,"$2,484.15 ","$2,405.96 ","$2,706.71 ",$403.90 ,"$2,556.33 ",$173.03 ,"$2,556.33 ","$2,556.33 ","$2,706.71 ","$2,706.71 ","$1,038.00 ","$2,484.15 ",$173.03 ,"$1,954.84 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859181,72192,CT PELVIS WO CONTRAST,352,1 ,"$2,120.29 ","$1,378.19 ",$98.60 ,"$1,909.32 ","$1,696.23 ",$98.60 ,"$1,680.12 ","$1,909.32 ","$1,909.32 ",$187.34 ,"$1,802.25 ","$1,569.01 ",$246.50 ,$98.60 , N/A ,"$1,768.32 ",$98.60 ,"$1,751.36 ","$1,696.23 ","$1,908.26 ",$246.50 ,"$1,802.25 ",$105.60 ,"$1,802.25 ","$1,802.25 ","$1,908.26 ","$1,908.26 ","$1,038.00 ","$1,751.36 ",$105.60 ,"$1,378.19 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859199,72193,CT PELVIS W CONTRAST,352,1 ,"$2,452.62 ","$1,594.20 ",$161.56 ,"$2,208.58 ","$1,962.10 ",$161.56 ,"$1,943.46 ","$2,208.58 ","$2,208.58 ",$306.96 ,"$2,084.73 ","$1,814.94 ",$403.90 ,$161.56 , N/A ,"$2,045.49 ",$161.56 ,"$2,025.86 ","$1,962.10 ","$2,207.36 ",$403.90 ,"$2,084.73 ",$173.03 ,"$2,084.73 ","$2,084.73 ","$2,207.36 ","$2,207.36 ","$1,038.00 ","$2,025.86 ",$173.03 ,"$1,594.20 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859207,73700,CT EXTREMITY LOWER W/O CONT,352,1 ,"$2,037.74 ","$1,324.53 ",$98.60 ,"$1,834.98 ","$1,630.19 ",$98.60 ,"$1,614.71 ","$1,834.98 ","$1,834.98 ",$187.34 ,"$1,732.08 ","$1,507.93 ",$246.50 ,$98.60 , N/A ,"$1,699.48 ",$98.60 ,"$1,683.17 ","$1,630.19 ","$1,833.97 ",$246.50 ,"$1,732.08 ",$105.60 ,"$1,732.08 ","$1,732.08 ","$1,833.97 ","$1,833.97 ","$1,038.00 ","$1,683.17 ",$105.60 ,"$1,324.53 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859249,71270,CT CHEST W/WO CONTRAST,352,1 ,"$2,500.53 ","$1,625.34 ",$161.56 ,"$2,251.73 ","$2,000.42 ",$161.56 ,"$1,981.42 ","$2,251.73 ","$2,251.73 ",$306.96 ,"$2,125.45 ","$1,850.39 ",$403.90 ,$161.56 , N/A ,"$2,085.44 ",$161.56 ,"$2,065.44 ","$2,000.42 ","$2,250.48 ",$403.90 ,"$2,125.45 ",$173.03 ,"$2,125.45 ","$2,125.45 ","$2,250.48 ","$2,250.48 ","$1,038.00 ","$2,065.44 ",$173.03 ,"$1,625.34 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859256,70482,CT ORB/SEL/IACS W/WO,351,1 ,"$2,500.53 ","$1,625.34 ",$161.56 ,"$2,251.73 ","$2,000.42 ",$161.56 ,"$1,981.42 ","$2,251.73 ","$2,251.73 ",$306.96 ,"$2,125.45 ","$1,850.39 ",$403.90 ,$161.56 , N/A ,"$2,085.44 ",$161.56 ,"$2,065.44 ","$2,000.42 ","$2,250.48 ",$403.90 ,"$2,125.45 ",$173.03 ,"$2,125.45 ","$2,125.45 ","$2,250.48 ","$2,250.48 ","$1,038.00 ","$2,065.44 ",$173.03 ,"$1,625.34 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859264,70480,CT ORB/SEL/IACS WO,351,1 ,"$1,933.10 ","$1,256.52 ",$98.60 ,"$1,740.76 ","$1,546.48 ",$98.60 ,"$1,531.79 ","$1,740.76 ","$1,740.76 ",$187.34 ,"$1,643.14 ","$1,430.49 ",$246.50 ,$98.60 , N/A ,"$1,612.21 ",$98.60 ,"$1,596.74 ","$1,546.48 ","$1,739.79 ",$246.50 ,"$1,643.14 ",$105.60 ,"$1,643.14 ","$1,643.14 ","$1,739.79 ","$1,739.79 ","$1,038.00 ","$1,596.74 ",$105.60 ,"$1,256.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859272,70486,CT MAXILLOFACIAL AREA W/O CONT,351,1 ,"$1,321.33 ",$858.86 ,$98.60 ,"$1,189.86 ","$1,057.06 ",$98.60 ,"$1,047.02 ","$1,189.86 ","$1,189.86 ",$187.34 ,"$1,123.13 ",$977.78 ,$246.50 ,$98.60 , N/A ,"$1,101.99 ",$98.60 ,"$1,091.42 ","$1,057.06 ","$1,189.20 ",$246.50 ,"$1,123.13 ",$105.60 ,"$1,123.13 ","$1,123.13 ","$1,189.20 ","$1,189.20 ","$1,038.00 ","$1,091.42 ",$105.60 ,$858.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),30859280,70487,CT MAXILLOFACIAL AREA W/CONT,351,1 ,"$1,933.10 ","$1,256.52 ",$161.56 ,"$1,740.76 ","$1,546.48 ",$161.56 ,"$1,531.79 ","$1,740.76 ","$1,740.76 ",$306.96 ,"$1,643.14 ","$1,430.49 ",$403.90 ,$161.56 , N/A ,"$1,612.21 ",$161.56 ,"$1,596.74 ","$1,546.48 ","$1,739.79 ",$403.90 ,"$1,643.14 ",$173.03 ,"$1,643.14 ","$1,643.14 ","$1,739.79 ","$1,739.79 ","$1,038.00 ","$1,596.74 ",$173.03 ,"$1,256.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859298,70488,CT MAXILLOFACIAL AREA W/WO CONT,351,1 ,"$2,500.53 ","$1,625.34 ",$161.56 ,"$2,251.73 ","$2,000.42 ",$161.56 ,"$1,981.42 ","$2,251.73 ","$2,251.73 ",$306.96 ,"$2,125.45 ","$1,850.39 ",$403.90 ,$161.56 , N/A ,"$2,085.44 ",$161.56 ,"$2,065.44 ","$2,000.42 ","$2,250.48 ",$403.90 ,"$2,125.45 ",$173.03 ,"$2,125.45 ","$2,125.45 ","$2,250.48 ","$2,250.48 ","$1,038.00 ","$2,065.44 ",$173.03 ,"$1,625.34 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859306,70490,CT S T NECK WO,351,1 ,"$1,933.10 ","$1,256.52 ",$98.60 ,"$1,740.76 ","$1,546.48 ",$98.60 ,"$1,531.79 ","$1,740.76 ","$1,740.76 ",$187.34 ,"$1,643.14 ","$1,430.49 ",$246.50 ,$98.60 , N/A ,"$1,612.21 ",$98.60 ,"$1,596.74 ","$1,546.48 ","$1,739.79 ",$246.50 ,"$1,643.14 ",$105.60 ,"$1,643.14 ","$1,643.14 ","$1,739.79 ","$1,739.79 ","$1,038.00 ","$1,596.74 ",$105.60 ,"$1,256.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859314,70491,CT S T NECK W,351,1 ,"$2,037.74 ","$1,324.53 ",$161.56 ,"$1,834.98 ","$1,630.19 ",$161.56 ,"$1,614.71 ","$1,834.98 ","$1,834.98 ",$306.96 ,"$1,732.08 ","$1,507.93 ",$403.90 ,$161.56 , N/A ,"$1,699.48 ",$161.56 ,"$1,683.17 ","$1,630.19 ","$1,833.97 ",$403.90 ,"$1,732.08 ",$173.03 ,"$1,732.08 ","$1,732.08 ","$1,833.97 ","$1,833.97 ","$1,038.00 ","$1,683.17 ",$173.03 ,"$1,324.53 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859322,70492,CT S T NECK W/WO,351,1 ,"$2,099.06 ","$1,364.39 ",$161.56 ,"$1,890.20 ","$1,679.25 ",$161.56 ,"$1,663.30 ","$1,890.20 ","$1,890.20 ",$306.96 ,"$1,784.20 ","$1,553.30 ",$403.90 ,$161.56 , N/A ,"$1,750.62 ",$161.56 ,"$1,733.82 ","$1,679.25 ","$1,889.15 ",$403.90 ,"$1,784.20 ",$173.03 ,"$1,784.20 ","$1,784.20 ","$1,889.15 ","$1,889.15 ","$1,038.00 ","$1,733.82 ",$173.03 ,"$1,364.39 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859330,72125,CT CERVICAL SPINE W/O CONT,352,1 ,"$2,268.04 ","$1,474.23 ",$98.60 ,"$2,042.37 ","$1,814.43 ",$98.60 ,"$1,797.19 ","$2,042.37 ","$2,042.37 ",$187.34 ,"$1,927.83 ","$1,678.35 ",$246.50 ,$98.60 , N/A ,"$1,891.55 ",$98.60 ,"$1,873.40 ","$1,814.43 ","$2,041.24 ",$246.50 ,"$1,927.83 ",$105.60 ,"$1,927.83 ","$1,927.83 ","$2,041.24 ","$2,041.24 ","$1,038.00 ","$1,873.40 ",$105.60 ,"$1,474.23 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859348,72126,CT CERVICAL SPINE W/CONT,352,1 ,$851.24 ,$553.31 ,$333.09 ,$851.24 ,$680.99 ,$333.09 ,$674.52 ,$766.54 ,$766.54 ,$632.87 ,$723.55 ,$629.92 ,$832.72 ,$333.09 , N/A ,$709.93 ,$333.09 ,$703.12 ,$680.99 ,$766.12 ,$832.72 ,$723.55 ,$356.74 ,$723.55 ,$723.55 ,$766.12 ,$766.12 ,$851.24 ,$703.12 ,$356.74 ,$553.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),30859355,72127,CT CERVICAL SPINE W/WO CONT,352,1 ,$892.03 ,$579.82 ,$161.56 ,$892.03 ,$713.62 ,$161.56 ,$706.84 ,$803.27 ,$803.27 ,$306.96 ,$758.23 ,$660.10 ,$403.90 ,$161.56 , N/A ,$743.95 ,$161.56 ,$736.82 ,$713.62 ,$802.83 ,$403.90 ,$758.23 ,$173.03 ,$758.23 ,$758.23 ,$802.83 ,$802.83 ,$892.03 ,$736.82 ,$173.03 ,$579.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),30859363,72128,CT T SPINE WO,352,1 ,"$2,268.04 ","$1,474.23 ",$98.60 ,"$2,042.37 ","$1,814.43 ",$98.60 ,"$1,797.19 ","$2,042.37 ","$2,042.37 ",$187.34 ,"$1,927.83 ","$1,678.35 ",$246.50 ,$98.60 , N/A ,"$1,891.55 ",$98.60 ,"$1,873.40 ","$1,814.43 ","$2,041.24 ",$246.50 ,"$1,927.83 ",$105.60 ,"$1,927.83 ","$1,927.83 ","$2,041.24 ","$2,041.24 ","$1,038.00 ","$1,873.40 ",$105.60 ,"$1,474.23 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859397,72131,CT L SPINE WO,352,1 ,"$2,285.17 ","$1,485.36 ",$98.60 ,"$2,057.80 ","$1,828.14 ",$98.60 ,"$1,810.77 ","$2,057.80 ","$2,057.80 ",$187.34 ,"$1,942.39 ","$1,691.03 ",$246.50 ,$98.60 , N/A ,"$1,905.83 ",$98.60 ,"$1,887.55 ","$1,828.14 ","$2,056.65 ",$246.50 ,"$1,942.39 ",$105.60 ,"$1,942.39 ","$1,942.39 ","$2,056.65 ","$2,056.65 ","$1,038.00 ","$1,887.55 ",$105.60 ,"$1,485.36 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859421,72194,CT PELVIS W/WO CONTRAST,352,1 ,"$2,381.46 ","$1,547.95 ",$161.56 ,"$2,144.50 ","$1,905.17 ",$161.56 ,"$1,887.07 ","$2,144.50 ","$2,144.50 ",$306.96 ,"$2,024.24 ","$1,762.28 ",$403.90 ,$161.56 , N/A ,"$1,986.14 ",$161.56 ,"$1,967.09 ","$1,905.17 ","$2,143.31 ",$403.90 ,"$2,024.24 ",$173.03 ,"$2,024.24 ","$2,024.24 ","$2,143.31 ","$2,143.31 ","$1,038.00 ","$1,967.09 ",$173.03 ,"$1,547.95 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859439,73701,CT EXTREMITY LT LOWER W/CONT,352,1 ,"$2,044.84 ","$1,329.15 ",$161.56 ,"$1,841.38 ","$1,635.87 ",$161.56 ,"$1,620.33 ","$1,841.38 ","$1,841.38 ",$306.96 ,"$1,738.11 ","$1,513.18 ",$403.90 ,$161.56 , N/A ,"$1,705.40 ",$161.56 ,"$1,689.04 ","$1,635.87 ","$1,840.36 ",$403.90 ,"$1,738.11 ",$173.03 ,"$1,738.11 ","$1,738.11 ","$1,840.36 ","$1,840.36 ","$1,038.00 ","$1,689.04 ",$173.03 ,"$1,329.15 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859440,73701,CT EXTREMITY RT LOWER W/CONT,352,1 ,"$2,044.84 ","$1,329.15 ",$161.56 ,"$1,841.38 ","$1,635.87 ",$161.56 ,"$1,620.33 ","$1,841.38 ","$1,841.38 ",$306.96 ,"$1,738.11 ","$1,513.18 ",$403.90 ,$161.56 , N/A ,"$1,705.40 ",$161.56 ,"$1,689.04 ","$1,635.87 ","$1,840.36 ",$403.90 ,"$1,738.11 ",$173.03 ,"$1,738.11 ","$1,738.11 ","$1,840.36 ","$1,840.36 ","$1,038.00 ","$1,689.04 ",$173.03 ,"$1,329.15 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30859447,73702,CT EXTREMITY LOWER W/WO CONT,352,1 ,"$1,120.70 ",$728.46 ,$161.56 ,"$1,038.00 ",$896.56 ,$161.56 ,$888.04 ,"$1,009.19 ","$1,009.19 ",$306.96 ,$952.60 ,$829.32 ,$403.90 ,$161.56 , N/A ,$934.66 ,$161.56 ,$925.70 ,$896.56 ,"$1,008.63 ",$403.90 ,$952.60 ,$173.03 ,$952.60 ,$952.60 ,"$1,008.63 ","$1,008.63 ","$1,038.00 ",$925.70 ,$173.03 ,$728.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),30859454,73201,CT EXTREMITY UPPER W/CONT,352,1 ,"$1,317.12 ",$856.13 ,$333.09 ,"$1,186.07 ","$1,053.70 ",$333.09 ,"$1,043.69 ","$1,186.07 ","$1,186.07 ",$632.87 ,"$1,119.55 ",$974.67 ,$832.72 ,$333.09 , N/A ,"$1,098.48 ",$333.09 ,"$1,087.94 ","$1,053.70 ","$1,185.41 ",$832.72 ,"$1,119.55 ",$356.74 ,"$1,119.55 ","$1,119.55 ","$1,185.41 ","$1,185.41 ","$1,038.00 ","$1,087.94 ",$356.74 ,$856.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),30859462,73202,CT EXTREMITY UPPER W/WO CONT,352,1 ,"$1,379.69 ",$896.80 ,$161.56 ,"$1,242.41 ","$1,103.75 ",$161.56 ,"$1,093.27 ","$1,242.41 ","$1,242.41 ",$306.96 ,"$1,172.74 ","$1,020.97 ",$403.90 ,$161.56 , N/A ,"$1,150.66 ",$161.56 ,"$1,139.62 ","$1,103.75 ","$1,241.72 ",$403.90 ,"$1,172.74 ",$173.03 ,"$1,172.74 ","$1,172.74 ","$1,241.72 ","$1,241.72 ","$1,038.00 ","$1,139.62 ",$173.03 ,$896.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),30859561,N/A,*******INACTIVATE*********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30870496,70496,CT ANGIO HEAD INCLUDES POST PROCESSING,352,1 ,"$2,966.27 ","$1,928.08 ",$161.56 ,"$2,671.13 ","$2,373.02 ",$161.56 ,"$2,350.47 ","$2,671.13 ","$2,671.13 ",$306.96 ,"$2,521.33 ","$2,195.04 ",$403.90 ,$161.56 , N/A ,"$2,473.87 ",$161.56 ,"$2,450.14 ","$2,373.02 ","$2,669.64 ",$403.90 ,"$2,521.33 ",$173.03 ,"$2,521.33 ","$2,521.33 ","$2,669.64 ","$2,669.64 ","$1,038.00 ","$2,450.14 ",$173.03 ,"$1,928.08 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30872191,72191,CTA PELVIS INCLUDES POST PROCESSING,352,1 ,"$3,194.31 ","$2,076.30 ",$161.56 ,"$2,876.48 ","$2,555.45 ",$161.56 ,"$2,531.17 ","$2,876.48 ","$2,876.48 ",$306.96 ,"$2,715.16 ","$2,363.79 ",$403.90 ,$161.56 , N/A ,"$2,664.05 ",$161.56 ,"$2,638.50 ","$2,555.45 ","$2,874.88 ",$403.90 ,"$2,715.16 ",$173.03 ,"$2,715.16 ","$2,715.16 ","$2,874.88 ","$2,874.88 ","$1,038.00 ","$2,638.50 ",$173.03 ,"$2,076.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30872195,74174,CTA ABD-PELVIS INCLUDES POST PROCESSING,352,1 ,"$5,496.46 ","$3,572.70 ",$333.09 ,"$4,949.56 ","$4,397.17 ",$333.09 ,"$4,355.39 ","$4,949.56 ","$4,949.56 ",$632.87 ,"$4,671.99 ","$4,067.38 ",$832.72 ,$333.09 , N/A ,"$4,584.05 ",$333.09 ,"$4,540.08 ","$4,397.17 ","$4,946.81 ",$832.72 ,"$4,671.99 ",$356.74 ,"$4,671.99 ","$4,671.99 ","$4,946.81 ","$4,946.81 ","$1,038.00 ","$4,540.08 ",$356.74 ,"$3,572.70 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30873206,73206,CTA UPPER EXT INCL POST PROCESSING,352,1 ,"$2,966.27 ","$1,928.08 ",$161.56 ,"$2,671.13 ","$2,373.02 ",$161.56 ,"$2,350.47 ","$2,671.13 ","$2,671.13 ",$306.96 ,"$2,521.33 ","$2,195.04 ",$403.90 ,$161.56 , N/A ,"$2,473.87 ",$161.56 ,"$2,450.14 ","$2,373.02 ","$2,669.64 ",$403.90 ,"$2,521.33 ",$173.03 ,"$2,521.33 ","$2,521.33 ","$2,669.64 ","$2,669.64 ","$1,038.00 ","$2,450.14 ",$173.03 ,"$1,928.08 " HSHS GOOD SHEPHERD HOSPITAL (ACU),30874150,N/A,******DEACTIVATED**********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30874160,N/A,*****DEACTIVATED***********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),30875635,75635,CTA ABD AORTA ILIOFEM RUNOFF,351,1 ,"$6,160.33 ","$4,004.21 ",$161.56 ,"$5,547.38 ","$4,928.26 ",$161.56 ,"$4,881.45 ","$5,547.38 ","$5,547.38 ",$306.96 ,"$5,236.28 ","$4,558.64 ",$403.90 ,$161.56 , N/A ,"$5,137.72 ",$161.56 ,"$5,088.43 ","$4,928.26 ","$5,544.30 ",$403.90 ,"$5,236.28 ",$173.03 ,"$5,236.28 ","$5,236.28 ","$5,544.30 ","$5,544.30 ","$1,038.00 ","$5,088.43 ",$173.03 ,"$4,004.21 " HSHS GOOD SHEPHERD HOSPITAL (ACU),31,N/A,NF-DIALYVITE TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),31000242,81329,HC SMN1 GENE DOSAGE/DELETION ANALYSIS 90,301,1 ,$572.15 ,$371.90 ,$137.00 ,$515.22 ,$457.72 ,$137.00 ,$453.37 ,$515.22 ,$515.22 ,$260.30 ,$486.33 ,$423.39 ,$342.50 ,$137.00 , N/A ,$477.17 ,$137.00 ,$472.60 ,$457.72 ,$514.94 ,$342.50 ,$486.33 ,$137.00 ,$486.33 ,$486.33 ,$514.94 ,$514.94 ,$449.14 ,$472.60 ,$137.00 ,$371.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3111027,70547,MRA NECK WO CONTRAST,615,1 ,"$3,357.38 ","$2,182.30 ",$208.23 ,"$3,023.32 ","$2,685.90 ",$208.23 ,"$2,660.39 ","$3,023.32 ","$3,023.32 ",$395.64 ,"$2,853.77 ","$2,484.46 ",$520.58 ,$208.23 , N/A ,"$2,800.05 ",$208.23 ,"$2,773.20 ","$2,685.90 ","$3,021.64 ",$520.58 ,"$2,853.77 ",$223.02 ,"$2,853.77 ","$2,853.77 ","$3,021.64 ","$3,021.64 ","$1,258.00 ","$2,773.20 ",$223.02 ,"$2,182.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),31200316,88321,HC CONSULT REFERRED SLIDES,302,1 ,$334.58 ,$217.48 ,$30.62 ,$301.29 ,$267.66 ,$30.62 ,$265.12 ,$301.29 ,$301.29 ,$58.18 ,$284.39 ,$247.59 ,$76.55 ,$30.62 , N/A ,$279.04 ,$30.62 ,$276.36 ,$267.66 ,$301.12 ,$76.55 ,$284.39 ,$30.62 ,$284.39 ,$284.39 ,$301.12 ,$301.12 ,$262.65 ,$276.36 ,$30.62 ,$217.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),32,N/A,NF-COLCHICINE TABLET 0.6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),33,N/A,NF-FISH OIL CAPSULE 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),33073222,73222,MRI WRIST LT W/CONTRAST,610,1 ,"$3,993.30 ","$2,595.65 ",$647.12 ,"$3,595.97 ","$3,194.64 ",$647.12 ,"$3,164.29 ","$3,595.97 ","$3,595.97 ","$1,229.53 ","$3,394.31 ","$2,955.04 ","$1,617.81 ",$647.12 , N/A ,"$3,330.41 ",$647.12 ,"$3,298.47 ","$3,194.64 ","$3,593.97 ","$1,617.81 ","$3,394.31 ",$693.07 ,"$3,394.31 ","$3,394.31 ","$3,593.97 ","$3,593.97 ","$1,258.00 ","$3,298.47 ",$693.07 ,"$2,595.65 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33073722,73722,MRI KNEE W/ RT,610,1 ,"$5,566.39 ","$3,618.15 ",$647.12 ,"$5,012.53 ","$4,453.11 ",$647.12 ,"$4,410.81 ","$5,012.53 ","$5,012.53 ","$1,229.53 ","$4,731.43 ","$4,119.13 ","$1,617.81 ",$647.12 , N/A ,"$4,642.37 ",$647.12 ,"$4,597.84 ","$4,453.11 ","$5,009.75 ","$1,617.81 ","$4,731.43 ",$693.07 ,"$4,731.43 ","$4,731.43 ","$5,009.75 ","$5,009.75 ","$1,258.00 ","$4,597.84 ",$693.07 ,"$3,618.15 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33073725,73725,MRA LOWER EXT LT W/WO,616,1 ,"$3,853.67 ","$2,504.89 ","$1,258.00 ","$3,470.23 ","$3,082.94 ", N/A ,"$3,053.65 ","$3,470.23 ","$3,470.23 ", N/A ,"$3,275.62 ","$2,851.72 ", N/A , N/A , N/A ,"$3,213.96 ", N/A ,"$3,183.13 ","$3,082.94 ","$3,468.30 ", N/A ,"$3,275.62 ", N/A ,"$3,275.62 ","$3,275.62 ","$3,468.30 ","$3,468.30 ","$1,258.00 ","$3,183.13 ", N/A ,"$2,504.89 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33100001,N/A,NO CHARGE MRI,610,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),33111001,72158,MRI L SP W/WO CONTRAST,610,1 ,"$4,949.11 ","$3,216.92 ",$333.09 ,"$4,456.67 ","$3,959.29 ",$333.09 ,"$3,921.67 ","$4,456.67 ","$4,456.67 ",$632.87 ,"$4,206.74 ","$3,662.34 ",$832.72 ,$333.09 , N/A ,"$4,127.56 ",$333.09 ,"$4,087.96 ","$3,959.29 ","$4,454.20 ",$832.72 ,"$4,206.74 ",$356.74 ,"$4,206.74 ","$4,206.74 ","$4,454.20 ","$4,454.20 ","$1,258.00 ","$4,087.96 ",$356.74 ,"$3,216.92 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111002,73721,MRI KNEE LEFT WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111004,73221,MRI WRIST RIGHT WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111006,73221,MRI WRIST LEFT WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111007,73721,MRI KNEE RIGHT WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111008,72149,MRI L SP W/CON,610,1 ,"$4,258.14 ","$2,767.79 ",$333.09 ,"$3,834.46 ","$3,406.51 ",$333.09 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ",$632.87 ,"$3,619.42 ","$3,151.02 ",$832.72 ,$333.09 , N/A ,"$3,551.29 ",$333.09 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ",$832.72 ,"$3,619.42 ",$356.74 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$356.74 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111009,72148,MRI L SP WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111010,72146,MRI THOR SP WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111011,72142,MRI CERV SP W/CON,610,1 ,"$4,258.14 ","$2,767.79 ",$333.09 ,"$3,834.46 ","$3,406.51 ",$333.09 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ",$632.87 ,"$3,619.42 ","$3,151.02 ",$832.72 ,$333.09 , N/A ,"$3,551.29 ",$333.09 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ",$832.72 ,"$3,619.42 ",$356.74 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$356.74 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111012,72141,MRI CERV SP WO CON,610,1 ,"$4,258.14 ","$2,767.79 ",$208.23 ,"$3,834.46 ","$3,406.51 ",$208.23 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ",$395.64 ,"$3,619.42 ","$3,151.02 ",$520.58 ,$208.23 , N/A ,"$3,551.29 ",$208.23 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ",$520.58 ,"$3,619.42 ",$223.02 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$223.02 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111014,70552,MRI BRAIN W CONTRAST,610,1 ,"$4,258.14 ","$2,767.79 ",$333.09 ,"$3,834.46 ","$3,406.51 ",$333.09 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ",$632.87 ,"$3,619.42 ","$3,151.02 ",$832.72 ,$333.09 , N/A ,"$3,551.29 ",$333.09 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ",$832.72 ,"$3,619.42 ",$356.74 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$356.74 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111015,70551,MRI BRAIN WO CONTRAST,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111016,73221,MRI SHOULD RT WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111017,73721,MRI ANKLE RT WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111018,73721,MRI ANKLE LT WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111020,73221,MRI SHOULD LT WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111021,74181,MRI ABD WO CON,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111022,70542,MRI ORBIT FACE NECK W CONT,610,1 ,"$4,258.14 ","$2,767.79 ",$333.09 ,"$3,834.46 ","$3,406.51 ",$333.09 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ",$632.87 ,"$3,619.42 ","$3,151.02 ",$832.72 ,$333.09 , N/A ,"$3,551.29 ",$333.09 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ",$832.72 ,"$3,619.42 ",$356.74 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$356.74 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111023,70336,MRI TMJ'S LEFT,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111026,70544,MRA HEAD WO CONTRAST,615,1 ,"$3,357.38 ","$2,182.30 ",$208.23 ,"$3,023.32 ","$2,685.90 ",$208.23 ,"$2,660.39 ","$3,023.32 ","$3,023.32 ",$395.64 ,"$2,853.77 ","$2,484.46 ",$520.58 ,$208.23 , N/A ,"$2,800.05 ",$208.23 ,"$2,773.20 ","$2,685.90 ","$3,021.64 ",$520.58 ,"$2,853.77 ",$223.02 ,"$2,853.77 ","$2,853.77 ","$3,021.64 ","$3,021.64 ","$1,258.00 ","$2,773.20 ",$223.02 ,"$2,182.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111027,70553,MRI BRAIN W/WO CONTRAST,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111030,72195,MRI PELVIS W/O CONTRAST,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111042,70549,MRA NECK W/WO CONTRAST,615,1 ,"$4,665.36 ","$3,032.48 ",$333.09 ,"$4,201.16 ","$3,732.29 ",$333.09 ,"$3,696.83 ","$4,201.16 ","$4,201.16 ",$632.87 ,"$3,965.56 ","$3,452.37 ",$832.72 ,$333.09 , N/A ,"$3,890.91 ",$333.09 ,"$3,853.59 ","$3,732.29 ","$4,198.82 ",$832.72 ,"$3,965.56 ",$356.74 ,"$3,965.56 ","$3,965.56 ","$4,198.82 ","$4,198.82 ","$1,258.00 ","$3,853.59 ",$356.74 ,"$3,032.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111050,72147,MRI THOR SP W CON,610,1 ,"$4,258.14 ","$2,767.79 ",$333.09 ,"$3,834.46 ","$3,406.51 ",$333.09 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ",$632.87 ,"$3,619.42 ","$3,151.02 ",$832.72 ,$333.09 , N/A ,"$3,551.29 ",$333.09 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ",$832.72 ,"$3,619.42 ",$356.74 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$356.74 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111053,70548,MRA NECK W CONTRAST,615,1 ,"$4,123.84 ","$2,680.50 ",$333.09 ,"$3,713.52 ","$3,299.07 ",$333.09 ,"$3,267.73 ","$3,713.52 ","$3,713.52 ",$632.87 ,"$3,505.26 ","$3,051.64 ",$832.72 ,$333.09 , N/A ,"$3,439.28 ",$333.09 ,"$3,406.29 ","$3,299.07 ","$3,711.46 ",$832.72 ,"$3,505.26 ",$356.74 ,"$3,505.26 ","$3,505.26 ","$3,711.46 ","$3,711.46 ","$1,258.00 ","$3,406.29 ",$356.74 ,"$2,680.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111054,70540,MRI ORBIT FACE NECK W/O CONTRAST,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111065,70543,MRI ORBIT FACE NECK W/WO CONTRAST,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111076,72156,MRI CERV SP W/WO CONTRAST,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111085,70545,MRA HEAD W CONTRAST,615,1 ,"$4,123.84 ","$2,680.50 ",$333.09 ,"$3,713.52 ","$3,299.07 ",$333.09 ,"$3,267.73 ","$3,713.52 ","$3,713.52 ",$632.87 ,"$3,505.26 ","$3,051.64 ",$832.72 ,$333.09 , N/A ,"$3,439.28 ",$333.09 ,"$3,406.29 ","$3,299.07 ","$3,711.46 ",$832.72 ,"$3,505.26 ",$356.74 ,"$3,505.26 ","$3,505.26 ","$3,711.46 ","$3,711.46 ","$1,258.00 ","$3,406.29 ",$356.74 ,"$2,680.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111087,70546,MRA HEAD W/WO CONTRAST,615,1 ,"$4,665.36 ","$3,032.48 ",$333.09 ,"$4,201.16 ","$3,732.29 ",$333.09 ,"$3,696.83 ","$4,201.16 ","$4,201.16 ",$632.87 ,"$3,965.56 ","$3,452.37 ",$832.72 ,$333.09 , N/A ,"$3,890.91 ",$333.09 ,"$3,853.59 ","$3,732.29 ","$4,198.82 ",$832.72 ,"$3,965.56 ",$356.74 ,"$3,965.56 ","$3,965.56 ","$4,198.82 ","$4,198.82 ","$1,258.00 ","$3,853.59 ",$356.74 ,"$3,032.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111119,73719,MRI FOOT RT WITH,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111120,73720,MRI FOOT LT W/WO,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111121,73720,MRI FOOT RT W/WO,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111124,74183,MRI ABD W/WO CONTRAST,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111125,74182,MRI ABD W/CONTRAST,610,1 ,"$4,258.14 ","$2,767.79 ",$333.09 ,"$3,834.46 ","$3,406.51 ",$333.09 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ",$632.87 ,"$3,619.42 ","$3,151.02 ",$832.72 ,$333.09 , N/A ,"$3,551.29 ",$333.09 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ",$832.72 ,"$3,619.42 ",$356.74 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$356.74 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111126,73221,MRI ELBOW LT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111127,73221,MRI ELBOW RT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111128,73222,MRI ELBOW LT W,610,1 ,"$4,529.48 ","$2,944.16 ",$647.12 ,"$4,078.80 ","$3,623.58 ",$647.12 ,"$3,589.16 ","$4,078.80 ","$4,078.80 ","$1,229.53 ","$3,850.06 ","$3,351.82 ","$1,617.81 ",$647.12 , N/A ,"$3,777.59 ",$647.12 ,"$3,741.35 ","$3,623.58 ","$4,076.53 ","$1,617.81 ","$3,850.06 ",$693.07 ,"$3,850.06 ","$3,850.06 ","$4,076.53 ","$4,076.53 ","$1,258.00 ","$3,741.35 ",$693.07 ,"$2,944.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111129,73222,MRI ELBOW RT W,610,1 ,"$4,529.48 ","$2,944.16 ",$647.12 ,"$4,078.80 ","$3,623.58 ",$647.12 ,"$3,589.16 ","$4,078.80 ","$4,078.80 ","$1,229.53 ","$3,850.06 ","$3,351.82 ","$1,617.81 ",$647.12 , N/A ,"$3,777.59 ",$647.12 ,"$3,741.35 ","$3,623.58 ","$4,076.53 ","$1,617.81 ","$3,850.06 ",$693.07 ,"$3,850.06 ","$3,850.06 ","$4,076.53 ","$4,076.53 ","$1,258.00 ","$3,741.35 ",$693.07 ,"$2,944.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111130,73223,MRI ELBOW LT WO/W,610,1 ,"$4,529.48 ","$2,944.16 ",$333.09 ,"$4,078.80 ","$3,623.58 ",$333.09 ,"$3,589.16 ","$4,078.80 ","$4,078.80 ",$632.87 ,"$3,850.06 ","$3,351.82 ",$832.72 ,$333.09 , N/A ,"$3,777.59 ",$333.09 ,"$3,741.35 ","$3,623.58 ","$4,076.53 ",$832.72 ,"$3,850.06 ",$356.74 ,"$3,850.06 ","$3,850.06 ","$4,076.53 ","$4,076.53 ","$1,258.00 ","$3,741.35 ",$356.74 ,"$2,944.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111131,73223,MRI ELBOW RT WO/W,610,1 ,"$4,529.48 ","$2,944.16 ",$333.09 ,"$4,078.80 ","$3,623.58 ",$333.09 ,"$3,589.16 ","$4,078.80 ","$4,078.80 ",$632.87 ,"$3,850.06 ","$3,351.82 ",$832.72 ,$333.09 , N/A ,"$3,777.59 ",$333.09 ,"$3,741.35 ","$3,623.58 ","$4,076.53 ",$832.72 ,"$3,850.06 ",$356.74 ,"$3,850.06 ","$3,850.06 ","$4,076.53 ","$4,076.53 ","$1,258.00 ","$3,741.35 ",$356.74 ,"$2,944.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111132,73218,MRI FOREARM LT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111133,73218,MRI FOREARM RT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111134,73219,MRI FOREARM LT W,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111135,73219,MRI FOREARM RT W,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111136,73220,MRI FOREARM RT WO/W,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111137,73220,MRI FOREARM LT WO/W,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111138,73218,MRI HAND LT WO,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111139,73218,MRI HAND RT WO,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111140,73219,MRI HAND LT W,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111141,73219,MRI HAND RT W,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111142,73220,MRI HAND LT WO/W,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111143,73220,MRI HAND RT WO/W,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111144,73723,MRI HIP LT WO/W,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111145,73723,MRI HIP RT WO/W,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111146,73718,MRI FEMUR LT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111147,73718,MRI FEMUR RT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111148,73718,MRI TIB/FIB LT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111149,73718,MRI TIB/FIB RT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111150,73723,MRI ANKLE LT WO/W,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111151,73723,MRI ANKLE RT WO/W,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111152,73718,MRI FOOT LT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111153,73718,MRI FOOT RT W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111154,73719,MRI FOOT LT W,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111159,77059,MRI BREAST BILATERAL W/WO,610,1 ,"$6,246.64 ","$4,060.32 ","$1,258.00 ","$5,625.10 ","$4,997.31 ", N/A ,"$4,949.84 ","$5,625.10 ","$5,625.10 ", N/A ,"$5,309.64 ","$4,622.51 ", N/A , N/A , N/A ,"$5,209.70 ", N/A ,"$5,159.72 ","$4,997.31 ","$5,621.98 ", N/A ,"$5,309.64 ", N/A ,"$5,309.64 ","$5,309.64 ","$5,621.98 ","$5,621.98 ","$1,258.00 ","$5,159.72 ", N/A ,"$4,060.32 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111160,77058,MRI BREAST LT W/WO,610,1 ,"$5,176.03 ","$3,364.42 ","$1,258.00 ","$4,661.02 ","$4,140.82 ", N/A ,"$4,101.49 ","$4,661.02 ","$4,661.02 ", N/A ,"$4,399.63 ","$3,830.26 ", N/A , N/A , N/A ,"$4,316.81 ", N/A ,"$4,275.40 ","$4,140.82 ","$4,658.43 ", N/A ,"$4,399.63 ", N/A ,"$4,399.63 ","$4,399.63 ","$4,658.43 ","$4,658.43 ","$1,258.00 ","$4,275.40 ", N/A ,"$3,364.42 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111161,77058,MRI BREAST RT W/WO,610,1 ,"$5,176.03 ","$3,364.42 ","$1,258.00 ","$4,661.02 ","$4,140.82 ", N/A ,"$4,101.49 ","$4,661.02 ","$4,661.02 ", N/A ,"$4,399.63 ","$3,830.26 ", N/A , N/A , N/A ,"$4,316.81 ", N/A ,"$4,275.40 ","$4,140.82 ","$4,658.43 ", N/A ,"$4,399.63 ", N/A ,"$4,399.63 ","$4,399.63 ","$4,658.43 ","$4,658.43 ","$1,258.00 ","$4,275.40 ", N/A ,"$3,364.42 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111392,73721,MRI HIP WO CON LEFT,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111393,73721,MRI HIP WO CON RIGHT,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111394,73218,MRI HUMERUS LT W/O,610,1 ,"$2,047.50 ","$1,330.88 ",$208.23 ,"$1,843.77 ","$1,638.00 ",$208.23 ,"$1,622.44 ","$1,843.77 ","$1,843.77 ",$395.64 ,"$1,740.38 ","$1,515.15 ",$520.58 ,$208.23 , N/A ,"$1,707.62 ",$208.23 ,"$1,691.24 ","$1,638.00 ","$1,842.75 ",$520.58 ,"$1,740.38 ",$223.02 ,"$1,740.38 ","$1,740.38 ","$1,842.75 ","$1,842.75 ","$1,258.00 ","$1,691.24 ",$223.02 ,"$1,330.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111395,73218,MRI HUMERUS W/O,610,1 ,"$3,491.22 ","$2,269.29 ",$208.23 ,"$3,143.84 ","$2,792.98 ",$208.23 ,"$2,766.44 ","$3,143.84 ","$3,143.84 ",$395.64 ,"$2,967.54 ","$2,583.50 ",$520.58 ,$208.23 , N/A ,"$2,911.68 ",$208.23 ,"$2,883.75 ","$2,792.98 ","$3,142.10 ",$520.58 ,"$2,967.54 ",$223.02 ,"$2,967.54 ","$2,967.54 ","$3,142.10 ","$3,142.10 ","$1,258.00 ","$2,883.75 ",$223.02 ,"$2,269.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111396,73219,MRI HUMERUS LT W,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111397,73219,MRI HUMERUS RT W,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111398,73220,MRI HUMERUS LT WO/W,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111399,73220,MRI HUMERUS RT WO/W,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33111400,73220,MRI UPPER EXT WO/W,610,1 ,"$4,538.32 ","$2,949.91 ",$333.09 ,"$4,086.76 ","$3,630.66 ",$333.09 ,"$3,596.16 ","$4,086.76 ","$4,086.76 ",$632.87 ,"$3,857.57 ","$3,358.36 ",$832.72 ,$333.09 , N/A ,"$3,784.96 ",$333.09 ,"$3,748.65 ","$3,630.66 ","$4,084.49 ",$832.72 ,"$3,857.57 ",$356.74 ,"$3,857.57 ","$3,857.57 ","$4,084.49 ","$4,084.49 ","$1,258.00 ","$3,748.65 ",$356.74 ,"$2,949.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33172157,72157,MRI THOR SP W/WO CONTRAST,610,1 ,"$4,949.11 ","$3,216.92 ",$333.09 ,"$4,456.67 ","$3,959.29 ",$333.09 ,"$3,921.67 ","$4,456.67 ","$4,456.67 ",$632.87 ,"$4,206.74 ","$3,662.34 ",$832.72 ,$333.09 , N/A ,"$4,127.56 ",$333.09 ,"$4,087.96 ","$3,959.29 ","$4,454.20 ",$832.72 ,"$4,206.74 ",$356.74 ,"$4,206.74 ","$4,206.74 ","$4,454.20 ","$4,454.20 ","$1,258.00 ","$4,087.96 ",$356.74 ,"$3,216.92 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33172197,72197,MRI PELVIS W/WO,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33173222,73222,MRI SHOULDER RT W/CONTRAST,610,1 ,"$4,258.14 ","$2,767.79 ",$647.12 ,"$3,834.46 ","$3,406.51 ",$647.12 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ","$1,229.53 ","$3,619.42 ","$3,151.02 ","$1,617.81 ",$647.12 , N/A ,"$3,551.29 ",$647.12 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ","$1,617.81 ","$3,619.42 ",$693.07 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$693.07 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33173223,73223,MRI WRIST LT WO/W CONTRAST,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33173722,73722,MRI KNEE W/ LT,610,1 ,"$5,566.39 ","$3,618.15 ",$647.12 ,"$5,012.53 ","$4,453.11 ",$647.12 ,"$4,410.81 ","$5,012.53 ","$5,012.53 ","$1,229.53 ","$4,731.43 ","$4,119.13 ","$1,617.81 ",$647.12 , N/A ,"$4,642.37 ",$647.12 ,"$4,597.84 ","$4,453.11 ","$5,009.75 ","$1,617.81 ","$4,731.43 ",$693.07 ,"$4,731.43 ","$4,731.43 ","$5,009.75 ","$5,009.75 ","$1,258.00 ","$4,597.84 ",$693.07 ,"$3,618.15 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33173723,73723,MRI KNEE W/WO RT,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33173725,73725,MRA LOWER EXT RT W/WO,616,1 ,"$3,853.67 ","$2,504.89 ","$1,258.00 ","$3,470.23 ","$3,082.94 ", N/A ,"$3,053.65 ","$3,470.23 ","$3,470.23 ", N/A ,"$3,275.62 ","$2,851.72 ", N/A , N/A , N/A ,"$3,213.96 ", N/A ,"$3,183.13 ","$3,082.94 ","$3,468.30 ", N/A ,"$3,275.62 ", N/A ,"$3,275.62 ","$3,275.62 ","$3,468.30 ","$3,468.30 ","$1,258.00 ","$3,183.13 ", N/A ,"$2,504.89 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33174185,74185,MRA ABDOMEN W/WO,616,1 ,"$4,221.03 ","$2,743.67 ","$1,258.00 ","$3,801.04 ","$3,376.82 ", N/A ,"$3,344.74 ","$3,801.04 ","$3,801.04 ", N/A ,"$3,587.88 ","$3,123.56 ", N/A , N/A , N/A ,"$3,520.34 ", N/A ,"$3,486.57 ","$3,376.82 ","$3,798.93 ", N/A ,"$3,587.88 ", N/A ,"$3,587.88 ","$3,587.88 ","$3,798.93 ","$3,798.93 ","$1,258.00 ","$3,486.57 ", N/A ,"$2,743.67 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33273222,73222,MRI WRIST RT W/CONTRAST,610,1 ,"$3,993.30 ","$2,595.65 ",$647.12 ,"$3,595.97 ","$3,194.64 ",$647.12 ,"$3,164.29 ","$3,595.97 ","$3,595.97 ","$1,229.53 ","$3,394.31 ","$2,955.04 ","$1,617.81 ",$647.12 , N/A ,"$3,330.41 ",$647.12 ,"$3,298.47 ","$3,194.64 ","$3,593.97 ","$1,617.81 ","$3,394.31 ",$693.07 ,"$3,394.31 ","$3,394.31 ","$3,593.97 ","$3,593.97 ","$1,258.00 ","$3,298.47 ",$693.07 ,"$2,595.65 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33273223,73223,MRI WRIST RT WO/W CONTRAST,610,1 ,"$4,255.77 ","$2,766.25 ",$333.09 ,"$3,832.32 ","$3,404.62 ",$333.09 ,"$3,372.27 ","$3,832.32 ","$3,832.32 ",$632.87 ,"$3,617.40 ","$3,149.27 ",$832.72 ,$333.09 , N/A ,"$3,549.31 ",$333.09 ,"$3,515.27 ","$3,404.62 ","$3,830.19 ",$832.72 ,"$3,617.40 ",$356.74 ,"$3,617.40 ","$3,617.40 ","$3,830.19 ","$3,830.19 ","$1,258.00 ","$3,515.27 ",$356.74 ,"$2,766.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33273723,73723,MRI KNEE W/WO LT,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33471552,71552,MRI CHEST W/O W CONTRAST,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),33473223,73223,MRI SHOULDER LT WO/W CONTRAST,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3373222,73222,MRI SHOULDER LT W/CONTRAST,610,1 ,"$4,258.14 ","$2,767.79 ",$647.12 ,"$3,834.46 ","$3,406.51 ",$647.12 ,"$3,374.15 ","$3,834.46 ","$3,834.46 ","$1,229.53 ","$3,619.42 ","$3,151.02 ","$1,617.81 ",$647.12 , N/A ,"$3,551.29 ",$647.12 ,"$3,517.22 ","$3,406.51 ","$3,832.33 ","$1,617.81 ","$3,619.42 ",$693.07 ,"$3,619.42 ","$3,619.42 ","$3,832.33 ","$3,832.33 ","$1,258.00 ","$3,517.22 ",$693.07 ,"$2,767.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3373223,73223,MRI SHOULDER RT WO/W CONTRAST,610,1 ,"$4,799.47 ","$3,119.66 ",$333.09 ,"$4,321.92 ","$3,839.58 ",$333.09 ,"$3,803.10 ","$4,321.92 ","$4,321.92 ",$632.87 ,"$4,079.55 ","$3,551.61 ",$832.72 ,$333.09 , N/A ,"$4,002.76 ",$333.09 ,"$3,964.36 ","$3,839.58 ","$4,319.52 ",$832.72 ,"$4,079.55 ",$356.74 ,"$4,079.55 ","$4,079.55 ","$4,319.52 ","$4,319.52 ","$1,258.00 ","$3,964.36 ",$356.74 ,"$3,119.66 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34,N/A,NF-SAW PALMETTO CAPSULE 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400004,J0712,TEFLARO (CEFTAROLINE FOSAMIL) VIAL:600MG,636,1 ,$363.39 ,$236.20 ,$3.54 ,$327.23 ,$290.71 ,$3.54 ,$287.95 ,$327.23 ,$327.23 ,$6.72 ,$308.88 ,$268.91 ,$8.85 ,$3.54 , N/A ,$303.07 ,$3.54 ,$300.16 ,$290.71 ,$327.05 ,$8.85 ,$308.88 ,$3.54 ,$308.88 ,$308.88 ,$327.05 ,$327.05 ,$285.26 ,$300.16 ,$3.54 ,$236.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400005,N/A,HEPATITIS B VACCINE 10MCG/0.5ML,250,1 ,$102.96 ,$66.92 ,$66.92 ,$92.72 ,$82.37 , N/A ,$81.59 ,$92.72 ,$92.72 , N/A ,$87.52 ,$76.19 , N/A , N/A , N/A ,$85.87 , N/A ,$85.05 ,$82.37 ,$92.66 , N/A ,$87.52 , N/A ,$87.52 ,$87.52 ,$92.66 ,$92.66 ,$80.82 ,$85.05 , N/A ,$66.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400006,N/A,ZOVIRAX 5% CREAM (COLD SORES) : 2GM,637,1 ,$256.30 ,$166.60 ,$166.60 ,$256.30 ,$205.04 , N/A ,$203.09 ,$230.80 ,$230.80 , N/A ,$217.86 ,$189.66 , N/A , N/A , N/A ,$213.75 , N/A ,$211.70 ,$205.04 ,$230.67 ,$256.30 ,$217.86 , N/A ,$217.86 ,$217.86 ,$230.67 ,$230.67 ,$201.20 ,$211.70 , N/A ,$166.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400007,N/A,BENAZEPRIL (LOTENSIN) TAB : 10MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400008,N/A,NF- MORPHINE ER TAB 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400010,N/A,ACETAZOLAMIDE (DIAMOX) TAB : 250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400011,N/A,VITAMIN E CAPSULE : 400 UNITS,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400012,N/A,TRI-SPRINTEC TABLET PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400013,N/A,ASACOL (MESALAMINE) DR TAB : 400MG,637,1 ,$6.15 ,$4.00 ,$4.00 ,$6.15 ,$4.92 , N/A ,$4.87 ,$5.54 ,$5.54 , N/A ,$5.23 ,$4.55 , N/A , N/A , N/A ,$5.13 , N/A ,$5.08 ,$4.92 ,$5.54 ,$6.15 ,$5.23 , N/A ,$5.23 ,$5.23 ,$5.54 ,$5.54 ,$4.83 ,$5.08 , N/A ,$4.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400014,J2300,NALBUPHINE (NUBAIN) VIAL : 10MG/ML,636,1 ,$8.80 ,$5.72 ,$5.72 ,$7.92 ,$7.04 , N/A ,$6.97 ,$7.92 ,$7.92 , N/A ,$7.48 ,$6.51 , N/A , N/A , N/A ,$7.34 , N/A ,$7.27 ,$7.04 ,$7.92 , N/A ,$7.48 , N/A ,$7.48 ,$7.48 ,$7.92 ,$7.92 ,$6.91 ,$7.27 , N/A ,$5.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400015,N/A,DAYPRO (OXAPROZIN) TABLET : 600MG,637,1 ,$6.65 ,$4.32 ,$4.32 ,$6.65 ,$5.32 , N/A ,$5.27 ,$5.99 ,$5.99 , N/A ,$5.65 ,$4.92 , N/A , N/A , N/A ,$5.55 , N/A ,$5.49 ,$5.32 ,$5.99 ,$6.65 ,$5.65 , N/A ,$5.65 ,$5.65 ,$5.99 ,$5.99 ,$5.22 ,$5.49 , N/A ,$4.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400016,N/A,DALIRESP TAB 500MCG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400018,N/A,ACEBUTOLOL (SECTRAL) CAPSULE : 200MG,637,1 ,$3.20 ,$2.08 ,$2.08 ,$3.20 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 ,$3.20 ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400019,N/A,PROMETHAZINE (PHENERGAN) TAB : 12.5MG,637,1 ,$1.55 ,$1.01 ,$1.01 ,$1.55 ,$1.24 , N/A ,$1.23 ,$1.40 ,$1.40 , N/A ,$1.32 ,$1.15 , N/A , N/A , N/A ,$1.29 , N/A ,$1.28 ,$1.24 ,$1.40 ,$1.55 ,$1.32 , N/A ,$1.32 ,$1.32 ,$1.40 ,$1.40 ,$1.22 ,$1.28 , N/A ,$1.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400020,N/A,SOLU-CORTEF (HYDROCORTISONE) VIAL:500MG,250,1 ,$28.20 ,$18.33 ,$18.33 ,$25.39 ,$22.56 , N/A ,$22.35 ,$25.39 ,$25.39 , N/A ,$23.97 ,$20.87 , N/A , N/A , N/A ,$23.52 , N/A ,$23.29 ,$22.56 ,$25.38 , N/A ,$23.97 , N/A ,$23.97 ,$23.97 ,$25.38 ,$25.38 ,$22.14 ,$23.29 , N/A ,$18.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400021,N/A,METforMIN (GLUCOPHAGE) 850MG TAB,637,1 ,$4.94 ,$3.21 ,$3.21 ,$4.94 ,$3.95 , N/A ,$3.91 ,$4.45 ,$4.45 , N/A ,$4.20 ,$3.66 , N/A , N/A , N/A ,$4.12 , N/A ,$4.08 ,$3.95 ,$4.45 ,$4.94 ,$4.20 , N/A ,$4.20 ,$4.20 ,$4.45 ,$4.45 ,$3.88 ,$4.08 , N/A ,$3.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400023,N/A,VITAMIN D CAPSULE : 50000 UNITS (1.25MG),637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400024,N/A,ENPRESSE BIRTH CONTROL PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400025,N/A,SOLU-CORTEF (HYDROCORTISONE) VIAL:250MG,250,1 ,$12.70 ,$8.26 ,$8.26 ,$11.44 ,$10.16 , N/A ,$10.06 ,$11.44 ,$11.44 , N/A ,$10.80 ,$9.40 , N/A , N/A , N/A ,$10.59 , N/A ,$10.49 ,$10.16 ,$11.43 , N/A ,$10.80 , N/A ,$10.80 ,$10.80 ,$11.43 ,$11.43 ,$9.97 ,$10.49 , N/A ,$8.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400026,N/A,AZITHROMYCIN (ZITHROMAX) 250MG TAB,637,1 ,$27.80 ,$18.07 ,$18.07 ,$27.80 ,$22.24 , N/A ,$22.03 ,$25.03 ,$25.03 , N/A ,$23.63 ,$20.57 , N/A , N/A , N/A ,$23.19 , N/A ,$22.96 ,$22.24 ,$25.02 ,$27.80 ,$23.63 , N/A ,$23.63 ,$23.63 ,$25.02 ,$25.02 ,$21.82 ,$22.96 , N/A ,$18.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400027,N/A,FOLIC ACID XTRA TABLET,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400028,N/A,GLIpizIDE ER (GLUCOTROL XL) TAB : 5MG,637,1 ,$1.50 ,$0.98 ,$0.98 ,$1.50 ,$1.20 , N/A ,$1.19 ,$1.35 ,$1.35 , N/A ,$1.28 ,$1.11 , N/A , N/A , N/A ,$1.25 , N/A ,$1.24 ,$1.20 ,$1.35 ,$1.50 ,$1.28 , N/A ,$1.28 ,$1.28 ,$1.35 ,$1.35 ,$1.18 ,$1.24 , N/A ,$0.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400029,N/A,GLIpizIDE ER (GLUCOTROL XL) TAB : 10MG,637,1 ,$2.20 ,$1.43 ,$1.43 ,$2.20 ,$1.76 , N/A ,$1.74 ,$1.98 ,$1.98 , N/A ,$1.87 ,$1.63 , N/A , N/A , N/A ,$1.83 , N/A ,$1.82 ,$1.76 ,$1.98 ,$2.20 ,$1.87 , N/A ,$1.87 ,$1.87 ,$1.98 ,$1.98 ,$1.73 ,$1.82 , N/A ,$1.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400030,J1720,SOLU-CORTEF (HYDROCORTISONE) VIAL:100MG,636,1 ,$18.03 ,$11.72 ,$11.72 ,$16.24 ,$14.42 , N/A ,$14.29 ,$16.24 ,$16.24 , N/A ,$15.33 ,$13.34 , N/A , N/A , N/A ,$15.04 , N/A ,$14.89 ,$14.42 ,$16.23 , N/A ,$15.33 , N/A ,$15.33 ,$15.33 ,$16.23 ,$16.23 ,$14.15 ,$14.89 , N/A ,$11.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400031,Q0138,FERAHEME VIAL : 510MG,636,1 ,$761.60 ,$495.04 ,$0.95 ,$685.82 ,$609.28 ,$0.95 ,$603.49 ,$685.82 ,$685.82 ,$1.81 ,$647.36 ,$563.58 ,$2.38 ,$0.95 , N/A ,$635.17 ,$0.95 ,$629.08 ,$609.28 ,$685.44 ,$2.38 ,$647.36 ,$0.95 ,$647.36 ,$647.36 ,$685.44 ,$685.44 ,$597.86 ,$629.08 ,$0.95 ,$495.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400032,N/A,RAMIPRIL CAP 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400033,N/A,GLUCOVANCE 5/500 TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400035,N/A,SOLU-MEDROL (METHYLPREDNISOLONE):40MG,250,1 ,$6.50 ,$4.23 ,$4.23 ,$5.85 ,$5.20 , N/A ,$5.15 ,$5.85 ,$5.85 , N/A ,$5.53 ,$4.81 , N/A , N/A , N/A ,$5.42 , N/A ,$5.37 ,$5.20 ,$5.85 , N/A ,$5.53 , N/A ,$5.53 ,$5.53 ,$5.85 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400036,N/A,ONGLYZA 5MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400037,N/A,SPORANOX (ITRACONAZOLE) CAP:100MG NO CHF,637,1 ,$30.35 ,$19.73 ,$19.73 ,$30.35 ,$24.28 , N/A ,$24.05 ,$27.33 ,$27.33 , N/A ,$25.80 ,$22.46 , N/A , N/A , N/A ,$25.31 , N/A ,$25.07 ,$24.28 ,$27.32 ,$30.35 ,$25.80 , N/A ,$25.80 ,$25.80 ,$27.32 ,$27.32 ,$23.82 ,$25.07 , N/A ,$19.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400038,N/A,LABETALOL (TRANDATE/NORMODYNE) TAB:200MG,637,1 ,$3.30 ,$2.15 ,$2.15 ,$3.30 ,$2.64 , N/A ,$2.61 ,$2.97 ,$2.97 , N/A ,$2.81 ,$2.44 , N/A , N/A , N/A ,$2.75 , N/A ,$2.73 ,$2.64 ,$2.97 ,$3.30 ,$2.81 , N/A ,$2.81 ,$2.81 ,$2.97 ,$2.97 ,$2.59 ,$2.73 , N/A ,$2.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400039,N/A,LORAZEPAM (ATIVAN) INTENSOL: 2MG/ML ORAL,637,1 ,$171.47 ,$111.46 ,$111.46 ,$171.47 ,$137.18 , N/A ,$135.87 ,$154.41 ,$154.41 , N/A ,$145.75 ,$126.89 , N/A , N/A , N/A ,$143.01 , N/A ,$141.63 ,$137.18 ,$154.32 ,$171.47 ,$145.75 , N/A ,$145.75 ,$145.75 ,$154.32 ,$154.32 ,$134.60 ,$141.63 , N/A ,$111.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400040,N/A,SOLU-MEDROL (METHYLPREDNISOLONE):125MG,250,1 ,$10.75 ,$6.99 ,$6.99 ,$9.68 ,$8.60 , N/A ,$8.52 ,$9.68 ,$9.68 , N/A ,$9.14 ,$7.96 , N/A , N/A , N/A ,$8.97 , N/A ,$8.88 ,$8.60 ,$9.68 , N/A ,$9.14 , N/A ,$9.14 ,$9.14 ,$9.68 ,$9.68 ,$8.44 ,$8.88 , N/A ,$6.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400041,N/A,MAGNESIUM OXIDE TABLET:400MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400042,N/A,NADOLOL (CORGARD) TABLET : 20MG,637,1 ,$13.09 ,$8.51 ,$8.51 ,$13.09 ,$10.47 , N/A ,$10.37 ,$11.79 ,$11.79 , N/A ,$11.13 ,$9.69 , N/A , N/A , N/A ,$10.92 , N/A ,$10.81 ,$10.47 ,$11.78 ,$13.09 ,$11.13 , N/A ,$11.13 ,$11.13 ,$11.78 ,$11.78 ,$10.28 ,$10.81 , N/A ,$8.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400043,90675,RABAVERT (RABIES VACCINE) IM : 2.5 UNITS,250,1 ,$670.88 ,$436.07 ,$326.61 ,$816.54 ,$536.70 ,$326.61 ,$531.61 ,$604.13 ,$604.13 ,$620.57 ,$570.25 ,$496.45 ,$816.54 ,$326.61 , N/A ,$559.51 ,$326.61 ,$554.15 ,$536.70 ,$603.79 ,$670.88 ,$570.25 ,$326.61 ,$570.25 ,$570.25 ,$603.79 ,$603.79 ,$526.64 ,$554.15 ,$326.61 ,$436.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400044,N/A,HYPERRAB (RABIES IG) 150UNITS/ML (2ML),250,1 ,"$1,651.83 ","$1,073.69 ","$1,073.69 ","$1,487.47 ","$1,321.46 ", N/A ,"$1,308.91 ","$1,487.47 ","$1,487.47 ", N/A ,"$1,404.06 ","$1,222.35 ", N/A , N/A , N/A ,"$1,377.63 ", N/A ,"$1,364.41 ","$1,321.46 ","$1,486.65 ", N/A ,"$1,404.06 ", N/A ,"$1,404.06 ","$1,404.06 ","$1,486.65 ","$1,486.65 ","$1,296.69 ","$1,364.41 ", N/A ,"$1,073.69 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3400046,N/A,CRANBERRY TAB 400MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400047,N/A,BEPREVE 1.5% EYE DROPS : 5ML,637,1 ,$243.40 ,$158.21 ,$158.21 ,$243.40 ,$194.72 , N/A ,$192.87 ,$219.18 ,$219.18 , N/A ,$206.89 ,$180.12 , N/A , N/A , N/A ,$203.00 , N/A ,$201.05 ,$194.72 ,$219.06 ,$243.40 ,$206.89 , N/A ,$206.89 ,$206.89 ,$219.06 ,$219.06 ,$191.07 ,$201.05 , N/A ,$158.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400050,J2930,METHYLPREDNISOLONE IVPB VIAL : 1000MG,636,1 ,$164.94 ,$107.21 ,$107.21 ,$148.53 ,$131.95 , N/A ,$130.70 ,$148.53 ,$148.53 , N/A ,$140.20 ,$122.06 , N/A , N/A , N/A ,$137.56 , N/A ,$136.24 ,$131.95 ,$148.45 , N/A ,$140.20 , N/A ,$140.20 ,$140.20 ,$148.45 ,$148.45 ,$129.48 ,$136.24 , N/A ,$107.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400051,N/A,WARFARIN (COUMADIN) TABLET 1MG,637,1 ,$9.02 ,$5.86 ,$5.86 ,$9.02 ,$7.22 , N/A ,$7.15 ,$8.12 ,$8.12 , N/A ,$7.67 ,$6.67 , N/A , N/A , N/A ,$7.52 , N/A ,$7.45 ,$7.22 ,$8.12 ,$9.02 ,$7.67 , N/A ,$7.67 ,$7.67 ,$8.12 ,$8.12 ,$7.08 ,$7.45 , N/A ,$5.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400054,N/A,BUPROPION (WELLBUTRIN) TAB : 75MG,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400056,N/A,TICAGRELOR (BRILINTA) 90MG TAB,637,1 ,$19.51 ,$12.68 ,$12.68 ,$19.51 ,$15.61 , N/A ,$15.46 ,$17.57 ,$17.57 , N/A ,$16.58 ,$14.44 , N/A , N/A , N/A ,$16.27 , N/A ,$16.12 ,$15.61 ,$17.56 ,$19.51 ,$16.58 , N/A ,$16.58 ,$16.58 ,$17.56 ,$17.56 ,$15.32 ,$16.12 , N/A ,$12.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400057,N/A,HYOSCYAMINE SUBLINGUAL 0.125MG TAB,637,1 ,$3.00 ,$1.95 ,$1.95 ,$3.00 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 ,$3.00 ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400058,N/A,PRIMAQUINE 26.3MG TAB : EQUIV TO 15MG,637,1 ,$5.10 ,$3.32 ,$3.32 ,$5.10 ,$4.08 , N/A ,$4.04 ,$4.59 ,$4.59 , N/A ,$4.34 ,$3.77 , N/A , N/A , N/A ,$4.25 , N/A ,$4.21 ,$4.08 ,$4.59 ,$5.10 ,$4.34 , N/A ,$4.34 ,$4.34 ,$4.59 ,$4.59 ,$4.00 ,$4.21 , N/A ,$3.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400059,N/A,TAMIFLU CAPSULE : 30MG DO NOT CHARGE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400061,N/A,TAMIFLU CAPSULE : 45MG DO NOT CHARGE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400062,N/A,FOSINOPRIL (MONOPRIL) TAB : 10MG,637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400063,N/A,ONGLYZA 2.5MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400064,N/A,TESTOSTERONE CYPIONATE IM VIAL 100MG/ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400066,N/A,SKELAXIN TABLET : 400MG,637,1 ,$4.95 ,$3.22 ,$3.22 ,$4.95 ,$3.96 , N/A ,$3.92 ,$4.46 ,$4.46 , N/A ,$4.21 ,$3.66 , N/A , N/A , N/A ,$4.13 , N/A ,$4.09 ,$3.96 ,$4.46 ,$4.95 ,$4.21 , N/A ,$4.21 ,$4.21 ,$4.46 ,$4.46 ,$3.89 ,$4.09 , N/A ,$3.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400067,N/A,FLUMAZENIL (BENZO OVERDOSE) 0.5MG/5ML,250,1 ,$29.03 ,$18.87 ,$18.87 ,$26.14 ,$23.22 , N/A ,$23.00 ,$26.14 ,$26.14 , N/A ,$24.68 ,$21.48 , N/A , N/A , N/A ,$24.21 , N/A ,$23.98 ,$23.22 ,$26.13 , N/A ,$24.68 , N/A ,$24.68 ,$24.68 ,$26.13 ,$26.13 ,$22.79 ,$23.98 , N/A ,$18.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400068,J2430,AREDIA 30MG VIAL (PAMIDRONATE),636,1 ,$447.80 ,$291.07 ,$291.07 ,$403.24 ,$358.24 , N/A ,$354.84 ,$403.24 ,$403.24 , N/A ,$380.63 ,$331.37 , N/A , N/A , N/A ,$373.47 , N/A ,$369.88 ,$358.24 ,$403.02 , N/A ,$380.63 , N/A ,$380.63 ,$380.63 ,$403.02 ,$403.02 ,$351.52 ,$369.88 , N/A ,$291.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400072,N/A,PROBENECID TABLET:500MG,637,1 ,$3.10 ,$2.02 ,$2.02 ,$3.10 ,$2.48 , N/A ,$2.46 ,$2.79 ,$2.79 , N/A ,$2.64 ,$2.29 , N/A , N/A , N/A ,$2.59 , N/A ,$2.56 ,$2.48 ,$2.79 ,$3.10 ,$2.64 , N/A ,$2.64 ,$2.64 ,$2.79 ,$2.79 ,$2.43 ,$2.56 , N/A ,$2.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400073,N/A,GI COCKTAIL : 45ML,637,1 ,$17.91 ,$11.64 ,$11.64 ,$17.91 ,$14.33 , N/A ,$14.19 ,$16.13 ,$16.13 , N/A ,$15.22 ,$13.25 , N/A , N/A , N/A ,$14.94 , N/A ,$14.79 ,$14.33 ,$16.12 ,$17.91 ,$15.22 , N/A ,$15.22 ,$15.22 ,$16.12 ,$16.12 ,$14.06 ,$14.79 , N/A ,$11.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400075,N/A,HYDROXYUREA (HYDREA) CAP : 500MG,637,1 ,$4.54 ,$2.95 ,$2.95 ,$4.54 ,$3.63 , N/A ,$3.60 ,$4.09 ,$4.09 , N/A ,$3.86 ,$3.36 , N/A , N/A , N/A ,$3.79 , N/A ,$3.75 ,$3.63 ,$4.09 ,$4.54 ,$3.86 , N/A ,$3.86 ,$3.86 ,$4.09 ,$4.09 ,$3.56 ,$3.75 , N/A ,$2.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400076,N/A,LORATADINE (CLARITIN) TAB : 10MG,637,1 ,$2.84 ,$1.85 ,$1.85 ,$2.84 ,$2.27 , N/A ,$2.25 ,$2.56 ,$2.56 , N/A ,$2.41 ,$2.10 , N/A , N/A , N/A ,$2.37 , N/A ,$2.35 ,$2.27 ,$2.56 ,$2.84 ,$2.41 , N/A ,$2.41 ,$2.41 ,$2.56 ,$2.56 ,$2.23 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400077,N/A,RESERPINE TABLET:0.1MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400078,N/A,CINNAMON CAP 500MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400079,N/A,GABAPENTIN (NEURONTIN) 300MG CAPSULE,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400080,N/A,ATENOLOL (TENORMIN) TABLET : 25MG,637,1 ,$2.89 ,$1.88 ,$1.88 ,$2.89 ,$2.31 , N/A ,$2.29 ,$2.60 ,$2.60 , N/A ,$2.46 ,$2.14 , N/A , N/A , N/A ,$2.41 , N/A ,$2.39 ,$2.31 ,$2.60 ,$2.89 ,$2.46 , N/A ,$2.46 ,$2.46 ,$2.60 ,$2.60 ,$2.27 ,$2.39 , N/A ,$1.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400081,N/A,THIOTHIXENE (NAVANE) CAP : 1MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400082,N/A,LANSOPRAZOLE CAP 15MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400083,N/A,CLONIdine TAB 0.3MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400084,N/A,RENACIDIN,637,1 ,$89.00 ,$57.85 ,$57.85 ,$89.00 ,$71.20 , N/A ,$70.52 ,$80.14 ,$80.14 , N/A ,$75.65 ,$65.86 , N/A , N/A , N/A ,$74.23 , N/A ,$73.51 ,$71.20 ,$80.10 ,$89.00 ,$75.65 , N/A ,$75.65 ,$75.65 ,$80.10 ,$80.10 ,$69.87 ,$73.51 , N/A ,$57.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400085,N/A,CORDARONE (AMIODARONE) TABLET : 200MG,637,1 ,$11.60 ,$7.54 ,$7.54 ,$11.60 ,$9.28 , N/A ,$9.19 ,$10.45 ,$10.45 , N/A ,$9.86 ,$8.58 , N/A , N/A , N/A ,$9.67 , N/A ,$9.58 ,$9.28 ,$10.44 ,$11.60 ,$9.86 , N/A ,$9.86 ,$9.86 ,$10.44 ,$10.44 ,$9.11 ,$9.58 , N/A ,$7.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400087,N/A,SIMVASTATIN (ZOCOR) TAB : 10MG,637,1 ,$8.80 ,$5.72 ,$5.72 ,$8.80 ,$7.04 , N/A ,$6.97 ,$7.92 ,$7.92 , N/A ,$7.48 ,$6.51 , N/A , N/A , N/A ,$7.34 , N/A ,$7.27 ,$7.04 ,$7.92 ,$8.80 ,$7.48 , N/A ,$7.48 ,$7.48 ,$7.92 ,$7.92 ,$6.91 ,$7.27 , N/A ,$5.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400088,N/A,KETOPROFEN CAP.SR 24H:200MG,637,1 ,$9.55 ,$6.21 ,$6.21 ,$9.55 ,$7.64 , N/A ,$7.57 ,$8.60 ,$8.60 , N/A ,$8.12 ,$7.07 , N/A , N/A , N/A ,$7.96 , N/A ,$7.89 ,$7.64 ,$8.60 ,$9.55 ,$8.12 , N/A ,$8.12 ,$8.12 ,$8.60 ,$8.60 ,$7.50 ,$7.89 , N/A ,$6.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400089,N/A,FLUTICASONE (FLONASE) 50MCG NASAL SPRAY,637,1 ,$95.88 ,$62.32 ,$62.32 ,$95.88 ,$76.70 , N/A ,$75.98 ,$86.34 ,$86.34 , N/A ,$81.50 ,$70.95 , N/A , N/A , N/A ,$79.96 , N/A ,$79.20 ,$76.70 ,$86.29 ,$95.88 ,$81.50 , N/A ,$81.50 ,$81.50 ,$86.29 ,$86.29 ,$75.27 ,$79.20 , N/A ,$62.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400091,N/A,LOSARTAN (COZAAR) 50MG TAB,637,1 ,$8.05 ,$5.23 ,$5.23 ,$8.05 ,$6.44 , N/A ,$6.38 ,$7.25 ,$7.25 , N/A ,$6.84 ,$5.96 , N/A , N/A , N/A ,$6.71 , N/A ,$6.65 ,$6.44 ,$7.25 ,$8.05 ,$6.84 , N/A ,$6.84 ,$6.84 ,$7.25 ,$7.25 ,$6.32 ,$6.65 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400092,N/A,CALCITRIOL CAPSULE : 0.25MCG,637,1 ,$3.63 ,$2.36 ,$2.36 ,$3.63 ,$2.90 , N/A ,$2.88 ,$3.27 ,$3.27 , N/A ,$3.09 ,$2.69 , N/A , N/A , N/A ,$3.03 , N/A ,$3.00 ,$2.90 ,$3.27 ,$3.63 ,$3.09 , N/A ,$3.09 ,$3.09 ,$3.27 ,$3.27 ,$2.85 ,$3.00 , N/A ,$2.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400093,N/A,ERYTHROMYCIN BASE TABLET EC:333MG,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400094,N/A,ANDEHIST-DM NR SYRUP (PER 30ML),637,1 ,$19.85 ,$12.90 ,$12.90 ,$19.85 ,$15.88 , N/A ,$15.73 ,$17.87 ,$17.87 , N/A ,$16.87 ,$14.69 , N/A , N/A , N/A ,$16.55 , N/A ,$16.40 ,$15.88 ,$17.87 ,$19.85 ,$16.87 , N/A ,$16.87 ,$16.87 ,$17.87 ,$17.87 ,$15.58 ,$16.40 , N/A ,$12.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400098,N/A,PROMETHAZINE (PHENERGAN) TAB : 25MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400100,N/A,APRISO ER CAP 0.375GM PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400101,N/A,CARBIDOPA/LEVODOPA 25-100 DISINTEGRATE,637,1 ,$4.35 ,$2.83 ,$2.83 ,$4.35 ,$3.48 , N/A ,$3.45 ,$3.92 ,$3.92 , N/A ,$3.70 ,$3.22 , N/A , N/A , N/A ,$3.63 , N/A ,$3.59 ,$3.48 ,$3.92 ,$4.35 ,$3.70 , N/A ,$3.70 ,$3.70 ,$3.92 ,$3.92 ,$3.41 ,$3.59 , N/A ,$2.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400102,N/A,FLEET RECTAL ENEMA NURSING HOME MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400103,N/A,VANCOMYCIN HCL CAPSULE:125MG,637,1 ,$55.65 ,$36.17 ,$36.17 ,$55.65 ,$44.52 , N/A ,$44.10 ,$50.11 ,$50.11 , N/A ,$47.30 ,$41.18 , N/A , N/A , N/A ,$46.41 , N/A ,$45.97 ,$44.52 ,$50.09 ,$55.65 ,$47.30 , N/A ,$47.30 ,$47.30 ,$50.09 ,$50.09 ,$43.69 ,$45.97 , N/A ,$36.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400104,N/A,TOPROL XL (METOPROLOL ER) TAB : 50MG,637,1 ,$4.42 ,$2.87 ,$2.87 ,$4.42 ,$3.54 , N/A ,$3.50 ,$3.98 ,$3.98 , N/A ,$3.76 ,$3.27 , N/A , N/A , N/A ,$3.69 , N/A ,$3.65 ,$3.54 ,$3.98 ,$4.42 ,$3.76 , N/A ,$3.76 ,$3.76 ,$3.98 ,$3.98 ,$3.47 ,$3.65 , N/A ,$2.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400107,J3262,ACTEMRA (RHEUMATOID ARTHRITIS) : 80MG,636,1 ,$509.95 ,$331.47 ,$5.53 ,$459.21 ,$407.96 ,$5.53 ,$404.08 ,$459.21 ,$459.21 ,$10.51 ,$433.46 ,$377.36 ,$13.83 ,$5.53 , N/A ,$425.30 ,$5.53 ,$421.22 ,$407.96 ,$458.96 ,$13.83 ,$433.46 ,$5.53 ,$433.46 ,$433.46 ,$458.96 ,$458.96 ,$400.31 ,$421.22 ,$5.53 ,$331.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400108,N/A,PAROXETINE (PAXIL) TAB : 20MG,637,1 ,$10.49 ,$6.82 ,$6.82 ,$10.49 ,$8.39 , N/A ,$8.31 ,$9.45 ,$9.45 , N/A ,$8.92 ,$7.76 , N/A , N/A , N/A ,$8.75 , N/A ,$8.66 ,$8.39 ,$9.44 ,$10.49 ,$8.92 , N/A ,$8.92 ,$8.92 ,$9.44 ,$9.44 ,$8.23 ,$8.66 , N/A ,$6.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400109,N/A,BIOTENE DRY MOUTH MOISTURIZING SPRAY,637,1 ,$19.45 ,$12.64 ,$12.64 ,$19.45 ,$15.56 , N/A ,$15.41 ,$17.51 ,$17.51 , N/A ,$16.53 ,$14.39 , N/A , N/A , N/A ,$16.22 , N/A ,$16.07 ,$15.56 ,$17.51 ,$19.45 ,$16.53 , N/A ,$16.53 ,$16.53 ,$17.51 ,$17.51 ,$15.27 ,$16.07 , N/A ,$12.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400110,J3262,ACTEMRA (RHEUMATOID ARTHRITIS) : 200MG,636,1 ,"$1,274.90 ",$828.69 ,$5.53 ,"$1,148.05 ","$1,019.92 ",$5.53 ,"$1,010.23 ","$1,148.05 ","$1,148.05 ",$10.51 ,"$1,083.67 ",$943.43 ,$13.83 ,$5.53 , N/A ,"$1,063.27 ",$5.53 ,"$1,053.07 ","$1,019.92 ","$1,147.41 ",$13.83 ,"$1,083.67 ",$5.53 ,"$1,083.67 ","$1,083.67 ","$1,147.41 ","$1,147.41 ","$1,000.80 ","$1,053.07 ",$5.53 ,$828.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400111,N/A,ZITHROMAX (AZITHROMYCIN) SUSP.:200MG/5ML,637,1 ,$95.80 ,$62.27 ,$62.27 ,$95.80 ,$76.64 , N/A ,$75.91 ,$86.27 ,$86.27 , N/A ,$81.43 ,$70.89 , N/A , N/A , N/A ,$79.90 , N/A ,$79.13 ,$76.64 ,$86.22 ,$95.80 ,$81.43 , N/A ,$81.43 ,$81.43 ,$86.22 ,$86.22 ,$75.20 ,$79.13 , N/A ,$62.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400112,N/A,RISperidONE (RISperDAL) 1MG TAB,637,1 ,$17.91 ,$11.64 ,$11.64 ,$17.91 ,$14.33 , N/A ,$14.19 ,$16.13 ,$16.13 , N/A ,$15.22 ,$13.25 , N/A , N/A , N/A ,$14.94 , N/A ,$14.79 ,$14.33 ,$16.12 ,$17.91 ,$15.22 , N/A ,$15.22 ,$15.22 ,$16.12 ,$16.12 ,$14.06 ,$14.79 , N/A ,$11.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400115,J1100,DEXAMETHASONE INJECTION USE 10MG/ML VIAL,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400117,N/A,RIVAROXABAN (XARELTO) 15MG TAB,637,1 ,$59.87 ,$38.92 ,$38.92 ,$59.87 ,$47.90 , N/A ,$47.44 ,$53.91 ,$53.91 , N/A ,$50.89 ,$44.30 , N/A , N/A , N/A ,$49.93 , N/A ,$49.45 ,$47.90 ,$53.88 ,$59.87 ,$50.89 , N/A ,$50.89 ,$50.89 ,$53.88 ,$53.88 ,$47.00 ,$49.45 , N/A ,$38.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400119,J1100,DEXAMETHASONE INJECTION USE 4MG VIAL,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400121,J2590,PITOCIN VIAL : 10 UNITS/ML,636,1 ,$16.04 ,$10.43 ,$10.43 ,$14.44 ,$12.83 , N/A ,$12.71 ,$14.44 ,$14.44 , N/A ,$13.63 ,$11.87 , N/A , N/A , N/A ,$13.38 , N/A ,$13.25 ,$12.83 ,$14.44 , N/A ,$13.63 , N/A ,$13.63 ,$13.63 ,$14.44 ,$14.44 ,$12.59 ,$13.25 , N/A ,$10.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400122,N/A,KETOROLAC (TORADOL) TAB- 10MG,637,1 ,$7.71 ,$5.01 ,$5.01 ,$7.71 ,$6.17 , N/A ,$6.11 ,$6.94 ,$6.94 , N/A ,$6.55 ,$5.71 , N/A , N/A , N/A ,$6.43 , N/A ,$6.37 ,$6.17 ,$6.94 ,$7.71 ,$6.55 , N/A ,$6.55 ,$6.55 ,$6.94 ,$6.94 ,$6.05 ,$6.37 , N/A ,$5.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400124,N/A,BIOTENE DRY MOUTH GUM,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400126,J1071,TESTOSTERONE CYPIONATE IM 200MG/ML,636,1 ,$82.83 ,$53.84 ,$53.84 ,$74.59 ,$66.26 , N/A ,$65.63 ,$74.59 ,$74.59 , N/A ,$70.41 ,$61.29 , N/A , N/A , N/A ,$69.08 , N/A ,$68.42 ,$66.26 ,$74.55 , N/A ,$70.41 , N/A ,$70.41 ,$70.41 ,$74.55 ,$74.55 ,$65.02 ,$68.42 , N/A ,$53.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400127,N/A,CORTISONE ACETATE TABLET:25MG,637,1 ,$1.55 ,$1.01 ,$1.01 ,$1.55 ,$1.24 , N/A ,$1.23 ,$1.40 ,$1.40 , N/A ,$1.32 ,$1.15 , N/A , N/A , N/A ,$1.29 , N/A ,$1.28 ,$1.24 ,$1.40 ,$1.55 ,$1.32 , N/A ,$1.32 ,$1.32 ,$1.40 ,$1.40 ,$1.22 ,$1.28 , N/A ,$1.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400128,N/A,NITROFURANTOIN MACROCRYSTALS 100MG CAP,637,1 ,$12.02 ,$7.81 ,$7.81 ,$12.02 ,$9.62 , N/A ,$9.52 ,$10.82 ,$10.82 , N/A ,$10.22 ,$8.89 , N/A , N/A , N/A ,$10.02 , N/A ,$9.93 ,$9.62 ,$10.82 ,$12.02 ,$10.22 , N/A ,$10.22 ,$10.22 ,$10.82 ,$10.82 ,$9.44 ,$9.93 , N/A ,$7.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400130,J0171,EPINEphrine AMPULE 1MG/ML,636,1 ,$47.96 ,$31.17 ,$31.17 ,$43.19 ,$38.37 , N/A ,$38.00 ,$43.19 ,$43.19 , N/A ,$40.77 ,$35.49 , N/A , N/A , N/A ,$40.00 , N/A ,$39.62 ,$38.37 ,$43.16 , N/A ,$40.77 , N/A ,$40.77 ,$40.77 ,$43.16 ,$43.16 ,$37.65 ,$39.62 , N/A ,$31.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400131,N/A,ONDANSETRON (ZOFRAN) 4MG ODT TAB,637,1 ,$41.96 ,$27.27 ,$27.27 ,$41.96 ,$33.57 , N/A ,$33.25 ,$37.79 ,$37.79 , N/A ,$35.67 ,$31.05 , N/A , N/A , N/A ,$34.99 , N/A ,$34.66 ,$33.57 ,$37.76 ,$41.96 ,$35.67 , N/A ,$35.67 ,$35.67 ,$37.76 ,$37.76 ,$32.94 ,$34.66 , N/A ,$27.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400132,J0881,ARANESP SUBQ VIAL : 40 MCG,636,1 ,$444.65 ,$289.02 ,$3.20 ,$400.41 ,$355.72 ,$3.20 ,$352.34 ,$400.41 ,$400.41 ,$6.07 ,$377.95 ,$329.04 ,$7.99 ,$3.20 , N/A ,$370.84 ,$3.20 ,$367.28 ,$355.72 ,$400.19 ,$7.99 ,$377.95 ,$3.20 ,$377.95 ,$377.95 ,$400.19 ,$400.19 ,$349.05 ,$367.28 ,$3.20 ,$289.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400135,N/A,ADRENALIN CHLORIDE NASAL SOLUTION,637,1 ,$171.85 ,$111.70 ,$111.70 ,$171.85 ,$137.48 , N/A ,$136.17 ,$154.75 ,$154.75 , N/A ,$146.07 ,$127.17 , N/A , N/A , N/A ,$143.32 , N/A ,$141.95 ,$137.48 ,$154.67 ,$171.85 ,$146.07 , N/A ,$146.07 ,$146.07 ,$154.67 ,$154.67 ,$134.90 ,$141.95 , N/A ,$111.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400136,J1040,DEPO-MEDROL (IM USE ONLY) 80MG/ML,636,1 ,$81.93 ,$53.25 ,$53.25 ,$73.78 ,$65.54 , N/A ,$64.92 ,$73.78 ,$73.78 , N/A ,$69.64 ,$60.63 , N/A , N/A , N/A ,$68.33 , N/A ,$67.67 ,$65.54 ,$73.74 , N/A ,$69.64 , N/A ,$69.64 ,$69.64 ,$73.74 ,$73.74 ,$64.32 ,$67.67 , N/A ,$53.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400137,J0881,ARANESP SUBQ VIAL : 60 MCG,636,1 ,$667.00 ,$433.55 ,$3.20 ,$600.63 ,$533.60 ,$3.20 ,$528.53 ,$600.63 ,$600.63 ,$6.07 ,$566.95 ,$493.58 ,$7.99 ,$3.20 , N/A ,$556.28 ,$3.20 ,$550.94 ,$533.60 ,$600.30 ,$7.99 ,$566.95 ,$3.20 ,$566.95 ,$566.95 ,$600.30 ,$600.30 ,$523.60 ,$550.94 ,$3.20 ,$433.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400139,J0881,ARANESP SUBQ VIAL : 100 MCG,636,1 ,"$1,111.70 ",$722.61 ,$3.20 ,"$1,001.09 ",$889.36 ,$3.20 ,$880.91 ,"$1,001.09 ","$1,001.09 ",$6.07 ,$944.95 ,$822.66 ,$7.99 ,$3.20 , N/A ,$927.16 ,$3.20 ,$918.26 ,$889.36 ,"$1,000.53 ",$7.99 ,$944.95 ,$3.20 ,$944.95 ,$944.95 ,"$1,000.53 ","$1,000.53 ",$872.68 ,$918.26 ,$3.20 ,$722.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400140,N/A,CARAFATE ORAL SUSP : 1GM/10ML (30ML),637,1 ,$8.50 ,$5.53 ,$5.53 ,$8.50 ,$6.80 , N/A ,$6.74 ,$7.65 ,$7.65 , N/A ,$7.23 ,$6.29 , N/A , N/A , N/A ,$7.09 , N/A ,$7.02 ,$6.80 ,$7.65 ,$8.50 ,$7.23 , N/A ,$7.23 ,$7.23 ,$7.65 ,$7.65 ,$6.67 ,$7.02 , N/A ,$5.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400142,J2997,TPA (ACTIVASE/ALTEPLASE) : 100MG,636,1 ,"$4,400.00 ","$2,860.00 ",$87.41 ,"$3,962.20 ","$3,520.00 ",$87.41 ,"$3,486.56 ","$3,962.20 ","$3,962.20 ",$166.08 ,"$3,740.00 ","$3,256.00 ",$218.53 ,$87.41 , N/A ,"$3,669.60 ",$87.41 ,"$3,634.40 ","$3,520.00 ","$3,960.00 ",$218.53 ,"$3,740.00 ",$87.41 ,"$3,740.00 ","$3,740.00 ","$3,960.00 ","$3,960.00 ","$3,454.00 ","$3,634.40 ",$87.41 ,"$2,860.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3400144,N/A,LEVOTHYROXINE (SYNTHROID) 88MCG TAB,637,1 ,$4.65 ,$3.02 ,$3.02 ,$4.65 ,$3.72 , N/A ,$3.68 ,$4.19 ,$4.19 , N/A ,$3.95 ,$3.44 , N/A , N/A , N/A ,$3.88 , N/A ,$3.84 ,$3.72 ,$4.19 ,$4.65 ,$3.95 , N/A ,$3.95 ,$3.95 ,$4.19 ,$4.19 ,$3.65 ,$3.84 , N/A ,$3.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400145,N/A,PREDNISONE 32.4MG TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400150,N/A,GABAPENTIN TAB 800MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400160,J9310,RITUXAN 500MG (RHEUMATOID ARTHRITIS),636,1 ,"$7,576.94 ","$4,925.01 ","$4,925.01 ","$6,823.03 ","$6,061.55 ", N/A ,"$6,003.97 ","$6,823.03 ","$6,823.03 ", N/A ,"$6,440.40 ","$5,606.94 ", N/A , N/A , N/A ,"$6,319.17 ", N/A ,"$6,258.55 ","$6,061.55 ","$6,819.25 ", N/A ,"$6,440.40 ", N/A ,"$6,440.40 ","$6,440.40 ","$6,819.25 ","$6,819.25 ","$5,947.90 ","$6,258.55 ", N/A ,"$4,925.01 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3400161,N/A,NF-FOSINOPRIL TAB 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400165,N/A,SPIRONOLACTONE (ALDACTONE) : 25MG,637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400166,N/A,GUAIFENESIN TAB 400MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400167,N/A,MEDROXYPROGESTERONE (PROVERA) : 2.5MG,637,1 ,$1.13 ,$0.73 ,$0.73 ,$1.13 ,$0.90 , N/A ,$0.90 ,$1.02 ,$1.02 , N/A ,$0.96 ,$0.84 , N/A , N/A , N/A ,$0.94 , N/A ,$0.93 ,$0.90 ,$1.02 ,$1.13 ,$0.96 , N/A ,$0.96 ,$0.96 ,$1.02 ,$1.02 ,$0.89 ,$0.93 , N/A ,$0.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400168,N/A,PHENERGAN DM (PROMETHAZINE DM) SYRUP,637,1 ,$12.95 ,$8.42 ,$8.42 ,$12.95 ,$10.36 , N/A ,$10.26 ,$11.66 ,$11.66 , N/A ,$11.01 ,$9.58 , N/A , N/A , N/A ,$10.80 , N/A ,$10.70 ,$10.36 ,$11.66 ,$12.95 ,$11.01 , N/A ,$11.01 ,$11.01 ,$11.66 ,$11.66 ,$10.17 ,$10.70 , N/A ,$8.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400169,N/A,VANTIN TABLET : 100MG,637,1 ,$13.25 ,$8.61 ,$8.61 ,$13.25 ,$10.60 , N/A ,$10.50 ,$11.93 ,$11.93 , N/A ,$11.26 ,$9.81 , N/A , N/A , N/A ,$11.05 , N/A ,$10.94 ,$10.60 ,$11.93 ,$13.25 ,$11.26 , N/A ,$11.26 ,$11.26 ,$11.93 ,$11.93 ,$10.40 ,$10.94 , N/A ,$8.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400170,N/A,CEFPODOXIME TAB 200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400171,N/A,ENALAPRILAT DIHYDRATE VIAL:1.25MG/ML,250,1 ,$50.10 ,$32.57 ,$32.57 ,$45.12 ,$40.08 , N/A ,$39.70 ,$45.12 ,$45.12 , N/A ,$42.59 ,$37.07 , N/A , N/A , N/A ,$41.78 , N/A ,$41.38 ,$40.08 ,$45.09 , N/A ,$42.59 , N/A ,$42.59 ,$42.59 ,$45.09 ,$45.09 ,$39.33 ,$41.38 , N/A ,$32.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400172,J1742,CORVERT 1MG/10ML (ATRIAL ARRHYTHMIAS),636,1 ,$868.30 ,$564.40 ,$226.10 ,$781.90 ,$694.64 ,$226.10 ,$688.04 ,$781.90 ,$781.90 ,$429.59 ,$738.06 ,$642.54 ,$565.25 ,$226.10 , N/A ,$724.16 ,$226.10 ,$717.22 ,$694.64 ,$781.47 ,$565.25 ,$738.06 ,$226.10 ,$738.06 ,$738.06 ,$781.47 ,$781.47 ,$681.62 ,$717.22 ,$226.10 ,$564.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400174,N/A,NIFEDIPINE ER TAB 90MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400175,N/A,QUINAPRIL 20/HCTZ 12.5 TAB PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400177,N/A,GALANTAMINE TAB 8MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400178,N/A,TOPIRAMATE TAB 50MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400179,N/A,CARDIZEM SR (DILTIAZEM) : 60MG,637,1 ,$3.45 ,$2.24 ,$2.24 ,$3.45 ,$2.76 , N/A ,$2.73 ,$3.11 ,$3.11 , N/A ,$2.93 ,$2.55 , N/A , N/A , N/A ,$2.88 , N/A ,$2.85 ,$2.76 ,$3.11 ,$3.45 ,$2.93 , N/A ,$2.93 ,$2.93 ,$3.11 ,$3.11 ,$2.71 ,$2.85 , N/A ,$2.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400180,N/A,GUAIFENESIN/P-EPHED HCL TAB.SR 12H:600-1,637,1 ,$1.45 ,$0.94 ,$0.94 ,$1.45 ,$1.16 , N/A ,$1.15 ,$1.31 ,$1.31 , N/A ,$1.23 ,$1.07 , N/A , N/A , N/A ,$1.21 , N/A ,$1.20 ,$1.16 ,$1.31 ,$1.45 ,$1.23 , N/A ,$1.23 ,$1.23 ,$1.31 ,$1.31 ,$1.14 ,$1.20 , N/A ,$0.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400181,N/A,VANTIN SUSP. : 100MG/5ML (5MG/KG Q12H),637,1 ,$220.90 ,$143.59 ,$143.59 ,$220.90 ,$176.72 , N/A ,$175.04 ,$198.92 ,$198.92 , N/A ,$187.77 ,$163.47 , N/A , N/A , N/A ,$184.23 , N/A ,$182.46 ,$176.72 ,$198.81 ,$220.90 ,$187.77 , N/A ,$187.77 ,$187.77 ,$198.81 ,$198.81 ,$173.41 ,$182.46 , N/A ,$143.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400182,J3370,VANCOMYCIN IV VIAL : 750MG,636,1 ,$41.54 ,$27.00 ,$27.00 ,$37.41 ,$33.23 , N/A ,$32.92 ,$37.41 ,$37.41 , N/A ,$35.31 ,$30.74 , N/A , N/A , N/A ,$34.64 , N/A ,$34.31 ,$33.23 ,$37.39 , N/A ,$35.31 , N/A ,$35.31 ,$35.31 ,$37.39 ,$37.39 ,$32.61 ,$34.31 , N/A ,$27.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400184,N/A,DORZOLAMIDE (TRUSOPT) 2% EYE DROPS,637,1 ,$200.60 ,$130.39 ,$130.39 ,$200.60 ,$160.48 , N/A ,$158.96 ,$180.64 ,$180.64 , N/A ,$170.51 ,$148.44 , N/A , N/A , N/A ,$167.30 , N/A ,$165.70 ,$160.48 ,$180.54 ,$200.60 ,$170.51 , N/A ,$170.51 ,$170.51 ,$180.54 ,$180.54 ,$157.47 ,$165.70 , N/A ,$130.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400185,N/A,ESTRATEST TABLET,637,1 ,$5.75 ,$3.74 ,$3.74 ,$5.75 ,$4.60 , N/A ,$4.56 ,$5.18 ,$5.18 , N/A ,$4.89 ,$4.26 , N/A , N/A , N/A ,$4.80 , N/A ,$4.75 ,$4.60 ,$5.18 ,$5.75 ,$4.89 , N/A ,$4.89 ,$4.89 ,$5.18 ,$5.18 ,$4.51 ,$4.75 , N/A ,$3.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400186,N/A,FLUPHENAZINE HCL TABLET:5MG,637,1 ,$4.20 ,$2.73 ,$2.73 ,$4.20 ,$3.36 , N/A ,$3.33 ,$3.78 ,$3.78 , N/A ,$3.57 ,$3.11 , N/A , N/A , N/A ,$3.50 , N/A ,$3.47 ,$3.36 ,$3.78 ,$4.20 ,$3.57 , N/A ,$3.57 ,$3.57 ,$3.78 ,$3.78 ,$3.30 ,$3.47 , N/A ,$2.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400187,N/A,PAROXETINE ER 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400188,N/A,DIPHENHYDRAMINE LIQUID 12.5MG/5mL,637,1 ,$4.54 ,$2.95 ,$2.95 ,$4.54 ,$3.63 , N/A ,$3.60 ,$4.09 ,$4.09 , N/A ,$3.86 ,$3.36 , N/A , N/A , N/A ,$3.79 , N/A ,$3.75 ,$3.63 ,$4.09 ,$4.54 ,$3.86 , N/A ,$3.86 ,$3.86 ,$4.09 ,$4.09 ,$3.56 ,$3.75 , N/A ,$2.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400189,N/A,DDAVP : 0.1MG/ML,637,1 ,$243.80 ,$158.47 ,$158.47 ,$243.80 ,$195.04 , N/A ,$193.19 ,$219.54 ,$219.54 , N/A ,$207.23 ,$180.41 , N/A , N/A , N/A ,$203.33 , N/A ,$201.38 ,$195.04 ,$219.42 ,$243.80 ,$207.23 , N/A ,$207.23 ,$207.23 ,$219.42 ,$219.42 ,$191.38 ,$201.38 , N/A ,$158.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400190,N/A,PROCANBID SR : 500MG,637,1 ,$3.05 ,$1.98 ,$1.98 ,$3.05 ,$2.44 , N/A ,$2.42 ,$2.75 ,$2.75 , N/A ,$2.59 ,$2.26 , N/A , N/A , N/A ,$2.54 , N/A ,$2.52 ,$2.44 ,$2.75 ,$3.05 ,$2.59 , N/A ,$2.59 ,$2.59 ,$2.75 ,$2.75 ,$2.39 ,$2.52 , N/A ,$1.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400194,N/A,PRADAXA CAP 75MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400195,N/A,PROMOD POWDER,637,1 ,$43.80 ,$28.47 ,$28.47 ,$43.80 ,$35.04 , N/A ,$34.71 ,$39.44 ,$39.44 , N/A ,$37.23 ,$32.41 , N/A , N/A , N/A ,$36.53 , N/A ,$36.18 ,$35.04 ,$39.42 ,$43.80 ,$37.23 , N/A ,$37.23 ,$37.23 ,$39.42 ,$39.42 ,$34.38 ,$36.18 , N/A ,$28.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400196,N/A,SOTALOL TAB 80MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400199,N/A,CEFTIN (CEFUROXIME) SUSP. : 125MG/5ML,637,1 ,$152.95 ,$99.42 ,$99.42 ,$152.95 ,$122.36 , N/A ,$121.20 ,$137.73 ,$137.73 , N/A ,$130.01 ,$113.18 , N/A , N/A , N/A ,$127.56 , N/A ,$126.34 ,$122.36 ,$137.66 ,$152.95 ,$130.01 , N/A ,$130.01 ,$130.01 ,$137.66 ,$137.66 ,$120.07 ,$126.34 , N/A ,$99.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400200,N/A,METHYLDOPA (ALDOMET) TAB : 250MG,637,1 ,$1.15 ,$0.75 ,$0.75 ,$1.15 ,$0.92 , N/A ,$0.91 ,$1.04 ,$1.04 , N/A ,$0.98 ,$0.85 , N/A , N/A , N/A ,$0.96 , N/A ,$0.95 ,$0.92 ,$1.04 ,$1.15 ,$0.98 , N/A ,$0.98 ,$0.98 ,$1.04 ,$1.04 ,$0.90 ,$0.95 , N/A ,$0.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400210,N/A,METHYLDOPA/HYDROCHLOROTHIAZIDE TABLET:25,637,1 ,$1.60 ,$1.04 ,$1.04 ,$1.60 ,$1.28 , N/A ,$1.27 ,$1.44 ,$1.44 , N/A ,$1.36 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.32 ,$1.28 ,$1.44 ,$1.60 ,$1.36 , N/A ,$1.36 ,$1.36 ,$1.44 ,$1.44 ,$1.26 ,$1.32 , N/A ,$1.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400215,N/A,METHYLDOPA 250MG/HCTZ 25MG (ALDORIL 25),637,1 ,$2.15 ,$1.40 ,$1.40 ,$2.15 ,$1.72 , N/A ,$1.70 ,$1.94 ,$1.94 , N/A ,$1.83 ,$1.59 , N/A , N/A , N/A ,$1.79 , N/A ,$1.78 ,$1.72 ,$1.94 ,$2.15 ,$1.83 , N/A ,$1.83 ,$1.83 ,$1.94 ,$1.94 ,$1.69 ,$1.78 , N/A ,$1.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400216,N/A,MEGESTROL SUSP 400mg/10ml UD CUP,637,1 ,$16.16 ,$10.50 ,$10.50 ,$16.16 ,$12.93 , N/A ,$12.81 ,$14.55 ,$14.55 , N/A ,$13.74 ,$11.96 , N/A , N/A , N/A ,$13.48 , N/A ,$13.35 ,$12.93 ,$14.54 ,$16.16 ,$13.74 , N/A ,$13.74 ,$13.74 ,$14.54 ,$14.54 ,$12.69 ,$13.35 , N/A ,$10.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400220,N/A,VEXOL EYE DROPS,637,1 ,$88.65 ,$57.62 ,$57.62 ,$88.65 ,$70.92 , N/A ,$70.25 ,$79.83 ,$79.83 , N/A ,$75.35 ,$65.60 , N/A , N/A , N/A ,$73.93 , N/A ,$73.22 ,$70.92 ,$79.79 ,$88.65 ,$75.35 , N/A ,$75.35 ,$75.35 ,$79.79 ,$79.79 ,$69.59 ,$73.22 , N/A ,$57.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400230,N/A,TORSEMIDE TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400232,N/A,MESORIDAZINE BESYLATE TABLET:10MG,637,1 ,$2.85 ,$1.85 ,$1.85 ,$2.85 ,$2.28 , N/A ,$2.26 ,$2.57 ,$2.57 , N/A ,$2.42 ,$2.11 , N/A , N/A , N/A ,$2.38 , N/A ,$2.35 ,$2.28 ,$2.57 ,$2.85 ,$2.42 , N/A ,$2.42 ,$2.42 ,$2.57 ,$2.57 ,$2.24 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400233,N/A,DOCUSATE (COLACE) CAPSULE : 100MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400234,N/A,WATER FLUSH FOR G TUBE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400240,N/A,CALCIUM TAB 600MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400241,N/A,DEPAKOTE TABLET EC : 125MG,637,1 ,$2.20 ,$1.43 ,$1.43 ,$2.20 ,$1.76 , N/A ,$1.74 ,$1.98 ,$1.98 , N/A ,$1.87 ,$1.63 , N/A , N/A , N/A ,$1.83 , N/A ,$1.82 ,$1.76 ,$1.98 ,$2.20 ,$1.87 , N/A ,$1.87 ,$1.87 ,$1.98 ,$1.98 ,$1.73 ,$1.82 , N/A ,$1.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400243,N/A,NEOSTIGMINE METHYLSULFATE VIAL: 0.736,250,1 ,$27.60 ,$17.94 ,$17.94 ,$24.85 ,$22.08 , N/A ,$21.87 ,$24.85 ,$24.85 , N/A ,$23.46 ,$20.42 , N/A , N/A , N/A ,$23.02 , N/A ,$22.80 ,$22.08 ,$24.84 , N/A ,$23.46 , N/A ,$23.46 ,$23.46 ,$24.84 ,$24.84 ,$21.67 ,$22.80 , N/A ,$17.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400244,N/A,NUTRASHAKE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400254,N/A,METAPROTERENOL 0.6% SOLN : ALUPENT 2.5ML,637,1 ,$3.80 ,$2.47 ,$2.47 ,$3.80 ,$3.04 , N/A ,$3.01 ,$3.42 ,$3.42 , N/A ,$3.23 ,$2.81 , N/A , N/A , N/A ,$3.17 , N/A ,$3.14 ,$3.04 ,$3.42 ,$3.80 ,$3.23 , N/A ,$3.23 ,$3.23 ,$3.42 ,$3.42 ,$2.98 ,$3.14 , N/A ,$2.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400255,N/A,METAPROTERENOL SULFATE AER W/ADAP:650MCG,637,1 ,$82.60 ,$53.69 ,$53.69 ,$82.60 ,$66.08 , N/A ,$65.45 ,$74.38 ,$74.38 , N/A ,$70.21 ,$61.12 , N/A , N/A , N/A ,$68.89 , N/A ,$68.23 ,$66.08 ,$74.34 ,$82.60 ,$70.21 , N/A ,$70.21 ,$70.21 ,$74.34 ,$74.34 ,$64.84 ,$68.23 , N/A ,$53.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400257,N/A,METAPROTERENOL SULFATE SOLUTION:50MG/ML,637,1 ,$6.10 ,$3.97 ,$3.97 ,$6.10 ,$4.88 , N/A ,$4.83 ,$5.49 ,$5.49 , N/A ,$5.19 ,$4.51 , N/A , N/A , N/A ,$5.09 , N/A ,$5.04 ,$4.88 ,$5.49 ,$6.10 ,$5.19 , N/A ,$5.19 ,$5.19 ,$5.49 ,$5.49 ,$4.79 ,$5.04 , N/A ,$3.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400280,N/A,METAPROTERENOL SULFATE SOLUTION:50MG/ML,637,1 ,$59.95 ,$38.97 ,$38.97 ,$59.95 ,$47.96 , N/A ,$47.50 ,$53.99 ,$53.99 , N/A ,$50.96 ,$44.36 , N/A , N/A , N/A ,$50.00 , N/A ,$49.52 ,$47.96 ,$53.96 ,$59.95 ,$50.96 , N/A ,$50.96 ,$50.96 ,$53.96 ,$53.96 ,$47.06 ,$49.52 , N/A ,$38.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400301,J7509,METHYLPREDNISOLONE TAB 4MG : RX CHARGE,636,1 ,$94.55 ,$61.46 ,$61.46 ,$85.14 ,$75.64 , N/A ,$74.92 ,$85.14 ,$85.14 , N/A ,$80.37 ,$69.97 , N/A , N/A , N/A ,$78.85 , N/A ,$78.10 ,$75.64 ,$85.10 , N/A ,$80.37 , N/A ,$80.37 ,$80.37 ,$85.10 ,$85.10 ,$74.22 ,$78.10 , N/A ,$61.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400302,N/A,LOTREL CAPSULE : 10-2.5MG,637,1 ,$7.25 ,$4.71 ,$4.71 ,$7.25 ,$5.80 , N/A ,$5.74 ,$6.53 ,$6.53 , N/A ,$6.16 ,$5.37 , N/A , N/A , N/A ,$6.05 , N/A ,$5.99 ,$5.80 ,$6.53 ,$7.25 ,$6.16 , N/A ,$6.16 ,$6.16 ,$6.53 ,$6.53 ,$5.69 ,$5.99 , N/A ,$4.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400303,N/A,SANDOSTATIN (OCTREOTIDE):0.05MG/ML,250,1 ,$31.45 ,$20.44 ,$20.44 ,$28.32 ,$25.16 , N/A ,$24.92 ,$28.32 ,$28.32 , N/A ,$26.73 ,$23.27 , N/A , N/A , N/A ,$26.23 , N/A ,$25.98 ,$25.16 ,$28.31 , N/A ,$26.73 , N/A ,$26.73 ,$26.73 ,$28.31 ,$28.31 ,$24.69 ,$25.98 , N/A ,$20.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400306,N/A,LIPOSYN II 10 PERCENT (USE 1.2 FILTER),258,1 ,$78.10 ,$50.77 ,$50.77 ,$70.33 ,$62.48 , N/A ,$61.89 ,$70.33 ,$70.33 , N/A ,$66.39 ,$57.79 , N/A , N/A , N/A ,$65.14 , N/A ,$64.51 ,$62.48 ,$70.29 , N/A ,$66.39 , N/A ,$66.39 ,$66.39 ,$70.29 ,$70.29 ,$61.31 ,$64.51 , N/A ,$50.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400307,N/A,HYOSCYAMINE SULFATE ER TAB 12HR: 0.375MG,637,1 ,$3.57 ,$2.32 ,$2.32 ,$3.57 ,$2.86 , N/A ,$2.83 ,$3.21 ,$3.21 , N/A ,$3.03 ,$2.64 , N/A , N/A , N/A ,$2.98 , N/A ,$2.95 ,$2.86 ,$3.21 ,$3.57 ,$3.03 , N/A ,$3.03 ,$3.03 ,$3.21 ,$3.21 ,$2.80 ,$2.95 , N/A ,$2.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400308,N/A,PRECOSE (ACARBOSE) TABLET : 50MG,637,1 ,$3.05 ,$1.98 ,$1.98 ,$3.05 ,$2.44 , N/A ,$2.42 ,$2.75 ,$2.75 , N/A ,$2.59 ,$2.26 , N/A , N/A , N/A ,$2.54 , N/A ,$2.52 ,$2.44 ,$2.75 ,$3.05 ,$2.59 , N/A ,$2.59 ,$2.59 ,$2.75 ,$2.75 ,$2.39 ,$2.52 , N/A ,$1.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400309,J0515,COGENTIN (BENZTROPINE) VIAL : 1MG/ML,636,1 ,$174.90 ,$113.69 ,$113.69 ,$157.50 ,$139.92 , N/A ,$138.59 ,$157.50 ,$157.50 , N/A ,$148.67 ,$129.43 , N/A , N/A , N/A ,$145.87 , N/A ,$144.47 ,$139.92 ,$157.41 , N/A ,$148.67 , N/A ,$148.67 ,$148.67 ,$157.41 ,$157.41 ,$137.30 ,$144.47 , N/A ,$113.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400310,N/A,STADOL NS : 10MG/ML,637,1 ,$215.60 ,$140.14 ,$140.14 ,$215.60 ,$172.48 , N/A ,$170.84 ,$194.15 ,$194.15 , N/A ,$183.26 ,$159.54 , N/A , N/A , N/A ,$179.81 , N/A ,$178.09 ,$172.48 ,$194.04 ,$215.60 ,$183.26 , N/A ,$183.26 ,$183.26 ,$194.04 ,$194.04 ,$169.25 ,$178.09 , N/A ,$140.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400311,N/A,BACITRACIN VIAL 50000 UNITS (BLADDER)***,637,1 ,$47.51 ,$30.88 ,$30.88 ,$47.51 ,$38.01 , N/A ,$37.65 ,$42.78 ,$42.78 , N/A ,$40.38 ,$35.16 , N/A , N/A , N/A ,$39.62 , N/A ,$39.24 ,$38.01 ,$42.76 ,$47.51 ,$40.38 , N/A ,$40.38 ,$40.38 ,$42.76 ,$42.76 ,$37.30 ,$39.24 , N/A ,$30.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400314,N/A,HUMALOG (LISPRO) INSULIN (SLIDING SCALE),637,1 ,$0.45 ,$0.29 ,$0.29 ,$0.45 ,$0.36 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.38 ,$0.33 , N/A , N/A , N/A ,$0.38 , N/A ,$0.37 ,$0.36 ,$0.41 ,$0.45 ,$0.38 , N/A ,$0.38 ,$0.38 ,$0.41 ,$0.41 ,$0.35 ,$0.37 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400315,J0280,AMINOPHYLLINE VIAL:500MG/20ML,636,1 ,$3.05 ,$1.98 ,$1.98 ,$2.75 ,$2.44 , N/A ,$2.42 ,$2.75 ,$2.75 , N/A ,$2.59 ,$2.26 , N/A , N/A , N/A ,$2.54 , N/A ,$2.52 ,$2.44 ,$2.75 , N/A ,$2.59 , N/A ,$2.59 ,$2.59 ,$2.75 ,$2.75 ,$2.39 ,$2.52 , N/A ,$1.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400319,N/A,CYTADREN TABLET : 250MG,637,1 ,$4.50 ,$2.93 ,$2.93 ,$4.50 ,$3.60 , N/A ,$3.57 ,$4.05 ,$4.05 , N/A ,$3.83 ,$3.33 , N/A , N/A , N/A ,$3.75 , N/A ,$3.72 ,$3.60 ,$4.05 ,$4.50 ,$3.83 , N/A ,$3.83 ,$3.83 ,$4.05 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400320,N/A,AMINOPHYLLINE TABLET:200MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400322,N/A,AMINOCAPROIC ACID VIAL:250MG/ML,250,1 ,$4.15 ,$2.70 ,$2.70 ,$3.74 ,$3.32 , N/A ,$3.29 ,$3.74 ,$3.74 , N/A ,$3.53 ,$3.07 , N/A , N/A , N/A ,$3.46 , N/A ,$3.43 ,$3.32 ,$3.74 , N/A ,$3.53 , N/A ,$3.53 ,$3.53 ,$3.74 ,$3.74 ,$3.26 ,$3.43 , N/A ,$2.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400323,N/A,PANCRELIPASE CAPSULE EC,637,1 ,$1.40 ,$0.91 ,$0.91 ,$1.40 ,$1.12 , N/A ,$1.11 ,$1.26 ,$1.26 , N/A ,$1.19 ,$1.04 , N/A , N/A , N/A ,$1.17 , N/A ,$1.16 ,$1.12 ,$1.26 ,$1.40 ,$1.19 , N/A ,$1.19 ,$1.19 ,$1.26 ,$1.26 ,$1.10 ,$1.16 , N/A ,$0.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400324,N/A,OLANZAPINE (ZYPREXA) TAB- 5MG,637,1 ,$1.30 ,$0.85 ,$0.85 ,$1.30 ,$1.04 , N/A ,$1.03 ,$1.17 ,$1.17 , N/A ,$1.11 ,$0.96 , N/A , N/A , N/A ,$1.08 , N/A ,$1.07 ,$1.04 ,$1.17 ,$1.30 ,$1.11 , N/A ,$1.11 ,$1.11 ,$1.17 ,$1.17 ,$1.02 ,$1.07 , N/A ,$0.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400326,N/A,PREDNISOLONE ACETATE 1% EYE DROPS,637,1 ,$166.25 ,$108.06 ,$108.06 ,$166.25 ,$133.00 , N/A ,$131.74 ,$149.71 ,$149.71 , N/A ,$141.31 ,$123.03 , N/A , N/A , N/A ,$138.65 , N/A ,$137.32 ,$133.00 ,$149.63 ,$166.25 ,$141.31 , N/A ,$141.31 ,$141.31 ,$149.63 ,$149.63 ,$130.51 ,$137.32 , N/A ,$108.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400328,N/A,GABAPENTIN (NEURONTIN) 400MG CAPSULE,637,1 ,$6.57 ,$4.27 ,$4.27 ,$6.57 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 ,$6.57 ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400329,N/A,ZAFIRLUKAST TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400370,N/A,CEFAZOLIN (KEFZOL/ANCEF) VIAL : 1GM,250,1 ,$11.05 ,$7.18 ,$7.18 ,$9.95 ,$8.84 , N/A ,$8.76 ,$9.95 ,$9.95 , N/A ,$9.39 ,$8.18 , N/A , N/A , N/A ,$9.22 , N/A ,$9.13 ,$8.84 ,$9.95 , N/A ,$9.39 , N/A ,$9.39 ,$9.39 ,$9.95 ,$9.95 ,$8.67 ,$9.13 , N/A ,$7.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400375,J0690,CEFAZOLIN (KEFZOL/ANCEF) IM : 1GM,636,1 ,$7.09 ,$4.61 ,$4.61 ,$6.38 ,$5.67 , N/A ,$5.62 ,$6.38 ,$6.38 , N/A ,$6.03 ,$5.25 , N/A , N/A , N/A ,$5.91 , N/A ,$5.86 ,$5.67 ,$6.38 , N/A ,$6.03 , N/A ,$6.03 ,$6.03 ,$6.38 ,$6.38 ,$5.57 ,$5.86 , N/A ,$4.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400385,J0330,SUCCINYLCHOLINE CHLORIDE VIAL:20MG/ML,636,1 ,$83.58 ,$54.33 ,$54.33 ,$75.26 ,$66.86 , N/A ,$66.23 ,$75.26 ,$75.26 , N/A ,$71.04 ,$61.85 , N/A , N/A , N/A ,$69.71 , N/A ,$69.04 ,$66.86 ,$75.22 , N/A ,$71.04 , N/A ,$71.04 ,$71.04 ,$75.22 ,$75.22 ,$65.61 ,$69.04 , N/A ,$54.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400390,N/A,ANECTINE FLOPAK : 500MG,637,1 ,$29.00 ,$18.85 ,$18.85 ,$29.00 ,$23.20 , N/A ,$22.98 ,$26.11 ,$26.11 , N/A ,$24.65 ,$21.46 , N/A , N/A , N/A ,$24.19 , N/A ,$23.95 ,$23.20 ,$26.10 ,$29.00 ,$24.65 , N/A ,$24.65 ,$24.65 ,$26.10 ,$26.10 ,$22.77 ,$23.95 , N/A ,$18.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400395,N/A,ANECTINE FLOPAK : 1000MG,637,1 ,$47.35 ,$30.78 ,$30.78 ,$47.35 ,$37.88 , N/A ,$37.52 ,$42.64 ,$42.64 , N/A ,$40.25 ,$35.04 , N/A , N/A , N/A ,$39.49 , N/A ,$39.11 ,$37.88 ,$42.62 ,$47.35 ,$40.25 , N/A ,$40.25 ,$40.25 ,$42.62 ,$42.62 ,$37.17 ,$39.11 , N/A ,$30.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400397,N/A,FLURBIPROFEN TABLET:50MG,637,1 ,$2.50 ,$1.63 ,$1.63 ,$2.50 ,$2.00 , N/A ,$1.98 ,$2.25 ,$2.25 , N/A ,$2.13 ,$1.85 , N/A , N/A , N/A ,$2.09 , N/A ,$2.07 ,$2.00 ,$2.25 ,$2.50 ,$2.13 , N/A ,$2.13 ,$2.13 ,$2.25 ,$2.25 ,$1.96 ,$2.07 , N/A ,$1.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400425,N/A,MECLIZINE (ANTIVERT) TABLET : 12.5MG,637,1 ,$2.38 ,$1.55 ,$1.55 ,$2.38 ,$1.90 , N/A ,$1.89 ,$2.14 ,$2.14 , N/A ,$2.02 ,$1.76 , N/A , N/A , N/A ,$1.98 , N/A ,$1.97 ,$1.90 ,$2.14 ,$2.38 ,$2.02 , N/A ,$2.02 ,$2.02 ,$2.14 ,$2.14 ,$1.87 ,$1.97 , N/A ,$1.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400430,N/A,MECLIZINE (ANTIVERT) TABLET : 25MG,637,1 ,$3.12 ,$2.03 ,$2.03 ,$3.12 ,$2.50 , N/A ,$2.47 ,$2.81 ,$2.81 , N/A ,$2.65 ,$2.31 , N/A , N/A , N/A ,$2.60 , N/A ,$2.58 ,$2.50 ,$2.81 ,$3.12 ,$2.65 , N/A ,$2.65 ,$2.65 ,$2.81 ,$2.81 ,$2.45 ,$2.58 , N/A ,$2.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400435,N/A,MECLOFENAMATE SODIUM CAPSULE:100MG,637,1 ,$10.75 ,$6.99 ,$6.99 ,$10.75 ,$8.60 , N/A ,$8.52 ,$9.68 ,$9.68 , N/A ,$9.14 ,$7.96 , N/A , N/A , N/A ,$8.97 , N/A ,$8.88 ,$8.60 ,$9.68 ,$10.75 ,$9.14 , N/A ,$9.14 ,$9.14 ,$9.68 ,$9.68 ,$8.44 ,$8.88 , N/A ,$6.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400450,N/A,ANUSOL SUPP,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400460,N/A,HYDROCORTISONE (ANUSOL HC) 25MG SUPPOS,637,1 ,$7.20 ,$4.68 ,$4.68 ,$7.20 ,$5.76 , N/A ,$5.71 ,$6.48 ,$6.48 , N/A ,$6.12 ,$5.33 , N/A , N/A , N/A ,$6.00 , N/A ,$5.95 ,$5.76 ,$6.48 ,$7.20 ,$6.12 , N/A ,$6.12 ,$6.12 ,$6.48 ,$6.48 ,$5.65 ,$5.95 , N/A ,$4.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400475,N/A,PRAVASTATIN TAB 80MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400480,N/A,JANUVIA TABLET : 50MG,637,1 ,$62.40 ,$40.56 ,$40.56 ,$62.40 ,$49.92 , N/A ,$49.45 ,$56.19 ,$56.19 , N/A ,$53.04 ,$46.18 , N/A , N/A , N/A ,$52.04 , N/A ,$51.54 ,$49.92 ,$56.16 ,$62.40 ,$53.04 , N/A ,$53.04 ,$53.04 ,$56.16 ,$56.16 ,$48.98 ,$51.54 , N/A ,$40.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400485,N/A,HYDRALAZINE TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400490,N/A,GALANTAMINE TAB 12MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400505,J3430,VITAMIN K (PHYTONADIONE) IVPB : 10MG/ML,636,1 ,$128.14 ,$83.29 ,$83.29 ,$115.39 ,$102.51 , N/A ,$101.54 ,$115.39 ,$115.39 , N/A ,$108.92 ,$94.82 , N/A , N/A , N/A ,$106.87 , N/A ,$105.84 ,$102.51 ,$115.33 , N/A ,$108.92 , N/A ,$108.92 ,$108.92 ,$115.33 ,$115.33 ,$100.59 ,$105.84 , N/A ,$83.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400525,N/A,METARAMINOL BITARTRATE VIAL:10MG/ML,250,1 ,$42.10 ,$27.37 ,$27.37 ,$37.91 ,$33.68 , N/A ,$33.36 ,$37.91 ,$37.91 , N/A ,$35.79 ,$31.15 , N/A , N/A , N/A ,$35.11 , N/A ,$34.77 ,$33.68 ,$37.89 , N/A ,$35.79 , N/A ,$35.79 ,$35.79 ,$37.89 ,$37.89 ,$33.05 ,$34.77 , N/A ,$27.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400532,N/A,TRIAMCINOLONE TABLET:4MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400535,N/A,TRIAMCINOLONE 0.1% CREAM : 15GM,637,1 ,$8.05 ,$5.23 ,$5.23 ,$8.05 ,$6.44 , N/A ,$6.38 ,$7.25 ,$7.25 , N/A ,$6.84 ,$5.96 , N/A , N/A , N/A ,$6.71 , N/A ,$6.65 ,$6.44 ,$7.25 ,$8.05 ,$6.84 , N/A ,$6.84 ,$6.84 ,$7.25 ,$7.25 ,$6.32 ,$6.65 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400560,N/A,TRIHEXYPHENIDYL (ARTANE) TAB : 2MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400561,N/A,MAXIPIME (CEFEPIME) VIAL : 1GM,250,1 ,$50.25 ,$32.66 ,$32.66 ,$45.25 ,$40.20 , N/A ,$39.82 ,$45.25 ,$45.25 , N/A ,$42.71 ,$37.19 , N/A , N/A , N/A ,$41.91 , N/A ,$41.51 ,$40.20 ,$45.23 , N/A ,$42.71 , N/A ,$42.71 ,$42.71 ,$45.23 ,$45.23 ,$39.45 ,$41.51 , N/A ,$32.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400590,N/A,VITAMIN C TAB 1000MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400591,N/A,ASCRIPTIN (ASA/CALC/MAG/ALUM/) TABLET,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400592,N/A,EXCEDRIN MIGRAINE PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400595,N/A,HYDROCORTISONE 2.5% CREAM,637,1 ,$55.67 ,$36.19 ,$36.19 ,$55.67 ,$44.54 , N/A ,$44.11 ,$50.13 ,$50.13 , N/A ,$47.32 ,$41.20 , N/A , N/A , N/A ,$46.43 , N/A ,$45.98 ,$44.54 ,$50.10 ,$55.67 ,$47.32 , N/A ,$47.32 ,$47.32 ,$50.10 ,$50.10 ,$43.70 ,$45.98 , N/A ,$36.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400635,N/A,ASPIRIN SUPP.RECT:125MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400640,N/A,ASPIRIN (RECTAL):300MG (IN REFRIGERATOR),637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400645,N/A,CRESTOR TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400650,N/A,HYDRoxyZINE HCL ORAL SYRUP : 10MG/5mL,637,1 ,$71.21 ,$46.29 ,$46.29 ,$71.21 ,$56.97 , N/A ,$56.43 ,$64.12 ,$64.12 , N/A ,$60.53 ,$52.70 , N/A , N/A , N/A ,$59.39 , N/A ,$58.82 ,$56.97 ,$64.09 ,$71.21 ,$60.53 , N/A ,$60.53 ,$60.53 ,$64.09 ,$64.09 ,$55.90 ,$58.82 , N/A ,$46.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400665,N/A,ATARAX (HYDROXYZINE HCL) TAB : 25MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400670,N/A,NICARDIPINE 25MG/10ML VIAL,250,1 ,$86.35 ,$56.13 ,$56.13 ,$77.76 ,$69.08 , N/A ,$68.42 ,$77.76 ,$77.76 , N/A ,$73.40 ,$63.90 , N/A , N/A , N/A ,$72.02 , N/A ,$71.33 ,$69.08 ,$77.72 , N/A ,$73.40 , N/A ,$73.40 ,$73.40 ,$77.72 ,$77.72 ,$67.78 ,$71.33 , N/A ,$56.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400690,N/A,LORAZEPAM (ATIVAN) TAB : 1MG,637,1 ,$2.44 ,$1.59 ,$1.59 ,$2.44 ,$1.95 , N/A ,$1.93 ,$2.20 ,$2.20 , N/A ,$2.07 ,$1.81 , N/A , N/A , N/A ,$2.04 , N/A ,$2.02 ,$1.95 ,$2.20 ,$2.44 ,$2.07 , N/A ,$2.07 ,$2.07 ,$2.20 ,$2.20 ,$1.92 ,$2.02 , N/A ,$1.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400695,N/A,LORAZEPAM (ATIVAN) TAB : 0.5MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400725,J0461,ATROPINE SULFATE VIAL : 1MG/ML,636,1 ,$8.56 ,$5.56 ,$5.56 ,$7.71 ,$6.85 , N/A ,$6.78 ,$7.71 ,$7.71 , N/A ,$7.28 ,$6.33 , N/A , N/A , N/A ,$7.14 , N/A ,$7.07 ,$6.85 ,$7.70 , N/A ,$7.28 , N/A ,$7.28 ,$7.28 ,$7.70 ,$7.70 ,$6.72 ,$7.07 , N/A ,$5.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400729,N/A,MELATONIN TAB 1MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400730,N/A,ATROVENT HFA INHALER PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400731,N/A,IPRATROPIUM (ATROVENT) 0.5MG HHN *******,637,1 ,$4.70 ,$3.06 ,$3.06 ,$4.70 ,$3.76 , N/A ,$3.72 ,$4.23 ,$4.23 , N/A ,$4.00 ,$3.48 , N/A , N/A , N/A ,$3.92 , N/A ,$3.88 ,$3.76 ,$4.23 ,$4.70 ,$4.00 , N/A ,$4.00 ,$4.00 ,$4.23 ,$4.23 ,$3.69 ,$3.88 , N/A ,$3.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400737,N/A,AMOXICILLIN/CLAVULANATE SUSP : 200MG/5ML,637,1 ,$77.60 ,$50.44 ,$50.44 ,$77.60 ,$62.08 , N/A ,$61.49 ,$69.88 ,$69.88 , N/A ,$65.96 ,$57.42 , N/A , N/A , N/A ,$64.72 , N/A ,$64.10 ,$62.08 ,$69.84 ,$77.60 ,$65.96 , N/A ,$65.96 ,$65.96 ,$69.84 ,$69.84 ,$60.92 ,$64.10 , N/A ,$50.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400739,N/A,AUGMENTIN TABLET : 250MG,637,1 ,$9.85 ,$6.40 ,$6.40 ,$9.85 ,$7.88 , N/A ,$7.81 ,$8.87 ,$8.87 , N/A ,$8.37 ,$7.29 , N/A , N/A , N/A ,$8.21 , N/A ,$8.14 ,$7.88 ,$8.87 ,$9.85 ,$8.37 , N/A ,$8.37 ,$8.37 ,$8.87 ,$8.87 ,$7.73 ,$8.14 , N/A ,$6.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400745,N/A,ANTIPYRINE/BENZOCAINE *EAR* DROPS,637,1 ,$37.65 ,$24.47 ,$24.47 ,$37.65 ,$30.12 , N/A ,$29.83 ,$33.90 ,$33.90 , N/A ,$32.00 ,$27.86 , N/A , N/A , N/A ,$31.40 , N/A ,$31.10 ,$30.12 ,$33.89 ,$37.65 ,$32.00 , N/A ,$32.00 ,$32.00 ,$33.89 ,$33.89 ,$29.56 ,$31.10 , N/A ,$24.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400759,N/A,AZMACORT INHALER,637,1 ,$324.85 ,$211.15 ,$211.15 ,$324.85 ,$259.88 , N/A ,$257.41 ,$292.53 ,$292.53 , N/A ,$276.12 ,$240.39 , N/A , N/A , N/A ,$270.92 , N/A ,$268.33 ,$259.88 ,$292.37 ,$324.85 ,$276.12 , N/A ,$276.12 ,$276.12 ,$292.37 ,$292.37 ,$255.01 ,$268.33 , N/A ,$211.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400761,N/A,AZACTAM (AZTREONAM) VIAL : 1GM,250,1 ,$59.50 ,$38.68 ,$38.68 ,$53.58 ,$47.60 , N/A ,$47.15 ,$53.58 ,$53.58 , N/A ,$50.58 ,$44.03 , N/A , N/A , N/A ,$49.62 , N/A ,$49.15 ,$47.60 ,$53.55 , N/A ,$50.58 , N/A ,$50.58 ,$50.58 ,$53.55 ,$53.55 ,$46.71 ,$49.15 , N/A ,$38.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400774,N/A,NORTRIPTYLINE (PAMELOR) CAP : 10MG,637,1 ,$1.65 ,$1.07 ,$1.07 ,$1.65 ,$1.32 , N/A ,$1.31 ,$1.49 ,$1.49 , N/A ,$1.40 ,$1.22 , N/A , N/A , N/A ,$1.38 , N/A ,$1.36 ,$1.32 ,$1.49 ,$1.65 ,$1.40 , N/A ,$1.40 ,$1.40 ,$1.49 ,$1.49 ,$1.30 ,$1.36 , N/A ,$1.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400775,N/A,TIZANIDINE (ZANAFLEX) 2MG TAB,637,1 ,$4.37 ,$2.84 ,$2.84 ,$4.37 ,$3.50 , N/A ,$3.46 ,$3.94 ,$3.94 , N/A ,$3.71 ,$3.23 , N/A , N/A , N/A ,$3.64 , N/A ,$3.61 ,$3.50 ,$3.93 ,$4.37 ,$3.71 , N/A ,$3.71 ,$3.71 ,$3.93 ,$3.93 ,$3.43 ,$3.61 , N/A ,$2.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400780,N/A,AMLODIPINE TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400782,N/A,CANASA SUPPOS 1000MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400785,N/A,NOVOCAIN (PROCAINE) : 10MG/ML,250,1 ,$10.30 ,$6.70 ,$6.70 ,$9.28 ,$8.24 , N/A ,$8.16 ,$9.28 ,$9.28 , N/A ,$8.76 ,$7.62 , N/A , N/A , N/A ,$8.59 , N/A ,$8.51 ,$8.24 ,$9.27 , N/A ,$8.76 , N/A ,$8.76 ,$8.76 ,$9.27 ,$9.27 ,$8.09 ,$8.51 , N/A ,$6.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400786,N/A,BACITRACIN VIAL:50MU,637,1 ,$37.45 ,$24.34 ,$24.34 ,$37.45 ,$29.96 , N/A ,$29.68 ,$33.72 ,$33.72 , N/A ,$31.83 ,$27.71 , N/A , N/A , N/A ,$31.23 , N/A ,$30.93 ,$29.96 ,$33.71 ,$37.45 ,$31.83 , N/A ,$31.83 ,$31.83 ,$33.71 ,$33.71 ,$29.40 ,$30.93 , N/A ,$24.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400787,N/A,BACITRACIN ZINC OINTMENT : 28GM,637,1 ,$26.70 ,$17.36 ,$17.36 ,$26.70 ,$21.36 , N/A ,$21.16 ,$24.04 ,$24.04 , N/A ,$22.70 ,$19.76 , N/A , N/A , N/A ,$22.27 , N/A ,$22.05 ,$21.36 ,$24.03 ,$26.70 ,$22.70 , N/A ,$22.70 ,$22.70 ,$24.03 ,$24.03 ,$20.96 ,$22.05 , N/A ,$17.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400792,N/A,BACITRACIN PACKET:500U/G,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400797,N/A,BACITRACIN 500U/GM EYE OINT : 3.5GM,637,1 ,$165.30 ,$107.45 ,$107.45 ,$165.30 ,$132.24 , N/A ,$130.98 ,$148.85 ,$148.85 , N/A ,$140.51 ,$122.32 , N/A , N/A , N/A ,$137.86 , N/A ,$136.54 ,$132.24 ,$148.77 ,$165.30 ,$140.51 , N/A ,$140.51 ,$140.51 ,$148.77 ,$148.77 ,$129.76 ,$136.54 , N/A ,$107.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400800,N/A,BACTROBAN OINTMENT,637,1 ,$68.85 ,$44.75 ,$44.75 ,$68.85 ,$55.08 , N/A ,$54.56 ,$62.00 ,$62.00 , N/A ,$58.52 ,$50.95 , N/A , N/A , N/A ,$57.42 , N/A ,$56.87 ,$55.08 ,$61.97 ,$68.85 ,$58.52 , N/A ,$58.52 ,$58.52 ,$61.97 ,$61.97 ,$54.05 ,$56.87 , N/A ,$44.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400840,N/A,ASPIRIN TAB CHEWABLE : 81MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400855,J2426,INVEGA SUSTENNA IM SUSP ER 117MG,636,1 ,"$1,509.65 ",$981.27 ,$12.55 ,"$1,359.44 ","$1,207.72 ",$12.55 ,"$1,196.25 ","$1,359.44 ","$1,359.44 ",$23.85 ,"$1,283.20 ","$1,117.14 ",$31.38 ,$12.55 , N/A ,"$1,259.05 ",$12.55 ,"$1,246.97 ","$1,207.72 ","$1,358.69 ",$31.38 ,"$1,283.20 ",$12.55 ,"$1,283.20 ","$1,283.20 ","$1,358.69 ","$1,358.69 ","$1,185.08 ","$1,246.97 ",$12.55 ,$981.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400870,N/A,BENADRYL (DIPHENHYDRAMINE) CAP : 50MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400907,N/A,DICYCLOMINE HCL SYRUP:10MG/5ML,637,1 ,$7.70 ,$5.01 ,$5.01 ,$7.70 ,$6.16 , N/A ,$6.10 ,$6.93 ,$6.93 , N/A ,$6.55 ,$5.70 , N/A , N/A , N/A ,$6.42 , N/A ,$6.36 ,$6.16 ,$6.93 ,$7.70 ,$6.55 , N/A ,$6.55 ,$6.55 ,$6.93 ,$6.93 ,$6.04 ,$6.36 , N/A ,$5.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400925,N/A,BENZOIN COMPOUND TINCTURE (IN CLINIC),637,1 ,$20.98 ,$13.64 ,$13.64 ,$20.98 ,$16.78 , N/A ,$16.62 ,$18.89 ,$18.89 , N/A ,$17.83 ,$15.53 , N/A , N/A , N/A ,$17.50 , N/A ,$17.33 ,$16.78 ,$18.88 ,$20.98 ,$17.83 , N/A ,$17.83 ,$17.83 ,$18.88 ,$18.88 ,$16.47 ,$17.33 , N/A ,$13.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400975,N/A,BIAXIN TAB 500MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3400976,N/A,BIAXIN SUSPENSION : 125MG/5ML,637,1 ,$124.15 ,$80.70 ,$80.70 ,$124.15 ,$99.32 , N/A ,$98.38 ,$111.80 ,$111.80 , N/A ,$105.53 ,$91.87 , N/A , N/A , N/A ,$103.54 , N/A ,$102.55 ,$99.32 ,$111.74 ,$124.15 ,$105.53 , N/A ,$105.53 ,$105.53 ,$111.74 ,$111.74 ,$97.46 ,$102.55 , N/A ,$80.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400977,N/A,BIAXIN SUSPENSION : 250MG/5ML,637,1 ,$199.05 ,$129.38 ,$129.38 ,$199.05 ,$159.24 , N/A ,$157.73 ,$179.24 ,$179.24 , N/A ,$169.19 ,$147.30 , N/A , N/A , N/A ,$166.01 , N/A ,$164.42 ,$159.24 ,$179.15 ,$199.05 ,$169.19 , N/A ,$169.19 ,$169.19 ,$179.15 ,$179.15 ,$156.25 ,$164.42 , N/A ,$129.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400985,N/A,PEN G BENZ/PEN G PROCAINE DISP SYRIN:300,637,1 ,$39.45 ,$25.64 ,$25.64 ,$39.45 ,$31.56 , N/A ,$31.26 ,$35.52 ,$35.52 , N/A ,$33.53 ,$29.19 , N/A , N/A , N/A ,$32.90 , N/A ,$32.59 ,$31.56 ,$35.51 ,$39.45 ,$33.53 , N/A ,$33.53 ,$33.53 ,$35.51 ,$35.51 ,$30.97 ,$32.59 , N/A ,$25.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3400986,N/A,PENICILLIN G BENZATHINE DISP SYRIN:600MU,250,1 ,$49.20 ,$31.98 ,$31.98 ,$44.30 ,$39.36 , N/A ,$38.99 ,$44.30 ,$44.30 , N/A ,$41.82 ,$36.41 , N/A , N/A , N/A ,$41.03 , N/A ,$40.64 ,$39.36 ,$44.28 , N/A ,$41.82 , N/A ,$41.82 ,$41.82 ,$44.28 ,$44.28 ,$38.62 ,$40.64 , N/A ,$31.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401005,N/A,BISACODYL ENTERIC COATED TAB : 5MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401010,N/A,BISACODYL SUPP.RECT:10MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401055,N/A,TERBUTALINE 1MG AMP,636,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3401065,N/A,TERBUTALINE (BRETHINE) TAB : 2.5MG,637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401071,N/A,BREVITAL (METHOHEXITAL) VIAL : 500MG,250,1 ,$102.15 ,$66.40 ,$66.40 ,$91.99 ,$81.72 , N/A ,$80.94 ,$91.99 ,$91.99 , N/A ,$86.83 ,$75.59 , N/A , N/A , N/A ,$85.19 , N/A ,$84.38 ,$81.72 ,$91.94 , N/A ,$86.83 , N/A ,$86.83 ,$86.83 ,$91.94 ,$91.94 ,$80.19 ,$84.38 , N/A ,$66.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401090,N/A,ISMO (ISOSORBIDE MONO) TAB : 20MG,637,1 ,$2.80 ,$1.82 ,$1.82 ,$2.80 ,$2.24 , N/A ,$2.22 ,$2.52 ,$2.52 , N/A ,$2.38 ,$2.07 , N/A , N/A , N/A ,$2.34 , N/A ,$2.31 ,$2.24 ,$2.52 ,$2.80 ,$2.38 , N/A ,$2.38 ,$2.38 ,$2.52 ,$2.52 ,$2.20 ,$2.31 , N/A ,$1.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401116,N/A,BSS : 500ML,637,1 ,$153.10 ,$99.52 ,$99.52 ,$153.10 ,$122.48 , N/A ,$121.32 ,$137.87 ,$137.87 , N/A ,$130.14 ,$113.29 , N/A , N/A , N/A ,$127.69 , N/A ,$126.46 ,$122.48 ,$137.79 ,$153.10 ,$130.14 , N/A ,$130.14 ,$130.14 ,$137.79 ,$137.79 ,$120.18 ,$126.46 , N/A ,$99.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401120,N/A,BSS : 15ML,637,1 ,$21.85 ,$14.20 ,$14.20 ,$21.85 ,$17.48 , N/A ,$17.31 ,$19.68 ,$19.68 , N/A ,$18.57 ,$16.17 , N/A , N/A , N/A ,$18.22 , N/A ,$18.05 ,$17.48 ,$19.67 ,$21.85 ,$18.57 , N/A ,$18.57 ,$18.57 ,$19.67 ,$19.67 ,$17.15 ,$18.05 , N/A ,$14.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401130,N/A,BUMEX (BUMETANIDE) 0.25MG/ML : 0.5MG,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401141,N/A,NORTRIPTYLINE CAP 50MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3401146,N/A,SENSORCAINE MPF 0.5% : 30ML,250,1 ,$19.50 ,$12.68 ,$12.68 ,$17.56 ,$15.60 , N/A ,$15.45 ,$17.56 ,$17.56 , N/A ,$16.58 ,$14.43 , N/A , N/A , N/A ,$16.26 , N/A ,$16.11 ,$15.60 ,$17.55 , N/A ,$16.58 , N/A ,$16.58 ,$16.58 ,$17.55 ,$17.55 ,$15.31 ,$16.11 , N/A ,$12.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401148,N/A,BENZONATATE (TESSALON) CAP : 200MG,637,1 ,$2.85 ,$1.85 ,$1.85 ,$2.85 ,$2.28 , N/A ,$2.26 ,$2.57 ,$2.57 , N/A ,$2.42 ,$2.11 , N/A , N/A , N/A ,$2.38 , N/A ,$2.35 ,$2.28 ,$2.57 ,$2.85 ,$2.42 , N/A ,$2.42 ,$2.42 ,$2.57 ,$2.57 ,$2.24 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401185,N/A,VERAPAMIL ER PM TAB 100MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3401195,N/A,CALAMINE LOTION,637,1 ,$9.64 ,$6.27 ,$6.27 ,$9.64 ,$7.71 , N/A ,$7.64 ,$8.68 ,$8.68 , N/A ,$8.19 ,$7.13 , N/A , N/A , N/A ,$8.04 , N/A ,$7.96 ,$7.71 ,$8.68 ,$9.64 ,$8.19 , N/A ,$8.19 ,$8.19 ,$8.68 ,$8.68 ,$7.57 ,$7.96 , N/A ,$6.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401197,N/A,"CALCITONIN,SALMON,SYNTHETIC VIAL:200U/ML",250,1 ,$49.40 ,$32.11 ,$32.11 ,$44.48 ,$39.52 , N/A ,$39.14 ,$44.48 ,$44.48 , N/A ,$41.99 ,$36.56 , N/A , N/A , N/A ,$41.20 , N/A ,$40.80 ,$39.52 ,$44.46 , N/A ,$41.99 , N/A ,$41.99 ,$41.99 ,$44.46 ,$44.46 ,$38.78 ,$40.80 , N/A ,$32.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401210,N/A,EDETATE CALCIUM DISODIUM AMPUL:200MG/ML,250,1 ,$152.35 ,$99.03 ,$99.03 ,$137.19 ,$121.88 , N/A ,$120.72 ,$137.19 ,$137.19 , N/A ,$129.50 ,$112.74 , N/A , N/A , N/A ,$127.06 , N/A ,$125.84 ,$121.88 ,$137.12 , N/A ,$129.50 , N/A ,$129.50 ,$129.50 ,$137.12 ,$137.12 ,$119.59 ,$125.84 , N/A ,$99.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401214,J0610,CALCIUM GLUCONATE 1GM/10ML VIAL,636,1 ,$23.53 ,$15.29 ,$15.29 ,$21.19 ,$18.82 , N/A ,$18.65 ,$21.19 ,$21.19 , N/A ,$20.00 ,$17.41 , N/A , N/A , N/A ,$19.62 , N/A ,$19.44 ,$18.82 ,$21.18 , N/A ,$20.00 , N/A ,$20.00 ,$20.00 ,$21.18 ,$21.18 ,$18.47 ,$19.44 , N/A ,$15.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401244,N/A,DIOVAN TAB 160MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3401245,N/A,CAPTOPRIL (CAPOTEN) TABLET : 25MG,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401270,N/A,SUCRALFATE (CARAFATE) TAB : 1GM,637,1 ,$1.13 ,$0.73 ,$0.73 ,$1.13 ,$0.90 , N/A ,$0.90 ,$1.02 ,$1.02 , N/A ,$0.96 ,$0.84 , N/A , N/A , N/A ,$0.94 , N/A ,$0.93 ,$0.90 ,$1.02 ,$1.13 ,$0.96 , N/A ,$0.96 ,$0.96 ,$1.02 ,$1.02 ,$0.89 ,$0.93 , N/A ,$0.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401285,N/A,DILTIAZEM TAB (CARDIZEM) : 30MG,637,1 ,$1.59 ,$1.03 ,$1.03 ,$1.59 ,$1.27 , N/A ,$1.26 ,$1.43 ,$1.43 , N/A ,$1.35 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.31 ,$1.27 ,$1.43 ,$1.59 ,$1.35 , N/A ,$1.35 ,$1.35 ,$1.43 ,$1.43 ,$1.25 ,$1.31 , N/A ,$1.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401290,N/A,DILTIAZEM TAB (CARDIZEM) : 60MG,637,1 ,$2.50 ,$1.63 ,$1.63 ,$2.50 ,$2.00 , N/A ,$1.98 ,$2.25 ,$2.25 , N/A ,$2.13 ,$1.85 , N/A , N/A , N/A ,$2.09 , N/A ,$2.07 ,$2.00 ,$2.25 ,$2.50 ,$2.13 , N/A ,$2.13 ,$2.13 ,$2.25 ,$2.25 ,$1.96 ,$2.07 , N/A ,$1.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401292,N/A,CARDIZEM CD (DILTIAZEM) : 180MG,637,1 ,$5.75 ,$3.74 ,$3.74 ,$5.75 ,$4.60 , N/A ,$4.56 ,$5.18 ,$5.18 , N/A ,$4.89 ,$4.26 , N/A , N/A , N/A ,$4.80 , N/A ,$4.75 ,$4.60 ,$5.18 ,$5.75 ,$4.89 , N/A ,$4.89 ,$4.89 ,$5.18 ,$5.18 ,$4.51 ,$4.75 , N/A ,$3.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401293,N/A,CARDIZEM SR (DILTIAZEM) : 90MG,637,1 ,$3.35 ,$2.18 ,$2.18 ,$3.35 ,$2.68 , N/A ,$2.65 ,$3.02 ,$3.02 , N/A ,$2.85 ,$2.48 , N/A , N/A , N/A ,$2.79 , N/A ,$2.77 ,$2.68 ,$3.02 ,$3.35 ,$2.85 , N/A ,$2.85 ,$2.85 ,$3.02 ,$3.02 ,$2.63 ,$2.77 , N/A ,$2.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401294,N/A,CARDIZEM CD (DILTIAZEM) : 120MG,637,1 ,$4.65 ,$3.02 ,$3.02 ,$4.65 ,$3.72 , N/A ,$3.68 ,$4.19 ,$4.19 , N/A ,$3.95 ,$3.44 , N/A , N/A , N/A ,$3.88 , N/A ,$3.84 ,$3.72 ,$4.19 ,$4.65 ,$3.95 , N/A ,$3.95 ,$3.95 ,$4.19 ,$4.19 ,$3.65 ,$3.84 , N/A ,$3.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401295,N/A,DILTIAZEM ER (CARDIZEM CD) 240MG (24HR),637,1 ,$4.10 ,$2.67 ,$2.67 ,$4.10 ,$3.28 , N/A ,$3.25 ,$3.69 ,$3.69 , N/A ,$3.49 ,$3.03 , N/A , N/A , N/A ,$3.42 , N/A ,$3.39 ,$3.28 ,$3.69 ,$4.10 ,$3.49 , N/A ,$3.49 ,$3.49 ,$3.69 ,$3.69 ,$3.22 ,$3.39 , N/A ,$2.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401296,N/A,CARDIZEM SR (DILTIAZEM ER) : 120MG 12HR,637,1 ,$3.65 ,$2.37 ,$2.37 ,$3.65 ,$2.92 , N/A ,$2.89 ,$3.29 ,$3.29 , N/A ,$3.10 ,$2.70 , N/A , N/A , N/A ,$3.04 , N/A ,$3.01 ,$2.92 ,$3.29 ,$3.65 ,$3.10 , N/A ,$3.10 ,$3.10 ,$3.29 ,$3.29 ,$2.87 ,$3.01 , N/A ,$2.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401301,N/A,BETHANECHOL CHLORIDE TABLET:25MG,637,1 ,$2.35 ,$1.53 ,$1.53 ,$2.35 ,$1.88 , N/A ,$1.86 ,$2.12 ,$2.12 , N/A ,$2.00 ,$1.74 , N/A , N/A , N/A ,$1.96 , N/A ,$1.94 ,$1.88 ,$2.12 ,$2.35 ,$2.00 , N/A ,$2.00 ,$2.00 ,$2.12 ,$2.12 ,$1.84 ,$1.94 , N/A ,$1.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401304,N/A,CARDIZEM CD (DILTIAZEM) : 300MG,637,1 ,$10.10 ,$6.57 ,$6.57 ,$10.10 ,$8.08 , N/A ,$8.00 ,$9.10 ,$9.10 , N/A ,$8.59 ,$7.47 , N/A , N/A , N/A ,$8.42 , N/A ,$8.34 ,$8.08 ,$9.09 ,$10.10 ,$8.59 , N/A ,$8.59 ,$8.59 ,$9.09 ,$9.09 ,$7.93 ,$8.34 , N/A ,$6.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401305,N/A,BETOPTIC HCL EYE DROPS : 0.5%,637,1 ,$138.50 ,$90.03 ,$90.03 ,$138.50 ,$110.80 , N/A ,$109.75 ,$124.72 ,$124.72 , N/A ,$117.73 ,$102.49 , N/A , N/A , N/A ,$115.51 , N/A ,$114.40 ,$110.80 ,$124.65 ,$138.50 ,$117.73 , N/A ,$117.73 ,$117.73 ,$124.65 ,$124.65 ,$108.72 ,$114.40 , N/A ,$90.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401309,N/A,BETOPTIC S 0.25% EYE DROP PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3401315,N/A,CLONIdine (CATAPRES) TAB : 0.1MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401325,N/A,CECLOR (CEFACLOR) SUSP. : 125MG/5ML,637,1 ,$44.50 ,$28.93 ,$28.93 ,$44.50 ,$35.60 , N/A ,$35.26 ,$40.07 ,$40.07 , N/A ,$37.83 ,$32.93 , N/A , N/A , N/A ,$37.11 , N/A ,$36.76 ,$35.60 ,$40.05 ,$44.50 ,$37.83 , N/A ,$37.83 ,$37.83 ,$40.05 ,$40.05 ,$34.93 ,$36.76 , N/A ,$28.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401330,N/A,CECLOR (CEFACLOR) CAPSULE : 250MG,637,1 ,$6.20 ,$4.03 ,$4.03 ,$6.20 ,$4.96 , N/A ,$4.91 ,$5.58 ,$5.58 , N/A ,$5.27 ,$4.59 , N/A , N/A , N/A ,$5.17 , N/A ,$5.12 ,$4.96 ,$5.58 ,$6.20 ,$5.27 , N/A ,$5.27 ,$5.27 ,$5.58 ,$5.58 ,$4.87 ,$5.12 , N/A ,$4.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401340,N/A,CEFOTETAN DISODIUM VIAL:1G,250,1 ,$39.85 ,$25.90 ,$25.90 ,$35.88 ,$31.88 , N/A ,$31.58 ,$35.88 ,$35.88 , N/A ,$33.87 ,$29.49 , N/A , N/A , N/A ,$33.23 , N/A ,$32.92 ,$31.88 ,$35.87 , N/A ,$33.87 , N/A ,$33.87 ,$33.87 ,$35.87 ,$35.87 ,$31.28 ,$32.92 , N/A ,$25.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401380,N/A,SORE THROAT LOZENGE,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401385,N/A,CEPASTAT LOZENGE,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401395,N/A,LACTULOSE SOLUTION 10G/15mL UD CUP,637,1 ,$2.89 ,$1.88 ,$1.88 ,$2.89 ,$2.31 , N/A ,$2.29 ,$2.60 ,$2.60 , N/A ,$2.46 ,$2.14 , N/A , N/A , N/A ,$2.41 , N/A ,$2.39 ,$2.31 ,$2.60 ,$2.89 ,$2.46 , N/A ,$2.46 ,$2.46 ,$2.60 ,$2.60 ,$2.27 ,$2.39 , N/A ,$1.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401396,N/A,CERUMENEX DROPS,637,1 ,$87.40 ,$56.81 ,$56.81 ,$87.40 ,$69.92 , N/A ,$69.26 ,$78.70 ,$78.70 , N/A ,$74.29 ,$64.68 , N/A , N/A , N/A ,$72.89 , N/A ,$72.19 ,$69.92 ,$78.66 ,$87.40 ,$74.29 , N/A ,$74.29 ,$74.29 ,$78.66 ,$78.66 ,$68.61 ,$72.19 , N/A ,$56.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401397,N/A,CETACAINE SPRAY,637,1 ,$168.12 ,$109.28 ,$109.28 ,$168.12 ,$134.50 , N/A ,$133.22 ,$151.39 ,$151.39 , N/A ,$142.90 ,$124.41 , N/A , N/A , N/A ,$140.21 , N/A ,$138.87 ,$134.50 ,$151.31 ,$168.12 ,$142.90 , N/A ,$142.90 ,$142.90 ,$151.31 ,$151.31 ,$131.97 ,$138.87 , N/A ,$109.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401424,N/A,CHARCOAL/SORBITOL SOLUTION : 25GM,637,1 ,$28.35 ,$18.43 ,$18.43 ,$28.35 ,$22.68 , N/A ,$22.46 ,$25.53 ,$25.53 , N/A ,$24.10 ,$20.98 , N/A , N/A , N/A ,$23.64 , N/A ,$23.42 ,$22.68 ,$25.52 ,$28.35 ,$24.10 , N/A ,$24.10 ,$24.10 ,$25.52 ,$25.52 ,$22.25 ,$23.42 , N/A ,$18.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401425,N/A,CHARCOAL (ACTIVATED) AQUEOUS : 25GM,637,1 ,$20.80 ,$13.52 ,$13.52 ,$20.80 ,$16.64 , N/A ,$16.48 ,$18.73 ,$18.73 , N/A ,$17.68 ,$15.39 , N/A , N/A , N/A ,$17.35 , N/A ,$17.18 ,$16.64 ,$18.72 ,$20.80 ,$17.68 , N/A ,$17.68 ,$17.68 ,$18.72 ,$18.72 ,$16.33 ,$17.18 , N/A ,$13.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401440,N/A,LEVOCETIRIZINE TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3401465,N/A,CHLORASEPTIC (PHENASEPTIC) SPRAY,637,1 ,$9.85 ,$6.40 ,$6.40 ,$9.85 ,$7.88 , N/A ,$7.81 ,$8.87 ,$8.87 , N/A ,$8.37 ,$7.29 , N/A , N/A , N/A ,$8.21 , N/A ,$8.14 ,$7.88 ,$8.87 ,$9.85 ,$8.37 , N/A ,$8.37 ,$8.37 ,$8.87 ,$8.87 ,$7.73 ,$8.14 , N/A ,$6.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401466,N/A,CHLORASEPTIC LOZENGE,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401467,N/A,SENSORCAINE MPF W/EPI 0.25% VIAL : 30ML,250,1 ,$23.95 ,$15.57 ,$15.57 ,$21.57 ,$19.16 , N/A ,$18.98 ,$21.57 ,$21.57 , N/A ,$20.36 ,$17.72 , N/A , N/A , N/A ,$19.97 , N/A ,$19.78 ,$19.16 ,$21.56 , N/A ,$20.36 , N/A ,$20.36 ,$20.36 ,$21.56 ,$21.56 ,$18.80 ,$19.78 , N/A ,$15.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401485,N/A,CHLORZOXAZONE TABLET:500MG,637,1 ,$1.60 ,$1.04 ,$1.04 ,$1.60 ,$1.28 , N/A ,$1.27 ,$1.44 ,$1.44 , N/A ,$1.36 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.32 ,$1.28 ,$1.44 ,$1.60 ,$1.36 , N/A ,$1.36 ,$1.36 ,$1.44 ,$1.44 ,$1.26 ,$1.32 , N/A ,$1.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401490,J3230,CHLORPROmazine (THORAZINE) INJ:25MG/ML,636,1 ,$31.80 ,$20.67 ,$20.67 ,$28.64 ,$25.44 , N/A ,$25.20 ,$28.64 ,$28.64 , N/A ,$27.03 ,$23.53 , N/A , N/A , N/A ,$26.52 , N/A ,$26.27 ,$25.44 ,$28.62 , N/A ,$27.03 , N/A ,$27.03 ,$27.03 ,$28.62 ,$28.62 ,$24.96 ,$26.27 , N/A ,$20.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401495,N/A,CIPROFLOXACIN TABLET : 500MG,637,1 ,$22.06 ,$14.34 ,$14.34 ,$22.06 ,$17.65 , N/A ,$17.48 ,$19.87 ,$19.87 , N/A ,$18.75 ,$16.32 , N/A , N/A , N/A ,$18.40 , N/A ,$18.22 ,$17.65 ,$19.85 ,$22.06 ,$18.75 , N/A ,$18.75 ,$18.75 ,$19.85 ,$19.85 ,$17.32 ,$18.22 , N/A ,$14.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401520,N/A,MAGNESIUM CITRATE SOLUTION,637,1 ,$5.33 ,$3.46 ,$3.46 ,$5.33 ,$4.26 , N/A ,$4.22 ,$4.80 ,$4.80 , N/A ,$4.53 ,$3.94 , N/A , N/A , N/A ,$4.45 , N/A ,$4.40 ,$4.26 ,$4.80 ,$5.33 ,$4.53 , N/A ,$4.53 ,$4.53 ,$4.80 ,$4.80 ,$4.18 ,$4.40 , N/A ,$3.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401535,N/A,CLINDAMYCIN (CLEOCIN) VIAL : 300MG,250,1 ,$11.80 ,$7.67 ,$7.67 ,$10.63 ,$9.44 , N/A ,$9.35 ,$10.63 ,$10.63 , N/A ,$10.03 ,$8.73 , N/A , N/A , N/A ,$9.84 , N/A ,$9.75 ,$9.44 ,$10.62 , N/A ,$10.03 , N/A ,$10.03 ,$10.03 ,$10.62 ,$10.62 ,$9.26 ,$9.75 , N/A ,$7.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401540,N/A,CLINDAMYCIN (CLEOCIN) VIAL : 600MG,250,1 ,$24.60 ,$15.99 ,$15.99 ,$22.15 ,$19.68 , N/A ,$19.49 ,$22.15 ,$22.15 , N/A ,$20.91 ,$18.20 , N/A , N/A , N/A ,$20.52 , N/A ,$20.32 ,$19.68 ,$22.14 , N/A ,$20.91 , N/A ,$20.91 ,$20.91 ,$22.14 ,$22.14 ,$19.31 ,$20.32 , N/A ,$15.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401545,N/A,SULINDAC (CLINORIL) TABLET : 150MG,637,1 ,$2.80 ,$1.82 ,$1.82 ,$2.80 ,$2.24 , N/A ,$2.22 ,$2.52 ,$2.52 , N/A ,$2.38 ,$2.07 , N/A , N/A , N/A ,$2.34 , N/A ,$2.31 ,$2.24 ,$2.52 ,$2.80 ,$2.38 , N/A ,$2.38 ,$2.38 ,$2.52 ,$2.52 ,$2.20 ,$2.31 , N/A ,$1.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401550,N/A,SULINDAC (CLINORIL) TABLET : 200MG,637,1 ,$3.40 ,$2.21 ,$2.21 ,$3.40 ,$2.72 , N/A ,$2.69 ,$3.06 ,$3.06 , N/A ,$2.89 ,$2.52 , N/A , N/A , N/A ,$2.84 , N/A ,$2.81 ,$2.72 ,$3.06 ,$3.40 ,$2.89 , N/A ,$2.89 ,$2.89 ,$3.06 ,$3.06 ,$2.67 ,$2.81 , N/A ,$2.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401565,N/A,CLONAZEpam (KLONOPIN) TABLET : 0.5MG,637,1 ,$2.84 ,$1.85 ,$1.85 ,$2.84 ,$2.27 , N/A ,$2.25 ,$2.56 ,$2.56 , N/A ,$2.41 ,$2.10 , N/A , N/A , N/A ,$2.37 , N/A ,$2.35 ,$2.27 ,$2.56 ,$2.84 ,$2.41 , N/A ,$2.41 ,$2.41 ,$2.56 ,$2.56 ,$2.23 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401595,N/A,BENZTROPINE (COGENTIN) TAB : 0.5MG,637,1 ,$4.31 ,$2.80 ,$2.80 ,$4.31 ,$3.45 , N/A ,$3.42 ,$3.88 ,$3.88 , N/A ,$3.66 ,$3.19 , N/A , N/A , N/A ,$3.59 , N/A ,$3.56 ,$3.45 ,$3.88 ,$4.31 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.88 ,$3.88 ,$3.38 ,$3.56 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401605,N/A,COLCHICINE/PROBENECID (COL-BENEMID) TAB:,637,1 ,$2.70 ,$1.76 ,$1.76 ,$2.70 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 ,$2.70 ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401620,N/A,DOCUSATE (COLACE) CAPSULE : 100MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401630,N/A,COLCHICINE TABLET:0.6MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401636,N/A,COMPAZINE TABLET : 10MG,637,1 ,$3.20 ,$2.08 ,$2.08 ,$3.20 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 ,$3.20 ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401670,N/A,PROCHLORPERAZINE SUPPOSITORY : 25MG,637,1 ,$13.21 ,$8.59 ,$8.59 ,$13.21 ,$10.57 , N/A ,$10.47 ,$11.90 ,$11.90 , N/A ,$11.23 ,$9.78 , N/A , N/A , N/A ,$11.02 , N/A ,$10.91 ,$10.57 ,$11.89 ,$13.21 ,$11.23 , N/A ,$11.23 ,$11.23 ,$11.89 ,$11.89 ,$10.37 ,$10.91 , N/A ,$8.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401675,N/A,COMPAZINE SUPP : 5MG,637,1 ,$9.80 ,$6.37 ,$6.37 ,$9.80 ,$7.84 , N/A ,$7.77 ,$8.82 ,$8.82 , N/A ,$8.33 ,$7.25 , N/A , N/A , N/A ,$8.17 , N/A ,$8.09 ,$7.84 ,$8.82 ,$9.80 ,$8.33 , N/A ,$8.33 ,$8.33 ,$8.82 ,$8.82 ,$7.69 ,$8.09 , N/A ,$6.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401820,N/A,FLUMADINE SYRUP :50MG/5ML,637,1 ,$18.70 ,$12.16 ,$12.16 ,$18.70 ,$14.96 , N/A ,$14.82 ,$16.84 ,$16.84 , N/A ,$15.90 ,$13.84 , N/A , N/A , N/A ,$15.60 , N/A ,$15.45 ,$14.96 ,$16.83 ,$18.70 ,$15.90 , N/A ,$15.90 ,$15.90 ,$16.83 ,$16.83 ,$14.68 ,$15.45 , N/A ,$12.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401828,N/A,PHENOLPHTHALEIN/DOCUSATE NA TABLET:65-10,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401829,N/A,HYDROCORTISONE 10MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3401830,J0834,CORTROSYN 0.25MG VIAL,636,1 ,$377.96 ,$245.67 ,$245.67 ,$340.35 ,$302.37 , N/A ,$299.50 ,$340.35 ,$340.35 , N/A ,$321.27 ,$279.69 , N/A , N/A , N/A ,$315.22 , N/A ,$312.20 ,$302.37 ,$340.16 , N/A ,$321.27 , N/A ,$321.27 ,$321.27 ,$340.16 ,$340.16 ,$296.70 ,$312.20 , N/A ,$245.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401835,N/A,CORTICAINE,637,1 ,$24.45 ,$15.89 ,$15.89 ,$24.45 ,$19.56 , N/A ,$19.37 ,$22.02 ,$22.02 , N/A ,$20.78 ,$18.09 , N/A , N/A , N/A ,$20.39 , N/A ,$20.20 ,$19.56 ,$22.01 ,$24.45 ,$20.78 , N/A ,$20.78 ,$20.78 ,$22.01 ,$22.01 ,$19.19 ,$20.20 , N/A ,$15.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401845,N/A,CORTISONE ACETATE TABLET:5MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401875,N/A,WAFARIN (COUMADIN) TABLET 5MG,637,1 ,$5.27 ,$3.43 ,$3.43 ,$5.27 ,$4.22 , N/A ,$4.18 ,$4.75 ,$4.75 , N/A ,$4.48 ,$3.90 , N/A , N/A , N/A ,$4.40 , N/A ,$4.35 ,$4.22 ,$4.74 ,$5.27 ,$4.48 , N/A ,$4.48 ,$4.48 ,$4.74 ,$4.74 ,$4.14 ,$4.35 , N/A ,$3.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401880,N/A,WAFARIN (COUMADIN) TABLET 2MG,637,1 ,$4.94 ,$3.21 ,$3.21 ,$4.94 ,$3.95 , N/A ,$3.91 ,$4.45 ,$4.45 , N/A ,$4.20 ,$3.66 , N/A , N/A , N/A ,$4.12 , N/A ,$4.08 ,$3.95 ,$4.45 ,$4.94 ,$4.20 , N/A ,$4.20 ,$4.20 ,$4.45 ,$4.45 ,$3.88 ,$4.08 , N/A ,$3.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401885,N/A,WAFARIN TABLET : 2.5MG,637,1 ,$4.45 ,$2.89 ,$2.89 ,$4.45 ,$3.56 , N/A ,$3.53 ,$4.01 ,$4.01 , N/A ,$3.78 ,$3.29 , N/A , N/A , N/A ,$3.71 , N/A ,$3.68 ,$3.56 ,$4.01 ,$4.45 ,$3.78 , N/A ,$3.78 ,$3.78 ,$4.01 ,$4.01 ,$3.49 ,$3.68 , N/A ,$2.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401955,J3420,CYANOCOBALAMIN (VIT B12) VIAL 1000MCG/ML,636,1 ,$31.24 ,$20.31 ,$20.31 ,$28.13 ,$24.99 , N/A ,$24.75 ,$28.13 ,$28.13 , N/A ,$26.55 ,$23.12 , N/A , N/A , N/A ,$26.05 , N/A ,$25.80 ,$24.99 ,$28.12 , N/A ,$26.55 , N/A ,$26.55 ,$26.55 ,$28.12 ,$28.12 ,$24.52 ,$25.80 , N/A ,$20.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3401974,N/A,CYCLOCORT CREAM : 15GM,637,1 ,$64.85 ,$42.15 ,$42.15 ,$64.85 ,$51.88 , N/A ,$51.39 ,$58.40 ,$58.40 , N/A ,$55.12 ,$47.99 , N/A , N/A , N/A ,$54.08 , N/A ,$53.57 ,$51.88 ,$58.37 ,$64.85 ,$55.12 , N/A ,$55.12 ,$55.12 ,$58.37 ,$58.37 ,$50.91 ,$53.57 , N/A ,$42.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402004,N/A,XYLO-PFAN : FOR LAB,637,1 ,$153.75 ,$99.94 ,$99.94 ,$153.75 ,$123.00 , N/A ,$121.83 ,$138.45 ,$138.45 , N/A ,$130.69 ,$113.78 , N/A , N/A , N/A ,$128.23 , N/A ,$127.00 ,$123.00 ,$138.38 ,$153.75 ,$130.69 , N/A ,$130.69 ,$130.69 ,$138.38 ,$138.38 ,$120.69 ,$127.00 , N/A ,$99.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402010,N/A,DACRIOSE,637,1 ,$12.20 ,$7.93 ,$7.93 ,$12.20 ,$9.76 , N/A ,$9.67 ,$10.99 ,$10.99 , N/A ,$10.37 ,$9.03 , N/A , N/A , N/A ,$10.17 , N/A ,$10.08 ,$9.76 ,$10.98 ,$12.20 ,$10.37 , N/A ,$10.37 ,$10.37 ,$10.98 ,$10.98 ,$9.58 ,$10.08 , N/A ,$7.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402021,N/A,ETHYL CHLORIDE (SKIN REFRIGERANT),637,1 ,$38.60 ,$25.09 ,$25.09 ,$38.60 ,$30.88 , N/A ,$30.59 ,$34.76 ,$34.76 , N/A ,$32.81 ,$28.56 , N/A , N/A , N/A ,$32.19 , N/A ,$31.88 ,$30.88 ,$34.74 ,$38.60 ,$32.81 , N/A ,$32.81 ,$32.81 ,$34.74 ,$34.74 ,$30.30 ,$31.88 , N/A ,$25.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402025,N/A,DANTRIUM VIAL:20MG HYPERTHERMIA CART-OR,250,1 ,$253.28 ,$164.63 ,$164.63 ,$228.08 ,$202.62 , N/A ,$200.70 ,$228.08 ,$228.08 , N/A ,$215.29 ,$187.43 , N/A , N/A , N/A ,$211.24 , N/A ,$209.21 ,$202.62 ,$227.95 , N/A ,$215.29 , N/A ,$215.29 ,$215.29 ,$227.95 ,$227.95 ,$198.82 ,$209.21 , N/A ,$164.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402037,N/A,DARVON COMPOUND (GENERIC) CAPSULE : 65MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402045,N/A,DARVOCET N 100 (GENERIC),637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402055,N/A,PROPOXYPHENE (DARVON) CAP : 65MG,637,1 ,$1.05 ,$0.68 ,$0.68 ,$1.05 ,$0.84 , N/A ,$0.83 ,$0.95 ,$0.95 , N/A ,$0.89 ,$0.78 , N/A , N/A , N/A ,$0.88 , N/A ,$0.87 ,$0.84 ,$0.95 ,$1.05 ,$0.89 , N/A ,$0.89 ,$0.89 ,$0.95 ,$0.95 ,$0.82 ,$0.87 , N/A ,$0.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402073,N/A,FLAXSEED OIL 1000MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402081,J1050,MEDROXYPROGESTERONE (IM) 150MG,636,1 ,$294.04 ,$191.13 ,$191.13 ,$264.78 ,$235.23 , N/A ,$233.00 ,$264.78 ,$264.78 , N/A ,$249.93 ,$217.59 , N/A , N/A , N/A ,$245.23 , N/A ,$242.88 ,$235.23 ,$264.64 , N/A ,$249.93 , N/A ,$249.93 ,$249.93 ,$264.64 ,$264.64 ,$230.82 ,$242.88 , N/A ,$191.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402084,N/A,DIVALPROEX (DEPAKOTE) TAB : 250MG,637,1 ,$5.50 ,$3.58 ,$3.58 ,$5.50 ,$4.40 , N/A ,$4.36 ,$4.95 ,$4.95 , N/A ,$4.68 ,$4.07 , N/A , N/A , N/A ,$4.59 , N/A ,$4.54 ,$4.40 ,$4.95 ,$5.50 ,$4.68 , N/A ,$4.68 ,$4.68 ,$4.95 ,$4.95 ,$4.32 ,$4.54 , N/A ,$3.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402085,N/A,DEXAMETHASONE 0.5MG/5mL ELIXIR,637,1 ,$4.77 ,$3.10 ,$3.10 ,$4.77 ,$3.82 , N/A ,$3.78 ,$4.30 ,$4.30 , N/A ,$4.05 ,$3.53 , N/A , N/A , N/A ,$3.98 , N/A ,$3.94 ,$3.82 ,$4.29 ,$4.77 ,$4.05 , N/A ,$4.05 ,$4.05 ,$4.29 ,$4.29 ,$3.74 ,$3.94 , N/A ,$3.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402095,N/A,DEXAMETHASONE SOD PHOSPHATE OINT.(GM):,637,1 ,$53.55 ,$34.81 ,$34.81 ,$53.55 ,$42.84 , N/A ,$42.43 ,$48.22 ,$48.22 , N/A ,$45.52 ,$39.63 , N/A , N/A , N/A ,$44.66 , N/A ,$44.23 ,$42.84 ,$48.20 ,$53.55 ,$45.52 , N/A ,$45.52 ,$45.52 ,$48.20 ,$48.20 ,$42.04 ,$44.23 , N/A ,$34.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402103,N/A,SENSORCAINE-MPF 0.25% VIAL : 30ML,250,1 ,$26.10 ,$16.97 ,$16.97 ,$23.50 ,$20.88 , N/A ,$20.68 ,$23.50 ,$23.50 , N/A ,$22.19 ,$19.31 , N/A , N/A , N/A ,$21.77 , N/A ,$21.56 ,$20.88 ,$23.49 , N/A ,$22.19 , N/A ,$22.19 ,$22.19 ,$23.49 ,$23.49 ,$20.49 ,$21.56 , N/A ,$16.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402110,J1100,DEXAMETHASONE 4MG/ML INTRAARTICULAR,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402112,J1100,DEXAMETHASONE IM/IV/ORAL VIAL 10MG/ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402135,N/A,DEXAMETHASONE TAB : 4MG,637,1 ,$2.22 ,$1.44 ,$1.44 ,$2.22 ,$1.78 , N/A ,$1.76 ,$2.00 ,$2.00 , N/A ,$1.89 ,$1.64 , N/A , N/A , N/A ,$1.85 , N/A ,$1.83 ,$1.78 ,$2.00 ,$2.22 ,$1.89 , N/A ,$1.89 ,$1.89 ,$2.00 ,$2.00 ,$1.74 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402150,N/A,DEXAMETHASONE TAB : 0.5MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402158,N/A,REFRESH LIQUIGEL 1% EYE DROPS,637,1 ,$30.00 ,$19.50 ,$19.50 ,$30.00 ,$24.00 , N/A ,$23.77 ,$27.02 ,$27.02 , N/A ,$25.50 ,$22.20 , N/A , N/A , N/A ,$25.02 , N/A ,$24.78 ,$24.00 ,$27.00 ,$30.00 ,$25.50 , N/A ,$25.50 ,$25.50 ,$27.00 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402250,J1030,DEPO-MEDROL (IM USE ONLY) 40MG/ML,636,1 ,$47.23 ,$30.70 ,$30.70 ,$42.53 ,$37.78 , N/A ,$37.43 ,$42.53 ,$42.53 , N/A ,$40.15 ,$34.95 , N/A , N/A , N/A ,$39.39 , N/A ,$39.01 ,$37.78 ,$42.51 , N/A ,$40.15 , N/A ,$40.15 ,$40.15 ,$42.51 ,$42.51 ,$37.08 ,$39.01 , N/A ,$30.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402310,N/A,TRAZOdone TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402336,J1110,DIHYDROERGOTAMINE MESYLATE AMP:1MG/ML,636,1 ,$185.85 ,$120.80 ,$120.80 ,$167.36 ,$148.68 , N/A ,$147.27 ,$167.36 ,$167.36 , N/A ,$157.97 ,$137.53 , N/A , N/A , N/A ,$155.00 , N/A ,$153.51 ,$148.68 ,$167.27 , N/A ,$157.97 , N/A ,$157.97 ,$157.97 ,$167.27 ,$167.27 ,$145.89 ,$153.51 , N/A ,$120.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402366,N/A,GLYBURIDE TABLET : 2.5MG,637,1 ,$1.45 ,$0.94 ,$0.94 ,$1.45 ,$1.16 , N/A ,$1.15 ,$1.31 ,$1.31 , N/A ,$1.23 ,$1.07 , N/A , N/A , N/A ,$1.21 , N/A ,$1.20 ,$1.16 ,$1.31 ,$1.45 ,$1.23 , N/A ,$1.23 ,$1.23 ,$1.31 ,$1.31 ,$1.14 ,$1.20 , N/A ,$0.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402368,N/A,GLIMEPIRIDE TAB 4MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402370,N/A,CHLORPRopamide (DIABENESE) TABLET: 250MG,637,1 ,$2.20 ,$1.43 ,$1.43 ,$2.20 ,$1.76 , N/A ,$1.74 ,$1.98 ,$1.98 , N/A ,$1.87 ,$1.63 , N/A , N/A , N/A ,$1.83 , N/A ,$1.82 ,$1.76 ,$1.98 ,$2.20 ,$1.87 , N/A ,$1.87 ,$1.87 ,$1.98 ,$1.98 ,$1.73 ,$1.82 , N/A ,$1.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402375,N/A,CHLORPRopamide (DIABENESE) TABLET: 100MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402380,N/A,CASANTHRANOL/DOSS POTASSIUM CAPSULE:30-1,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402385,J1120,ACETAZOLAMIDE IV VIAL : 500MG,636,1 ,$155.53 ,$101.09 ,$101.09 ,$140.05 ,$124.42 , N/A ,$123.24 ,$140.05 ,$140.05 , N/A ,$132.20 ,$115.09 , N/A , N/A , N/A ,$129.71 , N/A ,$128.47 ,$124.42 ,$139.98 , N/A ,$132.20 , N/A ,$132.20 ,$132.20 ,$139.98 ,$139.98 ,$122.09 ,$128.47 , N/A ,$101.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402435,N/A,DIETHYLSTILBESTROL TABLET EC:1MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402450,N/A,PHENYTOIN (DILANTIN) CHEW TAB : 50MG,637,1 ,$7.37 ,$4.79 ,$4.79 ,$7.37 ,$5.90 , N/A ,$5.84 ,$6.64 ,$6.64 , N/A ,$6.26 ,$5.45 , N/A , N/A , N/A ,$6.15 , N/A ,$6.09 ,$5.90 ,$6.63 ,$7.37 ,$6.26 , N/A ,$6.26 ,$6.26 ,$6.63 ,$6.63 ,$5.79 ,$6.09 , N/A ,$4.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402470,N/A,DILANTIN CAPSULE : 100MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402480,N/A,PHENYTOIN 25MG/mL SUSPENSION,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402495,N/A,HYDROmorPHONE TAB 4MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402498,J1170,HYDROmorPHONE (DILAUDID) 1MG/ML INJ.,636,1 ,$11.17 ,$7.26 ,$7.26 ,$10.06 ,$8.94 , N/A ,$8.85 ,$10.06 ,$10.06 , N/A ,$9.49 ,$8.27 , N/A , N/A , N/A ,$9.32 , N/A ,$9.23 ,$8.94 ,$10.05 , N/A ,$9.49 , N/A ,$9.49 ,$9.49 ,$10.05 ,$10.05 ,$8.77 ,$9.23 , N/A ,$7.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402533,N/A,DIMETAPP (DIMAPHEN) ELIXIR,637,1 ,$7.80 ,$5.07 ,$5.07 ,$7.80 ,$6.24 , N/A ,$6.18 ,$7.02 ,$7.02 , N/A ,$6.63 ,$5.77 , N/A , N/A , N/A ,$6.51 , N/A ,$6.44 ,$6.24 ,$7.02 ,$7.80 ,$6.63 , N/A ,$6.63 ,$6.63 ,$7.02 ,$7.02 ,$6.12 ,$6.44 , N/A ,$5.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402540,J1200,DIPHENHYDRAMINE (BENADRYL) INJ : 50MG/ML,636,1 ,$12.24 ,$7.96 ,$7.96 ,$11.02 ,$9.79 , N/A ,$9.70 ,$11.02 ,$11.02 , N/A ,$10.40 ,$9.06 , N/A , N/A , N/A ,$10.21 , N/A ,$10.11 ,$9.79 ,$11.02 , N/A ,$10.40 , N/A ,$10.40 ,$10.40 ,$11.02 ,$11.02 ,$9.61 ,$10.11 , N/A ,$7.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402541,N/A,BENADRYL(DIPHENHYDRAMINE):50MG/ML CHEMO,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402550,90702,"TETANUS,DIPHTHERIA TOXOID PED DISP SYRIN",636,1 ,$16.85 ,$10.95 ,$10.95 ,$15.17 ,$13.48 , N/A ,$13.35 ,$15.17 ,$15.17 , N/A ,$14.32 ,$12.47 , N/A , N/A , N/A ,$14.05 , N/A ,$13.92 ,$13.48 ,$15.17 , N/A ,$14.32 , N/A ,$14.32 ,$14.32 ,$15.17 ,$15.17 ,$13.23 ,$13.92 , N/A ,$10.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402555,N/A,BETAMETHASONE DIPROPIONATE 0.05% CREAM,637,1 ,$24.60 ,$15.99 ,$15.99 ,$24.60 ,$19.68 , N/A ,$19.49 ,$22.15 ,$22.15 , N/A ,$20.91 ,$18.20 , N/A , N/A , N/A ,$20.52 , N/A ,$20.32 ,$19.68 ,$22.14 ,$24.60 ,$20.91 , N/A ,$20.91 ,$20.91 ,$22.14 ,$22.14 ,$19.31 ,$20.32 , N/A ,$15.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402564,N/A,SALINE FLUSH 3ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402565,N/A,SALSALATE TABLET:500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402566,N/A,SALINE DAILY FLUSH : (IVPB),637,1 ,$17.40 ,$11.31 ,$11.31 ,$17.40 ,$13.92 , N/A ,$13.79 ,$15.67 ,$15.67 , N/A ,$14.79 ,$12.88 , N/A , N/A , N/A ,$14.51 , N/A ,$14.37 ,$13.92 ,$15.66 ,$17.40 ,$14.79 , N/A ,$14.79 ,$14.79 ,$15.66 ,$15.66 ,$13.66 ,$14.37 , N/A ,$11.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402575,N/A,OXYBUTYNIN (DITROPAN) 5MG TAB,637,1 ,$2.22 ,$1.44 ,$1.44 ,$2.22 ,$1.78 , N/A ,$1.76 ,$2.00 ,$2.00 , N/A ,$1.89 ,$1.64 , N/A , N/A , N/A ,$1.85 , N/A ,$1.83 ,$1.78 ,$2.00 ,$2.22 ,$1.89 , N/A ,$1.89 ,$1.89 ,$2.00 ,$2.00 ,$1.74 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402590,J1250,DOBUTAMINE HCL VIAL : 250MG/20ML,636,1 ,$14.05 ,$9.13 ,$9.13 ,$12.65 ,$11.24 , N/A ,$11.13 ,$12.65 ,$12.65 , N/A ,$11.94 ,$10.40 , N/A , N/A , N/A ,$11.72 , N/A ,$11.61 ,$11.24 ,$12.65 , N/A ,$11.94 , N/A ,$11.94 ,$11.94 ,$12.65 ,$12.65 ,$11.03 ,$11.61 , N/A ,$9.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402595,N/A,FLUCONAZOLE PREMIX IV : 200MG,250,1 ,$226.90 ,$147.49 ,$147.49 ,$204.32 ,$181.52 , N/A ,$179.80 ,$204.32 ,$204.32 , N/A ,$192.87 ,$167.91 , N/A , N/A , N/A ,$189.23 , N/A ,$187.42 ,$181.52 ,$204.21 , N/A ,$192.87 , N/A ,$192.87 ,$192.87 ,$204.21 ,$204.21 ,$178.12 ,$187.42 , N/A ,$147.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402600,N/A,DIFLUNISAL (DOLOBID) TAB : 500MG,637,1 ,$3.30 ,$2.15 ,$2.15 ,$3.30 ,$2.64 , N/A ,$2.61 ,$2.97 ,$2.97 , N/A ,$2.81 ,$2.44 , N/A , N/A , N/A ,$2.75 , N/A ,$2.73 ,$2.64 ,$2.97 ,$3.30 ,$2.81 , N/A ,$2.81 ,$2.81 ,$2.97 ,$2.97 ,$2.59 ,$2.73 , N/A ,$2.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402630,N/A,DONNAGEL SUSPENSION,637,1 ,$1.55 ,$1.01 ,$1.01 ,$1.55 ,$1.24 , N/A ,$1.23 ,$1.40 ,$1.40 , N/A ,$1.32 ,$1.15 , N/A , N/A , N/A ,$1.29 , N/A ,$1.28 ,$1.24 ,$1.40 ,$1.55 ,$1.32 , N/A ,$1.32 ,$1.32 ,$1.40 ,$1.40 ,$1.22 ,$1.28 , N/A ,$1.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402640,N/A,DONNATAL (GENERIC) : PER 30ML,637,1 ,$6.45 ,$4.19 ,$4.19 ,$6.45 ,$5.16 , N/A ,$5.11 ,$5.81 ,$5.81 , N/A ,$5.48 ,$4.77 , N/A , N/A , N/A ,$5.38 , N/A ,$5.33 ,$5.16 ,$5.81 ,$6.45 ,$5.48 , N/A ,$5.48 ,$5.48 ,$5.81 ,$5.81 ,$5.06 ,$5.33 , N/A ,$4.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402645,N/A,DONNATAL TABLET,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402680,N/A,DOXAZOSIN 4MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402691,N/A,DOXYCYCLINE HYCLATE VIAL:100MG,250,1 ,$46.50 ,$30.23 ,$30.23 ,$41.87 ,$37.20 , N/A ,$36.85 ,$41.87 ,$41.87 , N/A ,$39.53 ,$34.41 , N/A , N/A , N/A ,$38.78 , N/A ,$38.41 ,$37.20 ,$41.85 , N/A ,$39.53 , N/A ,$39.53 ,$39.53 ,$41.85 ,$41.85 ,$36.50 ,$38.41 , N/A ,$30.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402695,N/A,DRAMAMINE (DIMENHYDRINATE) AMP : 50MG,250,1 ,$21.20 ,$13.78 ,$13.78 ,$19.09 ,$16.96 , N/A ,$16.80 ,$19.09 ,$19.09 , N/A ,$18.02 ,$15.69 , N/A , N/A , N/A ,$17.68 , N/A ,$17.51 ,$16.96 ,$19.08 , N/A ,$18.02 , N/A ,$18.02 ,$18.02 ,$19.08 ,$19.08 ,$16.64 ,$17.51 , N/A ,$13.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402700,N/A,DIMENHYDRINATE (DRAMAMINE) TAB : 50MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402740,N/A,CEFADROXIL MONOHYDRATE CAPSULE:500MG,637,1 ,$9.25 ,$6.01 ,$6.01 ,$9.25 ,$7.40 , N/A ,$7.33 ,$8.33 ,$8.33 , N/A ,$7.86 ,$6.85 , N/A , N/A , N/A ,$7.71 , N/A ,$7.64 ,$7.40 ,$8.33 ,$9.25 ,$7.86 , N/A ,$7.86 ,$7.86 ,$8.33 ,$8.33 ,$7.26 ,$7.64 , N/A ,$6.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402741,N/A,CEFADROXIL MONOHYDRATE SUSP RECON:250MG/,637,1 ,$161.10 ,$104.72 ,$104.72 ,$161.10 ,$128.88 , N/A ,$127.66 ,$145.07 ,$145.07 , N/A ,$136.94 ,$119.21 , N/A , N/A , N/A ,$134.36 , N/A ,$133.07 ,$128.88 ,$144.99 ,$161.10 ,$136.94 , N/A ,$136.94 ,$136.94 ,$144.99 ,$144.99 ,$126.46 ,$133.07 , N/A ,$104.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402812,N/A,ERYTHROMYCIN ETHYLSUCCINATE SUSP RECON:2,637,1 ,$51.25 ,$33.31 ,$33.31 ,$51.25 ,$41.00 , N/A ,$40.61 ,$46.15 ,$46.15 , N/A ,$43.56 ,$37.93 , N/A , N/A , N/A ,$42.74 , N/A ,$42.33 ,$41.00 ,$46.13 ,$51.25 ,$43.56 , N/A ,$43.56 ,$43.56 ,$46.13 ,$46.13 ,$40.23 ,$42.33 , N/A ,$33.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402815,N/A,ERYTHROMYCIN ETHYLSUCCINATE TABLET:400MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402851,N/A,MOMETASONE (ELOCON) 0.1% CREAM : 15GM,637,1 ,$51.95 ,$33.77 ,$33.77 ,$51.95 ,$41.56 , N/A ,$41.17 ,$46.78 ,$46.78 , N/A ,$44.16 ,$38.44 , N/A , N/A , N/A ,$43.33 , N/A ,$42.91 ,$41.56 ,$46.76 ,$51.95 ,$44.16 , N/A ,$44.16 ,$44.16 ,$46.76 ,$46.76 ,$40.78 ,$42.91 , N/A ,$33.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402859,N/A,ELDEPRYL (SELEGILINE) TAB : 5MG,637,1 ,$7.70 ,$5.01 ,$5.01 ,$7.70 ,$6.16 , N/A ,$6.10 ,$6.93 ,$6.93 , N/A ,$6.55 ,$5.70 , N/A , N/A , N/A ,$6.42 , N/A ,$6.36 ,$6.16 ,$6.93 ,$7.70 ,$6.55 , N/A ,$6.55 ,$6.55 ,$6.93 ,$6.93 ,$6.04 ,$6.36 , N/A ,$5.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402860,N/A,OMEPRAZOLE TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402861,N/A,PERMETHRIN 5% CREAM (ELIMITE) : 60GM,637,1 ,$325.91 ,$211.84 ,$211.84 ,$325.91 ,$260.73 , N/A ,$258.25 ,$293.48 ,$293.48 , N/A ,$277.02 ,$241.17 , N/A , N/A , N/A ,$271.81 , N/A ,$269.20 ,$260.73 ,$293.32 ,$325.91 ,$277.02 , N/A ,$277.02 ,$277.02 ,$293.32 ,$293.32 ,$255.84 ,$269.20 , N/A ,$211.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402905,N/A,CASTOR OIL,637,1 ,$7.80 ,$5.07 ,$5.07 ,$7.80 ,$6.24 , N/A ,$6.18 ,$7.02 ,$7.02 , N/A ,$6.63 ,$5.77 , N/A , N/A , N/A ,$6.51 , N/A ,$6.44 ,$6.24 ,$7.02 ,$7.80 ,$6.63 , N/A ,$6.63 ,$6.63 ,$7.02 ,$7.02 ,$6.12 ,$6.44 , N/A ,$5.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402910,N/A,AMITRIPTYLINE (ELAVIL) TAB : 25MG,637,1 ,$1.30 ,$0.85 ,$0.85 ,$1.30 ,$1.04 , N/A ,$1.03 ,$1.17 ,$1.17 , N/A ,$1.11 ,$0.96 , N/A , N/A , N/A ,$1.08 , N/A ,$1.07 ,$1.04 ,$1.17 ,$1.30 ,$1.11 , N/A ,$1.11 ,$1.11 ,$1.17 ,$1.17 ,$1.02 ,$1.07 , N/A ,$0.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402915,N/A,AMITRIPTYLINE (ELAVIL) TAB : 50MG,637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402935,N/A,AMITRIPTYLINE (ELAVIL) TAB : 10MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402945,J0280,AMINOPHYLLINE VIAL : 250MG/10ML,636,1 ,$45.41 ,$29.52 ,$29.52 ,$40.89 ,$36.33 , N/A ,$35.98 ,$40.89 ,$40.89 , N/A ,$38.60 ,$33.60 , N/A , N/A , N/A ,$37.87 , N/A ,$37.51 ,$36.33 ,$40.87 , N/A ,$38.60 , N/A ,$38.60 ,$38.60 ,$40.87 ,$40.87 ,$35.65 ,$37.51 , N/A ,$29.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3402960,N/A,SOTALOL TAB 120MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402965,N/A,ENSURE : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402973,N/A,NF-MORPHINE IR TAB 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3402974,N/A,ENTEX LA (GUAIFENESIN/PPA SA):400-75MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403030,N/A,EPSOM SALT,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403033,N/A,SLOW-MAG SA TAB : 64MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403040,N/A,MEPROBAMATE TABLET:400MG,637,1 ,$1.10 ,$0.72 ,$0.72 ,$1.10 ,$0.88 , N/A ,$0.87 ,$0.99 ,$0.99 , N/A ,$0.94 ,$0.81 , N/A , N/A , N/A ,$0.92 , N/A ,$0.91 ,$0.88 ,$0.99 ,$1.10 ,$0.94 , N/A ,$0.94 ,$0.94 ,$0.99 ,$0.99 ,$0.86 ,$0.91 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403077,N/A,ERYTHROMYCIN LACTOBIONATE VIAL:500MG,250,1 ,$40.05 ,$26.03 ,$26.03 ,$36.07 ,$32.04 , N/A ,$31.74 ,$36.07 ,$36.07 , N/A ,$34.04 ,$29.64 , N/A , N/A , N/A ,$33.40 , N/A ,$33.08 ,$32.04 ,$36.05 , N/A ,$34.04 , N/A ,$34.04 ,$34.04 ,$36.05 ,$36.05 ,$31.44 ,$33.08 , N/A ,$26.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403095,N/A,ERYTHROMYCIN BASE TABLET EC:250MG,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403098,N/A,ERYTHROMYCIN BASE OINT.(GM):5MG/G,637,1 ,$14.00 ,$9.10 ,$9.10 ,$14.00 ,$11.20 , N/A ,$11.09 ,$12.61 ,$12.61 , N/A ,$11.90 ,$10.36 , N/A , N/A , N/A ,$11.68 , N/A ,$11.56 ,$11.20 ,$12.60 ,$14.00 ,$11.90 , N/A ,$11.90 ,$11.90 ,$12.60 ,$12.60 ,$10.99 ,$11.56 , N/A ,$9.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403107,N/A,LIthIUM CARBONATE CAP : 300MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403110,N/A,LISINOPRIL (PRINIVIL/ZESTRIL) : 10MG,637,1 ,$3.55 ,$2.31 ,$2.31 ,$3.55 ,$2.84 , N/A ,$2.81 ,$3.20 ,$3.20 , N/A ,$3.02 ,$2.63 , N/A , N/A , N/A ,$2.96 , N/A ,$2.93 ,$2.84 ,$3.20 ,$3.55 ,$3.02 , N/A ,$3.02 ,$3.02 ,$3.20 ,$3.20 ,$2.79 ,$2.93 , N/A ,$2.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403155,N/A,PHENOLPHTHALEIN PILL:90MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403185,N/A,PIROXICAM (FELDENE) CAPSULE : 20MG,637,1 ,$6.75 ,$4.39 ,$4.39 ,$6.75 ,$5.40 , N/A ,$5.35 ,$6.08 ,$6.08 , N/A ,$5.74 ,$5.00 , N/A , N/A , N/A ,$5.63 , N/A ,$5.58 ,$5.40 ,$6.08 ,$6.75 ,$5.74 , N/A ,$5.74 ,$5.74 ,$6.08 ,$6.08 ,$5.30 ,$5.58 , N/A ,$4.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403187,N/A,COENZYME Q10 CAP : 100MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403188,N/A,PLENDIL TAB SR 24H : 10MG,637,1 ,$5.95 ,$3.87 ,$3.87 ,$5.95 ,$4.76 , N/A ,$4.71 ,$5.36 ,$5.36 , N/A ,$5.06 ,$4.40 , N/A , N/A , N/A ,$4.96 , N/A ,$4.91 ,$4.76 ,$5.36 ,$5.95 ,$5.06 , N/A ,$5.06 ,$5.06 ,$5.36 ,$5.36 ,$4.67 ,$4.91 , N/A ,$3.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403190,N/A,FERROUS SULFATE ELIXIR 220MG/5mL,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403191,N/A,FOLBEE TABLET PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403205,N/A,FERROUS GLUCONATE TABLET:300MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403215,N/A,FIORICET (ESGIC) TABLET,637,1 ,$4.35 ,$2.83 ,$2.83 ,$4.35 ,$3.48 , N/A ,$3.45 ,$3.92 ,$3.92 , N/A ,$3.70 ,$3.22 , N/A , N/A , N/A ,$3.63 , N/A ,$3.59 ,$3.48 ,$3.92 ,$4.35 ,$3.70 , N/A ,$3.70 ,$3.70 ,$3.92 ,$3.92 ,$3.41 ,$3.59 , N/A ,$2.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403216,N/A,FIORINAL (GENERIC),637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403218,N/A,FIORINAL W/ CODEINE (GENERIC) CAPSULE,637,1 ,$5.40 ,$3.51 ,$3.51 ,$5.40 ,$4.32 , N/A ,$4.28 ,$4.86 ,$4.86 , N/A ,$4.59 ,$4.00 , N/A , N/A , N/A ,$4.50 , N/A ,$4.46 ,$4.32 ,$4.86 ,$5.40 ,$4.59 , N/A ,$4.59 ,$4.59 ,$4.86 ,$4.86 ,$4.24 ,$4.46 , N/A ,$3.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403235,N/A,FLAGYL (METRONIDAZOLE) TAB : 250MG,637,1 ,$1.75 ,$1.14 ,$1.14 ,$1.75 ,$1.40 , N/A ,$1.39 ,$1.58 ,$1.58 , N/A ,$1.49 ,$1.30 , N/A , N/A , N/A ,$1.46 , N/A ,$1.45 ,$1.40 ,$1.58 ,$1.75 ,$1.49 , N/A ,$1.49 ,$1.49 ,$1.58 ,$1.58 ,$1.37 ,$1.45 , N/A ,$1.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403245,N/A,MEXILETINE HCL CAPSULE:150MG,637,1 ,$2.30 ,$1.50 ,$1.50 ,$2.30 ,$1.84 , N/A ,$1.82 ,$2.07 ,$2.07 , N/A ,$1.96 ,$1.70 , N/A , N/A , N/A ,$1.92 , N/A ,$1.90 ,$1.84 ,$2.07 ,$2.30 ,$1.96 , N/A ,$1.96 ,$1.96 ,$2.07 ,$2.07 ,$1.81 ,$1.90 , N/A ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403246,N/A,MEXILETINE HCL CAPSULE:200MG,637,1 ,$2.75 ,$1.79 ,$1.79 ,$2.75 ,$2.20 , N/A ,$2.18 ,$2.48 ,$2.48 , N/A ,$2.34 ,$2.04 , N/A , N/A , N/A ,$2.29 , N/A ,$2.27 ,$2.20 ,$2.48 ,$2.75 ,$2.34 , N/A ,$2.34 ,$2.34 ,$2.48 ,$2.48 ,$2.16 ,$2.27 , N/A ,$1.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403260,N/A,CYCLOGYL 1% DROPS :,637,1 ,$83.65 ,$54.37 ,$54.37 ,$83.65 ,$66.92 , N/A ,$66.28 ,$75.33 ,$75.33 , N/A ,$71.10 ,$61.90 , N/A , N/A , N/A ,$69.76 , N/A ,$69.09 ,$66.92 ,$75.29 ,$83.65 ,$71.10 , N/A ,$71.10 ,$71.10 ,$75.29 ,$75.29 ,$65.67 ,$69.09 , N/A ,$54.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403265,N/A,CYCLOBENZAPRINE (FLEXERIL) TAB : 10MG,637,1 ,$3.10 ,$2.02 ,$2.02 ,$3.10 ,$2.48 , N/A ,$2.46 ,$2.79 ,$2.79 , N/A ,$2.64 ,$2.29 , N/A , N/A , N/A ,$2.59 , N/A ,$2.56 ,$2.48 ,$2.79 ,$3.10 ,$2.64 , N/A ,$2.64 ,$2.64 ,$2.79 ,$2.79 ,$2.43 ,$2.56 , N/A ,$2.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403275,N/A,FLORINEF TABLET : 0.1MG,637,1 ,$2.80 ,$1.82 ,$1.82 ,$2.80 ,$2.24 , N/A ,$2.22 ,$2.52 ,$2.52 , N/A ,$2.38 ,$2.07 , N/A , N/A , N/A ,$2.34 , N/A ,$2.31 ,$2.24 ,$2.52 ,$2.80 ,$2.38 , N/A ,$2.38 ,$2.38 ,$2.52 ,$2.52 ,$2.20 ,$2.31 , N/A ,$1.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403300,N/A,FISH OIL CAP 500MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403301,N/A,FLUPHENAZINE HCL TABLET:1MG,637,1 ,$2.00 ,$1.30 ,$1.30 ,$2.00 ,$1.60 , N/A ,$1.58 ,$1.80 ,$1.80 , N/A ,$1.70 ,$1.48 , N/A , N/A , N/A ,$1.67 , N/A ,$1.65 ,$1.60 ,$1.80 ,$2.00 ,$1.70 , N/A ,$1.70 ,$1.70 ,$1.80 ,$1.80 ,$1.57 ,$1.65 , N/A ,$1.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403302,N/A,FOLIC ACID 1MG TAB,637,1 ,$1.30 ,$0.85 ,$0.85 ,$1.30 ,$1.04 , N/A ,$1.03 ,$1.17 ,$1.17 , N/A ,$1.11 ,$0.96 , N/A , N/A , N/A ,$1.08 , N/A ,$1.07 ,$1.04 ,$1.17 ,$1.30 ,$1.11 , N/A ,$1.11 ,$1.11 ,$1.17 ,$1.17 ,$1.02 ,$1.07 , N/A ,$0.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403305,N/A,FLUCONAZOLE (DIFLUCAN) TAB 100MG,637,1 ,$31.42 ,$20.42 ,$20.42 ,$31.42 ,$25.14 , N/A ,$24.90 ,$28.29 ,$28.29 , N/A ,$26.71 ,$23.25 , N/A , N/A , N/A ,$26.20 , N/A ,$25.95 ,$25.14 ,$28.28 ,$31.42 ,$26.71 , N/A ,$26.71 ,$26.71 ,$28.28 ,$28.28 ,$24.66 ,$25.95 , N/A ,$20.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403345,N/A,FURACIN SOLUBLE DRESSING,637,1 ,$30.15 ,$19.60 ,$19.60 ,$30.15 ,$24.12 , N/A ,$23.89 ,$27.15 ,$27.15 , N/A ,$25.63 ,$22.31 , N/A , N/A , N/A ,$25.15 , N/A ,$24.90 ,$24.12 ,$27.14 ,$30.15 ,$25.63 , N/A ,$25.63 ,$25.63 ,$27.14 ,$27.14 ,$23.67 ,$24.90 , N/A ,$19.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403405,N/A,GENTAMICIN SULFATE OINT.(GM): 0,637,1 ,$11.35 ,$7.38 ,$7.38 ,$11.35 ,$9.08 , N/A ,$8.99 ,$10.22 ,$10.22 , N/A ,$9.65 ,$8.40 , N/A , N/A , N/A ,$9.47 , N/A ,$9.38 ,$9.08 ,$10.22 ,$11.35 ,$9.65 , N/A ,$9.65 ,$9.65 ,$10.22 ,$10.22 ,$8.91 ,$9.38 , N/A ,$7.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403410,N/A,GENTAMICIN SULFATE 0.1% TOPICAL CREAM,637,1 ,$176.39 ,$114.65 ,$114.65 ,$176.39 ,$141.11 , N/A ,$139.77 ,$158.84 ,$158.84 , N/A ,$149.93 ,$130.53 , N/A , N/A , N/A ,$147.11 , N/A ,$145.70 ,$141.11 ,$158.75 ,$176.39 ,$149.93 , N/A ,$149.93 ,$149.93 ,$158.75 ,$158.75 ,$138.47 ,$145.70 , N/A ,$114.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403445,N/A,GENTAMICIN 0.3% EYE OINTMENT : 3.5GM,637,1 ,$70.26 ,$45.67 ,$45.67 ,$70.26 ,$56.21 , N/A ,$55.67 ,$63.27 ,$63.27 , N/A ,$59.72 ,$51.99 , N/A , N/A , N/A ,$58.60 , N/A ,$58.03 ,$56.21 ,$63.23 ,$70.26 ,$59.72 , N/A ,$59.72 ,$59.72 ,$63.23 ,$63.23 ,$55.15 ,$58.03 , N/A ,$45.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403460,N/A,MG TRISILICATE/ALH/NAHCO3/AA TAB CHEW:20,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403461,N/A,GENATON,637,1 ,$15.90 ,$10.34 ,$10.34 ,$15.90 ,$12.72 , N/A ,$12.60 ,$14.32 ,$14.32 , N/A ,$13.52 ,$11.77 , N/A , N/A , N/A ,$13.26 , N/A ,$13.13 ,$12.72 ,$14.31 ,$15.90 ,$13.52 , N/A ,$13.52 ,$13.52 ,$14.31 ,$14.31 ,$12.48 ,$13.13 , N/A ,$10.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403466,N/A,GEMFIBROZIL (LOPID) TAB : 600MG,637,1 ,$8.27 ,$5.38 ,$5.38 ,$8.27 ,$6.62 , N/A ,$6.55 ,$7.45 ,$7.45 , N/A ,$7.03 ,$6.12 , N/A , N/A , N/A ,$6.90 , N/A ,$6.83 ,$6.62 ,$7.44 ,$8.27 ,$7.03 , N/A ,$7.03 ,$7.03 ,$7.44 ,$7.44 ,$6.49 ,$6.83 , N/A ,$5.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403471,N/A,GENTAMICIN 40MG/ML,636,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403520,J1610,GLUCAGON 1MG EMERGENCY KIT,636,1 ,$621.60 ,$404.04 ,$177.45 ,$559.75 ,$497.28 ,$177.45 ,$492.56 ,$559.75 ,$559.75 ,$337.16 ,$528.36 ,$459.98 ,$443.64 ,$177.45 , N/A ,$518.41 ,$177.45 ,$513.44 ,$497.28 ,$559.44 ,$443.64 ,$528.36 ,$177.45 ,$528.36 ,$528.36 ,$559.44 ,$559.44 ,$487.96 ,$513.44 ,$177.45 ,$404.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403522,N/A,GLUCERNA : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403523,N/A,GLIPIZIDE TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403525,N/A,GLY-OXIDE : 15ML,637,1 ,$14.45 ,$9.39 ,$9.39 ,$14.45 ,$11.56 , N/A ,$11.45 ,$13.01 ,$13.01 , N/A ,$12.28 ,$10.69 , N/A , N/A , N/A ,$12.05 , N/A ,$11.94 ,$11.56 ,$13.01 ,$14.45 ,$12.28 , N/A ,$12.28 ,$12.28 ,$13.01 ,$13.01 ,$11.34 ,$11.94 , N/A ,$9.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403530,N/A,GLYCERIN LIQUID,637,1 ,$2.00 ,$1.30 ,$1.30 ,$2.00 ,$1.60 , N/A ,$1.58 ,$1.80 ,$1.80 , N/A ,$1.70 ,$1.48 , N/A , N/A , N/A ,$1.67 , N/A ,$1.65 ,$1.60 ,$1.80 ,$2.00 ,$1.70 , N/A ,$1.70 ,$1.70 ,$1.80 ,$1.80 ,$1.57 ,$1.65 , N/A ,$1.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403531,N/A,GLYCERIN CHILD RECTAL SUPPOSITORY,637,1 ,$2.22 ,$1.44 ,$1.44 ,$2.22 ,$1.78 , N/A ,$1.76 ,$2.00 ,$2.00 , N/A ,$1.89 ,$1.64 , N/A , N/A , N/A ,$1.85 , N/A ,$1.83 ,$1.78 ,$2.00 ,$2.22 ,$1.89 , N/A ,$1.89 ,$1.89 ,$2.00 ,$2.00 ,$1.74 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403540,N/A,GRANULEX SPRAY,637,1 ,$61.10 ,$39.72 ,$39.72 ,$61.10 ,$48.88 , N/A ,$48.42 ,$55.02 ,$55.02 , N/A ,$51.94 ,$45.21 , N/A , N/A , N/A ,$50.96 , N/A ,$50.47 ,$48.88 ,$54.99 ,$61.10 ,$51.94 , N/A ,$51.94 ,$51.94 ,$54.99 ,$54.99 ,$47.96 ,$50.47 , N/A ,$39.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403580,N/A,HALCION (TRIAZOLAM) TABLET 0.25MG,637,1 ,$2.15 ,$1.40 ,$1.40 ,$2.15 ,$1.72 , N/A ,$1.70 ,$1.94 ,$1.94 , N/A ,$1.83 ,$1.59 , N/A , N/A , N/A ,$1.79 , N/A ,$1.78 ,$1.72 ,$1.94 ,$2.15 ,$1.83 , N/A ,$1.83 ,$1.83 ,$1.94 ,$1.94 ,$1.69 ,$1.78 , N/A ,$1.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403595,N/A,HALDOL (HALOPERIDOL) ORAL LIQUID: 2MG/ML,637,1 ,$30.75 ,$19.99 ,$19.99 ,$30.75 ,$24.60 , N/A ,$24.37 ,$27.69 ,$27.69 , N/A ,$26.14 ,$22.76 , N/A , N/A , N/A ,$25.65 , N/A ,$25.40 ,$24.60 ,$27.68 ,$30.75 ,$26.14 , N/A ,$26.14 ,$26.14 ,$27.68 ,$27.68 ,$24.14 ,$25.40 , N/A ,$19.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403600,J1630,HALOPERIDOL (HALDOL) 5MG/ML VIAL,636,1 ,$28.58 ,$18.58 ,$18.58 ,$25.74 ,$22.86 , N/A ,$22.65 ,$25.74 ,$25.74 , N/A ,$24.29 ,$21.15 , N/A , N/A , N/A ,$23.84 , N/A ,$23.61 ,$22.86 ,$25.72 , N/A ,$24.29 , N/A ,$24.29 ,$24.29 ,$25.72 ,$25.72 ,$22.44 ,$23.61 , N/A ,$18.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403605,N/A,GAS X ES 125MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403611,N/A,HYDROCODONE/APAP 7.5 (LORCET PLUS),637,1 ,$1.40 ,$0.91 ,$0.91 ,$1.40 ,$1.12 , N/A ,$1.11 ,$1.26 ,$1.26 , N/A ,$1.19 ,$1.04 , N/A , N/A , N/A ,$1.17 , N/A ,$1.16 ,$1.12 ,$1.26 ,$1.40 ,$1.19 , N/A ,$1.19 ,$1.19 ,$1.26 ,$1.26 ,$1.10 ,$1.16 , N/A ,$0.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403612,N/A,HYDROCODONE/APAP 5-500 (VICODIN/LORTAB),637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403630,N/A,RISperidONE TAB 2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403666,N/A,H-BIG,636,1 ,"$1,043.20 ",$678.08 ,$678.08 ,$939.40 ,$834.56 , N/A ,$826.63 ,$939.40 ,$939.40 , N/A ,$886.72 ,$771.97 , N/A , N/A , N/A ,$870.03 , N/A ,$861.68 ,$834.56 ,$938.88 , N/A ,$886.72 , N/A ,$886.72 ,$886.72 ,$938.88 ,$938.88 ,$818.91 ,$861.68 , N/A ,$678.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403668,90746,HEPATITIS B VACCINE : 20MCG,636,1 ,$146.05 ,$94.93 ,$94.93 ,$131.52 ,$116.84 , N/A ,$115.73 ,$131.52 ,$131.52 , N/A ,$124.14 ,$108.08 , N/A , N/A , N/A ,$121.81 , N/A ,$120.64 ,$116.84 ,$131.45 , N/A ,$124.14 , N/A ,$124.14 ,$124.14 ,$131.45 ,$131.45 ,$114.65 ,$120.64 , N/A ,$94.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403670,N/A,HEPARIN SODIUM 1ML VIAL : 100U/ML,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403676,J1442,NEUPOGEN : 300MCG/ML,636,1 ,$347.15 ,$225.65 ,$0.96 ,$312.61 ,$277.72 ,$0.96 ,$275.08 ,$312.61 ,$312.61 ,$1.83 ,$295.08 ,$256.89 ,$2.41 ,$0.96 , N/A ,$289.52 ,$0.96 ,$286.75 ,$277.72 ,$312.44 ,$2.41 ,$295.08 ,$0.96 ,$295.08 ,$295.08 ,$312.44 ,$312.44 ,$272.51 ,$286.75 ,$0.96 ,$225.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403684,J1644,HEPARin 5000 UNITS/ML VIAL,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403686,N/A,"HEPARIN SODIUM,PORCINE VIAL:10000 U/ML",637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403700,N/A,HOMATROPINE 5% APPLICATION,637,1 ,$10.23 ,$6.65 ,$6.65 ,$10.23 ,$8.18 , N/A ,$8.11 ,$9.21 ,$9.21 , N/A ,$8.70 ,$7.57 , N/A , N/A , N/A ,$8.53 , N/A ,$8.45 ,$8.18 ,$9.21 ,$10.23 ,$8.70 , N/A ,$8.70 ,$8.70 ,$9.21 ,$9.21 ,$8.03 ,$8.45 , N/A ,$6.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403741,N/A,HUMULIN R,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403760,N/A,SIMVASTATIN TAB 80MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403761,N/A,ERGOLOID MESYLATES LIQUID:1MG/ML,637,1 ,$212.10 ,$137.87 ,$137.87 ,$212.10 ,$169.68 , N/A ,$168.07 ,$191.00 ,$191.00 , N/A ,$180.29 ,$156.95 , N/A , N/A , N/A ,$176.89 , N/A ,$175.19 ,$169.68 ,$190.89 ,$212.10 ,$180.29 , N/A ,$180.29 ,$180.29 ,$190.89 ,$190.89 ,$166.50 ,$175.19 , N/A ,$137.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403765,N/A,"MINERAL OIL/PETROLATUM,WHITE CREAM(GM):",637,1 ,$19.50 ,$12.68 ,$12.68 ,$19.50 ,$15.60 , N/A ,$15.45 ,$17.56 ,$17.56 , N/A ,$16.58 ,$14.43 , N/A , N/A , N/A ,$16.26 , N/A ,$16.11 ,$15.60 ,$17.55 ,$19.50 ,$16.58 , N/A ,$16.58 ,$16.58 ,$17.55 ,$17.55 ,$15.31 ,$16.11 , N/A ,$12.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403828,N/A,NABUMETONE (RELAFEN) TAB : 500MG,637,1 ,$4.10 ,$2.67 ,$2.67 ,$4.10 ,$3.28 , N/A ,$3.25 ,$3.69 ,$3.69 , N/A ,$3.49 ,$3.03 , N/A , N/A , N/A ,$3.42 , N/A ,$3.39 ,$3.28 ,$3.69 ,$4.10 ,$3.49 , N/A ,$3.49 ,$3.49 ,$3.69 ,$3.69 ,$3.22 ,$3.39 , N/A ,$2.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403830,N/A,RESERPINE/HYDROCHLOROTHIAZIDE TABLET:0.1,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403834,N/A,RIFAMPIN CAPSULE:300MG,637,1 ,$7.10 ,$4.62 ,$4.62 ,$7.10 ,$5.68 , N/A ,$5.63 ,$6.39 ,$6.39 , N/A ,$6.04 ,$5.25 , N/A , N/A , N/A ,$5.92 , N/A ,$5.86 ,$5.68 ,$6.39 ,$7.10 ,$6.04 , N/A ,$6.04 ,$6.04 ,$6.39 ,$6.39 ,$5.57 ,$5.86 , N/A ,$4.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403850,N/A,CHLORTHALIDONE (HYGROTON) TAB : 25MG,637,1 ,$4.31 ,$2.80 ,$2.80 ,$4.31 ,$3.45 , N/A ,$3.42 ,$3.88 ,$3.88 , N/A ,$3.66 ,$3.19 , N/A , N/A , N/A ,$3.59 , N/A ,$3.56 ,$3.45 ,$3.88 ,$4.31 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.88 ,$3.88 ,$3.38 ,$3.56 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403870,N/A,CELECOXIB CAP 200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403926,N/A,IMURAN TABLET : 50MG,637,1 ,$4.60 ,$2.99 ,$2.99 ,$4.60 ,$3.68 , N/A ,$3.65 ,$4.14 ,$4.14 , N/A ,$3.91 ,$3.40 , N/A , N/A , N/A ,$3.84 , N/A ,$3.80 ,$3.68 ,$4.14 ,$4.60 ,$3.91 , N/A ,$3.91 ,$3.91 ,$4.14 ,$4.14 ,$3.61 ,$3.80 , N/A ,$2.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403928,N/A,LODINE (ETODOLAC) CAPSULE : 300MG,637,1 ,$4.50 ,$2.93 ,$2.93 ,$4.50 ,$3.60 , N/A ,$3.57 ,$4.05 ,$4.05 , N/A ,$3.83 ,$3.33 , N/A , N/A , N/A ,$3.75 , N/A ,$3.72 ,$3.60 ,$4.05 ,$4.50 ,$3.83 , N/A ,$3.83 ,$3.83 ,$4.05 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403930,N/A,LOPROX TOPICAL CREAM :,637,1 ,$39.15 ,$25.45 ,$25.45 ,$39.15 ,$31.32 , N/A ,$31.02 ,$35.25 ,$35.25 , N/A ,$33.28 ,$28.97 , N/A , N/A , N/A ,$32.65 , N/A ,$32.34 ,$31.32 ,$35.24 ,$39.15 ,$33.28 , N/A ,$33.28 ,$33.28 ,$35.24 ,$35.24 ,$30.73 ,$32.34 , N/A ,$25.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403935,N/A,LOPERAMIDE TAB 2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403936,N/A,LOPERAMIDE (IMODIUM) LIQUID 1MG/5ML,637,1 ,$2.80 ,$1.82 ,$1.82 ,$2.80 ,$2.24 , N/A ,$2.22 ,$2.52 ,$2.52 , N/A ,$2.38 ,$2.07 , N/A , N/A , N/A ,$2.34 , N/A ,$2.31 ,$2.24 ,$2.52 ,$2.80 ,$2.38 , N/A ,$2.38 ,$2.38 ,$2.52 ,$2.52 ,$2.20 ,$2.31 , N/A ,$1.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403945,J1790,DROPERIDOL AMPUL:2.5MG/ML,636,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403950,N/A,PROPRANOLOL HCL AMPUL:1MG/ML,250,1 ,$58.50 ,$38.03 ,$38.03 ,$52.68 ,$46.80 , N/A ,$46.36 ,$52.68 ,$52.68 , N/A ,$49.73 ,$43.29 , N/A , N/A , N/A ,$48.79 , N/A ,$48.32 ,$46.80 ,$52.65 , N/A ,$49.73 , N/A ,$49.73 ,$49.73 ,$52.65 ,$52.65 ,$45.92 ,$48.32 , N/A ,$38.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403955,N/A,PROPRANOLOL ER (INDERAL LA) : 60MG,637,1 ,$7.37 ,$4.79 ,$4.79 ,$7.37 ,$5.90 , N/A ,$5.84 ,$6.64 ,$6.64 , N/A ,$6.26 ,$5.45 , N/A , N/A , N/A ,$6.15 , N/A ,$6.09 ,$5.90 ,$6.63 ,$7.37 ,$6.26 , N/A ,$6.26 ,$6.26 ,$6.63 ,$6.63 ,$5.79 ,$6.09 , N/A ,$4.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403960,N/A,PROPRANOLOL TAB 60MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403965,N/A,PROPRANOLOL TAB 80MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403980,N/A,PROPRANOLOL TABLET : 20MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403982,N/A,PROPRANOLOL TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3403983,N/A,INDERAL (PROPRANOLOL) TAB : 10MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403985,N/A,INDAPAMIDE (LOZOL) TAB : 2.5MG,637,1 ,$2.70 ,$1.76 ,$1.76 ,$2.70 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 ,$2.70 ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3403995,N/A,INDOMETHACIN ER CAPSULE : 75MG,637,1 ,$4.80 ,$3.12 ,$3.12 ,$4.80 ,$3.84 , N/A ,$3.80 ,$4.32 ,$4.32 , N/A ,$4.08 ,$3.55 , N/A , N/A , N/A ,$4.00 , N/A ,$3.96 ,$3.84 ,$4.32 ,$4.80 ,$4.08 , N/A ,$4.08 ,$4.08 ,$4.32 ,$4.32 ,$3.77 ,$3.96 , N/A ,$3.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404000,N/A,INDOMETHACIN CAP 25MG CORRUPTED,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404034,N/A,CROMOLYN SODIUM -10MG/ML,637,1 ,$3.15 ,$2.05 ,$2.05 ,$3.15 ,$2.52 , N/A ,$2.50 ,$2.84 ,$2.84 , N/A ,$2.68 ,$2.33 , N/A , N/A , N/A ,$2.63 , N/A ,$2.60 ,$2.52 ,$2.84 ,$3.15 ,$2.68 , N/A ,$2.68 ,$2.68 ,$2.84 ,$2.84 ,$2.47 ,$2.60 , N/A ,$2.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404036,N/A,CROMOLYN SODIUM SPRAY/PUMP:40MG/ML,637,1 ,$136.35 ,$88.63 ,$88.63 ,$136.35 ,$109.08 , N/A ,$108.04 ,$122.78 ,$122.78 , N/A ,$115.90 ,$100.90 , N/A , N/A , N/A ,$113.72 , N/A ,$112.63 ,$109.08 ,$122.72 ,$136.35 ,$115.90 , N/A ,$115.90 ,$115.90 ,$122.72 ,$122.72 ,$107.03 ,$112.63 , N/A ,$88.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404037,J3535,INTAL INHALER,637,1 ,$177.15 ,$115.15 ,$115.15 ,$177.15 ,$141.72 , N/A ,$140.37 ,$159.52 ,$159.52 , N/A ,$150.58 ,$131.09 , N/A , N/A , N/A ,$147.74 , N/A ,$146.33 ,$141.72 ,$159.44 ,$177.15 ,$150.58 , N/A ,$150.58 ,$150.58 ,$159.44 ,$159.44 ,$139.06 ,$146.33 , N/A ,$115.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404065,N/A,IPECAC SYRUP,637,1 ,$6.35 ,$4.13 ,$4.13 ,$6.35 ,$5.08 , N/A ,$5.03 ,$5.72 ,$5.72 , N/A ,$5.40 ,$4.70 , N/A , N/A , N/A ,$5.30 , N/A ,$5.25 ,$5.08 ,$5.72 ,$6.35 ,$5.40 , N/A ,$5.40 ,$5.40 ,$5.72 ,$5.72 ,$4.98 ,$5.25 , N/A ,$4.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404105,N/A,ISONIAZID TABLET : 100MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404135,N/A,ISOPROTERENOL HCL AMPUL:0.2MG/ML,250,1 ,$79.40 ,$51.61 ,$51.61 ,$71.50 ,$63.52 , N/A ,$62.92 ,$71.50 ,$71.50 , N/A ,$67.49 ,$58.76 , N/A , N/A , N/A ,$66.22 , N/A ,$65.58 ,$63.52 ,$71.46 , N/A ,$67.49 , N/A ,$67.49 ,$67.49 ,$71.46 ,$71.46 ,$62.33 ,$65.58 , N/A ,$51.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404140,N/A,VERAPAMIL HCL VIAL : 5MG/2ML,250,1 ,$126.11 ,$81.97 ,$81.97 ,$113.56 ,$100.89 , N/A ,$99.93 ,$113.56 ,$113.56 , N/A ,$107.19 ,$93.32 , N/A , N/A , N/A ,$105.18 , N/A ,$104.17 ,$100.89 ,$113.50 , N/A ,$107.19 , N/A ,$107.19 ,$107.19 ,$113.50 ,$113.50 ,$99.00 ,$104.17 , N/A ,$81.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404150,N/A,VERAPAMIL HCL TAB : 80MG,637,1 ,$2.04 ,$1.33 ,$1.33 ,$2.04 ,$1.63 , N/A ,$1.62 ,$1.84 ,$1.84 , N/A ,$1.73 ,$1.51 , N/A , N/A , N/A ,$1.70 , N/A ,$1.69 ,$1.63 ,$1.84 ,$2.04 ,$1.73 , N/A ,$1.73 ,$1.73 ,$1.84 ,$1.84 ,$1.60 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404156,N/A,VERAPAMIL ER (CALAN SR) TAB : 240MG,637,1 ,$5.15 ,$3.35 ,$3.35 ,$5.15 ,$4.12 , N/A ,$4.08 ,$4.64 ,$4.64 , N/A ,$4.38 ,$3.81 , N/A , N/A , N/A ,$4.30 , N/A ,$4.25 ,$4.12 ,$4.64 ,$5.15 ,$4.38 , N/A ,$4.38 ,$4.38 ,$4.64 ,$4.64 ,$4.04 ,$4.25 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404160,N/A,VERSED (EMT) : 5MG/ML,250,1 ,$41.60 ,$27.04 ,$27.04 ,$37.46 ,$33.28 , N/A ,$32.96 ,$37.46 ,$37.46 , N/A ,$35.36 ,$30.78 , N/A , N/A , N/A ,$34.69 , N/A ,$34.36 ,$33.28 ,$37.44 , N/A ,$35.36 , N/A ,$35.36 ,$35.36 ,$37.44 ,$37.44 ,$32.66 ,$34.36 , N/A ,$27.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404161,N/A,VERSED (MIDAZOLAM) VIAL 5MG : 1MG/ML,250,1 ,$41.60 ,$27.04 ,$27.04 ,$37.46 ,$33.28 , N/A ,$32.96 ,$37.46 ,$37.46 , N/A ,$35.36 ,$30.78 , N/A , N/A , N/A ,$34.69 , N/A ,$34.36 ,$33.28 ,$37.44 , N/A ,$35.36 , N/A ,$35.36 ,$35.36 ,$37.44 ,$37.44 ,$32.66 ,$34.36 , N/A ,$27.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404191,N/A,ISOXSUPRINE HCL TABLET:10MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404192,N/A,ISOPTO HYOSCINE 0.25% EYE DROPS,637,1 ,$72.60 ,$47.19 ,$47.19 ,$72.60 ,$58.08 , N/A ,$57.53 ,$65.38 ,$65.38 , N/A ,$61.71 ,$53.72 , N/A , N/A , N/A ,$60.55 , N/A ,$59.97 ,$58.08 ,$65.34 ,$72.60 ,$61.71 , N/A ,$61.71 ,$61.71 ,$65.34 ,$65.34 ,$56.99 ,$59.97 , N/A ,$47.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404215,N/A,ISORDIL (ISOSORBIDE DINITRATE) : 20MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404220,N/A,ISORDIL (ISOSORBIDE DINITRATE) : 10MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404225,N/A,ISORDIL (ISOSORBIDE DINITRATE) : 5MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404255,N/A,POTASSIUM GLUCONATE 595MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404266,N/A,KANTREX VIAL : 1GM,637,1 ,$21.85 ,$14.20 ,$14.20 ,$21.85 ,$17.48 , N/A ,$17.31 ,$19.68 ,$19.68 , N/A ,$18.57 ,$16.17 , N/A , N/A , N/A ,$18.22 , N/A ,$18.05 ,$17.48 ,$19.67 ,$21.85 ,$18.57 , N/A ,$18.57 ,$18.57 ,$19.67 ,$19.67 ,$17.15 ,$18.05 , N/A ,$14.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404268,N/A,JEVITY : NO PATIENT CHARGE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404272,N/A,STREPTOKINASE VIAL:750MU,250,1 ,$490.55 ,$318.86 ,$318.86 ,$441.74 ,$392.44 , N/A ,$388.71 ,$441.74 ,$441.74 , N/A ,$416.97 ,$363.01 , N/A , N/A , N/A ,$409.12 , N/A ,$405.19 ,$392.44 ,$441.50 , N/A ,$416.97 , N/A ,$416.97 ,$416.97 ,$441.50 ,$441.50 ,$385.08 ,$405.19 , N/A ,$318.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404275,N/A,POTASSIUM GLUCONATE ELIXIR:20MEQ/15ML,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404310,N/A,CEPHALEXIN MH SUSP RECON:250MG/5ML,637,1 ,$44.45 ,$28.89 ,$28.89 ,$44.45 ,$35.56 , N/A ,$35.22 ,$40.03 ,$40.03 , N/A ,$37.78 ,$32.89 , N/A , N/A , N/A ,$37.07 , N/A ,$36.72 ,$35.56 ,$40.01 ,$44.45 ,$37.78 , N/A ,$37.78 ,$37.78 ,$40.01 ,$40.01 ,$34.89 ,$36.72 , N/A ,$28.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404330,N/A,CEPHALEXIN (KEFLEX) CAPSULE : 500MG,637,1 ,$5.45 ,$3.54 ,$3.54 ,$5.45 ,$4.36 , N/A ,$4.32 ,$4.91 ,$4.91 , N/A ,$4.63 ,$4.03 , N/A , N/A , N/A ,$4.55 , N/A ,$4.50 ,$4.36 ,$4.91 ,$5.45 ,$4.63 , N/A ,$4.63 ,$4.63 ,$4.91 ,$4.91 ,$4.28 ,$4.50 , N/A ,$3.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404335,N/A,CEPHALEXIN (KEFLEX) CAP : 250MG,637,1 ,$1.59 ,$1.03 ,$1.03 ,$1.59 ,$1.27 , N/A ,$1.26 ,$1.43 ,$1.43 , N/A ,$1.35 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.31 ,$1.27 ,$1.43 ,$1.59 ,$1.35 , N/A ,$1.35 ,$1.35 ,$1.43 ,$1.43 ,$1.25 ,$1.31 , N/A ,$1.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404395,N/A,TRIAMCINOLONE ACETONIDE DENTAL PASTE,637,1 ,$249.48 ,$162.16 ,$162.16 ,$249.48 ,$199.58 , N/A ,$197.69 ,$224.66 ,$224.66 , N/A ,$212.06 ,$184.62 , N/A , N/A , N/A ,$208.07 , N/A ,$206.07 ,$199.58 ,$224.53 ,$249.48 ,$212.06 , N/A ,$212.06 ,$212.06 ,$224.53 ,$224.53 ,$195.84 ,$206.07 , N/A ,$162.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404402,N/A,CEFUROXIME (ZINACEF) VIAL : 750MG,250,1 ,$21.35 ,$13.88 ,$13.88 ,$19.23 ,$17.08 , N/A ,$16.92 ,$19.23 ,$19.23 , N/A ,$18.15 ,$15.80 , N/A , N/A , N/A ,$17.81 , N/A ,$17.64 ,$17.08 ,$19.22 , N/A ,$18.15 , N/A ,$18.15 ,$18.15 ,$19.22 ,$19.22 ,$16.76 ,$17.64 , N/A ,$13.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404405,N/A,KENALOG (TRIAMCINOLONE) VIAL:40MG/ML,637,1 ,$16.80 ,$10.92 ,$10.92 ,$16.80 ,$13.44 , N/A ,$13.31 ,$15.13 ,$15.13 , N/A ,$14.28 ,$12.43 , N/A , N/A , N/A ,$14.01 , N/A ,$13.88 ,$13.44 ,$15.12 ,$16.80 ,$14.28 , N/A ,$14.28 ,$14.28 ,$15.12 ,$15.12 ,$13.19 ,$13.88 , N/A ,$10.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404408,N/A,DICLOXACILLIN SODIUM CAPSULE:250MG,637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404420,N/A,KETAMINE 100MG/ML VIAL,637,1 ,$35.72 ,$23.22 ,$23.22 ,$35.72 ,$28.58 , N/A ,$28.30 ,$32.17 ,$32.17 , N/A ,$30.36 ,$26.43 , N/A , N/A , N/A ,$29.79 , N/A ,$29.50 ,$28.58 ,$32.15 ,$35.72 ,$30.36 , N/A ,$30.36 ,$30.36 ,$32.15 ,$32.15 ,$28.04 ,$29.50 , N/A ,$23.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404423,N/A,KETAMINE 50MG/ML VIAL,637,1 ,$15.59 ,$10.13 ,$10.13 ,$15.59 ,$12.47 , N/A ,$12.35 ,$14.04 ,$14.04 , N/A ,$13.25 ,$11.54 , N/A , N/A , N/A ,$13.00 , N/A ,$12.88 ,$12.47 ,$14.03 ,$15.59 ,$13.25 , N/A ,$13.25 ,$13.25 ,$14.03 ,$14.03 ,$12.24 ,$12.88 , N/A ,$10.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404425,N/A,KETOCONAZOLE (NIZORAL) TAB : 200MG,637,1 ,$9.95 ,$6.47 ,$6.47 ,$9.95 ,$7.96 , N/A ,$7.88 ,$8.96 ,$8.96 , N/A ,$8.46 ,$7.36 , N/A , N/A , N/A ,$8.30 , N/A ,$8.22 ,$7.96 ,$8.96 ,$9.95 ,$8.46 , N/A ,$8.46 ,$8.46 ,$8.96 ,$8.96 ,$7.81 ,$8.22 , N/A ,$6.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404426,N/A,KETOCONAZOLE CREAM (NIZORAL) 2% : 15GM,637,1 ,$58.74 ,$38.18 ,$38.18 ,$58.74 ,$46.99 , N/A ,$46.55 ,$52.90 ,$52.90 , N/A ,$49.93 ,$43.47 , N/A , N/A , N/A ,$48.99 , N/A ,$48.52 ,$46.99 ,$52.87 ,$58.74 ,$49.93 , N/A ,$49.93 ,$49.93 ,$52.87 ,$52.87 ,$46.11 ,$48.52 , N/A ,$38.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404439,N/A,POTASSIUM CHLORIDE : 20MEQ/15ML (ORAL),637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404446,N/A,TORADOL DISP SYRINGE : 30MG,637,1 ,$32.65 ,$21.22 ,$21.22 ,$32.65 ,$26.12 , N/A ,$25.87 ,$29.40 ,$29.40 , N/A ,$27.75 ,$24.16 , N/A , N/A , N/A ,$27.23 , N/A ,$26.97 ,$26.12 ,$29.39 ,$32.65 ,$27.75 , N/A ,$27.75 ,$27.75 ,$29.39 ,$29.39 ,$25.63 ,$26.97 , N/A ,$21.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404447,N/A,TORADOL DISP SYRINGE : 60MG,637,1 ,$23.45 ,$15.24 ,$15.24 ,$23.45 ,$18.76 , N/A ,$18.58 ,$21.12 ,$21.12 , N/A ,$19.93 ,$17.35 , N/A , N/A , N/A ,$19.56 , N/A ,$19.37 ,$18.76 ,$21.11 ,$23.45 ,$19.93 , N/A ,$19.93 ,$19.93 ,$21.11 ,$21.11 ,$18.41 ,$19.37 , N/A ,$15.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404450,N/A,LINDANE SHAMPOO,637,1 ,$97.35 ,$63.28 ,$63.28 ,$97.35 ,$77.88 , N/A ,$77.14 ,$87.66 ,$87.66 , N/A ,$82.75 ,$72.04 , N/A , N/A , N/A ,$81.19 , N/A ,$80.41 ,$77.88 ,$87.62 ,$97.35 ,$82.75 , N/A ,$82.75 ,$82.75 ,$87.62 ,$87.62 ,$76.42 ,$80.41 , N/A ,$63.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404455,N/A,LINDANE LOTION,637,1 ,$97.35 ,$63.28 ,$63.28 ,$97.35 ,$77.88 , N/A ,$77.14 ,$87.66 ,$87.66 , N/A ,$82.75 ,$72.04 , N/A , N/A , N/A ,$81.19 , N/A ,$80.41 ,$77.88 ,$87.62 ,$97.35 ,$82.75 , N/A ,$82.75 ,$82.75 ,$87.62 ,$87.62 ,$76.42 ,$80.41 , N/A ,$63.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404460,N/A,REFRESH LACRI-LUBE EYE OINTMENT : 7GM,637,1 ,$55.45 ,$36.04 ,$36.04 ,$55.45 ,$44.36 , N/A ,$43.94 ,$49.93 ,$49.93 , N/A ,$47.13 ,$41.03 , N/A , N/A , N/A ,$46.25 , N/A ,$45.80 ,$44.36 ,$49.91 ,$55.45 ,$47.13 , N/A ,$47.13 ,$47.13 ,$49.91 ,$49.91 ,$43.53 ,$45.80 , N/A ,$36.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404475,J1160,DIGOXIN (LAnoxIN) IVP : 0.5MG/2ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404490,N/A,LAnoxIN (DIGOXIN) ELIXIR : 0.05MG/ML,637,1 ,$118.20 ,$76.83 ,$76.83 ,$118.20 ,$94.56 , N/A ,$93.66 ,$106.44 ,$106.44 , N/A ,$100.47 ,$87.47 , N/A , N/A , N/A ,$98.58 , N/A ,$97.63 ,$94.56 ,$106.38 ,$118.20 ,$100.47 , N/A ,$100.47 ,$100.47 ,$106.38 ,$106.38 ,$92.79 ,$97.63 , N/A ,$76.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404491,J1162,DIGIBIND VIAL,636,1 ,$818.10 ,$531.77 ,$531.77 ,"$10,320.48 ",$654.48 ,"$4,128.19 ",$648.26 ,$736.70 ,$736.70 ,"$7,843.56 ",$695.39 ,$605.39 ,"$10,320.48 ","$4,128.19 ", N/A ,$682.30 ,"$4,128.19 ",$675.75 ,$654.48 ,$736.29 ,$818.10 ,$695.39 ,$818.10 ,$695.39 ,$695.39 ,$736.29 ,$736.29 ,$642.21 ,$675.75 ,$818.10 ,$531.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404492,N/A,LANOXICAPS (DIGOXIN) : 0.1MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404495,N/A,DIGOXIN (LAnoxIN) TABLET : 0.125MG,637,1 ,$6.01 ,$3.91 ,$3.91 ,$6.01 ,$4.81 , N/A ,$4.76 ,$5.41 ,$5.41 , N/A ,$5.11 ,$4.45 , N/A , N/A , N/A ,$5.01 , N/A ,$4.96 ,$4.81 ,$5.41 ,$6.01 ,$5.11 , N/A ,$5.11 ,$5.11 ,$5.41 ,$5.41 ,$4.72 ,$4.96 , N/A ,$3.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404500,N/A,DIGOXIN 0.25MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404535,N/A,FUROSEMIDE (LASix) ORAL SOLN:10MG/ML,637,1 ,$32.75 ,$21.29 ,$21.29 ,$32.75 ,$26.20 , N/A ,$25.95 ,$29.49 ,$29.49 , N/A ,$27.84 ,$24.24 , N/A , N/A , N/A ,$27.31 , N/A ,$27.05 ,$26.20 ,$29.48 ,$32.75 ,$27.84 , N/A ,$27.84 ,$27.84 ,$29.48 ,$29.48 ,$25.71 ,$27.05 , N/A ,$21.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404550,N/A,LASIX (FUROSEMIDE) TAB : 20MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404555,N/A,FUROSEMIDE (LASix) 80MG TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404556,N/A,FUROSEMIDE (LASIX) VIAL : 20MG,637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404557,N/A,FUROSEMIDE (LASIX) VIAL : 40MG,637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404558,N/A,FUROSEMIDE (LASIX) VIAL : 100MG,637,1 ,$7.25 ,$4.71 ,$4.71 ,$7.25 ,$5.80 , N/A ,$5.74 ,$6.53 ,$6.53 , N/A ,$6.16 ,$5.37 , N/A , N/A , N/A ,$6.05 , N/A ,$5.99 ,$5.80 ,$6.53 ,$7.25 ,$6.16 , N/A ,$6.16 ,$6.16 ,$6.53 ,$6.53 ,$5.69 ,$5.99 , N/A ,$4.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404560,N/A,LASIX (FUROSEMIDE) TAB : 40MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404570,N/A,NASACORT,637,1 ,$137.50 ,$89.38 ,$89.38 ,$137.50 ,$110.00 , N/A ,$108.96 ,$123.82 ,$123.82 , N/A ,$116.88 ,$101.75 , N/A , N/A , N/A ,$114.68 , N/A ,$113.58 ,$110.00 ,$123.75 ,$137.50 ,$116.88 , N/A ,$116.88 ,$116.88 ,$123.75 ,$123.75 ,$107.94 ,$113.58 , N/A ,$89.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404575,N/A,NOREPINEPHRINE BITARTRATE AMPUL:1MG/ML,250,1 ,$74.45 ,$48.39 ,$48.39 ,$67.04 ,$59.56 , N/A ,$58.99 ,$67.04 ,$67.04 , N/A ,$63.28 ,$55.09 , N/A , N/A , N/A ,$62.09 , N/A ,$61.50 ,$59.56 ,$67.01 , N/A ,$63.28 , N/A ,$63.28 ,$63.28 ,$67.01 ,$67.01 ,$58.44 ,$61.50 , N/A ,$48.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404576,N/A,HYOSCYAMINE SULFATE TABLET:0.125MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404577,N/A,HYPOTEARS EYE DROPS,637,1 ,$26.10 ,$16.97 ,$16.97 ,$26.10 ,$20.88 , N/A ,$20.68 ,$23.50 ,$23.50 , N/A ,$22.19 ,$19.31 , N/A , N/A , N/A ,$21.77 , N/A ,$21.56 ,$20.88 ,$23.49 ,$26.10 ,$22.19 , N/A ,$22.19 ,$22.19 ,$23.49 ,$23.49 ,$20.49 ,$21.56 , N/A ,$16.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404585,N/A,LIBRAX (CHLORDIAZEPOXIDE/CLIDINIUM)5-2.5,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404595,N/A,CHLORDIAZEPOXIDE (LIBRIUM) : 5MG,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404600,N/A,CHLORDIAZEPOXIDE CAP 10MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404601,N/A,CHLORDIAZEPOXIDE (LIBRIUM) : 25MG,637,1 ,$2.38 ,$1.55 ,$1.55 ,$2.38 ,$1.90 , N/A ,$1.89 ,$2.14 ,$2.14 , N/A ,$2.02 ,$1.76 , N/A , N/A , N/A ,$1.98 , N/A ,$1.97 ,$1.90 ,$2.14 ,$2.38 ,$2.02 , N/A ,$2.02 ,$2.02 ,$2.14 ,$2.14 ,$1.87 ,$1.97 , N/A ,$1.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404620,N/A,FLUOCINONIDE 0.05% CREAM PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404632,N/A,LIDOCAINE 1% (10MG/ML) 50ML MDV,250,1 ,$9.47 ,$6.16 ,$6.16 ,$8.53 ,$7.58 , N/A ,$7.50 ,$8.53 ,$8.53 , N/A ,$8.05 ,$7.01 , N/A , N/A , N/A ,$7.90 , N/A ,$7.82 ,$7.58 ,$8.52 , N/A ,$8.05 , N/A ,$8.05 ,$8.05 ,$8.52 ,$8.52 ,$7.43 ,$7.82 , N/A ,$6.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404633,N/A,LIDOCAINE 1% (10MG/ML) PF - 5ML VIAL,250,1 ,$10.54 ,$6.85 ,$6.85 ,$9.49 ,$8.43 , N/A ,$8.35 ,$9.49 ,$9.49 , N/A ,$8.96 ,$7.80 , N/A , N/A , N/A ,$8.79 , N/A ,$8.71 ,$8.43 ,$9.49 , N/A ,$8.96 , N/A ,$8.96 ,$8.96 ,$9.49 ,$9.49 ,$8.27 ,$8.71 , N/A ,$6.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404634,N/A,LIDOCAINE 2% (20MG/ML) MDV,250,1 ,$6.80 ,$4.42 ,$4.42 ,$6.12 ,$5.44 , N/A ,$5.39 ,$6.12 ,$6.12 , N/A ,$5.78 ,$5.03 , N/A , N/A , N/A ,$5.67 , N/A ,$5.62 ,$5.44 ,$6.12 , N/A ,$5.78 , N/A ,$5.78 ,$5.78 ,$6.12 ,$6.12 ,$5.34 ,$5.62 , N/A ,$4.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404635,N/A,"CHLOROPROCAINE 2% (20MG/ML), 20ML VIAL",250,1 ,$70.93 ,$46.10 ,$46.10 ,$63.87 ,$56.74 , N/A ,$56.20 ,$63.87 ,$63.87 , N/A ,$60.29 ,$52.49 , N/A , N/A , N/A ,$59.16 , N/A ,$58.59 ,$56.74 ,$63.84 , N/A ,$60.29 , N/A ,$60.29 ,$60.29 ,$63.84 ,$63.84 ,$55.68 ,$58.59 , N/A ,$46.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404636,N/A,"BACITRACIN ZINC OINTMENT, 30gm tube",637,1 ,$12.39 ,$8.05 ,$8.05 ,$12.39 ,$9.91 , N/A ,$9.82 ,$11.16 ,$11.16 , N/A ,$10.53 ,$9.17 , N/A , N/A , N/A ,$10.33 , N/A ,$10.23 ,$9.91 ,$11.15 ,$12.39 ,$10.53 , N/A ,$10.53 ,$10.53 ,$11.15 ,$11.15 ,$9.73 ,$10.23 , N/A ,$8.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404637,N/A,OSELTAMIVIR (TAMIFLU) 30mg CAPSULE,637,1 ,$55.23 ,$35.90 ,$35.90 ,$55.23 ,$44.18 , N/A ,$43.76 ,$49.73 ,$49.73 , N/A ,$46.95 ,$40.87 , N/A , N/A , N/A ,$46.06 , N/A ,$45.62 ,$44.18 ,$49.71 ,$55.23 ,$46.95 , N/A ,$46.95 ,$46.95 ,$49.71 ,$49.71 ,$43.36 ,$45.62 , N/A ,$35.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404638,N/A,FLUVOXAMINE (LUVOX) 50MG TABLET,637,1 ,$9.20 ,$5.98 ,$5.98 ,$9.20 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 ,$9.20 ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404639,N/A,AMOXICILLIN 500/CLAVULANATE 125 ADULT,637,1 ,$13.51 ,$8.78 ,$8.78 ,$13.51 ,$10.81 , N/A ,$10.71 ,$12.17 ,$12.17 , N/A ,$11.48 ,$10.00 , N/A , N/A , N/A ,$11.27 , N/A ,$11.16 ,$10.81 ,$12.16 ,$13.51 ,$11.48 , N/A ,$11.48 ,$11.48 ,$12.16 ,$12.16 ,$10.61 ,$11.16 , N/A ,$8.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404640,N/A,AUGMENTIN (AMOX/CLAV) 200MG/28.5 PER 5mL,637,1 ,$11.06 ,$7.19 ,$7.19 ,$11.06 ,$8.85 , N/A ,$8.76 ,$9.96 ,$9.96 , N/A ,$9.40 ,$8.18 , N/A , N/A , N/A ,$9.22 , N/A ,$9.14 ,$8.85 ,$9.95 ,$11.06 ,$9.40 , N/A ,$9.40 ,$9.40 ,$9.95 ,$9.95 ,$8.68 ,$9.14 , N/A ,$7.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404641,N/A,TRANEXAMIC ACID 1000MG VIAL,636,1 ,$131.60 ,$85.54 ,$85.54 ,$118.51 ,$105.28 , N/A ,$104.28 ,$118.51 ,$118.51 , N/A ,$111.86 ,$97.38 , N/A , N/A , N/A ,$109.75 , N/A ,$108.70 ,$105.28 ,$118.44 , N/A ,$111.86 , N/A ,$111.86 ,$111.86 ,$118.44 ,$118.44 ,$103.31 ,$108.70 , N/A ,$85.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404642,N/A,TRANEXAMIC ACID 1000MG/ 100ML NS IVPB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404643,N/A,CALCIUM GLUCONATE 1000MG/ 100ML NS IVPB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404644,S0077,CLINDAMYCIN 600MG/50ML IVPB (PREMIX),637,1 ,$45.79 ,$29.76 ,$29.76 ,$45.79 ,$36.63 , N/A ,$36.28 ,$41.23 ,$41.23 , N/A ,$38.92 ,$33.88 , N/A , N/A , N/A ,$38.19 , N/A ,$37.82 ,$36.63 ,$41.21 ,$45.79 ,$38.92 , N/A ,$38.92 ,$38.92 ,$41.21 ,$41.21 ,$35.95 ,$37.82 , N/A ,$29.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404645,N/A,DULOXETINE (CYMBALTA) 20MG CAPSULE,637,1 ,$3.00 ,$1.95 ,$1.95 ,$3.00 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 ,$3.00 ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404646,N/A,SODIUM CHLORIDE 3% (NEB) 4ML INHALATION,637,1 ,$1.43 ,$0.93 ,$0.93 ,$1.43 ,$1.14 , N/A ,$1.13 ,$1.29 ,$1.29 , N/A ,$1.22 ,$1.06 , N/A , N/A , N/A ,$1.19 , N/A ,$1.18 ,$1.14 ,$1.29 ,$1.43 ,$1.22 , N/A ,$1.22 ,$1.22 ,$1.29 ,$1.29 ,$1.12 ,$1.18 , N/A ,$0.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404647,N/A,PHOSPHA 250 NEUTRAL,637,1 ,$5.71 ,$3.71 ,$3.71 ,$5.71 ,$4.57 , N/A ,$4.52 ,$5.14 ,$5.14 , N/A ,$4.85 ,$4.23 , N/A , N/A , N/A ,$4.76 , N/A ,$4.72 ,$4.57 ,$5.14 ,$5.71 ,$4.85 , N/A ,$4.85 ,$4.85 ,$5.14 ,$5.14 ,$4.48 ,$4.72 , N/A ,$3.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404648,J0696,CEFTRIAXONE (ROCEPHIN) 2 GM VIAL,636,1 ,$12.21 ,$7.94 ,$7.94 ,$11.00 ,$9.77 , N/A ,$9.68 ,$11.00 ,$11.00 , N/A ,$10.38 ,$9.04 , N/A , N/A , N/A ,$10.18 , N/A ,$10.09 ,$9.77 ,$10.99 , N/A ,$10.38 , N/A ,$10.38 ,$10.38 ,$10.99 ,$10.99 ,$9.58 ,$10.09 , N/A ,$7.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404649,J0132,ACETYLCYSTEINE (ACETADOTE) 6GM/30ML VIAL,636,1 ,$642.98 ,$417.94 ,$417.94 ,$579.00 ,$514.38 , N/A ,$509.50 ,$579.00 ,$579.00 , N/A ,$546.53 ,$475.81 , N/A , N/A , N/A ,$536.25 , N/A ,$531.10 ,$514.38 ,$578.68 , N/A ,$546.53 , N/A ,$546.53 ,$546.53 ,$578.68 ,$578.68 ,$504.74 ,$531.10 , N/A ,$417.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404650,J0132,ACETYLCYSTEINE (ACETADOTE) IV BAG#1,636,1 ,$642.98 ,$417.94 ,$417.94 ,$579.00 ,$514.38 , N/A ,$509.50 ,$579.00 ,$579.00 , N/A ,$546.53 ,$475.81 , N/A , N/A , N/A ,$536.25 , N/A ,$531.10 ,$514.38 ,$578.68 , N/A ,$546.53 , N/A ,$546.53 ,$546.53 ,$578.68 ,$578.68 ,$504.74 ,$531.10 , N/A ,$417.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404651,N/A,LIDOCAINE (VISCOUS) SOLUTION 2%,637,1 ,$47.18 ,$30.67 ,$30.67 ,$47.18 ,$37.74 , N/A ,$37.39 ,$42.49 ,$42.49 , N/A ,$40.10 ,$34.91 , N/A , N/A , N/A ,$39.35 , N/A ,$38.97 ,$37.74 ,$42.46 ,$47.18 ,$40.10 , N/A ,$40.10 ,$40.10 ,$42.46 ,$42.46 ,$37.04 ,$38.97 , N/A ,$30.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404652,J2704,PROPOFOL 500mg/50ml (FOR IV INFUSION),636,1 ,$25.71 ,$16.71 ,$16.71 ,$23.15 ,$20.57 , N/A ,$20.37 ,$23.15 ,$23.15 , N/A ,$21.85 ,$19.03 , N/A , N/A , N/A ,$21.44 , N/A ,$21.24 ,$20.57 ,$23.14 , N/A ,$21.85 , N/A ,$21.85 ,$21.85 ,$23.14 ,$23.14 ,$20.18 ,$21.24 , N/A ,$16.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404653,S0077,CLINDAMYCIN 900MG/50ML IVPB (PREMIX),637,1 ,$45.79 ,$29.76 ,$29.76 ,$45.79 ,$36.63 , N/A ,$36.28 ,$41.23 ,$41.23 , N/A ,$38.92 ,$33.88 , N/A , N/A , N/A ,$38.19 , N/A ,$37.82 ,$36.63 ,$41.21 ,$45.79 ,$38.92 , N/A ,$38.92 ,$38.92 ,$41.21 ,$41.21 ,$35.95 ,$37.82 , N/A ,$29.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404654,N/A,LIDOCAINE 2% TOPICAL JELLY 2% : 5ML,637,1 ,$27.84 ,$18.10 ,$18.10 ,$27.84 ,$22.27 , N/A ,$22.06 ,$25.07 ,$25.07 , N/A ,$23.66 ,$20.60 , N/A , N/A , N/A ,$23.22 , N/A ,$23.00 ,$22.27 ,$25.06 ,$27.84 ,$23.66 , N/A ,$23.66 ,$23.66 ,$25.06 ,$25.06 ,$21.85 ,$23.00 , N/A ,$18.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404656,N/A,LIDOCAINE HCL/GLUCOSE AMPUL:50MG/ML,250,1 ,$31.95 ,$20.77 ,$20.77 ,$28.77 ,$25.56 , N/A ,$25.32 ,$28.77 ,$28.77 , N/A ,$27.16 ,$23.64 , N/A , N/A , N/A ,$26.65 , N/A ,$26.39 ,$25.56 ,$28.76 , N/A ,$27.16 , N/A ,$27.16 ,$27.16 ,$28.76 ,$28.76 ,$25.08 ,$26.39 , N/A ,$20.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404657,Q5104,RENFLEXIS 100MG VIAL,636,1 ,"$3,229.43 ","$2,099.13 ",$39.56 ,"$2,908.10 ","$2,583.54 ",$39.56 ,"$2,559.00 ","$2,908.10 ","$2,908.10 ",$75.16 ,"$2,745.02 ","$2,389.78 ",$98.89 ,$39.56 , N/A ,"$2,693.34 ",$39.56 ,"$2,667.51 ","$2,583.54 ","$2,906.49 ",$98.89 ,"$2,745.02 ",$39.56 ,"$2,745.02 ","$2,745.02 ","$2,906.49 ","$2,906.49 ","$2,535.10 ","$2,667.51 ",$39.56 ,"$2,099.13 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3404658,N/A,RENFLEXIS IVPB/ NS 250ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404659,J0360,HYDRALAZINE 20MG/ML IV PUSH,250,1 ,$56.09 ,$36.46 ,$36.46 ,$50.51 ,$44.87 , N/A ,$44.45 ,$50.51 ,$50.51 , N/A ,$47.68 ,$41.51 , N/A , N/A , N/A ,$46.78 , N/A ,$46.33 ,$44.87 ,$50.48 , N/A ,$47.68 , N/A ,$47.68 ,$47.68 ,$50.48 ,$50.48 ,$44.03 ,$46.33 , N/A ,$36.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404660,N/A,AMITRIPTYLINE 75MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404661,N/A,AZELASTINE 0.05% OPHTH SOLN : 6ML,637,1 ,$118.02 ,$76.71 ,$76.71 ,$118.02 ,$94.42 , N/A ,$93.52 ,$106.28 ,$106.28 , N/A ,$100.32 ,$87.33 , N/A , N/A , N/A ,$98.43 , N/A ,$97.48 ,$94.42 ,$106.22 ,$118.02 ,$100.32 , N/A ,$100.32 ,$100.32 ,$106.22 ,$106.22 ,$92.65 ,$97.48 , N/A ,$76.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404662,N/A,ENTRESTO (SACUBITRIL/VALSARTAN) 24/26 MG,637,1 ,$36.37 ,$23.64 ,$23.64 ,$36.37 ,$29.10 , N/A ,$28.82 ,$32.75 ,$32.75 , N/A ,$30.91 ,$26.91 , N/A , N/A , N/A ,$30.33 , N/A ,$30.04 ,$29.10 ,$32.73 ,$36.37 ,$30.91 , N/A ,$30.91 ,$30.91 ,$32.73 ,$32.73 ,$28.55 ,$30.04 , N/A ,$23.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404663,S0073,AZTREONAM 1 GM VIAL,636,1 ,$141.24 ,$91.81 ,$91.81 ,$127.19 ,$112.99 , N/A ,$111.92 ,$127.19 ,$127.19 , N/A ,$120.05 ,$104.52 , N/A , N/A , N/A ,$117.79 , N/A ,$116.66 ,$112.99 ,$127.12 , N/A ,$120.05 , N/A ,$120.05 ,$120.05 ,$127.12 ,$127.12 ,$110.87 ,$116.66 , N/A ,$91.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404664,S0073,AZTREONAM 2 GM VIAL,636,1 ,$286.99 ,$186.54 ,$186.54 ,$258.43 ,$229.59 , N/A ,$227.41 ,$258.43 ,$258.43 , N/A ,$243.94 ,$212.37 , N/A , N/A , N/A ,$239.35 , N/A ,$237.05 ,$229.59 ,$258.29 , N/A ,$243.94 , N/A ,$243.94 ,$243.94 ,$258.29 ,$258.29 ,$225.29 ,$237.05 , N/A ,$186.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404665,S0073,AZTREONAM 1gm/ NS 100ml IVPB,636,1 ,$141.24 ,$91.81 ,$91.81 ,$127.19 ,$112.99 , N/A ,$111.92 ,$127.19 ,$127.19 , N/A ,$120.05 ,$104.52 , N/A , N/A , N/A ,$117.79 , N/A ,$116.66 ,$112.99 ,$127.12 , N/A ,$120.05 , N/A ,$120.05 ,$120.05 ,$127.12 ,$127.12 ,$110.87 ,$116.66 , N/A ,$91.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404666,S0073,AZTREONAM 2gm/100ml NS IVPB,636,1 ,$286.99 ,$186.54 ,$186.54 ,$258.43 ,$229.59 , N/A ,$227.41 ,$258.43 ,$258.43 , N/A ,$243.94 ,$212.37 , N/A , N/A , N/A ,$239.35 , N/A ,$237.05 ,$229.59 ,$258.29 , N/A ,$243.94 , N/A ,$243.94 ,$243.94 ,$258.29 ,$258.29 ,$225.29 ,$237.05 , N/A ,$186.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404667,P9047,ALBUMIN 25% (12.5G IN 50ML),636,1 ,$246.05 ,$159.93 ,$52.45 ,$221.57 ,$196.84 ,$52.45 ,$194.97 ,$221.57 ,$221.57 ,$99.66 ,$209.14 ,$182.08 ,$131.13 ,$52.45 , N/A ,$205.21 ,$52.45 ,$203.24 ,$196.84 ,$221.45 ,$131.13 ,$209.14 ,$52.45 ,$209.14 ,$209.14 ,$221.45 ,$221.45 ,$193.15 ,$203.24 ,$52.45 ,$159.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404668,P9047,ALBUMIN 25% (25G IN 100ML),636,1 ,$492.09 ,$319.86 ,$52.45 ,$443.13 ,$393.67 ,$52.45 ,$389.93 ,$443.13 ,$443.13 ,$99.66 ,$418.28 ,$364.15 ,$131.13 ,$52.45 , N/A ,$410.40 ,$52.45 ,$406.47 ,$393.67 ,$442.88 ,$131.13 ,$418.28 ,$52.45 ,$418.28 ,$418.28 ,$442.88 ,$442.88 ,$386.29 ,$406.47 ,$52.45 ,$319.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404669,J3358,STELARA (Ustekinumab) 130MG VIAL,636,1 ,"$3,483.65 ","$2,264.37 ",$11.75 ,"$3,137.03 ","$2,786.92 ",$11.75 ,"$2,760.44 ","$3,137.03 ","$3,137.03 ",$22.32 ,"$2,961.10 ","$2,577.90 ",$29.36 ,$11.75 , N/A ,"$2,905.36 ",$11.75 ,"$2,877.49 ","$2,786.92 ","$3,135.29 ",$29.36 ,"$2,961.10 ",$11.75 ,"$2,961.10 ","$2,961.10 ","$3,135.29 ","$3,135.29 ","$2,734.67 ","$2,877.49 ",$11.75 ,"$2,264.37 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3404670,N/A,STELARA / NS 250ML IVPB,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3404671,J3370,VANCOMYCIN 1500MG/ 300ML PREMIX IVPB,636,1 ,$60.13 ,$39.08 ,$39.08 ,$54.15 ,$48.10 , N/A ,$47.65 ,$54.15 ,$54.15 , N/A ,$51.11 ,$44.50 , N/A , N/A , N/A ,$50.15 , N/A ,$49.67 ,$48.10 ,$54.12 , N/A ,$51.11 , N/A ,$51.11 ,$51.11 ,$54.12 ,$54.12 ,$47.20 ,$49.67 , N/A ,$39.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404672,J3370,VANCOMYCIN 1000MG/ 200ML PREMIX IVPB,636,1 ,$40.09 ,$26.06 ,$26.06 ,$36.10 ,$32.07 , N/A ,$31.77 ,$36.10 ,$36.10 , N/A ,$34.08 ,$29.67 , N/A , N/A , N/A ,$33.44 , N/A ,$33.11 ,$32.07 ,$36.08 , N/A ,$34.08 , N/A ,$34.08 ,$34.08 ,$36.08 ,$36.08 ,$31.47 ,$33.11 , N/A ,$26.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404673,J2250,MIDAZOLAM (VERSED) 2MG/2ML vial,636,1 ,$3.05 ,$1.98 ,$1.98 ,$2.75 ,$2.44 , N/A ,$2.42 ,$2.75 ,$2.75 , N/A ,$2.59 ,$2.26 , N/A , N/A , N/A ,$2.54 , N/A ,$2.52 ,$2.44 ,$2.75 , N/A ,$2.59 , N/A ,$2.59 ,$2.59 ,$2.75 ,$2.75 ,$2.39 ,$2.52 , N/A ,$1.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404674,N/A,DILTIAZEM DRIP 125MG /125ML D5W (premix),250,1 ,$73.24 ,$47.61 ,$47.61 ,$65.95 ,$58.59 , N/A ,$58.04 ,$65.95 ,$65.95 , N/A ,$62.25 ,$54.20 , N/A , N/A , N/A ,$61.08 , N/A ,$60.50 ,$58.59 ,$65.92 , N/A ,$62.25 , N/A ,$62.25 ,$62.25 ,$65.92 ,$65.92 ,$57.49 ,$60.50 , N/A ,$47.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404675,N/A,ALOGLIPTIN 12.5MG TAB,637,1 ,$25.80 ,$16.77 ,$16.77 ,$25.80 ,$20.64 , N/A ,$20.44 ,$23.23 ,$23.23 , N/A ,$21.93 ,$19.09 , N/A , N/A , N/A ,$21.52 , N/A ,$21.31 ,$20.64 ,$23.22 ,$25.80 ,$21.93 , N/A ,$21.93 ,$21.93 ,$23.22 ,$23.22 ,$20.25 ,$21.31 , N/A ,$16.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404690,N/A,LOMOTIL LIQUID (DIPHENOXYLATE/ATROPINE),637,1 ,$19.80 ,$12.87 ,$12.87 ,$19.80 ,$15.84 , N/A ,$15.69 ,$17.83 ,$17.83 , N/A ,$16.83 ,$14.65 , N/A , N/A , N/A ,$16.51 , N/A ,$16.35 ,$15.84 ,$17.82 ,$19.80 ,$16.83 , N/A ,$16.83 ,$16.83 ,$17.82 ,$17.82 ,$15.54 ,$16.35 , N/A ,$12.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404700,J2704,PROPOFOL VIAL FOR DRIP 200MG/20ML,636,1 ,$21.90 ,$14.24 ,$14.24 ,$19.72 ,$17.52 , N/A ,$17.35 ,$19.72 ,$19.72 , N/A ,$18.62 ,$16.21 , N/A , N/A , N/A ,$18.26 , N/A ,$18.09 ,$17.52 ,$19.71 , N/A ,$18.62 , N/A ,$18.62 ,$18.62 ,$19.71 ,$19.71 ,$17.19 ,$18.09 , N/A ,$14.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404715,N/A,METOPROLOL TARTRATE TAB 50MG,637,1 ,$2.04 ,$1.33 ,$1.33 ,$2.04 ,$1.63 , N/A ,$1.62 ,$1.84 ,$1.84 , N/A ,$1.73 ,$1.51 , N/A , N/A , N/A ,$1.70 , N/A ,$1.69 ,$1.63 ,$1.84 ,$2.04 ,$1.73 , N/A ,$1.73 ,$1.73 ,$1.84 ,$1.84 ,$1.60 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404719,J9213,INTRON A VIAL : 3MMU,636,1 ,$112.25 ,$72.96 ,$72.96 ,$101.08 ,$89.80 , N/A ,$88.95 ,$101.08 ,$101.08 , N/A ,$95.41 ,$83.07 , N/A , N/A , N/A ,$93.62 , N/A ,$92.72 ,$89.80 ,$101.03 , N/A ,$95.41 , N/A ,$95.41 ,$95.41 ,$101.03 ,$101.03 ,$88.12 ,$92.72 , N/A ,$72.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404730,N/A,LOTRIMIN (CLOTRIMAZOLE) CREAM : 15GM,637,1 ,$15.45 ,$10.04 ,$10.04 ,$15.45 ,$12.36 , N/A ,$12.24 ,$13.91 ,$13.91 , N/A ,$13.13 ,$11.43 , N/A , N/A , N/A ,$12.89 , N/A ,$12.76 ,$12.36 ,$13.91 ,$15.45 ,$13.13 , N/A ,$13.13 ,$13.13 ,$13.91 ,$13.91 ,$12.13 ,$12.76 , N/A ,$10.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404732,N/A,MYCELEX (CLOTRIMAZOLE) TROCHE : 10MG,637,1 ,$5.05 ,$3.28 ,$3.28 ,$5.05 ,$4.04 , N/A ,$4.00 ,$4.55 ,$4.55 , N/A ,$4.29 ,$3.74 , N/A , N/A , N/A ,$4.21 , N/A ,$4.17 ,$4.04 ,$4.55 ,$5.05 ,$4.29 , N/A ,$4.29 ,$4.29 ,$4.55 ,$4.55 ,$3.96 ,$4.17 , N/A ,$3.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404736,N/A,LOTRISONE CREAM,637,1 ,$80.55 ,$52.36 ,$52.36 ,$80.55 ,$64.44 , N/A ,$63.83 ,$72.54 ,$72.54 , N/A ,$68.47 ,$59.61 , N/A , N/A , N/A ,$67.18 , N/A ,$66.53 ,$64.44 ,$72.50 ,$80.55 ,$68.47 , N/A ,$68.47 ,$68.47 ,$72.50 ,$72.50 ,$63.23 ,$66.53 , N/A ,$52.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404737,N/A,NF-LOVASTATIN (MEVACOR) 20MG TAB,637,1 ,$3.95 ,$2.57 ,$2.57 ,$3.95 ,$3.16 , N/A ,$3.13 ,$3.56 ,$3.56 , N/A ,$3.36 ,$2.92 , N/A , N/A , N/A ,$3.29 , N/A ,$3.26 ,$3.16 ,$3.56 ,$3.95 ,$3.36 , N/A ,$3.36 ,$3.36 ,$3.56 ,$3.56 ,$3.10 ,$3.26 , N/A ,$2.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404740,N/A,LOXAPINE SUCCINATE CAPSULE:25MG,637,1 ,$3.75 ,$2.44 ,$2.44 ,$3.75 ,$3.00 , N/A ,$2.97 ,$3.38 ,$3.38 , N/A ,$3.19 ,$2.78 , N/A , N/A , N/A ,$3.13 , N/A ,$3.10 ,$3.00 ,$3.38 ,$3.75 ,$3.19 , N/A ,$3.19 ,$3.19 ,$3.38 ,$3.38 ,$2.94 ,$3.10 , N/A ,$2.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404760,N/A,LOXAPINE SUCCINATE CAPSULE:5MG,637,1 ,$2.00 ,$1.30 ,$1.30 ,$2.00 ,$1.60 , N/A ,$1.58 ,$1.80 ,$1.80 , N/A ,$1.70 ,$1.48 , N/A , N/A , N/A ,$1.67 , N/A ,$1.65 ,$1.60 ,$1.80 ,$2.00 ,$1.70 , N/A ,$1.70 ,$1.70 ,$1.80 ,$1.80 ,$1.57 ,$1.65 , N/A ,$1.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404810,N/A,MAALOX PLUS SUSPENSION,637,1 ,$2.30 ,$1.50 ,$1.50 ,$2.30 ,$1.84 , N/A ,$1.82 ,$2.07 ,$2.07 , N/A ,$1.96 ,$1.70 , N/A , N/A , N/A ,$1.92 , N/A ,$1.90 ,$1.84 ,$2.07 ,$2.30 ,$1.96 , N/A ,$1.96 ,$1.96 ,$2.07 ,$2.07 ,$1.81 ,$1.90 , N/A ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404860,N/A,NITROFURANTOIN MACROCRYSTAL CAPSULE:50MG,637,1 ,$2.35 ,$1.53 ,$1.53 ,$2.35 ,$1.88 , N/A ,$1.86 ,$2.12 ,$2.12 , N/A ,$2.00 ,$1.74 , N/A , N/A , N/A ,$1.96 , N/A ,$1.94 ,$1.88 ,$2.12 ,$2.35 ,$2.00 , N/A ,$2.00 ,$2.00 ,$2.12 ,$2.12 ,$1.84 ,$1.94 , N/A ,$1.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404870,J3475,MAGNESIUM SULFATE VIAL : 1 GM / 2 ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404890,N/A,MANNITOL VIAL: 25,637,1 ,$10.85 ,$7.05 ,$7.05 ,$10.85 ,$8.68 , N/A ,$8.60 ,$9.77 ,$9.77 , N/A ,$9.22 ,$8.03 , N/A , N/A , N/A ,$9.05 , N/A ,$8.96 ,$8.68 ,$9.77 ,$10.85 ,$9.22 , N/A ,$9.22 ,$9.22 ,$9.77 ,$9.77 ,$8.52 ,$8.96 , N/A ,$7.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404945,N/A,NEO/POLYMYX B SULF/DEXAMETH DROPS SUSP,637,1 ,$25.20 ,$16.38 ,$16.38 ,$25.20 ,$20.16 , N/A ,$19.97 ,$22.69 ,$22.69 , N/A ,$21.42 ,$18.65 , N/A , N/A , N/A ,$21.02 , N/A ,$20.82 ,$20.16 ,$22.68 ,$25.20 ,$21.42 , N/A ,$21.42 ,$21.42 ,$22.68 ,$22.68 ,$19.78 ,$20.82 , N/A ,$16.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404946,N/A,NEO/POLYMYX B SULF/DEXAMETH OINT.(GM),637,1 ,$25.20 ,$16.38 ,$16.38 ,$25.20 ,$20.16 , N/A ,$19.97 ,$22.69 ,$22.69 , N/A ,$21.42 ,$18.65 , N/A , N/A , N/A ,$21.02 , N/A ,$20.82 ,$20.16 ,$22.68 ,$25.20 ,$21.42 , N/A ,$21.42 ,$21.42 ,$22.68 ,$22.68 ,$19.78 ,$20.82 , N/A ,$16.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3404947,N/A,MAXZIDE (GENERIC) TABLET : 75-50MG,637,1 ,$2.20 ,$1.43 ,$1.43 ,$2.20 ,$1.76 , N/A ,$1.74 ,$1.98 ,$1.98 , N/A ,$1.87 ,$1.63 , N/A , N/A , N/A ,$1.83 , N/A ,$1.82 ,$1.76 ,$1.98 ,$2.20 ,$1.87 , N/A ,$1.87 ,$1.87 ,$1.98 ,$1.98 ,$1.73 ,$1.82 , N/A ,$1.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405003,N/A,CEFTIN (CEFUROXIME) TABLET: 250MG,637,1 ,$15.75 ,$10.24 ,$10.24 ,$15.75 ,$12.60 , N/A ,$12.48 ,$14.18 ,$14.18 , N/A ,$13.39 ,$11.66 , N/A , N/A , N/A ,$13.14 , N/A ,$13.01 ,$12.60 ,$14.18 ,$15.75 ,$13.39 , N/A ,$13.39 ,$13.39 ,$14.18 ,$14.18 ,$12.36 ,$13.01 , N/A ,$10.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405005,J0692,CEFEPIME (MAXIPIME) VIAL : 2GM,636,1 ,$42.86 ,$27.86 ,$27.86 ,$38.60 ,$34.29 , N/A ,$33.96 ,$38.60 ,$38.60 , N/A ,$36.43 ,$31.72 , N/A , N/A , N/A ,$35.75 , N/A ,$35.40 ,$34.29 ,$38.57 , N/A ,$36.43 , N/A ,$36.43 ,$36.43 ,$38.57 ,$38.57 ,$33.65 ,$35.40 , N/A ,$27.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405006,J0713,CEFTAZIDIME(TAZICEF) VIAL : 1GM,636,1 ,$18.03 ,$11.72 ,$11.72 ,$16.24 ,$14.42 , N/A ,$14.29 ,$16.24 ,$16.24 , N/A ,$15.33 ,$13.34 , N/A , N/A , N/A ,$15.04 , N/A ,$14.89 ,$14.42 ,$16.23 , N/A ,$15.33 , N/A ,$15.33 ,$15.33 ,$16.23 ,$16.23 ,$14.15 ,$14.89 , N/A ,$11.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405008,J0696,ROCEPHIN (CEFTRIAXONE) IV 250MG,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405009,J0696,ROCEPHIN (CEFTRIAXONE) IV 500MG,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405010,J0696,ROCEPHIN (CEFTRIAXONE) IV : 2GM,636,1 ,$14.75 ,$9.59 ,$9.59 ,$13.28 ,$11.80 , N/A ,$11.69 ,$13.28 ,$13.28 , N/A ,$12.54 ,$10.92 , N/A , N/A , N/A ,$12.30 , N/A ,$12.18 ,$11.80 ,$13.28 , N/A ,$12.54 , N/A ,$12.54 ,$12.54 ,$13.28 ,$13.28 ,$11.58 ,$12.18 , N/A ,$9.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405030,N/A,THIORIDAZINE TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405050,N/A,THIORIDAZINE (MELLARIL) TABLET : 10MG,637,1 ,$1.10 ,$0.72 ,$0.72 ,$1.10 ,$0.88 , N/A ,$0.87 ,$0.99 ,$0.99 , N/A ,$0.94 ,$0.81 , N/A , N/A , N/A ,$0.92 , N/A ,$0.91 ,$0.88 ,$0.99 ,$1.10 ,$0.94 , N/A ,$0.94 ,$0.94 ,$0.99 ,$0.99 ,$0.86 ,$0.91 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405055,N/A,METHYLPREDNISOLONE DOSEPAK : 4MG,637,1 ,$34.35 ,$22.33 ,$22.33 ,$34.35 ,$27.48 , N/A ,$27.22 ,$30.93 ,$30.93 , N/A ,$29.20 ,$25.42 , N/A , N/A , N/A ,$28.65 , N/A ,$28.37 ,$27.48 ,$30.92 ,$34.35 ,$29.20 , N/A ,$29.20 ,$29.20 ,$30.92 ,$30.92 ,$26.96 ,$28.37 , N/A ,$22.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405060,N/A,DEMEROL (MEPERIDINE) : 100MG/ML,250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405065,N/A,DEMEROL (MEPERIDINE) : 50MG/ML,250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405070,N/A,OXYCONTIN TAB 60MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405075,N/A,DEMEROL (MEPERIDINE) : 25MG/ML,250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405156,N/A,METAPROTERENOL SULFATE SYRUP:10MG/5ML,637,1 ,$3.40 ,$2.21 ,$2.21 ,$3.40 ,$2.72 , N/A ,$2.69 ,$3.06 ,$3.06 , N/A ,$2.89 ,$2.52 , N/A , N/A , N/A ,$2.84 , N/A ,$2.81 ,$2.72 ,$3.06 ,$3.40 ,$2.89 , N/A ,$2.89 ,$2.89 ,$3.06 ,$3.06 ,$2.67 ,$2.81 , N/A ,$2.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405210,N/A,POTASSIUM (MICRO-K/SLOW-K) CAP : 8 MEQ,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405211,N/A,MOEXIPRIL TAB 15MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405214,N/A,PRAZOSIN HCL CAPSULE : 1MG,637,1 ,$3.17 ,$2.06 ,$2.06 ,$3.17 ,$2.54 , N/A ,$2.51 ,$2.85 ,$2.85 , N/A ,$2.69 ,$2.35 , N/A , N/A , N/A ,$2.64 , N/A ,$2.62 ,$2.54 ,$2.85 ,$3.17 ,$2.69 , N/A ,$2.69 ,$2.69 ,$2.85 ,$2.85 ,$2.49 ,$2.62 , N/A ,$2.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405218,N/A,PRAZOSIN HCL CAPSULE:2MG,637,1 ,$1.90 ,$1.24 ,$1.24 ,$1.90 ,$1.52 , N/A ,$1.51 ,$1.71 ,$1.71 , N/A ,$1.62 ,$1.41 , N/A , N/A , N/A ,$1.58 , N/A ,$1.57 ,$1.52 ,$1.71 ,$1.90 ,$1.62 , N/A ,$1.62 ,$1.62 ,$1.71 ,$1.71 ,$1.49 ,$1.57 , N/A ,$1.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405231,N/A,MOM (MILK OF MAGNESIA) : 30ML,637,1 ,$1.30 ,$0.85 ,$0.85 ,$1.30 ,$1.04 , N/A ,$1.03 ,$1.17 ,$1.17 , N/A ,$1.11 ,$0.96 , N/A , N/A , N/A ,$1.08 , N/A ,$1.07 ,$1.04 ,$1.17 ,$1.30 ,$1.11 , N/A ,$1.11 ,$1.11 ,$1.17 ,$1.17 ,$1.02 ,$1.07 , N/A ,$0.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405236,N/A,MOM WITH CASCARA SUSP,637,1 ,$1.60 ,$1.04 ,$1.04 ,$1.60 ,$1.28 , N/A ,$1.27 ,$1.44 ,$1.44 , N/A ,$1.36 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.32 ,$1.28 ,$1.44 ,$1.60 ,$1.36 , N/A ,$1.36 ,$1.36 ,$1.44 ,$1.44 ,$1.26 ,$1.32 , N/A ,$1.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405245,N/A,MISOPROSTOL TAB : 100MCG NO PREGNANCY!,637,1 ,$1.59 ,$1.03 ,$1.03 ,$1.59 ,$1.27 , N/A ,$1.26 ,$1.43 ,$1.43 , N/A ,$1.35 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.31 ,$1.27 ,$1.43 ,$1.59 ,$1.35 , N/A ,$1.35 ,$1.35 ,$1.43 ,$1.43 ,$1.25 ,$1.31 , N/A ,$1.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405270,N/A,AMILORIDE 5MG/HCTZ 50MG (MODURETIC),637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405275,N/A,MICONAZOLE NITRATE 7 DAY VAGINAL CREAM,637,1 ,$40.88 ,$26.57 ,$26.57 ,$40.88 ,$32.70 , N/A ,$32.39 ,$36.81 ,$36.81 , N/A ,$34.75 ,$30.25 , N/A , N/A , N/A ,$34.09 , N/A ,$33.77 ,$32.70 ,$36.79 ,$40.88 ,$34.75 , N/A ,$34.75 ,$34.75 ,$36.79 ,$36.79 ,$32.09 ,$33.77 , N/A ,$26.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405276,N/A,CEFONICID SODIUM VIAL:1G,637,1 ,$82.25 ,$53.46 ,$53.46 ,$82.25 ,$65.80 , N/A ,$65.17 ,$74.07 ,$74.07 , N/A ,$69.91 ,$60.87 , N/A , N/A , N/A ,$68.60 , N/A ,$67.94 ,$65.80 ,$74.03 ,$82.25 ,$69.91 , N/A ,$69.91 ,$69.91 ,$74.03 ,$74.03 ,$64.57 ,$67.94 , N/A ,$53.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405280,N/A,MORPHINE SULFATE DISP SYRIN:2MG/ML,250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405285,N/A,MORPHINE SULFATE DISP SYRIN:4MG/ML,250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405300,J2270,MORPHINE SULFATE 10MG/ML FOR IVPB,636,1 ,$7.25 ,$4.71 ,$4.71 ,$6.53 ,$5.80 , N/A ,$5.74 ,$6.53 ,$6.53 , N/A ,$6.16 ,$5.37 , N/A , N/A , N/A ,$6.05 , N/A ,$5.99 ,$5.80 ,$6.53 , N/A ,$6.16 , N/A ,$6.16 ,$6.16 ,$6.53 ,$6.53 ,$5.69 ,$5.99 , N/A ,$4.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405302,N/A,MORPHINE VIAL : 5MG/ML FOR INHALATION,637,1 ,$6.85 ,$4.45 ,$4.45 ,$6.85 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 ,$6.85 ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405304,N/A,MORPHINE ER TAB (MS CONTIN) : 30MG,637,1 ,$6.30 ,$4.10 ,$4.10 ,$6.30 ,$5.04 , N/A ,$4.99 ,$5.67 ,$5.67 , N/A ,$5.36 ,$4.66 , N/A , N/A , N/A ,$5.25 , N/A ,$5.20 ,$5.04 ,$5.67 ,$6.30 ,$5.36 , N/A ,$5.36 ,$5.36 ,$5.67 ,$5.67 ,$4.95 ,$5.20 , N/A ,$4.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405320,N/A,IBUPROFEN (MOTRIN) TAB : 600MG,637,1 ,$1.08 ,$0.70 ,$0.70 ,$1.08 ,$0.86 , N/A ,$0.86 ,$0.97 ,$0.97 , N/A ,$0.92 ,$0.80 , N/A , N/A , N/A ,$0.90 , N/A ,$0.89 ,$0.86 ,$0.97 ,$1.08 ,$0.92 , N/A ,$0.92 ,$0.92 ,$0.97 ,$0.97 ,$0.85 ,$0.89 , N/A ,$0.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405321,N/A,MELOXICAM TAB 15MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405322,N/A,IBUPROFEN SUSPENSION 100MG/5ML CUP,637,1 ,$3.11 ,$2.02 ,$2.02 ,$3.11 ,$2.49 , N/A ,$2.46 ,$2.80 ,$2.80 , N/A ,$2.64 ,$2.30 , N/A , N/A , N/A ,$2.59 , N/A ,$2.57 ,$2.49 ,$2.80 ,$3.11 ,$2.64 , N/A ,$2.64 ,$2.64 ,$2.80 ,$2.80 ,$2.44 ,$2.57 , N/A ,$2.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405323,N/A,IBUPROFEN (ADVIL) TAB : 200MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405325,N/A,IBUPROFEN (MOTRIN) TAB : 400MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405345,N/A,ACETYLCYSTEINE 20% 30ML ORAL (APAP OD),637,1 ,$89.33 ,$58.06 ,$58.06 ,$89.33 ,$71.46 , N/A ,$70.79 ,$80.44 ,$80.44 , N/A ,$75.93 ,$66.10 , N/A , N/A , N/A ,$74.50 , N/A ,$73.79 ,$71.46 ,$80.40 ,$89.33 ,$75.93 , N/A ,$75.93 ,$75.93 ,$80.40 ,$80.40 ,$70.12 ,$73.79 , N/A ,$58.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405385,N/A,NYSTATIN/TRIAMCIN (MYCOLOG) OINT : 30GM,637,1 ,$231.50 ,$150.48 ,$150.48 ,$231.50 ,$185.20 , N/A ,$183.44 ,$208.47 ,$208.47 , N/A ,$196.78 ,$171.31 , N/A , N/A , N/A ,$193.07 , N/A ,$191.22 ,$185.20 ,$208.35 ,$231.50 ,$196.78 , N/A ,$196.78 ,$196.78 ,$208.35 ,$208.35 ,$181.73 ,$191.22 , N/A ,$150.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405390,N/A,MYCOLOG (NYSTATIN/TRIAMCIN) CREAM : 15GM,637,1 ,$13.55 ,$8.81 ,$8.81 ,$13.55 ,$10.84 , N/A ,$10.74 ,$12.20 ,$12.20 , N/A ,$11.52 ,$10.03 , N/A , N/A , N/A ,$11.30 , N/A ,$11.19 ,$10.84 ,$12.20 ,$13.55 ,$11.52 , N/A ,$11.52 ,$11.52 ,$12.20 ,$12.20 ,$10.64 ,$11.19 , N/A ,$8.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405395,N/A,NYSTATIN CREAM : 30GM,637,1 ,$93.79 ,$60.96 ,$60.96 ,$93.79 ,$75.03 , N/A ,$74.32 ,$84.46 ,$84.46 , N/A ,$79.72 ,$69.40 , N/A , N/A , N/A ,$78.22 , N/A ,$77.47 ,$75.03 ,$84.41 ,$93.79 ,$79.72 , N/A ,$79.72 ,$79.72 ,$84.41 ,$84.41 ,$73.63 ,$77.47 , N/A ,$60.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405405,N/A,NYSTATIN ORAL SUSP:100000 UNITS/mL,637,1 ,$60.44 ,$39.29 ,$39.29 ,$60.44 ,$48.35 , N/A ,$47.89 ,$54.43 ,$54.43 , N/A ,$51.37 ,$44.73 , N/A , N/A , N/A ,$50.41 , N/A ,$49.92 ,$48.35 ,$54.40 ,$60.44 ,$51.37 , N/A ,$51.37 ,$51.37 ,$54.40 ,$54.40 ,$47.45 ,$49.92 , N/A ,$39.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405406,N/A,NYSTATIN ORAL SUSP:500000 UNITS/5mL UD,637,1 ,$3.78 ,$2.46 ,$2.46 ,$3.78 ,$3.02 , N/A ,$3.00 ,$3.40 ,$3.40 , N/A ,$3.21 ,$2.80 , N/A , N/A , N/A ,$3.15 , N/A ,$3.12 ,$3.02 ,$3.40 ,$3.78 ,$3.21 , N/A ,$3.21 ,$3.21 ,$3.40 ,$3.40 ,$2.97 ,$3.12 , N/A ,$2.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405450,N/A,SIMETHICONE CHEW TAB- 80MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405460,N/A,MIOCHOL-E CATARACT SOLUTION,637,1 ,$155.65 ,$101.17 ,$101.17 ,$155.65 ,$124.52 , N/A ,$123.34 ,$140.16 ,$140.16 , N/A ,$132.30 ,$115.18 , N/A , N/A , N/A ,$129.81 , N/A ,$128.57 ,$124.52 ,$140.09 ,$155.65 ,$132.30 , N/A ,$132.30 ,$132.30 ,$140.09 ,$140.09 ,$122.19 ,$128.57 , N/A ,$101.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405465,N/A,MYSOLINE TABLET : 50MG,637,1 ,$1.45 ,$0.94 ,$0.94 ,$1.45 ,$1.16 , N/A ,$1.15 ,$1.31 ,$1.31 , N/A ,$1.23 ,$1.07 , N/A , N/A , N/A ,$1.21 , N/A ,$1.20 ,$1.16 ,$1.31 ,$1.45 ,$1.23 , N/A ,$1.23 ,$1.23 ,$1.31 ,$1.31 ,$1.14 ,$1.20 , N/A ,$0.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405470,N/A,MIOSTAT VIAL,637,1 ,$86.65 ,$56.32 ,$56.32 ,$86.65 ,$69.32 , N/A ,$68.66 ,$78.03 ,$78.03 , N/A ,$73.65 ,$64.12 , N/A , N/A , N/A ,$72.27 , N/A ,$71.57 ,$69.32 ,$77.99 ,$86.65 ,$73.65 , N/A ,$73.65 ,$73.65 ,$77.99 ,$77.99 ,$68.02 ,$71.57 , N/A ,$56.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405475,N/A,MYSOLINE TABLET : 250MG,637,1 ,$3.15 ,$2.05 ,$2.05 ,$3.15 ,$2.52 , N/A ,$2.50 ,$2.84 ,$2.84 , N/A ,$2.68 ,$2.33 , N/A , N/A , N/A ,$2.63 , N/A ,$2.60 ,$2.52 ,$2.84 ,$3.15 ,$2.68 , N/A ,$2.68 ,$2.68 ,$2.84 ,$2.84 ,$2.47 ,$2.60 , N/A ,$2.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405480,N/A,LISINOPRIL 20MG/HCTZ 25MG TAB PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405482,N/A,NALDELATE PEDIATRIC DROPS,637,1 ,$36.20 ,$23.53 ,$23.53 ,$36.20 ,$28.96 , N/A ,$28.68 ,$32.60 ,$32.60 , N/A ,$30.77 ,$26.79 , N/A , N/A , N/A ,$30.19 , N/A ,$29.90 ,$28.96 ,$32.58 ,$36.20 ,$30.77 , N/A ,$30.77 ,$30.77 ,$32.58 ,$32.58 ,$28.42 ,$29.90 , N/A ,$23.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405483,N/A,NALDECON (TRI-PHEN-CHLOR) TAB,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405485,N/A,OMEPRAZOLE CAP 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405496,N/A,CITALOPRAM TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405510,N/A,NF-NAPROXEN TAB 550MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405512,N/A,ESTRADIOL TAB 2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405515,N/A,NALTREXONE TAB 50MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405519,J3535,AEROBID-M INHALER (MINT),637,1 ,$226.95 ,$147.52 ,$147.52 ,$226.95 ,$181.56 , N/A ,$179.84 ,$204.37 ,$204.37 , N/A ,$192.91 ,$167.94 , N/A , N/A , N/A ,$189.28 , N/A ,$187.46 ,$181.56 ,$204.26 ,$226.95 ,$192.91 , N/A ,$192.91 ,$192.91 ,$204.26 ,$204.26 ,$178.16 ,$187.46 , N/A ,$147.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405520,N/A,NASALIDE NASAL SPRAY,637,1 ,$138.45 ,$89.99 ,$89.99 ,$138.45 ,$110.76 , N/A ,$109.71 ,$124.67 ,$124.67 , N/A ,$117.68 ,$102.45 , N/A , N/A , N/A ,$115.47 , N/A ,$114.36 ,$110.76 ,$124.61 ,$138.45 ,$117.68 , N/A ,$117.68 ,$117.68 ,$124.61 ,$124.61 ,$108.68 ,$114.36 , N/A ,$89.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405570,J3260,TOBRAMYCIN (NEBCIN) IV VIAL : 40MG/ML,636,1 ,$14.51 ,$9.43 ,$9.43 ,$13.07 ,$11.61 , N/A ,$11.50 ,$13.07 ,$13.07 , N/A ,$12.33 ,$10.74 , N/A , N/A , N/A ,$12.10 , N/A ,$11.99 ,$11.61 ,$13.06 , N/A ,$12.33 , N/A ,$12.33 ,$12.33 ,$13.06 ,$13.06 ,$11.39 ,$11.99 , N/A ,$9.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405575,N/A,TOBRAMYCIN 0.3% /DEXAMETH 0.1% EYE DROPS,637,1 ,$165.68 ,$107.69 ,$107.69 ,$165.68 ,$132.54 , N/A ,$131.28 ,$149.19 ,$149.19 , N/A ,$140.83 ,$122.60 , N/A , N/A , N/A ,$138.18 , N/A ,$136.85 ,$132.54 ,$149.11 ,$165.68 ,$140.83 , N/A ,$140.83 ,$140.83 ,$149.11 ,$149.11 ,$130.06 ,$136.85 , N/A ,$107.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405576,N/A,TOBREX EYE OINTMENT : 3.5GM,637,1 ,$158.00 ,$102.70 ,$102.70 ,$158.00 ,$126.40 , N/A ,$125.20 ,$142.28 ,$142.28 , N/A ,$134.30 ,$116.92 , N/A , N/A , N/A ,$131.77 , N/A ,$130.51 ,$126.40 ,$142.20 ,$158.00 ,$134.30 , N/A ,$134.30 ,$134.30 ,$142.20 ,$142.20 ,$124.03 ,$130.51 , N/A ,$102.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405577,N/A,TOBRAMYCIN EYE DROPS 0.3% : 5ML,637,1 ,$47.25 ,$30.71 ,$30.71 ,$47.25 ,$37.80 , N/A ,$37.44 ,$42.55 ,$42.55 , N/A ,$40.16 ,$34.97 , N/A , N/A , N/A ,$39.41 , N/A ,$39.03 ,$37.80 ,$42.53 ,$47.25 ,$40.16 , N/A ,$40.16 ,$40.16 ,$42.53 ,$42.53 ,$37.09 ,$39.03 , N/A ,$30.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405585,N/A,TOBRADEX EYE OINTMENT : 3.5GM,637,1 ,$476.55 ,$309.76 ,$309.76 ,$476.55 ,$381.24 , N/A ,$377.62 ,$429.13 ,$429.13 , N/A ,$405.07 ,$352.65 , N/A , N/A , N/A ,$397.44 , N/A ,$393.63 ,$381.24 ,$428.90 ,$476.55 ,$405.07 , N/A ,$405.07 ,$405.07 ,$428.90 ,$428.90 ,$374.09 ,$393.63 , N/A ,$309.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405623,J2760,PHENTOLAMINE (REGITINE) VIAL : 5MG,636,1 ,$252.00 ,$163.80 ,$163.80 ,"$1,023.88 ",$201.60 ,$409.55 ,$199.68 ,$226.93 ,$226.93 ,$778.15 ,$214.20 ,$186.48 ,"$1,023.88 ",$409.55 , N/A ,$210.17 ,$409.55 ,$208.15 ,$201.60 ,$226.80 ,$252.00 ,$214.20 ,$252.00 ,$214.20 ,$214.20 ,$226.80 ,$226.80 ,$197.82 ,$208.15 ,$252.00 ,$163.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405630,N/A,MYDFRIN EYE DROPS 2.5% : 5ML,637,1 ,$66.60 ,$43.29 ,$43.29 ,$66.60 ,$53.28 , N/A ,$52.77 ,$59.97 ,$59.97 , N/A ,$56.61 ,$49.28 , N/A , N/A , N/A ,$55.54 , N/A ,$55.01 ,$53.28 ,$59.94 ,$66.60 ,$56.61 , N/A ,$56.61 ,$56.61 ,$59.94 ,$59.94 ,$52.28 ,$55.01 , N/A ,$43.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405635,J2370,VAZCULEP (PHENYLEPHRINE HCL) INJ:10MG/ML,636,1 ,$21.03 ,$13.67 ,$13.67 ,$18.94 ,$16.82 , N/A ,$16.66 ,$18.94 ,$18.94 , N/A ,$17.88 ,$15.56 , N/A , N/A , N/A ,$17.54 , N/A ,$17.37 ,$16.82 ,$18.93 , N/A ,$17.88 , N/A ,$17.88 ,$17.88 ,$18.93 ,$18.93 ,$16.51 ,$17.37 , N/A ,$13.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405640,N/A,NEOMYCIN/POLY B/DEXAMETHASONE EYE DROPS,637,1 ,$70.93 ,$46.10 ,$46.10 ,$70.93 ,$56.74 , N/A ,$56.20 ,$63.87 ,$63.87 , N/A ,$60.29 ,$52.49 , N/A , N/A , N/A ,$59.16 , N/A ,$58.59 ,$56.74 ,$63.84 ,$70.93 ,$60.29 , N/A ,$60.29 ,$60.29 ,$63.84 ,$63.84 ,$55.68 ,$58.59 , N/A ,$46.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405660,N/A,NEOMYCIN SULFATE TABLET:500MG,637,1 ,$6.25 ,$4.06 ,$4.06 ,$6.25 ,$5.00 , N/A ,$4.95 ,$5.63 ,$5.63 , N/A ,$5.31 ,$4.63 , N/A , N/A , N/A ,$5.21 , N/A ,$5.16 ,$5.00 ,$5.63 ,$6.25 ,$5.31 , N/A ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 , N/A ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405670,N/A,NEOSPORIN (NEO/BACI/POLY) PACKET,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405675,N/A,BACITRACIN/POLYMYXIN/NEOMYCIN OINTMENT,637,1 ,$19.39 ,$12.60 ,$12.60 ,$19.39 ,$15.51 , N/A ,$15.36 ,$17.46 ,$17.46 , N/A ,$16.48 ,$14.35 , N/A , N/A , N/A ,$16.17 , N/A ,$16.02 ,$15.51 ,$17.45 ,$19.39 ,$16.48 , N/A ,$16.48 ,$16.48 ,$17.45 ,$17.45 ,$15.22 ,$16.02 , N/A ,$12.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405680,N/A,NEOMYCIN/POLYMYX B/GRAMICIDIN) EYE DROPS,637,1 ,$107.28 ,$69.73 ,$69.73 ,$107.28 ,$85.82 , N/A ,$85.01 ,$96.61 ,$96.61 , N/A ,$91.19 ,$79.39 , N/A , N/A , N/A ,$89.47 , N/A ,$88.61 ,$85.82 ,$96.55 ,$107.28 ,$91.19 , N/A ,$91.19 ,$91.19 ,$96.55 ,$96.55 ,$84.21 ,$88.61 , N/A ,$69.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405681,N/A,NEOSPORIN OPHTH (NEO/POLY/BACI) 3.5GM,637,1 ,$49.70 ,$32.31 ,$32.31 ,$49.70 ,$39.76 , N/A ,$39.38 ,$44.75 ,$44.75 , N/A ,$42.25 ,$36.78 , N/A , N/A , N/A ,$41.45 , N/A ,$41.05 ,$39.76 ,$44.73 ,$49.70 ,$42.25 , N/A ,$42.25 ,$42.25 ,$44.73 ,$44.73 ,$39.01 ,$41.05 , N/A ,$32.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405690,N/A,METHAZOLAMIDE TABLET:50MG,637,1 ,$2.30 ,$1.50 ,$1.50 ,$2.30 ,$1.84 , N/A ,$1.82 ,$2.07 ,$2.07 , N/A ,$1.96 ,$1.70 , N/A , N/A , N/A ,$1.92 , N/A ,$1.90 ,$1.84 ,$2.07 ,$2.30 ,$1.96 , N/A ,$1.96 ,$1.96 ,$2.07 ,$2.07 ,$1.81 ,$1.90 , N/A ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405701,N/A,NIASPAN TAB 1000MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405726,N/A,MICONAZOLE NITRATE VAGINAL SUPPOS: 200MG,637,1 ,$139.30 ,$90.55 ,$90.55 ,$139.30 ,$111.44 , N/A ,$110.38 ,$125.44 ,$125.44 , N/A ,$118.41 ,$103.08 , N/A , N/A , N/A ,$116.18 , N/A ,$115.06 ,$111.44 ,$125.37 ,$139.30 ,$118.41 , N/A ,$118.41 ,$118.41 ,$125.37 ,$125.37 ,$109.35 ,$115.06 , N/A ,$90.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405755,N/A,NITROGLYCERIN PATCH TD24 0.3MG/HR,637,1 ,$8.05 ,$5.23 ,$5.23 ,$8.05 ,$6.44 , N/A ,$6.38 ,$7.25 ,$7.25 , N/A ,$6.84 ,$5.96 , N/A , N/A , N/A ,$6.71 , N/A ,$6.65 ,$6.44 ,$7.25 ,$8.05 ,$6.84 , N/A ,$6.84 ,$6.84 ,$7.25 ,$7.25 ,$6.32 ,$6.65 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405785,N/A,NITROGLYCERIN OINT. (NITRO-BID) 2%,637,1 ,$21.90 ,$14.24 ,$14.24 ,$21.90 ,$17.52 , N/A ,$17.35 ,$19.72 ,$19.72 , N/A ,$18.62 ,$16.21 , N/A , N/A , N/A ,$18.26 , N/A ,$18.09 ,$17.52 ,$19.71 ,$21.90 ,$18.62 , N/A ,$18.62 ,$18.62 ,$19.71 ,$19.71 ,$17.19 ,$18.09 , N/A ,$14.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405790,N/A,NITROPRESS VIAL : 50MG/2ML HYPERTENSIVE*,250,1 ,"$1,409.45 ",$916.14 ,$916.14 ,"$1,269.21 ","$1,127.56 ", N/A ,"$1,116.85 ","$1,269.21 ","$1,269.21 ", N/A ,"$1,198.03 ","$1,042.99 ", N/A , N/A , N/A ,"$1,175.48 ", N/A ,"$1,164.21 ","$1,127.56 ","$1,268.51 ", N/A ,"$1,198.03 ", N/A ,"$1,198.03 ","$1,198.03 ","$1,268.51 ","$1,268.51 ","$1,106.42 ","$1,164.21 ", N/A ,$916.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405800,N/A,NITROGLYCERIN TAB SUBL:0.6MG,637,1 ,$30.25 ,$19.66 ,$19.66 ,$30.25 ,$24.20 , N/A ,$23.97 ,$27.24 ,$27.24 , N/A ,$25.71 ,$22.39 , N/A , N/A , N/A ,$25.23 , N/A ,$24.99 ,$24.20 ,$27.23 ,$30.25 ,$25.71 , N/A ,$25.71 ,$25.71 ,$27.23 ,$27.23 ,$23.75 ,$24.99 , N/A ,$19.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405804,N/A,NITROSTAT 0.3MG SUBL TAB PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405805,N/A,NITROGLYCERIN TAB SUBL:0.4MG,637,1 ,$14.35 ,$9.33 ,$9.33 ,$14.35 ,$11.48 , N/A ,$11.37 ,$12.92 ,$12.92 , N/A ,$12.20 ,$10.62 , N/A , N/A , N/A ,$11.97 , N/A ,$11.85 ,$11.48 ,$12.92 ,$14.35 ,$12.20 , N/A ,$12.20 ,$12.20 ,$12.92 ,$12.92 ,$11.26 ,$11.85 , N/A ,$9.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405809,N/A,NITROGLYCERIN AEROSOL:0.4MG/DOSE,637,1 ,$98.35 ,$63.93 ,$63.93 ,$98.35 ,$78.68 , N/A ,$77.93 ,$88.56 ,$88.56 , N/A ,$83.60 ,$72.78 , N/A , N/A , N/A ,$82.02 , N/A ,$81.24 ,$78.68 ,$88.52 ,$98.35 ,$83.60 , N/A ,$83.60 ,$83.60 ,$88.52 ,$88.52 ,$77.20 ,$81.24 , N/A ,$63.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405815,N/A,DEFEROXAMINE MESYLATE VIAL:500MG,250,1 ,$54.00 ,$35.10 ,$35.10 ,$48.63 ,$43.20 , N/A ,$42.79 ,$48.63 ,$48.63 , N/A ,$45.90 ,$39.96 , N/A , N/A , N/A ,$45.04 , N/A ,$44.60 ,$43.20 ,$48.60 , N/A ,$45.90 , N/A ,$45.90 ,$45.90 ,$48.60 ,$48.60 ,$42.39 ,$44.60 , N/A ,$35.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405820,N/A,CHLORAL HYDRATE SYRUP:500MG/5ML PER 5ML,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405835,N/A,TAMOXIFEN TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405839,N/A,VECURONIUM BROMIDE VIAL:10MG,250,1 ,$8.50 ,$5.53 ,$5.53 ,$7.65 ,$6.80 , N/A ,$6.74 ,$7.65 ,$7.65 , N/A ,$7.23 ,$6.29 , N/A , N/A , N/A ,$7.09 , N/A ,$7.02 ,$6.80 ,$7.65 , N/A ,$7.23 , N/A ,$7.23 ,$7.23 ,$7.65 ,$7.65 ,$6.67 ,$7.02 , N/A ,$5.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405845,J2360,ORPHENADRINE CITRATE 60MG/2ML INJ,636,1 ,$79.33 ,$51.56 ,$51.56 ,$71.44 ,$63.46 , N/A ,$62.86 ,$71.44 ,$71.44 , N/A ,$67.43 ,$58.70 , N/A , N/A , N/A ,$66.16 , N/A ,$65.53 ,$63.46 ,$71.40 , N/A ,$67.43 , N/A ,$67.43 ,$67.43 ,$71.40 ,$71.40 ,$62.27 ,$65.53 , N/A ,$51.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405850,N/A,KETOPROFEN CAPSULE:75MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405860,N/A,DISOPYRAMIDE PHOSPHATE CAPSULE:150MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405861,N/A,NORPACE CR : 150MG,637,1 ,$4.15 ,$2.70 ,$2.70 ,$4.15 ,$3.32 , N/A ,$3.29 ,$3.74 ,$3.74 , N/A ,$3.53 ,$3.07 , N/A , N/A , N/A ,$3.46 , N/A ,$3.43 ,$3.32 ,$3.74 ,$4.15 ,$3.53 , N/A ,$3.53 ,$3.53 ,$3.74 ,$3.74 ,$3.26 ,$3.43 , N/A ,$2.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405862,N/A,LABETALOL 100MG/20ML (NON FORMULARY),250,1 ,$15.14 ,$9.84 ,$9.84 ,$13.63 ,$12.11 , N/A ,$12.00 ,$13.63 ,$13.63 , N/A ,$12.87 ,$11.20 , N/A , N/A , N/A ,$12.63 , N/A ,$12.51 ,$12.11 ,$13.63 , N/A ,$12.87 , N/A ,$12.87 ,$12.87 ,$13.63 ,$13.63 ,$11.88 ,$12.51 , N/A ,$9.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405863,N/A,FLURBIPROFEN EYE DROPS (OCUFEN),637,1 ,$31.19 ,$20.27 ,$20.27 ,$31.19 ,$24.95 , N/A ,$24.72 ,$28.09 ,$28.09 , N/A ,$26.51 ,$23.08 , N/A , N/A , N/A ,$26.01 , N/A ,$25.76 ,$24.95 ,$28.07 ,$31.19 ,$26.51 , N/A ,$26.51 ,$26.51 ,$28.07 ,$28.07 ,$24.48 ,$25.76 , N/A ,$20.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405865,N/A,DISOPYRAMIDE PHOSPHATE CAPSULE:100MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405870,N/A,GAVILYTE-N : 4000 mL,637,1 ,$89.87 ,$58.42 ,$58.42 ,$89.87 ,$71.90 , N/A ,$71.21 ,$80.93 ,$80.93 , N/A ,$76.39 ,$66.50 , N/A , N/A , N/A ,$74.95 , N/A ,$74.23 ,$71.90 ,$80.88 ,$89.87 ,$76.39 , N/A ,$76.39 ,$76.39 ,$80.88 ,$80.88 ,$70.55 ,$74.23 , N/A ,$58.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405875,N/A,DESIPRAMINE TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405900,N/A,DIBUCAINE 1% HEMORRHOID OINTMENT,637,1 ,$26.93 ,$17.50 ,$17.50 ,$26.93 ,$21.54 , N/A ,$21.34 ,$24.25 ,$24.25 , N/A ,$22.89 ,$19.93 , N/A , N/A , N/A ,$22.46 , N/A ,$22.24 ,$21.54 ,$24.24 ,$26.93 ,$22.89 , N/A ,$22.89 ,$22.89 ,$24.24 ,$24.24 ,$21.14 ,$22.24 , N/A ,$17.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405903,N/A,NUBAIN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405905,N/A,METAMUCIL PACKET,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405906,N/A,CITRACAL PETITES PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3405907,N/A,DEEP SEA NASAL SPRAY (OCEAN NASAL),637,1 ,$7.49 ,$4.87 ,$4.87 ,$7.49 ,$5.99 , N/A ,$5.94 ,$6.74 ,$6.74 , N/A ,$6.37 ,$5.54 , N/A , N/A , N/A ,$6.25 , N/A ,$6.19 ,$5.99 ,$6.74 ,$7.49 ,$6.37 , N/A ,$6.37 ,$6.37 ,$6.74 ,$6.74 ,$5.88 ,$6.19 , N/A ,$4.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405922,N/A,AMPICILLIN SODIUM VIAL:2G,250,1 ,$14.50 ,$9.43 ,$9.43 ,$13.06 ,$11.60 , N/A ,$11.49 ,$13.06 ,$13.06 , N/A ,$12.33 ,$10.73 , N/A , N/A , N/A ,$12.09 , N/A ,$11.98 ,$11.60 ,$13.05 , N/A ,$12.33 , N/A ,$12.33 ,$12.33 ,$13.05 ,$13.05 ,$11.38 ,$11.98 , N/A ,$9.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405925,J0290,AMPICILLIN IV VIAL : 1GM,636,1 ,$17.29 ,$11.24 ,$11.24 ,$15.57 ,$13.83 , N/A ,$13.70 ,$15.57 ,$15.57 , N/A ,$14.70 ,$12.79 , N/A , N/A , N/A ,$14.42 , N/A ,$14.28 ,$13.83 ,$15.56 , N/A ,$14.70 , N/A ,$14.70 ,$14.70 ,$15.56 ,$15.56 ,$13.57 ,$14.28 , N/A ,$11.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405930,J0290,AMPICILLIN IV VIAL : 500MG,636,1 ,$8.45 ,$5.49 ,$5.49 ,$7.61 ,$6.76 , N/A ,$6.70 ,$7.61 ,$7.61 , N/A ,$7.18 ,$6.25 , N/A , N/A , N/A ,$7.05 , N/A ,$6.98 ,$6.76 ,$7.61 , N/A ,$7.18 , N/A ,$7.18 ,$7.18 ,$7.61 ,$7.61 ,$6.63 ,$6.98 , N/A ,$5.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405932,N/A,AMPICILLIN SODIUM VIAL:250MG,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405940,N/A,PROPARACAINE (ALCAINE) EYE DROPS 0.5%,637,1 ,$70.08 ,$45.55 ,$45.55 ,$70.08 ,$56.06 , N/A ,$55.53 ,$63.11 ,$63.11 , N/A ,$59.57 ,$51.86 , N/A , N/A , N/A ,$58.45 , N/A ,$57.89 ,$56.06 ,$63.07 ,$70.08 ,$59.57 , N/A ,$59.57 ,$59.57 ,$63.07 ,$63.07 ,$55.01 ,$57.89 , N/A ,$45.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405941,N/A,OPHTHAINE (OPHTHETIC) APPLICATION,637,1 ,$5.00 ,$3.25 ,$3.25 ,$5.00 ,$4.00 , N/A ,$3.96 ,$4.50 ,$4.50 , N/A ,$4.25 ,$3.70 , N/A , N/A , N/A ,$4.17 , N/A ,$4.13 ,$4.00 ,$4.50 ,$5.00 ,$4.25 , N/A ,$4.25 ,$4.25 ,$4.50 ,$4.50 ,$3.93 ,$4.13 , N/A ,$3.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405965,N/A,HYDROCHLOROTHIAZIDE TAB 25MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3405985,N/A,TOLBUTAMIDE TABLET:500MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406000,N/A,OYSTER SHELL CALCIUM 250MG W/ VIT D TAB,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406050,N/A,PAPAVERINE HCL AMPUL:30MG/ML,250,1 ,$28.35 ,$18.43 ,$18.43 ,$25.53 ,$22.68 , N/A ,$22.46 ,$25.53 ,$25.53 , N/A ,$24.10 ,$20.98 , N/A , N/A , N/A ,$23.64 , N/A ,$23.42 ,$22.68 ,$25.52 , N/A ,$24.10 , N/A ,$24.10 ,$24.10 ,$25.52 ,$25.52 ,$22.25 ,$23.42 , N/A ,$18.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406070,N/A,BROMOCRIPTINE MESYLATE TAB : 2.5MG,637,1 ,$6.85 ,$4.45 ,$4.45 ,$6.85 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 ,$6.85 ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406085,N/A,PAPAVERINE HCL CAPSULE SA:150MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406115,N/A,PENICILLIN G POTASSIUM VIAL:1MMU,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406120,N/A,PENICILLIN G POTASSIUM VIAL:5MMU,250,1 ,$6.05 ,$3.93 ,$3.93 ,$5.45 ,$4.84 , N/A ,$4.79 ,$5.45 ,$5.45 , N/A ,$5.14 ,$4.48 , N/A , N/A , N/A ,$5.05 , N/A ,$5.00 ,$4.84 ,$5.45 , N/A ,$5.14 , N/A ,$5.14 ,$5.14 ,$5.45 ,$5.45 ,$4.75 ,$5.00 , N/A ,$3.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406145,N/A,PENTOTHAL (THIOPENTAL) : 500MG,250,1 ,$50.95 ,$33.12 ,$33.12 ,$45.88 ,$40.76 , N/A ,$40.37 ,$45.88 ,$45.88 , N/A ,$43.31 ,$37.70 , N/A , N/A , N/A ,$42.49 , N/A ,$42.08 ,$40.76 ,$45.86 , N/A ,$43.31 , N/A ,$43.31 ,$43.31 ,$45.86 ,$45.86 ,$40.00 ,$42.08 , N/A ,$33.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406170,N/A,PERICOLACE (CASAN/DOC) SYRUP : PER OZ,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406171,N/A,PERICOLACE (CASANTHRANOL/DOCUSATE) CAP,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406175,N/A,CYPROHEPTADINE (PERIACTIN) TABLET : 4MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406184,N/A,WHITE PETROLATUM SKIN PROTECTANT,637,1 ,$3.80 ,$2.47 ,$2.47 ,$3.80 ,$3.04 , N/A ,$3.01 ,$3.42 ,$3.42 , N/A ,$3.23 ,$2.81 , N/A , N/A , N/A ,$3.17 , N/A ,$3.14 ,$3.04 ,$3.42 ,$3.80 ,$3.23 , N/A ,$3.23 ,$3.23 ,$3.42 ,$3.42 ,$2.98 ,$3.14 , N/A ,$2.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406195,N/A,DIPYRIDAMOLE (PERSANTINE) TAB : 50MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406196,N/A,DIPYRIDAMOLE (PERSANTINE) TAB : 75MG,637,1 ,$2.00 ,$1.30 ,$1.30 ,$2.00 ,$1.60 , N/A ,$1.58 ,$1.80 ,$1.80 , N/A ,$1.70 ,$1.48 , N/A , N/A , N/A ,$1.67 , N/A ,$1.65 ,$1.60 ,$1.80 ,$2.00 ,$1.70 , N/A ,$1.70 ,$1.70 ,$1.80 ,$1.80 ,$1.57 ,$1.65 , N/A ,$1.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406200,N/A,DIPYRIDAMOLE TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406210,J1245,PERSANTINE 2ML AMP IV,636,1 ,$79.95 ,$51.97 ,$51.97 ,$72.00 ,$63.96 , N/A ,$63.35 ,$72.00 ,$72.00 , N/A ,$67.96 ,$59.16 , N/A , N/A , N/A ,$66.68 , N/A ,$66.04 ,$63.96 ,$71.96 , N/A ,$67.96 , N/A ,$67.96 ,$67.96 ,$71.96 ,$71.96 ,$62.76 ,$66.04 , N/A ,$51.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406265,N/A,PHENERGAN (PROMETHAZINE) AMP : 50MG/ML,637,1 ,$6.95 ,$4.52 ,$4.52 ,$6.95 ,$5.56 , N/A ,$5.51 ,$6.26 ,$6.26 , N/A ,$5.91 ,$5.14 , N/A , N/A , N/A ,$5.80 , N/A ,$5.74 ,$5.56 ,$6.26 ,$6.95 ,$5.91 , N/A ,$5.91 ,$5.91 ,$6.26 ,$6.26 ,$5.46 ,$5.74 , N/A ,$4.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406312,N/A,PROMETHAZINE RECTAL SUPP 25MG PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406315,N/A,PHENOBARBITAL ELIXIR 4MG/ML : PER 5ML,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406320,N/A,PHENOBARBITAL TABLET:15MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406325,N/A,PHENOBARBITAL TAB 32.4MG,637,1 ,$3.12 ,$2.03 ,$2.03 ,$3.12 ,$2.50 , N/A ,$2.47 ,$2.81 ,$2.81 , N/A ,$2.65 ,$2.31 , N/A , N/A , N/A ,$2.60 , N/A ,$2.58 ,$2.50 ,$2.81 ,$3.12 ,$2.65 , N/A ,$2.65 ,$2.65 ,$2.81 ,$2.81 ,$2.45 ,$2.58 , N/A ,$2.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406326,N/A,PHENOBARBITAL TABLET:100MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406345,J2560,PHENOBARBITAL SODIUM VIAL : 130MG/ML,636,1 ,$13.60 ,$8.84 ,$8.84 ,$112.36 ,$10.88 ,$44.95 ,$10.78 ,$12.25 ,$12.25 ,$85.40 ,$11.56 ,$10.06 ,$112.36 ,$44.95 , N/A ,$11.34 ,$44.95 ,$11.23 ,$10.88 ,$12.24 ,$13.60 ,$11.56 ,$13.60 ,$11.56 ,$11.56 ,$12.24 ,$12.24 ,$10.68 ,$11.23 ,$13.60 ,$8.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406405,N/A,PAROXETINE TAB 30MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406406,N/A,ESCITALOPRAM TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406440,N/A,POLYMYXIN B SULFATE VIAL:500MU,637,1 ,$18.75 ,$12.19 ,$12.19 ,$18.75 ,$15.00 , N/A ,$14.86 ,$16.88 ,$16.88 , N/A ,$15.94 ,$13.88 , N/A , N/A , N/A ,$15.64 , N/A ,$15.49 ,$15.00 ,$16.88 ,$18.75 ,$15.94 , N/A ,$15.94 ,$15.94 ,$16.88 ,$16.88 ,$14.72 ,$15.49 , N/A ,$12.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406445,N/A,BACITRACIN/POLYMYXIN B TOPICAL OINT,637,1 ,$25.68 ,$16.69 ,$16.69 ,$25.68 ,$20.54 , N/A ,$20.35 ,$23.12 ,$23.12 , N/A ,$21.83 ,$19.00 , N/A , N/A , N/A ,$21.42 , N/A ,$21.21 ,$20.54 ,$23.11 ,$25.68 ,$21.83 , N/A ,$21.83 ,$21.83 ,$23.11 ,$23.11 ,$20.16 ,$21.21 , N/A ,$16.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406447,N/A,BACITRACIN/POLYMYXIN B SULFATE POWDER:,637,1 ,$29.15 ,$18.95 ,$18.95 ,$29.15 ,$23.32 , N/A ,$23.10 ,$26.25 ,$26.25 , N/A ,$24.78 ,$21.57 , N/A , N/A , N/A ,$24.31 , N/A ,$24.08 ,$23.32 ,$26.24 ,$29.15 ,$24.78 , N/A ,$24.78 ,$24.78 ,$26.24 ,$26.24 ,$22.88 ,$24.08 , N/A ,$18.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406450,N/A,BACITRACIN/POLYMYXIN B EYE OINT : 3.5GM,637,1 ,$77.79 ,$50.56 ,$50.56 ,$77.79 ,$62.23 , N/A ,$61.64 ,$70.05 ,$70.05 , N/A ,$66.12 ,$57.56 , N/A , N/A , N/A ,$64.88 , N/A ,$64.25 ,$62.23 ,$70.01 ,$77.79 ,$66.12 , N/A ,$66.12 ,$66.12 ,$70.01 ,$70.01 ,$61.07 ,$64.25 , N/A ,$50.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406467,N/A,TETRACAINE HCL 0.5% EYE DROPS,250,1 ,$37.65 ,$24.47 ,$24.47 ,$33.90 ,$30.12 , N/A ,$29.83 ,$33.90 ,$33.90 , N/A ,$32.00 ,$27.86 , N/A , N/A , N/A ,$31.40 , N/A ,$31.10 ,$30.12 ,$33.89 , N/A ,$32.00 , N/A ,$32.00 ,$32.00 ,$33.89 ,$33.89 ,$29.56 ,$31.10 , N/A ,$24.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406480,N/A,POTASSIUM CHLORIDE IV : 2MEQ/ML,637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406508,N/A,PEDIAPRED 5MG/5ML : PER 30ML,637,1 ,$24.75 ,$16.09 ,$16.09 ,$24.75 ,$19.80 , N/A ,$19.61 ,$22.29 ,$22.29 , N/A ,$21.04 ,$18.32 , N/A , N/A , N/A ,$20.64 , N/A ,$20.44 ,$19.80 ,$22.28 ,$24.75 ,$21.04 , N/A ,$21.04 ,$21.04 ,$22.28 ,$22.28 ,$19.43 ,$20.44 , N/A ,$16.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406510,N/A,PREDNISONE TAB : 1MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406520,N/A,PREDNISONE TAB : 10MG,250,1 ,$0.90 ,$0.59 ,$0.59 ,$0.81 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 , N/A ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406521,N/A,PREDNISONE TABLET:2.5MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406530,N/A,PREDNISONE TABLET:5MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406545,N/A,PREMARIN TAB 0.625MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406560,J1410,PREMARIN VIAL : 25MG,636,1 ,$391.25 ,$254.31 ,$254.31 ,$854.41 ,$313.00 ,$341.77 ,$310.03 ,$352.32 ,$352.32 ,$649.35 ,$332.56 ,$289.53 ,$854.41 ,$341.77 , N/A ,$326.30 ,$341.77 ,$323.17 ,$313.00 ,$352.13 ,$391.25 ,$332.56 ,$341.77 ,$332.56 ,$332.56 ,$352.13 ,$352.13 ,$307.13 ,$323.17 ,$341.77 ,$254.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406565,N/A,PREMARIN TAB 1.25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406570,N/A,PREMARIN TAB 0.3MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406575,N/A,"ESTROGENS,CONJUGATED CREAM/APPL:0.625MG/",637,1 ,$147.70 ,$96.01 ,$96.01 ,$147.70 ,$118.16 , N/A ,$117.04 ,$133.00 ,$133.00 , N/A ,$125.55 ,$109.30 , N/A , N/A , N/A ,$123.18 , N/A ,$122.00 ,$118.16 ,$132.93 ,$147.70 ,$125.55 , N/A ,$125.55 ,$125.55 ,$132.93 ,$132.93 ,$115.94 ,$122.00 , N/A ,$96.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406620,N/A,AMITRIPTYLINE TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406630,N/A,VANCOMYCIN 25MG/mL GRAPE ORAL SOLUTION,637,1 ,$13.48 ,$8.76 ,$8.76 ,$13.48 ,$10.78 , N/A ,$10.68 ,$12.14 ,$12.14 , N/A ,$11.46 ,$9.98 , N/A , N/A , N/A ,$11.24 , N/A ,$11.13 ,$10.78 ,$12.13 ,$13.48 ,$11.46 , N/A ,$11.46 ,$11.46 ,$12.13 ,$12.13 ,$10.58 ,$11.13 , N/A ,$8.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406654,N/A,NICOTINE PATCH 7MG/24HR PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406655,N/A,PROCAINAMIDE HCL TABLET SA:750MG,637,1 ,$1.45 ,$0.94 ,$0.94 ,$1.45 ,$1.16 , N/A ,$1.15 ,$1.31 ,$1.31 , N/A ,$1.23 ,$1.07 , N/A , N/A , N/A ,$1.21 , N/A ,$1.20 ,$1.16 ,$1.31 ,$1.45 ,$1.23 , N/A ,$1.23 ,$1.23 ,$1.31 ,$1.31 ,$1.14 ,$1.20 , N/A ,$0.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406656,N/A,NICOTINE PATCH TD24:21MG/24HR,637,1 ,$12.35 ,$8.03 ,$8.03 ,$12.35 ,$9.88 , N/A ,$9.79 ,$11.12 ,$11.12 , N/A ,$10.50 ,$9.14 , N/A , N/A , N/A ,$10.30 , N/A ,$10.20 ,$9.88 ,$11.12 ,$12.35 ,$10.50 , N/A ,$10.50 ,$10.50 ,$11.12 ,$11.12 ,$9.69 ,$10.20 , N/A ,$8.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406657,N/A,NICOTINE PATCH TD24:14MG/24HR,637,1 ,$12.35 ,$8.03 ,$8.03 ,$12.35 ,$9.88 , N/A ,$9.79 ,$11.12 ,$11.12 , N/A ,$10.50 ,$9.14 , N/A , N/A , N/A ,$10.30 , N/A ,$10.20 ,$9.88 ,$11.12 ,$12.35 ,$10.50 , N/A ,$10.50 ,$10.50 ,$11.12 ,$11.12 ,$9.69 ,$10.20 , N/A ,$8.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406658,N/A,NICOTINE GUM : 4MG,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406660,N/A,OXYBUTYNIN ER TAB 15MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406661,J0780,PROCHLORPERAZINE (COMPAZINE) INJ: 5MG/ML,636,1 ,$66.06 ,$42.94 ,$42.94 ,$59.49 ,$52.85 , N/A ,$52.35 ,$59.49 ,$59.49 , N/A ,$56.15 ,$48.88 , N/A , N/A , N/A ,$55.09 , N/A ,$54.57 ,$52.85 ,$59.45 , N/A ,$56.15 , N/A ,$56.15 ,$56.15 ,$59.45 ,$59.45 ,$51.86 ,$54.57 , N/A ,$42.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406662,N/A,NIFEDIPINE ER TAB 60MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406663,N/A,CARDURA (DOXAZOSIN) TABLET : 1MG,637,1 ,$3.15 ,$2.05 ,$2.05 ,$3.15 ,$2.52 , N/A ,$2.50 ,$2.84 ,$2.84 , N/A ,$2.68 ,$2.33 , N/A , N/A , N/A ,$2.63 , N/A ,$2.60 ,$2.52 ,$2.84 ,$3.15 ,$2.68 , N/A ,$2.68 ,$2.68 ,$2.84 ,$2.84 ,$2.47 ,$2.60 , N/A ,$2.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406720,N/A,PROCAINAMIDE HCL CAPSULE:250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406775,J2720,PROTAMINE SULFATE INJ : 10MG/ML,636,1 ,$152.97 ,$99.43 ,$99.43 ,$137.75 ,$122.38 , N/A ,$121.21 ,$137.75 ,$137.75 , N/A ,$130.02 ,$113.20 , N/A , N/A , N/A ,$127.58 , N/A ,$126.35 ,$122.38 ,$137.67 , N/A ,$130.02 , N/A ,$130.02 ,$130.02 ,$137.67 ,$137.67 ,$120.08 ,$126.35 , N/A ,$99.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406791,J3535,ALBUTEROL HFA (VENTOLIN) INHALER,637,1 ,$93.32 ,$60.66 ,$60.66 ,$93.32 ,$74.66 , N/A ,$73.95 ,$84.03 ,$84.03 , N/A ,$79.32 ,$69.06 , N/A , N/A , N/A ,$77.83 , N/A ,$77.08 ,$74.66 ,$83.99 ,$93.32 ,$79.32 , N/A ,$79.32 ,$79.32 ,$83.99 ,$83.99 ,$73.26 ,$77.08 , N/A ,$60.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406792,N/A,ALBUTEROL SULFATE SOLUTION:5MG/ML,637,1 ,$3.15 ,$2.05 ,$2.05 ,$3.15 ,$2.52 , N/A ,$2.50 ,$2.84 ,$2.84 , N/A ,$2.68 ,$2.33 , N/A , N/A , N/A ,$2.63 , N/A ,$2.60 ,$2.52 ,$2.84 ,$3.15 ,$2.68 , N/A ,$2.68 ,$2.68 ,$2.84 ,$2.84 ,$2.47 ,$2.60 , N/A ,$2.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406794,N/A,ALBUTEROL HHN 2.5MG/3ML,637,1 ,$2.84 ,$1.85 ,$1.85 ,$2.84 ,$2.27 , N/A ,$2.25 ,$2.56 ,$2.56 , N/A ,$2.41 ,$2.10 , N/A , N/A , N/A ,$2.37 , N/A ,$2.35 ,$2.27 ,$2.56 ,$2.84 ,$2.41 , N/A ,$2.41 ,$2.41 ,$2.56 ,$2.56 ,$2.23 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406795,N/A,ALBUTEROL SULFATE TABLET : 2MG,637,1 ,$1.00 ,$0.65 ,$0.65 ,$1.00 ,$0.80 , N/A ,$0.79 ,$0.90 ,$0.90 , N/A ,$0.85 ,$0.74 , N/A , N/A , N/A ,$0.83 , N/A ,$0.83 ,$0.80 ,$0.90 ,$1.00 ,$0.85 , N/A ,$0.85 ,$0.85 ,$0.90 ,$0.90 ,$0.79 ,$0.83 , N/A ,$0.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406796,N/A,PROVENTIL REPETAB SA : 4MG,637,1 ,$3.50 ,$2.28 ,$2.28 ,$3.50 ,$2.80 , N/A ,$2.77 ,$3.15 ,$3.15 , N/A ,$2.98 ,$2.59 , N/A , N/A , N/A ,$2.92 , N/A ,$2.89 ,$2.80 ,$3.15 ,$3.50 ,$2.98 , N/A ,$2.98 ,$2.98 ,$3.15 ,$3.15 ,$2.75 ,$2.89 , N/A ,$2.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406797,N/A,ProAir HFA INHALER PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406799,N/A,ALFENTANIL HCL AMPUL:500MCG/ML,250,1 ,$25.50 ,$16.58 ,$16.58 ,$22.96 ,$20.40 , N/A ,$20.21 ,$22.96 ,$22.96 , N/A ,$21.68 ,$18.87 , N/A , N/A , N/A ,$21.27 , N/A ,$21.06 ,$20.40 ,$22.95 , N/A ,$21.68 , N/A ,$21.68 ,$21.68 ,$22.95 ,$22.95 ,$20.02 ,$21.06 , N/A ,$16.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406801,N/A,PSEUDOEPHEDRINE HCL TAB : 30MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406805,N/A,PROVERA TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406808,N/A,MEGESTROL ACETATE TABLET:40MG,637,1 ,$3.40 ,$2.21 ,$2.21 ,$3.40 ,$2.72 , N/A ,$2.69 ,$3.06 ,$3.06 , N/A ,$2.89 ,$2.52 , N/A , N/A , N/A ,$2.84 , N/A ,$2.81 ,$2.72 ,$3.06 ,$3.40 ,$2.89 , N/A ,$2.89 ,$2.89 ,$3.06 ,$3.06 ,$2.67 ,$2.81 , N/A ,$2.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406810,N/A,RIMSO-50 SOLUTION,637,1 ,$238.50 ,$155.03 ,$155.03 ,$238.50 ,$190.80 , N/A ,$188.99 ,$214.77 ,$214.77 , N/A ,$202.73 ,$176.49 , N/A , N/A , N/A ,$198.91 , N/A ,$197.00 ,$190.80 ,$214.65 ,$238.50 ,$202.73 , N/A ,$202.73 ,$202.73 ,$214.65 ,$214.65 ,$187.22 ,$197.00 , N/A ,$155.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406827,N/A,PHENAZOPYRIDINE (PYRIDIUM) TAB : 100MG,637,1 ,$8.56 ,$5.56 ,$5.56 ,$8.56 ,$6.85 , N/A ,$6.78 ,$7.71 ,$7.71 , N/A ,$7.28 ,$6.33 , N/A , N/A , N/A ,$7.14 , N/A ,$7.07 ,$6.85 ,$7.70 ,$8.56 ,$7.28 , N/A ,$7.28 ,$7.28 ,$7.70 ,$7.70 ,$6.72 ,$7.07 , N/A ,$5.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406830,N/A,PULMOCARE : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406833,N/A,VITAMIN B-6 (PYRIDOXINE) TAB : 50MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406843,N/A,QUINIDINE GLUCONATE (HEART) ER TAB:324MG,637,1 ,$4.30 ,$2.80 ,$2.80 ,$4.30 ,$3.44 , N/A ,$3.41 ,$3.87 ,$3.87 , N/A ,$3.66 ,$3.18 , N/A , N/A , N/A ,$3.59 , N/A ,$3.55 ,$3.44 ,$3.87 ,$4.30 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.87 ,$3.87 ,$3.38 ,$3.55 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406845,N/A,BANATROL PLUS NURSING HOME MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406860,N/A,PAROXETINE TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406862,N/A,QUINIDINE (HEART) TABLET : 300MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406870,N/A,BENAZEPRIL TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3406905,N/A,METOCLOPRAMIDE HCL TABLET:10MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406907,N/A,METOCLOPRAMIDE LIQUID : 5MG/5mL,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406910,J2765,METOCLOPRAMIDE (REGLAN) INJ : 10MG/2ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406914,N/A,PYRIDOSTIGMINE BROMIDE AMPUL:5MG/ML,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406920,N/A,PROPYLTHIOURACIL TAB : 50MG,637,1 ,$5.16 ,$3.35 ,$3.35 ,$5.16 ,$4.13 , N/A ,$4.09 ,$4.65 ,$4.65 , N/A ,$4.39 ,$3.82 , N/A , N/A , N/A ,$4.30 , N/A ,$4.26 ,$4.13 ,$4.64 ,$5.16 ,$4.39 , N/A ,$4.39 ,$4.39 ,$4.64 ,$4.64 ,$4.05 ,$4.26 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3406945,N/A,TEMAZEPAM (RESTORIL) CAPSULE : 15MG,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407005,N/A,GLYCOPYRROLATE (ROBINUL) VIAL: 0.2MG/ML,250,1 ,$46.44 ,$30.19 ,$30.19 ,$41.82 ,$37.15 , N/A ,$36.80 ,$41.82 ,$41.82 , N/A ,$39.47 ,$34.37 , N/A , N/A , N/A ,$38.73 , N/A ,$38.36 ,$37.15 ,$41.80 , N/A ,$39.47 , N/A ,$39.47 ,$39.47 ,$41.80 ,$41.80 ,$36.46 ,$38.36 , N/A ,$30.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407060,N/A,PROPAFENONE (RYTHMOL) TAB : 150MG,637,1 ,$3.40 ,$2.21 ,$2.21 ,$3.40 ,$2.72 , N/A ,$2.69 ,$3.06 ,$3.06 , N/A ,$2.89 ,$2.52 , N/A , N/A , N/A ,$2.84 , N/A ,$2.81 ,$2.72 ,$3.06 ,$3.40 ,$2.89 , N/A ,$2.89 ,$2.89 ,$3.06 ,$3.06 ,$2.67 ,$2.81 , N/A ,$2.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407130,N/A,SULFAMETHOX 400 TRIMETHO 80 TAB PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407200,N/A,SENSORCAINE-MPF 0.75% + EPINEPHRINE ****,250,1 ,$35.20 ,$22.88 ,$22.88 ,$31.70 ,$28.16 , N/A ,$27.89 ,$31.70 ,$31.70 , N/A ,$29.92 ,$26.05 , N/A , N/A , N/A ,$29.36 , N/A ,$29.08 ,$28.16 ,$31.68 , N/A ,$29.92 , N/A ,$29.92 ,$29.92 ,$31.68 ,$31.68 ,$27.63 ,$29.08 , N/A ,$22.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407205,N/A,SILVER NITRATE : PER STICK,637,1 ,$1.42 ,$0.92 ,$0.92 ,$1.42 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 ,$1.42 ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407210,N/A,CARBIDOPA/LEVODOPA (SINEMET) 10-100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407215,N/A,CARBIDOPA/LEVODOPA (SINEMET) 25-100MG,637,1 ,$3.00 ,$1.95 ,$1.95 ,$3.00 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 ,$3.00 ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407220,N/A,CARBIDOPA/LEVODOPA (SINEMET) 25-250MG***,637,1 ,$3.00 ,$1.95 ,$1.95 ,$3.00 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 ,$3.00 ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407222,N/A,NORTRIPTYLINE CAP 75MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407230,N/A,DOXEPIN (SINEQUAN) CAPSULE 25MG,637,1 ,$1.53 ,$0.99 ,$0.99 ,$1.53 ,$1.22 , N/A ,$1.21 ,$1.38 ,$1.38 , N/A ,$1.30 ,$1.13 , N/A , N/A , N/A ,$1.28 , N/A ,$1.26 ,$1.22 ,$1.38 ,$1.53 ,$1.30 , N/A ,$1.30 ,$1.30 ,$1.38 ,$1.38 ,$1.20 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407231,N/A,KEPPRA TAB 1000MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407261,N/A,SODIUM BICARBONATE TABLET:325MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407300,N/A,CHLOROPTIC SOLUTION,637,1 ,$3.68 ,$2.39 ,$2.39 ,$3.68 ,$2.94 , N/A ,$2.92 ,$3.31 ,$3.31 , N/A ,$3.13 ,$2.72 , N/A , N/A , N/A ,$3.07 , N/A ,$3.04 ,$2.94 ,$3.31 ,$3.68 ,$3.13 , N/A ,$3.13 ,$3.13 ,$3.31 ,$3.31 ,$2.89 ,$3.04 , N/A ,$2.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407302,J0878,DAPTOMYCIN (CUBICIN) 500MG VIAL (JW),636,1 ,$986.13 ,$640.98 ,$640.98 ,$888.01 ,$788.90 , N/A ,$781.41 ,$888.01 ,$888.01 , N/A ,$838.21 ,$729.74 , N/A , N/A , N/A ,$822.43 , N/A ,$814.54 ,$788.90 ,$887.52 , N/A ,$838.21 , N/A ,$838.21 ,$838.21 ,$887.52 ,$887.52 ,$774.11 ,$814.54 , N/A ,$640.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407305,N/A,CHLORAMPHENICOL EYE OINT : 1,637,1 ,$67.90 ,$44.14 ,$44.14 ,$67.90 ,$54.32 , N/A ,$53.80 ,$61.14 ,$61.14 , N/A ,$57.72 ,$50.25 , N/A , N/A , N/A ,$56.63 , N/A ,$56.09 ,$54.32 ,$61.11 ,$67.90 ,$57.72 , N/A ,$57.72 ,$57.72 ,$61.11 ,$61.11 ,$53.30 ,$56.09 , N/A ,$44.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407317,N/A,SODIUM POLYSTYRENE(KAYEXALATE) 15GM/60mL,637,1 ,$32.15 ,$20.90 ,$20.90 ,$32.15 ,$25.72 , N/A ,$25.48 ,$28.95 ,$28.95 , N/A ,$27.33 ,$23.79 , N/A , N/A , N/A ,$26.81 , N/A ,$26.56 ,$25.72 ,$28.94 ,$32.15 ,$27.33 , N/A ,$27.33 ,$27.33 ,$28.94 ,$28.94 ,$25.24 ,$26.56 , N/A ,$20.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407322,N/A,SODIUM CHLORIDE 0.9% 10ML VIAL,250,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407325,N/A,SULFACETAMIDE 10% EYE DROPS,637,1 ,$174.12 ,$113.18 ,$113.18 ,$174.12 ,$139.30 , N/A ,$137.97 ,$156.80 ,$156.80 , N/A ,$148.00 ,$128.85 , N/A , N/A , N/A ,$145.22 , N/A ,$143.82 ,$139.30 ,$156.71 ,$174.12 ,$148.00 , N/A ,$148.00 ,$148.00 ,$156.71 ,$156.71 ,$136.68 ,$143.82 , N/A ,$113.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407400,N/A,TRIFLUOPERAZINE HCL TABLET:1MG,637,1 ,$1.75 ,$1.14 ,$1.14 ,$1.75 ,$1.40 , N/A ,$1.39 ,$1.58 ,$1.58 , N/A ,$1.49 ,$1.30 , N/A , N/A , N/A ,$1.46 , N/A ,$1.45 ,$1.40 ,$1.58 ,$1.75 ,$1.49 , N/A ,$1.49 ,$1.49 ,$1.58 ,$1.58 ,$1.37 ,$1.45 , N/A ,$1.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407401,N/A,TRIFLUOPERAZINE HCL TABLET:5MG,637,1 ,$3.20 ,$2.08 ,$2.08 ,$3.20 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 ,$3.20 ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407420,N/A,LUTEIN TAB 6MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407440,N/A,FENTANYL CITRATE AMPUL:0.05MG/ML,250,1 ,$14.65 ,$9.52 ,$9.52 ,$13.19 ,$11.72 , N/A ,$11.61 ,$13.19 ,$13.19 , N/A ,$12.45 ,$10.84 , N/A , N/A , N/A ,$12.22 , N/A ,$12.10 ,$11.72 ,$13.19 , N/A ,$12.45 , N/A ,$12.45 ,$12.45 ,$13.19 ,$13.19 ,$11.50 ,$12.10 , N/A ,$9.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407485,N/A,TETRACYCLINE HCL CAPSULE : 250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407510,N/A,SURFAK (DOCUSATE CALCIUM) CAP : 240MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407525,N/A,SUS-PHRINE (EPINEPHRINE) : 5MG/ML,250,1 ,$17.50 ,$11.38 ,$11.38 ,$15.76 ,$14.00 , N/A ,$13.87 ,$15.76 ,$15.76 , N/A ,$14.88 ,$12.95 , N/A , N/A , N/A ,$14.60 , N/A ,$14.46 ,$14.00 ,$15.75 , N/A ,$14.88 , N/A ,$14.88 ,$14.88 ,$15.75 ,$15.75 ,$13.74 ,$14.46 , N/A ,$11.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407536,N/A,SUPRAX TABLET : 400MG,637,1 ,$23.65 ,$15.37 ,$15.37 ,$23.65 ,$18.92 , N/A ,$18.74 ,$21.30 ,$21.30 , N/A ,$20.10 ,$17.50 , N/A , N/A , N/A ,$19.72 , N/A ,$19.53 ,$18.92 ,$21.29 ,$23.65 ,$20.10 , N/A ,$20.10 ,$20.10 ,$21.29 ,$21.29 ,$18.57 ,$19.53 , N/A ,$15.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407537,N/A,SWEET OIL (OLIVE OIL) EAR DROPS,637,1 ,$14.85 ,$9.65 ,$9.65 ,$14.85 ,$11.88 , N/A ,$11.77 ,$13.37 ,$13.37 , N/A ,$12.62 ,$10.99 , N/A , N/A , N/A ,$12.38 , N/A ,$12.27 ,$11.88 ,$13.37 ,$14.85 ,$12.62 , N/A ,$12.62 ,$12.62 ,$13.37 ,$13.37 ,$11.66 ,$12.27 , N/A ,$9.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407550,N/A,AMANTADINE CAP 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407551,N/A,AMANTADINE HCL SYRUP:50MG/5ML 30ML,637,1 ,$14.65 ,$9.52 ,$9.52 ,$14.65 ,$11.72 , N/A ,$11.61 ,$13.19 ,$13.19 , N/A ,$12.45 ,$10.84 , N/A , N/A , N/A ,$12.22 , N/A ,$12.10 ,$11.72 ,$13.19 ,$14.65 ,$12.45 , N/A ,$12.45 ,$12.45 ,$13.19 ,$13.19 ,$11.50 ,$12.10 , N/A ,$9.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407585,N/A,LEVOTHYROXINE (SYNTHROID) TAB 100MCG,637,1 ,$2.04 ,$1.33 ,$1.33 ,$2.04 ,$1.63 , N/A ,$1.62 ,$1.84 ,$1.84 , N/A ,$1.73 ,$1.51 , N/A , N/A , N/A ,$1.70 , N/A ,$1.69 ,$1.63 ,$1.84 ,$2.04 ,$1.73 , N/A ,$1.73 ,$1.73 ,$1.84 ,$1.84 ,$1.60 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407600,N/A,LEVOTHYROXINE (SYNTHROID) 50MCG TAB,637,1 ,$1.82 ,$1.18 ,$1.18 ,$1.82 ,$1.46 , N/A ,$1.44 ,$1.64 ,$1.64 , N/A ,$1.55 ,$1.35 , N/A , N/A , N/A ,$1.52 , N/A ,$1.50 ,$1.46 ,$1.64 ,$1.82 ,$1.55 , N/A ,$1.55 ,$1.55 ,$1.64 ,$1.64 ,$1.43 ,$1.50 , N/A ,$1.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407605,N/A,LEVOTHYROXINE (SYNTHROID) TAB 150MCG,637,1 ,$2.15 ,$1.40 ,$1.40 ,$2.15 ,$1.72 , N/A ,$1.70 ,$1.94 ,$1.94 , N/A ,$1.83 ,$1.59 , N/A , N/A , N/A ,$1.79 , N/A ,$1.78 ,$1.72 ,$1.94 ,$2.15 ,$1.83 , N/A ,$1.83 ,$1.83 ,$1.94 ,$1.94 ,$1.69 ,$1.78 , N/A ,$1.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407610,N/A,LEVOTHYROXINE VIAL 0.1MG SPECIAL ORDER,250,1 ,$229.92 ,$149.45 ,$149.45 ,$207.04 ,$183.94 , N/A ,$182.19 ,$207.04 ,$207.04 , N/A ,$195.43 ,$170.14 , N/A , N/A , N/A ,$191.75 , N/A ,$189.91 ,$183.94 ,$206.93 , N/A ,$195.43 , N/A ,$195.43 ,$195.43 ,$206.93 ,$206.93 ,$180.49 ,$189.91 , N/A ,$149.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407615,N/A,LEVOTHYROXINE (SYNTHROID) TAB 125MCG,637,1 ,$2.38 ,$1.55 ,$1.55 ,$2.38 ,$1.90 , N/A ,$1.89 ,$2.14 ,$2.14 , N/A ,$2.02 ,$1.76 , N/A , N/A , N/A ,$1.98 , N/A ,$1.97 ,$1.90 ,$2.14 ,$2.38 ,$2.02 , N/A ,$2.02 ,$2.02 ,$2.14 ,$2.14 ,$1.87 ,$1.97 , N/A ,$1.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407635,N/A,NAMENDA XR CAP 7MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407637,N/A,NAMENDA XR CAP 14MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407670,N/A,ISOPTO TEARS,637,1 ,$51.00 ,$33.15 ,$33.15 ,$51.00 ,$40.80 , N/A ,$40.41 ,$45.93 ,$45.93 , N/A ,$43.35 ,$37.74 , N/A , N/A , N/A ,$42.53 , N/A ,$42.13 ,$40.80 ,$45.90 ,$51.00 ,$43.35 , N/A ,$43.35 ,$43.35 ,$45.90 ,$45.90 ,$40.04 ,$42.13 , N/A ,$33.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407672,J8610,METHOTREXATE TABLET (WEEKLY) : 2.5MG,636,1 ,$14.06 ,$9.14 ,$9.14 ,$12.66 ,$11.25 , N/A ,$11.14 ,$12.66 ,$12.66 , N/A ,$11.95 ,$10.40 , N/A , N/A , N/A ,$11.73 , N/A ,$11.61 ,$11.25 ,$12.65 , N/A ,$11.95 , N/A ,$11.95 ,$11.95 ,$12.65 ,$12.65 ,$11.04 ,$11.61 , N/A ,$9.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407696,N/A,CARBAMAZEPINE (TEGRETOL) CHEW TAB: 100MG,637,1 ,$2.27 ,$1.48 ,$1.48 ,$2.27 ,$1.82 , N/A ,$1.80 ,$2.04 ,$2.04 , N/A ,$1.93 ,$1.68 , N/A , N/A , N/A ,$1.89 , N/A ,$1.88 ,$1.82 ,$2.04 ,$2.27 ,$1.93 , N/A ,$1.93 ,$1.93 ,$2.04 ,$2.04 ,$1.78 ,$1.88 , N/A ,$1.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407704,N/A,PHYSOSTIGMINE SALICYLATE AMPUL:1MG/ML,250,1 ,$29.20 ,$18.98 ,$18.98 ,$26.29 ,$23.36 , N/A ,$23.14 ,$26.29 ,$26.29 , N/A ,$24.82 ,$21.61 , N/A , N/A , N/A ,$24.35 , N/A ,$24.12 ,$23.36 ,$26.28 , N/A ,$24.82 , N/A ,$24.82 ,$24.82 ,$26.28 ,$26.28 ,$22.92 ,$24.12 , N/A ,$18.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407710,N/A,ATENOLOL TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407715,N/A,INVOKANA TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407725,N/A,HYTRIN (TERAZOSIN) CAP : 1MG,637,1 ,$6.40 ,$4.16 ,$4.16 ,$6.40 ,$5.12 , N/A ,$5.07 ,$5.76 ,$5.76 , N/A ,$5.44 ,$4.74 , N/A , N/A , N/A ,$5.34 , N/A ,$5.29 ,$5.12 ,$5.76 ,$6.40 ,$5.44 , N/A ,$5.44 ,$5.44 ,$5.76 ,$5.76 ,$5.02 ,$5.29 , N/A ,$4.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407760,N/A,BENZONATATE (TESSALON) CAPSULE 100MG,637,1 ,$3.63 ,$2.36 ,$2.36 ,$3.63 ,$2.90 , N/A ,$2.88 ,$3.27 ,$3.27 , N/A ,$3.09 ,$2.69 , N/A , N/A , N/A ,$3.03 , N/A ,$3.00 ,$2.90 ,$3.27 ,$3.63 ,$3.09 , N/A ,$3.09 ,$3.09 ,$3.27 ,$3.27 ,$2.85 ,$3.00 , N/A ,$2.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407762,N/A,TERCONAZOLE SUPP.VAG:80MG,637,1 ,$116.40 ,$75.66 ,$75.66 ,$116.40 ,$93.12 , N/A ,$92.24 ,$104.82 ,$104.82 , N/A ,$98.94 ,$86.14 , N/A , N/A , N/A ,$97.08 , N/A ,$96.15 ,$93.12 ,$104.76 ,$116.40 ,$98.94 , N/A ,$98.94 ,$98.94 ,$104.76 ,$104.76 ,$91.37 ,$96.15 , N/A ,$75.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407765,90714,TETANUS/DIPHTHER ADULT (TENIVAC) : 0.5ML,636,1 ,$63.75 ,$41.44 ,$41.44 ,$57.41 ,$51.00 , N/A ,$50.52 ,$57.41 ,$57.41 , N/A ,$54.19 ,$47.18 , N/A , N/A , N/A ,$53.17 , N/A ,$52.66 ,$51.00 ,$57.38 , N/A ,$54.19 , N/A ,$54.19 ,$54.19 ,$57.38 ,$57.38 ,$50.04 ,$52.66 , N/A ,$41.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407770,J1670,TETANUS IMMUNE GLOBULIN (HYPERTET),636,1 ,$647.12 ,$420.63 ,$420.63 ,"$1,209.78 ",$517.70 ,$483.91 ,$512.78 ,$582.73 ,$582.73 ,$919.43 ,$550.05 ,$478.87 ,"$1,209.78 ",$483.91 , N/A ,$539.70 ,$483.91 ,$534.52 ,$517.70 ,$582.41 ,$647.12 ,$550.05 ,$483.91 ,$550.05 ,$550.05 ,$582.41 ,$582.41 ,$507.99 ,$534.52 ,$483.91 ,$420.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407790,N/A,THEOPHYLLINE CAP : 50MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407800,N/A,THEOPHYLLINE ANHYDROUS CAP.SR 12H:200MG,637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407805,N/A,THEOPHYLLINE CAP : 300MG,637,1 ,$1.60 ,$1.04 ,$1.04 ,$1.60 ,$1.28 , N/A ,$1.27 ,$1.44 ,$1.44 , N/A ,$1.36 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.32 ,$1.28 ,$1.44 ,$1.60 ,$1.36 , N/A ,$1.36 ,$1.36 ,$1.44 ,$1.44 ,$1.26 ,$1.32 , N/A ,$1.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407807,N/A,THEOPHYLLINE ANHYDROUS TAB.SR 12H:450MG,637,1 ,$2.20 ,$1.43 ,$1.43 ,$2.20 ,$1.76 , N/A ,$1.74 ,$1.98 ,$1.98 , N/A ,$1.87 ,$1.63 , N/A , N/A , N/A ,$1.83 , N/A ,$1.82 ,$1.76 ,$1.98 ,$2.20 ,$1.87 , N/A ,$1.87 ,$1.87 ,$1.98 ,$1.98 ,$1.73 ,$1.82 , N/A ,$1.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407855,N/A,MELATONIN TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407907,N/A,THYROID 30MG TABLET (PT OWN MED),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407908,N/A,THYROID TAB 60MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407925,N/A,TRIMETHOBENZAMIDE HCL CAPSULE:100MG,637,1 ,$1.50 ,$0.98 ,$0.98 ,$1.50 ,$1.20 , N/A ,$1.19 ,$1.35 ,$1.35 , N/A ,$1.28 ,$1.11 , N/A , N/A , N/A ,$1.25 , N/A ,$1.24 ,$1.20 ,$1.35 ,$1.50 ,$1.28 , N/A ,$1.28 ,$1.28 ,$1.35 ,$1.35 ,$1.18 ,$1.24 , N/A ,$0.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407935,N/A,TIGAN (TRIMETHOBENZAMIDE) SUPP.:100MG,637,1 ,$1.75 ,$1.14 ,$1.14 ,$1.75 ,$1.40 , N/A ,$1.39 ,$1.58 ,$1.58 , N/A ,$1.49 ,$1.30 , N/A , N/A , N/A ,$1.46 , N/A ,$1.45 ,$1.40 ,$1.58 ,$1.75 ,$1.49 , N/A ,$1.49 ,$1.49 ,$1.58 ,$1.58 ,$1.37 ,$1.45 , N/A ,$1.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407945,N/A,TIGAN (TRIMETHOBENZAMIDE) SUPP.:200MG,637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407950,N/A,TIMOLOL (TIMOPTIC) 0.5% EYE DROPS : 5ML,637,1 ,$60.72 ,$39.47 ,$39.47 ,$60.72 ,$48.58 , N/A ,$48.11 ,$54.68 ,$54.68 , N/A ,$51.61 ,$44.93 , N/A , N/A , N/A ,$50.64 , N/A ,$50.15 ,$48.58 ,$54.65 ,$60.72 ,$51.61 , N/A ,$51.61 ,$51.61 ,$54.65 ,$54.65 ,$47.67 ,$50.15 , N/A ,$39.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407955,N/A,TIMOLOL (TIMOPTIC) 0.25% EYE DROPS : 5ML,637,1 ,$53.58 ,$34.83 ,$34.83 ,$53.58 ,$42.86 , N/A ,$42.46 ,$48.25 ,$48.25 , N/A ,$45.54 ,$39.65 , N/A , N/A , N/A ,$44.69 , N/A ,$44.26 ,$42.86 ,$48.22 ,$53.58 ,$45.54 , N/A ,$45.54 ,$45.54 ,$48.22 ,$48.22 ,$42.06 ,$44.26 , N/A ,$34.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407957,N/A,THIOTHIXENE (NAVANE) CAPSULE : 2MG,637,1 ,$1.00 ,$0.65 ,$0.65 ,$1.00 ,$0.80 , N/A ,$0.79 ,$0.90 ,$0.90 , N/A ,$0.85 ,$0.74 , N/A , N/A , N/A ,$0.83 , N/A ,$0.83 ,$0.80 ,$0.90 ,$1.00 ,$0.85 , N/A ,$0.85 ,$0.85 ,$0.90 ,$0.90 ,$0.79 ,$0.83 , N/A ,$0.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407958,N/A,THIOTHIXENE (NAVANE) CAPSULE : 5MG,637,1 ,$1.50 ,$0.98 ,$0.98 ,$1.50 ,$1.20 , N/A ,$1.19 ,$1.35 ,$1.35 , N/A ,$1.28 ,$1.11 , N/A , N/A , N/A ,$1.25 , N/A ,$1.24 ,$1.20 ,$1.35 ,$1.50 ,$1.28 , N/A ,$1.28 ,$1.28 ,$1.35 ,$1.35 ,$1.18 ,$1.24 , N/A ,$0.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407993,N/A,IMIPRAMINE HCL TABLET:10MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407995,N/A,IMIPRAMINE (TOFRANIL) 25MG TAB,637,1 ,$3.12 ,$2.03 ,$2.03 ,$3.12 ,$2.50 , N/A ,$2.47 ,$2.81 ,$2.81 , N/A ,$2.65 ,$2.31 , N/A , N/A , N/A ,$2.60 , N/A ,$2.58 ,$2.50 ,$2.81 ,$3.12 ,$2.65 , N/A ,$2.65 ,$2.65 ,$2.81 ,$2.81 ,$2.45 ,$2.58 , N/A ,$2.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3407996,N/A,URSODIOL TAB 500MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3407999,J3030,SUMATRIPTAN (IMITREX) 6MG/0.5ML VIAL,636,1 ,$104.61 ,$68.00 ,$68.00 ,$94.20 ,$83.69 , N/A ,$82.89 ,$94.20 ,$94.20 , N/A ,$88.92 ,$77.41 , N/A , N/A , N/A ,$87.24 , N/A ,$86.41 ,$83.69 ,$94.15 , N/A ,$88.92 , N/A ,$88.92 ,$88.92 ,$94.15 ,$94.15 ,$82.12 ,$86.41 , N/A ,$68.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408025,N/A,TOLMETIN SODIUM CAPSULE:400MG,637,1 ,$3.75 ,$2.44 ,$2.44 ,$3.75 ,$3.00 , N/A ,$2.97 ,$3.38 ,$3.38 , N/A ,$3.19 ,$2.78 , N/A , N/A , N/A ,$3.13 , N/A ,$3.10 ,$3.00 ,$3.38 ,$3.75 ,$3.19 , N/A ,$3.19 ,$3.19 ,$3.38 ,$3.38 ,$2.94 ,$3.10 , N/A ,$2.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408031,N/A,TOCAINIDE HCL TABLET:400MG,637,1 ,$2.95 ,$1.92 ,$1.92 ,$2.95 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 ,$2.95 ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408035,N/A,TOPICORT (DESOXIMETASONE CREAM) 0.25%,637,1 ,$81.25 ,$52.81 ,$52.81 ,$81.25 ,$65.00 , N/A ,$64.38 ,$73.17 ,$73.17 , N/A ,$69.06 ,$60.13 , N/A , N/A , N/A ,$67.76 , N/A ,$67.11 ,$65.00 ,$73.13 ,$81.25 ,$69.06 , N/A ,$69.06 ,$69.06 ,$73.13 ,$73.13 ,$63.78 ,$67.11 , N/A ,$52.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408060,N/A,ATRACURIUM BESYLATE VIAL:10MG/ML,250,1 ,$40.40 ,$26.26 ,$26.26 ,$36.38 ,$32.32 , N/A ,$32.01 ,$36.38 ,$36.38 , N/A ,$34.34 ,$29.90 , N/A , N/A , N/A ,$33.69 , N/A ,$33.37 ,$32.32 ,$36.36 , N/A ,$34.34 , N/A ,$34.34 ,$34.34 ,$36.36 ,$36.36 ,$31.71 ,$33.37 , N/A ,$26.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408065,N/A,TRACE METALS VIAL,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408075,N/A,NITROGLYCERIN PATCH TD24 0.1MG/HR,637,1 ,$5.30 ,$3.45 ,$3.45 ,$5.30 ,$4.24 , N/A ,$4.20 ,$4.77 ,$4.77 , N/A ,$4.51 ,$3.92 , N/A , N/A , N/A ,$4.42 , N/A ,$4.38 ,$4.24 ,$4.77 ,$5.30 ,$4.51 , N/A ,$4.51 ,$4.51 ,$4.77 ,$4.77 ,$4.16 ,$4.38 , N/A ,$3.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408076,N/A,NITROGLYCERIN PATCH TD24 0.4MG/HR,637,1 ,$5.95 ,$3.87 ,$3.87 ,$5.95 ,$4.76 , N/A ,$4.71 ,$5.36 ,$5.36 , N/A ,$5.06 ,$4.40 , N/A , N/A , N/A ,$4.96 , N/A ,$4.91 ,$4.76 ,$5.36 ,$5.95 ,$5.06 , N/A ,$5.06 ,$5.06 ,$5.36 ,$5.36 ,$4.67 ,$4.91 , N/A ,$3.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408077,N/A,NITROGLYCERIN PATCH 0.6MG/HR PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3408080,N/A,NITROGLYCERIN PATCH 0.2MG/HR,637,1 ,$9.24 ,$6.01 ,$6.01 ,$9.24 ,$7.39 , N/A ,$7.32 ,$8.32 ,$8.32 , N/A ,$7.85 ,$6.84 , N/A , N/A , N/A ,$7.71 , N/A ,$7.63 ,$7.39 ,$8.32 ,$9.24 ,$7.85 , N/A ,$7.85 ,$7.85 ,$8.32 ,$8.32 ,$7.25 ,$7.63 , N/A ,$6.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408090,N/A,TRANXENE (CLORAZEPATE) TAB : 7.5MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408093,N/A,NITROGLYCERIN VIAL:5MG/ML,637,1 ,$28.55 ,$18.56 ,$18.56 ,$28.55 ,$22.84 , N/A ,$22.62 ,$25.71 ,$25.71 , N/A ,$24.27 ,$21.13 , N/A , N/A , N/A ,$23.81 , N/A ,$23.58 ,$22.84 ,$25.70 ,$28.55 ,$24.27 , N/A ,$24.27 ,$24.27 ,$25.70 ,$25.70 ,$22.41 ,$23.58 , N/A ,$18.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408095,N/A,TRANXENE (CLORAZEPATE) TAB : 3.75MG,637,1 ,$1.10 ,$0.72 ,$0.72 ,$1.10 ,$0.88 , N/A ,$0.87 ,$0.99 ,$0.99 , N/A ,$0.94 ,$0.81 , N/A , N/A , N/A ,$0.92 , N/A ,$0.91 ,$0.88 ,$0.99 ,$1.10 ,$0.94 , N/A ,$0.94 ,$0.94 ,$0.99 ,$0.99 ,$0.86 ,$0.91 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408108,N/A,FAMOTIDINE (PEPCID) TAB 20MG,637,1 ,$6.22 ,$4.04 ,$4.04 ,$6.22 ,$4.98 , N/A ,$4.93 ,$5.60 ,$5.60 , N/A ,$5.29 ,$4.60 , N/A , N/A , N/A ,$5.19 , N/A ,$5.14 ,$4.98 ,$5.60 ,$6.22 ,$5.29 , N/A ,$5.29 ,$5.29 ,$5.60 ,$5.60 ,$4.88 ,$5.14 , N/A ,$4.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408110,N/A,PERCOCET TAB 7.5/325 PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3408130,N/A,AMITRIPTYLINE/PERPHENAZINE 10MG/2MG,637,1 ,$1.75 ,$1.14 ,$1.14 ,$1.75 ,$1.40 , N/A ,$1.39 ,$1.58 ,$1.58 , N/A ,$1.49 ,$1.30 , N/A , N/A , N/A ,$1.46 , N/A ,$1.45 ,$1.40 ,$1.58 ,$1.75 ,$1.49 , N/A ,$1.49 ,$1.49 ,$1.58 ,$1.58 ,$1.37 ,$1.45 , N/A ,$1.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408135,N/A,AMITRIPTYLINE 25/PERPHENAZINE 2 PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3408140,N/A,AMITRIPTYLINE/PERPHENAZINE 10MG/4MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408145,N/A,AMITRIPTYLINE/PERPHENAZINE 25MG/4MG,637,1 ,$2.40 ,$1.56 ,$1.56 ,$2.40 ,$1.92 , N/A ,$1.90 ,$2.16 ,$2.16 , N/A ,$2.04 ,$1.78 , N/A , N/A , N/A ,$2.00 , N/A ,$1.98 ,$1.92 ,$2.16 ,$2.40 ,$2.04 , N/A ,$2.04 ,$2.04 ,$2.16 ,$2.16 ,$1.88 ,$1.98 , N/A ,$1.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408205,N/A,AMOXICILLIN CAPSULE : 250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408207,N/A,AMOXICILLIN SUSPENSION : 250MG/5ML,637,1 ,$19.20 ,$12.48 ,$12.48 ,$19.20 ,$15.36 , N/A ,$15.21 ,$17.29 ,$17.29 , N/A ,$16.32 ,$14.21 , N/A , N/A , N/A ,$16.01 , N/A ,$15.86 ,$15.36 ,$17.28 ,$19.20 ,$16.32 , N/A ,$16.32 ,$16.32 ,$17.28 ,$17.28 ,$15.07 ,$15.86 , N/A ,$12.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408208,N/A,AMOXICILLIN SUSPENSION 125MG/5mL,637,1 ,$11.06 ,$7.19 ,$7.19 ,$11.06 ,$8.85 , N/A ,$8.76 ,$9.96 ,$9.96 , N/A ,$9.40 ,$8.18 , N/A , N/A , N/A ,$9.22 , N/A ,$9.14 ,$8.85 ,$9.95 ,$11.06 ,$9.40 , N/A ,$9.40 ,$9.40 ,$9.95 ,$9.95 ,$8.68 ,$9.14 , N/A ,$7.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408215,N/A,AMOXICILLIN CAPSULE : 500MG,637,1 ,$1.50 ,$0.98 ,$0.98 ,$1.50 ,$1.20 , N/A ,$1.19 ,$1.35 ,$1.35 , N/A ,$1.28 ,$1.11 , N/A , N/A , N/A ,$1.25 , N/A ,$1.24 ,$1.20 ,$1.35 ,$1.50 ,$1.28 , N/A ,$1.28 ,$1.28 ,$1.35 ,$1.35 ,$1.18 ,$1.24 , N/A ,$0.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408236,N/A,P-EPHED HCL/TRIPROLIDINE HCL TABLET:60-2,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408251,N/A,"TUBERCULIN,PPD,MULTI-PUNCTURE SKIN TEST:",250,1 ,$6.75 ,$4.39 ,$4.39 ,$6.08 ,$5.40 , N/A ,$5.35 ,$6.08 ,$6.08 , N/A ,$5.74 ,$5.00 , N/A , N/A , N/A ,$5.63 , N/A ,$5.58 ,$5.40 ,$6.08 , N/A ,$5.74 , N/A ,$5.74 ,$5.74 ,$6.08 ,$6.08 ,$5.30 ,$5.58 , N/A ,$4.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408279,N/A,TUBOCURARINE CHLORIDE VIAL:3MG/ML,637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408319,N/A,ACETAMINOPHEN RAPID DISSOLVE TAB : 80MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408320,N/A,OXYCODONE 20MG/ML ORAL LIQUID HOSPICE,637,1 ,$349.90 ,$227.44 ,$227.44 ,$349.90 ,$279.92 , N/A ,$277.26 ,$315.09 ,$315.09 , N/A ,$297.42 ,$258.93 , N/A , N/A , N/A ,$291.82 , N/A ,$289.02 ,$279.92 ,$314.91 ,$349.90 ,$297.42 , N/A ,$297.42 ,$297.42 ,$314.91 ,$314.91 ,$274.67 ,$289.02 , N/A ,$227.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408330,N/A,ACETAMINOPHEN 300/CODEINE 30MG IN 12.5ML,637,1 ,$6.54 ,$4.25 ,$4.25 ,$6.54 ,$5.23 , N/A ,$5.18 ,$5.89 ,$5.89 , N/A ,$5.56 ,$4.84 , N/A , N/A , N/A ,$5.45 , N/A ,$5.40 ,$5.23 ,$5.89 ,$6.54 ,$5.56 , N/A ,$5.56 ,$5.56 ,$5.89 ,$5.89 ,$5.13 ,$5.40 , N/A ,$4.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408332,N/A,ACETAMINOPHEN (TYLENOL) 500MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408333,N/A,TYLENOL TABLET:325MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408335,N/A,TYLENOL W/ CODEINE #2 (GENERIC) 15-300MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408340,N/A,CODEINE PHOSPHATE/APAP TABLET:30-300MG,637,1 ,$1.15 ,$0.75 ,$0.75 ,$1.15 ,$0.92 , N/A ,$0.91 ,$1.04 ,$1.04 , N/A ,$0.98 ,$0.85 , N/A , N/A , N/A ,$0.96 , N/A ,$0.95 ,$0.92 ,$1.04 ,$1.15 ,$0.98 , N/A ,$0.98 ,$0.98 ,$1.04 ,$1.04 ,$0.90 ,$0.95 , N/A ,$0.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408345,N/A,TYLENOL W/ CODEINE #4 (GENERIC) 60-300MG,637,1 ,$1.80 ,$1.17 ,$1.17 ,$1.80 ,$1.44 , N/A ,$1.43 ,$1.62 ,$1.62 , N/A ,$1.53 ,$1.33 , N/A , N/A , N/A ,$1.50 , N/A ,$1.49 ,$1.44 ,$1.62 ,$1.80 ,$1.53 , N/A ,$1.53 ,$1.53 ,$1.62 ,$1.62 ,$1.41 ,$1.49 , N/A ,$1.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408405,N/A,FLAGYL (METRONIDAZOLE) : 500MG/100ML NS,250,1 ,$110.80 ,$72.02 ,$72.02 ,$99.78 ,$88.64 , N/A ,$87.80 ,$99.78 ,$99.78 , N/A ,$94.18 ,$81.99 , N/A , N/A , N/A ,$92.41 , N/A ,$91.52 ,$88.64 ,$99.72 , N/A ,$94.18 , N/A ,$94.18 ,$94.18 ,$99.72 ,$99.72 ,$86.98 ,$91.52 , N/A ,$72.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408410,N/A,BREO ELLIPTA 200MCG/25MCG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3408420,N/A,FLECAINIDE TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3408426,N/A,ERYTHROMYCIN-SULFISOXAZOLE SUSP : 200MG,637,1 ,$40.25 ,$26.16 ,$26.16 ,$40.25 ,$32.20 , N/A ,$31.89 ,$36.25 ,$36.25 , N/A ,$34.21 ,$29.79 , N/A , N/A , N/A ,$33.57 , N/A ,$33.25 ,$32.20 ,$36.23 ,$40.25 ,$34.21 , N/A ,$34.21 ,$34.21 ,$36.23 ,$36.23 ,$31.60 ,$33.25 , N/A ,$26.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408445,N/A,BETAMETHASONE VALERATE CREAM(GM):,637,1 ,$15.95 ,$10.37 ,$10.37 ,$15.95 ,$12.76 , N/A ,$12.64 ,$14.36 ,$14.36 , N/A ,$13.56 ,$11.80 , N/A , N/A , N/A ,$13.30 , N/A ,$13.17 ,$12.76 ,$14.36 ,$15.95 ,$13.56 , N/A ,$13.56 ,$13.56 ,$14.36 ,$14.36 ,$12.52 ,$13.17 , N/A ,$10.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408461,N/A,DIAZEPAM TAB 2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3408462,N/A,DIAZEPAM (VALIUM) TABLET : 5MG,637,1 ,$1.19 ,$0.77 ,$0.77 ,$1.19 ,$0.95 , N/A ,$0.94 ,$1.07 ,$1.07 , N/A ,$1.01 ,$0.88 , N/A , N/A , N/A ,$0.99 , N/A ,$0.98 ,$0.95 ,$1.07 ,$1.19 ,$1.01 , N/A ,$1.01 ,$1.01 ,$1.07 ,$1.07 ,$0.93 ,$0.98 , N/A ,$0.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408474,N/A,BECONASE AQ/VANCENASE AQ NASAL SPRAY:,637,1 ,$149.05 ,$96.88 ,$96.88 ,$149.05 ,$119.24 , N/A ,$118.11 ,$134.22 ,$134.22 , N/A ,$126.69 ,$110.30 , N/A , N/A , N/A ,$124.31 , N/A ,$123.12 ,$119.24 ,$134.15 ,$149.05 ,$126.69 , N/A ,$126.69 ,$126.69 ,$134.15 ,$134.15 ,$117.00 ,$123.12 , N/A ,$96.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408475,N/A,BECONASE NASAL INHALER,637,1 ,$102.85 ,$66.85 ,$66.85 ,$102.85 ,$82.28 , N/A ,$81.50 ,$92.62 ,$92.62 , N/A ,$87.42 ,$76.11 , N/A , N/A , N/A ,$85.78 , N/A ,$84.95 ,$82.28 ,$92.57 ,$102.85 ,$87.42 , N/A ,$87.42 ,$87.42 ,$92.57 ,$92.57 ,$80.74 ,$84.95 , N/A ,$66.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408476,N/A,VANCERIL (BECLOVENT) INHALER,637,1 ,$120.55 ,$78.36 ,$78.36 ,$120.55 ,$96.44 , N/A ,$95.52 ,$108.56 ,$108.56 , N/A ,$102.47 ,$89.21 , N/A , N/A , N/A ,$100.54 , N/A ,$99.57 ,$96.44 ,$108.50 ,$120.55 ,$102.47 , N/A ,$102.47 ,$102.47 ,$108.50 ,$108.50 ,$94.63 ,$99.57 , N/A ,$78.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408478,N/A,VASOPRESSIN VIAL:20U/ML,250,1 ,$9.45 ,$6.14 ,$6.14 ,$8.51 ,$7.56 , N/A ,$7.49 ,$8.51 ,$8.51 , N/A ,$8.03 ,$6.99 , N/A , N/A , N/A ,$7.88 , N/A ,$7.81 ,$7.56 ,$8.51 , N/A ,$8.03 , N/A ,$8.03 ,$8.03 ,$8.51 ,$8.51 ,$7.42 ,$7.81 , N/A ,$6.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408480,J3370,VANCOMYCIN IV VIAL : 500MG,636,1 ,$75.01 ,$48.76 ,$48.76 ,$67.55 ,$60.01 , N/A ,$59.44 ,$67.55 ,$67.55 , N/A ,$63.76 ,$55.51 , N/A , N/A , N/A ,$62.56 , N/A ,$61.96 ,$60.01 ,$67.51 , N/A ,$63.76 , N/A ,$63.76 ,$63.76 ,$67.51 ,$67.51 ,$58.88 ,$61.96 , N/A ,$48.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408484,N/A,VASOCON-A,637,1 ,$17.75 ,$11.54 ,$11.54 ,$17.75 ,$14.20 , N/A ,$14.07 ,$15.98 ,$15.98 , N/A ,$15.09 ,$13.14 , N/A , N/A , N/A ,$14.80 , N/A ,$14.66 ,$14.20 ,$15.98 ,$17.75 ,$15.09 , N/A ,$15.09 ,$15.09 ,$15.98 ,$15.98 ,$13.93 ,$14.66 , N/A ,$11.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408486,J0295,UNASYN VIAL : 1.5GM,636,1 ,$26.90 ,$17.49 ,$17.49 ,$24.22 ,$21.52 , N/A ,$21.32 ,$24.22 ,$24.22 , N/A ,$22.87 ,$19.91 , N/A , N/A , N/A ,$22.43 , N/A ,$22.22 ,$21.52 ,$24.21 , N/A ,$22.87 , N/A ,$22.87 ,$22.87 ,$24.21 ,$24.21 ,$21.12 ,$22.22 , N/A ,$17.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408488,N/A,UNASYN VIAL : 3GM,250,1 ,$48.40 ,$31.46 ,$31.46 ,$43.58 ,$38.72 , N/A ,$38.35 ,$43.58 ,$43.58 , N/A ,$41.14 ,$35.82 , N/A , N/A , N/A ,$40.37 , N/A ,$39.98 ,$38.72 ,$43.56 , N/A ,$41.14 , N/A ,$41.14 ,$41.14 ,$43.56 ,$43.56 ,$37.99 ,$39.98 , N/A ,$31.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408490,N/A,RACEMIC EPINEPHRINE : 0.5ML HHN,637,1 ,$4.48 ,$2.91 ,$2.91 ,$4.48 ,$3.58 , N/A ,$3.55 ,$4.03 ,$4.03 , N/A ,$3.81 ,$3.32 , N/A , N/A , N/A ,$3.74 , N/A ,$3.70 ,$3.58 ,$4.03 ,$4.48 ,$3.81 , N/A ,$3.81 ,$3.81 ,$4.03 ,$4.03 ,$3.52 ,$3.70 , N/A ,$2.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408495,N/A,EPINEphrine DROPS: 0.10,637,1 ,$6.35 ,$4.13 ,$4.13 ,$6.35 ,$5.08 , N/A ,$5.03 ,$5.72 ,$5.72 , N/A ,$5.40 ,$4.70 , N/A , N/A , N/A ,$5.30 , N/A ,$5.25 ,$5.08 ,$5.72 ,$6.35 ,$5.40 , N/A ,$5.40 ,$5.40 ,$5.72 ,$5.72 ,$4.98 ,$5.25 , N/A ,$4.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408519,N/A,PENICILLIN V POTASSIUM SOLN : 250MG/5mL,637,1 ,$15.42 ,$10.02 ,$10.02 ,$15.42 ,$12.34 , N/A ,$12.22 ,$13.89 ,$13.89 , N/A ,$13.11 ,$11.41 , N/A , N/A , N/A ,$12.86 , N/A ,$12.74 ,$12.34 ,$13.88 ,$15.42 ,$13.11 , N/A ,$13.11 ,$13.11 ,$13.88 ,$13.88 ,$12.10 ,$12.74 , N/A ,$10.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408520,N/A,PENICILLIN V POTASSIUM TABLET:250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408570,N/A,DOXYCYCLINE (VIBRAMYCIN) CAP : 50MG,637,1 ,$2.50 ,$1.63 ,$1.63 ,$2.50 ,$2.00 , N/A ,$1.98 ,$2.25 ,$2.25 , N/A ,$2.13 ,$1.85 , N/A , N/A , N/A ,$2.09 , N/A ,$2.07 ,$2.00 ,$2.25 ,$2.50 ,$2.13 , N/A ,$2.13 ,$2.13 ,$2.25 ,$2.25 ,$1.96 ,$2.07 , N/A ,$1.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408571,N/A,DURAGESIC PATCH (FENTANYL) : 25MCG/HR,637,1 ,$45.85 ,$29.80 ,$29.80 ,$45.85 ,$36.68 , N/A ,$36.33 ,$41.29 ,$41.29 , N/A ,$38.97 ,$33.93 , N/A , N/A , N/A ,$38.24 , N/A ,$37.87 ,$36.68 ,$41.27 ,$45.85 ,$38.97 , N/A ,$38.97 ,$38.97 ,$41.27 ,$41.27 ,$35.99 ,$37.87 , N/A ,$29.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408572,N/A,FENTANYL (DURAGESIC) PATCH 50MCG/HR,637,1 ,$95.37 ,$61.99 ,$61.99 ,$95.37 ,$76.30 , N/A ,$75.57 ,$85.88 ,$85.88 , N/A ,$81.06 ,$70.57 , N/A , N/A , N/A ,$79.54 , N/A ,$78.78 ,$76.30 ,$85.83 ,$95.37 ,$81.06 , N/A ,$81.06 ,$81.06 ,$85.83 ,$85.83 ,$74.87 ,$78.78 , N/A ,$61.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408573,N/A,FENTANYL PATCH 100MCG/HR PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3408640,N/A,MAXAIR INHALER,637,1 ,$133.90 ,$87.04 ,$87.04 ,$133.90 ,$107.12 , N/A ,$106.10 ,$120.58 ,$120.58 , N/A ,$113.82 ,$99.09 , N/A , N/A , N/A ,$111.67 , N/A ,$110.60 ,$107.12 ,$120.51 ,$133.90 ,$113.82 , N/A ,$113.82 ,$113.82 ,$120.51 ,$120.51 ,$105.11 ,$110.60 , N/A ,$87.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408652,N/A,VISTARIL (HYDROXYZINE) VIAL : 50MG,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408654,N/A,VISTARIL (HYDROXYZINE PAM.) ORAL :25MG,637,1 ,$1.40 ,$0.91 ,$0.91 ,$1.40 ,$1.12 , N/A ,$1.11 ,$1.26 ,$1.26 , N/A ,$1.19 ,$1.04 , N/A , N/A , N/A ,$1.17 , N/A ,$1.16 ,$1.12 ,$1.26 ,$1.40 ,$1.19 , N/A ,$1.19 ,$1.19 ,$1.26 ,$1.26 ,$1.10 ,$1.16 , N/A ,$0.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408655,N/A,HYDRoxyZINE PAMOATE (VISTARIL) CAP: 50MG,637,1 ,$1.13 ,$0.73 ,$0.73 ,$1.13 ,$0.90 , N/A ,$0.90 ,$1.02 ,$1.02 , N/A ,$0.96 ,$0.84 , N/A , N/A , N/A ,$0.94 , N/A ,$0.93 ,$0.90 ,$1.02 ,$1.13 ,$0.96 , N/A ,$0.96 ,$0.96 ,$1.02 ,$1.02 ,$0.89 ,$0.93 , N/A ,$0.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408745,N/A,PENICILLIN G PROCAINE DISP SYRIN:600MU/M,250,1 ,$17.30 ,$11.25 ,$11.25 ,$15.58 ,$13.84 , N/A ,$13.71 ,$15.58 ,$15.58 , N/A ,$14.71 ,$12.80 , N/A , N/A , N/A ,$14.43 , N/A ,$14.29 ,$13.84 ,$15.57 , N/A ,$14.71 , N/A ,$14.71 ,$14.71 ,$15.57 ,$15.57 ,$13.58 ,$14.29 , N/A ,$11.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408780,N/A,ALPRAZOLAM (XAnax) TABLET : 0.25MG,637,1 ,$2.27 ,$1.48 ,$1.48 ,$2.27 ,$1.82 , N/A ,$1.80 ,$2.04 ,$2.04 , N/A ,$1.93 ,$1.68 , N/A , N/A , N/A ,$1.89 , N/A ,$1.88 ,$1.82 ,$2.04 ,$2.27 ,$1.93 , N/A ,$1.93 ,$1.93 ,$2.04 ,$2.04 ,$1.78 ,$1.88 , N/A ,$1.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408785,N/A,ALPRAZOLAM (XAnax) TABLET : 0.5MG,637,1 ,$2.84 ,$1.85 ,$1.85 ,$2.84 ,$2.27 , N/A ,$2.25 ,$2.56 ,$2.56 , N/A ,$2.41 ,$2.10 , N/A , N/A , N/A ,$2.37 , N/A ,$2.35 ,$2.27 ,$2.56 ,$2.84 ,$2.41 , N/A ,$2.41 ,$2.41 ,$2.56 ,$2.56 ,$2.23 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408790,N/A,HYALURONIDASE VIAL:150U,250,1 ,$52.50 ,$34.13 ,$34.13 ,$47.28 ,$42.00 , N/A ,$41.60 ,$47.28 ,$47.28 , N/A ,$44.63 ,$38.85 , N/A , N/A , N/A ,$43.79 , N/A ,$43.37 ,$42.00 ,$47.25 , N/A ,$44.63 , N/A ,$44.63 ,$44.63 ,$47.25 ,$47.25 ,$41.21 ,$43.37 , N/A ,$34.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408797,N/A,BUPROPION (WELLBUTRIN) TAB : 100MG,637,1 ,$3.45 ,$2.24 ,$2.24 ,$3.45 ,$2.76 , N/A ,$2.73 ,$3.11 ,$3.11 , N/A ,$2.93 ,$2.55 , N/A , N/A , N/A ,$2.88 , N/A ,$2.85 ,$2.76 ,$3.11 ,$3.45 ,$2.93 , N/A ,$2.93 ,$2.93 ,$3.11 ,$3.11 ,$2.71 ,$2.85 , N/A ,$2.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408800,N/A,LIDOCAINE SPRAY APPLICATION : 10%,637,1 ,$20.00 ,$13.00 ,$13.00 ,$20.00 ,$16.00 , N/A ,$15.85 ,$18.01 ,$18.01 , N/A ,$17.00 ,$14.80 , N/A , N/A , N/A ,$16.68 , N/A ,$16.52 ,$16.00 ,$18.00 ,$20.00 ,$17.00 , N/A ,$17.00 ,$17.00 ,$18.00 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408805,N/A,LIDOCAINE 5% OINTMENT : (35.44 GM),637,1 ,$30.10 ,$19.57 ,$19.57 ,$30.10 ,$24.08 , N/A ,$23.85 ,$27.11 ,$27.11 , N/A ,$25.59 ,$22.27 , N/A , N/A , N/A ,$25.10 , N/A ,$24.86 ,$24.08 ,$27.09 ,$30.10 ,$25.59 , N/A ,$25.59 ,$25.59 ,$27.09 ,$27.09 ,$23.63 ,$24.86 , N/A ,$19.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408810,N/A,LIDOCAINE MPF 0.5% VIAL : 5MG/ML,250,1 ,$39.10 ,$25.42 ,$25.42 ,$35.21 ,$31.28 , N/A ,$30.98 ,$35.21 ,$35.21 , N/A ,$33.24 ,$28.93 , N/A , N/A , N/A ,$32.61 , N/A ,$32.30 ,$31.28 ,$35.19 , N/A ,$33.24 , N/A ,$33.24 ,$33.24 ,$35.19 ,$35.19 ,$30.69 ,$32.30 , N/A ,$25.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408811,N/A,LIDOCAINE 0.5% MDV : 5MG/ML,250,1 ,$15.80 ,$10.27 ,$10.27 ,$14.23 ,$12.64 , N/A ,$12.52 ,$14.23 ,$14.23 , N/A ,$13.43 ,$11.69 , N/A , N/A , N/A ,$13.18 , N/A ,$13.05 ,$12.64 ,$14.22 , N/A ,$13.43 , N/A ,$13.43 ,$13.43 ,$14.22 ,$14.22 ,$12.40 ,$13.05 , N/A ,$10.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408860,N/A,ESOMEPRAZOLE (NEXIUM) IV VIAL : 40MG,637,1 ,$124.69 ,$81.05 ,$81.05 ,$124.69 ,$99.75 , N/A ,$98.80 ,$112.28 ,$112.28 , N/A ,$105.99 ,$92.27 , N/A , N/A , N/A ,$103.99 , N/A ,$102.99 ,$99.75 ,$112.22 ,$124.69 ,$105.99 , N/A ,$105.99 ,$105.99 ,$112.22 ,$112.22 ,$97.88 ,$102.99 , N/A ,$81.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408861,J2780,RANITIDINE (ZANTAC) IV : 50MG,636,1 ,$12.75 ,$8.29 ,$8.29 ,$11.48 ,$10.20 , N/A ,$10.10 ,$11.48 ,$11.48 , N/A ,$10.84 ,$9.44 , N/A , N/A , N/A ,$10.63 , N/A ,$10.53 ,$10.20 ,$11.48 , N/A ,$10.84 , N/A ,$10.84 ,$10.84 ,$11.48 ,$11.48 ,$10.01 ,$10.53 , N/A ,$8.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408869,N/A,ZAROXOLYN (METOLAZONE/DIULO) : 2.5MG,637,1 ,$1.65 ,$1.07 ,$1.07 ,$1.65 ,$1.32 , N/A ,$1.31 ,$1.49 ,$1.49 , N/A ,$1.40 ,$1.22 , N/A , N/A , N/A ,$1.38 , N/A ,$1.36 ,$1.32 ,$1.49 ,$1.65 ,$1.40 , N/A ,$1.40 ,$1.40 ,$1.49 ,$1.49 ,$1.30 ,$1.36 , N/A ,$1.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408870,N/A,ZAROXOLYN (METOLAZONE/DIULO) : 5MG,637,1 ,$1.85 ,$1.20 ,$1.20 ,$1.85 ,$1.48 , N/A ,$1.47 ,$1.67 ,$1.67 , N/A ,$1.57 ,$1.37 , N/A , N/A , N/A ,$1.54 , N/A ,$1.53 ,$1.48 ,$1.67 ,$1.85 ,$1.57 , N/A ,$1.57 ,$1.57 ,$1.67 ,$1.67 ,$1.45 ,$1.53 , N/A ,$1.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408890,N/A,ZINC OXIDE 20% OINTMENT,637,1 ,$5.72 ,$3.72 ,$3.72 ,$5.72 ,$4.58 , N/A ,$4.53 ,$5.15 ,$5.15 , N/A ,$4.86 ,$4.23 , N/A , N/A , N/A ,$4.77 , N/A ,$4.72 ,$4.58 ,$5.15 ,$5.72 ,$4.86 , N/A ,$4.86 ,$4.86 ,$5.15 ,$5.15 ,$4.49 ,$4.72 , N/A ,$3.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408910,N/A,ALLOPURINOL (ZYLOPRIM) TAB : 100MG,637,1 ,$1.42 ,$0.92 ,$0.92 ,$1.42 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 ,$1.42 ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408915,N/A,ALLOPURINOL (ZYLOPRIM) TAB : 300MG,637,1 ,$1.90 ,$1.24 ,$1.24 ,$1.90 ,$1.52 , N/A ,$1.51 ,$1.71 ,$1.71 , N/A ,$1.62 ,$1.41 , N/A , N/A , N/A ,$1.58 , N/A ,$1.57 ,$1.52 ,$1.71 ,$1.90 ,$1.62 , N/A ,$1.62 ,$1.62 ,$1.71 ,$1.71 ,$1.49 ,$1.57 , N/A ,$1.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408922,N/A,DICLOFENAC (VOLTAREN) EC TAB : 50MG,637,1 ,$3.23 ,$2.10 ,$2.10 ,$3.23 ,$2.58 , N/A ,$2.56 ,$2.91 ,$2.91 , N/A ,$2.75 ,$2.39 , N/A , N/A , N/A ,$2.69 , N/A ,$2.67 ,$2.58 ,$2.91 ,$3.23 ,$2.75 , N/A ,$2.75 ,$2.75 ,$2.91 ,$2.91 ,$2.54 ,$2.67 , N/A ,$2.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3408923,N/A,DICLOFENAC (VOLTAREN) EC TAB : 75MG,637,1 ,$6.35 ,$4.13 ,$4.13 ,$6.35 ,$5.08 , N/A ,$5.03 ,$5.72 ,$5.72 , N/A ,$5.40 ,$4.70 , N/A , N/A , N/A ,$5.30 , N/A ,$5.25 ,$5.08 ,$5.72 ,$6.35 ,$5.40 , N/A ,$5.40 ,$5.40 ,$5.72 ,$5.72 ,$4.98 ,$5.25 , N/A ,$4.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3409215,N/A,NEOMYCIN/POLYMYXIN B/HC EAR SUSP : 10ML,637,1 ,$110.00 ,$71.50 ,$71.50 ,$110.00 ,$88.00 , N/A ,$87.16 ,$99.06 ,$99.06 , N/A ,$93.50 ,$81.40 , N/A , N/A , N/A ,$91.74 , N/A ,$90.86 ,$88.00 ,$99.00 ,$110.00 ,$93.50 , N/A ,$93.50 ,$93.50 ,$99.00 ,$99.00 ,$86.35 ,$90.86 , N/A ,$71.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3409216,N/A,NEOMYCIN/POLYMYXIN B/HC EAR SOLN : 10ML,637,1 ,$298.07 ,$193.75 ,$193.75 ,$298.07 ,$238.46 , N/A ,$236.19 ,$268.41 ,$268.41 , N/A ,$253.36 ,$220.57 , N/A , N/A , N/A ,$248.59 , N/A ,$246.21 ,$238.46 ,$268.26 ,$298.07 ,$253.36 , N/A ,$253.36 ,$253.36 ,$268.26 ,$268.26 ,$233.99 ,$246.21 , N/A ,$193.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3409285,N/A,"SODIUM CHLORIDE 0.9% NEBULE, 3ML",637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3409960,N/A,CARDEC-DM (RONDEC-DM) SYRUP,637,1 ,$3.15 ,$2.05 ,$2.05 ,$3.15 ,$2.52 , N/A ,$2.50 ,$2.84 ,$2.84 , N/A ,$2.68 ,$2.33 , N/A , N/A , N/A ,$2.63 , N/A ,$2.60 ,$2.52 ,$2.84 ,$3.15 ,$2.68 , N/A ,$2.68 ,$2.68 ,$2.84 ,$2.84 ,$2.47 ,$2.60 , N/A ,$2.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410005,N/A,BACTERIOSTATIC SODIUM CHLORIDE : 30ML,250,1 ,$1.75 ,$1.14 ,$1.14 ,$1.58 ,$1.40 , N/A ,$1.39 ,$1.58 ,$1.58 , N/A ,$1.49 ,$1.30 , N/A , N/A , N/A ,$1.46 , N/A ,$1.45 ,$1.40 ,$1.58 , N/A ,$1.49 , N/A ,$1.49 ,$1.49 ,$1.58 ,$1.58 ,$1.37 ,$1.45 , N/A ,$1.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410121,N/A,TAVIST-D TABLET,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410232,N/A,TUSSIONEX SUSPENSION PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3410285,N/A,BACTERIOSTATIC WATER FOR INJ : 30ML,250,1 ,$7.20 ,$4.68 ,$4.68 ,$6.48 ,$5.76 , N/A ,$5.71 ,$6.48 ,$6.48 , N/A ,$6.12 ,$5.33 , N/A , N/A , N/A ,$6.00 , N/A ,$5.95 ,$5.76 ,$6.48 , N/A ,$6.12 , N/A ,$6.12 ,$6.12 ,$6.48 ,$6.48 ,$5.65 ,$5.95 , N/A ,$4.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410286,N/A,WATER FOR INJ : 10ML,250,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410287,N/A,WATER FOR INJECTION : 100ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3410304,N/A,ADENOSINE VIAL:3MG/ML,250,1 ,$105.10 ,$68.32 ,$68.32 ,$94.64 ,$84.08 , N/A ,$83.28 ,$94.64 ,$94.64 , N/A ,$89.34 ,$77.77 , N/A , N/A , N/A ,$87.65 , N/A ,$86.81 ,$84.08 ,$94.59 , N/A ,$89.34 , N/A ,$89.34 ,$89.34 ,$94.59 ,$94.59 ,$82.50 ,$86.81 , N/A ,$68.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410305,N/A,ACYCLOVIR (ZOVIRAX) 5% OINTMENT : 15GM,637,1 ,$578.85 ,$376.25 ,$376.25 ,$578.85 ,$463.08 , N/A ,$458.68 ,$521.25 ,$521.25 , N/A ,$492.02 ,$428.35 , N/A , N/A , N/A ,$482.76 , N/A ,$478.13 ,$463.08 ,$520.97 ,$578.85 ,$492.02 , N/A ,$492.02 ,$492.02 ,$520.97 ,$520.97 ,$454.40 ,$478.13 , N/A ,$376.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410306,N/A,PREGABALIN CAP 150MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3410500,N/A,ZZHEPARin LOCK 10ML : 100U/ML,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410501,N/A,TWOCAL HN : 240ML,637,1 ,$6.45 ,$4.19 ,$4.19 ,$6.45 ,$5.16 , N/A ,$5.11 ,$5.81 ,$5.81 , N/A ,$5.48 ,$4.77 , N/A , N/A , N/A ,$5.38 , N/A ,$5.33 ,$5.16 ,$5.81 ,$6.45 ,$5.48 , N/A ,$5.48 ,$5.48 ,$5.81 ,$5.81 ,$5.06 ,$5.33 , N/A ,$4.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410505,N/A,FIBER-LAX TAB : 625MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410506,N/A,PRAZOSIN HCL CAPSULE:5MG,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410509,N/A,VITAMIN B COMPLEX 100MG,637,1 ,$0.24 ,$0.16 ,$0.16 ,$0.24 ,$0.19 , N/A ,$0.19 ,$0.22 ,$0.22 , N/A ,$0.20 ,$0.18 , N/A , N/A , N/A ,$0.20 , N/A ,$0.20 ,$0.19 ,$0.22 ,$0.24 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.22 ,$0.22 ,$0.19 ,$0.20 , N/A ,$0.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410512,N/A,DULERA 100/5 INHALER PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3410513,N/A,MORPHINE ER TAB 15MG,637,1 ,$6.58 ,$4.28 ,$4.28 ,$6.58 ,$5.26 , N/A ,$5.21 ,$5.93 ,$5.93 , N/A ,$5.59 ,$4.87 , N/A , N/A , N/A ,$5.49 , N/A ,$5.44 ,$5.26 ,$5.92 ,$6.58 ,$5.59 , N/A ,$5.59 ,$5.59 ,$5.92 ,$5.92 ,$5.17 ,$5.44 , N/A ,$4.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410514,J3535,ADVAIR 115/21mcg HFA INHALER,637,1 ,$433.74 ,$281.93 ,$281.93 ,$433.74 ,$346.99 , N/A ,$343.70 ,$390.58 ,$390.58 , N/A ,$368.68 ,$320.97 , N/A , N/A , N/A ,$361.74 , N/A ,$358.27 ,$346.99 ,$390.37 ,$433.74 ,$368.68 , N/A ,$368.68 ,$368.68 ,$390.37 ,$390.37 ,$340.49 ,$358.27 , N/A ,$281.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410515,J3535,ADVAIR 230/21mcg HFA INHALER,637,1 ,$490.12 ,$318.58 ,$318.58 ,$490.12 ,$392.10 , N/A ,$388.37 ,$441.35 ,$441.35 , N/A ,$416.60 ,$362.69 , N/A , N/A , N/A ,$408.76 , N/A ,$404.84 ,$392.10 ,$441.11 ,$490.12 ,$416.60 , N/A ,$416.60 ,$416.60 ,$441.11 ,$441.11 ,$384.74 ,$404.84 , N/A ,$318.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410516,N/A,REZULIN TABLET : 200MG,637,1 ,$9.40 ,$6.11 ,$6.11 ,$9.40 ,$7.52 , N/A ,$7.45 ,$8.46 ,$8.46 , N/A ,$7.99 ,$6.96 , N/A , N/A , N/A ,$7.84 , N/A ,$7.76 ,$7.52 ,$8.46 ,$9.40 ,$7.99 , N/A ,$7.99 ,$7.99 ,$8.46 ,$8.46 ,$7.38 ,$7.76 , N/A ,$6.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410517,N/A,SUMATRIPTAN (IMITREX) TAB : 50MG,637,1 ,$7.71 ,$5.01 ,$5.01 ,$7.71 ,$6.17 , N/A ,$6.11 ,$6.94 ,$6.94 , N/A ,$6.55 ,$5.71 , N/A , N/A , N/A ,$6.43 , N/A ,$6.37 ,$6.17 ,$6.94 ,$7.71 ,$6.55 , N/A ,$6.55 ,$6.55 ,$6.94 ,$6.94 ,$6.05 ,$6.37 , N/A ,$5.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410518,N/A,ARICEPT TAB : 5MG,637,1 ,$12.60 ,$8.19 ,$8.19 ,$12.60 ,$10.08 , N/A ,$9.98 ,$11.35 ,$11.35 , N/A ,$10.71 ,$9.32 , N/A , N/A , N/A ,$10.51 , N/A ,$10.41 ,$10.08 ,$11.34 ,$12.60 ,$10.71 , N/A ,$10.71 ,$10.71 ,$11.34 ,$11.34 ,$9.89 ,$10.41 , N/A ,$8.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410519,N/A,LAMOTRIGINE TAB 200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3410520,N/A,VENLAFAXINE (EFFEXOR) TAB : 75 MG,637,1 ,$7.82 ,$5.08 ,$5.08 ,$7.82 ,$6.26 , N/A ,$6.20 ,$7.04 ,$7.04 , N/A ,$6.65 ,$5.79 , N/A , N/A , N/A ,$6.52 , N/A ,$6.46 ,$6.26 ,$7.04 ,$7.82 ,$6.65 , N/A ,$6.65 ,$6.65 ,$7.04 ,$7.04 ,$6.14 ,$6.46 , N/A ,$5.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410521,N/A,MESALAMINE (DELZICOL) 400MG DR CAPSULE,637,1 ,$15.19 ,$9.87 ,$9.87 ,$15.19 ,$12.15 , N/A ,$12.04 ,$13.68 ,$13.68 , N/A ,$12.91 ,$11.24 , N/A , N/A , N/A ,$12.67 , N/A ,$12.55 ,$12.15 ,$13.67 ,$15.19 ,$12.91 , N/A ,$12.91 ,$12.91 ,$13.67 ,$13.67 ,$11.92 ,$12.55 , N/A ,$9.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410528,N/A,CARBAMAZEPINE (TEGRETOL) TAB : 200MG,637,1 ,$1.30 ,$0.85 ,$0.85 ,$1.30 ,$1.04 , N/A ,$1.03 ,$1.17 ,$1.17 , N/A ,$1.11 ,$0.96 , N/A , N/A , N/A ,$1.08 , N/A ,$1.07 ,$1.04 ,$1.17 ,$1.30 ,$1.11 , N/A ,$1.11 ,$1.11 ,$1.17 ,$1.17 ,$1.02 ,$1.07 , N/A ,$0.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410530,N/A,FLEET PHOSPHO-SODA : 45ML,637,1 ,$5.15 ,$3.35 ,$3.35 ,$5.15 ,$4.12 , N/A ,$4.08 ,$4.64 ,$4.64 , N/A ,$4.38 ,$3.81 , N/A , N/A , N/A ,$4.30 , N/A ,$4.25 ,$4.12 ,$4.64 ,$5.15 ,$4.38 , N/A ,$4.38 ,$4.38 ,$4.64 ,$4.64 ,$4.04 ,$4.25 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410531,N/A,NICARDIPINE CAP 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3410532,N/A,CITRUCEL PACKET,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410535,N/A,AEROCHAMBER SPACER,637,1 ,$30.90 ,$20.09 ,$20.09 ,$30.90 ,$24.72 , N/A ,$24.49 ,$27.83 ,$27.83 , N/A ,$26.27 ,$22.87 , N/A , N/A , N/A ,$25.77 , N/A ,$25.52 ,$24.72 ,$27.81 ,$30.90 ,$26.27 , N/A ,$26.27 ,$26.27 ,$27.81 ,$27.81 ,$24.26 ,$25.52 , N/A ,$20.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410536,N/A,ATORVASTATIN (LIPITOR) 10MG TAB,637,1 ,$1.82 ,$1.18 ,$1.18 ,$1.82 ,$1.46 , N/A ,$1.44 ,$1.64 ,$1.64 , N/A ,$1.55 ,$1.35 , N/A , N/A , N/A ,$1.52 , N/A ,$1.50 ,$1.46 ,$1.64 ,$1.82 ,$1.55 , N/A ,$1.55 ,$1.55 ,$1.64 ,$1.64 ,$1.43 ,$1.50 , N/A ,$1.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410537,N/A,ISONIAZID TABLET : 300MG,637,1 ,$1.19 ,$0.77 ,$0.77 ,$1.19 ,$0.95 , N/A ,$0.94 ,$1.07 ,$1.07 , N/A ,$1.01 ,$0.88 , N/A , N/A , N/A ,$0.99 , N/A ,$0.98 ,$0.95 ,$1.07 ,$1.19 ,$1.01 , N/A ,$1.01 ,$1.01 ,$1.07 ,$1.07 ,$0.93 ,$0.98 , N/A ,$0.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410538,N/A,ZIAC 5MG (BISOPROLOL/6.25MG HCTZ) TAB,637,1 ,$4.30 ,$2.80 ,$2.80 ,$4.30 ,$3.44 , N/A ,$3.41 ,$3.87 ,$3.87 , N/A ,$3.66 ,$3.18 , N/A , N/A , N/A ,$3.59 , N/A ,$3.55 ,$3.44 ,$3.87 ,$4.30 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.87 ,$3.87 ,$3.38 ,$3.55 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410539,N/A,SODIUM BICARBONATE TABLET:650MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410541,N/A,DEXAMETHASONE SOD PHOSPATE 0.1% EYE DROP,637,1 ,$54.55 ,$35.46 ,$35.46 ,$54.55 ,$43.64 , N/A ,$43.23 ,$49.12 ,$49.12 , N/A ,$46.37 ,$40.37 , N/A , N/A , N/A ,$45.49 , N/A ,$45.06 ,$43.64 ,$49.10 ,$54.55 ,$46.37 , N/A ,$46.37 ,$46.37 ,$49.10 ,$49.10 ,$42.82 ,$45.06 , N/A ,$35.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410542,N/A,CALCIUM ACETATE (PHOSLO) 667MG CAP,637,1 ,$2.04 ,$1.33 ,$1.33 ,$2.04 ,$1.63 , N/A ,$1.62 ,$1.84 ,$1.84 , N/A ,$1.73 ,$1.51 , N/A , N/A , N/A ,$1.70 , N/A ,$1.69 ,$1.63 ,$1.84 ,$2.04 ,$1.73 , N/A ,$1.73 ,$1.73 ,$1.84 ,$1.84 ,$1.60 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410543,N/A,LIthIUM ER 450MG TAB,637,1 ,$1.37 ,$0.89 ,$0.89 ,$1.37 ,$1.10 , N/A ,$1.09 ,$1.23 ,$1.23 , N/A ,$1.16 ,$1.01 , N/A , N/A , N/A ,$1.14 , N/A ,$1.13 ,$1.10 ,$1.23 ,$1.37 ,$1.16 , N/A ,$1.16 ,$1.16 ,$1.23 ,$1.23 ,$1.08 ,$1.13 , N/A ,$0.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410544,N/A,HAND HELD NEBULIZER TREATMENT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3410547,N/A,ZEBETA (BISOPROLOL) TAB : 5MG,637,1 ,$4.30 ,$2.80 ,$2.80 ,$4.30 ,$3.44 , N/A ,$3.41 ,$3.87 ,$3.87 , N/A ,$3.66 ,$3.18 , N/A , N/A , N/A ,$3.59 , N/A ,$3.55 ,$3.44 ,$3.87 ,$4.30 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.87 ,$3.87 ,$3.38 ,$3.55 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410548,N/A,"CALCITONIN,SALMON,SYNTHETIC SPRAY/PUMP:2",637,1 ,$78.85 ,$51.25 ,$51.25 ,$78.85 ,$63.08 , N/A ,$62.48 ,$71.00 ,$71.00 , N/A ,$67.02 ,$58.35 , N/A , N/A , N/A ,$65.76 , N/A ,$65.13 ,$63.08 ,$70.97 ,$78.85 ,$67.02 , N/A ,$67.02 ,$67.02 ,$70.97 ,$70.97 ,$61.90 ,$65.13 , N/A ,$51.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410549,N/A,LATANOPROST (XALATAN) EYE DROPS : 2.5ML,637,1 ,$38.22 ,$24.84 ,$24.84 ,$38.22 ,$30.58 , N/A ,$30.29 ,$34.42 ,$34.42 , N/A ,$32.49 ,$28.28 , N/A , N/A , N/A ,$31.88 , N/A ,$31.57 ,$30.58 ,$34.40 ,$38.22 ,$32.49 , N/A ,$32.49 ,$32.49 ,$34.40 ,$34.40 ,$30.00 ,$31.57 , N/A ,$24.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3410550,N/A,TARCEVA TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3410551,N/A,MARCAINE-MPF 0.25% VIAL : 10ML,250,1 ,$14.69 ,$9.55 ,$9.55 ,$13.23 ,$11.75 , N/A ,$11.64 ,$13.23 ,$13.23 , N/A ,$12.49 ,$10.87 , N/A , N/A , N/A ,$12.25 , N/A ,$12.13 ,$11.75 ,$13.22 , N/A ,$12.49 , N/A ,$12.49 ,$12.49 ,$13.22 ,$13.22 ,$11.53 ,$12.13 , N/A ,$9.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411555,N/A,LOSARTAN/HCTZ (HYZAAR) 50MG-12.5MG TAB,637,1 ,$7.90 ,$5.14 ,$5.14 ,$7.90 ,$6.32 , N/A ,$6.26 ,$7.11 ,$7.11 , N/A ,$6.72 ,$5.85 , N/A , N/A , N/A ,$6.59 , N/A ,$6.53 ,$6.32 ,$7.11 ,$7.90 ,$6.72 , N/A ,$6.72 ,$6.72 ,$7.11 ,$7.11 ,$6.20 ,$6.53 , N/A ,$5.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411558,N/A,VITAMINS A AND D OINT.(GM):,637,1 ,$5.70 ,$3.71 ,$3.71 ,$5.70 ,$4.56 , N/A ,$4.52 ,$5.13 ,$5.13 , N/A ,$4.85 ,$4.22 , N/A , N/A , N/A ,$4.75 , N/A ,$4.71 ,$4.56 ,$5.13 ,$5.70 ,$4.85 , N/A ,$4.85 ,$4.85 ,$5.13 ,$5.13 ,$4.47 ,$4.71 , N/A ,$3.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411561,N/A,IPPB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411562,N/A,ULTRASONIC NEBULIZATION TREATMENT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411567,N/A,RANITIDINE TAB 300MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411781,N/A,TAMSULOSIN (FLOMAX) SR CAP : 0.4MG,637,1 ,$15.03 ,$9.77 ,$9.77 ,$15.03 ,$12.02 , N/A ,$11.91 ,$13.53 ,$13.53 , N/A ,$12.78 ,$11.12 , N/A , N/A , N/A ,$12.54 , N/A ,$12.41 ,$12.02 ,$13.53 ,$15.03 ,$12.78 , N/A ,$12.78 ,$12.78 ,$13.53 ,$13.53 ,$11.80 ,$12.41 , N/A ,$9.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411782,N/A,CEFPROZIL (CEFZIL) SUSP : 125MG/5mL,637,1 ,$66.35 ,$43.13 ,$43.13 ,$66.35 ,$53.08 , N/A ,$52.58 ,$59.75 ,$59.75 , N/A ,$56.40 ,$49.10 , N/A , N/A , N/A ,$55.34 , N/A ,$54.81 ,$53.08 ,$59.72 ,$66.35 ,$56.40 , N/A ,$56.40 ,$56.40 ,$59.72 ,$59.72 ,$52.08 ,$54.81 , N/A ,$43.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411785,N/A,PIROXICAM (FELDENE) CAPSULE : 10MG,637,1 ,$4.60 ,$2.99 ,$2.99 ,$4.60 ,$3.68 , N/A ,$3.65 ,$4.14 ,$4.14 , N/A ,$3.91 ,$3.40 , N/A , N/A , N/A ,$3.84 , N/A ,$3.80 ,$3.68 ,$4.14 ,$4.60 ,$3.91 , N/A ,$3.91 ,$3.91 ,$4.14 ,$4.14 ,$3.61 ,$3.80 , N/A ,$2.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411786,N/A,MAXZIDE-25 (DYAZIDE) TAB : 37.5-25MG,637,1 ,$1.60 ,$1.04 ,$1.04 ,$1.60 ,$1.28 , N/A ,$1.27 ,$1.44 ,$1.44 , N/A ,$1.36 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.32 ,$1.28 ,$1.44 ,$1.60 ,$1.36 , N/A ,$1.36 ,$1.36 ,$1.44 ,$1.44 ,$1.26 ,$1.32 , N/A ,$1.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411790,N/A,LEVOFLOXACIN (LEVAQUIN) TAB : 500MG,637,1 ,$60.10 ,$39.07 ,$39.07 ,$60.10 ,$48.08 , N/A ,$47.62 ,$54.12 ,$54.12 , N/A ,$51.09 ,$44.47 , N/A , N/A , N/A ,$50.12 , N/A ,$49.64 ,$48.08 ,$54.09 ,$60.10 ,$51.09 , N/A ,$51.09 ,$51.09 ,$54.09 ,$54.09 ,$47.18 ,$49.64 , N/A ,$39.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411794,N/A,PEN G BENZ/PEN G PROCAINE DISP SYRIN:300,637,1 ,$20.00 ,$13.00 ,$13.00 ,$20.00 ,$16.00 , N/A ,$15.85 ,$18.01 ,$18.01 , N/A ,$17.00 ,$14.80 , N/A , N/A , N/A ,$16.68 , N/A ,$16.52 ,$16.00 ,$18.00 ,$20.00 ,$17.00 , N/A ,$17.00 ,$17.00 ,$18.00 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411797,N/A,SENNOSIDES TAB : 8.6MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411798,N/A,LIDOCAINE 2.5% / PRILOCAINE 2.5% (EMLA),637,1 ,$28.75 ,$18.69 ,$18.69 ,$28.75 ,$23.00 , N/A ,$22.78 ,$25.89 ,$25.89 , N/A ,$24.44 ,$21.28 , N/A , N/A , N/A ,$23.98 , N/A ,$23.75 ,$23.00 ,$25.88 ,$28.75 ,$24.44 , N/A ,$24.44 ,$24.44 ,$25.88 ,$25.88 ,$22.57 ,$23.75 , N/A ,$18.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411799,N/A,CARBAMAZEPINE SUSP : 100MG/5mL PER 30mL,637,1 ,$15.70 ,$10.21 ,$10.21 ,$15.70 ,$12.56 , N/A ,$12.44 ,$14.14 ,$14.14 , N/A ,$13.35 ,$11.62 , N/A , N/A , N/A ,$13.09 , N/A ,$12.97 ,$12.56 ,$14.13 ,$15.70 ,$13.35 , N/A ,$13.35 ,$13.35 ,$14.13 ,$14.13 ,$12.32 ,$12.97 , N/A ,$10.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411800,N/A,FENTANYL (DURAGESIC) PATCH 75MCG/HR,637,1 ,$143.62 ,$93.35 ,$93.35 ,$143.62 ,$114.90 , N/A ,$113.80 ,$129.33 ,$129.33 , N/A ,$122.08 ,$106.28 , N/A , N/A , N/A ,$119.78 , N/A ,$118.63 ,$114.90 ,$129.26 ,$143.62 ,$122.08 , N/A ,$122.08 ,$122.08 ,$129.26 ,$129.26 ,$112.74 ,$118.63 , N/A ,$93.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411810,N/A,L-LYSINE TABLET : 500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411821,J9201,GEMZAR (GEMCITABINE) : PER 200MG,636,1 ,$267.50 ,$173.88 ,$173.88 ,$240.88 ,$214.00 , N/A ,$211.97 ,$240.88 ,$240.88 , N/A ,$227.38 ,$197.95 , N/A , N/A , N/A ,$223.10 , N/A ,$220.96 ,$214.00 ,$240.75 , N/A ,$227.38 , N/A ,$227.38 ,$227.38 ,$240.75 ,$240.75 ,$209.99 ,$220.96 , N/A ,$173.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411822,N/A,ZIDOVUDINE (RETROVIR) 10MG/mL ORAL SYRUP,637,1 ,$169.48 ,$110.16 ,$110.16 ,$169.48 ,$135.58 , N/A ,$134.30 ,$152.62 ,$152.62 , N/A ,$144.06 ,$125.42 , N/A , N/A , N/A ,$141.35 , N/A ,$139.99 ,$135.58 ,$152.53 ,$169.48 ,$144.06 , N/A ,$144.06 ,$144.06 ,$152.53 ,$152.53 ,$133.04 ,$139.99 , N/A ,$110.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411823,N/A,EPIVIR (LAMIVUDINE) TABLET : 150MG,637,1 ,$16.60 ,$10.79 ,$10.79 ,$16.60 ,$13.28 , N/A ,$13.15 ,$14.95 ,$14.95 , N/A ,$14.11 ,$12.28 , N/A , N/A , N/A ,$13.84 , N/A ,$13.71 ,$13.28 ,$14.94 ,$16.60 ,$14.11 , N/A ,$14.11 ,$14.11 ,$14.94 ,$14.94 ,$13.03 ,$13.71 , N/A ,$10.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411824,N/A,INVIRASE (SAQUINAVIR) CAPSULE : 200MG,637,1 ,$7.90 ,$5.14 ,$5.14 ,$7.90 ,$6.32 , N/A ,$6.26 ,$7.11 ,$7.11 , N/A ,$6.72 ,$5.85 , N/A , N/A , N/A ,$6.59 , N/A ,$6.53 ,$6.32 ,$7.11 ,$7.90 ,$6.72 , N/A ,$6.72 ,$6.72 ,$7.11 ,$7.11 ,$6.20 ,$6.53 , N/A ,$5.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411825,N/A,HUMULIN N,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411826,N/A,HUMULIN R (SLIDING SCALE),637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411827,N/A,HUMULIN MIX 70/30,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411829,N/A,FLUOROURACIL (ADRUCIL) : PER 500MG,250,1 ,$10.10 ,$6.57 ,$6.57 ,$9.10 ,$8.08 , N/A ,$8.00 ,$9.10 ,$9.10 , N/A ,$8.59 ,$7.47 , N/A , N/A , N/A ,$8.42 , N/A ,$8.34 ,$8.08 ,$9.09 , N/A ,$8.59 , N/A ,$8.59 ,$8.59 ,$9.09 ,$9.09 ,$7.93 ,$8.34 , N/A ,$6.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411830,J9360,VINBLASTINE SULFATE VIAL:10MG,636,1 ,$37.80 ,$24.57 ,$24.57 ,$34.04 ,$30.24 , N/A ,$29.95 ,$34.04 ,$34.04 , N/A ,$32.13 ,$27.97 , N/A , N/A , N/A ,$31.53 , N/A ,$31.22 ,$30.24 ,$34.02 , N/A ,$32.13 , N/A ,$32.13 ,$32.13 ,$34.02 ,$34.02 ,$29.67 ,$31.22 , N/A ,$24.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411833,N/A,AMOXICILLIN 875/CLAVULANATE 125 ADULT,637,1 ,$18.03 ,$11.72 ,$11.72 ,$18.03 ,$14.42 , N/A ,$14.29 ,$16.24 ,$16.24 , N/A ,$15.33 ,$13.34 , N/A , N/A , N/A ,$15.04 , N/A ,$14.89 ,$14.42 ,$16.23 ,$18.03 ,$15.33 , N/A ,$15.33 ,$15.33 ,$16.23 ,$16.23 ,$14.15 ,$14.89 , N/A ,$11.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411834,N/A,LISINOPRIL 20MG/HCTZ 12.5MG TAB PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411835,N/A,GENTIAN VIOLET SOLUTION: 1,637,1 ,$3.40 ,$2.21 ,$2.21 ,$3.40 ,$2.72 , N/A ,$2.69 ,$3.06 ,$3.06 , N/A ,$2.89 ,$2.52 , N/A , N/A , N/A ,$2.84 , N/A ,$2.81 ,$2.72 ,$3.06 ,$3.40 ,$2.89 , N/A ,$2.89 ,$2.89 ,$3.06 ,$3.06 ,$2.67 ,$2.81 , N/A ,$2.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411836,N/A,PYRIDOSTIGMINE TAB 60MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411837,J9000,DOXORUBICIN LIPOSOMAL (DOXIL) : 2MG/ML,636,1 ,"$1,130.00 ",$734.50 ,$734.50 ,"$1,017.57 ",$904.00 , N/A ,$895.41 ,"$1,017.57 ","$1,017.57 ", N/A ,$960.50 ,$836.20 , N/A , N/A , N/A ,$942.42 , N/A ,$933.38 ,$904.00 ,"$1,017.00 ", N/A ,$960.50 , N/A ,$960.50 ,$960.50 ,"$1,017.00 ","$1,017.00 ",$887.05 ,$933.38 , N/A ,$734.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411840,N/A,PREDNISONE TAB : 20MG,250,1 ,$0.90 ,$0.59 ,$0.59 ,$0.81 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 , N/A ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411846,N/A,CLOPIDOGREL (PLAVIX) TAB : 75MG,637,1 ,$1.47 ,$0.96 ,$0.96 ,$1.47 ,$1.18 , N/A ,$1.16 ,$1.32 ,$1.32 , N/A ,$1.25 ,$1.09 , N/A , N/A , N/A ,$1.23 , N/A ,$1.21 ,$1.18 ,$1.32 ,$1.47 ,$1.25 , N/A ,$1.25 ,$1.25 ,$1.32 ,$1.32 ,$1.15 ,$1.21 , N/A ,$0.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411847,N/A,TRIMETHOBENZAMIDE HCL CAPSULE:250MG,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411849,N/A,CAPTOPRIL TAB 50MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411850,N/A,PROMETHAZINE 25MG TAB,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411851,N/A,CHLORPROmazine TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411852,N/A,PAROXETINE (PAXIL) TAB : 10MG,637,1 ,$9.36 ,$6.08 ,$6.08 ,$9.36 ,$7.49 , N/A ,$7.42 ,$8.43 ,$8.43 , N/A ,$7.96 ,$6.93 , N/A , N/A , N/A ,$7.81 , N/A ,$7.73 ,$7.49 ,$8.42 ,$9.36 ,$7.96 , N/A ,$7.96 ,$7.96 ,$8.42 ,$8.42 ,$7.35 ,$7.73 , N/A ,$6.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411854,N/A,DULERA 200/5 INHALER PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411855,N/A,PRAVASTATIN (PRAVACHOL) TAB : 20MG,637,1 ,$11.62 ,$7.55 ,$7.55 ,$11.62 ,$9.30 , N/A ,$9.21 ,$10.46 ,$10.46 , N/A ,$9.88 ,$8.60 , N/A , N/A , N/A ,$9.69 , N/A ,$9.60 ,$9.30 ,$10.46 ,$11.62 ,$9.88 , N/A ,$9.88 ,$9.88 ,$10.46 ,$10.46 ,$9.12 ,$9.60 , N/A ,$7.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411856,N/A,NADOLOL TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411857,N/A,GLIMEPIRIDE (AMARYL) TAB : 2MG,637,1 ,$2.32 ,$1.51 ,$1.51 ,$2.32 ,$1.86 , N/A ,$1.84 ,$2.09 ,$2.09 , N/A ,$1.97 ,$1.72 , N/A , N/A , N/A ,$1.93 , N/A ,$1.92 ,$1.86 ,$2.09 ,$2.32 ,$1.97 , N/A ,$1.97 ,$1.97 ,$2.09 ,$2.09 ,$1.82 ,$1.92 , N/A ,$1.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411858,J1750,INFED/DEXFERRUM (IRON DEXTRAN) : 50MG/ML,636,1 ,$118.80 ,$77.22 ,$15.79 ,$106.98 ,$95.04 ,$15.79 ,$94.14 ,$106.98 ,$106.98 ,$30.00 ,$100.98 ,$87.91 ,$39.47 ,$15.79 , N/A ,$99.08 ,$15.79 ,$98.13 ,$95.04 ,$106.92 ,$39.47 ,$100.98 ,$15.79 ,$100.98 ,$100.98 ,$106.92 ,$106.92 ,$93.26 ,$98.13 ,$15.79 ,$77.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411859,N/A,NIFEREX (FE-TINIC 150) CAPSULE,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411860,N/A,BIAXIN TABLET : 250MG,637,1 ,$14.35 ,$9.33 ,$9.33 ,$14.35 ,$11.48 , N/A ,$11.37 ,$12.92 ,$12.92 , N/A ,$12.20 ,$10.62 , N/A , N/A , N/A ,$11.97 , N/A ,$11.85 ,$11.48 ,$12.92 ,$14.35 ,$12.20 , N/A ,$12.20 ,$12.20 ,$12.92 ,$12.92 ,$11.26 ,$11.85 , N/A ,$9.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411862,N/A,CONDYLOX SOLUTION: 0.50,637,1 ,$232.15 ,$150.90 ,$150.90 ,$232.15 ,$185.72 , N/A ,$183.96 ,$209.05 ,$209.05 , N/A ,$197.33 ,$171.79 , N/A , N/A , N/A ,$193.61 , N/A ,$191.76 ,$185.72 ,$208.94 ,$232.15 ,$197.33 , N/A ,$197.33 ,$197.33 ,$208.94 ,$208.94 ,$182.24 ,$191.76 , N/A ,$150.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411863,N/A,ICAPS PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411864,N/A,KALMZ,637,1 ,$12.55 ,$8.16 ,$8.16 ,$12.55 ,$10.04 , N/A ,$9.94 ,$11.30 ,$11.30 , N/A ,$10.67 ,$9.29 , N/A , N/A , N/A ,$10.47 , N/A ,$10.37 ,$10.04 ,$11.30 ,$12.55 ,$10.67 , N/A ,$10.67 ,$10.67 ,$11.30 ,$11.30 ,$9.85 ,$10.37 , N/A ,$8.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411865,N/A,KLONOPIN (CLONAZEPAM) TABLET : 1MG,637,1 ,$2.90 ,$1.89 ,$1.89 ,$2.90 ,$2.32 , N/A ,$2.30 ,$2.61 ,$2.61 , N/A ,$2.47 ,$2.15 , N/A , N/A , N/A ,$2.42 , N/A ,$2.40 ,$2.32 ,$2.61 ,$2.90 ,$2.47 , N/A ,$2.47 ,$2.47 ,$2.61 ,$2.61 ,$2.28 ,$2.40 , N/A ,$1.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411866,N/A,TRANSDERM SCOP PATCH TD72 : 1.5MG,637,1 ,$76.43 ,$49.68 ,$49.68 ,$76.43 ,$61.14 , N/A ,$60.56 ,$68.83 ,$68.83 , N/A ,$64.97 ,$56.56 , N/A , N/A , N/A ,$63.74 , N/A ,$63.13 ,$61.14 ,$68.79 ,$76.43 ,$64.97 , N/A ,$64.97 ,$64.97 ,$68.79 ,$68.79 ,$60.00 ,$63.13 , N/A ,$49.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411868,N/A,MONTELUKAST (SINGULAIR) TAB : 10MG,637,1 ,$1.19 ,$0.77 ,$0.77 ,$1.19 ,$0.95 , N/A ,$0.94 ,$1.07 ,$1.07 , N/A ,$1.01 ,$0.88 , N/A , N/A , N/A ,$0.99 , N/A ,$0.98 ,$0.95 ,$1.07 ,$1.19 ,$1.01 , N/A ,$1.01 ,$1.01 ,$1.07 ,$1.07 ,$0.93 ,$0.98 , N/A ,$0.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411869,N/A,LIDOCAINE HCL/EPINEPHRINE VIAL:1-0.001,250,1 ,$17.10 ,$11.12 ,$11.12 ,$15.40 ,$13.68 , N/A ,$13.55 ,$15.40 ,$15.40 , N/A ,$14.54 ,$12.65 , N/A , N/A , N/A ,$14.26 , N/A ,$14.12 ,$13.68 ,$15.39 , N/A ,$14.54 , N/A ,$14.54 ,$14.54 ,$15.39 ,$15.39 ,$13.42 ,$14.12 , N/A ,$11.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411870,N/A,NIX LICE TREATMENT KIT,637,1 ,$42.01 ,$27.31 ,$27.31 ,$42.01 ,$33.61 , N/A ,$33.29 ,$37.83 ,$37.83 , N/A ,$35.71 ,$31.09 , N/A , N/A , N/A ,$35.04 , N/A ,$34.70 ,$33.61 ,$37.81 ,$42.01 ,$35.71 , N/A ,$35.71 ,$35.71 ,$37.81 ,$37.81 ,$32.98 ,$34.70 , N/A ,$27.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411873,N/A,ENALAPRIL TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411875,J2060,LORAZEPAM (ATIVAN) VIAL : 2MG/ML,636,1 ,$7.77 ,$5.05 ,$5.05 ,$7.00 ,$6.22 , N/A ,$6.16 ,$7.00 ,$7.00 , N/A ,$6.60 ,$5.75 , N/A , N/A , N/A ,$6.48 , N/A ,$6.42 ,$6.22 ,$6.99 , N/A ,$6.60 , N/A ,$6.60 ,$6.60 ,$6.99 ,$6.99 ,$6.10 ,$6.42 , N/A ,$5.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411876,N/A,BLUBORO : BOX OF 12,637,1 ,$44.05 ,$28.63 ,$28.63 ,$44.05 ,$35.24 , N/A ,$34.91 ,$39.67 ,$39.67 , N/A ,$37.44 ,$32.60 , N/A , N/A , N/A ,$36.74 , N/A ,$36.39 ,$35.24 ,$39.65 ,$44.05 ,$37.44 , N/A ,$37.44 ,$37.44 ,$39.65 ,$39.65 ,$34.58 ,$36.39 , N/A ,$28.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411877,N/A,BREO ELLIPTA 100MCG/25MCG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411879,N/A,GABAPENTIN TAB 600MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411883,J2800,ROBAXIN VIAL : 1000MG/10ML,636,1 ,$137.35 ,$89.28 ,$89.28 ,$123.68 ,$109.88 , N/A ,$108.84 ,$123.68 ,$123.68 , N/A ,$116.75 ,$101.64 , N/A , N/A , N/A ,$114.55 , N/A ,$113.45 ,$109.88 ,$123.62 , N/A ,$116.75 , N/A ,$116.75 ,$116.75 ,$123.62 ,$123.62 ,$107.82 ,$113.45 , N/A ,$89.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411884,N/A,BUPROPION SR (WELLBUTRIN SR) 12HR :150MG,637,1 ,$6.92 ,$4.50 ,$4.50 ,$6.92 ,$5.54 , N/A ,$5.48 ,$6.23 ,$6.23 , N/A ,$5.88 ,$5.12 , N/A , N/A , N/A ,$5.77 , N/A ,$5.72 ,$5.54 ,$6.23 ,$6.92 ,$5.88 , N/A ,$5.88 ,$5.88 ,$6.23 ,$6.23 ,$5.43 ,$5.72 , N/A ,$4.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411885,N/A,SINCALIDE VIAL:5MCG,250,1 ,$109.00 ,$70.85 ,$70.85 ,$98.15 ,$87.20 , N/A ,$86.37 ,$98.15 ,$98.15 , N/A ,$92.65 ,$80.66 , N/A , N/A , N/A ,$90.91 , N/A ,$90.03 ,$87.20 ,$98.10 , N/A ,$92.65 , N/A ,$92.65 ,$92.65 ,$98.10 ,$98.10 ,$85.57 ,$90.03 , N/A ,$70.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411886,N/A,REFRESH LACRI-LUBE EYE OINTMENT,637,1 ,$55.45 ,$36.04 ,$36.04 ,$55.45 ,$44.36 , N/A ,$43.94 ,$49.93 ,$49.93 , N/A ,$47.13 ,$41.03 , N/A , N/A , N/A ,$46.25 , N/A ,$45.80 ,$44.36 ,$49.91 ,$55.45 ,$47.13 , N/A ,$47.13 ,$47.13 ,$49.91 ,$49.91 ,$43.53 ,$45.80 , N/A ,$36.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411887,N/A,LEVOBUNOLOL EYE DROPS 0.5% (BETAGAN),637,1 ,$52.30 ,$34.00 ,$34.00 ,$52.30 ,$41.84 , N/A ,$41.44 ,$47.10 ,$47.10 , N/A ,$44.46 ,$38.70 , N/A , N/A , N/A ,$43.62 , N/A ,$43.20 ,$41.84 ,$47.07 ,$52.30 ,$44.46 , N/A ,$44.46 ,$44.46 ,$47.07 ,$47.07 ,$41.06 ,$43.20 , N/A ,$34.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411888,N/A,GENTAMICIN 0.3% EYE DROPS : 5ML,637,1 ,$155.64 ,$101.17 ,$101.17 ,$155.64 ,$124.51 , N/A ,$123.33 ,$140.15 ,$140.15 , N/A ,$132.29 ,$115.17 , N/A , N/A , N/A ,$129.80 , N/A ,$128.56 ,$124.51 ,$140.08 ,$155.64 ,$132.29 , N/A ,$132.29 ,$132.29 ,$140.08 ,$140.08 ,$122.18 ,$128.56 , N/A ,$101.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411889,N/A,LEVOCARNITINE TAB : 500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411890,N/A,KETOROLAC TROMETHAMINE DISP SYRIN:30MG/M,637,1 ,$32.65 ,$21.22 ,$21.22 ,$32.65 ,$26.12 , N/A ,$25.87 ,$29.40 ,$29.40 , N/A ,$27.75 ,$24.16 , N/A , N/A , N/A ,$27.23 , N/A ,$26.97 ,$26.12 ,$29.39 ,$32.65 ,$27.75 , N/A ,$27.75 ,$27.75 ,$29.39 ,$29.39 ,$25.63 ,$26.97 , N/A ,$21.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411891,N/A,IOPIDINE DROPERETTE : EACH (1/2 OF PACK),637,1 ,$40.40 ,$26.26 ,$26.26 ,$40.40 ,$32.32 , N/A ,$32.01 ,$36.38 ,$36.38 , N/A ,$34.34 ,$29.90 , N/A , N/A , N/A ,$33.69 , N/A ,$33.37 ,$32.32 ,$36.36 ,$40.40 ,$34.34 , N/A ,$34.34 ,$34.34 ,$36.36 ,$36.36 ,$31.71 ,$33.37 , N/A ,$26.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411893,N/A,ENSURE PUDDING : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411895,N/A,CEPACOL MOUTHWASH : PER 30ML,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411896,N/A,CLOBETASOL PROPIONATE (TEMOVATE) CREAM:,637,1 ,$140.00 ,$91.00 ,$91.00 ,$140.00 ,$112.00 , N/A ,$110.94 ,$126.07 ,$126.07 , N/A ,$119.00 ,$103.60 , N/A , N/A , N/A ,$116.76 , N/A ,$115.64 ,$112.00 ,$126.00 ,$140.00 ,$119.00 , N/A ,$119.00 ,$119.00 ,$126.00 ,$126.00 ,$109.90 ,$115.64 , N/A ,$91.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411897,J1650,ENOXAPARIN (LOVENOX) 60MG,636,1 ,$42.76 ,$27.79 ,$27.79 ,$38.51 ,$34.21 , N/A ,$33.88 ,$38.51 ,$38.51 , N/A ,$36.35 ,$31.64 , N/A , N/A , N/A ,$35.66 , N/A ,$35.32 ,$34.21 ,$38.48 , N/A ,$36.35 , N/A ,$36.35 ,$36.35 ,$38.48 ,$38.48 ,$33.57 ,$35.32 , N/A ,$27.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411898,N/A,KETOROLAC (ACULAR) 0.5% EYE DROPS : 5 ML,637,1 ,$224.40 ,$145.86 ,$145.86 ,$224.40 ,$179.52 , N/A ,$177.81 ,$202.07 ,$202.07 , N/A ,$190.74 ,$166.06 , N/A , N/A , N/A ,$187.15 , N/A ,$185.35 ,$179.52 ,$201.96 ,$224.40 ,$190.74 , N/A ,$190.74 ,$190.74 ,$201.96 ,$201.96 ,$176.15 ,$185.35 , N/A ,$145.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411899,N/A,TOLTERODINE TAB 2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411900,N/A,KETOROLAC TROMETHAMINE VIAL:30MG/ML,637,1 ,$26.25 ,$17.06 ,$17.06 ,$26.25 ,$21.00 , N/A ,$20.80 ,$23.64 ,$23.64 , N/A ,$22.31 ,$19.43 , N/A , N/A , N/A ,$21.89 , N/A ,$21.68 ,$21.00 ,$23.63 ,$26.25 ,$22.31 , N/A ,$22.31 ,$22.31 ,$23.63 ,$23.63 ,$20.61 ,$21.68 , N/A ,$17.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411901,N/A,METOPROLOL ER TAB 200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411902,N/A,BUMETANIDE (BUMEX) VIAL : 1MG / 4ML,250,1 ,$10.89 ,$7.08 ,$7.08 ,$9.81 ,$8.71 , N/A ,$8.63 ,$9.81 ,$9.81 , N/A ,$9.26 ,$8.06 , N/A , N/A , N/A ,$9.08 , N/A ,$9.00 ,$8.71 ,$9.80 , N/A ,$9.26 , N/A ,$9.26 ,$9.26 ,$9.80 ,$9.80 ,$8.55 ,$9.00 , N/A ,$7.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411903,J3535,COMBIVENT INHALER (IPRATROP/ALBUTEROL),637,1 ,$343.35 ,$223.18 ,$223.18 ,$343.35 ,$274.68 , N/A ,$272.07 ,$309.19 ,$309.19 , N/A ,$291.85 ,$254.08 , N/A , N/A , N/A ,$286.35 , N/A ,$283.61 ,$274.68 ,$309.02 ,$343.35 ,$291.85 , N/A ,$291.85 ,$291.85 ,$309.02 ,$309.02 ,$269.53 ,$283.61 , N/A ,$223.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411905,N/A,DOCUSATE LIQUID 100MG/10ML PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411906,N/A,PEPTIC RELIEF (PINK BISMUTH) LIQUID,637,1 ,$11.00 ,$7.15 ,$7.15 ,$11.00 ,$8.80 , N/A ,$8.72 ,$9.91 ,$9.91 , N/A ,$9.35 ,$8.14 , N/A , N/A , N/A ,$9.17 , N/A ,$9.09 ,$8.80 ,$9.90 ,$11.00 ,$9.35 , N/A ,$9.35 ,$9.35 ,$9.90 ,$9.90 ,$8.64 ,$9.09 , N/A ,$7.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411907,N/A,PSEUDOEPHEDRINE 30MG/5ML LIQUID : 118ML,637,1 ,$9.95 ,$6.47 ,$6.47 ,$9.95 ,$7.96 , N/A ,$7.88 ,$8.96 ,$8.96 , N/A ,$8.46 ,$7.36 , N/A , N/A , N/A ,$8.30 , N/A ,$8.22 ,$7.96 ,$8.96 ,$9.95 ,$8.46 , N/A ,$8.46 ,$8.46 ,$8.96 ,$8.96 ,$7.81 ,$8.22 , N/A ,$6.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411908,N/A,ROBITUSSIN (GUAIFENESIN) SYRUP,637,1 ,$9.45 ,$6.14 ,$6.14 ,$9.45 ,$7.56 , N/A ,$7.49 ,$8.51 ,$8.51 , N/A ,$8.03 ,$6.99 , N/A , N/A , N/A ,$7.88 , N/A ,$7.81 ,$7.56 ,$8.51 ,$9.45 ,$8.03 , N/A ,$8.03 ,$8.03 ,$8.51 ,$8.51 ,$7.42 ,$7.81 , N/A ,$6.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411909,N/A,ROBITUSSIN DM (GUAIFENESIN DM) SYRUP,637,1 ,$12.90 ,$8.39 ,$8.39 ,$12.90 ,$10.32 , N/A ,$10.22 ,$11.62 ,$11.62 , N/A ,$10.97 ,$9.55 , N/A , N/A , N/A ,$10.76 , N/A ,$10.66 ,$10.32 ,$11.61 ,$12.90 ,$10.97 , N/A ,$10.97 ,$10.97 ,$11.61 ,$11.61 ,$10.13 ,$10.66 , N/A ,$8.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411910,N/A,ASPIRIN *WHITE* 325MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411911,N/A,ROBITUSSIN AC (GUAIFENESIN AC) SYRUP,637,1 ,$11.35 ,$7.38 ,$7.38 ,$11.35 ,$9.08 , N/A ,$8.99 ,$10.22 ,$10.22 , N/A ,$9.65 ,$8.40 , N/A , N/A , N/A ,$9.47 , N/A ,$9.38 ,$9.08 ,$10.22 ,$11.35 ,$9.65 , N/A ,$9.65 ,$9.65 ,$10.22 ,$10.22 ,$8.91 ,$9.38 , N/A ,$7.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411913,N/A,MULTIVITAMIN TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411915,N/A,PROCAINAMIDE HCL VIAL:500MG/ML,637,1 ,$18.30 ,$11.90 ,$11.90 ,$18.30 ,$14.64 , N/A ,$14.50 ,$16.48 ,$16.48 , N/A ,$15.56 ,$13.54 , N/A , N/A , N/A ,$15.26 , N/A ,$15.12 ,$14.64 ,$16.47 ,$18.30 ,$15.56 , N/A ,$15.56 ,$15.56 ,$16.47 ,$16.47 ,$14.37 ,$15.12 , N/A ,$11.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411916,N/A,PROMETHazine VC with CODEINE SYRUP ****,637,1 ,$133.05 ,$86.48 ,$86.48 ,$133.05 ,$106.44 , N/A ,$105.43 ,$119.81 ,$119.81 , N/A ,$113.09 ,$98.46 , N/A , N/A , N/A ,$110.96 , N/A ,$109.90 ,$106.44 ,$119.75 ,$133.05 ,$113.09 , N/A ,$113.09 ,$113.09 ,$119.75 ,$119.75 ,$104.44 ,$109.90 , N/A ,$86.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411917,N/A,PROMETHAZINE/CODEINE 6.25/10MG PER 5mL,637,1 ,$1.37 ,$0.89 ,$0.89 ,$1.37 ,$1.10 , N/A ,$1.09 ,$1.23 ,$1.23 , N/A ,$1.16 ,$1.01 , N/A , N/A , N/A ,$1.14 , N/A ,$1.13 ,$1.10 ,$1.23 ,$1.37 ,$1.16 , N/A ,$1.16 ,$1.16 ,$1.23 ,$1.23 ,$1.08 ,$1.13 , N/A ,$0.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411919,N/A,THEOPHYLLINE ANHYDROUS ELIXIR:80MG/15ML,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411920,J2001,LIDOCAINE 2% ABBOJECT (100MG/5ML),636,1 ,$14.12 ,$9.18 ,$9.18 ,$12.72 ,$11.30 , N/A ,$11.19 ,$12.72 ,$12.72 , N/A ,$12.00 ,$10.45 , N/A , N/A , N/A ,$11.78 , N/A ,$11.66 ,$11.30 ,$12.71 , N/A ,$12.00 , N/A ,$12.00 ,$12.00 ,$12.71 ,$12.71 ,$11.08 ,$11.66 , N/A ,$9.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411921,N/A,ACETAMINOPHEN SUSPENSION 160MG/5mL,637,1 ,$6.93 ,$4.50 ,$4.50 ,$6.93 ,$5.54 , N/A ,$5.49 ,$6.24 ,$6.24 , N/A ,$5.89 ,$5.13 , N/A , N/A , N/A ,$5.78 , N/A ,$5.72 ,$5.54 ,$6.24 ,$6.93 ,$5.89 , N/A ,$5.89 ,$5.89 ,$6.24 ,$6.24 ,$5.44 ,$5.72 , N/A ,$4.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411922,N/A,CALCIUM 500 + VIT D PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411923,N/A,SODIUM THIOSULFATE 12.5GM/50ML VIAL,250,1 ,$243.41 ,$158.22 ,$158.22 ,$219.19 ,$194.73 , N/A ,$192.88 ,$219.19 ,$219.19 , N/A ,$206.90 ,$180.12 , N/A , N/A , N/A ,$203.00 , N/A ,$201.06 ,$194.73 ,$219.07 , N/A ,$206.90 , N/A ,$206.90 ,$206.90 ,$219.07 ,$219.07 ,$191.08 ,$201.06 , N/A ,$158.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411924,N/A,LIDOCAINE HCL SOLUTION:40MG/ML,637,1 ,$67.25 ,$43.71 ,$43.71 ,$67.25 ,$53.80 , N/A ,$53.29 ,$60.56 ,$60.56 , N/A ,$57.16 ,$49.77 , N/A , N/A , N/A ,$56.09 , N/A ,$55.55 ,$53.80 ,$60.53 ,$67.25 ,$57.16 , N/A ,$57.16 ,$57.16 ,$60.53 ,$60.53 ,$52.79 ,$55.55 , N/A ,$43.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411926,N/A,LIDOCAINE HCL AMPUL:10MG/ML,250,1 ,$7.30 ,$4.75 ,$4.75 ,$6.57 ,$5.84 , N/A ,$5.78 ,$6.57 ,$6.57 , N/A ,$6.21 ,$5.40 , N/A , N/A , N/A ,$6.09 , N/A ,$6.03 ,$5.84 ,$6.57 , N/A ,$6.21 , N/A ,$6.21 ,$6.21 ,$6.57 ,$6.57 ,$5.73 ,$6.03 , N/A ,$4.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411927,N/A,CIPROFLOXACIN 0.3% EYE DROPS,637,1 ,$168.97 ,$109.83 ,$109.83 ,$168.97 ,$135.18 , N/A ,$133.89 ,$152.16 ,$152.16 , N/A ,$143.62 ,$125.04 , N/A , N/A , N/A ,$140.92 , N/A ,$139.57 ,$135.18 ,$152.07 ,$168.97 ,$143.62 , N/A ,$143.62 ,$143.62 ,$152.07 ,$152.07 ,$132.64 ,$139.57 , N/A ,$109.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411928,N/A,DILANTIN (PHENYTOIN) VIAL : 100MG/2ML,250,1 ,$12.45 ,$8.09 ,$8.09 ,$11.21 ,$9.96 , N/A ,$9.87 ,$11.21 ,$11.21 , N/A ,$10.58 ,$9.21 , N/A , N/A , N/A ,$10.38 , N/A ,$10.28 ,$9.96 ,$11.21 , N/A ,$10.58 , N/A ,$10.58 ,$10.58 ,$11.21 ,$11.21 ,$9.77 ,$10.28 , N/A ,$8.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411929,N/A,LIDOCAINE HCL 5% OINTMENT,637,1 ,$30.10 ,$19.57 ,$19.57 ,$30.10 ,$24.08 , N/A ,$23.85 ,$27.11 ,$27.11 , N/A ,$25.59 ,$22.27 , N/A , N/A , N/A ,$25.10 , N/A ,$24.86 ,$24.08 ,$27.09 ,$30.10 ,$25.59 , N/A ,$25.59 ,$25.59 ,$27.09 ,$27.09 ,$23.63 ,$24.86 , N/A ,$19.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411931,N/A,BRETYLIUM TOSYLATE VIAL:50MG/ML,250,1 ,$121.95 ,$79.27 ,$79.27 ,$109.82 ,$97.56 , N/A ,$96.63 ,$109.82 ,$109.82 , N/A ,$103.66 ,$90.24 , N/A , N/A , N/A ,$101.71 , N/A ,$100.73 ,$97.56 ,$109.76 , N/A ,$103.66 , N/A ,$103.66 ,$103.66 ,$109.76 ,$109.76 ,$95.73 ,$100.73 , N/A ,$79.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411932,N/A,CALCIUM CHLORIDE 10% INJECTION,250,1 ,$12.30 ,$8.00 ,$8.00 ,$11.08 ,$9.84 , N/A ,$9.75 ,$11.08 ,$11.08 , N/A ,$10.46 ,$9.10 , N/A , N/A , N/A ,$10.26 , N/A ,$10.16 ,$9.84 ,$11.07 , N/A ,$10.46 , N/A ,$10.46 ,$10.46 ,$11.07 ,$11.07 ,$9.66 ,$10.16 , N/A ,$8.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411933,J3360,DIAZEPAM (VALIUM) INJ. : 10MG/2ML,636,1 ,$99.79 ,$64.86 ,$64.86 ,$89.86 ,$79.83 , N/A ,$79.07 ,$89.86 ,$89.86 , N/A ,$84.82 ,$73.84 , N/A , N/A , N/A ,$83.22 , N/A ,$82.43 ,$79.83 ,$89.81 , N/A ,$84.82 , N/A ,$84.82 ,$84.82 ,$89.81 ,$89.81 ,$78.34 ,$82.43 , N/A ,$64.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411934,N/A,"BUTTERFLY 25 X 3/4 X 4, 12 TBG ********",250,1 ,$8.10 ,$5.27 ,$5.27 ,$7.29 ,$6.48 , N/A ,$6.42 ,$7.29 ,$7.29 , N/A ,$6.89 ,$5.99 , N/A , N/A , N/A ,$6.76 , N/A ,$6.69 ,$6.48 ,$7.29 , N/A ,$6.89 , N/A ,$6.89 ,$6.89 ,$7.29 ,$7.29 ,$6.36 ,$6.69 , N/A ,$5.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411935,N/A,"BUTTERFLY 19 X 7/8, 12 TBG",250,1 ,$7.45 ,$4.84 ,$4.84 ,$6.71 ,$5.96 , N/A ,$5.90 ,$6.71 ,$6.71 , N/A ,$6.33 ,$5.51 , N/A , N/A , N/A ,$6.21 , N/A ,$6.15 ,$5.96 ,$6.71 , N/A ,$6.33 , N/A ,$6.33 ,$6.33 ,$6.71 ,$6.71 ,$5.85 ,$6.15 , N/A ,$4.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411936,N/A,"BUTTERFLY INT 21 X 3/4, 3 1/2 TBG",250,1 ,$8.95 ,$5.82 ,$5.82 ,$8.06 ,$7.16 , N/A ,$7.09 ,$8.06 ,$8.06 , N/A ,$7.61 ,$6.62 , N/A , N/A , N/A ,$7.46 , N/A ,$7.39 ,$7.16 ,$8.06 , N/A ,$7.61 , N/A ,$7.61 ,$7.61 ,$8.06 ,$8.06 ,$7.03 ,$7.39 , N/A ,$5.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411937,N/A,"BUTTERFLY ST 23 X 3/4, 3 1/2 TBG",250,1 ,$8.00 ,$5.20 ,$5.20 ,$7.20 ,$6.40 , N/A ,$6.34 ,$7.20 ,$7.20 , N/A ,$6.80 ,$5.92 , N/A , N/A , N/A ,$6.67 , N/A ,$6.61 ,$6.40 ,$7.20 , N/A ,$6.80 , N/A ,$6.80 ,$6.80 ,$7.20 ,$7.20 ,$6.28 ,$6.61 , N/A ,$5.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411939,N/A,UROKINASE (ABBOKINASE) 5000IU VIAL,250,1 ,$275.60 ,$179.14 ,$179.14 ,$248.18 ,$220.48 , N/A ,$218.39 ,$248.18 ,$248.18 , N/A ,$234.26 ,$203.94 , N/A , N/A , N/A ,$229.85 , N/A ,$227.65 ,$220.48 ,$248.04 , N/A ,$234.26 , N/A ,$234.26 ,$234.26 ,$248.04 ,$248.04 ,$216.35 ,$227.65 , N/A ,$179.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411940,N/A,OCTREOTIDE ACETATE SUBQ : 100MCG/ML,250,1 ,$29.85 ,$19.40 ,$19.40 ,$26.88 ,$23.88 , N/A ,$23.65 ,$26.88 ,$26.88 , N/A ,$25.37 ,$22.09 , N/A , N/A , N/A ,$24.89 , N/A ,$24.66 ,$23.88 ,$26.87 , N/A ,$25.37 , N/A ,$25.37 ,$25.37 ,$26.87 ,$26.87 ,$23.43 ,$24.66 , N/A ,$19.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411941,J1956,LEVAQUIN (LEVOFLOXACIN) VIAL : 500MG,636,1 ,$143.80 ,$93.47 ,$93.47 ,$129.49 ,$115.04 , N/A ,$113.95 ,$129.49 ,$129.49 , N/A ,$122.23 ,$106.41 , N/A , N/A , N/A ,$119.93 , N/A ,$118.78 ,$115.04 ,$129.42 , N/A ,$122.23 , N/A ,$122.23 ,$122.23 ,$129.42 ,$129.42 ,$112.88 ,$118.78 , N/A ,$93.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411942,N/A,XYLOSE (XYLO-PFAN) POWDER : 25GM,637,1 ,$153.75 ,$99.94 ,$99.94 ,$153.75 ,$123.00 , N/A ,$121.83 ,$138.45 ,$138.45 , N/A ,$130.69 ,$113.78 , N/A , N/A , N/A ,$128.23 , N/A ,$127.00 ,$123.00 ,$138.38 ,$153.75 ,$130.69 , N/A ,$130.69 ,$130.69 ,$138.38 ,$138.38 ,$120.69 ,$127.00 , N/A ,$99.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411944,N/A,LETROZOLE (FEMARA) TAB : 2.5MG,637,1 ,$64.75 ,$42.09 ,$42.09 ,$64.75 ,$51.80 , N/A ,$51.31 ,$58.31 ,$58.31 , N/A ,$55.04 ,$47.92 , N/A , N/A , N/A ,$54.00 , N/A ,$53.48 ,$51.80 ,$58.28 ,$64.75 ,$55.04 , N/A ,$55.04 ,$55.04 ,$58.28 ,$58.28 ,$50.83 ,$53.48 , N/A ,$42.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411945,N/A,SULFATHIAZ/SULFACET/SULFABENZ CREAM/APPL,637,1 ,$20.60 ,$13.39 ,$13.39 ,$20.60 ,$16.48 , N/A ,$16.32 ,$18.55 ,$18.55 , N/A ,$17.51 ,$15.24 , N/A , N/A , N/A ,$17.18 , N/A ,$17.02 ,$16.48 ,$18.54 ,$20.60 ,$17.51 , N/A ,$17.51 ,$17.51 ,$18.54 ,$18.54 ,$16.17 ,$17.02 , N/A ,$13.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411946,N/A,VERAPAMIL TAB 40MG PATIENTS OWN MED,637,1 ,$5.10 ,$3.32 ,$3.32 ,$5.10 ,$4.08 , N/A ,$4.04 ,$4.59 ,$4.59 , N/A ,$4.34 ,$3.77 , N/A , N/A , N/A ,$4.25 , N/A ,$4.21 ,$4.08 ,$4.59 ,$5.10 ,$4.34 , N/A ,$4.34 ,$4.34 ,$4.59 ,$4.59 ,$4.00 ,$4.21 , N/A ,$3.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411947,N/A,TOBRAMYCIN SULFATE DROPS: 0.30,637,1 ,$47.25 ,$30.71 ,$30.71 ,$47.25 ,$37.80 , N/A ,$37.44 ,$42.55 ,$42.55 , N/A ,$40.16 ,$34.97 , N/A , N/A , N/A ,$39.41 , N/A ,$39.03 ,$37.80 ,$42.53 ,$47.25 ,$40.16 , N/A ,$40.16 ,$40.16 ,$42.53 ,$42.53 ,$37.09 ,$39.03 , N/A ,$30.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411948,N/A,THIAMINE HCL TABLET:100MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411949,N/A,SODIUM CITRATE 3GM/CITRIC ACID 2GM ORAL,637,1 ,$7.77 ,$5.05 ,$5.05 ,$7.77 ,$6.22 , N/A ,$6.16 ,$7.00 ,$7.00 , N/A ,$6.60 ,$5.75 , N/A , N/A , N/A ,$6.48 , N/A ,$6.42 ,$6.22 ,$6.99 ,$7.77 ,$6.60 , N/A ,$6.60 ,$6.60 ,$6.99 ,$6.99 ,$6.10 ,$6.42 , N/A ,$5.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411950,N/A,SODIUM BICARB 50MEQ/50ML SYRINGE 8.4%,250,1 ,$35.72 ,$23.22 ,$23.22 ,$32.17 ,$28.58 , N/A ,$28.30 ,$32.17 ,$32.17 , N/A ,$30.36 ,$26.43 , N/A , N/A , N/A ,$29.79 , N/A ,$29.50 ,$28.58 ,$32.15 , N/A ,$30.36 , N/A ,$30.36 ,$30.36 ,$32.15 ,$32.15 ,$28.04 ,$29.50 , N/A ,$23.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411952,N/A,SILVER SULFADIAZINE 1% CREAM : 50GM,637,1 ,$54.03 ,$35.12 ,$35.12 ,$54.03 ,$43.22 , N/A ,$42.81 ,$48.65 ,$48.65 , N/A ,$45.93 ,$39.98 , N/A , N/A , N/A ,$45.06 , N/A ,$44.63 ,$43.22 ,$48.63 ,$54.03 ,$45.93 , N/A ,$45.93 ,$45.93 ,$48.63 ,$48.63 ,$42.41 ,$44.63 , N/A ,$35.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411953,N/A,POTASSIUM (MICRO-K 10) CAP : 10MEQ,637,1 ,$1.05 ,$0.68 ,$0.68 ,$1.05 ,$0.84 , N/A ,$0.83 ,$0.95 ,$0.95 , N/A ,$0.89 ,$0.78 , N/A , N/A , N/A ,$0.88 , N/A ,$0.87 ,$0.84 ,$0.95 ,$1.05 ,$0.89 , N/A ,$0.89 ,$0.89 ,$0.95 ,$0.95 ,$0.82 ,$0.87 , N/A ,$0.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411954,N/A,NAUSEA RELIEF,637,1 ,$14.35 ,$9.33 ,$9.33 ,$14.35 ,$11.48 , N/A ,$11.37 ,$12.92 ,$12.92 , N/A ,$12.20 ,$10.62 , N/A , N/A , N/A ,$11.97 , N/A ,$11.85 ,$11.48 ,$12.92 ,$14.35 ,$12.20 , N/A ,$12.20 ,$12.20 ,$12.92 ,$12.92 ,$11.26 ,$11.85 , N/A ,$9.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411955,N/A,PENTOXIFYLLINE TAB 400MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411956,J0558,BICILLIN C-R 900/300,250,1 ,$123.35 ,$80.18 ,$12.04 ,$111.08 ,$98.68 ,$12.04 ,$97.74 ,$111.08 ,$111.08 ,$22.88 ,$104.85 ,$91.28 ,$30.10 ,$12.04 , N/A ,$102.87 ,$12.04 ,$101.89 ,$98.68 ,$111.02 ,$30.10 ,$104.85 ,$12.04 ,$104.85 ,$104.85 ,$111.02 ,$111.02 ,$96.83 ,$101.89 ,$12.04 ,$80.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411960,N/A,HYCOSIN : PER 30ML,637,1 ,$9.45 ,$6.14 ,$6.14 ,$9.45 ,$7.56 , N/A ,$7.49 ,$8.51 ,$8.51 , N/A ,$8.03 ,$6.99 , N/A , N/A , N/A ,$7.88 , N/A ,$7.81 ,$7.56 ,$8.51 ,$9.45 ,$8.03 , N/A ,$8.03 ,$8.03 ,$8.51 ,$8.51 ,$7.42 ,$7.81 , N/A ,$6.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411961,N/A,TRIGELS-F FORTE CAP PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411962,N/A,ETODOLAC (LODINE) TABLET : 400MG,637,1 ,$4.20 ,$2.73 ,$2.73 ,$4.20 ,$3.36 , N/A ,$3.33 ,$3.78 ,$3.78 , N/A ,$3.57 ,$3.11 , N/A , N/A , N/A ,$3.50 , N/A ,$3.47 ,$3.36 ,$3.78 ,$4.20 ,$3.57 , N/A ,$3.57 ,$3.57 ,$3.78 ,$3.78 ,$3.30 ,$3.47 , N/A ,$2.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411963,J0171,EPINEphrine ABBOJECT 1MG/10ML,636,1 ,$19.90 ,$12.94 ,$12.94 ,$17.92 ,$15.92 , N/A ,$15.77 ,$17.92 ,$17.92 , N/A ,$16.92 ,$14.73 , N/A , N/A , N/A ,$16.60 , N/A ,$16.44 ,$15.92 ,$17.91 , N/A ,$16.92 , N/A ,$16.92 ,$16.92 ,$17.91 ,$17.91 ,$15.62 ,$16.44 , N/A ,$12.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411964,N/A,EPhedRINE SULFATE AMPULE : 50MG/ML,250,1 ,$170.55 ,$110.86 ,$110.86 ,$153.58 ,$136.44 , N/A ,$135.14 ,$153.58 ,$153.58 , N/A ,$144.97 ,$126.21 , N/A , N/A , N/A ,$142.24 , N/A ,$140.87 ,$136.44 ,$153.50 , N/A ,$144.97 , N/A ,$144.97 ,$144.97 ,$153.50 ,$153.50 ,$133.88 ,$140.87 , N/A ,$110.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411965,N/A,ORALYTE (PEDIALYTE) : 1000 mL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411966,N/A,BENADRYL (DIPHENHYDRAMINE) TAB : 25MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411967,N/A,CARDIZEM (DILTIAZEM) IV : 50MG,250,1 ,$31.50 ,$20.48 ,$20.48 ,$28.37 ,$25.20 , N/A ,$24.96 ,$28.37 ,$28.37 , N/A ,$26.78 ,$23.31 , N/A , N/A , N/A ,$26.27 , N/A ,$26.02 ,$25.20 ,$28.35 , N/A ,$26.78 , N/A ,$26.78 ,$26.78 ,$28.35 ,$28.35 ,$24.73 ,$26.02 , N/A ,$20.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411968,N/A,CARDIZEM (DILTIAZEM) IV : 25MG,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411969,N/A,DICYCLOMINE (BENTYL) CAPSULE : 10MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411971,N/A,CODEINE/APAP #3 (GENERIC) 30-300MG TAB,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411972,N/A,CLINDAMYCIN CAP 300MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3411974,N/A,CALCITONIN SALMON NASAL SPRAY,637,1 ,$248.95 ,$161.82 ,$161.82 ,$248.95 ,$199.16 , N/A ,$197.27 ,$224.18 ,$224.18 , N/A ,$211.61 ,$184.22 , N/A , N/A , N/A ,$207.62 , N/A ,$205.63 ,$199.16 ,$224.06 ,$248.95 ,$211.61 , N/A ,$211.61 ,$211.61 ,$224.06 ,$224.06 ,$195.43 ,$205.63 , N/A ,$161.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411975,J0461,ATROPINE SULFATE DISP SYRIN: 1MG/10ML,636,1 ,$20.08 ,$13.05 ,$13.05 ,$18.08 ,$16.06 , N/A ,$15.91 ,$18.08 ,$18.08 , N/A ,$17.07 ,$14.86 , N/A , N/A , N/A ,$16.75 , N/A ,$16.59 ,$16.06 ,$18.07 , N/A ,$17.07 , N/A ,$17.07 ,$17.07 ,$18.07 ,$18.07 ,$15.76 ,$16.59 , N/A ,$13.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411976,N/A,ATROPINE SULFATE DISP SYRIN: 0.5MG,250,1 ,$46.80 ,$30.42 ,$30.42 ,$42.14 ,$37.44 , N/A ,$37.08 ,$42.14 ,$42.14 , N/A ,$39.78 ,$34.63 , N/A , N/A , N/A ,$39.03 , N/A ,$38.66 ,$37.44 ,$42.12 , N/A ,$39.78 , N/A ,$39.78 ,$39.78 ,$42.12 ,$42.12 ,$36.74 ,$38.66 , N/A ,$30.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411977,N/A,AUGMENTIN TABLET : 500MG,637,1 ,$13.25 ,$8.61 ,$8.61 ,$13.25 ,$10.60 , N/A ,$10.50 ,$11.93 ,$11.93 , N/A ,$11.26 ,$9.81 , N/A , N/A , N/A ,$11.05 , N/A ,$10.94 ,$10.60 ,$11.93 ,$13.25 ,$11.26 , N/A ,$11.26 ,$11.26 ,$11.93 ,$11.93 ,$10.40 ,$10.94 , N/A ,$8.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411978,N/A,EYE WASH : 15ML,637,1 ,$11.45 ,$7.44 ,$7.44 ,$11.45 ,$9.16 , N/A ,$9.07 ,$10.31 ,$10.31 , N/A ,$9.73 ,$8.47 , N/A , N/A , N/A ,$9.55 , N/A ,$9.46 ,$9.16 ,$10.31 ,$11.45 ,$9.73 , N/A ,$9.73 ,$9.73 ,$10.31 ,$10.31 ,$8.99 ,$9.46 , N/A ,$7.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411979,N/A,FAMCICLOVIR (FAMVIR) TAB : 500MG,637,1 ,$45.36 ,$29.48 ,$29.48 ,$45.36 ,$36.29 , N/A ,$35.94 ,$40.85 ,$40.85 , N/A ,$38.56 ,$33.57 , N/A , N/A , N/A ,$37.83 , N/A ,$37.47 ,$36.29 ,$40.82 ,$45.36 ,$38.56 , N/A ,$38.56 ,$38.56 ,$40.82 ,$40.82 ,$35.61 ,$37.47 , N/A ,$29.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411980,N/A,VANCERIL DOUBLE STRENGTH INHALER:84MCG,637,1 ,$141.35 ,$91.88 ,$91.88 ,$141.35 ,$113.08 , N/A ,$112.01 ,$127.29 ,$127.29 , N/A ,$120.15 ,$104.60 , N/A , N/A , N/A ,$117.89 , N/A ,$116.76 ,$113.08 ,$127.22 ,$141.35 ,$120.15 , N/A ,$120.15 ,$120.15 ,$127.22 ,$127.22 ,$110.96 ,$116.76 , N/A ,$91.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411981,N/A,INSULIN L,637,1 ,$87.90 ,$57.14 ,$57.14 ,$87.90 ,$70.32 , N/A ,$69.65 ,$79.15 ,$79.15 , N/A ,$74.72 ,$65.05 , N/A , N/A , N/A ,$73.31 , N/A ,$72.61 ,$70.32 ,$79.11 ,$87.90 ,$74.72 , N/A ,$74.72 ,$74.72 ,$79.11 ,$79.11 ,$69.00 ,$72.61 , N/A ,$57.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411982,N/A,ACETAMINOPHEN (RECTAL) 120MG SUPPOS,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411983,N/A,ACETAMINOPHEN (RECTAL) 325MG SUPPOS,637,1 ,$2.32 ,$1.51 ,$1.51 ,$2.32 ,$1.86 , N/A ,$1.84 ,$2.09 ,$2.09 , N/A ,$1.97 ,$1.72 , N/A , N/A , N/A ,$1.93 , N/A ,$1.92 ,$1.86 ,$2.09 ,$2.32 ,$1.97 , N/A ,$1.97 ,$1.97 ,$2.09 ,$2.09 ,$1.82 ,$1.92 , N/A ,$1.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411984,N/A,ACETAMINOPHEN (RECTAL) 650MG SUPPOS,637,1 ,$2.22 ,$1.44 ,$1.44 ,$2.22 ,$1.78 , N/A ,$1.76 ,$2.00 ,$2.00 , N/A ,$1.89 ,$1.64 , N/A , N/A , N/A ,$1.85 , N/A ,$1.83 ,$1.78 ,$2.00 ,$2.22 ,$1.89 , N/A ,$1.89 ,$1.89 ,$2.00 ,$2.00 ,$1.74 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411985,J0885,PROCRIT VIAL : 4000 U/ML,636,1 ,$157.10 ,$102.12 ,$8.22 ,$141.47 ,$125.68 ,$8.22 ,$124.49 ,$141.47 ,$141.47 ,$15.62 ,$133.54 ,$116.25 ,$20.56 ,$8.22 , N/A ,$131.02 ,$8.22 ,$129.76 ,$125.68 ,$141.39 ,$20.56 ,$133.54 ,$8.22 ,$133.54 ,$133.54 ,$141.39 ,$141.39 ,$123.32 ,$129.76 ,$8.22 ,$102.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411988,N/A,SODIUM BICARB 4.2% PEDIATRIC : 10ML,250,1 ,$29.09 ,$18.91 ,$18.91 ,$26.20 ,$23.27 , N/A ,$23.05 ,$26.20 ,$26.20 , N/A ,$24.73 ,$21.53 , N/A , N/A , N/A ,$24.26 , N/A ,$24.03 ,$23.27 ,$26.18 , N/A ,$24.73 , N/A ,$24.73 ,$24.73 ,$26.18 ,$26.18 ,$22.84 ,$24.03 , N/A ,$18.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411991,N/A,LOMOTIL (DIPHENOXYLATE/ATROPINE) TAB:,637,1 ,$1.55 ,$1.01 ,$1.01 ,$1.55 ,$1.24 , N/A ,$1.23 ,$1.40 ,$1.40 , N/A ,$1.32 ,$1.15 , N/A , N/A , N/A ,$1.29 , N/A ,$1.28 ,$1.24 ,$1.40 ,$1.55 ,$1.32 , N/A ,$1.32 ,$1.32 ,$1.40 ,$1.40 ,$1.22 ,$1.28 , N/A ,$1.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411992,N/A,NITROGLYCERIN 25MG/250ML D5W,250,1 ,$38.79 ,$25.21 ,$25.21 ,$34.93 ,$31.03 , N/A ,$30.74 ,$34.93 ,$34.93 , N/A ,$32.97 ,$28.70 , N/A , N/A , N/A ,$32.35 , N/A ,$32.04 ,$31.03 ,$34.91 , N/A ,$32.97 , N/A ,$32.97 ,$32.97 ,$34.91 ,$34.91 ,$30.45 ,$32.04 , N/A ,$25.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411993,N/A,SANTYL (COLLAGENASE) OINTMENT : 30GM,637,1 ,$453.37 ,$294.69 ,$294.69 ,$453.37 ,$362.70 , N/A ,$359.25 ,$408.26 ,$408.26 , N/A ,$385.36 ,$335.49 , N/A , N/A , N/A ,$378.11 , N/A ,$374.48 ,$362.70 ,$408.03 ,$453.37 ,$385.36 , N/A ,$385.36 ,$385.36 ,$408.03 ,$408.03 ,$355.90 ,$374.48 , N/A ,$294.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411994,N/A,FORANE LIQUID,637,1 ,$110.25 ,$71.66 ,$71.66 ,$110.25 ,$88.20 , N/A ,$87.36 ,$99.28 ,$99.28 , N/A ,$93.71 ,$81.59 , N/A , N/A , N/A ,$91.95 , N/A ,$91.07 ,$88.20 ,$99.23 ,$110.25 ,$93.71 , N/A ,$93.71 ,$93.71 ,$99.23 ,$99.23 ,$86.55 ,$91.07 , N/A ,$71.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411995,N/A,RENA-VITE (NEPHROVITE) TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411996,N/A,FINASTERIDE (PROSCAR) TAB : 5MG,637,1 ,$11.29 ,$7.34 ,$7.34 ,$11.29 ,$9.03 , N/A ,$8.95 ,$10.17 ,$10.17 , N/A ,$9.60 ,$8.35 , N/A , N/A , N/A ,$9.42 , N/A ,$9.33 ,$9.03 ,$10.16 ,$11.29 ,$9.60 , N/A ,$9.60 ,$9.60 ,$10.16 ,$10.16 ,$8.86 ,$9.33 , N/A ,$7.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411997,J3415,PYRIDOXINE HCL (VIT B6) VIAL:100MG/ML,636,1 ,$34.00 ,$22.10 ,$22.10 ,$30.62 ,$27.20 , N/A ,$26.94 ,$30.62 ,$30.62 , N/A ,$28.90 ,$25.16 , N/A , N/A , N/A ,$28.36 , N/A ,$28.08 ,$27.20 ,$30.60 , N/A ,$28.90 , N/A ,$28.90 ,$28.90 ,$30.60 ,$30.60 ,$26.69 ,$28.08 , N/A ,$22.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3411999,N/A,KAOLIN/PECTIN ORAL SUSP:,637,1 ,$5.90 ,$3.84 ,$3.84 ,$5.90 ,$4.72 , N/A ,$4.68 ,$5.31 ,$5.31 , N/A ,$5.02 ,$4.37 , N/A , N/A , N/A ,$4.92 , N/A ,$4.87 ,$4.72 ,$5.31 ,$5.90 ,$5.02 , N/A ,$5.02 ,$5.02 ,$5.31 ,$5.31 ,$4.63 ,$4.87 , N/A ,$3.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412000,N/A,"TUBERCULIN,PURIF.PROT.DERIV. VIAL:5TU/0.",250,1 ,$210.35 ,$136.73 ,$136.73 ,$189.42 ,$168.28 , N/A ,$166.68 ,$189.42 ,$189.42 , N/A ,$178.80 ,$155.66 , N/A , N/A , N/A ,$175.43 , N/A ,$173.75 ,$168.28 ,$189.32 , N/A ,$178.80 , N/A ,$178.80 ,$178.80 ,$189.32 ,$189.32 ,$165.12 ,$173.75 , N/A ,$136.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412001,N/A,BACLOFEN TABLET : 10MG,637,1 ,$1.20 ,$0.78 ,$0.78 ,$1.20 ,$0.96 , N/A ,$0.95 ,$1.08 ,$1.08 , N/A ,$1.02 ,$0.89 , N/A , N/A , N/A ,$1.00 , N/A ,$0.99 ,$0.96 ,$1.08 ,$1.20 ,$1.02 , N/A ,$1.02 ,$1.02 ,$1.08 ,$1.08 ,$0.94 ,$0.99 , N/A ,$0.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412002,N/A,NUBAIN (NALBUPHINE) AMP : 10MG,637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412003,N/A,NALBUPHINE VIAL (NEW STRENGTH) : 20MG/ML,637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412004,J2405,ONDANSETRON 4MG/2ML FOR IVPB,636,1 ,$11.62 ,$7.55 ,$7.55 ,$10.46 ,$9.30 , N/A ,$9.21 ,$10.46 ,$10.46 , N/A ,$9.88 ,$8.60 , N/A , N/A , N/A ,$9.69 , N/A ,$9.60 ,$9.30 ,$10.46 , N/A ,$9.88 , N/A ,$9.88 ,$9.88 ,$10.46 ,$10.46 ,$9.12 ,$9.60 , N/A ,$7.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412007,J2310,NALOXONE (NARCAN) IVP : 2MG/2ML,636,1 ,$143.85 ,$93.50 ,$93.50 ,$129.54 ,$115.08 , N/A ,$113.99 ,$129.54 ,$129.54 , N/A ,$122.27 ,$106.45 , N/A , N/A , N/A ,$119.97 , N/A ,$118.82 ,$115.08 ,$129.47 , N/A ,$122.27 , N/A ,$122.27 ,$122.27 ,$129.47 ,$129.47 ,$112.92 ,$118.82 , N/A ,$93.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412009,N/A,CARDIZEM LYOJECT (EMT) : 25MG,250,1 ,$91.05 ,$59.18 ,$59.18 ,$81.99 ,$72.84 , N/A ,$72.15 ,$81.99 ,$81.99 , N/A ,$77.39 ,$67.38 , N/A , N/A , N/A ,$75.94 , N/A ,$75.21 ,$72.84 ,$81.95 , N/A ,$77.39 , N/A ,$77.39 ,$77.39 ,$81.95 ,$81.95 ,$71.47 ,$75.21 , N/A ,$59.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412010,N/A,CALCIUM CHLORIDE 10% SYRINGE: (10ML),250,1 ,$29.48 ,$19.16 ,$19.16 ,$26.55 ,$23.58 , N/A ,$23.36 ,$26.55 ,$26.55 , N/A ,$25.06 ,$21.82 , N/A , N/A , N/A ,$24.59 , N/A ,$24.35 ,$23.58 ,$26.53 , N/A ,$25.06 , N/A ,$25.06 ,$25.06 ,$26.53 ,$26.53 ,$23.14 ,$24.35 , N/A ,$19.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412011,N/A,DEXTROSE 50% SYRINGE : 50 ML (25GM),250,1 ,$27.27 ,$17.73 ,$17.73 ,$24.56 ,$21.82 , N/A ,$21.61 ,$24.56 ,$24.56 , N/A ,$23.18 ,$20.18 , N/A , N/A , N/A ,$22.74 , N/A ,$22.53 ,$21.82 ,$24.54 , N/A ,$23.18 , N/A ,$23.18 ,$23.18 ,$24.54 ,$24.54 ,$21.41 ,$22.53 , N/A ,$17.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412012,N/A,BRIMONIDINE 0.15% EYE DROPS : 5ML,637,1 ,$200.35 ,$130.23 ,$130.23 ,$200.35 ,$160.28 , N/A ,$158.76 ,$180.42 ,$180.42 , N/A ,$170.30 ,$148.26 , N/A , N/A , N/A ,$167.09 , N/A ,$165.49 ,$160.28 ,$180.32 ,$200.35 ,$170.30 , N/A ,$170.30 ,$170.30 ,$180.32 ,$180.32 ,$157.27 ,$165.49 , N/A ,$130.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412013,N/A,DIVALPROEX DR (DEPAKOTE) 500MG tab,637,1 ,$12.87 ,$8.37 ,$8.37 ,$12.87 ,$10.30 , N/A ,$10.20 ,$11.59 ,$11.59 , N/A ,$10.94 ,$9.52 , N/A , N/A , N/A ,$10.73 , N/A ,$10.63 ,$10.30 ,$11.58 ,$12.87 ,$10.94 , N/A ,$10.94 ,$10.94 ,$11.58 ,$11.58 ,$10.10 ,$10.63 , N/A ,$8.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412014,N/A,MARCAINE 0.25%,250,1 ,$12.60 ,$8.19 ,$8.19 ,$11.35 ,$10.08 , N/A ,$9.98 ,$11.35 ,$11.35 , N/A ,$10.71 ,$9.32 , N/A , N/A , N/A ,$10.51 , N/A ,$10.41 ,$10.08 ,$11.34 , N/A ,$10.71 , N/A ,$10.71 ,$10.71 ,$11.34 ,$11.34 ,$9.89 ,$10.41 , N/A ,$8.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412015,N/A,ZIAC 2.5MG (BISOPROLOL/6.25MG HCTZ) TAB,637,1 ,$4.30 ,$2.80 ,$2.80 ,$4.30 ,$3.44 , N/A ,$3.41 ,$3.87 ,$3.87 , N/A ,$3.66 ,$3.18 , N/A , N/A , N/A ,$3.59 , N/A ,$3.55 ,$3.44 ,$3.87 ,$4.30 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.87 ,$3.87 ,$3.38 ,$3.55 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412016,N/A,VALPROIC ACID ORAL SOLUTION 250MG/5ML,637,1 ,$2.72 ,$1.77 ,$1.77 ,$2.72 ,$2.18 , N/A ,$2.16 ,$2.45 ,$2.45 , N/A ,$2.31 ,$2.01 , N/A , N/A , N/A ,$2.27 , N/A ,$2.25 ,$2.18 ,$2.45 ,$2.72 ,$2.31 , N/A ,$2.31 ,$2.31 ,$2.45 ,$2.45 ,$2.14 ,$2.25 , N/A ,$1.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412017,N/A,PURINETHOL TABLET : 50MG,637,1 ,$8.70 ,$5.66 ,$5.66 ,$8.70 ,$6.96 , N/A ,$6.89 ,$7.83 ,$7.83 , N/A ,$7.40 ,$6.44 , N/A , N/A , N/A ,$7.26 , N/A ,$7.19 ,$6.96 ,$7.83 ,$8.70 ,$7.40 , N/A ,$7.40 ,$7.40 ,$7.83 ,$7.83 ,$6.83 ,$7.19 , N/A ,$5.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412018,N/A,VIOKASE TABLET,637,1 ,$1.15 ,$0.75 ,$0.75 ,$1.15 ,$0.92 , N/A ,$0.91 ,$1.04 ,$1.04 , N/A ,$0.98 ,$0.85 , N/A , N/A , N/A ,$0.96 , N/A ,$0.95 ,$0.92 ,$1.04 ,$1.15 ,$0.98 , N/A ,$0.98 ,$0.98 ,$1.04 ,$1.04 ,$0.90 ,$0.95 , N/A ,$0.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412019,N/A,EPINEphrine 1MG/ML VIAL : 30ML CODE BLUE,250,1 ,$29.15 ,$18.95 ,$18.95 ,$26.25 ,$23.32 , N/A ,$23.10 ,$26.25 ,$26.25 , N/A ,$24.78 ,$21.57 , N/A , N/A , N/A ,$24.31 , N/A ,$24.08 ,$23.32 ,$26.24 , N/A ,$24.78 , N/A ,$24.78 ,$24.78 ,$26.24 ,$26.24 ,$22.88 ,$24.08 , N/A ,$18.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412020,N/A,IRRIGATION (SODIUM CHLORIDE) : 2000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412021,N/A,RESERPINE 0.1MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412022,J2590,OXYTOCIN IM AFTER PLACENTA :10 UNITS/ML,636,1 ,$16.04 ,$10.43 ,$10.43 ,$14.44 ,$12.83 , N/A ,$12.71 ,$14.44 ,$14.44 , N/A ,$13.63 ,$11.87 , N/A , N/A , N/A ,$13.38 , N/A ,$13.25 ,$12.83 ,$14.44 , N/A ,$13.63 , N/A ,$13.63 ,$13.63 ,$14.44 ,$14.44 ,$12.59 ,$13.25 , N/A ,$10.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412023,N/A,LEUCOVORIN TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412024,N/A,PROMOTE : (BY THE CAN),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412025,N/A,MIDAMOR (AMILORIDE) : 5MG,637,1 ,$1.65 ,$1.07 ,$1.07 ,$1.65 ,$1.32 , N/A ,$1.31 ,$1.49 ,$1.49 , N/A ,$1.40 ,$1.22 , N/A , N/A , N/A ,$1.38 , N/A ,$1.36 ,$1.32 ,$1.49 ,$1.65 ,$1.40 , N/A ,$1.40 ,$1.40 ,$1.49 ,$1.49 ,$1.30 ,$1.36 , N/A ,$1.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412026,N/A,NF-SYNTHROID TAB 200MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412027,N/A,ISRADIPINE CAP 2.5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412028,N/A,ROCURONIUM (ZEMURON) 10ML VIAL : 10MG/ML,250,1 ,$32.66 ,$21.23 ,$21.23 ,$29.41 ,$26.13 , N/A ,$25.88 ,$29.41 ,$29.41 , N/A ,$27.76 ,$24.17 , N/A , N/A , N/A ,$27.24 , N/A ,$26.98 ,$26.13 ,$29.39 , N/A ,$27.76 , N/A ,$27.76 ,$27.76 ,$29.39 ,$29.39 ,$25.64 ,$26.98 , N/A ,$21.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412029,90744,HEPATITIS B VACCINE : 10MCG,636,1 ,$76.25 ,$49.56 ,$49.56 ,$68.66 ,$61.00 , N/A ,$60.42 ,$68.66 ,$68.66 , N/A ,$64.81 ,$56.43 , N/A , N/A , N/A ,$63.59 , N/A ,$62.98 ,$61.00 ,$68.63 , N/A ,$64.81 , N/A ,$64.81 ,$64.81 ,$68.63 ,$68.63 ,$59.86 ,$62.98 , N/A ,$49.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412030,N/A,NEPRO : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412032,N/A,OXAZEPAM (SERAX) CAPSULE : 10MG,637,1 ,$2.75 ,$1.79 ,$1.79 ,$2.75 ,$2.20 , N/A ,$2.18 ,$2.48 ,$2.48 , N/A ,$2.34 ,$2.04 , N/A , N/A , N/A ,$2.29 , N/A ,$2.27 ,$2.20 ,$2.48 ,$2.75 ,$2.34 , N/A ,$2.34 ,$2.34 ,$2.48 ,$2.48 ,$2.16 ,$2.27 , N/A ,$1.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412033,N/A,TETRACYCLINE HCL CAPSULE : 500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412034,N/A,LANSOPRAZOLE CAP 30MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412035,N/A,ZINECARD : 500MG,250,1 ,$569.80 ,$370.37 ,$370.37 ,$513.10 ,$455.84 , N/A ,$451.51 ,$513.10 ,$513.10 , N/A ,$484.33 ,$421.65 , N/A , N/A , N/A ,$475.21 , N/A ,$470.65 ,$455.84 ,$512.82 , N/A ,$484.33 , N/A ,$484.33 ,$484.33 ,$512.82 ,$512.82 ,$447.29 ,$470.65 , N/A ,$370.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412036,N/A,OXYMETAZOLINE (AFRIN) NASAL SPRAY : 30ML,637,1 ,$10.54 ,$6.85 ,$6.85 ,$10.54 ,$8.43 , N/A ,$8.35 ,$9.49 ,$9.49 , N/A ,$8.96 ,$7.80 , N/A , N/A , N/A ,$8.79 , N/A ,$8.71 ,$8.43 ,$9.49 ,$10.54 ,$8.96 , N/A ,$8.96 ,$8.96 ,$9.49 ,$9.49 ,$8.27 ,$8.71 , N/A ,$6.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412037,N/A,ERYTHROMYCIN OPHTHALMIC 0.5% OINT: 3.5GM,637,1 ,$67.87 ,$44.12 ,$44.12 ,$67.87 ,$54.30 , N/A ,$53.78 ,$61.12 ,$61.12 , N/A ,$57.69 ,$50.22 , N/A , N/A , N/A ,$56.60 , N/A ,$56.06 ,$54.30 ,$61.08 ,$67.87 ,$57.69 , N/A ,$57.69 ,$57.69 ,$61.08 ,$61.08 ,$53.28 ,$56.06 , N/A ,$44.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412038,N/A,HAND HELD NEBULIZER TREATMENT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412039,N/A,PATIENT'S OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412040,N/A,TYLENOL TABLET:325MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412041,N/A,HAND HELD NEBULIZER TREATMENT : ALB/ATR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412042,N/A,TYLENOL TABLET : 325MG,637,1 ,$4.75 ,$3.09 ,$3.09 ,$4.75 ,$3.80 , N/A ,$3.76 ,$4.28 ,$4.28 , N/A ,$4.04 ,$3.52 , N/A , N/A , N/A ,$3.96 , N/A ,$3.92 ,$3.80 ,$4.28 ,$4.75 ,$4.04 , N/A ,$4.04 ,$4.04 ,$4.28 ,$4.28 ,$3.73 ,$3.92 , N/A ,$3.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412043,N/A,TYLENOL TABLET : 325MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412044,N/A,HAND HELD NEBULIZER TREATMENT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412045,N/A,KEFLEX (CEPHALEXIN) CAPSULE : 500MG,637,1 ,$5.45 ,$3.54 ,$3.54 ,$5.45 ,$4.36 , N/A ,$4.32 ,$4.91 ,$4.91 , N/A ,$4.63 ,$4.03 , N/A , N/A , N/A ,$4.55 , N/A ,$4.50 ,$4.36 ,$4.91 ,$5.45 ,$4.63 , N/A ,$4.63 ,$4.63 ,$4.91 ,$4.91 ,$4.28 ,$4.50 , N/A ,$3.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412046,N/A,ZZPATIENT'S OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412047,N/A,MISCELLANEOUS PHARMACY ITEM ***********,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412048,N/A,MINERAL OIL : (PER 30ML),637,1 ,$1.80 ,$1.17 ,$1.17 ,$1.80 ,$1.44 , N/A ,$1.43 ,$1.62 ,$1.62 , N/A ,$1.53 ,$1.33 , N/A , N/A , N/A ,$1.50 , N/A ,$1.49 ,$1.44 ,$1.62 ,$1.80 ,$1.53 , N/A ,$1.53 ,$1.53 ,$1.62 ,$1.62 ,$1.41 ,$1.49 , N/A ,$1.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412049,N/A,SIMETHICONE DROPS : 20MG/0.3mL : 30mL,637,1 ,$12.47 ,$8.11 ,$8.11 ,$12.47 ,$9.98 , N/A ,$9.88 ,$11.23 ,$11.23 , N/A ,$10.60 ,$9.23 , N/A , N/A , N/A ,$10.40 , N/A ,$10.30 ,$9.98 ,$11.22 ,$12.47 ,$10.60 , N/A ,$10.60 ,$10.60 ,$11.22 ,$11.22 ,$9.79 ,$10.30 , N/A ,$8.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412050,J0133,ACYCLOVIR SODIUM VIAL:500MG,636,1 ,$40.20 ,$26.13 ,$26.13 ,$36.20 ,$32.16 , N/A ,$31.85 ,$36.20 ,$36.20 , N/A ,$34.17 ,$29.75 , N/A , N/A , N/A ,$33.53 , N/A ,$33.21 ,$32.16 ,$36.18 , N/A ,$34.17 , N/A ,$34.17 ,$34.17 ,$36.18 ,$36.18 ,$31.56 ,$33.21 , N/A ,$26.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412051,J1940,FUROSEMIDE (LASix) 40MG/4ML VIAL,636,1 ,$13.56 ,$8.81 ,$8.81 ,$12.21 ,$10.85 , N/A ,$10.74 ,$12.21 ,$12.21 , N/A ,$11.53 ,$10.03 , N/A , N/A , N/A ,$11.31 , N/A ,$11.20 ,$10.85 ,$12.20 , N/A ,$11.53 , N/A ,$11.53 ,$11.53 ,$12.20 ,$12.20 ,$10.64 ,$11.20 , N/A ,$8.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412052,J1940,FUROSEMIDE (LASix) VIAL : 100MG,636,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412053,N/A,LASIX (FUROSEMIDE) VIAL : 20MG,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412054,N/A,FLEXERIL (CYCLOBENZAPRINE) TAB : 10MG,637,1 ,$2.85 ,$1.85 ,$1.85 ,$2.85 ,$2.28 , N/A ,$2.26 ,$2.57 ,$2.57 , N/A ,$2.42 ,$2.11 , N/A , N/A , N/A ,$2.38 , N/A ,$2.35 ,$2.28 ,$2.57 ,$2.85 ,$2.42 , N/A ,$2.42 ,$2.42 ,$2.57 ,$2.57 ,$2.24 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412055,N/A,TORADOL (KETOROLAC) DISP SYR : 30MG,250,1 ,$18.20 ,$11.83 ,$11.83 ,$16.39 ,$14.56 , N/A ,$14.42 ,$16.39 ,$16.39 , N/A ,$15.47 ,$13.47 , N/A , N/A , N/A ,$15.18 , N/A ,$15.03 ,$14.56 ,$16.38 , N/A ,$15.47 , N/A ,$15.47 ,$15.47 ,$16.38 ,$16.38 ,$14.29 ,$15.03 , N/A ,$11.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412056,N/A,TORADOL (KETOROLAC) DISP SYR : 60MG,637,1 ,$30.40 ,$19.76 ,$19.76 ,$30.40 ,$24.32 , N/A ,$24.09 ,$27.38 ,$27.38 , N/A ,$25.84 ,$22.50 , N/A , N/A , N/A ,$25.35 , N/A ,$25.11 ,$24.32 ,$27.36 ,$30.40 ,$25.84 , N/A ,$25.84 ,$25.84 ,$27.36 ,$27.36 ,$23.86 ,$25.11 , N/A ,$19.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412057,N/A,AMLODIPINE (NORVASC) TAB : 5MG,637,1 ,$6.18 ,$4.02 ,$4.02 ,$6.18 ,$4.94 , N/A ,$4.90 ,$5.57 ,$5.57 , N/A ,$5.25 ,$4.57 , N/A , N/A , N/A ,$5.15 , N/A ,$5.10 ,$4.94 ,$5.56 ,$6.18 ,$5.25 , N/A ,$5.25 ,$5.25 ,$5.56 ,$5.56 ,$4.85 ,$5.10 , N/A ,$4.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412058,J3535,ASMANEX TWISTHALER 220MCG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412059,N/A,TAGAMET (CIMETIDINE) TABLET : 400MG,637,1 ,$4.25 ,$2.76 ,$2.76 ,$4.25 ,$3.40 , N/A ,$3.37 ,$3.83 ,$3.83 , N/A ,$3.61 ,$3.15 , N/A , N/A , N/A ,$3.54 , N/A ,$3.51 ,$3.40 ,$3.83 ,$4.25 ,$3.61 , N/A ,$3.61 ,$3.61 ,$3.83 ,$3.83 ,$3.34 ,$3.51 , N/A ,$2.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412060,N/A,SERTRALINE (ZOLOFT) TABLET : 50MG,637,1 ,$1.42 ,$0.92 ,$0.92 ,$1.42 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 ,$1.42 ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412061,N/A,FLUOXETINE CAP 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412062,N/A,VERAPAMIL ER (CALAN SR) TAB : 180MG,637,1 ,$8.90 ,$5.79 ,$5.79 ,$8.90 ,$7.12 , N/A ,$7.05 ,$8.01 ,$8.01 , N/A ,$7.57 ,$6.59 , N/A , N/A , N/A ,$7.42 , N/A ,$7.35 ,$7.12 ,$8.01 ,$8.90 ,$7.57 , N/A ,$7.57 ,$7.57 ,$8.01 ,$8.01 ,$6.99 ,$7.35 , N/A ,$5.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412063,N/A,ZAROXOLYN (METOLAZONE/DIULO) : 5MG,637,1 ,$4.55 ,$2.96 ,$2.96 ,$4.55 ,$3.64 , N/A ,$3.61 ,$4.10 ,$4.10 , N/A ,$3.87 ,$3.37 , N/A , N/A , N/A ,$3.79 , N/A ,$3.76 ,$3.64 ,$4.10 ,$4.55 ,$3.87 , N/A ,$3.87 ,$3.87 ,$4.10 ,$4.10 ,$3.57 ,$3.76 , N/A ,$2.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412064,N/A,METOLAZONE (ZAROXOLYN/DIULO) : 2.5MG,637,1 ,$8.45 ,$5.49 ,$5.49 ,$8.45 ,$6.76 , N/A ,$6.70 ,$7.61 ,$7.61 , N/A ,$7.18 ,$6.25 , N/A , N/A , N/A ,$7.05 , N/A ,$6.98 ,$6.76 ,$7.61 ,$8.45 ,$7.18 , N/A ,$7.18 ,$7.18 ,$7.61 ,$7.61 ,$6.63 ,$6.98 , N/A ,$5.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412065,N/A,VALSARTAN (DIOVAN) TAB : 40MG,637,1 ,$14.29 ,$9.29 ,$9.29 ,$14.29 ,$11.43 , N/A ,$11.32 ,$12.87 ,$12.87 , N/A ,$12.15 ,$10.57 , N/A , N/A , N/A ,$11.92 , N/A ,$11.80 ,$11.43 ,$12.86 ,$14.29 ,$12.15 , N/A ,$12.15 ,$12.15 ,$12.86 ,$12.86 ,$11.22 ,$11.80 , N/A ,$9.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412066,N/A,BUPRENORPHINE SUBLINGUAL TAB 2MG,637,1 ,$16.04 ,$10.43 ,$10.43 ,$16.04 ,$12.83 , N/A ,$12.71 ,$14.44 ,$14.44 , N/A ,$13.63 ,$11.87 , N/A , N/A , N/A ,$13.38 , N/A ,$13.25 ,$12.83 ,$14.44 ,$16.04 ,$13.63 , N/A ,$13.63 ,$13.63 ,$14.44 ,$14.44 ,$12.59 ,$13.25 , N/A ,$10.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412067,N/A,VITAMIN D 5000 UNITS PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412068,N/A,NAPROXEN (ALEVE) TABLET : 220MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412069,N/A,METOPROLOL TARTRATE AMPUL:1MG/ML,250,1 ,$14.40 ,$9.36 ,$9.36 ,$12.97 ,$11.52 , N/A ,$11.41 ,$12.97 ,$12.97 , N/A ,$12.24 ,$10.66 , N/A , N/A , N/A ,$12.01 , N/A ,$11.89 ,$11.52 ,$12.96 , N/A ,$12.24 , N/A ,$12.24 ,$12.24 ,$12.96 ,$12.96 ,$11.30 ,$11.89 , N/A ,$9.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412070,N/A,MEGESTROL ACETATE TABLET : 40MG,637,1 ,$3.74 ,$2.43 ,$2.43 ,$3.74 ,$2.99 , N/A ,$2.96 ,$3.37 ,$3.37 , N/A ,$3.18 ,$2.77 , N/A , N/A , N/A ,$3.12 , N/A ,$3.09 ,$2.99 ,$3.37 ,$3.74 ,$3.18 , N/A ,$3.18 ,$3.18 ,$3.37 ,$3.37 ,$2.94 ,$3.09 , N/A ,$2.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412071,J2150,MANNITOL VIAL : 25%,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412072,N/A,LOMOTIL (DIPHENOXYLATE/ATROPINE) TAB,637,1 ,$1.60 ,$1.04 ,$1.04 ,$1.60 ,$1.28 , N/A ,$1.27 ,$1.44 ,$1.44 , N/A ,$1.36 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.32 ,$1.28 ,$1.44 ,$1.60 ,$1.36 , N/A ,$1.36 ,$1.36 ,$1.44 ,$1.44 ,$1.26 ,$1.32 , N/A ,$1.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412073,N/A,FLUPHENAZINE TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412074,N/A,NARCAN AMPUL : 0.4MG/ML,250,1 ,$4.00 ,$2.60 ,$2.60 ,$3.60 ,$3.20 , N/A ,$3.17 ,$3.60 ,$3.60 , N/A ,$3.40 ,$2.96 , N/A , N/A , N/A ,$3.34 , N/A ,$3.30 ,$3.20 ,$3.60 , N/A ,$3.40 , N/A ,$3.40 ,$3.40 ,$3.60 ,$3.60 ,$3.14 ,$3.30 , N/A ,$2.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412075,N/A,ANTI-NAUSEA LIQUID (EMETROL) : 118ML,637,1 ,$9.65 ,$6.27 ,$6.27 ,$9.65 ,$7.72 , N/A ,$7.65 ,$8.69 ,$8.69 , N/A ,$8.20 ,$7.14 , N/A , N/A , N/A ,$8.05 , N/A ,$7.97 ,$7.72 ,$8.69 ,$9.65 ,$8.20 , N/A ,$8.20 ,$8.20 ,$8.69 ,$8.69 ,$7.58 ,$7.97 , N/A ,$6.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412076,J1580,GENTAMICIN VIAL : 40MG/ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412077,N/A,AMILORIDE (MIDAMOR) TAB : 5MG,637,1 ,$2.35 ,$1.53 ,$1.53 ,$2.35 ,$1.88 , N/A ,$1.86 ,$2.12 ,$2.12 , N/A ,$2.00 ,$1.74 , N/A , N/A , N/A ,$1.96 , N/A ,$1.94 ,$1.88 ,$2.12 ,$2.35 ,$2.00 , N/A ,$2.00 ,$2.00 ,$2.12 ,$2.12 ,$1.84 ,$1.94 , N/A ,$1.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412078,N/A,PROCAINAMIDE HCL VIAL:500MG/ML,250,1 ,$5.65 ,$3.67 ,$3.67 ,$5.09 ,$4.52 , N/A ,$4.48 ,$5.09 ,$5.09 , N/A ,$4.80 ,$4.18 , N/A , N/A , N/A ,$4.71 , N/A ,$4.67 ,$4.52 ,$5.09 , N/A ,$4.80 , N/A ,$4.80 ,$4.80 ,$5.09 ,$5.09 ,$4.44 ,$4.67 , N/A ,$3.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412079,J3301,KENALOG (TRIAMCINOLONE) VIAL: 40MG,636,1 ,$40.82 ,$26.53 ,$26.53 ,$36.76 ,$32.66 , N/A ,$32.35 ,$36.76 ,$36.76 , N/A ,$34.70 ,$30.21 , N/A , N/A , N/A ,$34.04 , N/A ,$33.72 ,$32.66 ,$36.74 , N/A ,$34.70 , N/A ,$34.70 ,$34.70 ,$36.74 ,$36.74 ,$32.04 ,$33.72 , N/A ,$26.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412080,N/A,GENTIAN VIOLET 1% TOPICAL SOLUTION :30ML,637,1 ,$9.87 ,$6.42 ,$6.42 ,$9.87 ,$7.90 , N/A ,$7.82 ,$8.89 ,$8.89 , N/A ,$8.39 ,$7.30 , N/A , N/A , N/A ,$8.23 , N/A ,$8.15 ,$7.90 ,$8.88 ,$9.87 ,$8.39 , N/A ,$8.39 ,$8.39 ,$8.88 ,$8.88 ,$7.75 ,$8.15 , N/A ,$6.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412081,N/A,NITROGLYCERIN VIAL:5MG/ML,250,1 ,$21.15 ,$13.75 ,$13.75 ,$19.05 ,$16.92 , N/A ,$16.76 ,$19.05 ,$19.05 , N/A ,$17.98 ,$15.65 , N/A , N/A , N/A ,$17.64 , N/A ,$17.47 ,$16.92 ,$19.04 , N/A ,$17.98 , N/A ,$17.98 ,$17.98 ,$19.04 ,$19.04 ,$16.60 ,$17.47 , N/A ,$13.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412082,N/A,METOCLOPRAMIDE (REGLAN) TAB : 10MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412083,N/A,BEL-PHEN-ERGOT S (BELLERGAL S),637,1 ,$1.95 ,$1.27 ,$1.27 ,$1.95 ,$1.56 , N/A ,$1.55 ,$1.76 ,$1.76 , N/A ,$1.66 ,$1.44 , N/A , N/A , N/A ,$1.63 , N/A ,$1.61 ,$1.56 ,$1.76 ,$1.95 ,$1.66 , N/A ,$1.66 ,$1.66 ,$1.76 ,$1.76 ,$1.53 ,$1.61 , N/A ,$1.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412084,N/A,PAMELOR (NORTRIPTYLINE) : 25MG,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412086,N/A,SADDLE BLOCK 25 GAUGE,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412087,N/A,AMPICILLIN SUSPENSION 250MG/5ML,637,1 ,$24.65 ,$16.02 ,$16.02 ,$24.65 ,$19.72 , N/A ,$19.53 ,$22.20 ,$22.20 , N/A ,$20.95 ,$18.24 , N/A , N/A , N/A ,$20.56 , N/A ,$20.36 ,$19.72 ,$22.19 ,$24.65 ,$20.95 , N/A ,$20.95 ,$20.95 ,$22.19 ,$22.19 ,$19.35 ,$20.36 , N/A ,$16.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412088,N/A,MINOCYCLINE CAPSULE : 100MG,637,1 ,$7.75 ,$5.04 ,$5.04 ,$7.75 ,$6.20 , N/A ,$6.14 ,$6.98 ,$6.98 , N/A ,$6.59 ,$5.74 , N/A , N/A , N/A ,$6.46 , N/A ,$6.40 ,$6.20 ,$6.98 ,$7.75 ,$6.59 , N/A ,$6.59 ,$6.59 ,$6.98 ,$6.98 ,$6.08 ,$6.40 , N/A ,$5.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412089,N/A,QUESTRAN PACKET : 4GM,637,1 ,$6.25 ,$4.06 ,$4.06 ,$6.25 ,$5.00 , N/A ,$4.95 ,$5.63 ,$5.63 , N/A ,$5.31 ,$4.63 , N/A , N/A , N/A ,$5.21 , N/A ,$5.16 ,$5.00 ,$5.63 ,$6.25 ,$5.31 , N/A ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 , N/A ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412090,N/A,LAMisil TABLET : 250MG,637,1 ,$29.95 ,$19.47 ,$19.47 ,$29.95 ,$23.96 , N/A ,$23.73 ,$26.97 ,$26.97 , N/A ,$25.46 ,$22.16 , N/A , N/A , N/A ,$24.98 , N/A ,$24.74 ,$23.96 ,$26.96 ,$29.95 ,$25.46 , N/A ,$25.46 ,$25.46 ,$26.96 ,$26.96 ,$23.51 ,$24.74 , N/A ,$19.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412091,N/A,QVAR INHALER 80MCG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412092,N/A,HYTRIN (TERAZOSIN) CAP : 5MG,637,1 ,$6.05 ,$3.93 ,$3.93 ,$6.05 ,$4.84 , N/A ,$4.79 ,$5.45 ,$5.45 , N/A ,$5.14 ,$4.48 , N/A , N/A , N/A ,$5.05 , N/A ,$5.00 ,$4.84 ,$5.45 ,$6.05 ,$5.14 , N/A ,$5.14 ,$5.14 ,$5.45 ,$5.45 ,$4.75 ,$5.00 , N/A ,$3.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412093,N/A,CELECOXIB (CELebrEX) 100MG CAP,637,1 ,$5.22 ,$3.39 ,$3.39 ,$5.22 ,$4.18 , N/A ,$4.14 ,$4.70 ,$4.70 , N/A ,$4.44 ,$3.86 , N/A , N/A , N/A ,$4.35 , N/A ,$4.31 ,$4.18 ,$4.70 ,$5.22 ,$4.44 , N/A ,$4.44 ,$4.44 ,$4.70 ,$4.70 ,$4.10 ,$4.31 , N/A ,$3.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412094,N/A,DOXYCYCLINE (VIBRAMYCIN) CAP : 100MG,637,1 ,$1.90 ,$1.24 ,$1.24 ,$1.90 ,$1.52 , N/A ,$1.51 ,$1.71 ,$1.71 , N/A ,$1.62 ,$1.41 , N/A , N/A , N/A ,$1.58 , N/A ,$1.57 ,$1.52 ,$1.71 ,$1.90 ,$1.62 , N/A ,$1.62 ,$1.62 ,$1.71 ,$1.71 ,$1.49 ,$1.57 , N/A ,$1.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412095,N/A,CARISOPRODOL (SOMA) TAB : 350MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412096,N/A,TOBRAMYCIN EYE DROPS 0.3% : 5ML,637,1 ,$52.00 ,$33.80 ,$33.80 ,$52.00 ,$41.60 , N/A ,$41.20 ,$46.83 ,$46.83 , N/A ,$44.20 ,$38.48 , N/A , N/A , N/A ,$43.37 , N/A ,$42.95 ,$41.60 ,$46.80 ,$52.00 ,$44.20 , N/A ,$44.20 ,$44.20 ,$46.80 ,$46.80 ,$40.82 ,$42.95 , N/A ,$33.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412097,N/A,MAXZIDE-25 (DYAZIDE) TAB : 37.5-25MG,637,1 ,$1.60 ,$1.04 ,$1.04 ,$1.60 ,$1.28 , N/A ,$1.27 ,$1.44 ,$1.44 , N/A ,$1.36 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.32 ,$1.28 ,$1.44 ,$1.60 ,$1.36 , N/A ,$1.36 ,$1.36 ,$1.44 ,$1.44 ,$1.26 ,$1.32 , N/A ,$1.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412098,J2550,PROMETHAZINE (PHENERGAN) IV 12.5MG/10ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412099,N/A,IV/IVPB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412100,N/A,TRIAMTERENE 37.5/HCTZ 25 (MAXZIDE-25),637,1 ,$1.45 ,$0.94 ,$0.94 ,$1.45 ,$1.16 , N/A ,$1.15 ,$1.31 ,$1.31 , N/A ,$1.23 ,$1.07 , N/A , N/A , N/A ,$1.21 , N/A ,$1.20 ,$1.16 ,$1.31 ,$1.45 ,$1.23 , N/A ,$1.23 ,$1.23 ,$1.31 ,$1.31 ,$1.14 ,$1.20 , N/A ,$0.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412101,N/A,TRIAMTERENE 75MG/HCTZ 50MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412102,N/A,FLUORESCEIN (FUL-GLO) EYE STRIP-1MG,637,1 ,$1.37 ,$0.89 ,$0.89 ,$1.37 ,$1.10 , N/A ,$1.09 ,$1.23 ,$1.23 , N/A ,$1.16 ,$1.01 , N/A , N/A , N/A ,$1.14 , N/A ,$1.13 ,$1.10 ,$1.23 ,$1.37 ,$1.16 , N/A ,$1.16 ,$1.16 ,$1.23 ,$1.23 ,$1.08 ,$1.13 , N/A ,$0.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412103,N/A,THEOPHYLLINE CAP : 200MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412104,N/A,EYE WASH SOLUTION : 118 ML,637,1 ,$10.26 ,$6.67 ,$6.67 ,$10.26 ,$8.21 , N/A ,$8.13 ,$9.24 ,$9.24 , N/A ,$8.72 ,$7.59 , N/A , N/A , N/A ,$8.56 , N/A ,$8.47 ,$8.21 ,$9.23 ,$10.26 ,$8.72 , N/A ,$8.72 ,$8.72 ,$9.23 ,$9.23 ,$8.05 ,$8.47 , N/A ,$6.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412105,N/A,GUAIFENESIN (ROBITUSSIN) SYRUP,637,1 ,$9.98 ,$6.49 ,$6.49 ,$9.98 ,$7.98 , N/A ,$7.91 ,$8.99 ,$8.99 , N/A ,$8.48 ,$7.39 , N/A , N/A , N/A ,$8.32 , N/A ,$8.24 ,$7.98 ,$8.98 ,$9.98 ,$8.48 , N/A ,$8.48 ,$8.48 ,$8.98 ,$8.98 ,$7.83 ,$8.24 , N/A ,$6.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412106,N/A,CODEINE 10MG/GUAIFENESIN 100MG SYRUP:5mL,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412107,N/A,PROMETHAZINE WITH CODEINE SYRUP : 118ML,637,1 ,$15.75 ,$10.24 ,$10.24 ,$15.75 ,$12.60 , N/A ,$12.48 ,$14.18 ,$14.18 , N/A ,$13.39 ,$11.66 , N/A , N/A , N/A ,$13.14 , N/A ,$13.01 ,$12.60 ,$14.18 ,$15.75 ,$13.39 , N/A ,$13.39 ,$13.39 ,$14.18 ,$14.18 ,$12.36 ,$13.01 , N/A ,$10.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412108,N/A,NUTRASHAKE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412109,N/A,GUAIFENESIN 200MG/DM 20MG PER 10ML SOLN,637,1 ,$11.68 ,$7.59 ,$7.59 ,$11.68 ,$9.34 , N/A ,$9.26 ,$10.52 ,$10.52 , N/A ,$9.93 ,$8.64 , N/A , N/A , N/A ,$9.74 , N/A ,$9.65 ,$9.34 ,$10.51 ,$11.68 ,$9.93 , N/A ,$9.93 ,$9.93 ,$10.51 ,$10.51 ,$9.17 ,$9.65 , N/A ,$7.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412110,N/A,NUBAIN (NALBUPHINE) AMP : 10MG,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412111,N/A,NUBAIN (NALBUPHINE) AMP : 20MG,250,1 ,$7.20 ,$4.68 ,$4.68 ,$6.48 ,$5.76 , N/A ,$5.71 ,$6.48 ,$6.48 , N/A ,$6.12 ,$5.33 , N/A , N/A , N/A ,$6.00 , N/A ,$5.95 ,$5.76 ,$6.48 , N/A ,$6.12 , N/A ,$6.12 ,$6.12 ,$6.48 ,$6.48 ,$5.65 ,$5.95 , N/A ,$4.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412112,N/A,LEVOTHYROXINE (SYNTHROID) 75MCG TAB,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412113,N/A,ARICEPT TAB : 5MG,637,1 ,$12.60 ,$8.19 ,$8.19 ,$12.60 ,$10.08 , N/A ,$9.98 ,$11.35 ,$11.35 , N/A ,$10.71 ,$9.32 , N/A , N/A , N/A ,$10.51 , N/A ,$10.41 ,$10.08 ,$11.34 ,$12.60 ,$10.71 , N/A ,$10.71 ,$10.71 ,$11.34 ,$11.34 ,$9.89 ,$10.41 , N/A ,$8.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412114,N/A,VASOTEC (ENALAPRIL) TABLET : 2.5MG,637,1 ,$2.70 ,$1.76 ,$1.76 ,$2.70 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 ,$2.70 ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412115,N/A,PERMAX TABLET : 1MG,637,1 ,$12.05 ,$7.83 ,$7.83 ,$12.05 ,$9.64 , N/A ,$9.55 ,$10.85 ,$10.85 , N/A ,$10.24 ,$8.92 , N/A , N/A , N/A ,$10.05 , N/A ,$9.95 ,$9.64 ,$10.85 ,$12.05 ,$10.24 , N/A ,$10.24 ,$10.24 ,$10.85 ,$10.85 ,$9.46 ,$9.95 , N/A ,$7.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412116,N/A,METROnidAZOLE (FLAGYL) 500MG TAB,637,1 ,$4.59 ,$2.98 ,$2.98 ,$4.59 ,$3.67 , N/A ,$3.64 ,$4.13 ,$4.13 , N/A ,$3.90 ,$3.40 , N/A , N/A , N/A ,$3.83 , N/A ,$3.79 ,$3.67 ,$4.13 ,$4.59 ,$3.90 , N/A ,$3.90 ,$3.90 ,$4.13 ,$4.13 ,$3.60 ,$3.79 , N/A ,$2.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412117,N/A,MORRHUATE SODIUM 5% MDV 30ML,250,1 ,$165.65 ,$107.67 ,$107.67 ,$149.17 ,$132.52 , N/A ,$131.26 ,$149.17 ,$149.17 , N/A ,$140.80 ,$122.58 , N/A , N/A , N/A ,$138.15 , N/A ,$136.83 ,$132.52 ,$149.09 , N/A ,$140.80 , N/A ,$140.80 ,$140.80 ,$149.09 ,$149.09 ,$130.04 ,$136.83 , N/A ,$107.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412118,N/A,QUININE SULFATE CAPSULE:324MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412119,N/A,CLONIdine 0.1MG/DAY PATCH : Q WEEK,637,1 ,$118.45 ,$76.99 ,$76.99 ,$118.45 ,$94.76 , N/A ,$93.86 ,$106.66 ,$106.66 , N/A ,$100.68 ,$87.65 , N/A , N/A , N/A ,$98.79 , N/A ,$97.84 ,$94.76 ,$106.61 ,$118.45 ,$100.68 , N/A ,$100.68 ,$100.68 ,$106.61 ,$106.61 ,$92.98 ,$97.84 , N/A ,$76.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412120,N/A,RITALIN (METHYLPHENIDATE) TAB : 5MG,637,1 ,$1.05 ,$0.68 ,$0.68 ,$1.05 ,$0.84 , N/A ,$0.83 ,$0.95 ,$0.95 , N/A ,$0.89 ,$0.78 , N/A , N/A , N/A ,$0.88 , N/A ,$0.87 ,$0.84 ,$0.95 ,$1.05 ,$0.89 , N/A ,$0.89 ,$0.89 ,$0.95 ,$0.95 ,$0.82 ,$0.87 , N/A ,$0.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412121,N/A,TRANDOLAPRIL (MAVIK) TAB : 1MG,637,1 ,$3.90 ,$2.54 ,$2.54 ,$3.90 ,$3.12 , N/A ,$3.09 ,$3.51 ,$3.51 , N/A ,$3.32 ,$2.89 , N/A , N/A , N/A ,$3.25 , N/A ,$3.22 ,$3.12 ,$3.51 ,$3.90 ,$3.32 , N/A ,$3.32 ,$3.32 ,$3.51 ,$3.51 ,$3.06 ,$3.22 , N/A ,$2.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412122,J0885,PROCRIT SUBQ VIAL : 2000 UNITS PURPLE,636,1 ,$140.55 ,$91.36 ,$8.22 ,$126.57 ,$112.44 ,$8.22 ,$111.37 ,$126.57 ,$126.57 ,$15.62 ,$119.47 ,$104.01 ,$20.56 ,$8.22 , N/A ,$117.22 ,$8.22 ,$116.09 ,$112.44 ,$126.50 ,$20.56 ,$119.47 ,$8.22 ,$119.47 ,$119.47 ,$126.50 ,$126.50 ,$110.33 ,$116.09 ,$8.22 ,$91.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412123,N/A,RALOXIFENE (EVISTA) TAB : 60MG,637,1 ,$25.46 ,$16.55 ,$16.55 ,$25.46 ,$20.37 , N/A ,$20.17 ,$22.93 ,$22.93 , N/A ,$21.64 ,$18.84 , N/A , N/A , N/A ,$21.23 , N/A ,$21.03 ,$20.37 ,$22.91 ,$25.46 ,$21.64 , N/A ,$21.64 ,$21.64 ,$22.91 ,$22.91 ,$19.99 ,$21.03 , N/A ,$16.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412124,N/A,POTASSIUM CHLORIDE IV : 2MEQ/ML 20ML,250,1 ,$2.50 ,$1.63 ,$1.63 ,$2.25 ,$2.00 , N/A ,$1.98 ,$2.25 ,$2.25 , N/A ,$2.13 ,$1.85 , N/A , N/A , N/A ,$2.09 , N/A ,$2.07 ,$2.00 ,$2.25 , N/A ,$2.13 , N/A ,$2.13 ,$2.13 ,$2.25 ,$2.25 ,$1.96 ,$2.07 , N/A ,$1.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412125,N/A,SALINE FLUSH FOR PICC OR PORT : 10ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412126,J9045,PARAPLATIN : 450MG,636,1 ,"$1,439.05 ",$935.38 ,$935.38 ,"$1,295.86 ","$1,151.24 ", N/A ,"$1,140.30 ","$1,295.86 ","$1,295.86 ", N/A ,"$1,223.19 ","$1,064.90 ", N/A , N/A , N/A ,"$1,200.17 ", N/A ,"$1,188.66 ","$1,151.24 ","$1,295.15 ", N/A ,"$1,223.19 ", N/A ,"$1,223.19 ","$1,223.19 ","$1,295.15 ","$1,295.15 ","$1,129.65 ","$1,188.66 ", N/A ,$935.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412127,J9045,PARAPLATIN : 50MG,636,1 ,$209.90 ,$136.44 ,$136.44 ,$189.02 ,$167.92 , N/A ,$166.32 ,$189.02 ,$189.02 , N/A ,$178.42 ,$155.33 , N/A , N/A , N/A ,$175.06 , N/A ,$173.38 ,$167.92 ,$188.91 , N/A ,$178.42 , N/A ,$178.42 ,$178.42 ,$188.91 ,$188.91 ,$164.77 ,$173.38 , N/A ,$136.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412128,N/A,VEPESID IV,636,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412130,N/A,CIPRO HC EAR DROPS : 10ML,637,1 ,$430.30 ,$279.70 ,$279.70 ,$430.30 ,$344.24 , N/A ,$340.97 ,$387.49 ,$387.49 , N/A ,$365.76 ,$318.42 , N/A , N/A , N/A ,$358.87 , N/A ,$355.43 ,$344.24 ,$387.27 ,$430.30 ,$365.76 , N/A ,$365.76 ,$365.76 ,$387.27 ,$387.27 ,$337.79 ,$355.43 , N/A ,$279.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412131,N/A,TETANUS TOXOID : (RURAL HEALTH),636,1 ,$10.10 ,$6.57 ,$6.57 ,$9.10 ,$8.08 , N/A ,$8.00 ,$9.10 ,$9.10 , N/A ,$8.59 ,$7.47 , N/A , N/A , N/A ,$8.42 , N/A ,$8.34 ,$8.08 ,$9.09 , N/A ,$8.59 , N/A ,$8.59 ,$8.59 ,$9.09 ,$9.09 ,$7.93 ,$8.34 , N/A ,$6.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412133,N/A,CEPHALEXIN SUSP : 250MG/5ML,637,1 ,$37.25 ,$24.21 ,$24.21 ,$37.25 ,$29.80 , N/A ,$29.52 ,$33.54 ,$33.54 , N/A ,$31.66 ,$27.57 , N/A , N/A , N/A ,$31.07 , N/A ,$30.77 ,$29.80 ,$33.53 ,$37.25 ,$31.66 , N/A ,$31.66 ,$31.66 ,$33.53 ,$33.53 ,$29.24 ,$30.77 , N/A ,$24.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412134,J1956,LEVOFLOXACIN 500MG IVPB / 100ML,636,1 ,$26.70 ,$17.36 ,$17.36 ,$24.04 ,$21.36 , N/A ,$21.16 ,$24.04 ,$24.04 , N/A ,$22.70 ,$19.76 , N/A , N/A , N/A ,$22.27 , N/A ,$22.05 ,$21.36 ,$24.03 , N/A ,$22.70 , N/A ,$22.70 ,$22.70 ,$24.03 ,$24.03 ,$20.96 ,$22.05 , N/A ,$17.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412135,J0885,PROCRIT VIAL : 40000 U/ML,636,1 ,$798.00 ,$518.70 ,$8.22 ,$718.60 ,$638.40 ,$8.22 ,$632.34 ,$718.60 ,$718.60 ,$15.62 ,$678.30 ,$590.52 ,$20.56 ,$8.22 , N/A ,$665.53 ,$8.22 ,$659.15 ,$638.40 ,$718.20 ,$20.56 ,$678.30 ,$8.22 ,$678.30 ,$678.30 ,$718.20 ,$718.20 ,$626.43 ,$659.15 ,$8.22 ,$518.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412136,N/A,VINCRISTINE : 1MG,250,1 ,$136.20 ,$88.53 ,$88.53 ,$122.65 ,$108.96 , N/A ,$107.92 ,$122.65 ,$122.65 , N/A ,$115.77 ,$100.79 , N/A , N/A , N/A ,$113.59 , N/A ,$112.50 ,$108.96 ,$122.58 , N/A ,$115.77 , N/A ,$115.77 ,$115.77 ,$122.58 ,$122.58 ,$106.92 ,$112.50 , N/A ,$88.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412137,N/A,RETAVASE KIT,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412138,N/A,LIDOCAINE 4% TOPICAL SOLN : 50mL,637,1 ,$25.18 ,$16.37 ,$16.37 ,$25.18 ,$20.14 , N/A ,$19.95 ,$22.67 ,$22.67 , N/A ,$21.40 ,$18.63 , N/A , N/A , N/A ,$21.00 , N/A ,$20.80 ,$20.14 ,$22.66 ,$25.18 ,$21.40 , N/A ,$21.40 ,$21.40 ,$22.66 ,$22.66 ,$19.77 ,$20.80 , N/A ,$16.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412139,N/A,MIRALAX : 255GM,637,1 ,$55.65 ,$36.17 ,$36.17 ,$55.65 ,$44.52 , N/A ,$44.10 ,$50.11 ,$50.11 , N/A ,$47.30 ,$41.18 , N/A , N/A , N/A ,$46.41 , N/A ,$45.97 ,$44.52 ,$50.09 ,$55.65 ,$47.30 , N/A ,$47.30 ,$47.30 ,$50.09 ,$50.09 ,$43.69 ,$45.97 , N/A ,$36.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412140,N/A,AVANdia TABLET : 4MG,637,1 ,$9.90 ,$6.44 ,$6.44 ,$9.90 ,$7.92 , N/A ,$7.84 ,$8.92 ,$8.92 , N/A ,$8.42 ,$7.33 , N/A , N/A , N/A ,$8.26 , N/A ,$8.18 ,$7.92 ,$8.91 ,$9.90 ,$8.42 , N/A ,$8.42 ,$8.42 ,$8.91 ,$8.91 ,$7.77 ,$8.18 , N/A ,$6.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412141,N/A,NIACIN TABLET : 500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412142,J9245,TAXOL : 100MG,636,1 ,$935.25 ,$607.91 ,$224.40 ,$842.19 ,$748.20 ,$224.40 ,$741.09 ,$842.19 ,$842.19 ,$426.35 ,$794.96 ,$692.09 ,$560.99 ,$224.40 , N/A ,$780.00 ,$224.40 ,$772.52 ,$748.20 ,$841.73 ,$560.99 ,$794.96 ,$224.40 ,$794.96 ,$794.96 ,$841.73 ,$841.73 ,$734.17 ,$772.52 ,$224.40 ,$607.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412143,J1450,FLUCONAZOLE 200MG/100ML IV,636,1 ,$66.74 ,$43.38 ,$43.38 ,$60.10 ,$53.39 , N/A ,$52.88 ,$60.10 ,$60.10 , N/A ,$56.73 ,$49.39 , N/A , N/A , N/A ,$55.66 , N/A ,$55.13 ,$53.39 ,$60.07 , N/A ,$56.73 , N/A ,$56.73 ,$56.73 ,$60.07 ,$60.07 ,$52.39 ,$55.13 , N/A ,$43.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412144,N/A,DACARBAZINE,636,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412145,J9209,MESNEX : 1GM,636,1 ,$369.00 ,$239.85 ,$239.85 ,$332.28 ,$295.20 , N/A ,$292.40 ,$332.28 ,$332.28 , N/A ,$313.65 ,$273.06 , N/A , N/A , N/A ,$307.75 , N/A ,$304.79 ,$295.20 ,$332.10 , N/A ,$313.65 , N/A ,$313.65 ,$313.65 ,$332.10 ,$332.10 ,$289.67 ,$304.79 , N/A ,$239.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412146,J9208,IFEX : 1GM,636,1 ,$216.80 ,$140.92 ,$140.92 ,$195.23 ,$173.44 , N/A ,$171.79 ,$195.23 ,$195.23 , N/A ,$184.28 ,$160.43 , N/A , N/A , N/A ,$180.81 , N/A ,$179.08 ,$173.44 ,$195.12 , N/A ,$184.28 , N/A ,$184.28 ,$184.28 ,$195.12 ,$195.12 ,$170.19 ,$179.08 , N/A ,$140.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412147,N/A,DESIPRAMINE : 10MG,637,1 ,$1.30 ,$0.85 ,$0.85 ,$1.30 ,$1.04 , N/A ,$1.03 ,$1.17 ,$1.17 , N/A ,$1.11 ,$0.96 , N/A , N/A , N/A ,$1.08 , N/A ,$1.07 ,$1.04 ,$1.17 ,$1.30 ,$1.11 , N/A ,$1.11 ,$1.11 ,$1.17 ,$1.17 ,$1.02 ,$1.07 , N/A ,$0.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412148,N/A,SILVER SULFADIAZINE 1% CREAM : 400GM,637,1 ,$112.00 ,$72.80 ,$72.80 ,$112.00 ,$89.60 , N/A ,$88.75 ,$100.86 ,$100.86 , N/A ,$95.20 ,$82.88 , N/A , N/A , N/A ,$93.41 , N/A ,$92.51 ,$89.60 ,$100.80 ,$112.00 ,$95.20 , N/A ,$95.20 ,$95.20 ,$100.80 ,$100.80 ,$87.92 ,$92.51 , N/A ,$72.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412149,N/A,PROMETHAZINE RECTAL SUPPOS : 12.5MG,637,1 ,$34.82 ,$22.63 ,$22.63 ,$34.82 ,$27.86 , N/A ,$27.59 ,$31.36 ,$31.36 , N/A ,$29.60 ,$25.77 , N/A , N/A , N/A ,$29.04 , N/A ,$28.76 ,$27.86 ,$31.34 ,$34.82 ,$29.60 , N/A ,$29.60 ,$29.60 ,$31.34 ,$31.34 ,$27.33 ,$28.76 , N/A ,$22.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412150,N/A,VIOXX TABLET : 12.5MG,637,1 ,$9.10 ,$5.92 ,$5.92 ,$9.10 ,$7.28 , N/A ,$7.21 ,$8.19 ,$8.19 , N/A ,$7.74 ,$6.73 , N/A , N/A , N/A ,$7.59 , N/A ,$7.52 ,$7.28 ,$8.19 ,$9.10 ,$7.74 , N/A ,$7.74 ,$7.74 ,$8.19 ,$8.19 ,$7.14 ,$7.52 , N/A ,$5.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412151,N/A,SODIUM CHLORIDE 23.4% : 30ML,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412152,N/A,SODIUM BICARB 50MEQ/50ML VIAL : 8.4%,250,1 ,$31.50 ,$20.48 ,$20.48 ,$28.37 ,$25.20 , N/A ,$24.96 ,$28.37 ,$28.37 , N/A ,$26.78 ,$23.31 , N/A , N/A , N/A ,$26.27 , N/A ,$26.02 ,$25.20 ,$28.35 , N/A ,$26.78 , N/A ,$26.78 ,$26.78 ,$28.35 ,$28.35 ,$24.73 ,$26.02 , N/A ,$20.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412153,N/A,AGGRASTAT 12.5MG/50ML,250,1 ,$778.40 ,$505.96 ,$505.96 ,$700.95 ,$622.72 , N/A ,$616.80 ,$700.95 ,$700.95 , N/A ,$661.64 ,$576.02 , N/A , N/A , N/A ,$649.19 , N/A ,$642.96 ,$622.72 ,$700.56 , N/A ,$661.64 , N/A ,$661.64 ,$661.64 ,$700.56 ,$700.56 ,$611.04 ,$642.96 , N/A ,$505.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412154,N/A,COGNEX : 10MG,637,1 ,$4.05 ,$2.63 ,$2.63 ,$4.05 ,$3.24 , N/A ,$3.21 ,$3.65 ,$3.65 , N/A ,$3.44 ,$3.00 , N/A , N/A , N/A ,$3.38 , N/A ,$3.35 ,$3.24 ,$3.65 ,$4.05 ,$3.44 , N/A ,$3.44 ,$3.44 ,$3.65 ,$3.65 ,$3.18 ,$3.35 , N/A ,$2.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412155,N/A,AYGESTIN : 5MG,637,1 ,$5.35 ,$3.48 ,$3.48 ,$5.35 ,$4.28 , N/A ,$4.24 ,$4.82 ,$4.82 , N/A ,$4.55 ,$3.96 , N/A , N/A , N/A ,$4.46 , N/A ,$4.42 ,$4.28 ,$4.82 ,$5.35 ,$4.55 , N/A ,$4.55 ,$4.55 ,$4.82 ,$4.82 ,$4.20 ,$4.42 , N/A ,$3.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412156,N/A,MIDRIN (GENERIC),637,1 ,$1.65 ,$1.07 ,$1.07 ,$1.65 ,$1.32 , N/A ,$1.31 ,$1.49 ,$1.49 , N/A ,$1.40 ,$1.22 , N/A , N/A , N/A ,$1.38 , N/A ,$1.36 ,$1.32 ,$1.49 ,$1.65 ,$1.40 , N/A ,$1.40 ,$1.40 ,$1.49 ,$1.49 ,$1.30 ,$1.36 , N/A ,$1.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412157,N/A,KAYEXALATE (SODIUM POLYSYR.) 30GM ENEMA,637,1 ,$120.95 ,$78.62 ,$78.62 ,$120.95 ,$96.76 , N/A ,$95.84 ,$108.92 ,$108.92 , N/A ,$102.81 ,$89.50 , N/A , N/A , N/A ,$100.87 , N/A ,$99.90 ,$96.76 ,$108.86 ,$120.95 ,$102.81 , N/A ,$102.81 ,$102.81 ,$108.86 ,$108.86 ,$94.95 ,$99.90 , N/A ,$78.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412158,J2430,AREDIA 90MG VIAL (PAMIDRONATE),636,1 ,"$1,181.90 ",$768.24 ,$768.24 ,"$1,064.30 ",$945.52 , N/A ,$936.54 ,"$1,064.30 ","$1,064.30 ", N/A ,"$1,004.62 ",$874.61 , N/A , N/A , N/A ,$985.70 , N/A ,$976.25 ,$945.52 ,"$1,063.71 ", N/A ,"$1,004.62 ", N/A ,"$1,004.62 ","$1,004.62 ","$1,063.71 ","$1,063.71 ",$927.79 ,$976.25 , N/A ,$768.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412159,J2704,PROPOFOL 200mg/20ml vial (For IV PUSH),636,1 ,$24.83 ,$16.14 ,$16.14 ,$22.36 ,$19.86 , N/A ,$19.68 ,$22.36 ,$22.36 , N/A ,$21.11 ,$18.37 , N/A , N/A , N/A ,$20.71 , N/A ,$20.51 ,$19.86 ,$22.35 , N/A ,$21.11 , N/A ,$21.11 ,$21.11 ,$22.35 ,$22.35 ,$19.49 ,$20.51 , N/A ,$16.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412160,N/A,TORADOL (KETOROLAC) : 60MG,250,1 ,$18.20 ,$11.83 ,$11.83 ,$16.39 ,$14.56 , N/A ,$14.42 ,$16.39 ,$16.39 , N/A ,$15.47 ,$13.47 , N/A , N/A , N/A ,$15.18 , N/A ,$15.03 ,$14.56 ,$16.38 , N/A ,$15.47 , N/A ,$15.47 ,$15.47 ,$16.38 ,$16.38 ,$14.29 ,$15.03 , N/A ,$11.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412161,N/A,NITROFURANTOIN CAPSULE : 100MG,637,1 ,$2.35 ,$1.53 ,$1.53 ,$2.35 ,$1.88 , N/A ,$1.86 ,$2.12 ,$2.12 , N/A ,$2.00 ,$1.74 , N/A , N/A , N/A ,$1.96 , N/A ,$1.94 ,$1.88 ,$2.12 ,$2.35 ,$2.00 , N/A ,$2.00 ,$2.00 ,$2.12 ,$2.12 ,$1.84 ,$1.94 , N/A ,$1.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412162,N/A,GLUCERNA SHAKE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412163,N/A,"REGRANEX: 0.01 %, GEL, 15 GM, TUBE",637,1 ,$659.84 ,$428.90 ,$428.90 ,$659.84 ,$527.87 , N/A ,$522.86 ,$594.19 ,$594.19 , N/A ,$560.86 ,$488.28 , N/A , N/A , N/A ,$550.31 , N/A ,$545.03 ,$527.87 ,$593.86 ,$659.84 ,$560.86 , N/A ,$560.86 ,$560.86 ,$593.86 ,$593.86 ,$517.97 ,$545.03 , N/A ,$428.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412164,N/A,TAPAZOLE: 10 MG,637,1 ,$2.95 ,$1.92 ,$1.92 ,$2.95 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 ,$2.95 ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412165,N/A,PENTASA: 250 MG,637,1 ,$1.90 ,$1.24 ,$1.24 ,$1.90 ,$1.52 , N/A ,$1.51 ,$1.71 ,$1.71 , N/A ,$1.62 ,$1.41 , N/A , N/A , N/A ,$1.58 , N/A ,$1.57 ,$1.52 ,$1.71 ,$1.90 ,$1.62 , N/A ,$1.62 ,$1.62 ,$1.71 ,$1.71 ,$1.49 ,$1.57 , N/A ,$1.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412166,N/A,GLYDO 11ML (LIDOCAINE 2% UROJET),250,1 ,$27.67 ,$17.99 ,$17.99 ,$24.92 ,$22.14 , N/A ,$21.93 ,$24.92 ,$24.92 , N/A ,$23.52 ,$20.48 , N/A , N/A , N/A ,$23.08 , N/A ,$22.86 ,$22.14 ,$24.90 , N/A ,$23.52 , N/A ,$23.52 ,$23.52 ,$24.90 ,$24.90 ,$21.72 ,$22.86 , N/A ,$17.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412167,N/A,NIMBEX : 2MG/ML 5ML VIAL,250,1 ,$37.15 ,$24.15 ,$24.15 ,$33.45 ,$29.72 , N/A ,$29.44 ,$33.45 ,$33.45 , N/A ,$31.58 ,$27.49 , N/A , N/A , N/A ,$30.98 , N/A ,$30.69 ,$29.72 ,$33.44 , N/A ,$31.58 , N/A ,$31.58 ,$31.58 ,$33.44 ,$33.44 ,$29.16 ,$30.69 , N/A ,$24.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412168,J9214,INTRON A PER 1MM UNITS,636,1 , N/A , N/A ,$33.76 ,$84.40 , N/A ,$33.76 , N/A , N/A , N/A ,$64.14 , N/A , N/A ,$84.40 ,$33.76 , N/A , N/A ,$33.76 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412169,N/A,MEGACE SUSPENSION (40MG/ML) : 240ML,637,1 ,$290.60 ,$188.89 ,$188.89 ,$290.60 ,$232.48 , N/A ,$230.27 ,$261.69 ,$261.69 , N/A ,$247.01 ,$215.04 , N/A , N/A , N/A ,$242.36 , N/A ,$240.04 ,$232.48 ,$261.54 ,$290.60 ,$247.01 , N/A ,$247.01 ,$247.01 ,$261.54 ,$261.54 ,$228.12 ,$240.04 , N/A ,$188.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412170,J0456,AZITHROMYCIN IV VIAL : 500MG,636,1 ,$26.82 ,$17.43 ,$17.43 ,$24.15 ,$21.46 , N/A ,$21.25 ,$24.15 ,$24.15 , N/A ,$22.80 ,$19.85 , N/A , N/A , N/A ,$22.37 , N/A ,$22.15 ,$21.46 ,$24.14 , N/A ,$22.80 , N/A ,$22.80 ,$22.80 ,$24.14 ,$24.14 ,$21.05 ,$22.15 , N/A ,$17.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412171,N/A,SYNERCID : 500MG,250,1 ,$225.60 ,$146.64 ,$146.64 ,$203.15 ,$180.48 , N/A ,$178.77 ,$203.15 ,$203.15 , N/A ,$191.76 ,$166.94 , N/A , N/A , N/A ,$188.15 , N/A ,$186.35 ,$180.48 ,$203.04 , N/A ,$191.76 , N/A ,$191.76 ,$191.76 ,$203.04 ,$203.04 ,$177.10 ,$186.35 , N/A ,$146.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412172,J7510,PRELONE 5MG/5ML SYRUP : PER 30ML,637,1 ,$17.15 ,$11.15 ,$11.15 ,$17.15 ,$13.72 , N/A ,$13.59 ,$15.44 ,$15.44 , N/A ,$14.58 ,$12.69 , N/A , N/A , N/A ,$14.30 , N/A ,$14.17 ,$13.72 ,$15.44 ,$17.15 ,$14.58 , N/A ,$14.58 ,$14.58 ,$15.44 ,$15.44 ,$13.46 ,$14.17 , N/A ,$11.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412173,N/A,ESGIC (FIORICET) TAB,637,1 ,$5.15 ,$3.35 ,$3.35 ,$5.15 ,$4.12 , N/A ,$4.08 ,$4.64 ,$4.64 , N/A ,$4.38 ,$3.81 , N/A , N/A , N/A ,$4.30 , N/A ,$4.25 ,$4.12 ,$4.64 ,$5.15 ,$4.38 , N/A ,$4.38 ,$4.38 ,$4.64 ,$4.64 ,$4.04 ,$4.25 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412174,N/A,LOPRESSOR IV 1MG/ML : 5ML,250,1 ,$25.20 ,$16.38 ,$16.38 ,$22.69 ,$20.16 , N/A ,$19.97 ,$22.69 ,$22.69 , N/A ,$21.42 ,$18.65 , N/A , N/A , N/A ,$21.02 , N/A ,$20.82 ,$20.16 ,$22.68 , N/A ,$21.42 , N/A ,$21.42 ,$21.42 ,$22.68 ,$22.68 ,$19.78 ,$20.82 , N/A ,$16.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412175,N/A,CHARCOAL (ACTIDOSE - AQUA) : 25GM,637,1 ,$59.65 ,$38.77 ,$38.77 ,$59.65 ,$47.72 , N/A ,$47.27 ,$53.71 ,$53.71 , N/A ,$50.70 ,$44.14 , N/A , N/A , N/A ,$49.75 , N/A ,$49.27 ,$47.72 ,$53.69 ,$59.65 ,$50.70 , N/A ,$50.70 ,$50.70 ,$53.69 ,$53.69 ,$46.83 ,$49.27 , N/A ,$38.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412176,N/A,CITALOPRAM (CELexA) TAB : 20MG,637,1 ,$9.59 ,$6.23 ,$6.23 ,$9.59 ,$7.67 , N/A ,$7.60 ,$8.64 ,$8.64 , N/A ,$8.15 ,$7.10 , N/A , N/A , N/A ,$8.00 , N/A ,$7.92 ,$7.67 ,$8.63 ,$9.59 ,$8.15 , N/A ,$8.15 ,$8.15 ,$8.63 ,$8.63 ,$7.53 ,$7.92 , N/A ,$6.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412177,N/A,PRELONE 15MG/ML : PER 30ML,637,1 ,$30.25 ,$19.66 ,$19.66 ,$30.25 ,$24.20 , N/A ,$23.97 ,$27.24 ,$27.24 , N/A ,$25.71 ,$22.39 , N/A , N/A , N/A ,$25.23 , N/A ,$24.99 ,$24.20 ,$27.23 ,$30.25 ,$25.71 , N/A ,$25.71 ,$25.71 ,$27.23 ,$27.23 ,$23.75 ,$24.99 , N/A ,$19.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412178,N/A,SINGULAIR (CHEWABLE) : 5MG 6-14YO,637,1 ,$9.20 ,$5.98 ,$5.98 ,$9.20 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 ,$9.20 ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412179,N/A,NAPROXEN EC TAB 500MG (PAT OWN MED),637,1 ,$4.10 ,$2.67 ,$2.67 ,$4.10 ,$3.28 , N/A ,$3.25 ,$3.69 ,$3.69 , N/A ,$3.49 ,$3.03 , N/A , N/A , N/A ,$3.42 , N/A ,$3.39 ,$3.28 ,$3.69 ,$4.10 ,$3.49 , N/A ,$3.49 ,$3.49 ,$3.69 ,$3.69 ,$3.22 ,$3.39 , N/A ,$2.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412180,J1650,ENOXAPARIN (LOVENOX) 40MG,636,1 ,$28.52 ,$18.54 ,$18.54 ,$25.68 ,$22.82 , N/A ,$22.60 ,$25.68 ,$25.68 , N/A ,$24.24 ,$21.10 , N/A , N/A , N/A ,$23.79 , N/A ,$23.56 ,$22.82 ,$25.67 , N/A ,$24.24 , N/A ,$24.24 ,$24.24 ,$25.67 ,$25.67 ,$22.39 ,$23.56 , N/A ,$18.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412181,N/A,ERYTHROMYCIN ESTOLATE:125MG/5ML (30ML),637,1 ,$7.80 ,$5.07 ,$5.07 ,$7.80 ,$6.24 , N/A ,$6.18 ,$7.02 ,$7.02 , N/A ,$6.63 ,$5.77 , N/A , N/A , N/A ,$6.51 , N/A ,$6.44 ,$6.24 ,$7.02 ,$7.80 ,$6.63 , N/A ,$6.63 ,$6.63 ,$7.02 ,$7.02 ,$6.12 ,$6.44 , N/A ,$5.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412182,N/A,EUCERIN CREAM : 120GM,637,1 ,$21.10 ,$13.72 ,$13.72 ,$21.10 ,$16.88 , N/A ,$16.72 ,$19.00 ,$19.00 , N/A ,$17.94 ,$15.61 , N/A , N/A , N/A ,$17.60 , N/A ,$17.43 ,$16.88 ,$18.99 ,$21.10 ,$17.94 , N/A ,$17.94 ,$17.94 ,$18.99 ,$18.99 ,$16.56 ,$17.43 , N/A ,$13.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412183,N/A,OMEPRAZOLE CAP 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412184,N/A,MOMETASONE NASAL SPRAY PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412185,N/A,NEOMYCIN/POLYMYXIN B/BACITRACIN EYE OINT,637,1 ,$150.90 ,$98.09 ,$98.09 ,$150.90 ,$120.72 , N/A ,$119.57 ,$135.89 ,$135.89 , N/A ,$128.27 ,$111.67 , N/A , N/A , N/A ,$125.85 , N/A ,$124.64 ,$120.72 ,$135.81 ,$150.90 ,$128.27 , N/A ,$128.27 ,$128.27 ,$135.81 ,$135.81 ,$118.46 ,$124.64 , N/A ,$98.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412186,N/A,MAG 64 TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412187,N/A,CEFACLOR SUSP 25MG/ML : 150ML,637,1 ,$88.50 ,$57.53 ,$57.53 ,$88.50 ,$70.80 , N/A ,$70.13 ,$79.69 ,$79.69 , N/A ,$75.23 ,$65.49 , N/A , N/A , N/A ,$73.81 , N/A ,$73.10 ,$70.80 ,$79.65 ,$88.50 ,$75.23 , N/A ,$75.23 ,$75.23 ,$79.65 ,$79.65 ,$69.47 ,$73.10 , N/A ,$57.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412188,N/A,CYPROHEPTADINE (PERIACTIN) TAB : 4MG,637,1 ,$2.32 ,$1.51 ,$1.51 ,$2.32 ,$1.86 , N/A ,$1.84 ,$2.09 ,$2.09 , N/A ,$1.97 ,$1.72 , N/A , N/A , N/A ,$1.93 , N/A ,$1.92 ,$1.86 ,$2.09 ,$2.32 ,$1.97 , N/A ,$1.97 ,$1.97 ,$2.09 ,$2.09 ,$1.82 ,$1.92 , N/A ,$1.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412189,N/A,CORTISONE ACETATE : 25MG,637,1 ,$3.00 ,$1.95 ,$1.95 ,$3.00 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 ,$3.00 ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412190,N/A,PROMETHAZINE DM (PHENERGAN DM) SYRUP,637,1 ,$25.28 ,$16.43 ,$16.43 ,$25.28 ,$20.22 , N/A ,$20.03 ,$22.76 ,$22.76 , N/A ,$21.49 ,$18.71 , N/A , N/A , N/A ,$21.08 , N/A ,$20.88 ,$20.22 ,$22.75 ,$25.28 ,$21.49 , N/A ,$21.49 ,$21.49 ,$22.75 ,$22.75 ,$19.84 ,$20.88 , N/A ,$16.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412191,N/A,ADENOSINE (ADENOCARD) IV : 6MG/2ML,250,1 ,$129.00 ,$83.85 ,$83.85 ,$116.16 ,$103.20 , N/A ,$102.22 ,$116.16 ,$116.16 , N/A ,$109.65 ,$95.46 , N/A , N/A , N/A ,$107.59 , N/A ,$106.55 ,$103.20 ,$116.10 , N/A ,$109.65 , N/A ,$109.65 ,$109.65 ,$116.10 ,$116.10 ,$101.27 ,$106.55 , N/A ,$83.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412192,N/A,BISACODYL SUPP. : 10MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412193,N/A,PRILOSEC 10MG SUSPENSION PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412194,N/A,BACITRACIN OINT. 454GM JAR,637,1 ,$55.15 ,$35.85 ,$35.85 ,$55.15 ,$44.12 , N/A ,$43.70 ,$49.66 ,$49.66 , N/A ,$46.88 ,$40.81 , N/A , N/A , N/A ,$46.00 , N/A ,$45.55 ,$44.12 ,$49.64 ,$55.15 ,$46.88 , N/A ,$46.88 ,$46.88 ,$49.64 ,$49.64 ,$43.29 ,$45.55 , N/A ,$35.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412195,N/A,GENTAMICIN OINT. 0.1% 30GM,637,1 ,$15.45 ,$10.04 ,$10.04 ,$15.45 ,$12.36 , N/A ,$12.24 ,$13.91 ,$13.91 , N/A ,$13.13 ,$11.43 , N/A , N/A , N/A ,$12.89 , N/A ,$12.76 ,$12.36 ,$13.91 ,$15.45 ,$13.13 , N/A ,$13.13 ,$13.13 ,$13.91 ,$13.91 ,$12.13 ,$12.76 , N/A ,$10.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412196,N/A,ASPIRIN ENTERIC COATED 325MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412197,N/A,VALSARTAN (DIOVAN) TAB : 80MG,637,1 ,$1.19 ,$0.77 ,$0.77 ,$1.19 ,$0.95 , N/A ,$0.94 ,$1.07 ,$1.07 , N/A ,$1.01 ,$0.88 , N/A , N/A , N/A ,$0.99 , N/A ,$0.98 ,$0.95 ,$1.07 ,$1.19 ,$1.01 , N/A ,$1.01 ,$1.01 ,$1.07 ,$1.07 ,$0.93 ,$0.98 , N/A ,$0.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412198,N/A,BACITRACIN ZINC OINTMENT (PACKETS),637,1 ,$1.37 ,$0.89 ,$0.89 ,$1.37 ,$1.10 , N/A ,$1.09 ,$1.23 ,$1.23 , N/A ,$1.16 ,$1.01 , N/A , N/A , N/A ,$1.14 , N/A ,$1.13 ,$1.10 ,$1.23 ,$1.37 ,$1.16 , N/A ,$1.16 ,$1.16 ,$1.23 ,$1.23 ,$1.08 ,$1.13 , N/A ,$0.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412199,N/A,OSELTAMIVIR (TAMIFLU) CAPSULE : 75MG,637,1 ,$55.23 ,$35.90 ,$35.90 ,$55.23 ,$44.18 , N/A ,$43.76 ,$49.73 ,$49.73 , N/A ,$46.95 ,$40.87 , N/A , N/A , N/A ,$46.06 , N/A ,$45.62 ,$44.18 ,$49.71 ,$55.23 ,$46.95 , N/A ,$46.95 ,$46.95 ,$49.71 ,$49.71 ,$43.36 ,$45.62 , N/A ,$35.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412200,N/A,OXAZEPAM (SERAX) CAPSULE : 15MG,637,1 ,$3.45 ,$2.24 ,$2.24 ,$3.45 ,$2.76 , N/A ,$2.73 ,$3.11 ,$3.11 , N/A ,$2.93 ,$2.55 , N/A , N/A , N/A ,$2.88 , N/A ,$2.85 ,$2.76 ,$3.11 ,$3.45 ,$2.93 , N/A ,$2.93 ,$2.93 ,$3.11 ,$3.11 ,$2.71 ,$2.85 , N/A ,$2.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412201,N/A,PIOGLITAZONE TAB 15MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412202,N/A,PRAMIPEXOLE (MIRAPEX) 1MG TAB,637,1 ,$2.54 ,$1.65 ,$1.65 ,$2.54 ,$2.03 , N/A ,$2.01 ,$2.29 ,$2.29 , N/A ,$2.16 ,$1.88 , N/A , N/A , N/A ,$2.12 , N/A ,$2.10 ,$2.03 ,$2.29 ,$2.54 ,$2.16 , N/A ,$2.16 ,$2.16 ,$2.29 ,$2.29 ,$1.99 ,$2.10 , N/A ,$1.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412203,N/A,BECLOVENT (VANCERIL) INHALER,637,1 ,$77.80 ,$50.57 ,$50.57 ,$77.80 ,$62.24 , N/A ,$61.65 ,$70.06 ,$70.06 , N/A ,$66.13 ,$57.57 , N/A , N/A , N/A ,$64.89 , N/A ,$64.26 ,$62.24 ,$70.02 ,$77.80 ,$66.13 , N/A ,$66.13 ,$66.13 ,$70.02 ,$70.02 ,$61.07 ,$64.26 , N/A ,$50.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412204,N/A,MVI ADULT (WHITE AND BLUE) 10ML,250,1 ,$19.96 ,$12.97 ,$12.97 ,$17.97 ,$15.97 , N/A ,$15.82 ,$17.97 ,$17.97 , N/A ,$16.97 ,$14.77 , N/A , N/A , N/A ,$16.65 , N/A ,$16.49 ,$15.97 ,$17.96 , N/A ,$16.97 , N/A ,$16.97 ,$16.97 ,$17.96 ,$17.96 ,$15.67 ,$16.49 , N/A ,$12.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412206,N/A,MIRTAZAPINE (REMERON) TAB : 15MG,637,1 ,$10.21 ,$6.64 ,$6.64 ,$10.21 ,$8.17 , N/A ,$8.09 ,$9.19 ,$9.19 , N/A ,$8.68 ,$7.56 , N/A , N/A , N/A ,$8.52 , N/A ,$8.43 ,$8.17 ,$9.19 ,$10.21 ,$8.68 , N/A ,$8.68 ,$8.68 ,$9.19 ,$9.19 ,$8.01 ,$8.43 , N/A ,$6.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412207,N/A,HYDROCERIN CREAM (DRY SKIN) : 113 GM,637,1 ,$15.03 ,$9.77 ,$9.77 ,$15.03 ,$12.02 , N/A ,$11.91 ,$13.53 ,$13.53 , N/A ,$12.78 ,$11.12 , N/A , N/A , N/A ,$12.54 , N/A ,$12.41 ,$12.02 ,$13.53 ,$15.03 ,$12.78 , N/A ,$12.78 ,$12.78 ,$13.53 ,$13.53 ,$11.80 ,$12.41 , N/A ,$9.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412208,J9351,HYCAMTIN : 4MG,636,1 ,"$1,401.15 ",$910.75 ,$910.75 ,"$1,261.74 ","$1,120.92 ", N/A ,"$1,110.27 ","$1,261.74 ","$1,261.74 ", N/A ,"$1,190.98 ","$1,036.85 ", N/A , N/A , N/A ,"$1,168.56 ", N/A ,"$1,157.35 ","$1,120.92 ","$1,261.04 ", N/A ,"$1,190.98 ", N/A ,"$1,190.98 ","$1,190.98 ","$1,261.04 ","$1,261.04 ","$1,099.90 ","$1,157.35 ", N/A ,$910.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412209,N/A,VALACYCLOVIR (VALTREX) TAB : 500MG,637,1 ,$25.80 ,$16.77 ,$16.77 ,$25.80 ,$20.64 , N/A ,$20.44 ,$23.23 ,$23.23 , N/A ,$21.93 ,$19.09 , N/A , N/A , N/A ,$21.52 , N/A ,$21.31 ,$20.64 ,$23.22 ,$25.80 ,$21.93 , N/A ,$21.93 ,$21.93 ,$23.22 ,$23.22 ,$20.25 ,$21.31 , N/A ,$16.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412210,N/A,QUETIAPINE (SEROQUEL) TAB : 25MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412211,N/A,ANAGRELIDE CAP 0.5MG (PATIENTS OWN MED),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412212,J1940,"FUROSEMIDE (LASix) VIAL, 20MG/2ML",636,1 ,$26.93 ,$17.50 ,$17.50 ,$24.25 ,$21.54 , N/A ,$21.34 ,$24.25 ,$24.25 , N/A ,$22.89 ,$19.93 , N/A , N/A , N/A ,$22.46 , N/A ,$22.24 ,$21.54 ,$24.24 , N/A ,$22.89 , N/A ,$22.89 ,$22.89 ,$24.24 ,$24.24 ,$21.14 ,$22.24 , N/A ,$17.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412213,N/A,"DONEPEZIL (ARICEPT) TAB , 5MG",637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412214,N/A,TORADOL (KETOROLAC) : 30MG,250,1 ,$34.30 ,$22.30 ,$22.30 ,$30.89 ,$27.44 , N/A ,$27.18 ,$30.89 ,$30.89 , N/A ,$29.16 ,$25.38 , N/A , N/A , N/A ,$28.61 , N/A ,$28.33 ,$27.44 ,$30.87 , N/A ,$29.16 , N/A ,$29.16 ,$29.16 ,$30.87 ,$30.87 ,$26.93 ,$28.33 , N/A ,$22.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412215,N/A,PRENATAL VITAMIN TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412216,J1885,KETOROLAC (TORADOL) IM : 60MG X1 ONLY,636,1 ,$12.36 ,$8.03 ,$8.03 ,$11.13 ,$9.89 , N/A ,$9.79 ,$11.13 ,$11.13 , N/A ,$10.51 ,$9.15 , N/A , N/A , N/A ,$10.31 , N/A ,$10.21 ,$9.89 ,$11.12 , N/A ,$10.51 , N/A ,$10.51 ,$10.51 ,$11.12 ,$11.12 ,$9.70 ,$10.21 , N/A ,$8.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412217,N/A,PHENYLHISTINE DH SYRUP : 118ML,637,1 ,$32.80 ,$21.32 ,$21.32 ,$32.80 ,$26.24 , N/A ,$25.99 ,$29.54 ,$29.54 , N/A ,$27.88 ,$24.27 , N/A , N/A , N/A ,$27.36 , N/A ,$27.09 ,$26.24 ,$29.52 ,$32.80 ,$27.88 , N/A ,$27.88 ,$27.88 ,$29.52 ,$29.52 ,$25.75 ,$27.09 , N/A ,$21.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412218,N/A,ALCOHOL 5% IN D5W : 1000ML,258,1 ,$60.60 ,$39.39 ,$39.39 ,$54.57 ,$48.48 , N/A ,$48.02 ,$54.57 ,$54.57 , N/A ,$51.51 ,$44.84 , N/A , N/A , N/A ,$50.54 , N/A ,$50.06 ,$48.48 ,$54.54 , N/A ,$51.51 , N/A ,$51.51 ,$51.51 ,$54.54 ,$54.54 ,$47.57 ,$50.06 , N/A ,$39.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412219,N/A,TYLENOL PM : 500/25,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412220,N/A,PERMAX : 1MG,637,1 ,$12.60 ,$8.19 ,$8.19 ,$12.60 ,$10.08 , N/A ,$9.98 ,$11.35 ,$11.35 , N/A ,$10.71 ,$9.32 , N/A , N/A , N/A ,$10.51 , N/A ,$10.41 ,$10.08 ,$11.34 ,$12.60 ,$10.71 , N/A ,$10.71 ,$10.71 ,$11.34 ,$11.34 ,$9.89 ,$10.41 , N/A ,$8.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412221,N/A,FELODIPINE ER (PLENDIL) TAB : 2.5MG,637,1 ,$1.50 ,$0.98 ,$0.98 ,$1.50 ,$1.20 , N/A ,$1.19 ,$1.35 ,$1.35 , N/A ,$1.28 ,$1.11 , N/A , N/A , N/A ,$1.25 , N/A ,$1.24 ,$1.20 ,$1.35 ,$1.50 ,$1.28 , N/A ,$1.28 ,$1.28 ,$1.35 ,$1.35 ,$1.18 ,$1.24 , N/A ,$0.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412222,N/A,ULTRASITE VALVE,250,1 ,$11.20 ,$7.28 ,$7.28 ,$10.09 ,$8.96 , N/A ,$8.87 ,$10.09 ,$10.09 , N/A ,$9.52 ,$8.29 , N/A , N/A , N/A ,$9.34 , N/A ,$9.25 ,$8.96 ,$10.08 , N/A ,$9.52 , N/A ,$9.52 ,$9.52 ,$10.08 ,$10.08 ,$8.79 ,$9.25 , N/A ,$7.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412223,N/A,SET (SMALL BORE EXTENSION 6 INCH),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412224,N/A,EXTENDED CATHETER PLUG,250,1 ,$10.10 ,$6.57 ,$6.57 ,$9.10 ,$8.08 , N/A ,$8.00 ,$9.10 ,$9.10 , N/A ,$8.59 ,$7.47 , N/A , N/A , N/A ,$8.42 , N/A ,$8.34 ,$8.08 ,$9.09 , N/A ,$8.59 , N/A ,$8.59 ,$8.59 ,$9.09 ,$9.09 ,$7.93 ,$8.34 , N/A ,$6.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412225,N/A,VITAMIN C (ASCORBIC ACID) : 250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412226,N/A,DOXAZOSIN TAB 8MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412227,N/A,AMMONIA INHALANT : EACH,637,1 ,$1.13 ,$0.73 ,$0.73 ,$1.13 ,$0.90 , N/A ,$0.90 ,$1.02 ,$1.02 , N/A ,$0.96 ,$0.84 , N/A , N/A , N/A ,$0.94 , N/A ,$0.93 ,$0.90 ,$1.02 ,$1.13 ,$0.96 , N/A ,$0.96 ,$0.96 ,$1.02 ,$1.02 ,$0.89 ,$0.93 , N/A ,$0.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412228,N/A,QUIBRON 90/150,637,1 ,$2.20 ,$1.43 ,$1.43 ,$2.20 ,$1.76 , N/A ,$1.74 ,$1.98 ,$1.98 , N/A ,$1.87 ,$1.63 , N/A , N/A , N/A ,$1.83 , N/A ,$1.82 ,$1.76 ,$1.98 ,$2.20 ,$1.87 , N/A ,$1.87 ,$1.87 ,$1.98 ,$1.98 ,$1.73 ,$1.82 , N/A ,$1.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412229,N/A,TIMOPTIC-XE 0.5% : 2.5ML,637,1 ,$56.70 ,$36.86 ,$36.86 ,$56.70 ,$45.36 , N/A ,$44.93 ,$51.06 ,$51.06 , N/A ,$48.20 ,$41.96 , N/A , N/A , N/A ,$47.29 , N/A ,$46.83 ,$45.36 ,$51.03 ,$56.70 ,$48.20 , N/A ,$48.20 ,$48.20 ,$51.03 ,$51.03 ,$44.51 ,$46.83 , N/A ,$36.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412230,N/A,NORPACE CR : 100MG,637,1 ,$3.40 ,$2.21 ,$2.21 ,$3.40 ,$2.72 , N/A ,$2.69 ,$3.06 ,$3.06 , N/A ,$2.89 ,$2.52 , N/A , N/A , N/A ,$2.84 , N/A ,$2.81 ,$2.72 ,$3.06 ,$3.40 ,$2.89 , N/A ,$2.89 ,$2.89 ,$3.06 ,$3.06 ,$2.67 ,$2.81 , N/A ,$2.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412231,N/A,LACTINEX TABS : REFRIGERATE,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412232,N/A,GABAPENTIN (NEURONTIN) 100MG CAPSULE,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412233,N/A,PHENAZOPYRIDINE TAB 200MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412234,J1245,PERSANTINE IV : 10MG(10 ML VIAL),636,1 ,$254.55 ,$165.46 ,$165.46 ,$229.22 ,$203.64 , N/A ,$201.71 ,$229.22 ,$229.22 , N/A ,$216.37 ,$188.37 , N/A , N/A , N/A ,$212.29 , N/A ,$210.26 ,$203.64 ,$229.10 , N/A ,$216.37 , N/A ,$216.37 ,$216.37 ,$229.10 ,$229.10 ,$199.82 ,$210.26 , N/A ,$165.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412235,N/A,R-TANNA TABLET,637,1 ,$4.25 ,$2.76 ,$2.76 ,$4.25 ,$3.40 , N/A ,$3.37 ,$3.83 ,$3.83 , N/A ,$3.61 ,$3.15 , N/A , N/A , N/A ,$3.54 , N/A ,$3.51 ,$3.40 ,$3.83 ,$4.25 ,$3.61 , N/A ,$3.61 ,$3.61 ,$3.83 ,$3.83 ,$3.34 ,$3.51 , N/A ,$2.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412236,J1650,ENOXAPARIN (LOVENOX) 30MG,636,1 ,$19.45 ,$12.64 ,$12.64 ,$17.51 ,$15.56 , N/A ,$15.41 ,$17.51 ,$17.51 , N/A ,$16.53 ,$14.39 , N/A , N/A , N/A ,$16.22 , N/A ,$16.07 ,$15.56 ,$17.51 , N/A ,$16.53 , N/A ,$16.53 ,$16.53 ,$17.51 ,$17.51 ,$15.27 ,$16.07 , N/A ,$12.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412237,N/A,"SET (35"" EXTENSION)",250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412238,N/A,ACCESS PIN,250,1 ,$13.25 ,$8.61 ,$8.61 ,$11.93 ,$10.60 , N/A ,$10.50 ,$11.93 ,$11.93 , N/A ,$11.26 ,$9.81 , N/A , N/A , N/A ,$11.05 , N/A ,$10.94 ,$10.60 ,$11.93 , N/A ,$11.26 , N/A ,$11.26 ,$11.26 ,$11.93 ,$11.93 ,$10.40 ,$10.94 , N/A ,$8.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412239,N/A,SUPRAX TAB : 400MG,637,1 ,$27.85 ,$18.10 ,$18.10 ,$27.85 ,$22.28 , N/A ,$22.07 ,$25.08 ,$25.08 , N/A ,$23.67 ,$20.61 , N/A , N/A , N/A ,$23.23 , N/A ,$23.00 ,$22.28 ,$25.07 ,$27.85 ,$23.67 , N/A ,$23.67 ,$23.67 ,$25.07 ,$25.07 ,$21.86 ,$23.00 , N/A ,$18.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412240,N/A,SET (60 DROP),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412241,N/A,SET (15 DROP),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412242,N/A,FLUPHENAZINE TAB 1MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412243,N/A,FERRLECIT : 62.5MG/5ML,250,1 ,$135.45 ,$88.04 ,$88.04 ,$121.97 ,$108.36 , N/A ,$107.33 ,$121.97 ,$121.97 , N/A ,$115.13 ,$100.23 , N/A , N/A , N/A ,$112.97 , N/A ,$111.88 ,$108.36 ,$121.91 , N/A ,$115.13 , N/A ,$115.13 ,$115.13 ,$121.91 ,$121.91 ,$106.33 ,$111.88 , N/A ,$88.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412244,N/A,SET (PUMP),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412245,N/A,SET (VENTED PUMP),250,1 ,$68.80 ,$44.72 ,$44.72 ,$61.95 ,$55.04 , N/A ,$54.52 ,$61.95 ,$61.95 , N/A ,$58.48 ,$50.91 , N/A , N/A , N/A ,$57.38 , N/A ,$56.83 ,$55.04 ,$61.92 , N/A ,$58.48 , N/A ,$58.48 ,$58.48 ,$61.92 ,$61.92 ,$54.01 ,$56.83 , N/A ,$44.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412246,N/A,ANZEMET : 12.5MG,250,1 ,$58.45 ,$37.99 ,$37.99 ,$52.63 ,$46.76 , N/A ,$46.32 ,$52.63 ,$52.63 , N/A ,$49.68 ,$43.25 , N/A , N/A , N/A ,$48.75 , N/A ,$48.28 ,$46.76 ,$52.61 , N/A ,$49.68 , N/A ,$49.68 ,$49.68 ,$52.61 ,$52.61 ,$45.88 ,$48.28 , N/A ,$37.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412247,N/A,DDAVP NASAL SPRAY : 10MCG PER SPRAY,637,1 ,$348.40 ,$226.46 ,$226.46 ,$348.40 ,$278.72 , N/A ,$276.07 ,$313.73 ,$313.73 , N/A ,$296.14 ,$257.82 , N/A , N/A , N/A ,$290.57 , N/A ,$287.78 ,$278.72 ,$313.56 ,$348.40 ,$296.14 , N/A ,$296.14 ,$296.14 ,$313.56 ,$313.56 ,$273.49 ,$287.78 , N/A ,$226.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412248,J9206,CAMPTOSAR VIAL : 40MG/2ML,636,1 ,$473.95 ,$308.07 ,$308.07 ,$426.79 ,$379.16 , N/A ,$375.56 ,$426.79 ,$426.79 , N/A ,$402.86 ,$350.72 , N/A , N/A , N/A ,$395.27 , N/A ,$391.48 ,$379.16 ,$426.56 , N/A ,$402.86 , N/A ,$402.86 ,$402.86 ,$426.56 ,$426.56 ,$372.05 ,$391.48 , N/A ,$308.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412249,N/A,PENICILLIN V POTASSIUM : 500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412250,N/A,PULMICORT INHALER PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412251,N/A,"THEO-24 24HR CAP, EXTENDED RELEASE 100MG",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412252,N/A,FLUORI-METHANE (SKIN REFRIG.) : PER PT.,637,1 ,$10.00 ,$6.50 ,$6.50 ,$10.00 ,$8.00 , N/A ,$7.92 ,$9.01 ,$9.01 , N/A ,$8.50 ,$7.40 , N/A , N/A , N/A ,$8.34 , N/A ,$8.26 ,$8.00 ,$9.00 ,$10.00 ,$8.50 , N/A ,$8.50 ,$8.50 ,$9.00 ,$9.00 ,$7.85 ,$8.26 , N/A ,$6.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412253,N/A,METROGEL 0.75% : 30GM,637,1 ,$123.65 ,$80.37 ,$80.37 ,$123.65 ,$98.92 , N/A ,$97.98 ,$111.35 ,$111.35 , N/A ,$105.10 ,$91.50 , N/A , N/A , N/A ,$103.12 , N/A ,$102.13 ,$98.92 ,$111.29 ,$123.65 ,$105.10 , N/A ,$105.10 ,$105.10 ,$111.29 ,$111.29 ,$97.07 ,$102.13 , N/A ,$80.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412254,J3535,FLOVENT INHALER 220MCG,637,1 ,$507.41 ,$329.82 ,$329.82 ,$507.41 ,$405.93 , N/A ,$402.07 ,$456.92 ,$456.92 , N/A ,$431.30 ,$375.48 , N/A , N/A , N/A ,$423.18 , N/A ,$419.12 ,$405.93 ,$456.67 ,$507.41 ,$431.30 , N/A ,$431.30 ,$431.30 ,$456.67 ,$456.67 ,$398.32 ,$419.12 , N/A ,$329.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412255,J3535,FLOVENT INHALER 110MCG,637,1 ,$428.77 ,$278.70 ,$278.70 ,$428.77 ,$343.02 , N/A ,$339.76 ,$386.11 ,$386.11 , N/A ,$364.45 ,$317.29 , N/A , N/A , N/A ,$357.59 , N/A ,$354.16 ,$343.02 ,$385.89 ,$428.77 ,$364.45 , N/A ,$364.45 ,$364.45 ,$385.89 ,$385.89 ,$336.58 ,$354.16 , N/A ,$278.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412256,N/A,VIOXX TABLET : 50MG,637,1 ,$13.25 ,$8.61 ,$8.61 ,$13.25 ,$10.60 , N/A ,$10.50 ,$11.93 ,$11.93 , N/A ,$11.26 ,$9.81 , N/A , N/A , N/A ,$11.05 , N/A ,$10.94 ,$10.60 ,$11.93 ,$13.25 ,$11.26 , N/A ,$11.26 ,$11.26 ,$11.93 ,$11.93 ,$10.40 ,$10.94 , N/A ,$8.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412257,N/A,SODIUM BICARBONATE TABLET : 650MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412258,N/A,RISperidONE (RISperDAL) 0.5MG TAB,637,1 ,$13.50 ,$8.78 ,$8.78 ,$13.50 ,$10.80 , N/A ,$10.70 ,$12.16 ,$12.16 , N/A ,$11.48 ,$9.99 , N/A , N/A , N/A ,$11.26 , N/A ,$11.15 ,$10.80 ,$12.15 ,$13.50 ,$11.48 , N/A ,$11.48 ,$11.48 ,$12.15 ,$12.15 ,$10.60 ,$11.15 , N/A ,$8.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412259,J9214,INTRON A VIAL : 5MMU,636,1 ,$168.40 ,$109.46 ,$33.76 ,$151.64 ,$134.72 ,$33.76 ,$133.44 ,$151.64 ,$151.64 ,$64.14 ,$143.14 ,$124.62 ,$84.40 ,$33.76 , N/A ,$140.45 ,$33.76 ,$139.10 ,$134.72 ,$151.56 ,$84.40 ,$143.14 ,$33.76 ,$143.14 ,$143.14 ,$151.56 ,$151.56 ,$132.19 ,$139.10 ,$33.76 ,$109.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412260,N/A,IRBESARTAN (AVAPRO) TAB : 150MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412261,N/A,BAYCOL : 0.4MG,637,1 ,$5.15 ,$3.35 ,$3.35 ,$5.15 ,$4.12 , N/A ,$4.08 ,$4.64 ,$4.64 , N/A ,$4.38 ,$3.81 , N/A , N/A , N/A ,$4.30 , N/A ,$4.25 ,$4.12 ,$4.64 ,$5.15 ,$4.38 , N/A ,$4.38 ,$4.38 ,$4.64 ,$4.64 ,$4.04 ,$4.25 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412262,N/A,DESMOPRESSIN 0.01% NASAL SPRAY PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412263,N/A,"QUIK-CATH 16G X 1.16""",250,1 ,$5.85 ,$3.80 ,$3.80 ,$5.27 ,$4.68 , N/A ,$4.64 ,$5.27 ,$5.27 , N/A ,$4.97 ,$4.33 , N/A , N/A , N/A ,$4.88 , N/A ,$4.83 ,$4.68 ,$5.27 , N/A ,$4.97 , N/A ,$4.97 ,$4.97 ,$5.27 ,$5.27 ,$4.59 ,$4.83 , N/A ,$3.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412264,N/A,"QUIK-CATH 14G X 1.16""",250,1 ,$7.00 ,$4.55 ,$4.55 ,$6.30 ,$5.60 , N/A ,$5.55 ,$6.30 ,$6.30 , N/A ,$5.95 ,$5.18 , N/A , N/A , N/A ,$5.84 , N/A ,$5.78 ,$5.60 ,$6.30 , N/A ,$5.95 , N/A ,$5.95 ,$5.95 ,$6.30 ,$6.30 ,$5.50 ,$5.78 , N/A ,$4.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412265,N/A,"URISED : NO FEE, INFO ONLY",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412266,N/A,TERBINAFINE (LAMisil AT) CREAM 1% : 30GM,637,1 ,$33.62 ,$21.85 ,$21.85 ,$33.62 ,$26.90 , N/A ,$26.64 ,$30.27 ,$30.27 , N/A ,$28.58 ,$24.88 , N/A , N/A , N/A ,$28.04 , N/A ,$27.77 ,$26.90 ,$30.26 ,$33.62 ,$28.58 , N/A ,$28.58 ,$28.58 ,$30.26 ,$30.26 ,$26.39 ,$27.77 , N/A ,$21.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412267,N/A,VITAMIN A AND D OINT PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412268,N/A,TIMOPTIC-XE 0.25% : 2.5ML,637,1 ,$47.85 ,$31.10 ,$31.10 ,$47.85 ,$38.28 , N/A ,$37.92 ,$43.09 ,$43.09 , N/A ,$40.67 ,$35.41 , N/A , N/A , N/A ,$39.91 , N/A ,$39.52 ,$38.28 ,$43.07 ,$47.85 ,$40.67 , N/A ,$40.67 ,$40.67 ,$43.07 ,$43.07 ,$37.56 ,$39.52 , N/A ,$31.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412269,N/A,CORDARONE (AMIODARONE) TAB : 200MG,637,1 ,$10.45 ,$6.79 ,$6.79 ,$10.45 ,$8.36 , N/A ,$8.28 ,$9.41 ,$9.41 , N/A ,$8.88 ,$7.73 , N/A , N/A , N/A ,$8.72 , N/A ,$8.63 ,$8.36 ,$9.41 ,$10.45 ,$8.88 , N/A ,$8.88 ,$8.88 ,$9.41 ,$9.41 ,$8.20 ,$8.63 , N/A ,$6.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412270,N/A,IMIPRAMINE (TOFRANIL) TAB : 50MG,637,1 ,$3.85 ,$2.50 ,$2.50 ,$3.85 ,$3.08 , N/A ,$3.05 ,$3.47 ,$3.47 , N/A ,$3.27 ,$2.85 , N/A , N/A , N/A ,$3.21 , N/A ,$3.18 ,$3.08 ,$3.47 ,$3.85 ,$3.27 , N/A ,$3.27 ,$3.27 ,$3.47 ,$3.47 ,$3.02 ,$3.18 , N/A ,$2.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412271,N/A,NITROGLYCERIN SUBLINGUAL 0.4MG TAB,637,1 ,$90.72 ,$58.97 ,$58.97 ,$90.72 ,$72.58 , N/A ,$71.89 ,$81.69 ,$81.69 , N/A ,$77.11 ,$67.13 , N/A , N/A , N/A ,$75.66 , N/A ,$74.93 ,$72.58 ,$81.65 ,$90.72 ,$77.11 , N/A ,$77.11 ,$77.11 ,$81.65 ,$81.65 ,$71.22 ,$74.93 , N/A ,$58.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412272,N/A,PRADAXA CAP 150MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412273,J1650,ENOXAPARIN (LOVENOX) 80MG,636,1 ,$56.98 ,$37.04 ,$37.04 ,$51.31 ,$45.58 , N/A ,$45.15 ,$51.31 ,$51.31 , N/A ,$48.43 ,$42.17 , N/A , N/A , N/A ,$47.52 , N/A ,$47.07 ,$45.58 ,$51.28 , N/A ,$48.43 , N/A ,$48.43 ,$48.43 ,$51.28 ,$51.28 ,$44.73 ,$47.07 , N/A ,$37.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412274,N/A,POTASSIUM ORAL LIQUID 20MEQ/15mL,637,1 ,$13.72 ,$8.92 ,$8.92 ,$13.72 ,$10.98 , N/A ,$10.87 ,$12.35 ,$12.35 , N/A ,$11.66 ,$10.15 , N/A , N/A , N/A ,$11.44 , N/A ,$11.33 ,$10.98 ,$12.35 ,$13.72 ,$11.66 , N/A ,$11.66 ,$11.66 ,$12.35 ,$12.35 ,$10.77 ,$11.33 , N/A ,$8.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412275,J9214,INTRON A VIAL : PER 1 MMU,636,1 ,$53.40 ,$34.71 ,$33.76 ,$84.40 ,$42.72 ,$33.76 ,$42.31 ,$48.09 ,$48.09 ,$64.14 ,$45.39 ,$39.52 ,$84.40 ,$33.76 , N/A ,$44.54 ,$33.76 ,$44.11 ,$42.72 ,$48.06 ,$53.40 ,$45.39 ,$33.76 ,$45.39 ,$45.39 ,$48.06 ,$48.06 ,$41.92 ,$44.11 ,$33.76 ,$34.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412276,N/A,NITROGLYCERIN PATCH 0.1MG/HR,637,1 ,$6.64 ,$4.32 ,$4.32 ,$6.64 ,$5.31 , N/A ,$5.26 ,$5.98 ,$5.98 , N/A ,$5.64 ,$4.91 , N/A , N/A , N/A ,$5.54 , N/A ,$5.48 ,$5.31 ,$5.98 ,$6.64 ,$5.64 , N/A ,$5.64 ,$5.64 ,$5.98 ,$5.98 ,$5.21 ,$5.48 , N/A ,$4.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412277,J0132,ACETYLCYSTEINE 200MG/ML FOR IV USE,636,1 ,$395.75 ,$257.24 ,$257.24 ,$356.37 ,$316.60 , N/A ,$313.59 ,$356.37 ,$356.37 , N/A ,$336.39 ,$292.86 , N/A , N/A , N/A ,$330.06 , N/A ,$326.89 ,$316.60 ,$356.18 , N/A ,$336.39 , N/A ,$336.39 ,$336.39 ,$356.18 ,$356.18 ,$310.66 ,$326.89 , N/A ,$257.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412278,N/A,MUCOSIL (ACETYLCYSTEINE) 20% : 100ML,637,1 ,$244.40 ,$158.86 ,$158.86 ,$244.40 ,$195.52 , N/A ,$193.66 ,$220.08 ,$220.08 , N/A ,$207.74 ,$180.86 , N/A , N/A , N/A ,$203.83 , N/A ,$201.87 ,$195.52 ,$219.96 ,$244.40 ,$207.74 , N/A ,$207.74 ,$207.74 ,$219.96 ,$219.96 ,$191.85 ,$201.87 , N/A ,$158.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412279,N/A,PRIMACOR (MILRINONE) : 20MG/20ML,250,1 ,$357.90 ,$232.64 ,$232.64 ,$322.29 ,$286.32 , N/A ,$283.60 ,$322.29 ,$322.29 , N/A ,$304.22 ,$264.85 , N/A , N/A , N/A ,$298.49 , N/A ,$295.63 ,$286.32 ,$322.11 , N/A ,$304.22 , N/A ,$304.22 ,$304.22 ,$322.11 ,$322.11 ,$280.95 ,$295.63 , N/A ,$232.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412280,N/A,CARAFATE (SUCRALFATE) SUSP : 1GM/10ML,637,1 ,$5.50 ,$3.58 ,$3.58 ,$5.50 ,$4.40 , N/A ,$4.36 ,$4.95 ,$4.95 , N/A ,$4.68 ,$4.07 , N/A , N/A , N/A ,$4.59 , N/A ,$4.54 ,$4.40 ,$4.95 ,$5.50 ,$4.68 , N/A ,$4.68 ,$4.68 ,$4.95 ,$4.95 ,$4.32 ,$4.54 , N/A ,$3.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412281,N/A,NITROGLYCERIN PATCH 0.4MG/HR,637,1 ,$10.37 ,$6.74 ,$6.74 ,$10.37 ,$8.30 , N/A ,$8.22 ,$9.34 ,$9.34 , N/A ,$8.81 ,$7.67 , N/A , N/A , N/A ,$8.65 , N/A ,$8.57 ,$8.30 ,$9.33 ,$10.37 ,$8.81 , N/A ,$8.81 ,$8.81 ,$9.33 ,$9.33 ,$8.14 ,$8.57 , N/A ,$6.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412282,N/A,ESTRADIOL (ESTRACE) TAB : 0.5MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412283,N/A,OXYBUTYNIN ER (DITROPAN XL) TAB : 5MG **,637,1 ,$12.19 ,$7.92 ,$7.92 ,$12.19 ,$9.75 , N/A ,$9.66 ,$10.98 ,$10.98 , N/A ,$10.36 ,$9.02 , N/A , N/A , N/A ,$10.17 , N/A ,$10.07 ,$9.75 ,$10.97 ,$12.19 ,$10.36 , N/A ,$10.36 ,$10.36 ,$10.97 ,$10.97 ,$9.57 ,$10.07 , N/A ,$7.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412284,N/A,"MUPIROCIN (BACTROBAN) 2% OINTMENT, 22GM",637,1 ,$151.67 ,$98.59 ,$98.59 ,$151.67 ,$121.34 , N/A ,$120.18 ,$136.58 ,$136.58 , N/A ,$128.92 ,$112.24 , N/A , N/A , N/A ,$126.49 , N/A ,$125.28 ,$121.34 ,$136.50 ,$151.67 ,$128.92 , N/A ,$128.92 ,$128.92 ,$136.50 ,$136.50 ,$119.06 ,$125.28 , N/A ,$98.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412285,N/A,LISINOPRIL TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412286,N/A,LEVOTHYROXINE (SYNTHROID) TAB 25MCG,637,1 ,$1.93 ,$1.25 ,$1.25 ,$1.93 ,$1.54 , N/A ,$1.53 ,$1.74 ,$1.74 , N/A ,$1.64 ,$1.43 , N/A , N/A , N/A ,$1.61 , N/A ,$1.59 ,$1.54 ,$1.74 ,$1.93 ,$1.64 , N/A ,$1.64 ,$1.64 ,$1.74 ,$1.74 ,$1.52 ,$1.59 , N/A ,$1.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412287,N/A,WAFARIN (COUMADIN) 4mg tab (nonformulary,637,1 ,$4.86 ,$3.16 ,$3.16 ,$4.86 ,$3.89 , N/A ,$3.85 ,$4.38 ,$4.38 , N/A ,$4.13 ,$3.60 , N/A , N/A , N/A ,$4.05 , N/A ,$4.01 ,$3.89 ,$4.37 ,$4.86 ,$4.13 , N/A ,$4.13 ,$4.13 ,$4.37 ,$4.37 ,$3.82 ,$4.01 , N/A ,$3.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412288,N/A,WAFARIN (COUMADIN) TABLET 3MG,637,1 ,$5.10 ,$3.32 ,$3.32 ,$5.10 ,$4.08 , N/A ,$4.04 ,$4.59 ,$4.59 , N/A ,$4.34 ,$3.77 , N/A , N/A , N/A ,$4.25 , N/A ,$4.21 ,$4.08 ,$4.59 ,$5.10 ,$4.34 , N/A ,$4.34 ,$4.34 ,$4.59 ,$4.59 ,$4.00 ,$4.21 , N/A ,$3.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412289,N/A,GLYburIDE TABLET : 1.25MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412290,N/A,IMDUR (ISOSORBIDE MONO) TAB : 30MG,637,1 ,$3.55 ,$2.31 ,$2.31 ,$3.55 ,$2.84 , N/A ,$2.81 ,$3.20 ,$3.20 , N/A ,$3.02 ,$2.63 , N/A , N/A , N/A ,$2.96 , N/A ,$2.93 ,$2.84 ,$3.20 ,$3.55 ,$3.02 , N/A ,$3.02 ,$3.02 ,$3.20 ,$3.20 ,$2.79 ,$2.93 , N/A ,$2.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412291,N/A,VERSED (MIDAZOLAM) 1MG/ML : 5ML GENERIC,250,1 ,$27.85 ,$18.10 ,$18.10 ,$25.08 ,$22.28 , N/A ,$22.07 ,$25.08 ,$25.08 , N/A ,$23.67 ,$20.61 , N/A , N/A , N/A ,$23.23 , N/A ,$23.00 ,$22.28 ,$25.07 , N/A ,$23.67 , N/A ,$23.67 ,$23.67 ,$25.07 ,$25.07 ,$21.86 ,$23.00 , N/A ,$18.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412292,N/A,INCRUSE ELLIPTA INHALER PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412293,J9171,TAXOTERE : 20MG/0.5ML,636,1 ,$602.80 ,$391.82 ,$391.82 ,$542.82 ,$482.24 , N/A ,$477.66 ,$542.82 ,$542.82 , N/A ,$512.38 ,$446.07 , N/A , N/A , N/A ,$502.74 , N/A ,$497.91 ,$482.24 ,$542.52 , N/A ,$512.38 , N/A ,$512.38 ,$512.38 ,$542.52 ,$542.52 ,$473.20 ,$497.91 , N/A ,$391.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412294,N/A,QUINAPRIL (ACCUPRIL) TAB : 5MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412295,N/A,QUINAPRIL (ACCUPRIL) TAB : 20MG,637,1 ,$2.80 ,$1.82 ,$1.82 ,$2.80 ,$2.24 , N/A ,$2.22 ,$2.52 ,$2.52 , N/A ,$2.38 ,$2.07 , N/A , N/A , N/A ,$2.34 , N/A ,$2.31 ,$2.24 ,$2.52 ,$2.80 ,$2.38 , N/A ,$2.38 ,$2.38 ,$2.52 ,$2.52 ,$2.20 ,$2.31 , N/A ,$1.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412296,N/A,VENLAFAXINE ER (EFFEXOR XR) CAP : 37.5MG,637,1 ,$7.14 ,$4.64 ,$4.64 ,$7.14 ,$5.71 , N/A ,$5.66 ,$6.43 ,$6.43 , N/A ,$6.07 ,$5.28 , N/A , N/A , N/A ,$5.95 , N/A ,$5.90 ,$5.71 ,$6.43 ,$7.14 ,$6.07 , N/A ,$6.07 ,$6.07 ,$6.43 ,$6.43 ,$5.60 ,$5.90 , N/A ,$4.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412297,N/A,ZANAFLEX TAB : 4MG,637,1 ,$5.15 ,$3.35 ,$3.35 ,$5.15 ,$4.12 , N/A ,$4.08 ,$4.64 ,$4.64 , N/A ,$4.38 ,$3.81 , N/A , N/A , N/A ,$4.30 , N/A ,$4.25 ,$4.12 ,$4.64 ,$5.15 ,$4.38 , N/A ,$4.38 ,$4.38 ,$4.64 ,$4.64 ,$4.04 ,$4.25 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412298,N/A,DIVALPROEX (DEPAKOTE) SPRINKLES : 125MG,637,1 ,$4.54 ,$2.95 ,$2.95 ,$4.54 ,$3.63 , N/A ,$3.60 ,$4.09 ,$4.09 , N/A ,$3.86 ,$3.36 , N/A , N/A , N/A ,$3.79 , N/A ,$3.75 ,$3.63 ,$4.09 ,$4.54 ,$3.86 , N/A ,$3.86 ,$3.86 ,$4.09 ,$4.09 ,$3.56 ,$3.75 , N/A ,$2.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412299,J9355,HERCEPTIN : 440MG,636,1 ,"$3,801.05 ","$2,470.68 ",$90.98 ,"$3,422.85 ","$3,040.84 ",$90.98 ,"$3,011.95 ","$3,422.85 ","$3,422.85 ",$172.85 ,"$3,230.89 ","$2,812.78 ",$227.44 ,$90.98 , N/A ,"$3,170.08 ",$90.98 ,"$3,139.67 ","$3,040.84 ","$3,420.95 ",$227.44 ,"$3,230.89 ",$90.98 ,"$3,230.89 ","$3,230.89 ","$3,420.95 ","$3,420.95 ","$2,983.82 ","$3,139.67 ",$90.98 ,"$2,470.68 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412300,N/A,ARTIFICIAL TEARS 1.4% OPTH SOLN 15ML,637,1 ,$7.94 ,$5.16 ,$5.16 ,$7.94 ,$6.35 , N/A ,$6.29 ,$7.15 ,$7.15 , N/A ,$6.75 ,$5.88 , N/A , N/A , N/A ,$6.62 , N/A ,$6.56 ,$6.35 ,$7.15 ,$7.94 ,$6.75 , N/A ,$6.75 ,$6.75 ,$7.15 ,$7.15 ,$6.23 ,$6.56 , N/A ,$5.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412301,N/A,URSODIOL CAP 300MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412302,N/A,PHENASEPTIC (CHLORASEPTIC) SPRAY,637,1 ,$10.49 ,$6.82 ,$6.82 ,$10.49 ,$8.39 , N/A ,$8.31 ,$9.45 ,$9.45 , N/A ,$8.92 ,$7.76 , N/A , N/A , N/A ,$8.75 , N/A ,$8.66 ,$8.39 ,$9.44 ,$10.49 ,$8.92 , N/A ,$8.92 ,$8.92 ,$9.44 ,$9.44 ,$8.23 ,$8.66 , N/A ,$6.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412303,N/A,OLANZAPINE (ZYPREXA) IM ONLY VIAL : 10MG,250,1 ,$148.27 ,$96.38 ,$96.38 ,$133.52 ,$118.62 , N/A ,$117.49 ,$133.52 ,$133.52 , N/A ,$126.03 ,$109.72 , N/A , N/A , N/A ,$123.66 , N/A ,$122.47 ,$118.62 ,$133.44 , N/A ,$126.03 , N/A ,$126.03 ,$126.03 ,$133.44 ,$133.44 ,$116.39 ,$122.47 , N/A ,$96.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412304,N/A,ROPINiroLE (REQUIP) TAB : 0.25MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412305,N/A,PROCHLORPERAZINE (COMPAZINE) TAB : 5MG**,637,1 ,$1.90 ,$1.24 ,$1.24 ,$1.90 ,$1.52 , N/A ,$1.51 ,$1.71 ,$1.71 , N/A ,$1.62 ,$1.41 , N/A , N/A , N/A ,$1.58 , N/A ,$1.57 ,$1.52 ,$1.71 ,$1.90 ,$1.62 , N/A ,$1.62 ,$1.62 ,$1.71 ,$1.71 ,$1.49 ,$1.57 , N/A ,$1.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412306,N/A,PROTUSS-DM TAB,637,1 ,$2.25 ,$1.46 ,$1.46 ,$2.25 ,$1.80 , N/A ,$1.78 ,$2.03 ,$2.03 , N/A ,$1.91 ,$1.67 , N/A , N/A , N/A ,$1.88 , N/A ,$1.86 ,$1.80 ,$2.03 ,$2.25 ,$1.91 , N/A ,$1.91 ,$1.91 ,$2.03 ,$2.03 ,$1.77 ,$1.86 , N/A ,$1.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412307,N/A,HYDROCHLOROTHIAZIDE TAB 12.5MG,637,1 ,$1.53 ,$0.99 ,$0.99 ,$1.53 ,$1.22 , N/A ,$1.21 ,$1.38 ,$1.38 , N/A ,$1.30 ,$1.13 , N/A , N/A , N/A ,$1.28 , N/A ,$1.26 ,$1.22 ,$1.38 ,$1.53 ,$1.30 , N/A ,$1.30 ,$1.30 ,$1.38 ,$1.38 ,$1.20 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412308,N/A,METOPROLOL (LOPRESSOR) IVP : 5MG/5ML,250,1 ,$7.71 ,$5.01 ,$5.01 ,$6.94 ,$6.17 , N/A ,$6.11 ,$6.94 ,$6.94 , N/A ,$6.55 ,$5.71 , N/A , N/A , N/A ,$6.43 , N/A ,$6.37 ,$6.17 ,$6.94 , N/A ,$6.55 , N/A ,$6.55 ,$6.55 ,$6.94 ,$6.94 ,$6.05 ,$6.37 , N/A ,$5.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412309,J9217,LUPRON DEPOT 30MG : 4 MONTH,636,1 ,"$3,960.30 ","$2,574.20 ",$144.46 ,"$3,566.25 ","$3,168.24 ",$144.46 ,"$3,138.14 ","$3,566.25 ","$3,566.25 ",$274.48 ,"$3,366.26 ","$2,930.62 ",$361.16 ,$144.46 , N/A ,"$3,302.89 ",$144.46 ,"$3,271.21 ","$3,168.24 ","$3,564.27 ",$361.16 ,"$3,366.26 ",$144.46 ,"$3,366.26 ","$3,366.26 ","$3,564.27 ","$3,564.27 ","$3,108.84 ","$3,271.21 ",$144.46 ,"$2,574.20 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412310,N/A,HYTRIN (TERAZOSIN) CAP : 1MG,637,1 ,$5.10 ,$3.32 ,$3.32 ,$5.10 ,$4.08 , N/A ,$4.04 ,$4.59 ,$4.59 , N/A ,$4.34 ,$3.77 , N/A , N/A , N/A ,$4.25 , N/A ,$4.21 ,$4.08 ,$4.59 ,$5.10 ,$4.34 , N/A ,$4.34 ,$4.34 ,$4.59 ,$4.59 ,$4.00 ,$4.21 , N/A ,$3.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412311,N/A,TERAZOSIN (HYTRIN) CAP : 5MG,637,1 ,$5.72 ,$3.72 ,$3.72 ,$5.72 ,$4.58 , N/A ,$4.53 ,$5.15 ,$5.15 , N/A ,$4.86 ,$4.23 , N/A , N/A , N/A ,$4.77 , N/A ,$4.72 ,$4.58 ,$5.15 ,$5.72 ,$4.86 , N/A ,$4.86 ,$4.86 ,$5.15 ,$5.15 ,$4.49 ,$4.72 , N/A ,$3.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412312,N/A,TRANXENE (CLORAZEPATE) TAB : 3.75MG,637,1 ,$5.35 ,$3.48 ,$3.48 ,$5.35 ,$4.28 , N/A ,$4.24 ,$4.82 ,$4.82 , N/A ,$4.55 ,$3.96 , N/A , N/A , N/A ,$4.46 , N/A ,$4.42 ,$4.28 ,$4.82 ,$5.35 ,$4.55 , N/A ,$4.55 ,$4.55 ,$4.82 ,$4.82 ,$4.20 ,$4.42 , N/A ,$3.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412313,N/A,CLORAZEPATE TAB 7.5MG PATIENTS OWN MED,637,1 ,$8.80 ,$5.72 ,$5.72 ,$8.80 ,$7.04 , N/A ,$6.97 ,$7.92 ,$7.92 , N/A ,$7.48 ,$6.51 , N/A , N/A , N/A ,$7.34 , N/A ,$7.27 ,$7.04 ,$7.92 ,$8.80 ,$7.48 , N/A ,$7.48 ,$7.48 ,$7.92 ,$7.92 ,$6.91 ,$7.27 , N/A ,$5.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412314,N/A,ACEBUTOLOL CAP 200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412315,N/A,DOXYCYCLINE IV : 100MG,250,1 ,$105.29 ,$68.44 ,$68.44 ,$94.81 ,$84.23 , N/A ,$83.43 ,$94.81 ,$94.81 , N/A ,$89.50 ,$77.91 , N/A , N/A , N/A ,$87.81 , N/A ,$86.97 ,$84.23 ,$94.76 , N/A ,$89.50 , N/A ,$89.50 ,$89.50 ,$94.76 ,$94.76 ,$82.65 ,$86.97 , N/A ,$68.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412316,N/A,THEOPHYLLINE CR TAB : 300MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412317,N/A,THEOPHYLLINE CR CAP : 200MG,637,1 ,$1.40 ,$0.91 ,$0.91 ,$1.40 ,$1.12 , N/A ,$1.11 ,$1.26 ,$1.26 , N/A ,$1.19 ,$1.04 , N/A , N/A , N/A ,$1.17 , N/A ,$1.16 ,$1.12 ,$1.26 ,$1.40 ,$1.19 , N/A ,$1.19 ,$1.19 ,$1.26 ,$1.26 ,$1.10 ,$1.16 , N/A ,$0.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412318,N/A,CARBIDOPA/LEVO ER (SINEMET CR) 50/200 **,637,1 ,$6.24 ,$4.06 ,$4.06 ,$6.24 ,$4.99 , N/A ,$4.94 ,$5.62 ,$5.62 , N/A ,$5.30 ,$4.62 , N/A , N/A , N/A ,$5.20 , N/A ,$5.15 ,$4.99 ,$5.62 ,$6.24 ,$5.30 , N/A ,$5.30 ,$5.30 ,$5.62 ,$5.62 ,$4.90 ,$5.15 , N/A ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412319,N/A,CHOLESTYRAMINE POWDER : 4GM,637,1 ,$7.54 ,$4.90 ,$4.90 ,$7.54 ,$6.03 , N/A ,$5.97 ,$6.79 ,$6.79 , N/A ,$6.41 ,$5.58 , N/A , N/A , N/A ,$6.29 , N/A ,$6.23 ,$6.03 ,$6.79 ,$7.54 ,$6.41 , N/A ,$6.41 ,$6.41 ,$6.79 ,$6.79 ,$5.92 ,$6.23 , N/A ,$4.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412320,J7509,METHYLPREDNISOLONE 4MG TAB,636,1 ,$5.10 ,$3.32 ,$3.32 ,$4.59 ,$4.08 , N/A ,$4.04 ,$4.59 ,$4.59 , N/A ,$4.34 ,$3.77 , N/A , N/A , N/A ,$4.25 , N/A ,$4.21 ,$4.08 ,$4.59 , N/A ,$4.34 , N/A ,$4.34 ,$4.34 ,$4.59 ,$4.59 ,$4.00 ,$4.21 , N/A ,$3.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412321,N/A,PROPAFENONE TAB 225MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412322,J7500,AZATHIOPRINE (IMURAN) TAB : 50MG,636,1 ,$8.39 ,$5.45 ,$5.45 ,$7.56 ,$6.71 , N/A ,$6.65 ,$7.56 ,$7.56 , N/A ,$7.13 ,$6.21 , N/A , N/A , N/A ,$7.00 , N/A ,$6.93 ,$6.71 ,$7.55 , N/A ,$7.13 , N/A ,$7.13 ,$7.13 ,$7.55 ,$7.55 ,$6.59 ,$6.93 , N/A ,$5.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412323,N/A,ROPINiroLE TAB 0.5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412324,J2710,NEOSTIGMINE METHYLSULFATE 0.5MG/ML,636,1 ,$296.77 ,$192.90 ,$192.90 ,$267.24 ,$237.42 , N/A ,$235.16 ,$267.24 ,$267.24 , N/A ,$252.25 ,$219.61 , N/A , N/A , N/A ,$247.51 , N/A ,$245.13 ,$237.42 ,$267.09 , N/A ,$252.25 , N/A ,$252.25 ,$252.25 ,$267.09 ,$267.09 ,$232.96 ,$245.13 , N/A ,$192.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412325,N/A,BACLOFEN TABLET : 10MG,637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412326,N/A,ALBUTEROL ORAL SYRUP : 2MG/5mL PER 30mL,637,1 ,$6.15 ,$4.00 ,$4.00 ,$6.15 ,$4.92 , N/A ,$4.87 ,$5.54 ,$5.54 , N/A ,$5.23 ,$4.55 , N/A , N/A , N/A ,$5.13 , N/A ,$5.08 ,$4.92 ,$5.54 ,$6.15 ,$5.23 , N/A ,$5.23 ,$5.23 ,$5.54 ,$5.54 ,$4.83 ,$5.08 , N/A ,$4.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412327,N/A,FORANE LIQUID : 100ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412328,N/A,LABETALOL 5MG/ML INJ (100MG/20ML),250,1 ,$61.09 ,$39.71 ,$39.71 ,$55.01 ,$48.87 , N/A ,$48.41 ,$55.01 ,$55.01 , N/A ,$51.93 ,$45.21 , N/A , N/A , N/A ,$50.95 , N/A ,$50.46 ,$48.87 ,$54.98 , N/A ,$51.93 , N/A ,$51.93 ,$51.93 ,$54.98 ,$54.98 ,$47.96 ,$50.46 , N/A ,$39.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412329,N/A,"LIDOCAINE 1% / EPI 1:100000 MDV, 20ML",250,1 ,$12.81 ,$8.33 ,$8.33 ,$11.54 ,$10.25 , N/A ,$10.15 ,$11.54 ,$11.54 , N/A ,$10.89 ,$9.48 , N/A , N/A , N/A ,$10.68 , N/A ,$10.58 ,$10.25 ,$11.53 , N/A ,$10.89 , N/A ,$10.89 ,$10.89 ,$11.53 ,$11.53 ,$10.06 ,$10.58 , N/A ,$8.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412330,N/A,PANTOPRAZOLE (PROTONIX) 20MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412331,N/A,GLIpizIDE ER (GLUCOTROL XL) TAB : 2.5MG,637,1 ,$4.25 ,$2.76 ,$2.76 ,$4.25 ,$3.40 , N/A ,$3.37 ,$3.83 ,$3.83 , N/A ,$3.61 ,$3.15 , N/A , N/A , N/A ,$3.54 , N/A ,$3.51 ,$3.40 ,$3.83 ,$4.25 ,$3.61 , N/A ,$3.61 ,$3.61 ,$3.83 ,$3.83 ,$3.34 ,$3.51 , N/A ,$2.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412332,N/A,NIASPAN ER TAB : 750MG,637,1 ,$4.50 ,$2.93 ,$2.93 ,$4.50 ,$3.60 , N/A ,$3.57 ,$4.05 ,$4.05 , N/A ,$3.83 ,$3.33 , N/A , N/A , N/A ,$3.75 , N/A ,$3.72 ,$3.60 ,$4.05 ,$4.50 ,$3.83 , N/A ,$3.83 ,$3.83 ,$4.05 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412333,N/A,TYLENOL (ACETAMINOPHEN) ELIXIR : 160/5ML,637,1 ,$11.95 ,$7.77 ,$7.77 ,$11.95 ,$9.56 , N/A ,$9.47 ,$10.76 ,$10.76 , N/A ,$10.16 ,$8.84 , N/A , N/A , N/A ,$9.97 , N/A ,$9.87 ,$9.56 ,$10.76 ,$11.95 ,$10.16 , N/A ,$10.16 ,$10.16 ,$10.76 ,$10.76 ,$9.38 ,$9.87 , N/A ,$7.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412334,N/A,ACETAMINOPHEN DROPS : 80MG/0.8ML,637,1 ,$15.25 ,$9.91 ,$9.91 ,$15.25 ,$12.20 , N/A ,$12.08 ,$13.73 ,$13.73 , N/A ,$12.96 ,$11.29 , N/A , N/A , N/A ,$12.72 , N/A ,$12.60 ,$12.20 ,$13.73 ,$15.25 ,$12.96 , N/A ,$12.96 ,$12.96 ,$13.73 ,$13.73 ,$11.97 ,$12.60 , N/A ,$9.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412335,N/A,TYLENOL ES (ACETAMINOPHEN) TAB : 500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412336,N/A,AMPicillin CAP 250MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412337,N/A,AMOXICILLIN CAPSULE : 500MG,637,1 ,$1.55 ,$1.01 ,$1.01 ,$1.55 ,$1.24 , N/A ,$1.23 ,$1.40 ,$1.40 , N/A ,$1.32 ,$1.15 , N/A , N/A , N/A ,$1.29 , N/A ,$1.28 ,$1.24 ,$1.40 ,$1.55 ,$1.32 , N/A ,$1.32 ,$1.32 ,$1.40 ,$1.40 ,$1.22 ,$1.28 , N/A ,$1.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412338,N/A,AMPicillin CAPSULE : 500MG,637,1 ,$1.53 ,$0.99 ,$0.99 ,$1.53 ,$1.22 , N/A ,$1.21 ,$1.38 ,$1.38 , N/A ,$1.30 ,$1.13 , N/A , N/A , N/A ,$1.28 , N/A ,$1.26 ,$1.22 ,$1.38 ,$1.53 ,$1.30 , N/A ,$1.30 ,$1.30 ,$1.38 ,$1.38 ,$1.20 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412339,N/A,AMOXICILLIN CAPSULE : 250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412340,N/A,ATENOLOL (TENORMIN) TABLET : 50MG,637,1 ,$3.17 ,$2.06 ,$2.06 ,$3.17 ,$2.54 , N/A ,$2.51 ,$2.85 ,$2.85 , N/A ,$2.69 ,$2.35 , N/A , N/A , N/A ,$2.64 , N/A ,$2.62 ,$2.54 ,$2.85 ,$3.17 ,$2.69 , N/A ,$2.69 ,$2.69 ,$2.85 ,$2.85 ,$2.49 ,$2.62 , N/A ,$2.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412341,N/A,VIOKASE 8 TABLET (PANCREALIPASE),637,1 ,$3.45 ,$2.24 ,$2.24 ,$3.45 ,$2.76 , N/A ,$2.73 ,$3.11 ,$3.11 , N/A ,$2.93 ,$2.55 , N/A , N/A , N/A ,$2.88 , N/A ,$2.85 ,$2.76 ,$3.11 ,$3.45 ,$2.93 , N/A ,$2.93 ,$2.93 ,$3.11 ,$3.11 ,$2.71 ,$2.85 , N/A ,$2.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412342,N/A,VITAMIN C (ASCORBIC ACID) TAB : 500MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412343,N/A,POLYSPORIN (AK-POLY-BAC) EYE OINT : 3.5G,637,1 ,$81.00 ,$52.65 ,$52.65 ,$81.00 ,$64.80 , N/A ,$64.18 ,$72.94 ,$72.94 , N/A ,$68.85 ,$59.94 , N/A , N/A , N/A ,$67.55 , N/A ,$66.91 ,$64.80 ,$72.90 ,$81.00 ,$68.85 , N/A ,$68.85 ,$68.85 ,$72.90 ,$72.90 ,$63.59 ,$66.91 , N/A ,$52.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412345,N/A,DONNATAL (ANTISPASMODIC) ELIXIR : PER5mL,637,1 ,$57.90 ,$37.64 ,$37.64 ,$57.90 ,$46.32 , N/A ,$45.88 ,$52.14 ,$52.14 , N/A ,$49.22 ,$42.85 , N/A , N/A , N/A ,$48.29 , N/A ,$47.83 ,$46.32 ,$52.11 ,$57.90 ,$49.22 , N/A ,$49.22 ,$49.22 ,$52.11 ,$52.11 ,$45.45 ,$47.83 , N/A ,$37.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412346,N/A,BISACODYL SUPPOSITORY : 10MG,637,1 ,$1.42 ,$0.92 ,$0.92 ,$1.42 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 ,$1.42 ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412347,N/A,BUPIVACAINE 0.25% + EPINEPHRINE : 10ML,250,1 ,$17.35 ,$11.28 ,$11.28 ,$15.62 ,$13.88 , N/A ,$13.75 ,$15.62 ,$15.62 , N/A ,$14.75 ,$12.84 , N/A , N/A , N/A ,$14.47 , N/A ,$14.33 ,$13.88 ,$15.62 , N/A ,$14.75 , N/A ,$14.75 ,$14.75 ,$15.62 ,$15.62 ,$13.62 ,$14.33 , N/A ,$11.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412348,N/A,CAPTOPRIL (CAPOTEN) TAB : 12.5MG,637,1 ,$5.55 ,$3.61 ,$3.61 ,$5.55 ,$4.44 , N/A ,$4.40 ,$5.00 ,$5.00 , N/A ,$4.72 ,$4.11 , N/A , N/A , N/A ,$4.63 , N/A ,$4.58 ,$4.44 ,$5.00 ,$5.55 ,$4.72 , N/A ,$4.72 ,$4.72 ,$5.00 ,$5.00 ,$4.36 ,$4.58 , N/A ,$3.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412349,J2300,NALBUPHINE (NUBAIN) AMP : 20MG/ML,636,1 ,$10.10 ,$6.57 ,$6.57 ,$9.10 ,$8.08 , N/A ,$8.00 ,$9.10 ,$9.10 , N/A ,$8.59 ,$7.47 , N/A , N/A , N/A ,$8.42 , N/A ,$8.34 ,$8.08 ,$9.09 , N/A ,$8.59 , N/A ,$8.59 ,$8.59 ,$9.09 ,$9.09 ,$7.93 ,$8.34 , N/A ,$6.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412350,N/A,PHENERGAN (PROMETHAZINE) AMP : 50MG (IM),250,1 ,$12.10 ,$7.87 ,$7.87 ,$10.90 ,$9.68 , N/A ,$9.59 ,$10.90 ,$10.90 , N/A ,$10.29 ,$8.95 , N/A , N/A , N/A ,$10.09 , N/A ,$9.99 ,$9.68 ,$10.89 , N/A ,$10.29 , N/A ,$10.29 ,$10.29 ,$10.89 ,$10.89 ,$9.50 ,$9.99 , N/A ,$7.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412352,N/A,OSCAL ULTRA 600 PLUS PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412353,N/A,RHINOCORT AQ NASAL SPRAY,637,1 ,$133.60 ,$86.84 ,$86.84 ,$133.60 ,$106.88 , N/A ,$105.86 ,$120.31 ,$120.31 , N/A ,$113.56 ,$98.86 , N/A , N/A , N/A ,$111.42 , N/A ,$110.35 ,$106.88 ,$120.24 ,$133.60 ,$113.56 , N/A ,$113.56 ,$113.56 ,$120.24 ,$120.24 ,$104.88 ,$110.35 , N/A ,$86.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412354,N/A,HUMALOG (LISPRO) INSULIN,637,1 ,$0.45 ,$0.29 ,$0.29 ,$0.45 ,$0.36 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.38 ,$0.33 , N/A , N/A , N/A ,$0.38 , N/A ,$0.37 ,$0.36 ,$0.41 ,$0.45 ,$0.38 , N/A ,$0.38 ,$0.38 ,$0.41 ,$0.41 ,$0.35 ,$0.37 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412355,N/A,OXYBUTYNIN ER TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412356,N/A,BETAMETHASONE DIPROPIONATE 0.05% OINT,637,1 ,$140.00 ,$91.00 ,$91.00 ,$140.00 ,$112.00 , N/A ,$110.94 ,$126.07 ,$126.07 , N/A ,$119.00 ,$103.60 , N/A , N/A , N/A ,$116.76 , N/A ,$115.64 ,$112.00 ,$126.00 ,$140.00 ,$119.00 , N/A ,$119.00 ,$119.00 ,$126.00 ,$126.00 ,$109.90 ,$115.64 , N/A ,$91.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412357,N/A,MIRTAZAPINE TAB 30MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412358,J9355,HERCEPTIN : PER 10MG 440MG VIAL,636,1 ,$89.10 ,$57.92 ,$57.92 ,$227.44 ,$71.28 ,$90.98 ,$70.60 ,$80.23 ,$80.23 ,$172.85 ,$75.74 ,$65.93 ,$227.44 ,$90.98 , N/A ,$74.31 ,$90.98 ,$73.60 ,$71.28 ,$80.19 ,$89.10 ,$75.74 ,$89.10 ,$75.74 ,$75.74 ,$80.19 ,$80.19 ,$69.94 ,$73.60 ,$89.10 ,$57.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412359,J0885,PROCRIT SUBQ VIAL : 20000 UNITS GREEN,636,1 ,"$1,085.57 ",$705.62 ,$8.22 ,$977.56 ,$868.46 ,$8.22 ,$860.21 ,$977.56 ,$977.56 ,$15.62 ,$922.73 ,$803.32 ,$20.56 ,$8.22 , N/A ,$905.37 ,$8.22 ,$896.68 ,$868.46 ,$977.01 ,$20.56 ,$922.73 ,$8.22 ,$922.73 ,$922.73 ,$977.01 ,$977.01 ,$852.17 ,$896.68 ,$8.22 ,$705.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412360,J0885,PROCRIT SUBQ VIAL : 40000 UNITS ORANGE,636,1 ,"$2,135.49 ","$1,388.07 ",$8.22 ,"$1,923.01 ","$1,708.39 ",$8.22 ,"$1,692.16 ","$1,923.01 ","$1,923.01 ",$15.62 ,"$1,815.17 ","$1,580.26 ",$20.56 ,$8.22 , N/A ,"$1,781.00 ",$8.22 ,"$1,763.91 ","$1,708.39 ","$1,921.94 ",$20.56 ,"$1,815.17 ",$8.22 ,"$1,815.17 ","$1,815.17 ","$1,921.94 ","$1,921.94 ","$1,676.36 ","$1,763.91 ",$8.22 ,"$1,388.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412361,J2405,ONDANSETRON (ZOFRAN) 4MG/2ML INJ,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412362,N/A,INTRON A : PER MMU,250,1 ,$37.65 ,$24.47 ,$24.47 ,$33.90 ,$30.12 , N/A ,$29.83 ,$33.90 ,$33.90 , N/A ,$32.00 ,$27.86 , N/A , N/A , N/A ,$31.40 , N/A ,$31.10 ,$30.12 ,$33.89 , N/A ,$32.00 , N/A ,$32.00 ,$32.00 ,$33.89 ,$33.89 ,$29.56 ,$31.10 , N/A ,$24.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412363,N/A,AMBIEN TABLET : 5MG,637,1 ,$6.90 ,$4.49 ,$4.49 ,$6.90 ,$5.52 , N/A ,$5.47 ,$6.21 ,$6.21 , N/A ,$5.87 ,$5.11 , N/A , N/A , N/A ,$5.75 , N/A ,$5.70 ,$5.52 ,$6.21 ,$6.90 ,$5.87 , N/A ,$5.87 ,$5.87 ,$6.21 ,$6.21 ,$5.42 ,$5.70 , N/A ,$4.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412364,J1950,LUPRON DEPOT : PER 3.75MG,636,1 ,"$1,167.30 ",$758.75 ,$758.75 ,"$3,268.70 ",$933.84 ,"$1,307.48 ",$924.97 ,"$1,051.15 ","$1,051.15 ","$2,484.21 ",$992.21 ,$863.80 ,"$3,268.70 ","$1,307.48 ", N/A ,$973.53 ,"$1,307.48 ",$964.19 ,$933.84 ,"$1,050.57 ","$1,167.30 ",$992.21 ,"$1,167.30 ",$992.21 ,$992.21 ,"$1,050.57 ","$1,050.57 ",$916.33 ,$964.19 ,"$1,167.30 ",$758.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412365,J3535,FLOVENT INHALER 44MCG,637,1 ,$574.54 ,$373.45 ,$373.45 ,$574.54 ,$459.63 , N/A ,$455.27 ,$517.37 ,$517.37 , N/A ,$488.36 ,$425.16 , N/A , N/A , N/A ,$479.17 , N/A ,$474.57 ,$459.63 ,$517.09 ,$574.54 ,$488.36 , N/A ,$488.36 ,$488.36 ,$517.09 ,$517.09 ,$451.01 ,$474.57 , N/A ,$373.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412366,N/A,ACETAMINOPHEN ER (ARTHRITIS) TAB : 650MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412367,J2997,ALTEPLASE (ACTIVASE/TPA) 100MG VIAL,636,1 ,"$18,602.76 ","$12,091.79 ",$87.41 ,"$16,751.79 ","$14,882.21 ",$87.41 ,"$14,740.83 ","$16,751.79 ","$16,751.79 ",$166.08 ,"$15,812.35 ","$13,766.04 ",$218.53 ,$87.41 , N/A ,"$15,514.70 ",$87.41 ,"$15,365.88 ","$14,882.21 ","$16,742.48 ",$218.53 ,"$15,812.35 ",$87.41 ,"$15,812.35 ","$15,812.35 ","$16,742.48 ","$16,742.48 ","$14,603.17 ","$15,365.88 ",$87.41 ,"$12,091.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412368,N/A,TOPIRAMATE ER CAP 150MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412369,N/A,PHENYTOIN ER (DILANTIN) 100mg CAPSULE,637,1 ,$2.67 ,$1.74 ,$1.74 ,$2.67 ,$2.14 , N/A ,$2.12 ,$2.40 ,$2.40 , N/A ,$2.27 ,$1.98 , N/A , N/A , N/A ,$2.23 , N/A ,$2.21 ,$2.14 ,$2.40 ,$2.67 ,$2.27 , N/A ,$2.27 ,$2.27 ,$2.40 ,$2.40 ,$2.10 ,$2.21 , N/A ,$1.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412370,N/A,AZOPT 1% EYE DROPS : 10 ML,637,1 ,$632.09 ,$410.86 ,$410.86 ,$632.09 ,$505.67 , N/A ,$500.87 ,$569.20 ,$569.20 , N/A ,$537.28 ,$467.75 , N/A , N/A , N/A ,$527.16 , N/A ,$522.11 ,$505.67 ,$568.88 ,$632.09 ,$537.28 , N/A ,$537.28 ,$537.28 ,$568.88 ,$568.88 ,$496.19 ,$522.11 , N/A ,$410.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412371,J9000,DOXORUBICIN (ADRIAMYCIN) : PER 10MG,636,1 ,$72.80 ,$47.32 ,$47.32 ,$65.56 ,$58.24 , N/A ,$57.69 ,$65.56 ,$65.56 , N/A ,$61.88 ,$53.87 , N/A , N/A , N/A ,$60.72 , N/A ,$60.13 ,$58.24 ,$65.52 , N/A ,$61.88 , N/A ,$61.88 ,$61.88 ,$65.52 ,$65.52 ,$57.15 ,$60.13 , N/A ,$47.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412372,N/A,CYTOXAN (CYCLOPHOSPHAMIDE) IV:PER 100MG,636,1 ,$9.90 ,$6.44 ,$6.44 ,$8.92 ,$7.92 , N/A ,$7.84 ,$8.92 ,$8.92 , N/A ,$8.42 ,$7.33 , N/A , N/A , N/A ,$8.26 , N/A ,$8.18 ,$7.92 ,$8.91 , N/A ,$8.42 , N/A ,$8.42 ,$8.42 ,$8.91 ,$8.91 ,$7.77 ,$8.18 , N/A ,$6.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412373,N/A,ACYCLOVIR (ZOVIRAX) TAB : 800MG,637,1 ,$11.55 ,$7.51 ,$7.51 ,$11.55 ,$9.24 , N/A ,$9.15 ,$10.40 ,$10.40 , N/A ,$9.82 ,$8.55 , N/A , N/A , N/A ,$9.63 , N/A ,$9.54 ,$9.24 ,$10.40 ,$11.55 ,$9.82 , N/A ,$9.82 ,$9.82 ,$10.40 ,$10.40 ,$9.07 ,$9.54 , N/A ,$7.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412374,J0640,LEUCOVORIN CALCIUM : 350MG,636,1 ,$97.65 ,$63.47 ,$63.47 ,$87.93 ,$78.12 , N/A ,$77.38 ,$87.93 ,$87.93 , N/A ,$83.00 ,$72.26 , N/A , N/A , N/A ,$81.44 , N/A ,$80.66 ,$78.12 ,$87.89 , N/A ,$83.00 , N/A ,$83.00 ,$83.00 ,$87.89 ,$87.89 ,$76.66 ,$80.66 , N/A ,$63.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412375,J0282,AMIODARONE 150MG/3ML IVP,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412376,N/A,VASOTEC (ENALAPRIL) TAB : 5MG,637,1 ,$3.25 ,$2.11 ,$2.11 ,$3.25 ,$2.60 , N/A ,$2.58 ,$2.93 ,$2.93 , N/A ,$2.76 ,$2.41 , N/A , N/A , N/A ,$2.71 , N/A ,$2.68 ,$2.60 ,$2.93 ,$3.25 ,$2.76 , N/A ,$2.76 ,$2.76 ,$2.93 ,$2.93 ,$2.55 ,$2.68 , N/A ,$2.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412377,N/A,VASOTEC (ENALAPRIL) TAB : 10MG,637,1 ,$3.40 ,$2.21 ,$2.21 ,$3.40 ,$2.72 , N/A ,$2.69 ,$3.06 ,$3.06 , N/A ,$2.89 ,$2.52 , N/A , N/A , N/A ,$2.84 , N/A ,$2.81 ,$2.72 ,$3.06 ,$3.40 ,$2.89 , N/A ,$2.89 ,$2.89 ,$3.06 ,$3.06 ,$2.67 ,$2.81 , N/A ,$2.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412378,N/A,SOLU-MEDROL (A-METHAPRED) : 40MG,250,1 ,$10.75 ,$6.99 ,$6.99 ,$9.68 ,$8.60 , N/A ,$8.52 ,$9.68 ,$9.68 , N/A ,$9.14 ,$7.96 , N/A , N/A , N/A ,$8.97 , N/A ,$8.88 ,$8.60 ,$9.68 , N/A ,$9.14 , N/A ,$9.14 ,$9.14 ,$9.68 ,$9.68 ,$8.44 ,$8.88 , N/A ,$6.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412379,N/A,SOLU-MEDROL (A-METHAPRED) : 125MG,250,1 ,$11.45 ,$7.44 ,$7.44 ,$10.31 ,$9.16 , N/A ,$9.07 ,$10.31 ,$10.31 , N/A ,$9.73 ,$8.47 , N/A , N/A , N/A ,$9.55 , N/A ,$9.46 ,$9.16 ,$10.31 , N/A ,$9.73 , N/A ,$9.73 ,$9.73 ,$10.31 ,$10.31 ,$8.99 ,$9.46 , N/A ,$7.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412380,N/A,ANAFRANIL (CLOMIPRAMINE) : 50MG,637,1 ,$21.80 ,$14.17 ,$14.17 ,$21.80 ,$17.44 , N/A ,$17.27 ,$19.63 ,$19.63 , N/A ,$18.53 ,$16.13 , N/A , N/A , N/A ,$18.18 , N/A ,$18.01 ,$17.44 ,$19.62 ,$21.80 ,$18.53 , N/A ,$18.53 ,$18.53 ,$19.62 ,$19.62 ,$17.11 ,$18.01 , N/A ,$14.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412381,N/A,CLIMARA 0.05MG/DAY PATCH : WEEKLY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412382,N/A,SET (CYSTO/INTERMITTENT POST OP IRR),250,1 ,$17.20 ,$11.18 ,$11.18 ,$15.49 ,$13.76 , N/A ,$13.63 ,$15.49 ,$15.49 , N/A ,$14.62 ,$12.73 , N/A , N/A , N/A ,$14.34 , N/A ,$14.21 ,$13.76 ,$15.48 , N/A ,$14.62 , N/A ,$14.62 ,$14.62 ,$15.48 ,$15.48 ,$13.50 ,$14.21 , N/A ,$11.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412383,N/A,ANAFRANIL (CLOMIPRAMINE) CAP : 50MG,637,1 ,$3.55 ,$2.31 ,$2.31 ,$3.55 ,$2.84 , N/A ,$2.81 ,$3.20 ,$3.20 , N/A ,$3.02 ,$2.63 , N/A , N/A , N/A ,$2.96 , N/A ,$2.93 ,$2.84 ,$3.20 ,$3.55 ,$3.02 , N/A ,$3.02 ,$3.02 ,$3.20 ,$3.20 ,$2.79 ,$2.93 , N/A ,$2.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412384,N/A,CIPRO TABLET : 750MG,637,1 ,$18.45 ,$11.99 ,$11.99 ,$18.45 ,$14.76 , N/A ,$14.62 ,$16.61 ,$16.61 , N/A ,$15.68 ,$13.65 , N/A , N/A , N/A ,$15.39 , N/A ,$15.24 ,$14.76 ,$16.61 ,$18.45 ,$15.68 , N/A ,$15.68 ,$15.68 ,$16.61 ,$16.61 ,$14.48 ,$15.24 , N/A ,$11.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412385,N/A,NF-SINGULAIR 4MG CHEW,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412386,N/A,LIDOCAINE 2% / EPI 1:100000 MDV : 20ML,250,1 ,$16.28 ,$10.58 ,$10.58 ,$14.66 ,$13.02 , N/A ,$12.90 ,$14.66 ,$14.66 , N/A ,$13.84 ,$12.05 , N/A , N/A , N/A ,$13.58 , N/A ,$13.45 ,$13.02 ,$14.65 , N/A ,$13.84 , N/A ,$13.84 ,$13.84 ,$14.65 ,$14.65 ,$12.78 ,$13.45 , N/A ,$10.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412387,N/A,CATHETER (SAFETY) : 18G,250,1 ,$8.40 ,$5.46 ,$5.46 ,$7.56 ,$6.72 , N/A ,$6.66 ,$7.56 ,$7.56 , N/A ,$7.14 ,$6.22 , N/A , N/A , N/A ,$7.01 , N/A ,$6.94 ,$6.72 ,$7.56 , N/A ,$7.14 , N/A ,$7.14 ,$7.14 ,$7.56 ,$7.56 ,$6.59 ,$6.94 , N/A ,$5.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412388,N/A,CATHETER (SAFETY) : 20G,250,1 ,$8.40 ,$5.46 ,$5.46 ,$7.56 ,$6.72 , N/A ,$6.66 ,$7.56 ,$7.56 , N/A ,$7.14 ,$6.22 , N/A , N/A , N/A ,$7.01 , N/A ,$6.94 ,$6.72 ,$7.56 , N/A ,$7.14 , N/A ,$7.14 ,$7.14 ,$7.56 ,$7.56 ,$6.59 ,$6.94 , N/A ,$5.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412389,N/A,CATHETER (SAFETY) : 22G,250,1 ,$8.40 ,$5.46 ,$5.46 ,$7.56 ,$6.72 , N/A ,$6.66 ,$7.56 ,$7.56 , N/A ,$7.14 ,$6.22 , N/A , N/A , N/A ,$7.01 , N/A ,$6.94 ,$6.72 ,$7.56 , N/A ,$7.14 , N/A ,$7.14 ,$7.14 ,$7.56 ,$7.56 ,$6.59 ,$6.94 , N/A ,$5.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412390,N/A,CATHETER (SAFETY) : 24G,250,1 ,$8.60 ,$5.59 ,$5.59 ,$7.74 ,$6.88 , N/A ,$6.81 ,$7.74 ,$7.74 , N/A ,$7.31 ,$6.36 , N/A , N/A , N/A ,$7.17 , N/A ,$7.10 ,$6.88 ,$7.74 , N/A ,$7.31 , N/A ,$7.31 ,$7.31 ,$7.74 ,$7.74 ,$6.75 ,$7.10 , N/A ,$5.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412391,N/A,CALCIUM CARBONATE (TUMS)CHEW : 500MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412392,N/A,CAPTOPRIL (CAPOTEN) TAB : 25MG,637,1 ,$2.45 ,$1.59 ,$1.59 ,$2.45 ,$1.96 , N/A ,$1.94 ,$2.21 ,$2.21 , N/A ,$2.08 ,$1.81 , N/A , N/A , N/A ,$2.04 , N/A ,$2.02 ,$1.96 ,$2.21 ,$2.45 ,$2.08 , N/A ,$2.08 ,$2.08 ,$2.21 ,$2.21 ,$1.92 ,$2.02 , N/A ,$1.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412393,J0692,CEFEPIME (MAXIPIME) VIAL : 1GM,636,1 ,$24.43 ,$15.88 ,$15.88 ,$22.00 ,$19.54 , N/A ,$19.36 ,$22.00 ,$22.00 , N/A ,$20.77 ,$18.08 , N/A , N/A , N/A ,$20.37 , N/A ,$20.18 ,$19.54 ,$21.99 , N/A ,$20.77 , N/A ,$20.77 ,$20.77 ,$21.99 ,$21.99 ,$19.18 ,$20.18 , N/A ,$15.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412394,N/A,CEPHALEXIN (KEFLEX) SUSP : 250MG/5mL,637,1 ,$82.16 ,$53.40 ,$53.40 ,$82.16 ,$65.73 , N/A ,$65.10 ,$73.99 ,$73.99 , N/A ,$69.84 ,$60.80 , N/A , N/A , N/A ,$68.52 , N/A ,$67.86 ,$65.73 ,$73.94 ,$82.16 ,$69.84 , N/A ,$69.84 ,$69.84 ,$73.94 ,$73.94 ,$64.50 ,$67.86 , N/A ,$53.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412395,N/A,DURICEF (CEFADROXIL) CAP : 500MG,637,1 ,$11.85 ,$7.70 ,$7.70 ,$11.85 ,$9.48 , N/A ,$9.39 ,$10.67 ,$10.67 , N/A ,$10.07 ,$8.77 , N/A , N/A , N/A ,$9.88 , N/A ,$9.79 ,$9.48 ,$10.67 ,$11.85 ,$10.07 , N/A ,$10.07 ,$10.07 ,$10.67 ,$10.67 ,$9.30 ,$9.79 , N/A ,$7.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412396,N/A,CHLORDIAZEPOXIDE/CLINIDIUM (LIBRAX) CAP,637,1 ,$4.95 ,$3.22 ,$3.22 ,$4.95 ,$3.96 , N/A ,$3.92 ,$4.46 ,$4.46 , N/A ,$4.21 ,$3.66 , N/A , N/A , N/A ,$4.13 , N/A ,$4.09 ,$3.96 ,$4.46 ,$4.95 ,$4.21 , N/A ,$4.21 ,$4.21 ,$4.46 ,$4.46 ,$3.89 ,$4.09 , N/A ,$3.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412397,N/A,CLOTRIMAZOLE (LOTRIMIN) 1% CREAM : 15GM,637,1 ,$71.21 ,$46.29 ,$46.29 ,$71.21 ,$56.97 , N/A ,$56.43 ,$64.12 ,$64.12 , N/A ,$60.53 ,$52.70 , N/A , N/A , N/A ,$59.39 , N/A ,$58.82 ,$56.97 ,$64.09 ,$71.21 ,$60.53 , N/A ,$60.53 ,$60.53 ,$64.09 ,$64.09 ,$55.90 ,$58.82 , N/A ,$46.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412398,N/A,CLOBETASOL (TEMOVATE) 0.05% CREAM :30GM,637,1 ,$198.33 ,$128.91 ,$128.91 ,$198.33 ,$158.66 , N/A ,$157.16 ,$178.60 ,$178.60 , N/A ,$168.58 ,$146.76 , N/A , N/A , N/A ,$165.41 , N/A ,$163.82 ,$158.66 ,$178.50 ,$198.33 ,$168.58 , N/A ,$168.58 ,$168.58 ,$178.50 ,$178.50 ,$155.69 ,$163.82 , N/A ,$128.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412399,N/A,"CALCIUM, OYSTER SHELL 1250MG (500mg Ca)",637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412400,J3265,TORSEMIDE (DEMADEX) INJ : 20MG/2ML VIAL,636,1 ,$27.60 ,$17.94 ,$17.94 ,$24.85 ,$22.08 , N/A ,$21.87 ,$24.85 ,$24.85 , N/A ,$23.46 ,$20.42 , N/A , N/A , N/A ,$23.02 , N/A ,$22.80 ,$22.08 ,$24.84 , N/A ,$23.46 , N/A ,$23.46 ,$23.46 ,$24.84 ,$24.84 ,$21.67 ,$22.80 , N/A ,$17.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412401,N/A,CLONIDINE 0.2MG/DAY PATCH PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412402,N/A,I-VITE (OCUVITE) TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412403,J0130,REOPRO VIAL : 2MG/ML (PER 10MG),636,1 ,$864.00 ,$561.60 ,$561.60 ,$778.03 ,$691.20 , N/A ,$684.63 ,$778.03 ,$778.03 , N/A ,$734.40 ,$639.36 , N/A , N/A , N/A ,$720.58 , N/A ,$713.66 ,$691.20 ,$777.60 , N/A ,$734.40 , N/A ,$734.40 ,$734.40 ,$777.60 ,$777.60 ,$678.24 ,$713.66 , N/A ,$561.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412404,N/A,IMDUR (ISOSORBIDE MONO) TAB : 30MG,637,1 ,$4.20 ,$2.73 ,$2.73 ,$4.20 ,$3.36 , N/A ,$3.33 ,$3.78 ,$3.78 , N/A ,$3.57 ,$3.11 , N/A , N/A , N/A ,$3.50 , N/A ,$3.47 ,$3.36 ,$3.78 ,$4.20 ,$3.57 , N/A ,$3.57 ,$3.57 ,$3.78 ,$3.78 ,$3.30 ,$3.47 , N/A ,$2.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412405,N/A,IMDUR (ISOSORBIDE MONO) TAB : 60MG,637,1 ,$4.40 ,$2.86 ,$2.86 ,$4.40 ,$3.52 , N/A ,$3.49 ,$3.96 ,$3.96 , N/A ,$3.74 ,$3.26 , N/A , N/A , N/A ,$3.67 , N/A ,$3.63 ,$3.52 ,$3.96 ,$4.40 ,$3.74 , N/A ,$3.74 ,$3.74 ,$3.96 ,$3.96 ,$3.45 ,$3.63 , N/A ,$2.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412406,N/A,ENTEX PSE (GUAIFEN 600MG/PSEUDOEPH 120MG,637,1 ,$1.80 ,$1.17 ,$1.17 ,$1.80 ,$1.44 , N/A ,$1.43 ,$1.62 ,$1.62 , N/A ,$1.53 ,$1.33 , N/A , N/A , N/A ,$1.50 , N/A ,$1.49 ,$1.44 ,$1.62 ,$1.80 ,$1.53 , N/A ,$1.53 ,$1.53 ,$1.62 ,$1.62 ,$1.41 ,$1.49 , N/A ,$1.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412407,N/A,ISOSORBIDE MONONITRATE (ISMO) TAB : 20MG,637,1 ,$1.42 ,$0.92 ,$0.92 ,$1.42 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 ,$1.42 ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412408,N/A,OXYcodone ER (OXYCONTIN) TAB : 10MG,637,1 ,$16.44 ,$10.69 ,$10.69 ,$16.44 ,$13.15 , N/A ,$13.03 ,$14.80 ,$14.80 , N/A ,$13.97 ,$12.17 , N/A , N/A , N/A ,$13.71 , N/A ,$13.58 ,$13.15 ,$14.80 ,$16.44 ,$13.97 , N/A ,$13.97 ,$13.97 ,$14.80 ,$14.80 ,$12.91 ,$13.58 , N/A ,$10.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412409,J1745,REMICADE (BATCH CHARGE JW) : 100MG,636,1 ,"$2,585.07 ","$1,680.30 ",$41.32 ,"$2,327.86 ","$2,068.06 ",$41.32 ,"$2,048.41 ","$2,327.86 ","$2,327.86 ",$78.51 ,"$2,197.31 ","$1,912.95 ",$103.30 ,$41.32 , N/A ,"$2,155.95 ",$41.32 ,"$2,135.27 ","$2,068.06 ","$2,326.56 ",$103.30 ,"$2,197.31 ",$41.32 ,"$2,197.31 ","$2,197.31 ","$2,326.56 ","$2,326.56 ","$2,029.28 ","$2,135.27 ",$41.32 ,"$1,680.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412410,N/A,CETIRIZINE (ZYRTEC) TAB : 10MG,637,1 ,$8.90 ,$5.79 ,$5.79 ,$8.90 ,$7.12 , N/A ,$7.05 ,$8.01 ,$8.01 , N/A ,$7.57 ,$6.59 , N/A , N/A , N/A ,$7.42 , N/A ,$7.35 ,$7.12 ,$8.01 ,$8.90 ,$7.57 , N/A ,$7.57 ,$7.57 ,$8.01 ,$8.01 ,$6.99 ,$7.35 , N/A ,$5.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412411,N/A,VENLAFAXINE ER 150MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412412,N/A,THEOPHYLLINE CR TAB : 200MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412413,N/A,VEPESID IV : PER 10MG,250,1 ,$42.25 ,$27.46 ,$27.46 ,$38.05 ,$33.80 , N/A ,$33.48 ,$38.05 ,$38.05 , N/A ,$35.91 ,$31.27 , N/A , N/A , N/A ,$35.24 , N/A ,$34.90 ,$33.80 ,$38.03 , N/A ,$35.91 , N/A ,$35.91 ,$35.91 ,$38.03 ,$38.03 ,$33.17 ,$34.90 , N/A ,$27.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412414,N/A,SPECTAZOLE (ECONAZOLE) 1% CREAM : 85GM,637,1 ,$166.70 ,$108.36 ,$108.36 ,$166.70 ,$133.36 , N/A ,$132.09 ,$150.11 ,$150.11 , N/A ,$141.70 ,$123.36 , N/A , N/A , N/A ,$139.03 , N/A ,$137.69 ,$133.36 ,$150.03 ,$166.70 ,$141.70 , N/A ,$141.70 ,$141.70 ,$150.03 ,$150.03 ,$130.86 ,$137.69 , N/A ,$108.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412415,N/A,GLYSET : 25MG,637,1 ,$2.00 ,$1.30 ,$1.30 ,$2.00 ,$1.60 , N/A ,$1.58 ,$1.80 ,$1.80 , N/A ,$1.70 ,$1.48 , N/A , N/A , N/A ,$1.67 , N/A ,$1.65 ,$1.60 ,$1.80 ,$2.00 ,$1.70 , N/A ,$1.70 ,$1.70 ,$1.80 ,$1.80 ,$1.57 ,$1.65 , N/A ,$1.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412416,N/A,ZIPRASIDONE CAP 80MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412417,N/A,DIDRONEL : 200MG,637,1 ,$10.00 ,$6.50 ,$6.50 ,$10.00 ,$8.00 , N/A ,$7.92 ,$9.01 ,$9.01 , N/A ,$8.50 ,$7.40 , N/A , N/A , N/A ,$8.34 , N/A ,$8.26 ,$8.00 ,$9.00 ,$10.00 ,$8.50 , N/A ,$8.50 ,$8.50 ,$9.00 ,$9.00 ,$7.85 ,$8.26 , N/A ,$6.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412418,N/A,LEVOTHYROXINE (SYNTHROID) TAB 112MCG,637,1 ,$2.84 ,$1.85 ,$1.85 ,$2.84 ,$2.27 , N/A ,$2.25 ,$2.56 ,$2.56 , N/A ,$2.41 ,$2.10 , N/A , N/A , N/A ,$2.37 , N/A ,$2.35 ,$2.27 ,$2.56 ,$2.84 ,$2.41 , N/A ,$2.41 ,$2.41 ,$2.56 ,$2.56 ,$2.23 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412419,N/A,CEFDINIR (OMNICEF) SUSP 125MG/5mL,637,1 ,$153.26 ,$99.62 ,$99.62 ,$153.26 ,$122.61 , N/A ,$121.44 ,$138.01 ,$138.01 , N/A ,$130.27 ,$113.41 , N/A , N/A , N/A ,$127.82 , N/A ,$126.59 ,$122.61 ,$137.93 ,$153.26 ,$130.27 , N/A ,$130.27 ,$130.27 ,$137.93 ,$137.93 ,$120.31 ,$126.59 , N/A ,$99.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412420,N/A,GABITRIL TAB : 4MG,637,1 ,$17.75 ,$11.54 ,$11.54 ,$17.75 ,$14.20 , N/A ,$14.07 ,$15.98 ,$15.98 , N/A ,$15.09 ,$13.14 , N/A , N/A , N/A ,$14.80 , N/A ,$14.66 ,$14.20 ,$15.98 ,$17.75 ,$15.09 , N/A ,$15.09 ,$15.09 ,$15.98 ,$15.98 ,$13.93 ,$14.66 , N/A ,$11.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412421,N/A,MYSOLINE (PRIMIDONE) TAB : 250MG,637,1 ,$1.80 ,$1.17 ,$1.17 ,$1.80 ,$1.44 , N/A ,$1.43 ,$1.62 ,$1.62 , N/A ,$1.53 ,$1.33 , N/A , N/A , N/A ,$1.50 , N/A ,$1.49 ,$1.44 ,$1.62 ,$1.80 ,$1.53 , N/A ,$1.53 ,$1.53 ,$1.62 ,$1.62 ,$1.41 ,$1.49 , N/A ,$1.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412422,N/A,NICOTINE PATCH 14 MG/24HR,637,1 ,$7.65 ,$4.97 ,$4.97 ,$7.65 ,$6.12 , N/A ,$6.06 ,$6.89 ,$6.89 , N/A ,$6.50 ,$5.66 , N/A , N/A , N/A ,$6.38 , N/A ,$6.32 ,$6.12 ,$6.89 ,$7.65 ,$6.50 , N/A ,$6.50 ,$6.50 ,$6.89 ,$6.89 ,$6.01 ,$6.32 , N/A ,$4.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412423,N/A,CLINDAMYCIN PHOSPHATE 1% GEL : 30GM,637,1 ,$101.20 ,$65.78 ,$65.78 ,$101.20 ,$80.96 , N/A ,$80.19 ,$91.13 ,$91.13 , N/A ,$86.02 ,$74.89 , N/A , N/A , N/A ,$84.40 , N/A ,$83.59 ,$80.96 ,$91.08 ,$101.20 ,$86.02 , N/A ,$86.02 ,$86.02 ,$91.08 ,$91.08 ,$79.44 ,$83.59 , N/A ,$65.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412424,N/A,NICOTINE PATCH 21 MG/24HR,637,1 ,$7.65 ,$4.97 ,$4.97 ,$7.65 ,$6.12 , N/A ,$6.06 ,$6.89 ,$6.89 , N/A ,$6.50 ,$5.66 , N/A , N/A , N/A ,$6.38 , N/A ,$6.32 ,$6.12 ,$6.89 ,$7.65 ,$6.50 , N/A ,$6.50 ,$6.50 ,$6.89 ,$6.89 ,$6.01 ,$6.32 , N/A ,$4.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412425,N/A,RANITIDINE 150mg tab (non-formulary),637,1 ,$7.26 ,$4.72 ,$4.72 ,$7.26 ,$5.81 , N/A ,$5.75 ,$6.54 ,$6.54 , N/A ,$6.17 ,$5.37 , N/A , N/A , N/A ,$6.05 , N/A ,$6.00 ,$5.81 ,$6.53 ,$7.26 ,$6.17 , N/A ,$6.17 ,$6.17 ,$6.53 ,$6.53 ,$5.70 ,$6.00 , N/A ,$4.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412426,N/A,CLORAZEPATE (TRANXENE) TAB : 3.75MG,637,1 ,$4.25 ,$2.76 ,$2.76 ,$4.25 ,$3.40 , N/A ,$3.37 ,$3.83 ,$3.83 , N/A ,$3.61 ,$3.15 , N/A , N/A , N/A ,$3.54 , N/A ,$3.51 ,$3.40 ,$3.83 ,$4.25 ,$3.61 , N/A ,$3.61 ,$3.61 ,$3.83 ,$3.83 ,$3.34 ,$3.51 , N/A ,$2.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412427,N/A,ZOMIG-ZMT TABLET : 2.5MG,637,1 ,$86.20 ,$56.03 ,$56.03 ,$86.20 ,$68.96 , N/A ,$68.30 ,$77.62 ,$77.62 , N/A ,$73.27 ,$63.79 , N/A , N/A , N/A ,$71.89 , N/A ,$71.20 ,$68.96 ,$77.58 ,$86.20 ,$73.27 , N/A ,$73.27 ,$73.27 ,$77.58 ,$77.58 ,$67.67 ,$71.20 , N/A ,$56.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412428,N/A,WELCHOL TABLET : 625MG,637,1 ,$4.60 ,$2.99 ,$2.99 ,$4.60 ,$3.68 , N/A ,$3.65 ,$4.14 ,$4.14 , N/A ,$3.91 ,$3.40 , N/A , N/A , N/A ,$3.84 , N/A ,$3.80 ,$3.68 ,$4.14 ,$4.60 ,$3.91 , N/A ,$3.91 ,$3.91 ,$4.14 ,$4.14 ,$3.61 ,$3.80 , N/A ,$2.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412429,N/A,TIGAN AMP : 200MG/2ML,250,1 ,$16.00 ,$10.40 ,$10.40 ,$14.41 ,$12.80 , N/A ,$12.68 ,$14.41 ,$14.41 , N/A ,$13.60 ,$11.84 , N/A , N/A , N/A ,$13.34 , N/A ,$13.22 ,$12.80 ,$14.40 , N/A ,$13.60 , N/A ,$13.60 ,$13.60 ,$14.40 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412430,N/A,CHLOROTHIAZIDE (DIURIL) TAB : 500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412431,N/A,ENALAPRILAT IV INJ. : 1.25MG/ML,250,1 ,$13.04 ,$8.48 ,$8.48 ,$11.74 ,$10.43 , N/A ,$10.33 ,$11.74 ,$11.74 , N/A ,$11.08 ,$9.65 , N/A , N/A , N/A ,$10.88 , N/A ,$10.77 ,$10.43 ,$11.74 , N/A ,$11.08 , N/A ,$11.08 ,$11.08 ,$11.74 ,$11.74 ,$10.24 ,$10.77 , N/A ,$8.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412432,N/A,POLYVITAMIN (POLY-VI-SOL) DROPS : 50ML,637,1 ,$16.55 ,$10.76 ,$10.76 ,$16.55 ,$13.24 , N/A ,$13.11 ,$14.90 ,$14.90 , N/A ,$14.07 ,$12.25 , N/A , N/A , N/A ,$13.80 , N/A ,$13.67 ,$13.24 ,$14.90 ,$16.55 ,$14.07 , N/A ,$14.07 ,$14.07 ,$14.90 ,$14.90 ,$12.99 ,$13.67 , N/A ,$10.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412433,J9310,RITUXAN : PER 100MG,636,1 ,$800.05 ,$520.03 ,$520.03 ,$720.45 ,$640.04 , N/A ,$633.96 ,$720.45 ,$720.45 , N/A ,$680.04 ,$592.04 , N/A , N/A , N/A ,$667.24 , N/A ,$660.84 ,$640.04 ,$720.05 , N/A ,$680.04 , N/A ,$680.04 ,$680.04 ,$720.05 ,$720.05 ,$628.04 ,$660.84 , N/A ,$520.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412434,N/A,OLANZAPINE (ZYPREXA) TAB- 2.5MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412435,N/A,PREDNISONE TAB : 2.5MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412436,N/A,MIDODRINE TAB : 5MG,637,1 ,$7.95 ,$5.17 ,$5.17 ,$7.95 ,$6.36 , N/A ,$6.30 ,$7.16 ,$7.16 , N/A ,$6.76 ,$5.88 , N/A , N/A , N/A ,$6.63 , N/A ,$6.57 ,$6.36 ,$7.16 ,$7.95 ,$6.76 , N/A ,$6.76 ,$6.76 ,$7.16 ,$7.16 ,$6.24 ,$6.57 , N/A ,$5.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412437,N/A,LEVALBUTEROL (XOPENEX) 0.63MG/3ML HHN,637,1 ,$6.97 ,$4.53 ,$4.53 ,$6.97 ,$5.58 , N/A ,$5.52 ,$6.28 ,$6.28 , N/A ,$5.92 ,$5.16 , N/A , N/A , N/A ,$5.81 , N/A ,$5.76 ,$5.58 ,$6.27 ,$6.97 ,$5.92 , N/A ,$5.92 ,$5.92 ,$6.27 ,$6.27 ,$5.47 ,$5.76 , N/A ,$4.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412438,N/A,ROBITUSSIN PEDIATRIC COUGH AND COLD,637,1 ,$13.30 ,$8.65 ,$8.65 ,$13.30 ,$10.64 , N/A ,$10.54 ,$11.98 ,$11.98 , N/A ,$11.31 ,$9.84 , N/A , N/A , N/A ,$11.09 , N/A ,$10.99 ,$10.64 ,$11.97 ,$13.30 ,$11.31 , N/A ,$11.31 ,$11.31 ,$11.97 ,$11.97 ,$10.44 ,$10.99 , N/A ,$8.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412439,J1650,ENOXAPARIN (LOVENOX) SUBQ : (PER 10MG),636,1 ,$11.55 ,$7.51 ,$7.51 ,$10.40 ,$9.24 , N/A ,$9.15 ,$10.40 ,$10.40 , N/A ,$9.82 ,$8.55 , N/A , N/A , N/A ,$9.63 , N/A ,$9.54 ,$9.24 ,$10.40 , N/A ,$9.82 , N/A ,$9.82 ,$9.82 ,$10.40 ,$10.40 ,$9.07 ,$9.54 , N/A ,$7.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412440,N/A,NATEGLINIDE TAB 120MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412441,N/A,TRAZOdone TAB 150MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412442,N/A,EFUDEX CREAM 5%,637,1 ,$571.90 ,$371.74 ,$371.74 ,$571.90 ,$457.52 , N/A ,$453.17 ,$515.00 ,$515.00 , N/A ,$486.12 ,$423.21 , N/A , N/A , N/A ,$476.96 , N/A ,$472.39 ,$457.52 ,$514.71 ,$571.90 ,$486.12 , N/A ,$486.12 ,$486.12 ,$514.71 ,$514.71 ,$448.94 ,$472.39 , N/A ,$371.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412443,N/A,DESIPRAMINE TAB 50MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412444,N/A,MIRAPEX TAB : 0.25MG,637,1 ,$4.00 ,$2.60 ,$2.60 ,$4.00 ,$3.20 , N/A ,$3.17 ,$3.60 ,$3.60 , N/A ,$3.40 ,$2.96 , N/A , N/A , N/A ,$3.34 , N/A ,$3.30 ,$3.20 ,$3.60 ,$4.00 ,$3.40 , N/A ,$3.40 ,$3.40 ,$3.60 ,$3.60 ,$3.14 ,$3.30 , N/A ,$2.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412445,N/A,ZIAC 10MG (BISOPROLOL/6.25MG HCTZ) TAB,637,1 ,$3.60 ,$2.34 ,$2.34 ,$3.60 ,$2.88 , N/A ,$2.85 ,$3.24 ,$3.24 , N/A ,$3.06 ,$2.66 , N/A , N/A , N/A ,$3.00 , N/A ,$2.97 ,$2.88 ,$3.24 ,$3.60 ,$3.06 , N/A ,$3.06 ,$3.06 ,$3.24 ,$3.24 ,$2.83 ,$2.97 , N/A ,$2.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412446,N/A,PRANDIN TAB : 0.5MG,637,1 ,$3.20 ,$2.08 ,$2.08 ,$3.20 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 ,$3.20 ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412447,N/A,TEMAZEPAM CAP 30MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412448,N/A,ANBESOL MAXIMUM STRENGTH GEL,637,1 ,$19.61 ,$12.75 ,$12.75 ,$19.61 ,$15.69 , N/A ,$15.54 ,$17.66 ,$17.66 , N/A ,$16.67 ,$14.51 , N/A , N/A , N/A ,$16.35 , N/A ,$16.20 ,$15.69 ,$17.65 ,$19.61 ,$16.67 , N/A ,$16.67 ,$16.67 ,$17.65 ,$17.65 ,$15.39 ,$16.20 , N/A ,$12.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412449,N/A,"NYSTATIN POWDER 100,000 UNITS/GRAM",637,1 ,$133.81 ,$86.98 ,$86.98 ,$133.81 ,$107.05 , N/A ,$106.03 ,$120.50 ,$120.50 , N/A ,$113.74 ,$99.02 , N/A , N/A , N/A ,$111.60 , N/A ,$110.53 ,$107.05 ,$120.43 ,$133.81 ,$113.74 , N/A ,$113.74 ,$113.74 ,$120.43 ,$120.43 ,$105.04 ,$110.53 , N/A ,$86.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412450,N/A,PERPHENAZINE 2MG TABLET,637,1 ,$7.04 ,$4.58 ,$4.58 ,$7.04 ,$5.63 , N/A ,$5.58 ,$6.34 ,$6.34 , N/A ,$5.98 ,$5.21 , N/A , N/A , N/A ,$5.87 , N/A ,$5.82 ,$5.63 ,$6.34 ,$7.04 ,$5.98 , N/A ,$5.98 ,$5.98 ,$6.34 ,$6.34 ,$5.53 ,$5.82 , N/A ,$4.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412451,N/A,CHLOROTHIAZIDE (DIURIL) TAB : 250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412452,N/A,GABITRIL TAB : 2MG,637,1 ,$6.30 ,$4.10 ,$4.10 ,$6.30 ,$5.04 , N/A ,$4.99 ,$5.67 ,$5.67 , N/A ,$5.36 ,$4.66 , N/A , N/A , N/A ,$5.25 , N/A ,$5.20 ,$5.04 ,$5.67 ,$6.30 ,$5.36 , N/A ,$5.36 ,$5.36 ,$5.67 ,$5.67 ,$4.95 ,$5.20 , N/A ,$4.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412453,N/A,LISINOPRIL 10MG/HCTZ 12.5MG PATIENT OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412454,N/A,CARBAMAZEPINE ER CAPSULE : 100MG,637,1 ,$5.33 ,$3.46 ,$3.46 ,$5.33 ,$4.26 , N/A ,$4.22 ,$4.80 ,$4.80 , N/A ,$4.53 ,$3.94 , N/A , N/A , N/A ,$4.45 , N/A ,$4.40 ,$4.26 ,$4.80 ,$5.33 ,$4.53 , N/A ,$4.53 ,$4.53 ,$4.80 ,$4.80 ,$4.18 ,$4.40 , N/A ,$3.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412455,N/A,TOPROL XL TABLET : 25MG,637,1 ,$2.40 ,$1.56 ,$1.56 ,$2.40 ,$1.92 , N/A ,$1.90 ,$2.16 ,$2.16 , N/A ,$2.04 ,$1.78 , N/A , N/A , N/A ,$2.00 , N/A ,$1.98 ,$1.92 ,$2.16 ,$2.40 ,$2.04 , N/A ,$2.04 ,$2.04 ,$2.16 ,$2.16 ,$1.88 ,$1.98 , N/A ,$1.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412456,J2770,SYNERCID IV : 500MG (FLUSH WITH D5W),636,1 ,$192.95 ,$125.42 ,$125.42 ,"$1,142.20 ",$154.36 ,$456.88 ,$152.89 ,$173.75 ,$173.75 ,$868.07 ,$164.01 ,$142.78 ,"$1,142.20 ",$456.88 , N/A ,$160.92 ,$456.88 ,$159.38 ,$154.36 ,$173.66 ,$192.95 ,$164.01 ,$192.95 ,$164.01 ,$164.01 ,$173.66 ,$173.66 ,$151.47 ,$159.38 ,$192.95 ,$125.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412457,N/A,BSS (FOR THE EYE) : 500ML,250,1 ,$76.40 ,$49.66 ,$49.66 ,$68.80 ,$61.12 , N/A ,$60.54 ,$68.80 ,$68.80 , N/A ,$64.94 ,$56.54 , N/A , N/A , N/A ,$63.72 , N/A ,$63.11 ,$61.12 ,$68.76 , N/A ,$64.94 , N/A ,$64.94 ,$64.94 ,$68.76 ,$68.76 ,$59.97 ,$63.11 , N/A ,$49.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412458,N/A,PHENYLEPHRINE HCL 2.5% EYE DROPS : 5ML,637,1 ,$13.05 ,$8.48 ,$8.48 ,$13.05 ,$10.44 , N/A ,$10.34 ,$11.75 ,$11.75 , N/A ,$11.09 ,$9.66 , N/A , N/A , N/A ,$10.88 , N/A ,$10.78 ,$10.44 ,$11.75 ,$13.05 ,$11.09 , N/A ,$11.09 ,$11.09 ,$11.75 ,$11.75 ,$10.24 ,$10.78 , N/A ,$8.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412459,N/A,OFLOXACIN 0.3% EYE DROPS : 5ML,637,1 ,$132.85 ,$86.35 ,$86.35 ,$132.85 ,$106.28 , N/A ,$105.27 ,$119.63 ,$119.63 , N/A ,$112.92 ,$98.31 , N/A , N/A , N/A ,$110.80 , N/A ,$109.73 ,$106.28 ,$119.57 ,$132.85 ,$112.92 , N/A ,$112.92 ,$112.92 ,$119.57 ,$119.57 ,$104.29 ,$109.73 , N/A ,$86.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412460,N/A,TROPICAMIDE 1% EYE DROPS : 3ML,637,1 ,$50.01 ,$32.51 ,$32.51 ,$50.01 ,$40.01 , N/A ,$39.63 ,$45.03 ,$45.03 , N/A ,$42.51 ,$37.01 , N/A , N/A , N/A ,$41.71 , N/A ,$41.31 ,$40.01 ,$45.01 ,$50.01 ,$42.51 , N/A ,$42.51 ,$42.51 ,$45.01 ,$45.01 ,$39.26 ,$41.31 , N/A ,$32.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412461,N/A,PHENYLEPHRINE HCL 10% EYE DROPS : 5ML,637,1 ,$142.88 ,$92.87 ,$92.87 ,$142.88 ,$114.30 , N/A ,$113.22 ,$128.66 ,$128.66 , N/A ,$121.45 ,$105.73 , N/A , N/A , N/A ,$119.16 , N/A ,$118.02 ,$114.30 ,$128.59 ,$142.88 ,$121.45 , N/A ,$121.45 ,$121.45 ,$128.59 ,$128.59 ,$112.16 ,$118.02 , N/A ,$92.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412462,N/A,MIOSTAT 0.01% EYE DROPS : 1.5ML,637,1 ,$109.43 ,$71.13 ,$71.13 ,$109.43 ,$87.54 , N/A ,$86.71 ,$98.54 ,$98.54 , N/A ,$93.02 ,$80.98 , N/A , N/A , N/A ,$91.26 , N/A ,$90.39 ,$87.54 ,$98.49 ,$109.43 ,$93.02 , N/A ,$93.02 ,$93.02 ,$98.49 ,$98.49 ,$85.90 ,$90.39 , N/A ,$71.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412463,N/A,OXYCONTIN : 20MG,637,1 ,$8.85 ,$5.75 ,$5.75 ,$8.85 ,$7.08 , N/A ,$7.01 ,$7.97 ,$7.97 , N/A ,$7.52 ,$6.55 , N/A , N/A , N/A ,$7.38 , N/A ,$7.31 ,$7.08 ,$7.97 ,$8.85 ,$7.52 , N/A ,$7.52 ,$7.52 ,$7.97 ,$7.97 ,$6.95 ,$7.31 , N/A ,$5.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412464,N/A,BENAZEPRIL TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412465,N/A,CILOSTAZOL (PLETAL) TAB 100MG,637,1 ,$8.04 ,$5.23 ,$5.23 ,$8.04 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 ,$8.04 ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412466,N/A,ACYCLOVIR SUSP 200MG/5ML : PER 30ML,637,1 ,$21.90 ,$14.24 ,$14.24 ,$21.90 ,$17.52 , N/A ,$17.35 ,$19.72 ,$19.72 , N/A ,$18.62 ,$16.21 , N/A , N/A , N/A ,$18.26 , N/A ,$18.09 ,$17.52 ,$19.71 ,$21.90 ,$18.62 , N/A ,$18.62 ,$18.62 ,$19.71 ,$19.71 ,$17.19 ,$18.09 , N/A ,$14.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412467,N/A,TRIMETHOPRIM (TRIMPEX) TAB : 100MG,637,1 ,$3.50 ,$2.28 ,$2.28 ,$3.50 ,$2.80 , N/A ,$2.77 ,$3.15 ,$3.15 , N/A ,$2.98 ,$2.59 , N/A , N/A , N/A ,$2.92 , N/A ,$2.89 ,$2.80 ,$3.15 ,$3.50 ,$2.98 , N/A ,$2.98 ,$2.98 ,$3.15 ,$3.15 ,$2.75 ,$2.89 , N/A ,$2.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412468,N/A,GLYburIDE 1.25MG/METFORMIN 250MG TAB,637,1 ,$2.60 ,$1.69 ,$1.69 ,$2.60 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 ,$2.60 ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412469,N/A,FENOFIBRATE CAP 134MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412470,N/A,PROCHLORPERAZINE (COMPAZINE) TAB : 10MG,637,1 ,$3.29 ,$2.14 ,$2.14 ,$3.29 ,$2.63 , N/A ,$2.61 ,$2.96 ,$2.96 , N/A ,$2.80 ,$2.43 , N/A , N/A , N/A ,$2.74 , N/A ,$2.72 ,$2.63 ,$2.96 ,$3.29 ,$2.80 , N/A ,$2.80 ,$2.80 ,$2.96 ,$2.96 ,$2.58 ,$2.72 , N/A ,$2.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412471,N/A,VANCENASE AQ DOUBLE STRENGTH : 84MCG,637,1 ,$153.00 ,$99.45 ,$99.45 ,$153.00 ,$122.40 , N/A ,$121.24 ,$137.78 ,$137.78 , N/A ,$130.05 ,$113.22 , N/A , N/A , N/A ,$127.60 , N/A ,$126.38 ,$122.40 ,$137.70 ,$153.00 ,$130.05 , N/A ,$130.05 ,$130.05 ,$137.70 ,$137.70 ,$120.11 ,$126.38 , N/A ,$99.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412472,N/A,OXYcodone (OXYIR) TAB : 5MG,637,1 ,$1.98 ,$1.29 ,$1.29 ,$1.98 ,$1.58 , N/A ,$1.57 ,$1.78 ,$1.78 , N/A ,$1.68 ,$1.47 , N/A , N/A , N/A ,$1.65 , N/A ,$1.64 ,$1.58 ,$1.78 ,$1.98 ,$1.68 , N/A ,$1.68 ,$1.68 ,$1.78 ,$1.78 ,$1.55 ,$1.64 , N/A ,$1.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412473,N/A,BUSPIRONE TAB 7.5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412474,N/A,SULAR TAB : 20MG,637,1 ,$3.80 ,$2.47 ,$2.47 ,$3.80 ,$3.04 , N/A ,$3.01 ,$3.42 ,$3.42 , N/A ,$3.23 ,$2.81 , N/A , N/A , N/A ,$3.17 , N/A ,$3.14 ,$3.04 ,$3.42 ,$3.80 ,$3.23 , N/A ,$3.23 ,$3.23 ,$3.42 ,$3.42 ,$2.98 ,$3.14 , N/A ,$2.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412475,N/A,KLOR-CON 8 (POTASSIUM) TAB : 8 MEQ,637,1 ,$1.55 ,$1.01 ,$1.01 ,$1.55 ,$1.24 , N/A ,$1.23 ,$1.40 ,$1.40 , N/A ,$1.32 ,$1.15 , N/A , N/A , N/A ,$1.29 , N/A ,$1.28 ,$1.24 ,$1.40 ,$1.55 ,$1.32 , N/A ,$1.32 ,$1.32 ,$1.40 ,$1.40 ,$1.22 ,$1.28 , N/A ,$1.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412476,N/A,NF-PHENYTOIN ER CAP 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412477,N/A,BETHANECHOL (URECHOLINE) TAB : 25MG,637,1 ,$6.35 ,$4.13 ,$4.13 ,$6.35 ,$5.08 , N/A ,$5.03 ,$5.72 ,$5.72 , N/A ,$5.40 ,$4.70 , N/A , N/A , N/A ,$5.30 , N/A ,$5.25 ,$5.08 ,$5.72 ,$6.35 ,$5.40 , N/A ,$5.40 ,$5.40 ,$5.72 ,$5.72 ,$4.98 ,$5.25 , N/A ,$4.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412478,N/A,ALENDRONATE TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412479,N/A,POTASSIUM (EFFERVESCENT) 25MEQ TAB,637,1 ,$3.74 ,$2.43 ,$2.43 ,$3.74 ,$2.99 , N/A ,$2.96 ,$3.37 ,$3.37 , N/A ,$3.18 ,$2.77 , N/A , N/A , N/A ,$3.12 , N/A ,$3.09 ,$2.99 ,$3.37 ,$3.74 ,$3.18 , N/A ,$3.18 ,$3.18 ,$3.37 ,$3.37 ,$2.94 ,$3.09 , N/A ,$2.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412480,N/A,LOTRISONE (CLOTRIMAZOLE/BETAMETHASONE),637,1 ,$72.05 ,$46.83 ,$46.83 ,$72.05 ,$57.64 , N/A ,$57.09 ,$64.88 ,$64.88 , N/A ,$61.24 ,$53.32 , N/A , N/A , N/A ,$60.09 , N/A ,$59.51 ,$57.64 ,$64.85 ,$72.05 ,$61.24 , N/A ,$61.24 ,$61.24 ,$64.85 ,$64.85 ,$56.56 ,$59.51 , N/A ,$46.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412481,N/A,QUETIAPINE (SEROQUEL) TAB : 100MG,637,1 ,$23.08 ,$15.00 ,$15.00 ,$23.08 ,$18.46 , N/A ,$18.29 ,$20.78 ,$20.78 , N/A ,$19.62 ,$17.08 , N/A , N/A , N/A ,$19.25 , N/A ,$19.06 ,$18.46 ,$20.77 ,$23.08 ,$19.62 , N/A ,$19.62 ,$19.62 ,$20.77 ,$20.77 ,$18.12 ,$19.06 , N/A ,$15.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412482,N/A,CLARITIN SYRUP 1MG/ML : PER 30ML,637,1 ,$35.60 ,$23.14 ,$23.14 ,$35.60 ,$28.48 , N/A ,$28.21 ,$32.06 ,$32.06 , N/A ,$30.26 ,$26.34 , N/A , N/A , N/A ,$29.69 , N/A ,$29.41 ,$28.48 ,$32.04 ,$35.60 ,$30.26 , N/A ,$30.26 ,$30.26 ,$32.04 ,$32.04 ,$27.95 ,$29.41 , N/A ,$23.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412483,N/A,PINDOLOL TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412484,N/A,MOEXIPRIL (UNIVASC) TAB : 7.5MG,637,1 ,$4.40 ,$2.86 ,$2.86 ,$4.40 ,$3.52 , N/A ,$3.49 ,$3.96 ,$3.96 , N/A ,$3.74 ,$3.26 , N/A , N/A , N/A ,$3.67 , N/A ,$3.63 ,$3.52 ,$3.96 ,$4.40 ,$3.74 , N/A ,$3.74 ,$3.74 ,$3.96 ,$3.96 ,$3.45 ,$3.63 , N/A ,$2.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412485,N/A,METHAZOLAMIDE TAB : 50MG,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412486,N/A,MAXALT TAB : 10MG,637,1 ,$53.95 ,$35.07 ,$35.07 ,$53.95 ,$43.16 , N/A ,$42.75 ,$48.58 ,$48.58 , N/A ,$45.86 ,$39.92 , N/A , N/A , N/A ,$44.99 , N/A ,$44.56 ,$43.16 ,$48.56 ,$53.95 ,$45.86 , N/A ,$45.86 ,$45.86 ,$48.56 ,$48.56 ,$42.35 ,$44.56 , N/A ,$35.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412487,N/A,LANTUS INSULIN PATIENTS OWN MED,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412488,N/A,NF-MORPHINE ER TAB 100MG,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412489,J1245,PERSANTINE (DIPYRIDAMOLE) IV : 2ML,636,1 ,$17.40 ,$11.31 ,$11.31 ,$15.67 ,$13.92 , N/A ,$13.79 ,$15.67 ,$15.67 , N/A ,$14.79 ,$12.88 , N/A , N/A , N/A ,$14.51 , N/A ,$14.37 ,$13.92 ,$15.66 , N/A ,$14.79 , N/A ,$14.79 ,$14.79 ,$15.66 ,$15.66 ,$13.66 ,$14.37 , N/A ,$11.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412490,N/A,SET (PEDIATIC MEASURED VOLUME SOLUTION),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412491,N/A,SET (VENTED PUMP),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412492,J9060,CISPLATIN AQ : PER 10MG,636,1 ,$93.25 ,$60.61 ,$60.61 ,$83.97 ,$74.60 , N/A ,$73.89 ,$83.97 ,$83.97 , N/A ,$79.26 ,$69.01 , N/A , N/A , N/A ,$77.77 , N/A ,$77.02 ,$74.60 ,$83.93 , N/A ,$79.26 , N/A ,$79.26 ,$79.26 ,$83.93 ,$83.93 ,$73.20 ,$77.02 , N/A ,$60.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412493,N/A,CORTENEMA (HYDROCORTISONE) ENEMA : 60ML,637,1 ,$38.20 ,$24.83 ,$24.83 ,$38.20 ,$30.56 , N/A ,$30.27 ,$34.40 ,$34.40 , N/A ,$32.47 ,$28.27 , N/A , N/A , N/A ,$31.86 , N/A ,$31.55 ,$30.56 ,$34.38 ,$38.20 ,$32.47 , N/A ,$32.47 ,$32.47 ,$34.38 ,$34.38 ,$29.99 ,$31.55 , N/A ,$24.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412494,N/A,DEMECLOCYCLINE TAB : 150MG,637,1 ,$29.60 ,$19.24 ,$19.24 ,$29.60 ,$23.68 , N/A ,$23.46 ,$26.65 ,$26.65 , N/A ,$25.16 ,$21.90 , N/A , N/A , N/A ,$24.69 , N/A ,$24.45 ,$23.68 ,$26.64 ,$29.60 ,$25.16 , N/A ,$25.16 ,$25.16 ,$26.64 ,$26.64 ,$23.24 ,$24.45 , N/A ,$19.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412495,N/A,GEODON CAP : 20MG,637,1 ,$13.55 ,$8.81 ,$8.81 ,$13.55 ,$10.84 , N/A ,$10.74 ,$12.20 ,$12.20 , N/A ,$11.52 ,$10.03 , N/A , N/A , N/A ,$11.30 , N/A ,$11.19 ,$10.84 ,$12.20 ,$13.55 ,$11.52 , N/A ,$11.52 ,$11.52 ,$12.20 ,$12.20 ,$10.64 ,$11.19 , N/A ,$8.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412496,N/A,RENAGEL TAB : 800MG,637,1 ,$4.35 ,$2.83 ,$2.83 ,$4.35 ,$3.48 , N/A ,$3.45 ,$3.92 ,$3.92 , N/A ,$3.70 ,$3.22 , N/A , N/A , N/A ,$3.63 , N/A ,$3.59 ,$3.48 ,$3.92 ,$4.35 ,$3.70 , N/A ,$3.70 ,$3.70 ,$3.92 ,$3.92 ,$3.41 ,$3.59 , N/A ,$2.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412497,N/A,ATACAND TAB 8MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412498,N/A,SERZONE TABLET : 250MG,637,1 ,$5.45 ,$3.54 ,$3.54 ,$5.45 ,$4.36 , N/A ,$4.32 ,$4.91 ,$4.91 , N/A ,$4.63 ,$4.03 , N/A , N/A , N/A ,$4.55 , N/A ,$4.50 ,$4.36 ,$4.91 ,$5.45 ,$4.63 , N/A ,$4.63 ,$4.63 ,$4.91 ,$4.91 ,$4.28 ,$4.50 , N/A ,$3.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412499,C9113,PANTOPRAZOLE (PROTONIX) 40MG IV PUSH,636,1 ,$30.37 ,$19.74 ,$19.74 ,$27.35 ,$24.30 , N/A ,$24.07 ,$27.35 ,$27.35 , N/A ,$25.81 ,$22.47 , N/A , N/A , N/A ,$25.33 , N/A ,$25.09 ,$24.30 ,$27.33 , N/A ,$25.81 , N/A ,$25.81 ,$25.81 ,$27.33 ,$27.33 ,$23.84 ,$25.09 , N/A ,$19.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412500,N/A,NITROGLYCERIN ER CAP : 2.5MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412501,N/A,VITAMIN B COMPLEX CAPSULE,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412502,N/A,PROVIGIL TAB : 100MG,637,1 ,$13.65 ,$8.87 ,$8.87 ,$13.65 ,$10.92 , N/A ,$10.82 ,$12.29 ,$12.29 , N/A ,$11.60 ,$10.10 , N/A , N/A , N/A ,$11.38 , N/A ,$11.27 ,$10.92 ,$12.29 ,$13.65 ,$11.60 , N/A ,$11.60 ,$11.60 ,$12.29 ,$12.29 ,$10.72 ,$11.27 , N/A ,$8.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412503,N/A,TOPIRAMATE (TOPAMAX) TAB : 100MG,637,1 ,$22.17 ,$14.41 ,$14.41 ,$22.17 ,$17.74 , N/A ,$17.57 ,$19.96 ,$19.96 , N/A ,$18.84 ,$16.41 , N/A , N/A , N/A ,$18.49 , N/A ,$18.31 ,$17.74 ,$19.95 ,$22.17 ,$18.84 , N/A ,$18.84 ,$18.84 ,$19.95 ,$19.95 ,$17.40 ,$18.31 , N/A ,$14.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412504,N/A,ERYTHROMYCIN (EES) SUSP.:400MG/5ML 100ML,637,1 ,$27.05 ,$17.58 ,$17.58 ,$27.05 ,$21.64 , N/A ,$21.43 ,$24.36 ,$24.36 , N/A ,$22.99 ,$20.02 , N/A , N/A , N/A ,$22.56 , N/A ,$22.34 ,$21.64 ,$24.35 ,$27.05 ,$22.99 , N/A ,$22.99 ,$22.99 ,$24.35 ,$24.35 ,$21.23 ,$22.34 , N/A ,$17.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412505,N/A,DILTIAZEM ER 90MG 12HR PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412506,N/A,MANNITOL 20% IVPB : 500ML,250,1 ,$64.35 ,$41.83 ,$41.83 ,$57.95 ,$51.48 , N/A ,$50.99 ,$57.95 ,$57.95 , N/A ,$54.70 ,$47.62 , N/A , N/A , N/A ,$53.67 , N/A ,$53.15 ,$51.48 ,$57.92 , N/A ,$54.70 , N/A ,$54.70 ,$54.70 ,$57.92 ,$57.92 ,$50.51 ,$53.15 , N/A ,$41.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412507,J9214,PEG-INTRON : 100MCG (CHARGE FOR 100 !!),636,1 ,$6.40 ,$4.16 ,$4.16 ,$84.40 ,$5.12 ,$33.76 ,$5.07 ,$5.76 ,$5.76 ,$64.14 ,$5.44 ,$4.74 ,$84.40 ,$33.76 , N/A ,$5.34 ,$33.76 ,$5.29 ,$5.12 ,$5.76 ,$6.40 ,$5.44 ,$6.40 ,$5.44 ,$5.44 ,$5.76 ,$5.76 ,$5.02 ,$5.29 ,$6.40 ,$4.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412508,N/A,VERSED (MIDAZOLAM) 1MG/ML : 2ML GENERIC,250,1 ,$12.70 ,$8.26 ,$8.26 ,$11.44 ,$10.16 , N/A ,$10.06 ,$11.44 ,$11.44 , N/A ,$10.80 ,$9.40 , N/A , N/A , N/A ,$10.59 , N/A ,$10.49 ,$10.16 ,$11.43 , N/A ,$10.80 , N/A ,$10.80 ,$10.80 ,$11.43 ,$11.43 ,$9.97 ,$10.49 , N/A ,$8.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412509,N/A,CAPSAICIN (ZOSTRIX) CREAM 0.025%,637,1 ,$31.35 ,$20.38 ,$20.38 ,$31.35 ,$25.08 , N/A ,$24.84 ,$28.23 ,$28.23 , N/A ,$26.65 ,$23.20 , N/A , N/A , N/A ,$26.15 , N/A ,$25.90 ,$25.08 ,$28.22 ,$31.35 ,$26.65 , N/A ,$26.65 ,$26.65 ,$28.22 ,$28.22 ,$24.61 ,$25.90 , N/A ,$20.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412510,N/A,POTASSIUM (KDUR/KLORCON M20) : 20MEQ,637,1 ,$1.85 ,$1.20 ,$1.20 ,$1.85 ,$1.48 , N/A ,$1.47 ,$1.67 ,$1.67 , N/A ,$1.57 ,$1.37 , N/A , N/A , N/A ,$1.54 , N/A ,$1.53 ,$1.48 ,$1.67 ,$1.85 ,$1.57 , N/A ,$1.57 ,$1.57 ,$1.67 ,$1.67 ,$1.45 ,$1.53 , N/A ,$1.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412511,J3250,TRIMETHOBENZAMIDE (TIGAN) IM : 200MG/2ML,636,1 ,$80.20 ,$52.13 ,$52.13 ,$72.22 ,$64.16 , N/A ,$63.55 ,$72.22 ,$72.22 , N/A ,$68.17 ,$59.35 , N/A , N/A , N/A ,$66.89 , N/A ,$66.25 ,$64.16 ,$72.18 , N/A ,$68.17 , N/A ,$68.17 ,$68.17 ,$72.18 ,$72.18 ,$62.96 ,$66.25 , N/A ,$52.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412512,N/A,CARISOPRODOL COMPOUND TAB,637,1 ,$6.30 ,$4.10 ,$4.10 ,$6.30 ,$5.04 , N/A ,$4.99 ,$5.67 ,$5.67 , N/A ,$5.36 ,$4.66 , N/A , N/A , N/A ,$5.25 , N/A ,$5.20 ,$5.04 ,$5.67 ,$6.30 ,$5.36 , N/A ,$5.36 ,$5.36 ,$5.67 ,$5.67 ,$4.95 ,$5.20 , N/A ,$4.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412513,N/A,METHAZOLAMIDE TAB : 25MG,637,1 ,$4.30 ,$2.80 ,$2.80 ,$4.30 ,$3.44 , N/A ,$3.41 ,$3.87 ,$3.87 , N/A ,$3.66 ,$3.18 , N/A , N/A , N/A ,$3.59 , N/A ,$3.55 ,$3.44 ,$3.87 ,$4.30 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.87 ,$3.87 ,$3.38 ,$3.55 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412514,N/A,REGRANEX 0.01% GEL,637,1 ,$853.05 ,$554.48 ,$554.48 ,$853.05 ,$682.44 , N/A ,$675.96 ,$768.17 ,$768.17 , N/A ,$725.09 ,$631.26 , N/A , N/A , N/A ,$711.44 , N/A ,$704.62 ,$682.44 ,$767.75 ,$853.05 ,$725.09 , N/A ,$725.09 ,$725.09 ,$767.75 ,$767.75 ,$669.64 ,$704.62 , N/A ,$554.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412515,N/A,PEG-INTRON : 80MCG/0.5ML,250,1 ,$620.05 ,$403.03 ,$403.03 ,$558.36 ,$496.04 , N/A ,$491.33 ,$558.36 ,$558.36 , N/A ,$527.04 ,$458.84 , N/A , N/A , N/A ,$517.12 , N/A ,$512.16 ,$496.04 ,$558.05 , N/A ,$527.04 , N/A ,$527.04 ,$527.04 ,$558.05 ,$558.05 ,$486.74 ,$512.16 , N/A ,$403.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412516,N/A,TAXOL (ONXOL) VIAL : 30MG/5ML (PER 30MG),636,1 ,$362.75 ,$235.79 ,$235.79 ,$326.66 ,$290.20 , N/A ,$287.44 ,$326.66 ,$326.66 , N/A ,$308.34 ,$268.44 , N/A , N/A , N/A ,$302.53 , N/A ,$299.63 ,$290.20 ,$326.48 , N/A ,$308.34 , N/A ,$308.34 ,$308.34 ,$326.48 ,$326.48 ,$284.76 ,$299.63 , N/A ,$235.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412517,J7517,MYCOPHENOLATE CAP 250MG PATIENTS OWN MED,636,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412518,N/A,PEG-INTRON : 118MCG/0.74ML (160MCG VIAL),250,1 ,$551.95 ,$358.77 ,$358.77 ,$497.03 ,$441.56 , N/A ,$437.37 ,$497.03 ,$497.03 , N/A ,$469.16 ,$408.44 , N/A , N/A , N/A ,$460.33 , N/A ,$455.91 ,$441.56 ,$496.76 , N/A ,$469.16 , N/A ,$469.16 ,$469.16 ,$496.76 ,$496.76 ,$433.28 ,$455.91 , N/A ,$358.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412519,J0881,ARANESP SUBQ VIAL : 200 MCG,636,1 ,"$2,223.35 ","$1,445.18 ",$3.20 ,"$2,002.13 ","$1,778.68 ",$3.20 ,"$1,761.78 ","$2,002.13 ","$2,002.13 ",$6.07 ,"$1,889.85 ","$1,645.28 ",$7.99 ,$3.20 , N/A ,"$1,854.27 ",$3.20 ,"$1,836.49 ","$1,778.68 ","$2,001.02 ",$7.99 ,"$1,889.85 ",$3.20 ,"$1,889.85 ","$1,889.85 ","$2,001.02 ","$2,001.02 ","$1,745.33 ","$1,836.49 ",$3.20 ,"$1,445.18 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412520,J0882,ARANESP SUBQ VIAL : 100MCG ESRD DANIELS,636,1 ,"$1,111.70 ",$722.61 ,$3.20 ,"$1,001.09 ",$889.36 ,$3.20 ,$880.91 ,"$1,001.09 ","$1,001.09 ",$6.07 ,$944.95 ,$822.66 ,$7.99 ,$3.20 , N/A ,$927.16 ,$3.20 ,$918.26 ,$889.36 ,"$1,000.53 ",$7.99 ,$944.95 ,$3.20 ,$944.95 ,$944.95 ,"$1,000.53 ","$1,000.53 ",$872.68 ,$918.26 ,$3.20 ,$722.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412521,N/A,METforMIN ER (GLUCOPHAGE XR) TAB : 500MG,637,1 ,$4.55 ,$2.96 ,$2.96 ,$4.55 ,$3.64 , N/A ,$3.61 ,$4.10 ,$4.10 , N/A ,$3.87 ,$3.37 , N/A , N/A , N/A ,$3.79 , N/A ,$3.76 ,$3.64 ,$4.10 ,$4.55 ,$3.87 , N/A ,$3.87 ,$3.87 ,$4.10 ,$4.10 ,$3.57 ,$3.76 , N/A ,$2.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412522,N/A,VIOXX TABLET : 25MG,637,1 ,$9.10 ,$5.92 ,$5.92 ,$9.10 ,$7.28 , N/A ,$7.21 ,$8.19 ,$8.19 , N/A ,$7.74 ,$6.73 , N/A , N/A , N/A ,$7.59 , N/A ,$7.52 ,$7.28 ,$8.19 ,$9.10 ,$7.74 , N/A ,$7.74 ,$7.74 ,$8.19 ,$8.19 ,$7.14 ,$7.52 , N/A ,$5.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412523,N/A,NOVANTRONE : 25MG/12.5ML,250,1 ,"$1,974.20 ","$1,283.23 ","$1,283.23 ","$1,777.77 ","$1,579.36 ", N/A ,"$1,564.36 ","$1,777.77 ","$1,777.77 ", N/A ,"$1,678.07 ","$1,460.91 ", N/A , N/A , N/A ,"$1,646.48 ", N/A ,"$1,630.69 ","$1,579.36 ","$1,776.78 ", N/A ,"$1,678.07 ", N/A ,"$1,678.07 ","$1,678.07 ","$1,776.78 ","$1,776.78 ","$1,549.75 ","$1,630.69 ", N/A ,"$1,283.23 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412524,N/A,LIDOCAINE 1% AMP : 5ML,250,1 ,$8.00 ,$5.20 ,$5.20 ,$7.20 ,$6.40 , N/A ,$6.34 ,$7.20 ,$7.20 , N/A ,$6.80 ,$5.92 , N/A , N/A , N/A ,$6.67 , N/A ,$6.61 ,$6.40 ,$7.20 , N/A ,$6.80 , N/A ,$6.80 ,$6.80 ,$7.20 ,$7.20 ,$6.28 ,$6.61 , N/A ,$5.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412525,N/A,SIMVASTATIN (ZOCOR) TAB : 40MG,637,1 ,$15.50 ,$10.08 ,$10.08 ,$15.50 ,$12.40 , N/A ,$12.28 ,$13.96 ,$13.96 , N/A ,$13.18 ,$11.47 , N/A , N/A , N/A ,$12.93 , N/A ,$12.80 ,$12.40 ,$13.95 ,$15.50 ,$13.18 , N/A ,$13.18 ,$13.18 ,$13.95 ,$13.95 ,$12.17 ,$12.80 , N/A ,$10.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412526,N/A,CLONAZEpam (KLONOPIN) TABLET : 1MG,637,1 ,$2.70 ,$1.76 ,$1.76 ,$2.70 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 ,$2.70 ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412527,N/A,EFFEXOR XR : 75MG,637,1 ,$9.00 ,$5.85 ,$5.85 ,$9.00 ,$7.20 , N/A ,$7.13 ,$8.10 ,$8.10 , N/A ,$7.65 ,$6.66 , N/A , N/A , N/A ,$7.51 , N/A ,$7.43 ,$7.20 ,$8.10 ,$9.00 ,$7.65 , N/A ,$7.65 ,$7.65 ,$8.10 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412528,N/A,TOLTERODINE ER CAP 4MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412529,J3535,ADVAIR DISKUS 250-50,637,1 ,$440.84 ,$286.55 ,$286.55 ,$440.84 ,$352.67 , N/A ,$349.32 ,$396.98 ,$396.98 , N/A ,$374.71 ,$326.22 , N/A , N/A , N/A ,$367.66 , N/A ,$364.13 ,$352.67 ,$396.76 ,$440.84 ,$374.71 , N/A ,$374.71 ,$374.71 ,$396.76 ,$396.76 ,$346.06 ,$364.13 , N/A ,$286.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412530,N/A,CLARITIN-D 24 HOUR TAB,637,1 ,$11.50 ,$7.48 ,$7.48 ,$11.50 ,$9.20 , N/A ,$9.11 ,$10.36 ,$10.36 , N/A ,$9.78 ,$8.51 , N/A , N/A , N/A ,$9.59 , N/A ,$9.50 ,$9.20 ,$10.35 ,$11.50 ,$9.78 , N/A ,$9.78 ,$9.78 ,$10.35 ,$10.35 ,$9.03 ,$9.50 , N/A ,$7.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412531,N/A,QUININE (LEG CRAMPS) CAP : 324MG,637,1 ,$17.80 ,$11.57 ,$11.57 ,$17.80 ,$14.24 , N/A ,$14.10 ,$16.03 ,$16.03 , N/A ,$15.13 ,$13.17 , N/A , N/A , N/A ,$14.85 , N/A ,$14.70 ,$14.24 ,$16.02 ,$17.80 ,$15.13 , N/A ,$15.13 ,$15.13 ,$16.02 ,$16.02 ,$13.97 ,$14.70 , N/A ,$11.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412532,N/A,PRAMIPEXOLE (MIRAPEX) TAB : 0.125MG,637,1 ,$2.40 ,$1.56 ,$1.56 ,$2.40 ,$1.92 , N/A ,$1.90 ,$2.16 ,$2.16 , N/A ,$2.04 ,$1.78 , N/A , N/A , N/A ,$2.00 , N/A ,$1.98 ,$1.92 ,$2.16 ,$2.40 ,$2.04 , N/A ,$2.04 ,$2.04 ,$2.16 ,$2.16 ,$1.88 ,$1.98 , N/A ,$1.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412533,N/A,LEFLUNOMIDE (ARAVA) TAB : 20MG,637,1 ,$21.78 ,$14.16 ,$14.16 ,$21.78 ,$17.42 , N/A ,$17.26 ,$19.61 ,$19.61 , N/A ,$18.51 ,$16.12 , N/A , N/A , N/A ,$18.16 , N/A ,$17.99 ,$17.42 ,$19.60 ,$21.78 ,$18.51 , N/A ,$18.51 ,$18.51 ,$19.60 ,$19.60 ,$17.10 ,$17.99 , N/A ,$14.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412534,N/A,CHLORASEPTIC SORE THROAT LOZENGE,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412535,N/A,MEGESTROL (MEGACE) 40MG/ML : PER 120ML,637,1 ,$190.75 ,$123.99 ,$123.99 ,$190.75 ,$152.60 , N/A ,$151.15 ,$171.77 ,$171.77 , N/A ,$162.14 ,$141.16 , N/A , N/A , N/A ,$159.09 , N/A ,$157.56 ,$152.60 ,$171.68 ,$190.75 ,$162.14 , N/A ,$162.14 ,$162.14 ,$171.68 ,$171.68 ,$149.74 ,$157.56 , N/A ,$123.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412536,N/A,TRAMadol 37.5MG/APAP 325MG TAB PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412537,N/A,DYNACIRC CR (ISRADIPINE) TAB : 5MG,637,1 ,$4.55 ,$2.96 ,$2.96 ,$4.55 ,$3.64 , N/A ,$3.61 ,$4.10 ,$4.10 , N/A ,$3.87 ,$3.37 , N/A , N/A , N/A ,$3.79 , N/A ,$3.76 ,$3.64 ,$4.10 ,$4.55 ,$3.87 , N/A ,$3.87 ,$3.87 ,$4.10 ,$4.10 ,$3.57 ,$3.76 , N/A ,$2.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412538,N/A,OXCARBAZEPINE (TRILEPTAL) TAB : 150MG,637,1 ,$5.44 ,$3.54 ,$3.54 ,$5.44 ,$4.35 , N/A ,$4.31 ,$4.90 ,$4.90 , N/A ,$4.62 ,$4.03 , N/A , N/A , N/A ,$4.54 , N/A ,$4.49 ,$4.35 ,$4.90 ,$5.44 ,$4.62 , N/A ,$4.62 ,$4.62 ,$4.90 ,$4.90 ,$4.27 ,$4.49 , N/A ,$3.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412539,N/A,MELOXICAM (MOBIC) TAB : 7.5MG,637,1 ,$11.34 ,$7.37 ,$7.37 ,$11.34 ,$9.07 , N/A ,$8.99 ,$10.21 ,$10.21 , N/A ,$9.64 ,$8.39 , N/A , N/A , N/A ,$9.46 , N/A ,$9.37 ,$9.07 ,$10.21 ,$11.34 ,$9.64 , N/A ,$9.64 ,$9.64 ,$10.21 ,$10.21 ,$8.90 ,$9.37 , N/A ,$7.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412540,J2820,LEUKINE 500MCG/ML : PER 50MCG,636,1 ,$48.95 ,$31.82 ,$31.82 ,$123.78 ,$39.16 ,$49.51 ,$38.79 ,$44.08 ,$44.08 ,$94.07 ,$41.61 ,$36.22 ,$123.78 ,$49.51 , N/A ,$40.82 ,$49.51 ,$40.43 ,$39.16 ,$44.06 ,$48.95 ,$41.61 ,$48.95 ,$41.61 ,$41.61 ,$44.06 ,$44.06 ,$38.43 ,$40.43 ,$48.95 ,$31.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412541,J2430,PAMIDRONATE (AREDIA) 90MG VIAL,636,1 ,$401.04 ,$260.68 ,$260.68 ,$361.14 ,$320.83 , N/A ,$317.78 ,$361.14 ,$361.14 , N/A ,$340.88 ,$296.77 , N/A , N/A , N/A ,$334.47 , N/A ,$331.26 ,$320.83 ,$360.94 , N/A ,$340.88 , N/A ,$340.88 ,$340.88 ,$360.94 ,$360.94 ,$314.82 ,$331.26 , N/A ,$260.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412542,J9250,METHOTREXATE IM INJ : 50MG/2ML CLINIC,636,1 ,$16.56 ,$10.76 ,$10.76 ,$14.91 ,$13.25 , N/A ,$13.12 ,$14.91 ,$14.91 , N/A ,$14.08 ,$12.25 , N/A , N/A , N/A ,$13.81 , N/A ,$13.68 ,$13.25 ,$14.90 , N/A ,$14.08 , N/A ,$14.08 ,$14.08 ,$14.90 ,$14.90 ,$13.00 ,$13.68 , N/A ,$10.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412543,N/A,DOXIL 2MG/ML : PER 20MG,636,1 ,"$1,274.40 ",$828.36 ,$828.36 ,"$1,147.60 ","$1,019.52 ", N/A ,"$1,009.83 ","$1,147.60 ","$1,147.60 ", N/A ,"$1,083.24 ",$943.06 , N/A , N/A , N/A ,"$1,062.85 ", N/A ,"$1,052.65 ","$1,019.52 ","$1,146.96 ", N/A ,"$1,083.24 ", N/A ,"$1,083.24 ","$1,083.24 ","$1,146.96 ","$1,146.96 ","$1,000.40 ","$1,052.65 ", N/A ,$828.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412544,N/A,FENTANYL CITRATE 100MCG/2ML,250,1 ,$29.30 ,$19.05 ,$19.05 ,$26.38 ,$23.44 , N/A ,$23.22 ,$26.38 ,$26.38 , N/A ,$24.91 ,$21.68 , N/A , N/A , N/A ,$24.44 , N/A ,$24.20 ,$23.44 ,$26.37 , N/A ,$24.91 , N/A ,$24.91 ,$24.91 ,$26.37 ,$26.37 ,$23.00 ,$24.20 , N/A ,$19.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412545,N/A,ANZEMET AMP : 12.5MG,250,1 ,$58.00 ,$37.70 ,$37.70 ,$52.23 ,$46.40 , N/A ,$45.96 ,$52.23 ,$52.23 , N/A ,$49.30 ,$42.92 , N/A , N/A , N/A ,$48.37 , N/A ,$47.91 ,$46.40 ,$52.20 , N/A ,$49.30 , N/A ,$49.30 ,$49.30 ,$52.20 ,$52.20 ,$45.53 ,$47.91 , N/A ,$37.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412546,J0282,AMIODARONE (CORDARONE) 150MG/3ML VIAL,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412547,J2997,CATHFLO ACTIVASE (TO OPEN PORT) : 2MG,636,1 ,$299.61 ,$194.75 ,$87.41 ,$269.80 ,$239.69 ,$87.41 ,$237.41 ,$269.80 ,$269.80 ,$166.08 ,$254.67 ,$221.71 ,$218.53 ,$87.41 , N/A ,$249.87 ,$87.41 ,$247.48 ,$239.69 ,$269.65 ,$218.53 ,$254.67 ,$87.41 ,$254.67 ,$254.67 ,$269.65 ,$269.65 ,$235.19 ,$247.48 ,$87.41 ,$194.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412548,N/A,VERSED (MIDAZOLAM) : CHARGE PER MG GIVEN,250,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412549,N/A,PREDNISONE TAB : 5MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412550,J3535,ADVAIR DISKUS 500-50,637,1 ,$547.44 ,$355.84 ,$355.84 ,$547.44 ,$437.95 , N/A ,$433.79 ,$492.97 ,$492.97 , N/A ,$465.32 ,$405.11 , N/A , N/A , N/A ,$456.57 , N/A ,$452.19 ,$437.95 ,$492.70 ,$547.44 ,$465.32 , N/A ,$465.32 ,$465.32 ,$492.70 ,$492.70 ,$429.74 ,$452.19 , N/A ,$355.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412551,N/A,FENOFIBRATE TAB 54MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412552,J2185,MEROPENEM IV : 1GM,636,1 ,$87.20 ,$56.68 ,$56.68 ,$78.52 ,$69.76 , N/A ,$69.10 ,$78.52 ,$78.52 , N/A ,$74.12 ,$64.53 , N/A , N/A , N/A ,$72.72 , N/A ,$72.03 ,$69.76 ,$78.48 , N/A ,$74.12 , N/A ,$74.12 ,$74.12 ,$78.48 ,$78.48 ,$68.45 ,$72.03 , N/A ,$56.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412553,N/A,FILTER (1.2 MICRON),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412554,N/A,FILTER (0.2 MICRON),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412555,N/A,NEUTRA-PHOS PACKET,637,1 ,$1.45 ,$0.94 ,$0.94 ,$1.45 ,$1.16 , N/A ,$1.15 ,$1.31 ,$1.31 , N/A ,$1.23 ,$1.07 , N/A , N/A , N/A ,$1.21 , N/A ,$1.20 ,$1.16 ,$1.31 ,$1.45 ,$1.23 , N/A ,$1.23 ,$1.23 ,$1.31 ,$1.31 ,$1.14 ,$1.20 , N/A ,$0.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412556,N/A,BOOST BREEZE 250 CAL / 237 ML :NO CHARGE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412557,N/A,ZYRTEC SYRUP 1MG/ML : PER 30ML,637,1 ,$26.60 ,$17.29 ,$17.29 ,$26.60 ,$21.28 , N/A ,$21.08 ,$23.95 ,$23.95 , N/A ,$22.61 ,$19.68 , N/A , N/A , N/A ,$22.18 , N/A ,$21.97 ,$21.28 ,$23.94 ,$26.60 ,$22.61 , N/A ,$22.61 ,$22.61 ,$23.94 ,$23.94 ,$20.88 ,$21.97 , N/A ,$17.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412558,N/A,MULTIVITAMIN TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412559,N/A,TIMOLOL GEL FORMING EYE SOLUTION 0.25%,637,1 ,$116.40 ,$75.66 ,$75.66 ,$116.40 ,$93.12 , N/A ,$92.24 ,$104.82 ,$104.82 , N/A ,$98.94 ,$86.14 , N/A , N/A , N/A ,$97.08 , N/A ,$96.15 ,$93.12 ,$104.76 ,$116.40 ,$98.94 , N/A ,$98.94 ,$98.94 ,$104.76 ,$104.76 ,$91.37 ,$96.15 , N/A ,$75.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412560,N/A,TIMOLOL GEL FORMING EYE SOLUTION 0.5%,637,1 ,$239.40 ,$155.61 ,$155.61 ,$239.40 ,$191.52 , N/A ,$189.70 ,$215.58 ,$215.58 , N/A ,$203.49 ,$177.16 , N/A , N/A , N/A ,$199.66 , N/A ,$197.74 ,$191.52 ,$215.46 ,$239.40 ,$203.49 , N/A ,$203.49 ,$203.49 ,$215.46 ,$215.46 ,$187.93 ,$197.74 , N/A ,$155.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412561,N/A,GALANTAMINE TAB 4MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412562,N/A,DORZOLAMIDE 2.23/TIMOLOL 0.68 EYE DROPS,637,1 ,$178.27 ,$115.88 ,$115.88 ,$178.27 ,$142.62 , N/A ,$141.26 ,$160.53 ,$160.53 , N/A ,$151.53 ,$131.92 , N/A , N/A , N/A ,$148.68 , N/A ,$147.25 ,$142.62 ,$160.44 ,$178.27 ,$151.53 , N/A ,$151.53 ,$151.53 ,$160.44 ,$160.44 ,$139.94 ,$147.25 , N/A ,$115.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412563,N/A,ATROVENT NASAL SPRAY 0.03%,637,1 ,$152.55 ,$99.16 ,$99.16 ,$152.55 ,$122.04 , N/A ,$120.88 ,$137.37 ,$137.37 , N/A ,$129.67 ,$112.89 , N/A , N/A , N/A ,$127.23 , N/A ,$126.01 ,$122.04 ,$137.30 ,$152.55 ,$129.67 , N/A ,$129.67 ,$129.67 ,$137.30 ,$137.30 ,$119.75 ,$126.01 , N/A ,$99.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412564,N/A,PSEUDOEPHEDRINE 12 HOUR TAB : 120MG,637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412565,N/A,RANITIDINE 15MG/mL SYRUP : PER 5mL,637,1 ,$2.45 ,$1.59 ,$1.59 ,$2.45 ,$1.96 , N/A ,$1.94 ,$2.21 ,$2.21 , N/A ,$2.08 ,$1.81 , N/A , N/A , N/A ,$2.04 , N/A ,$2.02 ,$1.96 ,$2.21 ,$2.45 ,$2.08 , N/A ,$2.08 ,$2.08 ,$2.21 ,$2.21 ,$1.92 ,$2.02 , N/A ,$1.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412566,J3489,ZOMETA : 4MG,636,1 ,"$1,370.20 ",$890.63 ,$890.63 ,"$1,233.87 ","$1,096.16 ", N/A ,"$1,085.75 ","$1,233.87 ","$1,233.87 ", N/A ,"$1,164.67 ","$1,013.95 ", N/A , N/A , N/A ,"$1,142.75 ", N/A ,"$1,131.79 ","$1,096.16 ","$1,233.18 ", N/A ,"$1,164.67 ", N/A ,"$1,164.67 ","$1,164.67 ","$1,233.18 ","$1,233.18 ","$1,075.61 ","$1,131.79 ", N/A ,$890.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412567,J9293,NOVANTRONE : PER 5MG,636,1 ,$605.25 ,$393.41 ,$29.19 ,$545.03 ,$484.20 ,$29.19 ,$479.60 ,$545.03 ,$545.03 ,$55.46 ,$514.46 ,$447.89 ,$72.97 ,$29.19 , N/A ,$504.78 ,$29.19 ,$499.94 ,$484.20 ,$544.73 ,$72.97 ,$514.46 ,$29.19 ,$514.46 ,$514.46 ,$544.73 ,$544.73 ,$475.12 ,$499.94 ,$29.19 ,$393.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412568,J9209,MESNA : PER 200MG,636,1 ,$307.20 ,$199.68 ,$199.68 ,$276.63 ,$245.76 , N/A ,$243.43 ,$276.63 ,$276.63 , N/A ,$261.12 ,$227.33 , N/A , N/A , N/A ,$256.20 , N/A ,$253.75 ,$245.76 ,$276.48 , N/A ,$261.12 , N/A ,$261.12 ,$261.12 ,$276.48 ,$276.48 ,$241.15 ,$253.75 , N/A ,$199.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412569,J3489,ZOMETA : 4MG,636,1 ,"$1,370.20 ",$890.63 ,$890.63 ,"$1,233.87 ","$1,096.16 ", N/A ,"$1,085.75 ","$1,233.87 ","$1,233.87 ", N/A ,"$1,164.67 ","$1,013.95 ", N/A , N/A , N/A ,"$1,142.75 ", N/A ,"$1,131.79 ","$1,096.16 ","$1,233.18 ", N/A ,"$1,164.67 ", N/A ,"$1,164.67 ","$1,164.67 ","$1,233.18 ","$1,233.18 ","$1,075.61 ","$1,131.79 ", N/A ,$890.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412570,N/A,PROPANTHELINE BROMIDE TAB : 15MG,637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412571,N/A,CITRUS CALCIUM 315MG + VIT D 250,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412572,N/A,CREON (PANCRELIPASE) CAP : 6000 UNITS,637,1 ,$4.65 ,$3.02 ,$3.02 ,$4.65 ,$3.72 , N/A ,$3.68 ,$4.19 ,$4.19 , N/A ,$3.95 ,$3.44 , N/A , N/A , N/A ,$3.88 , N/A ,$3.84 ,$3.72 ,$4.19 ,$4.65 ,$3.95 , N/A ,$3.95 ,$3.95 ,$4.19 ,$4.19 ,$3.65 ,$3.84 , N/A ,$3.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412573,N/A,ALBUTEROL HHN 1.25MG/3ML (ACCUNEB),637,1 ,$5.95 ,$3.87 ,$3.87 ,$5.95 ,$4.76 , N/A ,$4.71 ,$5.36 ,$5.36 , N/A ,$5.06 ,$4.40 , N/A , N/A , N/A ,$4.96 , N/A ,$4.91 ,$4.76 ,$5.36 ,$5.95 ,$5.06 , N/A ,$5.06 ,$5.06 ,$5.36 ,$5.36 ,$4.67 ,$4.91 , N/A ,$3.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412574,N/A,RYNATAN (TRIPLE TANNATE) SUSP.: PER 30ML,637,1 ,$27.80 ,$18.07 ,$18.07 ,$27.80 ,$22.24 , N/A ,$22.03 ,$25.03 ,$25.03 , N/A ,$23.63 ,$20.57 , N/A , N/A , N/A ,$23.19 , N/A ,$22.96 ,$22.24 ,$25.02 ,$27.80 ,$23.63 , N/A ,$23.63 ,$23.63 ,$25.02 ,$25.02 ,$21.82 ,$22.96 , N/A ,$18.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412575,J2505,NEULASTA 6MG/0.6ML SUBCUTANEOUS,636,1 ,"$12,352.49 ","$8,029.12 ","$2,469.36 ","$11,123.42 ","$9,881.99 ","$2,469.36 ","$9,788.11 ","$11,123.42 ","$11,123.42 ","$4,691.77 ","$10,499.62 ","$9,140.84 ","$6,173.39 ","$2,469.36 ", N/A ,"$10,301.98 ","$2,469.36 ","$10,203.16 ","$9,881.99 ","$11,117.24 ","$6,173.39 ","$10,499.62 ","$2,469.36 ","$10,499.62 ","$10,499.62 ","$11,117.24 ","$11,117.24 ","$9,696.70 ","$10,203.16 ","$2,469.36 ","$8,029.12 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412576,N/A,RHINOCORT AQ : 32MCG,637,1 ,$174.20 ,$113.23 ,$113.23 ,$174.20 ,$139.36 , N/A ,$138.04 ,$156.87 ,$156.87 , N/A ,$148.07 ,$128.91 , N/A , N/A , N/A ,$145.28 , N/A ,$143.89 ,$139.36 ,$156.78 ,$174.20 ,$148.07 , N/A ,$148.07 ,$148.07 ,$156.78 ,$156.78 ,$136.75 ,$143.89 , N/A ,$113.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412577,J1170,HYDROmorPHONE (DILAUDID) 2MG/ML INJ.,636,1 ,$10.55 ,$6.86 ,$6.86 ,$9.50 ,$8.44 , N/A ,$8.36 ,$9.50 ,$9.50 , N/A ,$8.97 ,$7.81 , N/A , N/A , N/A ,$8.80 , N/A ,$8.71 ,$8.44 ,$9.50 , N/A ,$8.97 , N/A ,$8.97 ,$8.97 ,$9.50 ,$9.50 ,$8.28 ,$8.71 , N/A ,$6.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412578,N/A,CARBIDOPA/LEVO ER (SINEMET CR) 25/100 **,637,1 ,$3.00 ,$1.95 ,$1.95 ,$3.00 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 ,$3.00 ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412579,J1000,DEPO-ESTRADIOL (IM) 5MG/ML : PER ML,636,1 ,$24.80 ,$16.12 ,$16.12 ,$22.33 ,$19.84 , N/A ,$19.65 ,$22.33 ,$22.33 , N/A ,$21.08 ,$18.35 , N/A , N/A , N/A ,$20.68 , N/A ,$20.48 ,$19.84 ,$22.32 , N/A ,$21.08 , N/A ,$21.08 ,$21.08 ,$22.32 ,$22.32 ,$19.47 ,$20.48 , N/A ,$16.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412580,N/A,NF-FOSINOPRIL TAB 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412581,N/A,THEOPHYLLINE ER TAB 300MG PATIENT'S OWN,637,1 ,$1.98 ,$1.29 ,$1.29 ,$1.98 ,$1.58 , N/A ,$1.57 ,$1.78 ,$1.78 , N/A ,$1.68 ,$1.47 , N/A , N/A , N/A ,$1.65 , N/A ,$1.64 ,$1.58 ,$1.78 ,$1.98 ,$1.68 , N/A ,$1.68 ,$1.68 ,$1.78 ,$1.78 ,$1.55 ,$1.64 , N/A ,$1.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412582,J2020,LINEZOLID (ZYVOX) 600MG/300ML NS,636,1 ,$187.51 ,$121.88 ,$121.88 ,$168.85 ,$150.01 , N/A ,$148.58 ,$168.85 ,$168.85 , N/A ,$159.38 ,$138.76 , N/A , N/A , N/A ,$156.38 , N/A ,$154.88 ,$150.01 ,$168.76 , N/A ,$159.38 , N/A ,$159.38 ,$159.38 ,$168.76 ,$168.76 ,$147.20 ,$154.88 , N/A ,$121.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412583,N/A,CIPRO IV : 400MG,250,1 ,$90.75 ,$58.99 ,$58.99 ,$81.72 ,$72.60 , N/A ,$71.91 ,$81.72 ,$81.72 , N/A ,$77.14 ,$67.16 , N/A , N/A , N/A ,$75.69 , N/A ,$74.96 ,$72.60 ,$81.68 , N/A ,$77.14 , N/A ,$77.14 ,$77.14 ,$81.68 ,$81.68 ,$71.24 ,$74.96 , N/A ,$58.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412584,J3489,ZOMETA : PER 2MG (CHARGE FOR 2 !!),636,1 ,$762.90 ,$495.89 ,$495.89 ,$686.99 ,$610.32 , N/A ,$604.52 ,$686.99 ,$686.99 , N/A ,$648.47 ,$564.55 , N/A , N/A , N/A ,$636.26 , N/A ,$630.16 ,$610.32 ,$686.61 , N/A ,$648.47 , N/A ,$648.47 ,$648.47 ,$686.61 ,$686.61 ,$598.88 ,$630.16 , N/A ,$495.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412585,N/A,MOM (MILK OF MAGNESIA) : 360ML,637,1 ,$6.65 ,$4.32 ,$4.32 ,$6.65 ,$5.32 , N/A ,$5.27 ,$5.99 ,$5.99 , N/A ,$5.65 ,$4.92 , N/A , N/A , N/A ,$5.55 , N/A ,$5.49 ,$5.32 ,$5.99 ,$6.65 ,$5.65 , N/A ,$5.65 ,$5.65 ,$5.99 ,$5.99 ,$5.22 ,$5.49 , N/A ,$4.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412586,J0881,ARANESP : CHARGE PER MCG,636,1 ,$11.05 ,$7.18 ,$3.20 ,$9.95 ,$8.84 ,$3.20 ,$8.76 ,$9.95 ,$9.95 ,$6.07 ,$9.39 ,$8.18 ,$7.99 ,$3.20 , N/A ,$9.22 ,$3.20 ,$9.13 ,$8.84 ,$9.95 ,$7.99 ,$9.39 ,$3.20 ,$9.39 ,$9.39 ,$9.95 ,$9.95 ,$8.67 ,$9.13 ,$3.20 ,$7.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412587,N/A,ZYVOX IV : CHARGE PER 200MG,250,1 ,$67.30 ,$43.75 ,$43.75 ,$60.60 ,$53.84 , N/A ,$53.33 ,$60.60 ,$60.60 , N/A ,$57.21 ,$49.80 , N/A , N/A , N/A ,$56.13 , N/A ,$55.59 ,$53.84 ,$60.57 , N/A ,$57.21 , N/A ,$57.21 ,$57.21 ,$60.57 ,$60.57 ,$52.83 ,$55.59 , N/A ,$43.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412588,N/A,DOXIL : PER 10MG,636,1 ,$662.70 ,$430.76 ,$430.76 ,$596.76 ,$530.16 , N/A ,$525.12 ,$596.76 ,$596.76 , N/A ,$563.30 ,$490.40 , N/A , N/A , N/A ,$552.69 , N/A ,$547.39 ,$530.16 ,$596.43 , N/A ,$563.30 , N/A ,$563.30 ,$563.30 ,$596.43 ,$596.43 ,$520.22 ,$547.39 , N/A ,$430.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412589,J1745,REMICADE IV VIAL : 100MG,636,1 ,"$2,585.07 ","$1,680.30 ",$41.32 ,"$2,327.86 ","$2,068.06 ",$41.32 ,"$2,048.41 ","$2,327.86 ","$2,327.86 ",$78.51 ,"$2,197.31 ","$1,912.95 ",$103.30 ,$41.32 , N/A ,"$2,155.95 ",$41.32 ,"$2,135.27 ","$2,068.06 ","$2,326.56 ",$103.30 ,"$2,197.31 ",$41.32 ,"$2,197.31 ","$2,197.31 ","$2,326.56 ","$2,326.56 ","$2,029.28 ","$2,135.27 ",$41.32 ,"$1,680.30 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412590,J2993,RETAVASE KIT (CHARGE FOR 1),636,1 ,"$8,339.00 ","$5,420.35 ","$2,506.51 ","$7,509.27 ","$6,671.20 ","$2,506.51 ","$6,607.82 ","$7,509.27 ","$7,509.27 ","$4,762.37 ","$7,088.15 ","$6,170.86 ","$6,266.28 ","$2,506.51 ", N/A ,"$6,954.73 ","$2,506.51 ","$6,888.01 ","$6,671.20 ","$7,505.10 ","$6,266.28 ","$7,088.15 ","$2,506.51 ","$7,088.15 ","$7,088.15 ","$7,505.10 ","$7,505.10 ","$6,546.12 ","$6,888.01 ","$2,506.51 ","$5,420.35 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412591,N/A,BENZTROPINE TAB 1MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412592,N/A,MIRALAX PACKET : 17GM,637,1 ,$6.30 ,$4.10 ,$4.10 ,$6.30 ,$5.04 , N/A ,$4.99 ,$5.67 ,$5.67 , N/A ,$5.36 ,$4.66 , N/A , N/A , N/A ,$5.25 , N/A ,$5.20 ,$5.04 ,$5.67 ,$6.30 ,$5.36 , N/A ,$5.36 ,$5.36 ,$5.67 ,$5.67 ,$4.95 ,$5.20 , N/A ,$4.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412593,J7510,PREDNISOLONE 15MG/5mL SYRUP** : PER 5mL,637,1 ,$8.62 ,$5.60 ,$5.60 ,$8.62 ,$6.90 , N/A ,$6.83 ,$7.76 ,$7.76 , N/A ,$7.33 ,$6.38 , N/A , N/A , N/A ,$7.19 , N/A ,$7.12 ,$6.90 ,$7.76 ,$8.62 ,$7.33 , N/A ,$7.33 ,$7.33 ,$7.76 ,$7.76 ,$6.77 ,$7.12 , N/A ,$5.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412594,N/A,PHENOBARBITAL 130MG/ML SYRINGE (LUMINAL),250,1 ,$16.85 ,$10.95 ,$10.95 ,$15.17 ,$13.48 , N/A ,$13.35 ,$15.17 ,$15.17 , N/A ,$14.32 ,$12.47 , N/A , N/A , N/A ,$14.05 , N/A ,$13.92 ,$13.48 ,$15.17 , N/A ,$14.32 , N/A ,$14.32 ,$14.32 ,$15.17 ,$15.17 ,$13.23 ,$13.92 , N/A ,$10.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412595,N/A,METforMIN (GLUCOPHAGE) TAB : 500MG,637,1 ,$2.78 ,$1.81 ,$1.81 ,$2.78 ,$2.22 , N/A ,$2.20 ,$2.50 ,$2.50 , N/A ,$2.36 ,$2.06 , N/A , N/A , N/A ,$2.32 , N/A ,$2.30 ,$2.22 ,$2.50 ,$2.78 ,$2.36 , N/A ,$2.36 ,$2.36 ,$2.50 ,$2.50 ,$2.18 ,$2.30 , N/A ,$1.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412596,N/A,FENOFIBRATE TAB 160MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412597,J2355,NEUMEGA (OPRELVEKIN) : PER 5MG,636,1 ,$451.20 ,$293.28 ,$293.28 ,$406.31 ,$360.96 , N/A ,$357.53 ,$406.31 ,$406.31 , N/A ,$383.52 ,$333.89 , N/A , N/A , N/A ,$376.30 , N/A ,$372.69 ,$360.96 ,$406.08 , N/A ,$383.52 , N/A ,$383.52 ,$383.52 ,$406.08 ,$406.08 ,$354.19 ,$372.69 , N/A ,$293.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412598,N/A,FERROUS SULFATE 140MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412599,N/A,ADENOSCAN 3MG/ML (CHARGE PER 2ML),636,1 ,$49.35 ,$32.08 ,$32.08 ,$44.44 ,$39.48 , N/A ,$39.10 ,$44.44 ,$44.44 , N/A ,$41.95 ,$36.52 , N/A , N/A , N/A ,$41.16 , N/A ,$40.76 ,$39.48 ,$44.42 , N/A ,$41.95 , N/A ,$41.95 ,$41.95 ,$44.42 ,$44.42 ,$38.74 ,$40.76 , N/A ,$32.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412600,N/A,COLAZAL (BALSALAZIDE) CAP : 750MG,637,1 ,$5.05 ,$3.28 ,$3.28 ,$5.05 ,$4.04 , N/A ,$4.00 ,$4.55 ,$4.55 , N/A ,$4.29 ,$3.74 , N/A , N/A , N/A ,$4.21 , N/A ,$4.17 ,$4.04 ,$4.55 ,$5.05 ,$4.29 , N/A ,$4.29 ,$4.29 ,$4.55 ,$4.55 ,$3.96 ,$4.17 , N/A ,$3.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412601,N/A,CLOTRIMAZOLE/BETAMETHASONE 1% CREAM 15GM,637,1 ,$105.51 ,$68.58 ,$68.58 ,$105.51 ,$84.41 , N/A ,$83.61 ,$95.01 ,$95.01 , N/A ,$89.68 ,$78.08 , N/A , N/A , N/A ,$88.00 , N/A ,$87.15 ,$84.41 ,$94.96 ,$105.51 ,$89.68 , N/A ,$89.68 ,$89.68 ,$94.96 ,$94.96 ,$82.83 ,$87.15 , N/A ,$68.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412602,N/A,METHYLENE BLUE 1% : 10ML,250,1 ,$30.75 ,$19.99 ,$19.99 ,$27.69 ,$24.60 , N/A ,$24.37 ,$27.69 ,$27.69 , N/A ,$26.14 ,$22.76 , N/A , N/A , N/A ,$25.65 , N/A ,$25.40 ,$24.60 ,$27.68 , N/A ,$26.14 , N/A ,$26.14 ,$26.14 ,$27.68 ,$27.68 ,$24.14 ,$25.40 , N/A ,$19.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412603,N/A,NYSTATIN/TRIAMCIN (MYCOLOG) CREAM : 15GM,637,1 ,$268.93 ,$174.80 ,$174.80 ,$268.93 ,$215.14 , N/A ,$213.10 ,$242.17 ,$242.17 , N/A ,$228.59 ,$199.01 , N/A , N/A , N/A ,$224.29 , N/A ,$222.14 ,$215.14 ,$242.04 ,$268.93 ,$228.59 , N/A ,$228.59 ,$228.59 ,$242.04 ,$242.04 ,$211.11 ,$222.14 , N/A ,$174.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412604,N/A,POLYSPORIN POWDER : 10GM,637,1 ,$29.15 ,$18.95 ,$18.95 ,$29.15 ,$23.32 , N/A ,$23.10 ,$26.25 ,$26.25 , N/A ,$24.78 ,$21.57 , N/A , N/A , N/A ,$24.31 , N/A ,$24.08 ,$23.32 ,$26.24 ,$29.15 ,$24.78 , N/A ,$24.78 ,$24.78 ,$26.24 ,$26.24 ,$22.88 ,$24.08 , N/A ,$18.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412605,N/A,BETAMETHASONE DIPROPIONATE 0.05% CREAM,637,1 ,$127.29 ,$82.74 ,$82.74 ,$127.29 ,$101.83 , N/A ,$100.86 ,$114.62 ,$114.62 , N/A ,$108.20 ,$94.19 , N/A , N/A , N/A ,$106.16 , N/A ,$105.14 ,$101.83 ,$114.56 ,$127.29 ,$108.20 , N/A ,$108.20 ,$108.20 ,$114.56 ,$114.56 ,$99.92 ,$105.14 , N/A ,$82.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412606,N/A,MICARDIS TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412607,N/A,SERTRALINE (ZOLOFT) TABLET : 25MG,637,1 ,$1.42 ,$0.92 ,$0.92 ,$1.42 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 ,$1.42 ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412608,N/A,HUMALOG MIX 75/25 (non-formulary),637,1 ,$2.40 ,$1.56 ,$1.56 ,$2.40 ,$1.92 , N/A ,$1.90 ,$2.16 ,$2.16 , N/A ,$2.04 ,$1.78 , N/A , N/A , N/A ,$2.00 , N/A ,$1.98 ,$1.92 ,$2.16 ,$2.40 ,$2.04 , N/A ,$2.04 ,$2.04 ,$2.16 ,$2.16 ,$1.88 ,$1.98 , N/A ,$1.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412609,J2543,ZOSYN (PIPERACILLIN/TAZOBACTAM) 3.375GM,636,1 ,$46.38 ,$30.15 ,$30.15 ,$41.77 ,$37.10 , N/A ,$36.75 ,$41.77 ,$41.77 , N/A ,$39.42 ,$34.32 , N/A , N/A , N/A ,$38.68 , N/A ,$38.31 ,$37.10 ,$41.74 , N/A ,$39.42 , N/A ,$39.42 ,$39.42 ,$41.74 ,$41.74 ,$36.41 ,$38.31 , N/A ,$30.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412610,N/A,BENADRYL ITCH STOP CREAM 1% : 28.3GM,637,1 ,$13.32 ,$8.66 ,$8.66 ,$13.32 ,$10.66 , N/A ,$10.55 ,$11.99 ,$11.99 , N/A ,$11.32 ,$9.86 , N/A , N/A , N/A ,$11.11 , N/A ,$11.00 ,$10.66 ,$11.99 ,$13.32 ,$11.32 , N/A ,$11.32 ,$11.32 ,$11.99 ,$11.99 ,$10.46 ,$11.00 , N/A ,$8.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412611,N/A,AVC VAGINAL CREAM 15% : 120GM,637,1 ,$147.50 ,$95.88 ,$95.88 ,$147.50 ,$118.00 , N/A ,$116.88 ,$132.82 ,$132.82 , N/A ,$125.38 ,$109.15 , N/A , N/A , N/A ,$123.02 , N/A ,$121.84 ,$118.00 ,$132.75 ,$147.50 ,$125.38 , N/A ,$125.38 ,$125.38 ,$132.75 ,$132.75 ,$115.79 ,$121.84 , N/A ,$95.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412612,N/A,NAFCILLIN VIAL : 1GM,250,1 ,$8.95 ,$5.82 ,$5.82 ,$8.06 ,$7.16 , N/A ,$7.09 ,$8.06 ,$8.06 , N/A ,$7.61 ,$6.62 , N/A , N/A , N/A ,$7.46 , N/A ,$7.39 ,$7.16 ,$8.06 , N/A ,$7.61 , N/A ,$7.61 ,$7.61 ,$8.06 ,$8.06 ,$7.03 ,$7.39 , N/A ,$5.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412613,N/A,BRIMONIDINE 0.15% (ALPHAGAN P) EYE DROPS,637,1 ,$200.35 ,$130.23 ,$130.23 ,$200.35 ,$160.28 , N/A ,$158.76 ,$180.42 ,$180.42 , N/A ,$170.30 ,$148.26 , N/A , N/A , N/A ,$167.09 , N/A ,$165.49 ,$160.28 ,$180.32 ,$200.35 ,$170.30 , N/A ,$170.30 ,$170.30 ,$180.32 ,$180.32 ,$157.27 ,$165.49 , N/A ,$130.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412614,N/A,BREVIBLOC (ESMOLOL) 10MG VIAL,250,1 ,$69.50 ,$45.18 ,$45.18 ,$62.58 ,$55.60 , N/A ,$55.07 ,$62.58 ,$62.58 , N/A ,$59.08 ,$51.43 , N/A , N/A , N/A ,$57.96 , N/A ,$57.41 ,$55.60 ,$62.55 , N/A ,$59.08 , N/A ,$59.08 ,$59.08 ,$62.55 ,$62.55 ,$54.56 ,$57.41 , N/A ,$45.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412615,N/A,HEMORRHOIDAL (PHENYLEPHRINE 0.25%) SUPP,637,1 ,$1.42 ,$0.92 ,$0.92 ,$1.42 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 ,$1.42 ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412616,J9206,CAMPTOSAR (IRINOTECAN) : PER 20MG,636,1 ,$255.70 ,$166.21 ,$166.21 ,$230.26 ,$204.56 , N/A ,$202.62 ,$230.26 ,$230.26 , N/A ,$217.35 ,$189.22 , N/A , N/A , N/A ,$213.25 , N/A ,$211.21 ,$204.56 ,$230.13 , N/A ,$217.35 , N/A ,$217.35 ,$217.35 ,$230.13 ,$230.13 ,$200.72 ,$211.21 , N/A ,$166.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412617,N/A,DIFLUCAN IV : 400MG/200ML,250,1 ,$309.95 ,$201.47 ,$201.47 ,$279.11 ,$247.96 , N/A ,$245.60 ,$279.11 ,$279.11 , N/A ,$263.46 ,$229.36 , N/A , N/A , N/A ,$258.50 , N/A ,$256.02 ,$247.96 ,$278.96 , N/A ,$263.46 , N/A ,$263.46 ,$263.46 ,$278.96 ,$278.96 ,$243.31 ,$256.02 , N/A ,$201.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412618,N/A,FLUNISOLIDE (NASALIDE) 0.025% NASAL,637,1 ,$146.45 ,$95.19 ,$95.19 ,$146.45 ,$117.16 , N/A ,$116.05 ,$131.88 ,$131.88 , N/A ,$124.48 ,$108.37 , N/A , N/A , N/A ,$122.14 , N/A ,$120.97 ,$117.16 ,$131.81 ,$146.45 ,$124.48 , N/A ,$124.48 ,$124.48 ,$131.81 ,$131.81 ,$114.96 ,$120.97 , N/A ,$95.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412619,N/A,PEG-INTRON : 177.6MCG/0.74ML (120/0.5),250,1 ,$579.55 ,$376.71 ,$376.71 ,$521.88 ,$463.64 , N/A ,$459.24 ,$521.88 ,$521.88 , N/A ,$492.62 ,$428.87 , N/A , N/A , N/A ,$483.34 , N/A ,$478.71 ,$463.64 ,$521.60 , N/A ,$492.62 , N/A ,$492.62 ,$492.62 ,$521.60 ,$521.60 ,$454.95 ,$478.71 , N/A ,$376.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412620,Q2009,FOSPHENYTOIN 100MG/2ML VIAL (IM),636,1 ,$21.83 ,$14.19 ,$14.19 ,$19.66 ,$17.46 , N/A ,$17.30 ,$19.66 ,$19.66 , N/A ,$18.56 ,$16.15 , N/A , N/A , N/A ,$18.21 , N/A ,$18.03 ,$17.46 ,$19.65 , N/A ,$18.56 , N/A ,$18.56 ,$18.56 ,$19.65 ,$19.65 ,$17.14 ,$18.03 , N/A ,$14.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412621,N/A,GLybuRIDE (GLYNASE) TAB : 1.5MG,637,1 ,$1.10 ,$0.72 ,$0.72 ,$1.10 ,$0.88 , N/A ,$0.87 ,$0.99 ,$0.99 , N/A ,$0.94 ,$0.81 , N/A , N/A , N/A ,$0.92 , N/A ,$0.91 ,$0.88 ,$0.99 ,$1.10 ,$0.94 , N/A ,$0.94 ,$0.94 ,$0.99 ,$0.99 ,$0.86 ,$0.91 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412622,N/A,SET (Y-TYPE BLOOD),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412623,J0500,DICYCLOMINE (BENTYL) 20MG/2ML IM,636,1 ,$109.66 ,$71.28 ,$71.28 ,$98.75 ,$87.73 , N/A ,$86.89 ,$98.75 ,$98.75 , N/A ,$93.21 ,$81.15 , N/A , N/A , N/A ,$91.46 , N/A ,$90.58 ,$87.73 ,$98.69 , N/A ,$93.21 , N/A ,$93.21 ,$93.21 ,$98.69 ,$98.69 ,$86.08 ,$90.58 , N/A ,$71.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412624,N/A,LUBRIFRESH PM EYE OINTMENT : 3.5GM,637,1 ,$23.19 ,$15.07 ,$15.07 ,$23.19 ,$18.55 , N/A ,$18.38 ,$20.88 ,$20.88 , N/A ,$19.71 ,$17.16 , N/A , N/A , N/A ,$19.34 , N/A ,$19.15 ,$18.55 ,$20.87 ,$23.19 ,$19.71 , N/A ,$19.71 ,$19.71 ,$20.87 ,$20.87 ,$18.20 ,$19.15 , N/A ,$15.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412625,N/A,HYDRalaZINE (APRESOLINE) TAB : 50MG,637,1 ,$2.15 ,$1.40 ,$1.40 ,$2.15 ,$1.72 , N/A ,$1.70 ,$1.94 ,$1.94 , N/A ,$1.83 ,$1.59 , N/A , N/A , N/A ,$1.79 , N/A ,$1.78 ,$1.72 ,$1.94 ,$2.15 ,$1.83 , N/A ,$1.83 ,$1.83 ,$1.94 ,$1.94 ,$1.69 ,$1.78 , N/A ,$1.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412626,N/A,DILANTIN (PHENYTOIN) CAP : 30MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412627,N/A,PAROXETINE ER TAB 12.5MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412628,N/A,FLAVOXATE (URISPAS) TAB : 100MG,637,1 ,$4.60 ,$2.99 ,$2.99 ,$4.60 ,$3.68 , N/A ,$3.65 ,$4.14 ,$4.14 , N/A ,$3.91 ,$3.40 , N/A , N/A , N/A ,$3.84 , N/A ,$3.80 ,$3.68 ,$4.14 ,$4.60 ,$3.91 , N/A ,$3.91 ,$3.91 ,$4.14 ,$4.14 ,$3.61 ,$3.80 , N/A ,$2.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412629,N/A,CARVEDILOL (COREG) TABLET : 3.125MG,637,1 ,$6.97 ,$4.53 ,$4.53 ,$6.97 ,$5.58 , N/A ,$5.52 ,$6.28 ,$6.28 , N/A ,$5.92 ,$5.16 , N/A , N/A , N/A ,$5.81 , N/A ,$5.76 ,$5.58 ,$6.27 ,$6.97 ,$5.92 , N/A ,$5.92 ,$5.92 ,$6.27 ,$6.27 ,$5.47 ,$5.76 , N/A ,$4.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412631,N/A,CEFACLOR SUSP. 250MG/5ML : 75ML,637,1 ,$89.00 ,$57.85 ,$57.85 ,$89.00 ,$71.20 , N/A ,$70.52 ,$80.14 ,$80.14 , N/A ,$75.65 ,$65.86 , N/A , N/A , N/A ,$74.23 , N/A ,$73.51 ,$71.20 ,$80.10 ,$89.00 ,$75.65 , N/A ,$75.65 ,$75.65 ,$80.10 ,$80.10 ,$69.87 ,$73.51 , N/A ,$57.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412632,N/A,SALIVA SUBSTITUTE : 120ML,637,1 ,$15.20 ,$9.88 ,$9.88 ,$15.20 ,$12.16 , N/A ,$12.04 ,$13.69 ,$13.69 , N/A ,$12.92 ,$11.25 , N/A , N/A , N/A ,$12.68 , N/A ,$12.56 ,$12.16 ,$13.68 ,$15.20 ,$12.92 , N/A ,$12.92 ,$12.92 ,$13.68 ,$13.68 ,$11.93 ,$12.56 , N/A ,$9.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412633,N/A,MULTIVITAMIN (TAB-A-VITE) TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412634,N/A,PROBIOTIC (ACIDOPHILUS/LACTOBACILLUS),637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412635,N/A,ROPINiroLE (REQUIP) TAB : 1MG,637,1 ,$2.44 ,$1.59 ,$1.59 ,$2.44 ,$1.95 , N/A ,$1.93 ,$2.20 ,$2.20 , N/A ,$2.07 ,$1.81 , N/A , N/A , N/A ,$2.04 , N/A ,$2.02 ,$1.95 ,$2.20 ,$2.44 ,$2.07 , N/A ,$2.07 ,$2.07 ,$2.20 ,$2.20 ,$1.92 ,$2.02 , N/A ,$1.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412636,N/A,FLUMADINE (RIMANTADINE) TAB : 100MG,637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412637,N/A,MOM (MILK OF MAGNESIA) WITH *CASCARA*,637,1 ,$1.60 ,$1.04 ,$1.04 ,$1.60 ,$1.28 , N/A ,$1.27 ,$1.44 ,$1.44 , N/A ,$1.36 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.32 ,$1.28 ,$1.44 ,$1.60 ,$1.36 , N/A ,$1.36 ,$1.36 ,$1.44 ,$1.44 ,$1.26 ,$1.32 , N/A ,$1.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412638,N/A,LAMOTRIGINE (LAMICtal) TAB : 25MG,637,1 ,$14.86 ,$9.66 ,$9.66 ,$14.86 ,$11.89 , N/A ,$11.78 ,$13.38 ,$13.38 , N/A ,$12.63 ,$11.00 , N/A , N/A , N/A ,$12.39 , N/A ,$12.27 ,$11.89 ,$13.37 ,$14.86 ,$12.63 , N/A ,$12.63 ,$12.63 ,$13.37 ,$13.37 ,$11.67 ,$12.27 , N/A ,$9.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412639,J1335,INVANZ IM VIAL : 1GM,636,1 ,$373.82 ,$242.98 ,$242.98 ,$336.62 ,$299.06 , N/A ,$296.22 ,$336.62 ,$336.62 , N/A ,$317.75 ,$276.63 , N/A , N/A , N/A ,$311.77 , N/A ,$308.78 ,$299.06 ,$336.44 , N/A ,$317.75 , N/A ,$317.75 ,$317.75 ,$336.44 ,$336.44 ,$293.45 ,$308.78 , N/A ,$242.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412640,N/A,ALTACE (RAMIPRIL) CAPSULE : 10MG,637,1 ,$7.00 ,$4.55 ,$4.55 ,$7.00 ,$5.60 , N/A ,$5.55 ,$6.30 ,$6.30 , N/A ,$5.95 ,$5.18 , N/A , N/A , N/A ,$5.84 , N/A ,$5.78 ,$5.60 ,$6.30 ,$7.00 ,$5.95 , N/A ,$5.95 ,$5.95 ,$6.30 ,$6.30 ,$5.50 ,$5.78 , N/A ,$4.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412641,J0360,HYDRalaZINE HCL INJ. : 20MG/ML,636,1 ,$46.80 ,$30.42 ,$30.42 ,$42.14 ,$37.44 , N/A ,$37.08 ,$42.14 ,$42.14 , N/A ,$39.78 ,$34.63 , N/A , N/A , N/A ,$39.03 , N/A ,$38.66 ,$37.44 ,$42.12 , N/A ,$39.78 , N/A ,$39.78 ,$39.78 ,$42.12 ,$42.12 ,$36.74 ,$38.66 , N/A ,$30.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412642,N/A,ESCITALOPRAM (LEXAPRO) TAB : 10MG,637,1 ,$17.75 ,$11.54 ,$11.54 ,$17.75 ,$14.20 , N/A ,$14.07 ,$15.98 ,$15.98 , N/A ,$15.09 ,$13.14 , N/A , N/A , N/A ,$14.80 , N/A ,$14.66 ,$14.20 ,$15.98 ,$17.75 ,$15.09 , N/A ,$15.09 ,$15.09 ,$15.98 ,$15.98 ,$13.93 ,$14.66 , N/A ,$11.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412643,N/A,FOLIC ACID XTRA TABLET,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412644,N/A,SENNA/DOCUSATE (SENNAKOT) 8.6MG/50MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412645,N/A,METHACHOLINE 100MG VIAL : CHARGE 1 ONLY,250,1 ,$194.31 ,$126.30 ,$126.30 ,$174.98 ,$155.45 , N/A ,$153.97 ,$174.98 ,$174.98 , N/A ,$165.16 ,$143.79 , N/A , N/A , N/A ,$162.05 , N/A ,$160.50 ,$155.45 ,$174.88 , N/A ,$165.16 , N/A ,$165.16 ,$165.16 ,$174.88 ,$174.88 ,$152.53 ,$160.50 , N/A ,$126.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412646,N/A,ADVAIR DISKUS 100-50 PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412647,N/A,COLESTIPOL TABLET 1GM PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412648,N/A,METHERGINE AMP : 0.2MG,250,1 ,$14.20 ,$9.23 ,$9.23 ,$12.79 ,$11.36 , N/A ,$11.25 ,$12.79 ,$12.79 , N/A ,$12.07 ,$10.51 , N/A , N/A , N/A ,$11.84 , N/A ,$11.73 ,$11.36 ,$12.78 , N/A ,$12.07 , N/A ,$12.07 ,$12.07 ,$12.78 ,$12.78 ,$11.15 ,$11.73 , N/A ,$9.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412649,N/A,OXYcodone 5MG / APAP 325MG (PERCOCET)***,637,1 ,$7.09 ,$4.61 ,$4.61 ,$7.09 ,$5.67 , N/A ,$5.62 ,$6.38 ,$6.38 , N/A ,$6.03 ,$5.25 , N/A , N/A , N/A ,$5.91 , N/A ,$5.86 ,$5.67 ,$6.38 ,$7.09 ,$6.03 , N/A ,$6.03 ,$6.03 ,$6.38 ,$6.38 ,$5.57 ,$5.86 , N/A ,$4.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412650,N/A,RESTASIS 0.5% EYE DROPS PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412651,N/A,ELA-MAX (LIDOCAINE 4%) FOR IV START,637,1 ,$28.50 ,$18.53 ,$18.53 ,$28.50 ,$22.80 , N/A ,$22.58 ,$25.66 ,$25.66 , N/A ,$24.23 ,$21.09 , N/A , N/A , N/A ,$23.77 , N/A ,$23.54 ,$22.80 ,$25.65 ,$28.50 ,$24.23 , N/A ,$24.23 ,$24.23 ,$25.65 ,$25.65 ,$22.37 ,$23.54 , N/A ,$18.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412652,J1950,LUPRON DEPOT 3.75MG KIT,636,1 ,$889.85 ,$578.40 ,$578.40 ,"$3,268.70 ",$711.88 ,"$1,307.48 ",$705.12 ,$801.31 ,$801.31 ,"$2,484.21 ",$756.37 ,$658.49 ,"$3,268.70 ","$1,307.48 ", N/A ,$742.13 ,"$1,307.48 ",$735.02 ,$711.88 ,$800.87 ,$889.85 ,$756.37 ,$889.85 ,$756.37 ,$756.37 ,$800.87 ,$800.87 ,$698.53 ,$735.02 ,$889.85 ,$578.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412653,N/A,PRIMAXIN IV VIAL : 500MG,250,1 ,$123.40 ,$80.21 ,$80.21 ,$111.12 ,$98.72 , N/A ,$97.78 ,$111.12 ,$111.12 , N/A ,$104.89 ,$91.32 , N/A , N/A , N/A ,$102.92 , N/A ,$101.93 ,$98.72 ,$111.06 , N/A ,$104.89 , N/A ,$104.89 ,$104.89 ,$111.06 ,$111.06 ,$96.87 ,$101.93 , N/A ,$80.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412654,J2550,PROMETHAZINE (PHENERGAN) IM : 25MG/ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412655,J2550,PROMETHAZINE (PHENERGAN) IM : 50MG/ML,636,1 ,$7.00 ,$4.55 ,$4.55 ,$6.30 ,$5.60 , N/A ,$5.55 ,$6.30 ,$6.30 , N/A ,$5.95 ,$5.18 , N/A , N/A , N/A ,$5.84 , N/A ,$5.78 ,$5.60 ,$6.30 , N/A ,$5.95 , N/A ,$5.95 ,$5.95 ,$6.30 ,$6.30 ,$5.50 ,$5.78 , N/A ,$4.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412656,N/A,FLUOXETINE (PROZAC) 20MG CAPSULE,637,1 ,$8.84 ,$5.75 ,$5.75 ,$8.84 ,$7.07 , N/A ,$7.00 ,$7.96 ,$7.96 , N/A ,$7.51 ,$6.54 , N/A , N/A , N/A ,$7.37 , N/A ,$7.30 ,$7.07 ,$7.96 ,$8.84 ,$7.51 , N/A ,$7.51 ,$7.51 ,$7.96 ,$7.96 ,$6.94 ,$7.30 , N/A ,$5.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412657,N/A,FLUOXETINE (PROZAC) 10MG CAPSULE,637,1 ,$9.30 ,$6.05 ,$6.05 ,$9.30 ,$7.44 , N/A ,$7.37 ,$8.37 ,$8.37 , N/A ,$7.91 ,$6.88 , N/A , N/A , N/A ,$7.76 , N/A ,$7.68 ,$7.44 ,$8.37 ,$9.30 ,$7.91 , N/A ,$7.91 ,$7.91 ,$8.37 ,$8.37 ,$7.30 ,$7.68 , N/A ,$6.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412658,N/A,ASPIRIN TABLET EC : 81MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412659,N/A,HYDRalaZINE (APRESOLINE) 25MG TAB,637,1 ,$2.22 ,$1.44 ,$1.44 ,$2.22 ,$1.78 , N/A ,$1.76 ,$2.00 ,$2.00 , N/A ,$1.89 ,$1.64 , N/A , N/A , N/A ,$1.85 , N/A ,$1.83 ,$1.78 ,$2.00 ,$2.22 ,$1.89 , N/A ,$1.89 ,$1.89 ,$2.00 ,$2.00 ,$1.74 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412660,N/A,AMIODARONE TABLET : 200MG,637,1 ,$2.15 ,$1.40 ,$1.40 ,$2.15 ,$1.72 , N/A ,$1.70 ,$1.94 ,$1.94 , N/A ,$1.83 ,$1.59 , N/A , N/A , N/A ,$1.79 , N/A ,$1.78 ,$1.72 ,$1.94 ,$2.15 ,$1.83 , N/A ,$1.83 ,$1.83 ,$1.94 ,$1.94 ,$1.69 ,$1.78 , N/A ,$1.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412661,N/A,DEMADEX (TORSEMIDE) TABLET : 20MG,637,1 ,$2.60 ,$1.69 ,$1.69 ,$2.60 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 ,$2.60 ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412662,N/A,GLYburIDE TABLET : 5MG,637,1 ,$2.95 ,$1.92 ,$1.92 ,$2.95 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 ,$2.95 ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412663,N/A,IMDUR (ISOSORBIDE MONO) TAB : 30MG,637,1 ,$4.10 ,$2.67 ,$2.67 ,$4.10 ,$3.28 , N/A ,$3.25 ,$3.69 ,$3.69 , N/A ,$3.49 ,$3.03 , N/A , N/A , N/A ,$3.42 , N/A ,$3.39 ,$3.28 ,$3.69 ,$4.10 ,$3.49 , N/A ,$3.49 ,$3.49 ,$3.69 ,$3.69 ,$3.22 ,$3.39 , N/A ,$2.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412664,N/A,IMDUR (ISOSORBIDE MONO) TAB : 60MG,637,1 ,$3.70 ,$2.41 ,$2.41 ,$3.70 ,$2.96 , N/A ,$2.93 ,$3.33 ,$3.33 , N/A ,$3.15 ,$2.74 , N/A , N/A , N/A ,$3.09 , N/A ,$3.06 ,$2.96 ,$3.33 ,$3.70 ,$3.15 , N/A ,$3.15 ,$3.15 ,$3.33 ,$3.33 ,$2.90 ,$3.06 , N/A ,$2.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412665,N/A,LASIX (FUROSEMIDE) TAB : 20MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412666,N/A,LASIX (FUROSEMIDE) TAB : 40MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412667,N/A,LISINOPRIL TABLET : 2.5MG,637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412668,N/A,LISINOPRIL (PRINIVIL/ZESTRIL) : 5MG,637,1 ,$2.90 ,$1.89 ,$1.89 ,$2.90 ,$2.32 , N/A ,$2.30 ,$2.61 ,$2.61 , N/A ,$2.47 ,$2.15 , N/A , N/A , N/A ,$2.42 , N/A ,$2.40 ,$2.32 ,$2.61 ,$2.90 ,$2.47 , N/A ,$2.47 ,$2.47 ,$2.61 ,$2.61 ,$2.28 ,$2.40 , N/A ,$1.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412669,N/A,LISINOPRIL TABLET 10MG,637,1 ,$1.82 ,$1.18 ,$1.18 ,$1.82 ,$1.46 , N/A ,$1.44 ,$1.64 ,$1.64 , N/A ,$1.55 ,$1.35 , N/A , N/A , N/A ,$1.52 , N/A ,$1.50 ,$1.46 ,$1.64 ,$1.82 ,$1.55 , N/A ,$1.55 ,$1.55 ,$1.64 ,$1.64 ,$1.43 ,$1.50 , N/A ,$1.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412670,N/A,LISINOPRIL 20MG TABLET,637,1 ,$2.04 ,$1.33 ,$1.33 ,$2.04 ,$1.63 , N/A ,$1.62 ,$1.84 ,$1.84 , N/A ,$1.73 ,$1.51 , N/A , N/A , N/A ,$1.70 , N/A ,$1.69 ,$1.63 ,$1.84 ,$2.04 ,$1.73 , N/A ,$1.73 ,$1.73 ,$1.84 ,$1.84 ,$1.60 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412671,N/A,KLOR-CON 10 (POTASSIUM) TAB : 10MEQ,637,1 ,$2.32 ,$1.51 ,$1.51 ,$2.32 ,$1.86 , N/A ,$1.84 ,$2.09 ,$2.09 , N/A ,$1.97 ,$1.72 , N/A , N/A , N/A ,$1.93 , N/A ,$1.92 ,$1.86 ,$2.09 ,$2.32 ,$1.97 , N/A ,$1.97 ,$1.97 ,$2.09 ,$2.09 ,$1.82 ,$1.92 , N/A ,$1.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412672,N/A,KLOR-CON M20 (POTASSUM) TAB : 20MEQ,637,1 ,$2.44 ,$1.59 ,$1.59 ,$2.44 ,$1.95 , N/A ,$1.93 ,$2.20 ,$2.20 , N/A ,$2.07 ,$1.81 , N/A , N/A , N/A ,$2.04 , N/A ,$2.02 ,$1.95 ,$2.20 ,$2.44 ,$2.07 , N/A ,$2.07 ,$2.07 ,$2.20 ,$2.20 ,$1.92 ,$2.02 , N/A ,$1.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412673,N/A,PANTOPRAZOLE (PROTONIX) 40MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412674,N/A,TRAZOdone (DESYREL) 50MG TAB,637,1 ,$1.59 ,$1.03 ,$1.03 ,$1.59 ,$1.27 , N/A ,$1.26 ,$1.43 ,$1.43 , N/A ,$1.35 ,$1.18 , N/A , N/A , N/A ,$1.33 , N/A ,$1.31 ,$1.27 ,$1.43 ,$1.59 ,$1.35 , N/A ,$1.35 ,$1.35 ,$1.43 ,$1.43 ,$1.25 ,$1.31 , N/A ,$1.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412675,N/A,ACETAMINOPHEN (TYLENOL) 325MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412676,N/A,PROBENECID TAB 500MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412677,N/A,DICYCLOMINE HCL (BENTYL) 10MG CAPSULE,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412678,N/A,BUMETANIDE (BUMEX) 1MG TAB,637,1 ,$1.18 ,$0.77 ,$0.77 ,$1.18 ,$0.94 , N/A ,$0.94 ,$1.06 ,$1.06 , N/A ,$1.00 ,$0.87 , N/A , N/A , N/A ,$0.98 , N/A ,$0.97 ,$0.94 ,$1.06 ,$1.18 ,$1.00 , N/A ,$1.00 ,$1.00 ,$1.06 ,$1.06 ,$0.93 ,$0.97 , N/A ,$0.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412679,N/A,BUSPIRONE (BUSPAR) TAB : 5MG,637,1 ,$2.78 ,$1.81 ,$1.81 ,$2.78 ,$2.22 , N/A ,$2.20 ,$2.50 ,$2.50 , N/A ,$2.36 ,$2.06 , N/A , N/A , N/A ,$2.32 , N/A ,$2.30 ,$2.22 ,$2.50 ,$2.78 ,$2.36 , N/A ,$2.36 ,$2.36 ,$2.50 ,$2.50 ,$2.18 ,$2.30 , N/A ,$1.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412680,N/A,BUSPIRONE TAB 15MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412681,N/A,VERAPAMIL ER (CALAN SR) TAB : 120MG,637,1 ,$8.27 ,$5.38 ,$5.38 ,$8.27 ,$6.62 , N/A ,$6.55 ,$7.45 ,$7.45 , N/A ,$7.03 ,$6.12 , N/A , N/A , N/A ,$6.90 , N/A ,$6.83 ,$6.62 ,$7.44 ,$8.27 ,$7.03 , N/A ,$7.03 ,$7.03 ,$7.44 ,$7.44 ,$6.49 ,$6.83 , N/A ,$5.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412682,N/A,CALCARB 600MG WITH VIT D 400 TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412683,N/A,DILTIAZEM ER (CARDIZEM SR) : 60MG 12HR,637,1 ,$3.35 ,$2.18 ,$2.18 ,$3.35 ,$2.68 , N/A ,$2.65 ,$3.02 ,$3.02 , N/A ,$2.85 ,$2.48 , N/A , N/A , N/A ,$2.79 , N/A ,$2.77 ,$2.68 ,$3.02 ,$3.35 ,$2.85 , N/A ,$2.85 ,$2.85 ,$3.02 ,$3.02 ,$2.63 ,$2.77 , N/A ,$2.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412684,N/A,DILTIAZEM CD (CARDIZEM CD) : 120MG 24HR,637,1 ,$1.53 ,$0.99 ,$0.99 ,$1.53 ,$1.22 , N/A ,$1.21 ,$1.38 ,$1.38 , N/A ,$1.30 ,$1.13 , N/A , N/A , N/A ,$1.28 , N/A ,$1.26 ,$1.22 ,$1.38 ,$1.53 ,$1.30 , N/A ,$1.30 ,$1.30 ,$1.38 ,$1.38 ,$1.20 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412685,N/A,DILTIAZEM CD (CARDIZEM CD) : 180MG 24HR,637,1 ,$1.82 ,$1.18 ,$1.18 ,$1.82 ,$1.46 , N/A ,$1.44 ,$1.64 ,$1.64 , N/A ,$1.55 ,$1.35 , N/A , N/A , N/A ,$1.52 , N/A ,$1.50 ,$1.46 ,$1.64 ,$1.82 ,$1.55 , N/A ,$1.55 ,$1.55 ,$1.64 ,$1.64 ,$1.43 ,$1.50 , N/A ,$1.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412686,N/A,DILTIAZEM CD (CARDIZEM CD) : 300MG 24HR,637,1 ,$5.60 ,$3.64 ,$3.64 ,$5.60 ,$4.48 , N/A ,$4.44 ,$5.04 ,$5.04 , N/A ,$4.76 ,$4.14 , N/A , N/A , N/A ,$4.67 , N/A ,$4.63 ,$4.48 ,$5.04 ,$5.60 ,$4.76 , N/A ,$4.76 ,$4.76 ,$5.04 ,$5.04 ,$4.40 ,$4.63 , N/A ,$3.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412687,N/A,DOXAZOSIN (CARDURA) TAB : 2MG,637,1 ,$2.38 ,$1.55 ,$1.55 ,$2.38 ,$1.90 , N/A ,$1.89 ,$2.14 ,$2.14 , N/A ,$2.02 ,$1.76 , N/A , N/A , N/A ,$1.98 , N/A ,$1.97 ,$1.90 ,$2.14 ,$2.38 ,$2.02 , N/A ,$2.02 ,$2.02 ,$2.14 ,$2.14 ,$1.87 ,$1.97 , N/A ,$1.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412688,N/A,CEFACLOR (CECLOR) CAP : 250MG,637,1 ,$6.30 ,$4.10 ,$4.10 ,$6.30 ,$5.04 , N/A ,$4.99 ,$5.67 ,$5.67 , N/A ,$5.36 ,$4.66 , N/A , N/A , N/A ,$5.25 , N/A ,$5.20 ,$5.04 ,$5.67 ,$6.30 ,$5.36 , N/A ,$5.36 ,$5.36 ,$5.67 ,$5.67 ,$4.95 ,$5.20 , N/A ,$4.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412689,N/A,CEFUROXIME (CEFTIN) TAB : 250MG,637,1 ,$15.71 ,$10.21 ,$10.21 ,$15.71 ,$12.57 , N/A ,$12.45 ,$14.15 ,$14.15 , N/A ,$13.35 ,$11.63 , N/A , N/A , N/A ,$13.10 , N/A ,$12.98 ,$12.57 ,$14.14 ,$15.71 ,$13.35 , N/A ,$13.35 ,$13.35 ,$14.14 ,$14.14 ,$12.33 ,$12.98 , N/A ,$10.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412690,N/A,CHLORASEPTIC LOZENGE : EACH,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412691,N/A,SPIRONOLACTONE 25MG/HCTZ 25MG PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412692,N/A,RAMIPRIL (ALTACE) CAP : 2.5MG,637,1 ,$5.70 ,$3.71 ,$3.71 ,$5.70 ,$4.56 , N/A ,$4.52 ,$5.13 ,$5.13 , N/A ,$4.85 ,$4.22 , N/A , N/A , N/A ,$4.75 , N/A ,$4.71 ,$4.56 ,$5.13 ,$5.70 ,$4.85 , N/A ,$4.85 ,$4.85 ,$5.13 ,$5.13 ,$4.47 ,$4.71 , N/A ,$3.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412693,N/A,ZOLPIDEM (AMBIEN) TAB : 5MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412694,N/A,AMINOPHYLLINE TABLET : 200MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412695,N/A,AMOXicillin CAPSULE : 250MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412696,N/A,AMOXicillin CAPSULE : 500MG,637,1 ,$1.53 ,$0.99 ,$0.99 ,$1.53 ,$1.22 , N/A ,$1.21 ,$1.38 ,$1.38 , N/A ,$1.30 ,$1.13 , N/A , N/A , N/A ,$1.28 , N/A ,$1.26 ,$1.22 ,$1.38 ,$1.53 ,$1.30 , N/A ,$1.30 ,$1.30 ,$1.38 ,$1.38 ,$1.20 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412697,N/A,HYDRalaZINE (APRESOLINE) 10MG TAB,637,1 ,$1.47 ,$0.96 ,$0.96 ,$1.47 ,$1.18 , N/A ,$1.16 ,$1.32 ,$1.32 , N/A ,$1.25 ,$1.09 , N/A , N/A , N/A ,$1.23 , N/A ,$1.21 ,$1.18 ,$1.32 ,$1.47 ,$1.25 , N/A ,$1.25 ,$1.25 ,$1.32 ,$1.32 ,$1.15 ,$1.21 , N/A ,$0.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412698,N/A,VITAMIN C (ASCORBIC ACID) TAB : 250MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412699,N/A,CLONIDINE 0.3MG/DAY PATCH PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412700,N/A,HYDRoxyZINE HCL (ATARAX) 10MG TAB,637,1 ,$2.22 ,$1.44 ,$1.44 ,$2.22 ,$1.78 , N/A ,$1.76 ,$2.00 ,$2.00 , N/A ,$1.89 ,$1.64 , N/A , N/A , N/A ,$1.85 , N/A ,$1.83 ,$1.78 ,$2.00 ,$2.22 ,$1.89 , N/A ,$1.89 ,$1.89 ,$2.00 ,$2.00 ,$1.74 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412701,N/A,HYDRoxyZINE HCL (ATARAX) TAB : 25MG,637,1 ,$1.19 ,$0.77 ,$0.77 ,$1.19 ,$0.95 , N/A ,$0.94 ,$1.07 ,$1.07 , N/A ,$1.01 ,$0.88 , N/A , N/A , N/A ,$0.99 , N/A ,$0.98 ,$0.95 ,$1.07 ,$1.19 ,$1.01 , N/A ,$1.01 ,$1.01 ,$1.07 ,$1.07 ,$0.93 ,$0.98 , N/A ,$0.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412702,N/A,SULFASALAZINE TABLET : 500MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412703,N/A,SULFAMETHOXAZOLE 800/TRIMETHOPRIM 160,637,1 ,$1.08 ,$0.70 ,$0.70 ,$1.08 ,$0.86 , N/A ,$0.86 ,$0.97 ,$0.97 , N/A ,$0.92 ,$0.80 , N/A , N/A , N/A ,$0.90 , N/A ,$0.89 ,$0.86 ,$0.97 ,$1.08 ,$0.92 , N/A ,$0.92 ,$0.92 ,$0.97 ,$0.97 ,$0.85 ,$0.89 , N/A ,$0.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412704,N/A,BACLOFEN 10MG TABLET,637,1 ,$1.53 ,$0.99 ,$0.99 ,$1.53 ,$1.22 , N/A ,$1.21 ,$1.38 ,$1.38 , N/A ,$1.30 ,$1.13 , N/A , N/A , N/A ,$1.28 , N/A ,$1.26 ,$1.22 ,$1.38 ,$1.53 ,$1.30 , N/A ,$1.30 ,$1.30 ,$1.38 ,$1.38 ,$1.20 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412705,N/A,DIPHENHYDRAMINE (BENADRYL) CAP : 25MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412706,N/A,HALOPERIDOL (HALDOL) TAB : 1MG,637,1 ,$1.10 ,$0.72 ,$0.72 ,$1.10 ,$0.88 , N/A ,$0.87 ,$0.99 ,$0.99 , N/A ,$0.94 ,$0.81 , N/A , N/A , N/A ,$0.92 , N/A ,$0.91 ,$0.88 ,$0.99 ,$1.10 ,$0.94 , N/A ,$0.94 ,$0.94 ,$0.99 ,$0.99 ,$0.86 ,$0.91 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412707,N/A,HALOPERIDOL (HALDOL) 5MG TAB,637,1 ,$3.45 ,$2.24 ,$2.24 ,$3.45 ,$2.76 , N/A ,$2.73 ,$3.11 ,$3.11 , N/A ,$2.93 ,$2.55 , N/A , N/A , N/A ,$2.88 , N/A ,$2.85 ,$2.76 ,$3.11 ,$3.45 ,$2.93 , N/A ,$2.93 ,$2.93 ,$3.11 ,$3.11 ,$2.71 ,$2.85 , N/A ,$2.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412708,N/A,TERAZOSIN (HYTRIN) CAP : 1MG,637,1 ,$7.60 ,$4.94 ,$4.94 ,$7.60 ,$6.08 , N/A ,$6.02 ,$6.84 ,$6.84 , N/A ,$6.46 ,$5.62 , N/A , N/A , N/A ,$6.34 , N/A ,$6.28 ,$6.08 ,$6.84 ,$7.60 ,$6.46 , N/A ,$6.46 ,$6.46 ,$6.84 ,$6.84 ,$5.97 ,$6.28 , N/A ,$4.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412709,N/A,LOPERAMIDE (IMODIUM) CAP : 2MG,637,1 ,$2.50 ,$1.63 ,$1.63 ,$2.50 ,$2.00 , N/A ,$1.98 ,$2.25 ,$2.25 , N/A ,$2.13 ,$1.85 , N/A , N/A , N/A ,$2.09 , N/A ,$2.07 ,$2.00 ,$2.25 ,$2.50 ,$2.13 , N/A ,$2.13 ,$2.13 ,$2.25 ,$2.25 ,$1.96 ,$2.07 , N/A ,$1.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412710,N/A,PROPRANOLOL ER (INDERAL LA) : 80MG,637,1 ,$7.04 ,$4.58 ,$4.58 ,$7.04 ,$5.63 , N/A ,$5.58 ,$6.34 ,$6.34 , N/A ,$5.98 ,$5.21 , N/A , N/A , N/A ,$5.87 , N/A ,$5.82 ,$5.63 ,$6.34 ,$7.04 ,$5.98 , N/A ,$5.98 ,$5.98 ,$6.34 ,$6.34 ,$5.53 ,$5.82 , N/A ,$4.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412711,N/A,ISOSORBIDE DINITRATE (ISORDIL) : 10MG,637,1 ,$4.08 ,$2.65 ,$2.65 ,$4.08 ,$3.26 , N/A ,$3.23 ,$3.67 ,$3.67 , N/A ,$3.47 ,$3.02 , N/A , N/A , N/A ,$3.40 , N/A ,$3.37 ,$3.26 ,$3.67 ,$4.08 ,$3.47 , N/A ,$3.47 ,$3.47 ,$3.67 ,$3.67 ,$3.20 ,$3.37 , N/A ,$2.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412712,N/A,ISOSORBIDE DINITRATE (ISORDIL) : 20MG,637,1 ,$3.00 ,$1.95 ,$1.95 ,$3.00 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 ,$3.00 ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412713,N/A,CEPHALEXIN (KEFLEX) CAP : 500MG,637,1 ,$4.94 ,$3.21 ,$3.21 ,$4.94 ,$3.95 , N/A ,$3.91 ,$4.45 ,$4.45 , N/A ,$4.20 ,$3.66 , N/A , N/A , N/A ,$4.12 , N/A ,$4.08 ,$3.95 ,$4.45 ,$4.94 ,$4.20 , N/A ,$4.20 ,$4.20 ,$4.45 ,$4.45 ,$3.88 ,$4.08 , N/A ,$3.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412714,N/A,KETOPROFEN ER 200MG CAP PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412715,N/A,LABETALOL (TRANDATE/NORMODYNE) : 200MG,637,1 ,$2.67 ,$1.74 ,$1.74 ,$2.67 ,$2.14 , N/A ,$2.12 ,$2.40 ,$2.40 , N/A ,$2.27 ,$1.98 , N/A , N/A , N/A ,$2.23 , N/A ,$2.21 ,$2.14 ,$2.40 ,$2.67 ,$2.27 , N/A ,$2.27 ,$2.27 ,$2.40 ,$2.40 ,$2.10 ,$2.21 , N/A ,$1.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412716,N/A,DAIRY AID (LACTASE) TAB : 3000 UNITS,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412717,N/A,DIPHENOXYLATE/ATROPINE (LOMOTIL) TAB,637,1 ,$3.12 ,$2.03 ,$2.03 ,$3.12 ,$2.50 , N/A ,$2.47 ,$2.81 ,$2.81 , N/A ,$2.65 ,$2.31 , N/A , N/A , N/A ,$2.60 , N/A ,$2.58 ,$2.50 ,$2.81 ,$3.12 ,$2.65 , N/A ,$2.65 ,$2.65 ,$2.81 ,$2.81 ,$2.45 ,$2.58 , N/A ,$2.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412718,N/A,MACROBID CAP 50MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412719,N/A,METAMUCIL PACKET (SCAN LABEL NDC),637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412720,N/A,GLYburIDE TABLET : 2.5MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412721,N/A,MINOCYCLINE CAP 100MG CORRUPTED,637,1 ,$10.70 ,$6.96 ,$6.96 ,$10.70 ,$8.56 , N/A ,$8.48 ,$9.64 ,$9.64 , N/A ,$9.10 ,$7.92 , N/A , N/A , N/A ,$8.92 , N/A ,$8.84 ,$8.56 ,$9.63 ,$10.70 ,$9.10 , N/A ,$9.10 ,$9.10 ,$9.63 ,$9.63 ,$8.40 ,$8.84 , N/A ,$6.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412722,N/A,IBUPROFEN (MOTRIN) TAB : 800MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412723,N/A,PRIMIDONE (MYSOLINE) TAB : 50MG,637,1 ,$1.65 ,$1.07 ,$1.07 ,$1.65 ,$1.32 , N/A ,$1.31 ,$1.49 ,$1.49 , N/A ,$1.40 ,$1.22 , N/A , N/A , N/A ,$1.38 , N/A ,$1.36 ,$1.32 ,$1.49 ,$1.65 ,$1.40 , N/A ,$1.40 ,$1.40 ,$1.49 ,$1.49 ,$1.30 ,$1.36 , N/A ,$1.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412724,N/A,PRIMIDONE TAB 250MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412725,N/A,NAPROXEN 250MG TAB,637,1 ,$2.78 ,$1.81 ,$1.81 ,$2.78 ,$2.22 , N/A ,$2.20 ,$2.50 ,$2.50 , N/A ,$2.36 ,$2.06 , N/A , N/A , N/A ,$2.32 , N/A ,$2.30 ,$2.22 ,$2.50 ,$2.78 ,$2.36 , N/A ,$2.36 ,$2.36 ,$2.50 ,$2.50 ,$2.18 ,$2.30 , N/A ,$1.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412726,N/A,NEOMYCIN SULFATE TABLET : 500MG,637,1 ,$5.35 ,$3.48 ,$3.48 ,$5.35 ,$4.28 , N/A ,$4.24 ,$4.82 ,$4.82 , N/A ,$4.55 ,$3.96 , N/A , N/A , N/A ,$4.46 , N/A ,$4.42 ,$4.28 ,$4.82 ,$5.35 ,$4.55 , N/A ,$4.55 ,$4.55 ,$4.82 ,$4.82 ,$4.20 ,$4.42 , N/A ,$3.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412727,N/A,FERREX (NIFEREX) CAPSULE : 150MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412728,N/A,NITROSTAT SUBL 0.3MG TAB PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412729,N/A,NITROGLYCERIN TAB SUBL:0.6MG,637,1 ,$26.40 ,$17.16 ,$17.16 ,$26.40 ,$21.12 , N/A ,$20.92 ,$23.77 ,$23.77 , N/A ,$22.44 ,$19.54 , N/A , N/A , N/A ,$22.02 , N/A ,$21.81 ,$21.12 ,$23.76 ,$26.40 ,$22.44 , N/A ,$22.44 ,$22.44 ,$23.76 ,$23.76 ,$20.72 ,$21.81 , N/A ,$17.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412730,N/A,OXAZEPAM (SERAX) CAPSULE : 10MG,637,1 ,$2.75 ,$1.79 ,$1.79 ,$2.75 ,$2.20 , N/A ,$2.18 ,$2.48 ,$2.48 , N/A ,$2.34 ,$2.04 , N/A , N/A , N/A ,$2.29 , N/A ,$2.27 ,$2.20 ,$2.48 ,$2.75 ,$2.34 , N/A ,$2.34 ,$2.34 ,$2.48 ,$2.48 ,$2.16 ,$2.27 , N/A ,$1.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412731,N/A,NORTRIPTYLINE (PAMELOR) 25MG CAP,637,1 ,$2.78 ,$1.81 ,$1.81 ,$2.78 ,$2.22 , N/A ,$2.20 ,$2.50 ,$2.50 , N/A ,$2.36 ,$2.06 , N/A , N/A , N/A ,$2.32 , N/A ,$2.30 ,$2.22 ,$2.50 ,$2.78 ,$2.36 , N/A ,$2.36 ,$2.36 ,$2.50 ,$2.50 ,$2.18 ,$2.30 , N/A ,$1.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412732,N/A,PENICILLIN V POTASSIUM TAB : 250MG,637,1 ,$4.20 ,$2.73 ,$2.73 ,$4.20 ,$3.36 , N/A ,$3.33 ,$3.78 ,$3.78 , N/A ,$3.57 ,$3.11 , N/A , N/A , N/A ,$3.50 , N/A ,$3.47 ,$3.36 ,$3.78 ,$4.20 ,$3.57 , N/A ,$3.57 ,$3.57 ,$3.78 ,$3.78 ,$3.30 ,$3.47 , N/A ,$2.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412733,N/A,PERMAX (PERGOLIDE) TAB : 1MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412734,N/A,PHENOBARBITAL TABLET : 15MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412735,N/A,CLINDAMYCIN CAPSULE : 150MG,637,1 ,$2.44 ,$1.59 ,$1.59 ,$2.44 ,$1.95 , N/A ,$1.93 ,$2.20 ,$2.20 , N/A ,$2.07 ,$1.81 , N/A , N/A , N/A ,$2.04 , N/A ,$2.02 ,$1.95 ,$2.20 ,$2.44 ,$2.07 , N/A ,$2.07 ,$2.07 ,$2.20 ,$2.20 ,$1.92 ,$2.02 , N/A ,$1.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412736,N/A,SULINDAC (CLINORIL) TABLET : 200MG,637,1 ,$3.90 ,$2.54 ,$2.54 ,$3.90 ,$3.12 , N/A ,$3.09 ,$3.51 ,$3.51 , N/A ,$3.32 ,$2.89 , N/A , N/A , N/A ,$3.25 , N/A ,$3.22 ,$3.12 ,$3.51 ,$3.90 ,$3.32 , N/A ,$3.32 ,$3.32 ,$3.51 ,$3.51 ,$3.06 ,$3.22 , N/A ,$2.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412737,N/A,PROBENECID 500MG + COLCHICINE 0.5MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412738,N/A,COLCHICINE (COLCRYS) 0.6MG TAB,637,1 ,$7.32 ,$4.76 ,$4.76 ,$7.32 ,$5.86 , N/A ,$5.80 ,$6.59 ,$6.59 , N/A ,$6.22 ,$5.42 , N/A , N/A , N/A ,$6.10 , N/A ,$6.05 ,$5.86 ,$6.59 ,$7.32 ,$6.22 , N/A ,$6.22 ,$6.22 ,$6.59 ,$6.59 ,$5.75 ,$6.05 , N/A ,$4.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412739,N/A,MEPROBAMATE TABLET : 400MG,637,1 ,$5.75 ,$3.74 ,$3.74 ,$5.75 ,$4.60 , N/A ,$4.56 ,$5.18 ,$5.18 , N/A ,$4.89 ,$4.26 , N/A , N/A , N/A ,$4.80 , N/A ,$4.75 ,$4.60 ,$5.18 ,$5.75 ,$4.89 , N/A ,$4.89 ,$4.89 ,$5.18 ,$5.18 ,$4.51 ,$4.75 , N/A ,$3.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412740,N/A,CORTISONE ACETATE TAB 25MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412741,N/A,OXAPROZIN (DAYPRO) TAB : 600MG,637,1 ,$4.75 ,$3.09 ,$3.09 ,$4.75 ,$3.80 , N/A ,$3.76 ,$4.28 ,$4.28 , N/A ,$4.04 ,$3.52 , N/A , N/A , N/A ,$3.96 , N/A ,$3.92 ,$3.80 ,$4.28 ,$4.75 ,$4.04 , N/A ,$4.04 ,$4.04 ,$4.28 ,$4.28 ,$3.73 ,$3.92 , N/A ,$3.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412742,N/A,ACETAZOLAMIDE TAB 250MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412743,N/A,ACETAZOLAMIDE ER (DIAMOX ER) CAP- 500MG,637,1 ,$17.46 ,$11.35 ,$11.35 ,$17.46 ,$13.97 , N/A ,$13.84 ,$15.72 ,$15.72 , N/A ,$14.84 ,$12.92 , N/A , N/A , N/A ,$14.56 , N/A ,$14.42 ,$13.97 ,$15.71 ,$17.46 ,$14.84 , N/A ,$14.84 ,$14.84 ,$15.71 ,$15.71 ,$13.71 ,$14.42 , N/A ,$11.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412744,N/A,DICLOXACILLIN SODIUM CAP 250MG,637,1 ,$2.38 ,$1.55 ,$1.55 ,$2.38 ,$1.90 , N/A ,$1.89 ,$2.14 ,$2.14 , N/A ,$2.02 ,$1.76 , N/A , N/A , N/A ,$1.98 , N/A ,$1.97 ,$1.90 ,$2.14 ,$2.38 ,$2.02 , N/A ,$2.02 ,$2.02 ,$2.14 ,$2.14 ,$1.87 ,$1.97 , N/A ,$1.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412745,N/A,DONNATAL (BELLADONNA/PHENOBARB.) TABLET,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412746,N/A,DOXEPIN (SINEQUAN) CAPSULE : 10MG,637,1 ,$1.13 ,$0.73 ,$0.73 ,$1.13 ,$0.90 , N/A ,$0.90 ,$1.02 ,$1.02 , N/A ,$0.96 ,$0.84 , N/A , N/A , N/A ,$0.94 , N/A ,$0.93 ,$0.90 ,$1.02 ,$1.13 ,$0.96 , N/A ,$0.96 ,$0.96 ,$1.02 ,$1.02 ,$0.89 ,$0.93 , N/A ,$0.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412747,N/A,DOXEPIN (SINEQUAN) CAPSULE : 75MG,637,1 ,$2.90 ,$1.89 ,$1.89 ,$2.90 ,$2.32 , N/A ,$2.30 ,$2.61 ,$2.61 , N/A ,$2.47 ,$2.15 , N/A , N/A , N/A ,$2.42 , N/A ,$2.40 ,$2.32 ,$2.61 ,$2.90 ,$2.47 , N/A ,$2.47 ,$2.47 ,$2.61 ,$2.61 ,$2.28 ,$2.40 , N/A ,$1.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412748,N/A,ISRADIPINE CAP 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412749,N/A,SELEGILINE CAP 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412750,N/A,AMITRIPTYLINE/PERPHENAZINE 25MG/2MG,637,1 ,$2.20 ,$1.43 ,$1.43 ,$2.20 ,$1.76 , N/A ,$1.74 ,$1.98 ,$1.98 , N/A ,$1.87 ,$1.63 , N/A , N/A , N/A ,$1.83 , N/A ,$1.82 ,$1.76 ,$1.98 ,$2.20 ,$1.87 , N/A ,$1.87 ,$1.87 ,$1.98 ,$1.98 ,$1.73 ,$1.82 , N/A ,$1.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412751,N/A,ZEBUTAL (ESGIC/FIORICET) CAP 50-500-40,637,1 ,$4.50 ,$2.93 ,$2.93 ,$4.50 ,$3.60 , N/A ,$3.57 ,$4.05 ,$4.05 , N/A ,$3.83 ,$3.33 , N/A , N/A , N/A ,$3.75 , N/A ,$3.72 ,$3.60 ,$4.05 ,$4.50 ,$3.83 , N/A ,$3.83 ,$3.83 ,$4.05 ,$4.05 ,$3.53 ,$3.72 , N/A ,$2.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412752,N/A,MINOCYCLINE CAPSULE : 100MG,637,1 ,$12.14 ,$7.89 ,$7.89 ,$12.14 ,$9.71 , N/A ,$9.62 ,$10.93 ,$10.93 , N/A ,$10.32 ,$8.98 , N/A , N/A , N/A ,$10.12 , N/A ,$10.03 ,$9.71 ,$10.93 ,$12.14 ,$10.32 , N/A ,$10.32 ,$10.32 ,$10.93 ,$10.93 ,$9.53 ,$10.03 , N/A ,$7.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412753,N/A,FIORINAL 325-50-40 (GENERIC) CAPSULE,637,1 ,$10.83 ,$7.04 ,$7.04 ,$10.83 ,$8.66 , N/A ,$8.58 ,$9.75 ,$9.75 , N/A ,$9.21 ,$8.01 , N/A , N/A , N/A ,$9.03 , N/A ,$8.95 ,$8.66 ,$9.75 ,$10.83 ,$9.21 , N/A ,$9.21 ,$9.21 ,$9.75 ,$9.75 ,$8.50 ,$8.95 , N/A ,$7.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412754,N/A,FIORINAL/CODEINE #3 CAP PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412755,N/A,METROnidAZOLE (FLAGYL) TAB : 250MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412756,N/A,CYCLOBENZAPRINE (FLEXERIL) TAB : 10MG,637,1 ,$3.45 ,$2.24 ,$2.24 ,$3.45 ,$2.76 , N/A ,$2.73 ,$3.11 ,$3.11 , N/A ,$2.93 ,$2.55 , N/A , N/A , N/A ,$2.88 , N/A ,$2.85 ,$2.76 ,$3.11 ,$3.45 ,$2.93 , N/A ,$2.93 ,$2.93 ,$3.11 ,$3.11 ,$2.71 ,$2.85 , N/A ,$2.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412757,N/A,FLUDROCORTISONE (FLORINEF) TAB : 0.1MG,637,1 ,$2.67 ,$1.74 ,$1.74 ,$2.67 ,$2.14 , N/A ,$2.12 ,$2.40 ,$2.40 , N/A ,$2.27 ,$1.98 , N/A , N/A , N/A ,$2.23 , N/A ,$2.21 ,$2.14 ,$2.40 ,$2.67 ,$2.27 , N/A ,$2.27 ,$2.27 ,$2.40 ,$2.40 ,$2.10 ,$2.21 , N/A ,$1.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412758,N/A,FLUMADINE (RIMANTADINE) TABLET : 100MG,637,1 ,$5.80 ,$3.77 ,$3.77 ,$5.80 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 ,$5.80 ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412759,N/A,ZIPRASIDONE (GEODON) CAP : 20MG,637,1 ,$31.64 ,$20.57 ,$20.57 ,$31.64 ,$25.31 , N/A ,$25.07 ,$28.49 ,$28.49 , N/A ,$26.89 ,$23.41 , N/A , N/A , N/A ,$26.39 , N/A ,$26.13 ,$25.31 ,$28.48 ,$31.64 ,$26.89 , N/A ,$26.89 ,$26.89 ,$28.48 ,$28.48 ,$24.84 ,$26.13 , N/A ,$20.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412760,N/A,GLIpizIDE (GLUCOTROL) TAB : 5MG,637,1 ,$1.37 ,$0.89 ,$0.89 ,$1.37 ,$1.10 , N/A ,$1.09 ,$1.23 ,$1.23 , N/A ,$1.16 ,$1.01 , N/A , N/A , N/A ,$1.14 , N/A ,$1.13 ,$1.10 ,$1.23 ,$1.37 ,$1.16 , N/A ,$1.16 ,$1.16 ,$1.23 ,$1.23 ,$1.08 ,$1.13 , N/A ,$0.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412761,N/A,GLYburIDE 3MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412762,N/A,MUCINEX (GUAIFENESIN ER) TAB : 600MG,637,1 ,$3.00 ,$1.95 ,$1.95 ,$3.00 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 ,$3.00 ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412763,N/A,ERGOLOID MESYLATES (HYDERGINE) TAB : 1MG,637,1 ,$14.70 ,$9.56 ,$9.56 ,$14.70 ,$11.76 , N/A ,$11.65 ,$13.24 ,$13.24 , N/A ,$12.50 ,$10.88 , N/A , N/A , N/A ,$12.26 , N/A ,$12.14 ,$11.76 ,$13.23 ,$14.70 ,$12.50 , N/A ,$12.50 ,$12.50 ,$13.23 ,$13.23 ,$11.54 ,$12.14 , N/A ,$9.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412764,J3489,ZOLEDRONIC ACID : 4MG,636,1 ,$384.00 ,$249.60 ,$249.60 ,$345.79 ,$307.20 , N/A ,$304.28 ,$345.79 ,$345.79 , N/A ,$326.40 ,$284.16 , N/A , N/A , N/A ,$320.26 , N/A ,$317.18 ,$307.20 ,$345.60 , N/A ,$326.40 , N/A ,$326.40 ,$326.40 ,$345.60 ,$345.60 ,$301.44 ,$317.18 , N/A ,$249.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412765,J0881,ARANESP SUBQ VIAL : 150 MCG,636,1 ,"$1,667.50 ","$1,083.88 ",$3.20 ,"$1,501.58 ","$1,334.00 ",$3.20 ,"$1,321.33 ","$1,501.58 ","$1,501.58 ",$6.07 ,"$1,417.38 ","$1,233.95 ",$7.99 ,$3.20 , N/A ,"$1,390.70 ",$3.20 ,"$1,377.36 ","$1,334.00 ","$1,500.75 ",$7.99 ,"$1,417.38 ",$3.20 ,"$1,417.38 ","$1,417.38 ","$1,500.75 ","$1,500.75 ","$1,308.99 ","$1,377.36 ",$3.20 ,"$1,083.88 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3412766,N/A,"THEOPHYLLINE (THEO-24) : 200MG, 24 HOUR",637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412767,N/A,CHLORPROmazine (THORAZINE) TAB : 10MG,637,1 ,$1.10 ,$0.72 ,$0.72 ,$1.10 ,$0.88 , N/A ,$0.87 ,$0.99 ,$0.99 , N/A ,$0.94 ,$0.81 , N/A , N/A , N/A ,$0.92 , N/A ,$0.91 ,$0.88 ,$0.99 ,$1.10 ,$0.94 , N/A ,$0.94 ,$0.94 ,$0.99 ,$0.99 ,$0.86 ,$0.91 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412768,N/A,CHLORPROmazine TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412769,N/A,TOPIRAMATE (TOPAMAX) TAB : 25MG,637,1 ,$7.49 ,$4.87 ,$4.87 ,$7.49 ,$5.99 , N/A ,$5.94 ,$6.74 ,$6.74 , N/A ,$6.37 ,$5.54 , N/A , N/A , N/A ,$6.25 , N/A ,$6.19 ,$5.99 ,$6.74 ,$7.49 ,$6.37 , N/A ,$6.37 ,$6.37 ,$6.74 ,$6.74 ,$5.88 ,$6.19 , N/A ,$4.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412770,N/A,TOPROL XL (METOPROLOL ER) TAB : 25MG,637,1 ,$4.42 ,$2.87 ,$2.87 ,$4.42 ,$3.54 , N/A ,$3.50 ,$3.98 ,$3.98 , N/A ,$3.76 ,$3.27 , N/A , N/A , N/A ,$3.69 , N/A ,$3.65 ,$3.54 ,$3.98 ,$4.42 ,$3.76 , N/A ,$3.76 ,$3.76 ,$3.98 ,$3.98 ,$3.47 ,$3.65 , N/A ,$2.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412772,N/A,ADENOSCAN VIAL : 90MG (CHARGE FOR 1),636,1 ,$375.95 ,$244.37 ,$244.37 ,$338.54 ,$300.76 , N/A ,$297.90 ,$338.54 ,$338.54 , N/A ,$319.56 ,$278.20 , N/A , N/A , N/A ,$313.54 , N/A ,$310.53 ,$300.76 ,$338.36 , N/A ,$319.56 , N/A ,$319.56 ,$319.56 ,$338.36 ,$338.36 ,$295.12 ,$310.53 , N/A ,$244.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412773,N/A,EZETIMIBE (ZETIA) TAB : 10MG,637,1 ,$9.12 ,$5.93 ,$5.93 ,$9.12 ,$7.30 , N/A ,$7.23 ,$8.21 ,$8.21 , N/A ,$7.75 ,$6.75 , N/A , N/A , N/A ,$7.61 , N/A ,$7.53 ,$7.30 ,$8.21 ,$9.12 ,$7.75 , N/A ,$7.75 ,$7.75 ,$8.21 ,$8.21 ,$7.16 ,$7.53 , N/A ,$5.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412774,N/A,TYLENOL/CODEINE #2 (GENERIC) 15-300MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412775,N/A,CODEINE/APAP #4 (GENERIC) 60-300MG TAB,637,1 ,$2.21 ,$1.44 ,$1.44 ,$2.21 ,$1.77 , N/A ,$1.75 ,$1.99 ,$1.99 , N/A ,$1.88 ,$1.64 , N/A , N/A , N/A ,$1.84 , N/A ,$1.83 ,$1.77 ,$1.99 ,$2.21 ,$1.88 , N/A ,$1.88 ,$1.88 ,$1.99 ,$1.99 ,$1.73 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412776,N/A,DIPHENHYDRAMINE 25MG/APAP 500MG TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412777,N/A,ENALAPRIL (VASOTEC) TAB : 2.5MG,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412778,N/A,ENALAPRIL (VASOTEC) TAB : 5MG,637,1 ,$3.35 ,$2.18 ,$2.18 ,$3.35 ,$2.68 , N/A ,$2.65 ,$3.02 ,$3.02 , N/A ,$2.85 ,$2.48 , N/A , N/A , N/A ,$2.79 , N/A ,$2.77 ,$2.68 ,$3.02 ,$3.35 ,$2.85 , N/A ,$2.85 ,$2.85 ,$3.02 ,$3.02 ,$2.63 ,$2.77 , N/A ,$2.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412779,N/A,ENALAPRIL (VASOTEC) TAB : 10MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412780,N/A,DOXYCYCLINE (VIBRAMYCIN) TAB : 100MG,637,1 ,$4.82 ,$3.13 ,$3.13 ,$4.82 ,$3.86 , N/A ,$3.82 ,$4.34 ,$4.34 , N/A ,$4.10 ,$3.57 , N/A , N/A , N/A ,$4.02 , N/A ,$3.98 ,$3.86 ,$4.34 ,$4.82 ,$4.10 , N/A ,$4.10 ,$4.10 ,$4.34 ,$4.34 ,$3.78 ,$3.98 , N/A ,$3.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412781,N/A,HYDROCODONE 5MG / APAP 325MG (NORCO),637,1 ,$1.53 ,$0.99 ,$0.99 ,$1.53 ,$1.22 , N/A ,$1.21 ,$1.38 ,$1.38 , N/A ,$1.30 ,$1.13 , N/A , N/A , N/A ,$1.28 , N/A ,$1.26 ,$1.22 ,$1.38 ,$1.53 ,$1.30 , N/A ,$1.30 ,$1.30 ,$1.38 ,$1.38 ,$1.20 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412782,N/A,HYDROCODONE 7.5MG / APAP 325MG TAB,637,1 ,$2.27 ,$1.48 ,$1.48 ,$2.27 ,$1.82 , N/A ,$1.80 ,$2.04 ,$2.04 , N/A ,$1.93 ,$1.68 , N/A , N/A , N/A ,$1.89 , N/A ,$1.88 ,$1.82 ,$2.04 ,$2.27 ,$1.93 , N/A ,$1.93 ,$1.93 ,$2.04 ,$2.04 ,$1.78 ,$1.88 , N/A ,$1.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412783,N/A,HYDROCODONE/APAP 10/650 (LORCET 10/650),637,1 ,$1.65 ,$1.07 ,$1.07 ,$1.65 ,$1.32 , N/A ,$1.31 ,$1.49 ,$1.49 , N/A ,$1.40 ,$1.22 , N/A , N/A , N/A ,$1.38 , N/A ,$1.36 ,$1.32 ,$1.49 ,$1.65 ,$1.40 , N/A ,$1.40 ,$1.40 ,$1.49 ,$1.49 ,$1.30 ,$1.36 , N/A ,$1.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412784,N/A,HYDRoxyZINE PAMOATE (VISTARIL) CAP: 25MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412785,N/A,THIAMINE HCL (VITAMIN B-1) TAB : 100MG,637,1 ,$1.13 ,$0.73 ,$0.73 ,$1.13 ,$0.90 , N/A ,$0.90 ,$1.02 ,$1.02 , N/A ,$0.96 ,$0.84 , N/A , N/A , N/A ,$0.94 , N/A ,$0.93 ,$0.90 ,$1.02 ,$1.13 ,$0.96 , N/A ,$0.96 ,$0.96 ,$1.02 ,$1.02 ,$0.89 ,$0.93 , N/A ,$0.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412786,N/A,VITAMIN E CAPSULE : 1000 UNITS,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412787,N/A,BISOPROLOL TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412788,N/A,BISOPROLOL 2.5MG/HCTZ 6.25MG TABLET,637,1 ,$3.60 ,$2.34 ,$2.34 ,$3.60 ,$2.88 , N/A ,$2.85 ,$3.24 ,$3.24 , N/A ,$3.06 ,$2.66 , N/A , N/A , N/A ,$3.00 , N/A ,$2.97 ,$2.88 ,$3.24 ,$3.60 ,$3.06 , N/A ,$3.06 ,$3.06 ,$3.24 ,$3.24 ,$2.83 ,$2.97 , N/A ,$2.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412789,N/A,BISOPROLOL 5MG/HCTZ 6.25MG TAB PATIENT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412790,N/A,ZINC SULFATE CAPSULE : 220MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412791,N/A,ACYCLOVIR (ZOVIRAX) CAP : 200MG,637,1 ,$5.55 ,$3.61 ,$3.61 ,$5.55 ,$4.44 , N/A ,$4.40 ,$5.00 ,$5.00 , N/A ,$4.72 ,$4.11 , N/A , N/A , N/A ,$4.63 , N/A ,$4.58 ,$4.44 ,$5.00 ,$5.55 ,$4.72 , N/A ,$4.72 ,$4.72 ,$5.00 ,$5.00 ,$4.36 ,$4.58 , N/A ,$3.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412792,N/A,MILK OF MAGNESIA LAXATIVE,637,1 ,$1.47 ,$0.96 ,$0.96 ,$1.47 ,$1.18 , N/A ,$1.16 ,$1.32 ,$1.32 , N/A ,$1.25 ,$1.09 , N/A , N/A , N/A ,$1.23 , N/A ,$1.21 ,$1.18 ,$1.32 ,$1.47 ,$1.25 , N/A ,$1.25 ,$1.25 ,$1.32 ,$1.32 ,$1.15 ,$1.21 , N/A ,$0.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412793,J1442,NEUPOGEN VIAL:480MCG (SUB TO 300 Q18 IP),636,1 ,"$1,143.19 ",$743.07 ,$0.96 ,"$1,029.44 ",$914.55 ,$0.96 ,$905.86 ,"$1,029.44 ","$1,029.44 ",$1.83 ,$971.71 ,$845.96 ,$2.41 ,$0.96 , N/A ,$953.42 ,$0.96 ,$944.27 ,$914.55 ,"$1,028.87 ",$2.41 ,$971.71 ,$0.96 ,$971.71 ,$971.71 ,"$1,028.87 ","$1,028.87 ",$897.40 ,$944.27 ,$0.96 ,$743.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412794,N/A,CEFZIL TABLET : 500MG,637,1 ,$26.70 ,$17.36 ,$17.36 ,$26.70 ,$21.36 , N/A ,$21.16 ,$24.04 ,$24.04 , N/A ,$22.70 ,$19.76 , N/A , N/A , N/A ,$22.27 , N/A ,$22.05 ,$21.36 ,$24.03 ,$26.70 ,$22.70 , N/A ,$22.70 ,$22.70 ,$24.03 ,$24.03 ,$20.96 ,$22.05 , N/A ,$17.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412795,N/A,BUTALBITAL/APAP/CAFFEINE (50-325-40) TAB,637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412796,N/A,SCOPE MOUTHWASH : 250ML,637,1 ,$7.99 ,$5.19 ,$5.19 ,$7.99 ,$6.39 , N/A ,$6.33 ,$7.20 ,$7.20 , N/A ,$6.79 ,$5.91 , N/A , N/A , N/A ,$6.66 , N/A ,$6.60 ,$6.39 ,$7.19 ,$7.99 ,$6.79 , N/A ,$6.79 ,$6.79 ,$7.19 ,$7.19 ,$6.27 ,$6.60 , N/A ,$5.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412797,N/A,PHENOBARBITAL TABLET : 30MG PAT OWN MED,637,1 ,$1.47 ,$0.96 ,$0.96 ,$1.47 ,$1.18 , N/A ,$1.16 ,$1.32 ,$1.32 , N/A ,$1.25 ,$1.09 , N/A , N/A , N/A ,$1.23 , N/A ,$1.21 ,$1.18 ,$1.32 ,$1.47 ,$1.25 , N/A ,$1.25 ,$1.25 ,$1.32 ,$1.32 ,$1.15 ,$1.21 , N/A ,$0.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412798,N/A,HYDROXYCHLOROQUINE (PLAQUENIL) 200MG TAB,637,1 ,$14.57 ,$9.47 ,$9.47 ,$14.57 ,$11.66 , N/A ,$11.55 ,$13.12 ,$13.12 , N/A ,$12.38 ,$10.78 , N/A , N/A , N/A ,$12.15 , N/A ,$12.03 ,$11.66 ,$13.11 ,$14.57 ,$12.38 , N/A ,$12.38 ,$12.38 ,$13.11 ,$13.11 ,$11.44 ,$12.03 , N/A ,$9.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412799,N/A,FELODIPINE ER (PLENDIL) TAB : 5MG,637,1 ,$3.57 ,$2.32 ,$2.32 ,$3.57 ,$2.86 , N/A ,$2.83 ,$3.21 ,$3.21 , N/A ,$3.03 ,$2.64 , N/A , N/A , N/A ,$2.98 , N/A ,$2.95 ,$2.86 ,$3.21 ,$3.57 ,$3.03 , N/A ,$3.03 ,$3.03 ,$3.21 ,$3.21 ,$2.80 ,$2.95 , N/A ,$2.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412800,N/A,PREDNISONE TAB : 10MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412801,N/A,PREDNISONE TAB : 20MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412802,N/A,NORPACE (DISOPYRAMIDE) CAP : 150MG,637,1 ,$3.60 ,$2.34 ,$2.34 ,$3.60 ,$2.88 , N/A ,$2.85 ,$3.24 ,$3.24 , N/A ,$3.06 ,$2.66 , N/A , N/A , N/A ,$3.00 , N/A ,$2.97 ,$2.88 ,$3.24 ,$3.60 ,$3.06 , N/A ,$3.06 ,$3.06 ,$3.24 ,$3.24 ,$2.83 ,$2.97 , N/A ,$2.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412803,N/A,PROCANBID SR TABLET : 500MG,637,1 ,$3.05 ,$1.98 ,$1.98 ,$3.05 ,$2.44 , N/A ,$2.42 ,$2.75 ,$2.75 , N/A ,$2.59 ,$2.26 , N/A , N/A , N/A ,$2.54 , N/A ,$2.52 ,$2.44 ,$2.75 ,$3.05 ,$2.59 , N/A ,$2.59 ,$2.59 ,$2.75 ,$2.75 ,$2.39 ,$2.52 , N/A ,$1.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412804,N/A,NIFEDIPINE (PROCARDIA) CAP : 10MG,637,1 ,$7.04 ,$4.58 ,$4.58 ,$7.04 ,$5.63 , N/A ,$5.58 ,$6.34 ,$6.34 , N/A ,$5.98 ,$5.21 , N/A , N/A , N/A ,$5.87 , N/A ,$5.82 ,$5.63 ,$6.34 ,$7.04 ,$5.98 , N/A ,$5.98 ,$5.98 ,$6.34 ,$6.34 ,$5.53 ,$5.82 , N/A ,$4.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412805,N/A,NIFEDIPINE ER (PROCARDIA XL) TAB : 30MG,637,1 ,$4.82 ,$3.13 ,$3.13 ,$4.82 ,$3.86 , N/A ,$3.82 ,$4.34 ,$4.34 , N/A ,$4.10 ,$3.57 , N/A , N/A , N/A ,$4.02 , N/A ,$3.98 ,$3.86 ,$4.34 ,$4.82 ,$4.10 , N/A ,$4.10 ,$4.10 ,$4.34 ,$4.34 ,$3.78 ,$3.98 , N/A ,$3.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412806,N/A,AZITHROMYCIN 200MG/5mL SUSPENSION : 30mL,637,1 ,$124.57 ,$80.97 ,$80.97 ,$124.57 ,$99.66 , N/A ,$98.71 ,$112.18 ,$112.18 , N/A ,$105.88 ,$92.18 , N/A , N/A , N/A ,$103.89 , N/A ,$102.89 ,$99.66 ,$112.11 ,$124.57 ,$105.88 , N/A ,$105.88 ,$105.88 ,$112.11 ,$112.11 ,$97.79 ,$102.89 , N/A ,$80.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412807,J1327,INTEGRILIN 2MG/ML : PER 5MG (VIAL = 40),636,1 ,$45.90 ,$29.84 ,$29.84 ,$41.33 ,$36.72 , N/A ,$36.37 ,$41.33 ,$41.33 , N/A ,$39.02 ,$33.97 , N/A , N/A , N/A ,$38.28 , N/A ,$37.91 ,$36.72 ,$41.31 , N/A ,$39.02 , N/A ,$39.02 ,$39.02 ,$41.31 ,$41.31 ,$36.03 ,$37.91 , N/A ,$29.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412808,N/A,BRETHINE (TERBUTALINE) 1MG/ML AMP,250,1 ,$102.30 ,$66.50 ,$66.50 ,$92.12 ,$81.84 , N/A ,$81.06 ,$92.12 ,$92.12 , N/A ,$86.96 ,$75.70 , N/A , N/A , N/A ,$85.32 , N/A ,$84.50 ,$81.84 ,$92.07 , N/A ,$86.96 , N/A ,$86.96 ,$86.96 ,$92.07 ,$92.07 ,$80.31 ,$84.50 , N/A ,$66.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412809,J3480,POTASSIUM CHLORIDE IV,636,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412810,J3430,VITAMIN K (PHYTONADIONE) AMP : 10MG/ML,636,1 ,$215.41 ,$140.02 ,$140.02 ,$193.98 ,$172.33 , N/A ,$170.69 ,$193.98 ,$193.98 , N/A ,$183.10 ,$159.40 , N/A , N/A , N/A ,$179.65 , N/A ,$177.93 ,$172.33 ,$193.87 , N/A ,$183.10 , N/A ,$183.10 ,$183.10 ,$193.87 ,$193.87 ,$169.10 ,$177.93 , N/A ,$140.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412811,J1100,DEXAMETHASONE IM/IV/ORAL VIAL 4MG/ML,636,1 ,$9.59 ,$6.23 ,$6.23 ,$8.64 ,$7.67 , N/A ,$7.60 ,$8.64 ,$8.64 , N/A ,$8.15 ,$7.10 , N/A , N/A , N/A ,$8.00 , N/A ,$7.92 ,$7.67 ,$8.63 , N/A ,$8.15 , N/A ,$8.15 ,$8.15 ,$8.63 ,$8.63 ,$7.53 ,$7.92 , N/A ,$6.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412812,N/A,"FERRLECIT : PER 12.5MG, CHARGE 5 PER AMP",250,1 ,$27.10 ,$17.62 ,$17.62 ,$24.40 ,$21.68 , N/A ,$21.47 ,$24.40 ,$24.40 , N/A ,$23.04 ,$20.05 , N/A , N/A , N/A ,$22.60 , N/A ,$22.38 ,$21.68 ,$24.39 , N/A ,$23.04 , N/A ,$23.04 ,$23.04 ,$24.39 ,$24.39 ,$21.27 ,$22.38 , N/A ,$17.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412813,N/A,ENTACAPONE (COMTAN) TAB 200MG,637,1 ,$17.66 ,$11.48 ,$11.48 ,$17.66 ,$14.13 , N/A ,$13.99 ,$15.90 ,$15.90 , N/A ,$15.01 ,$13.07 , N/A , N/A , N/A ,$14.73 , N/A ,$14.59 ,$14.13 ,$15.89 ,$17.66 ,$15.01 , N/A ,$15.01 ,$15.01 ,$15.89 ,$15.89 ,$13.86 ,$14.59 , N/A ,$11.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412814,N/A,BEXTRA TABLET : 20MG,637,1 ,$9.75 ,$6.34 ,$6.34 ,$9.75 ,$7.80 , N/A ,$7.73 ,$8.78 ,$8.78 , N/A ,$8.29 ,$7.22 , N/A , N/A , N/A ,$8.13 , N/A ,$8.05 ,$7.80 ,$8.78 ,$9.75 ,$8.29 , N/A ,$8.29 ,$8.29 ,$8.78 ,$8.78 ,$7.65 ,$8.05 , N/A ,$6.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412815,N/A,MAG-AL-SIMETHICONE 200/200/20 per 5ML,637,1 ,$6.23 ,$4.05 ,$4.05 ,$6.23 ,$4.98 , N/A ,$4.94 ,$5.61 ,$5.61 , N/A ,$5.30 ,$4.61 , N/A , N/A , N/A ,$5.20 , N/A ,$5.15 ,$4.98 ,$5.61 ,$6.23 ,$5.30 , N/A ,$5.30 ,$5.30 ,$5.61 ,$5.61 ,$4.89 ,$5.15 , N/A ,$4.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412816,N/A,FERROUS SULFATE EC 325MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412817,N/A,BUPIVACAINE SPINAL 0.75%/DEX AMP : 2ML,250,1 ,$7.65 ,$4.97 ,$4.97 ,$6.89 ,$6.12 , N/A ,$6.06 ,$6.89 ,$6.89 , N/A ,$6.50 ,$5.66 , N/A , N/A , N/A ,$6.38 , N/A ,$6.32 ,$6.12 ,$6.89 , N/A ,$6.50 , N/A ,$6.50 ,$6.50 ,$6.89 ,$6.89 ,$6.01 ,$6.32 , N/A ,$4.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412818,J3480,POTASSIUM 20MEQ/100ML (AFTER RX HRS),636,1 ,$13.45 ,$8.74 ,$8.74 ,$12.11 ,$10.76 , N/A ,$10.66 ,$12.11 ,$12.11 , N/A ,$11.43 ,$9.95 , N/A , N/A , N/A ,$11.22 , N/A ,$11.11 ,$10.76 ,$12.11 , N/A ,$11.43 , N/A ,$11.43 ,$11.43 ,$12.11 ,$12.11 ,$10.56 ,$11.11 , N/A ,$8.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412819,N/A,BICILLIN CR 600000 UNITS IM,250,1 ,$54.75 ,$35.59 ,$35.59 ,$49.30 ,$43.80 , N/A ,$43.38 ,$49.30 ,$49.30 , N/A ,$46.54 ,$40.52 , N/A , N/A , N/A ,$45.66 , N/A ,$45.22 ,$43.80 ,$49.28 , N/A ,$46.54 , N/A ,$46.54 ,$46.54 ,$49.28 ,$49.28 ,$42.98 ,$45.22 , N/A ,$35.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412820,J2325,"NATRECOR : PER 0.1MG, CHARGE FOR 15",636,1 ,$61.05 ,$39.68 ,$39.68 ,$54.98 ,$48.84 , N/A ,$48.38 ,$54.98 ,$54.98 , N/A ,$51.89 ,$45.18 , N/A , N/A , N/A ,$50.92 , N/A ,$50.43 ,$48.84 ,$54.95 , N/A ,$51.89 , N/A ,$51.89 ,$51.89 ,$54.95 ,$54.95 ,$47.92 ,$50.43 , N/A ,$39.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412821,N/A,BEXTRA TABLET : 10MG,637,1 ,$9.65 ,$6.27 ,$6.27 ,$9.65 ,$7.72 , N/A ,$7.65 ,$8.69 ,$8.69 , N/A ,$8.20 ,$7.14 , N/A , N/A , N/A ,$8.05 , N/A ,$7.97 ,$7.72 ,$8.69 ,$9.65 ,$8.20 , N/A ,$8.20 ,$8.20 ,$8.69 ,$8.69 ,$7.58 ,$7.97 , N/A ,$6.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412822,N/A,TORSEMIDE (DEMADEX) TABLET : 20MG,637,1 ,$2.95 ,$1.92 ,$1.92 ,$2.95 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 ,$2.95 ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412823,N/A,NOREPINEPHRINE (LEVOPHED) 4MG/4ML,250,1 ,$10.09 ,$6.56 ,$6.56 ,$9.09 ,$8.07 , N/A ,$8.00 ,$9.09 ,$9.09 , N/A ,$8.58 ,$7.47 , N/A , N/A , N/A ,$8.42 , N/A ,$8.33 ,$8.07 ,$9.08 , N/A ,$8.58 , N/A ,$8.58 ,$8.58 ,$9.08 ,$9.08 ,$7.92 ,$8.33 , N/A ,$6.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412824,N/A,ALENDRONATE TAB (WEEKLY) : 70MG,637,1 ,$64.55 ,$41.96 ,$41.96 ,$64.55 ,$51.64 , N/A ,$51.15 ,$58.13 ,$58.13 , N/A ,$54.87 ,$47.77 , N/A , N/A , N/A ,$53.83 , N/A ,$53.32 ,$51.64 ,$58.10 ,$64.55 ,$54.87 , N/A ,$54.87 ,$54.87 ,$58.10 ,$58.10 ,$50.67 ,$53.32 , N/A ,$41.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412825,N/A,"MYCOSTATIN (NYSTATIN) LOZENGE : 200,000",637,1 ,$3.30 ,$2.15 ,$2.15 ,$3.30 ,$2.64 , N/A ,$2.61 ,$2.97 ,$2.97 , N/A ,$2.81 ,$2.44 , N/A , N/A , N/A ,$2.75 , N/A ,$2.73 ,$2.64 ,$2.97 ,$3.30 ,$2.81 , N/A ,$2.81 ,$2.81 ,$2.97 ,$2.97 ,$2.59 ,$2.73 , N/A ,$2.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412826,N/A,THEOPHYLLINE ER TAB 200MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412827,N/A,CIPROFLOXACIN OPHTH. OINT. 0.3% : 3.5GM,637,1 ,$169.95 ,$110.47 ,$110.47 ,$169.95 ,$135.96 , N/A ,$134.67 ,$153.04 ,$153.04 , N/A ,$144.46 ,$125.76 , N/A , N/A , N/A ,$141.74 , N/A ,$140.38 ,$135.96 ,$152.96 ,$169.95 ,$144.46 , N/A ,$144.46 ,$144.46 ,$152.96 ,$152.96 ,$133.41 ,$140.38 , N/A ,$110.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412828,N/A,TIZANIDINE (ZANAFLEX) TAB 4MG,637,1 ,$5.41 ,$3.52 ,$3.52 ,$5.41 ,$4.33 , N/A ,$4.29 ,$4.87 ,$4.87 , N/A ,$4.60 ,$4.00 , N/A , N/A , N/A ,$4.51 , N/A ,$4.47 ,$4.33 ,$4.87 ,$5.41 ,$4.60 , N/A ,$4.60 ,$4.60 ,$4.87 ,$4.87 ,$4.25 ,$4.47 , N/A ,$3.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412829,N/A,LUMIGAN 0.01% EYE DROPS PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412830,N/A,ASPIRIN 25MG/DIPYRIDAMOLE ER 200MG CAP,637,1 ,$24.72 ,$16.07 ,$16.07 ,$24.72 ,$19.78 , N/A ,$19.59 ,$22.26 ,$22.26 , N/A ,$21.01 ,$18.29 , N/A , N/A , N/A ,$20.62 , N/A ,$20.42 ,$19.78 ,$22.25 ,$24.72 ,$21.01 , N/A ,$21.01 ,$21.01 ,$22.25 ,$22.25 ,$19.41 ,$20.42 , N/A ,$16.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412831,N/A,LEVETIRACETAM (KEPPRA) TABLET : 500MG,637,1 ,$11.29 ,$7.34 ,$7.34 ,$11.29 ,$9.03 , N/A ,$8.95 ,$10.17 ,$10.17 , N/A ,$9.60 ,$8.35 , N/A , N/A , N/A ,$9.42 , N/A ,$9.33 ,$9.03 ,$10.16 ,$11.29 ,$9.60 , N/A ,$9.60 ,$9.60 ,$10.16 ,$10.16 ,$8.86 ,$9.33 , N/A ,$7.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412832,N/A,NITRO-BID 2% OINTMENT : PACKET,637,1 ,$4.77 ,$3.10 ,$3.10 ,$4.77 ,$3.82 , N/A ,$3.78 ,$4.30 ,$4.30 , N/A ,$4.05 ,$3.53 , N/A , N/A , N/A ,$3.98 , N/A ,$3.94 ,$3.82 ,$4.29 ,$4.77 ,$4.05 , N/A ,$4.05 ,$4.05 ,$4.29 ,$4.29 ,$3.74 ,$3.94 , N/A ,$3.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412833,N/A,TRIMETHOPRIM 100MG TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412834,N/A,NIACIN (EXTENDED RELEASE) CAP : 500MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412835,N/A,DAPSONE TABLET : 100MG,637,1 ,$4.65 ,$3.02 ,$3.02 ,$4.65 ,$3.72 , N/A ,$3.68 ,$4.19 ,$4.19 , N/A ,$3.95 ,$3.44 , N/A , N/A , N/A ,$3.88 , N/A ,$3.84 ,$3.72 ,$4.19 ,$4.65 ,$3.95 , N/A ,$3.95 ,$3.95 ,$4.19 ,$4.19 ,$3.65 ,$3.84 , N/A ,$3.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412836,J0561,BICILLIN LA 1.2 MILLION UNITS/2ML IM,636,1 ,$385.06 ,$250.29 ,$15.19 ,$346.75 ,$308.05 ,$15.19 ,$305.12 ,$346.75 ,$346.75 ,$28.87 ,$327.30 ,$284.94 ,$37.99 ,$15.19 , N/A ,$321.14 ,$15.19 ,$318.06 ,$308.05 ,$346.55 ,$37.99 ,$327.30 ,$15.19 ,$327.30 ,$327.30 ,$346.55 ,$346.55 ,$302.27 ,$318.06 ,$15.19 ,$250.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412837,N/A,TRIHEXYPHENIDYL TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412838,N/A,ZIPRASIDONE (GEODON) CAP : 40MG,637,1 ,$17.95 ,$11.67 ,$11.67 ,$17.95 ,$14.36 , N/A ,$14.22 ,$16.16 ,$16.16 , N/A ,$15.26 ,$13.28 , N/A , N/A , N/A ,$14.97 , N/A ,$14.83 ,$14.36 ,$16.16 ,$17.95 ,$15.26 , N/A ,$15.26 ,$15.26 ,$16.16 ,$16.16 ,$14.09 ,$14.83 , N/A ,$11.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412839,N/A,VITAMIN B-12 TABLET : 250MCG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412840,N/A,SSKI SOLUTION (HYPERTHYROIDISM):PER 2 OZ,637,1 ,$44.35 ,$28.83 ,$28.83 ,$44.35 ,$35.48 , N/A ,$35.14 ,$39.94 ,$39.94 , N/A ,$37.70 ,$32.82 , N/A , N/A , N/A ,$36.99 , N/A ,$36.63 ,$35.48 ,$39.92 ,$44.35 ,$37.70 , N/A ,$37.70 ,$37.70 ,$39.92 ,$39.92 ,$34.81 ,$36.63 , N/A ,$28.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412841,N/A,BUDESONIDE 0.25MG/2ML HHN,637,1 ,$33.90 ,$22.04 ,$22.04 ,$33.90 ,$27.12 , N/A ,$26.86 ,$30.53 ,$30.53 , N/A ,$28.82 ,$25.09 , N/A , N/A , N/A ,$28.27 , N/A ,$28.00 ,$27.12 ,$30.51 ,$33.90 ,$28.82 , N/A ,$28.82 ,$28.82 ,$30.51 ,$30.51 ,$26.61 ,$28.00 , N/A ,$22.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412842,N/A,CARVEDILOL (COREG) 12.5MG TABLET,637,1 ,$5.16 ,$3.35 ,$3.35 ,$5.16 ,$4.13 , N/A ,$4.09 ,$4.65 ,$4.65 , N/A ,$4.39 ,$3.82 , N/A , N/A , N/A ,$4.30 , N/A ,$4.26 ,$4.13 ,$4.64 ,$5.16 ,$4.39 , N/A ,$4.39 ,$4.39 ,$4.64 ,$4.64 ,$4.05 ,$4.26 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412843,N/A,GLUCOSAMINE CAPSULE : 500MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412844,N/A,TOLTERODINE ER CAP 2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412845,N/A,PREDNISOLONE 5MG/5ML (PEDIAPRED): PER5ML,637,1 ,$10.30 ,$6.70 ,$6.70 ,$10.30 ,$8.24 , N/A ,$8.16 ,$9.28 ,$9.28 , N/A ,$8.76 ,$7.62 , N/A , N/A , N/A ,$8.59 , N/A ,$8.51 ,$8.24 ,$9.27 ,$10.30 ,$8.76 , N/A ,$8.76 ,$8.76 ,$9.27 ,$9.27 ,$8.09 ,$8.51 , N/A ,$6.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412846,N/A,ASPIRIN 325MG/CODEINE 30MG TABLET #3,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412847,J9395,FASLODEX IM INJECTION : PER 25MG,636,1 ,$299.70 ,$194.81 ,$27.60 ,$269.88 ,$239.76 ,$27.60 ,$237.48 ,$269.88 ,$269.88 ,$52.43 ,$254.75 ,$221.78 ,$68.99 ,$27.60 , N/A ,$249.95 ,$27.60 ,$247.55 ,$239.76 ,$269.73 ,$68.99 ,$254.75 ,$27.60 ,$254.75 ,$254.75 ,$269.73 ,$269.73 ,$235.26 ,$247.55 ,$27.60 ,$194.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412848,N/A,METOCLOPRAMIDE (REGLAN) TAB : 5MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412849,N/A,VITAMIN K 10MG/ML FOR ORAL USE (USE AMP),637,1 ,$128.14 ,$83.29 ,$83.29 ,$128.14 ,$102.51 , N/A ,$101.54 ,$115.39 ,$115.39 , N/A ,$108.92 ,$94.82 , N/A , N/A , N/A ,$106.87 , N/A ,$105.84 ,$102.51 ,$115.33 ,$128.14 ,$108.92 , N/A ,$108.92 ,$108.92 ,$115.33 ,$115.33 ,$100.59 ,$105.84 , N/A ,$83.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412850,N/A,ANASTROZOLE (ARIMIDEX) TABLET : 1MG,637,1 ,$28.58 ,$18.58 ,$18.58 ,$28.58 ,$22.86 , N/A ,$22.65 ,$25.74 ,$25.74 , N/A ,$24.29 ,$21.15 , N/A , N/A , N/A ,$23.84 , N/A ,$23.61 ,$22.86 ,$25.72 ,$28.58 ,$24.29 , N/A ,$24.29 ,$24.29 ,$25.72 ,$25.72 ,$22.44 ,$23.61 , N/A ,$18.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412851,N/A,MELATONIN 3MG TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412852,N/A,SPIRONOLACTONE (ALDACTONE) : 25MG,637,1 ,$1.75 ,$1.14 ,$1.14 ,$1.75 ,$1.40 , N/A ,$1.39 ,$1.58 ,$1.58 , N/A ,$1.49 ,$1.30 , N/A , N/A , N/A ,$1.46 , N/A ,$1.45 ,$1.40 ,$1.58 ,$1.75 ,$1.49 , N/A ,$1.49 ,$1.49 ,$1.58 ,$1.58 ,$1.37 ,$1.45 , N/A ,$1.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412853,N/A,ISOSORBIDE MONO (IMDUR) TAB : 30MG,637,1 ,$5.90 ,$3.84 ,$3.84 ,$5.90 ,$4.72 , N/A ,$4.68 ,$5.31 ,$5.31 , N/A ,$5.02 ,$4.37 , N/A , N/A , N/A ,$4.92 , N/A ,$4.87 ,$4.72 ,$5.31 ,$5.90 ,$5.02 , N/A ,$5.02 ,$5.02 ,$5.31 ,$5.31 ,$4.63 ,$4.87 , N/A ,$3.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412854,N/A,IMDUR TAB 60MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412855,N/A,FUROSEMIDE (LASix) 20MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412856,N/A,FUROSEMIDE (LASix) 40 MG TABLET,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412857,N/A,LISINOPRIL TABLET 5MG,637,1 ,$1.70 ,$1.11 ,$1.11 ,$1.70 ,$1.36 , N/A ,$1.35 ,$1.53 ,$1.53 , N/A ,$1.45 ,$1.26 , N/A , N/A , N/A ,$1.42 , N/A ,$1.40 ,$1.36 ,$1.53 ,$1.70 ,$1.45 , N/A ,$1.45 ,$1.45 ,$1.53 ,$1.53 ,$1.33 ,$1.40 , N/A ,$1.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412858,N/A,MAGNESIUM OXIDE TABLET : 400MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412859,N/A,RESTORIL (TEMAZEPAM) CAPSULE : 7.5MG,637,1 ,$7.45 ,$4.84 ,$4.84 ,$7.45 ,$5.96 , N/A ,$5.90 ,$6.71 ,$6.71 , N/A ,$6.33 ,$5.51 , N/A , N/A , N/A ,$6.21 , N/A ,$6.15 ,$5.96 ,$6.71 ,$7.45 ,$6.33 , N/A ,$6.33 ,$6.33 ,$6.71 ,$6.71 ,$5.85 ,$6.15 , N/A ,$4.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412860,N/A,TRAMadol (ULTRAM) TABLET : 50MG,637,1 ,$2.84 ,$1.85 ,$1.85 ,$2.84 ,$2.27 , N/A ,$2.25 ,$2.56 ,$2.56 , N/A ,$2.41 ,$2.10 , N/A , N/A , N/A ,$2.37 , N/A ,$2.35 ,$2.27 ,$2.56 ,$2.84 ,$2.41 , N/A ,$2.41 ,$2.41 ,$2.56 ,$2.56 ,$2.23 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412861,N/A,MILK OF MAGNESIA (MOM) 400MG/5ML : 360ML,637,1 ,$9.15 ,$5.95 ,$5.95 ,$9.15 ,$7.32 , N/A ,$7.25 ,$8.24 ,$8.24 , N/A ,$7.78 ,$6.77 , N/A , N/A , N/A ,$7.63 , N/A ,$7.56 ,$7.32 ,$8.24 ,$9.15 ,$7.78 , N/A ,$7.78 ,$7.78 ,$8.24 ,$8.24 ,$7.18 ,$7.56 , N/A ,$5.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412862,J2300,NALBUPHINE (NUBAIN) AMP : 10MG/ML,636,1 ,$11.22 ,$7.29 ,$7.29 ,$10.10 ,$8.98 , N/A ,$8.89 ,$10.10 ,$10.10 , N/A ,$9.54 ,$8.30 , N/A , N/A , N/A ,$9.36 , N/A ,$9.27 ,$8.98 ,$10.10 , N/A ,$9.54 , N/A ,$9.54 ,$9.54 ,$10.10 ,$10.10 ,$8.81 ,$9.27 , N/A ,$7.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412863,J1442,NEUPOGEN VIAL : 300MCG,636,1 ,$529.58 ,$344.23 ,$0.96 ,$476.89 ,$423.66 ,$0.96 ,$419.64 ,$476.89 ,$476.89 ,$1.83 ,$450.14 ,$391.89 ,$2.41 ,$0.96 , N/A ,$441.67 ,$0.96 ,$437.43 ,$423.66 ,$476.62 ,$2.41 ,$450.14 ,$0.96 ,$450.14 ,$450.14 ,$476.62 ,$476.62 ,$415.72 ,$437.43 ,$0.96 ,$344.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412864,N/A,DIGIBIND IV VIAL : 38MG,636,1 ,"$1,213.20 ",$788.58 ,$788.58 ,"$1,092.49 ",$970.56 , N/A ,$961.34 ,"$1,092.49 ","$1,092.49 ", N/A ,"$1,031.22 ",$897.77 , N/A , N/A , N/A ,"$1,011.81 ", N/A ,"$1,002.10 ",$970.56 ,"$1,091.88 ", N/A ,"$1,031.22 ", N/A ,"$1,031.22 ","$1,031.22 ","$1,091.88 ","$1,091.88 ",$952.36 ,"$1,002.10 ", N/A ,$788.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412865,J0690,CEFAZOLIN (KEFZOL/ANCEF) VIAL : 1GM,636,1 ,$7.09 ,$4.61 ,$4.61 ,$6.38 ,$5.67 , N/A ,$5.62 ,$6.38 ,$6.38 , N/A ,$6.03 ,$5.25 , N/A , N/A , N/A ,$5.91 , N/A ,$5.86 ,$5.67 ,$6.38 , N/A ,$6.03 , N/A ,$6.03 ,$6.03 ,$6.38 ,$6.38 ,$5.57 ,$5.86 , N/A ,$4.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412866,J0697,CEFUROXIME (ZINACEF/KEFUROX) : 750MG,250,1 ,$11.55 ,$7.51 ,$7.51 ,$10.40 ,$9.24 , N/A ,$9.15 ,$10.40 ,$10.40 , N/A ,$9.82 ,$8.55 , N/A , N/A , N/A ,$9.63 , N/A ,$9.54 ,$9.24 ,$10.40 , N/A ,$9.82 , N/A ,$9.82 ,$9.82 ,$10.40 ,$10.40 ,$9.07 ,$9.54 , N/A ,$7.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412867,N/A,CLINDAMYCIN (CLEOCIN) IV VIAL : 600MG,250,1 ,$15.08 ,$9.80 ,$9.80 ,$13.58 ,$12.06 , N/A ,$11.95 ,$13.58 ,$13.58 , N/A ,$12.82 ,$11.16 , N/A , N/A , N/A ,$12.58 , N/A ,$12.46 ,$12.06 ,$13.57 , N/A ,$12.82 , N/A ,$12.82 ,$12.82 ,$13.57 ,$13.57 ,$11.84 ,$12.46 , N/A ,$9.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412868,N/A,METROnidAZOLE (FLAGYL) 500MG/100ML NS,250,1 ,$11.11 ,$7.22 ,$7.22 ,$10.00 ,$8.89 , N/A ,$8.80 ,$10.00 ,$10.00 , N/A ,$9.44 ,$8.22 , N/A , N/A , N/A ,$9.27 , N/A ,$9.18 ,$8.89 ,$10.00 , N/A ,$9.44 , N/A ,$9.44 ,$9.44 ,$10.00 ,$10.00 ,$8.72 ,$9.18 , N/A ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412869,J2930,METHYLPREDNISOLONE (SOLU-MEDROL) 125MG,636,1 ,$38.16 ,$24.80 ,$24.80 ,$34.36 ,$30.53 , N/A ,$30.24 ,$34.36 ,$34.36 , N/A ,$32.44 ,$28.24 , N/A , N/A , N/A ,$31.83 , N/A ,$31.52 ,$30.53 ,$34.34 , N/A ,$32.44 , N/A ,$32.44 ,$32.44 ,$34.34 ,$34.34 ,$29.96 ,$31.52 , N/A ,$24.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412870,J2920,METHYLPREDNISOLONE (SOLU-MEDROL) 40MG,636,1 ,$26.88 ,$17.47 ,$17.47 ,$24.21 ,$21.50 , N/A ,$21.30 ,$24.21 ,$24.21 , N/A ,$22.85 ,$19.89 , N/A , N/A , N/A ,$22.42 , N/A ,$22.20 ,$21.50 ,$24.19 , N/A ,$22.85 , N/A ,$22.85 ,$22.85 ,$24.19 ,$24.19 ,$21.10 ,$22.20 , N/A ,$17.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412871,N/A,MEPERIDINE (DEMEROL) : 25MG/ML,250,1 ,$23.19 ,$15.07 ,$15.07 ,$20.88 ,$18.55 , N/A ,$18.38 ,$20.88 ,$20.88 , N/A ,$19.71 ,$17.16 , N/A , N/A , N/A ,$19.34 , N/A ,$19.15 ,$18.55 ,$20.87 , N/A ,$19.71 , N/A ,$19.71 ,$19.71 ,$20.87 ,$20.87 ,$18.20 ,$19.15 , N/A ,$15.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412872,N/A,MEPERIDINE (DEMEROL) : 50MG/ML,250,1 ,$26.82 ,$17.43 ,$17.43 ,$24.15 ,$21.46 , N/A ,$21.25 ,$24.15 ,$24.15 , N/A ,$22.80 ,$19.85 , N/A , N/A , N/A ,$22.37 , N/A ,$22.15 ,$21.46 ,$24.14 , N/A ,$22.80 , N/A ,$22.80 ,$22.80 ,$24.14 ,$24.14 ,$21.05 ,$22.15 , N/A ,$17.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412873,N/A,MEPERIDINE (DEMEROL) : 75MG/ML,250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412874,N/A,DEMEROL (MEPERIDINE) : 100MG/ML,250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412875,J2270,MORPHINE 2MG/ML CARPUJECT,636,1 ,$9.59 ,$6.23 ,$6.23 ,$8.64 ,$7.67 , N/A ,$7.60 ,$8.64 ,$8.64 , N/A ,$8.15 ,$7.10 , N/A , N/A , N/A ,$8.00 , N/A ,$7.92 ,$7.67 ,$8.63 , N/A ,$8.15 , N/A ,$8.15 ,$8.15 ,$8.63 ,$8.63 ,$7.53 ,$7.92 , N/A ,$6.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412876,J2270,MORPHINE 4MG/ML INJ,636,1 ,$12.31 ,$8.00 ,$8.00 ,$11.09 ,$9.85 , N/A ,$9.75 ,$11.09 ,$11.09 , N/A ,$10.46 ,$9.11 , N/A , N/A , N/A ,$10.27 , N/A ,$10.17 ,$9.85 ,$11.08 , N/A ,$10.46 , N/A ,$10.46 ,$10.46 ,$11.08 ,$11.08 ,$9.66 ,$10.17 , N/A ,$8.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412877,N/A,MORPHINE SULFATE CARPUJECT: 10MG/ML (2N),250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412878,N/A,MORPHINE SULFATE 10MG/ML INJ,250,1 ,$7.77 ,$5.05 ,$5.05 ,$7.00 ,$6.22 , N/A ,$6.16 ,$7.00 ,$7.00 , N/A ,$6.60 ,$5.75 , N/A , N/A , N/A ,$6.48 , N/A ,$6.42 ,$6.22 ,$6.99 , N/A ,$6.60 , N/A ,$6.60 ,$6.60 ,$6.99 ,$6.99 ,$6.10 ,$6.42 , N/A ,$5.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412879,J3010,FENTANYL CITRATE 100MCG/2ML VIAL,636,1 ,$7.77 ,$5.05 ,$5.05 ,$7.00 ,$6.22 , N/A ,$6.16 ,$7.00 ,$7.00 , N/A ,$6.60 ,$5.75 , N/A , N/A , N/A ,$6.48 , N/A ,$6.42 ,$6.22 ,$6.99 , N/A ,$6.60 , N/A ,$6.60 ,$6.60 ,$6.99 ,$6.99 ,$6.10 ,$6.42 , N/A ,$5.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412880,J2250,MIDAZOLAM (VERSED) VIAL 5MG/5ML,636,1 ,$7.77 ,$5.05 ,$5.05 ,$7.00 ,$6.22 , N/A ,$6.16 ,$7.00 ,$7.00 , N/A ,$6.60 ,$5.75 , N/A , N/A , N/A ,$6.48 , N/A ,$6.42 ,$6.22 ,$6.99 , N/A ,$6.60 , N/A ,$6.60 ,$6.60 ,$6.99 ,$6.99 ,$6.10 ,$6.42 , N/A ,$5.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412881,N/A,ADENOSINE IV : PER 2ML (10 OR 15 STRESS),636,1 ,$23.15 ,$15.05 ,$15.05 ,$20.85 ,$18.52 , N/A ,$18.34 ,$20.85 ,$20.85 , N/A ,$19.68 ,$17.13 , N/A , N/A , N/A ,$19.31 , N/A ,$19.12 ,$18.52 ,$20.84 , N/A ,$19.68 , N/A ,$19.68 ,$19.68 ,$20.84 ,$20.84 ,$18.17 ,$19.12 , N/A ,$15.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412882,N/A,MEGESTROL 40MG/mL SUSP : 240mL,637,1 ,$152.75 ,$99.29 ,$99.29 ,$152.75 ,$122.20 , N/A ,$121.04 ,$137.55 ,$137.55 , N/A ,$129.84 ,$113.04 , N/A , N/A , N/A ,$127.39 , N/A ,$126.17 ,$122.20 ,$137.48 ,$152.75 ,$129.84 , N/A ,$129.84 ,$129.84 ,$137.48 ,$137.48 ,$119.91 ,$126.17 , N/A ,$99.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412883,J3105,TERBUTALINE (BRETHINE) VIAL: 1MG/ML SUBQ,636,1 ,$17.13 ,$11.13 ,$11.13 ,$15.43 ,$13.70 , N/A ,$13.57 ,$15.43 ,$15.43 , N/A ,$14.56 ,$12.68 , N/A , N/A , N/A ,$14.29 , N/A ,$14.15 ,$13.70 ,$15.42 , N/A ,$14.56 , N/A ,$14.56 ,$14.56 ,$15.42 ,$15.42 ,$13.45 ,$14.15 , N/A ,$11.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412884,N/A,PROVENTIL HFA INHALER PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412885,N/A,MINOXIDIL TABLET : 2.5MG,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412886,N/A,DAPSONE TABLET : 25MG,637,1 ,$6.20 ,$4.03 ,$4.03 ,$6.20 ,$4.96 , N/A ,$4.91 ,$5.58 ,$5.58 , N/A ,$5.27 ,$4.59 , N/A , N/A , N/A ,$5.17 , N/A ,$5.12 ,$4.96 ,$5.58 ,$6.20 ,$5.27 , N/A ,$5.27 ,$5.27 ,$5.58 ,$5.58 ,$4.87 ,$5.12 , N/A ,$4.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412887,N/A,BENICAR 40MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412888,N/A,RISEDRONATE WEEKLY TAB 35MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412889,N/A,DEPAKOTE ER TAB 500MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412890,N/A,HALOPERIDOL (HALDOL) TAB : 0.5MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412891,N/A,TRILEPTAL TABLET : 300MG,637,1 ,$6.40 ,$4.16 ,$4.16 ,$6.40 ,$5.12 , N/A ,$5.07 ,$5.76 ,$5.76 , N/A ,$5.44 ,$4.74 , N/A , N/A , N/A ,$5.34 , N/A ,$5.29 ,$5.12 ,$5.76 ,$6.40 ,$5.44 , N/A ,$5.44 ,$5.44 ,$5.76 ,$5.76 ,$5.02 ,$5.29 , N/A ,$4.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412892,N/A,FLORANEX TAB (FRIDGE) PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412893,N/A,IRBESARTAN TAB 300MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412894,N/A,LAMOTRIGINE (LAMICtal) TAB : 100MG,637,1 ,$16.96 ,$11.02 ,$11.02 ,$16.96 ,$13.57 , N/A ,$13.44 ,$15.27 ,$15.27 , N/A ,$14.42 ,$12.55 , N/A , N/A , N/A ,$14.14 , N/A ,$14.01 ,$13.57 ,$15.26 ,$16.96 ,$14.42 , N/A ,$14.42 ,$14.42 ,$15.26 ,$15.26 ,$13.31 ,$14.01 , N/A ,$11.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412895,N/A,ALBUTEROL ER TAB : 4MG,637,1 ,$5.65 ,$3.67 ,$3.67 ,$5.65 ,$4.52 , N/A ,$4.48 ,$5.09 ,$5.09 , N/A ,$4.80 ,$4.18 , N/A , N/A , N/A ,$4.71 , N/A ,$4.67 ,$4.52 ,$5.09 ,$5.65 ,$4.80 , N/A ,$4.80 ,$4.80 ,$5.09 ,$5.09 ,$4.44 ,$4.67 , N/A ,$3.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412896,N/A,URISED TABLET,637,1 ,$1.80 ,$1.17 ,$1.17 ,$1.80 ,$1.44 , N/A ,$1.43 ,$1.62 ,$1.62 , N/A ,$1.53 ,$1.33 , N/A , N/A , N/A ,$1.50 , N/A ,$1.49 ,$1.44 ,$1.62 ,$1.80 ,$1.53 , N/A ,$1.53 ,$1.53 ,$1.62 ,$1.62 ,$1.41 ,$1.49 , N/A ,$1.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412897,N/A,METHIMAZOLE TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412898,N/A,INDOMETHACIN CAPSULE : 25MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412899,N/A,OLANZAPINE TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412900,N/A,RIVASTIGMINE CAP 4.5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412901,N/A,FERROUS SULFATE 325MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412902,N/A,BUPIVACAINE 0.5% WITH EPINEPHRINE : 10ML,250,1 ,$10.32 ,$6.71 ,$6.71 ,$9.29 ,$8.26 , N/A ,$8.18 ,$9.29 ,$9.29 , N/A ,$8.77 ,$7.64 , N/A , N/A , N/A ,$8.61 , N/A ,$8.52 ,$8.26 ,$9.29 , N/A ,$8.77 , N/A ,$8.77 ,$8.77 ,$9.29 ,$9.29 ,$8.10 ,$8.52 , N/A ,$6.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412903,N/A,PATANOL EYE DROPS PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412904,N/A,NALEX-A TABLET,637,1 ,$2.75 ,$1.79 ,$1.79 ,$2.75 ,$2.20 , N/A ,$2.18 ,$2.48 ,$2.48 , N/A ,$2.34 ,$2.04 , N/A , N/A , N/A ,$2.29 , N/A ,$2.27 ,$2.20 ,$2.48 ,$2.75 ,$2.34 , N/A ,$2.34 ,$2.34 ,$2.48 ,$2.48 ,$2.16 ,$2.27 , N/A ,$1.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412905,N/A,ZONISAMIDE (ZONEGRAN) 100MG CAP,637,1 ,$6.12 ,$3.98 ,$3.98 ,$6.12 ,$4.90 , N/A ,$4.85 ,$5.51 ,$5.51 , N/A ,$5.20 ,$4.53 , N/A , N/A , N/A ,$5.10 , N/A ,$5.06 ,$4.90 ,$5.51 ,$6.12 ,$5.20 , N/A ,$5.20 ,$5.20 ,$5.51 ,$5.51 ,$4.80 ,$5.06 , N/A ,$3.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412906,J3535,VENTOLIN HFA 18GM INHALER,637,1 ,$142.45 ,$92.59 ,$92.59 ,$142.45 ,$113.96 , N/A ,$112.88 ,$128.28 ,$128.28 , N/A ,$121.08 ,$105.41 , N/A , N/A , N/A ,$118.80 , N/A ,$117.66 ,$113.96 ,$128.21 ,$142.45 ,$121.08 , N/A ,$121.08 ,$121.08 ,$128.21 ,$128.21 ,$111.82 ,$117.66 , N/A ,$92.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412908,N/A,PATIENT'S OWN MED : #2,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412909,N/A,PATIENT'S OWN MED : #3,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412910,N/A,PATIENT'S OWN MED : #4,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412911,N/A,PATIENT'S OWN MED : #5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412912,N/A,NF-MORPHINE IR TAB 15MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412913,N/A,MEMANTINE (NAMENDA) TAB- 5MG,637,1 ,$3.40 ,$2.21 ,$2.21 ,$3.40 ,$2.72 , N/A ,$2.69 ,$3.06 ,$3.06 , N/A ,$2.89 ,$2.52 , N/A , N/A , N/A ,$2.84 , N/A ,$2.81 ,$2.72 ,$3.06 ,$3.40 ,$2.89 , N/A ,$2.89 ,$2.89 ,$3.06 ,$3.06 ,$2.67 ,$2.81 , N/A ,$2.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412914,N/A,MIDODRINE (PROAMATINE) TAB : 2.5MG,637,1 ,$4.31 ,$2.80 ,$2.80 ,$4.31 ,$3.45 , N/A ,$3.42 ,$3.88 ,$3.88 , N/A ,$3.66 ,$3.19 , N/A , N/A , N/A ,$3.59 , N/A ,$3.56 ,$3.45 ,$3.88 ,$4.31 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.88 ,$3.88 ,$3.38 ,$3.56 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412915,N/A,PREPARATION H OINTMENT : 1 OUNCE,637,1 ,$18.83 ,$12.24 ,$12.24 ,$18.83 ,$15.06 , N/A ,$14.92 ,$16.96 ,$16.96 , N/A ,$16.01 ,$13.93 , N/A , N/A , N/A ,$15.70 , N/A ,$15.55 ,$15.06 ,$16.95 ,$18.83 ,$16.01 , N/A ,$16.01 ,$16.01 ,$16.95 ,$16.95 ,$14.78 ,$15.55 , N/A ,$12.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412916,N/A,FEXOFENADINE (ALLEGRA) TAB : 180MG,637,1 ,$4.05 ,$2.63 ,$2.63 ,$4.05 ,$3.24 , N/A ,$3.21 ,$3.65 ,$3.65 , N/A ,$3.44 ,$3.00 , N/A , N/A , N/A ,$3.38 , N/A ,$3.35 ,$3.24 ,$3.65 ,$4.05 ,$3.44 , N/A ,$3.44 ,$3.44 ,$3.65 ,$3.65 ,$3.18 ,$3.35 , N/A ,$2.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412917,J3535,SEREVENT INHALER PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412918,N/A,METOPROLOL TARTRATE TAB 25MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412919,N/A,ROSUVASTATIN (CRESTOR) TAB : 10MG,637,1 ,$4.55 ,$2.96 ,$2.96 ,$4.55 ,$3.64 , N/A ,$3.61 ,$4.10 ,$4.10 , N/A ,$3.87 ,$3.37 , N/A , N/A , N/A ,$3.79 , N/A ,$3.76 ,$3.64 ,$4.10 ,$4.55 ,$3.87 , N/A ,$3.87 ,$3.87 ,$4.10 ,$4.10 ,$3.57 ,$3.76 , N/A ,$2.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412920,N/A,TEVETEN TABLET : 600MG,637,1 ,$8.25 ,$5.36 ,$5.36 ,$8.25 ,$6.60 , N/A ,$6.54 ,$7.43 ,$7.43 , N/A ,$7.01 ,$6.11 , N/A , N/A , N/A ,$6.88 , N/A ,$6.81 ,$6.60 ,$7.43 ,$8.25 ,$7.01 , N/A ,$7.01 ,$7.01 ,$7.43 ,$7.43 ,$6.48 ,$6.81 , N/A ,$5.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412921,N/A,NEXIUM CAPSULE 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412922,N/A,ENSURE PLUS : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412923,N/A,TWOCAL HN : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412924,N/A,PROMOD : (NO PATIENT CHARGE),637,1 ,$5.15 ,$3.35 ,$3.35 ,$5.15 ,$4.12 , N/A ,$4.08 ,$4.64 ,$4.64 , N/A ,$4.38 ,$3.81 , N/A , N/A , N/A ,$4.30 , N/A ,$4.25 ,$4.12 ,$4.64 ,$5.15 ,$4.38 , N/A ,$4.38 ,$4.38 ,$4.64 ,$4.64 ,$4.04 ,$4.25 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412925,N/A,PEDIASURE : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412926,N/A,JEVITY 1.2 CAL/ML : NO PATIENT CHARGE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412927,N/A,JEVITY 1.5 CAL/ML : NO PATIENT CHARGE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412928,N/A,ENSURE PLUS HN : (NO PATIENT CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412929,J1956,LEVOFLOXACIN 750MG IVPB / 150ML ********,636,1 ,$27.22 ,$17.69 ,$17.69 ,$24.51 ,$21.78 , N/A ,$21.57 ,$24.51 ,$24.51 , N/A ,$23.14 ,$20.14 , N/A , N/A , N/A ,$22.70 , N/A ,$22.48 ,$21.78 ,$24.50 , N/A ,$23.14 , N/A ,$23.14 ,$23.14 ,$24.50 ,$24.50 ,$21.37 ,$22.48 , N/A ,$17.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412930,N/A,LORTAB 10 (HYDROCODONE 10/APAP 500) TAB,637,1 ,$1.70 ,$1.11 ,$1.11 ,$1.70 ,$1.36 , N/A ,$1.35 ,$1.53 ,$1.53 , N/A ,$1.45 ,$1.26 , N/A , N/A , N/A ,$1.42 , N/A ,$1.40 ,$1.36 ,$1.53 ,$1.70 ,$1.45 , N/A ,$1.45 ,$1.45 ,$1.53 ,$1.53 ,$1.33 ,$1.40 , N/A ,$1.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412931,N/A,RED CROSS TOOTHACHE KIT 8.5% 3.75ML,637,1 ,$13.21 ,$8.59 ,$8.59 ,$13.21 ,$10.57 , N/A ,$10.47 ,$11.90 ,$11.90 , N/A ,$11.23 ,$9.78 , N/A , N/A , N/A ,$11.02 , N/A ,$10.91 ,$10.57 ,$11.89 ,$13.21 ,$11.23 , N/A ,$11.23 ,$11.23 ,$11.89 ,$11.89 ,$10.37 ,$10.91 , N/A ,$8.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412932,N/A,ALFUZOSIN ER TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412933,N/A,LEVOFLOXACIN (LEVAQUIN) TAB : 750MG,637,1 ,$35.67 ,$23.19 ,$23.19 ,$35.67 ,$28.54 , N/A ,$28.26 ,$32.12 ,$32.12 , N/A ,$30.32 ,$26.40 , N/A , N/A , N/A ,$29.75 , N/A ,$29.46 ,$28.54 ,$32.10 ,$35.67 ,$30.32 , N/A ,$30.32 ,$30.32 ,$32.10 ,$32.10 ,$28.00 ,$29.46 , N/A ,$23.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412934,N/A,ADENOSCAN (STRESS) : PER 10ML,636,1 ,$134.10 ,$87.17 ,$87.17 ,$120.76 ,$107.28 , N/A ,$106.26 ,$120.76 ,$120.76 , N/A ,$113.99 ,$99.23 , N/A , N/A , N/A ,$111.84 , N/A ,$110.77 ,$107.28 ,$120.69 , N/A ,$113.99 , N/A ,$113.99 ,$113.99 ,$120.69 ,$120.69 ,$105.27 ,$110.77 , N/A ,$87.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412935,J0878,CUBICIN (DAPTOMYCIN) VIAL : 500MG JW,636,1 ,$869.60 ,$565.24 ,$565.24 ,$783.07 ,$695.68 , N/A ,$689.07 ,$783.07 ,$783.07 , N/A ,$739.16 ,$643.50 , N/A , N/A , N/A ,$725.25 , N/A ,$718.29 ,$695.68 ,$782.64 , N/A ,$739.16 , N/A ,$739.16 ,$739.16 ,$782.64 ,$782.64 ,$682.64 ,$718.29 , N/A ,$565.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412936,J1885,KETOROLAC (TORADOL) 30MG/ML INJ,636,1 ,$15.88 ,$10.32 ,$10.32 ,$14.30 ,$12.70 , N/A ,$12.58 ,$14.30 ,$14.30 , N/A ,$13.50 ,$11.75 , N/A , N/A , N/A ,$13.24 , N/A ,$13.12 ,$12.70 ,$14.29 , N/A ,$13.50 , N/A ,$13.50 ,$13.50 ,$14.29 ,$14.29 ,$12.47 ,$13.12 , N/A ,$10.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412937,J3410,HYDROXYZINE (VISTARIL) IM INJ : 50MG/ML,636,1 ,$12.45 ,$8.09 ,$8.09 ,$11.21 ,$9.96 , N/A ,$9.87 ,$11.21 ,$11.21 , N/A ,$10.58 ,$9.21 , N/A , N/A , N/A ,$10.38 , N/A ,$10.28 ,$9.96 ,$11.21 , N/A ,$10.58 , N/A ,$10.58 ,$10.58 ,$11.21 ,$11.21 ,$9.77 ,$10.28 , N/A ,$8.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412938,N/A,FORADIL AEROLIZER (INHALE) CAP : 0.012MG,637,1 ,$124.75 ,$81.09 ,$81.09 ,$124.75 ,$99.80 , N/A ,$98.85 ,$112.34 ,$112.34 , N/A ,$106.04 ,$92.32 , N/A , N/A , N/A ,$104.04 , N/A ,$103.04 ,$99.80 ,$112.28 ,$124.75 ,$106.04 , N/A ,$106.04 ,$106.04 ,$112.28 ,$112.28 ,$97.93 ,$103.04 , N/A ,$81.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412939,N/A,BIAXIN XL TABLET : 500MG,637,1 ,$16.30 ,$10.60 ,$10.60 ,$16.30 ,$13.04 , N/A ,$12.92 ,$14.68 ,$14.68 , N/A ,$13.86 ,$12.06 , N/A , N/A , N/A ,$13.59 , N/A ,$13.46 ,$13.04 ,$14.67 ,$16.30 ,$13.86 , N/A ,$13.86 ,$13.86 ,$14.67 ,$14.67 ,$12.80 ,$13.46 , N/A ,$10.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412940,N/A,NIZORAL (KETOCONAZOLE) 2% CREAM : 15GM,637,1 ,$52.90 ,$34.39 ,$34.39 ,$52.90 ,$42.32 , N/A ,$41.92 ,$47.64 ,$47.64 , N/A ,$44.97 ,$39.15 , N/A , N/A , N/A ,$44.12 , N/A ,$43.70 ,$42.32 ,$47.61 ,$52.90 ,$44.97 , N/A ,$44.97 ,$44.97 ,$47.61 ,$47.61 ,$41.53 ,$43.70 , N/A ,$34.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412941,N/A,BENICAR TABLET : 20MG,637,1 ,$9.50 ,$6.18 ,$6.18 ,$9.50 ,$7.60 , N/A ,$7.53 ,$8.55 ,$8.55 , N/A ,$8.08 ,$7.03 , N/A , N/A , N/A ,$7.92 , N/A ,$7.85 ,$7.60 ,$8.55 ,$9.50 ,$8.08 , N/A ,$8.08 ,$8.08 ,$8.55 ,$8.55 ,$7.46 ,$7.85 , N/A ,$6.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412942,N/A,OPTIVAR 0.05% EYE DROPS,637,1 ,$242.80 ,$157.82 ,$157.82 ,$242.80 ,$194.24 , N/A ,$192.39 ,$218.64 ,$218.64 , N/A ,$206.38 ,$179.67 , N/A , N/A , N/A ,$202.50 , N/A ,$200.55 ,$194.24 ,$218.52 ,$242.80 ,$206.38 , N/A ,$206.38 ,$206.38 ,$218.52 ,$218.52 ,$190.60 ,$200.55 , N/A ,$157.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412943,N/A,HYLAND'S LEG CRAMPS TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412944,N/A,RIVASTIGMINE CAP 1.5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412945,N/A,LEVALBUTEROL (XOPENEX) 1.25MG/3ML HHN,637,1 ,$6.30 ,$4.10 ,$4.10 ,$6.30 ,$5.04 , N/A ,$4.99 ,$5.67 ,$5.67 , N/A ,$5.36 ,$4.66 , N/A , N/A , N/A ,$5.25 , N/A ,$5.20 ,$5.04 ,$5.67 ,$6.30 ,$5.36 , N/A ,$5.36 ,$5.36 ,$5.67 ,$5.67 ,$4.95 ,$5.20 , N/A ,$4.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412946,N/A,THYROGEN POWDER FOR INJ : 1.1MG,250,1 ,"$1,320.00 ",$858.00 ,$858.00 ,"$1,188.66 ","$1,056.00 ", N/A ,"$1,045.97 ","$1,188.66 ","$1,188.66 ", N/A ,"$1,122.00 ",$976.80 , N/A , N/A , N/A ,"$1,100.88 ", N/A ,"$1,090.32 ","$1,056.00 ","$1,188.00 ", N/A ,"$1,122.00 ", N/A ,"$1,122.00 ","$1,122.00 ","$1,188.00 ","$1,188.00 ","$1,036.20 ","$1,090.32 ", N/A ,$858.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412947,N/A,SPIRIVA INHALER (DO NOT SWALLOW CAP),637,1 ,$288.77 ,$187.70 ,$187.70 ,$288.77 ,$231.02 , N/A ,$228.82 ,$260.04 ,$260.04 , N/A ,$245.45 ,$213.69 , N/A , N/A , N/A ,$240.83 , N/A ,$238.52 ,$231.02 ,$259.89 ,$288.77 ,$245.45 , N/A ,$245.45 ,$245.45 ,$259.89 ,$259.89 ,$226.68 ,$238.52 , N/A ,$187.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412948,N/A,VITAMIN B-12 TABLET : 1000MCG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412949,N/A,VITAMIN B-12 TABLET : 500MCG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412950,90656,INFLUENZA VACCINE IM 2013-2014 SEASON,636,1 ,$37.00 ,$24.05 ,$24.05 ,$33.32 ,$29.60 , N/A ,$29.32 ,$33.32 ,$33.32 , N/A ,$31.45 ,$27.38 , N/A , N/A , N/A ,$30.86 , N/A ,$30.56 ,$29.60 ,$33.30 , N/A ,$31.45 , N/A ,$31.45 ,$31.45 ,$33.30 ,$33.30 ,$29.05 ,$30.56 , N/A ,$24.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412951,90732,PNEUMOVAX 23 (PNEUMONIA)INJ 575MCG/0.5ML,250,1 ,$191.80 ,$124.67 ,$124.67 ,$172.72 ,$153.44 , N/A ,$151.98 ,$172.72 ,$172.72 , N/A ,$163.03 ,$141.93 , N/A , N/A , N/A ,$159.96 , N/A ,$158.43 ,$153.44 ,$172.62 , N/A ,$163.03 , N/A ,$163.03 ,$163.03 ,$172.62 ,$172.62 ,$150.56 ,$158.43 , N/A ,$124.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412952,N/A,TRIAZOLAM TABLET : 0.125MG,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412953,N/A,DULOXETINE (CYMBALTA) 30MG CAPSULE,637,1 ,$22.45 ,$14.59 ,$14.59 ,$22.45 ,$17.96 , N/A ,$17.79 ,$20.22 ,$20.22 , N/A ,$19.08 ,$16.61 , N/A , N/A , N/A ,$18.72 , N/A ,$18.54 ,$17.96 ,$20.21 ,$22.45 ,$19.08 , N/A ,$19.08 ,$19.08 ,$20.21 ,$20.21 ,$17.62 ,$18.54 , N/A ,$14.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412954,N/A,DARVON-N 100MG TABLET,637,1 ,$3.35 ,$2.18 ,$2.18 ,$3.35 ,$2.68 , N/A ,$2.65 ,$3.02 ,$3.02 , N/A ,$2.85 ,$2.48 , N/A , N/A , N/A ,$2.79 , N/A ,$2.77 ,$2.68 ,$3.02 ,$3.35 ,$2.85 , N/A ,$2.85 ,$2.85 ,$3.02 ,$3.02 ,$2.63 ,$2.77 , N/A ,$2.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412956,N/A,METHADONE TABLET : 5MG PT OWN MED,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412957,N/A,LORAZEPAM (ATIVAN) TAB : 2MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412958,N/A,METHOCARBAMOL (ROBAXIN) TAB : 750MG,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412959,N/A,DIVALPROEX ER (DEPAKOTE ER) 250MG TAB,637,1 ,$8.74 ,$5.68 ,$5.68 ,$8.74 ,$6.99 , N/A ,$6.93 ,$7.87 ,$7.87 , N/A ,$7.43 ,$6.47 , N/A , N/A , N/A ,$7.29 , N/A ,$7.22 ,$6.99 ,$7.87 ,$8.74 ,$7.43 , N/A ,$7.43 ,$7.43 ,$7.87 ,$7.87 ,$6.86 ,$7.22 , N/A ,$5.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412960,N/A,METHADONE TABLET : 10MG,637,1 ,$1.87 ,$1.22 ,$1.22 ,$1.87 ,$1.50 , N/A ,$1.48 ,$1.68 ,$1.68 , N/A ,$1.59 ,$1.38 , N/A , N/A , N/A ,$1.56 , N/A ,$1.54 ,$1.50 ,$1.68 ,$1.87 ,$1.59 , N/A ,$1.59 ,$1.59 ,$1.68 ,$1.68 ,$1.47 ,$1.54 , N/A ,$1.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412961,N/A,TIGAN CAPSULE : 300MG,637,1 ,$4.10 ,$2.67 ,$2.67 ,$4.10 ,$3.28 , N/A ,$3.25 ,$3.69 ,$3.69 , N/A ,$3.49 ,$3.03 , N/A , N/A , N/A ,$3.42 , N/A ,$3.39 ,$3.28 ,$3.69 ,$4.10 ,$3.49 , N/A ,$3.49 ,$3.49 ,$3.69 ,$3.69 ,$3.22 ,$3.39 , N/A ,$2.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412962,N/A,CORTIFOAM RECTAL FOAM 10%,637,1 ,$251.60 ,$163.54 ,$163.54 ,$251.60 ,$201.28 , N/A ,$199.37 ,$226.57 ,$226.57 , N/A ,$213.86 ,$186.18 , N/A , N/A , N/A ,$209.83 , N/A ,$207.82 ,$201.28 ,$226.44 ,$251.60 ,$213.86 , N/A ,$213.86 ,$213.86 ,$226.44 ,$226.44 ,$197.51 ,$207.82 , N/A ,$163.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412963,N/A,ECONAZOLE NITRATE CREAM 1% : 85GM,637,1 ,$5.15 ,$3.35 ,$3.35 ,$5.15 ,$4.12 , N/A ,$4.08 ,$4.64 ,$4.64 , N/A ,$4.38 ,$3.81 , N/A , N/A , N/A ,$4.30 , N/A ,$4.25 ,$4.12 ,$4.64 ,$5.15 ,$4.38 , N/A ,$4.38 ,$4.38 ,$4.64 ,$4.64 ,$4.04 ,$4.25 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412964,N/A,KERI SENSITIVE SKIN MOISTURE THERAPY,637,1 ,$21.30 ,$13.85 ,$13.85 ,$21.30 ,$17.04 , N/A ,$16.88 ,$19.18 ,$19.18 , N/A ,$18.11 ,$15.76 , N/A , N/A , N/A ,$17.76 , N/A ,$17.59 ,$17.04 ,$19.17 ,$21.30 ,$18.11 , N/A ,$18.11 ,$18.11 ,$19.17 ,$19.17 ,$16.72 ,$17.59 , N/A ,$13.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412965,N/A,METROnidAZOLE 0.75% VAGINAL GEL : 70GM,637,1 ,$291.04 ,$189.18 ,$189.18 ,$291.04 ,$232.83 , N/A ,$230.62 ,$262.08 ,$262.08 , N/A ,$247.38 ,$215.37 , N/A , N/A , N/A ,$242.73 , N/A ,$240.40 ,$232.83 ,$261.94 ,$291.04 ,$247.38 , N/A ,$247.38 ,$247.38 ,$261.94 ,$261.94 ,$228.47 ,$240.40 , N/A ,$189.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412966,N/A,EX-LAX (SENNOSIDES 15MG) TABLET,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412967,N/A,PRED FORTE OPHTH SUSP 1% : 5ML,637,1 ,$78.10 ,$50.77 ,$50.77 ,$78.10 ,$62.48 , N/A ,$61.89 ,$70.33 ,$70.33 , N/A ,$66.39 ,$57.79 , N/A , N/A , N/A ,$65.14 , N/A ,$64.51 ,$62.48 ,$70.29 ,$78.10 ,$66.39 , N/A ,$66.39 ,$66.39 ,$70.29 ,$70.29 ,$61.31 ,$64.51 , N/A ,$50.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412968,N/A,FENOFIBRATE TAB 145MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412969,N/A,PERGOLIDE MESYLATE TAB : 0.25MG,637,1 ,$5.85 ,$3.80 ,$3.80 ,$5.85 ,$4.68 , N/A ,$4.64 ,$5.27 ,$5.27 , N/A ,$4.97 ,$4.33 , N/A , N/A , N/A ,$4.88 , N/A ,$4.83 ,$4.68 ,$5.27 ,$5.85 ,$4.97 , N/A ,$4.97 ,$4.97 ,$5.27 ,$5.27 ,$4.59 ,$4.83 , N/A ,$3.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412970,N/A,ACCUZYME OINTMENT : 30GM,637,1 ,$144.55 ,$93.96 ,$93.96 ,$144.55 ,$115.64 , N/A ,$114.54 ,$130.17 ,$130.17 , N/A ,$122.87 ,$106.97 , N/A , N/A , N/A ,$120.55 , N/A ,$119.40 ,$115.64 ,$130.10 ,$144.55 ,$122.87 , N/A ,$122.87 ,$122.87 ,$130.10 ,$130.10 ,$113.47 ,$119.40 , N/A ,$93.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412971,N/A,TRAVATAN Z EYE DROPS : 2.5ML,637,1 ,$332.35 ,$216.03 ,$216.03 ,$332.35 ,$265.88 , N/A ,$263.35 ,$299.28 ,$299.28 , N/A ,$282.50 ,$245.94 , N/A , N/A , N/A ,$277.18 , N/A ,$274.52 ,$265.88 ,$299.12 ,$332.35 ,$282.50 , N/A ,$282.50 ,$282.50 ,$299.12 ,$299.12 ,$260.89 ,$274.52 , N/A ,$216.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412972,J0630,MIACALCIN 200 UNITS/ML:CHARGE PER VIAL,636,1 ,$180.15 ,$117.10 ,$117.10 ,"$7,591.52 ",$144.12 ,"$3,036.61 ",$142.75 ,$162.23 ,$162.23 ,"$5,769.55 ",$153.13 ,$133.31 ,"$7,591.52 ","$3,036.61 ", N/A ,$150.25 ,"$3,036.61 ",$148.80 ,$144.12 ,$162.14 ,$180.15 ,$153.13 ,$180.15 ,$153.13 ,$153.13 ,$162.14 ,$162.14 ,$141.42 ,$148.80 ,$180.15 ,$117.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412973,N/A,PREMARIN VAGINAL CREAM PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412974,N/A,SKELAXIN TABLET : 800MG,637,1 ,$8.30 ,$5.40 ,$5.40 ,$8.30 ,$6.64 , N/A ,$6.58 ,$7.47 ,$7.47 , N/A ,$7.06 ,$6.14 , N/A , N/A , N/A ,$6.92 , N/A ,$6.86 ,$6.64 ,$7.47 ,$8.30 ,$7.06 , N/A ,$7.06 ,$7.06 ,$7.47 ,$7.47 ,$6.52 ,$6.86 , N/A ,$5.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412975,N/A,STRATTERA CAPSULE : 18MG,637,1 ,$10.85 ,$7.05 ,$7.05 ,$10.85 ,$8.68 , N/A ,$8.60 ,$9.77 ,$9.77 , N/A ,$9.22 ,$8.03 , N/A , N/A , N/A ,$9.05 , N/A ,$8.96 ,$8.68 ,$9.77 ,$10.85 ,$9.22 , N/A ,$9.22 ,$9.22 ,$9.77 ,$9.77 ,$8.52 ,$8.96 , N/A ,$7.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412976,N/A,FENOFIBRATE TAB 48MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412978,N/A,FOSINOPRIL (MONOPRIL) TAB : 40MG,637,1 ,$3.75 ,$2.44 ,$2.44 ,$3.75 ,$3.00 , N/A ,$2.97 ,$3.38 ,$3.38 , N/A ,$3.19 ,$2.78 , N/A , N/A , N/A ,$3.13 , N/A ,$3.10 ,$3.00 ,$3.38 ,$3.75 ,$3.19 , N/A ,$3.19 ,$3.19 ,$3.38 ,$3.38 ,$2.94 ,$3.10 , N/A ,$2.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412979,N/A,ALLEGRA-D ER 12 HR TAB 60MG/120MG,637,1 ,$5.05 ,$3.28 ,$3.28 ,$5.05 ,$4.04 , N/A ,$4.00 ,$4.55 ,$4.55 , N/A ,$4.29 ,$3.74 , N/A , N/A , N/A ,$4.21 , N/A ,$4.17 ,$4.04 ,$4.55 ,$5.05 ,$4.29 , N/A ,$4.29 ,$4.29 ,$4.55 ,$4.55 ,$3.96 ,$4.17 , N/A ,$3.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412980,N/A,CARVEDILOL TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412981,J1756,VENOFER (IV IRON) 100MG/5ML,636,1 ,$173.10 ,$112.52 ,$112.52 ,$155.88 ,$138.48 , N/A ,$137.16 ,$155.88 ,$155.88 , N/A ,$147.14 ,$128.09 , N/A , N/A , N/A ,$144.37 , N/A ,$142.98 ,$138.48 ,$155.79 , N/A ,$147.14 , N/A ,$147.14 ,$147.14 ,$155.79 ,$155.79 ,$135.88 ,$142.98 , N/A ,$112.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412982,N/A,COENZYME Q10 200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412983,N/A,PRAMOSONE CREAM 2.5% : 28.4GM,637,1 ,$89.55 ,$58.21 ,$58.21 ,$89.55 ,$71.64 , N/A ,$70.96 ,$80.64 ,$80.64 , N/A ,$76.12 ,$66.27 , N/A , N/A , N/A ,$74.68 , N/A ,$73.97 ,$71.64 ,$80.60 ,$89.55 ,$76.12 , N/A ,$76.12 ,$76.12 ,$80.60 ,$80.60 ,$70.30 ,$73.97 , N/A ,$58.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412984,N/A,ZOLPIDEM TAB : 10MG (PATIENT OWN MED),637,1 ,$14.50 ,$9.43 ,$9.43 ,$14.50 ,$11.60 , N/A ,$11.49 ,$13.06 ,$13.06 , N/A ,$12.33 ,$10.73 , N/A , N/A , N/A ,$12.09 , N/A ,$11.98 ,$11.60 ,$13.05 ,$14.50 ,$12.33 , N/A ,$12.33 ,$12.33 ,$13.05 ,$13.05 ,$11.38 ,$11.98 , N/A ,$9.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412985,N/A,VIROPTIC EYE DROPS 1% (REFRIGERATE),637,1 ,$229.15 ,$148.95 ,$148.95 ,$229.15 ,$183.32 , N/A ,$181.58 ,$206.35 ,$206.35 , N/A ,$194.78 ,$169.57 , N/A , N/A , N/A ,$191.11 , N/A ,$189.28 ,$183.32 ,$206.24 ,$229.15 ,$194.78 , N/A ,$194.78 ,$194.78 ,$206.24 ,$206.24 ,$179.88 ,$189.28 , N/A ,$148.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412986,N/A,FREAMINE III 10% (FOR TPN) : 500ML,250,1 ,$231.90 ,$150.74 ,$150.74 ,$208.83 ,$185.52 , N/A ,$183.76 ,$208.83 ,$208.83 , N/A ,$197.12 ,$171.61 , N/A , N/A , N/A ,$193.40 , N/A ,$191.55 ,$185.52 ,$208.71 , N/A ,$197.12 , N/A ,$197.12 ,$197.12 ,$208.71 ,$208.71 ,$182.04 ,$191.55 , N/A ,$150.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412987,N/A,POTASSIUM PHOSPHATE 3MMOL/ML : 15ML,250,1 ,$12.60 ,$8.19 ,$8.19 ,$11.35 ,$10.08 , N/A ,$9.98 ,$11.35 ,$11.35 , N/A ,$10.71 ,$9.32 , N/A , N/A , N/A ,$10.51 , N/A ,$10.41 ,$10.08 ,$11.34 , N/A ,$10.71 , N/A ,$10.71 ,$10.71 ,$11.34 ,$11.34 ,$9.89 ,$10.41 , N/A ,$8.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412988,N/A,SODIUM ACETATE 4 MEQ/ML VIAL : 50ML,250,1 ,$14.75 ,$9.59 ,$9.59 ,$13.28 ,$11.80 , N/A ,$11.69 ,$13.28 ,$13.28 , N/A ,$12.54 ,$10.92 , N/A , N/A , N/A ,$12.30 , N/A ,$12.18 ,$11.80 ,$13.28 , N/A ,$12.54 , N/A ,$12.54 ,$12.54 ,$13.28 ,$13.28 ,$11.58 ,$12.18 , N/A ,$9.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412989,N/A,MAPROTILINE HCL TAB : 50MG,637,1 ,$2.35 ,$1.53 ,$1.53 ,$2.35 ,$1.88 , N/A ,$1.86 ,$2.12 ,$2.12 , N/A ,$2.00 ,$1.74 , N/A , N/A , N/A ,$1.96 , N/A ,$1.94 ,$1.88 ,$2.12 ,$2.35 ,$2.00 , N/A ,$2.00 ,$2.00 ,$2.12 ,$2.12 ,$1.84 ,$1.94 , N/A ,$1.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412990,N/A,PRAMIPEXOLE (MIRAPEX) TAB : 0.5MG,637,1 ,$10.20 ,$6.63 ,$6.63 ,$10.20 ,$8.16 , N/A ,$8.08 ,$9.19 ,$9.19 , N/A ,$8.67 ,$7.55 , N/A , N/A , N/A ,$8.51 , N/A ,$8.43 ,$8.16 ,$9.18 ,$10.20 ,$8.67 , N/A ,$8.67 ,$8.67 ,$9.18 ,$9.18 ,$8.01 ,$8.43 , N/A ,$6.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412991,N/A,LUNESTA TABLET : 2MG,637,1 ,$11.65 ,$7.57 ,$7.57 ,$11.65 ,$9.32 , N/A ,$9.23 ,$10.49 ,$10.49 , N/A ,$9.90 ,$8.62 , N/A , N/A , N/A ,$9.72 , N/A ,$9.62 ,$9.32 ,$10.49 ,$11.65 ,$9.90 , N/A ,$9.90 ,$9.90 ,$10.49 ,$10.49 ,$9.15 ,$9.62 , N/A ,$7.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412992,N/A,DICLOFENAC ER TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412993,N/A,IPRATROPIUM NASAL 0.06% PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3412994,N/A,FENTANYL (DURAGESIC) PATCH 25MCG/HR,637,1 ,$75.98 ,$49.39 ,$49.39 ,$75.98 ,$60.78 , N/A ,$60.21 ,$68.42 ,$68.42 , N/A ,$64.58 ,$56.23 , N/A , N/A , N/A ,$63.37 , N/A ,$62.76 ,$60.78 ,$68.38 ,$75.98 ,$64.58 , N/A ,$64.58 ,$64.58 ,$68.38 ,$68.38 ,$59.64 ,$62.76 , N/A ,$49.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412995,N/A,SOLARCAINE SPRAY : 90ML,637,1 ,$12.75 ,$8.29 ,$8.29 ,$12.75 ,$10.20 , N/A ,$10.10 ,$11.48 ,$11.48 , N/A ,$10.84 ,$9.44 , N/A , N/A , N/A ,$10.63 , N/A ,$10.53 ,$10.20 ,$11.48 ,$12.75 ,$10.84 , N/A ,$10.84 ,$10.84 ,$11.48 ,$11.48 ,$10.01 ,$10.53 , N/A ,$8.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412996,N/A,ESZOPICLONE (LUNESTA) TAB : 1MG,637,1 ,$38.30 ,$24.90 ,$24.90 ,$38.30 ,$30.64 , N/A ,$30.35 ,$34.49 ,$34.49 , N/A ,$32.56 ,$28.34 , N/A , N/A , N/A ,$31.94 , N/A ,$31.64 ,$30.64 ,$34.47 ,$38.30 ,$32.56 , N/A ,$32.56 ,$32.56 ,$34.47 ,$34.47 ,$30.07 ,$31.64 , N/A ,$24.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412997,N/A,ATORVASTATIN (LIPITOR) TAB 40MG,637,1 ,$3.07 ,$2.00 ,$2.00 ,$3.07 ,$2.46 , N/A ,$2.43 ,$2.76 ,$2.76 , N/A ,$2.61 ,$2.27 , N/A , N/A , N/A ,$2.56 , N/A ,$2.54 ,$2.46 ,$2.76 ,$3.07 ,$2.61 , N/A ,$2.61 ,$2.61 ,$2.76 ,$2.76 ,$2.41 ,$2.54 , N/A ,$2.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412998,N/A,WELLBUTRIN SR (BUPROPION) 12HR : 100MG,637,1 ,$5.30 ,$3.45 ,$3.45 ,$5.30 ,$4.24 , N/A ,$4.20 ,$4.77 ,$4.77 , N/A ,$4.51 ,$3.92 , N/A , N/A , N/A ,$4.42 , N/A ,$4.38 ,$4.24 ,$4.77 ,$5.30 ,$4.51 , N/A ,$4.51 ,$4.51 ,$4.77 ,$4.77 ,$4.16 ,$4.38 , N/A ,$3.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3412999,N/A,LIOTHYRONINE (CYTOMEL) TAB : 25MCG,637,1 ,$3.30 ,$2.15 ,$2.15 ,$3.30 ,$2.64 , N/A ,$2.61 ,$2.97 ,$2.97 , N/A ,$2.81 ,$2.44 , N/A , N/A , N/A ,$2.75 , N/A ,$2.73 ,$2.64 ,$2.97 ,$3.30 ,$2.81 , N/A ,$2.81 ,$2.81 ,$2.97 ,$2.97 ,$2.59 ,$2.73 , N/A ,$2.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413000,J0696,CEFTRIAXONE IM (ROCEPHIN) 1000MG,636,1 ,$9.02 ,$5.86 ,$5.86 ,$8.12 ,$7.22 , N/A ,$7.15 ,$8.12 ,$8.12 , N/A ,$7.67 ,$6.67 , N/A , N/A , N/A ,$7.52 , N/A ,$7.45 ,$7.22 ,$8.12 , N/A ,$7.67 , N/A ,$7.67 ,$7.67 ,$8.12 ,$8.12 ,$7.08 ,$7.45 , N/A ,$5.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413001,J2270,MORPHINE 100MG/100ML NS PCA : RX TO MIX,636,1 ,$27.50 ,$17.88 ,$17.88 ,$24.76 ,$22.00 , N/A ,$21.79 ,$24.76 ,$24.76 , N/A ,$23.38 ,$20.35 , N/A , N/A , N/A ,$22.94 , N/A ,$22.72 ,$22.00 ,$24.75 , N/A ,$23.38 , N/A ,$23.38 ,$23.38 ,$24.75 ,$24.75 ,$21.59 ,$22.72 , N/A ,$17.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413002,N/A,MESALAMINE ENEMA PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413003,N/A,OMEGA-3 CAPSULE : 1000MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413004,N/A,ENABLEX ER TAB 7.5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413005,N/A,ACCUZYME (ETHEZYME) OINT : 30GM,637,1 ,$154.60 ,$100.49 ,$100.49 ,$154.60 ,$123.68 , N/A ,$122.51 ,$139.22 ,$139.22 , N/A ,$131.41 ,$114.40 , N/A , N/A , N/A ,$128.94 , N/A ,$127.70 ,$123.68 ,$139.14 ,$154.60 ,$131.41 , N/A ,$131.41 ,$131.41 ,$139.14 ,$139.14 ,$121.36 ,$127.70 , N/A ,$100.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413006,N/A,CLINDAMYCIN ORAL SOLUTION : 75MG/5mL,637,1 ,$186.43 ,$121.18 ,$121.18 ,$186.43 ,$149.14 , N/A ,$147.73 ,$167.88 ,$167.88 , N/A ,$158.47 ,$137.96 , N/A , N/A , N/A ,$155.48 , N/A ,$153.99 ,$149.14 ,$167.79 ,$186.43 ,$158.47 , N/A ,$158.47 ,$158.47 ,$167.79 ,$167.79 ,$146.35 ,$153.99 , N/A ,$121.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413007,N/A,SALSALATE TABLET : 750MG,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413008,N/A,LANTISEPTIC CREAM PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413009,N/A,LEVOFLOXACIN (LEVAQUIN) TAB : 250MG,637,1 ,$35.72 ,$23.22 ,$23.22 ,$35.72 ,$28.58 , N/A ,$28.30 ,$32.17 ,$32.17 , N/A ,$30.36 ,$26.43 , N/A , N/A , N/A ,$29.79 , N/A ,$29.50 ,$28.58 ,$32.15 ,$35.72 ,$30.36 , N/A ,$30.36 ,$30.36 ,$32.15 ,$32.15 ,$28.04 ,$29.50 , N/A ,$23.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413010,N/A,CLINDAMYCIN (CLEOCIN) IM VIAL : 600MG,250,1 ,$15.08 ,$9.80 ,$9.80 ,$13.58 ,$12.06 , N/A ,$11.95 ,$13.58 ,$13.58 , N/A ,$12.82 ,$11.16 , N/A , N/A , N/A ,$12.58 , N/A ,$12.46 ,$12.06 ,$13.57 , N/A ,$12.82 , N/A ,$12.82 ,$12.82 ,$13.57 ,$13.57 ,$11.84 ,$12.46 , N/A ,$9.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413011,N/A,PREGABALIN (LYRICA) CAP : 50MG,637,1 ,$25.06 ,$16.29 ,$16.29 ,$25.06 ,$20.05 , N/A ,$19.86 ,$22.57 ,$22.57 , N/A ,$21.30 ,$18.54 , N/A , N/A , N/A ,$20.90 , N/A ,$20.70 ,$20.05 ,$22.55 ,$25.06 ,$21.30 , N/A ,$21.30 ,$21.30 ,$22.55 ,$22.55 ,$19.67 ,$20.70 , N/A ,$16.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413012,N/A,ETOMIDATE 2MG/ML IV VIAL : 20MG/10ML,250,1 ,$34.30 ,$22.30 ,$22.30 ,$30.89 ,$27.44 , N/A ,$27.18 ,$30.89 ,$30.89 , N/A ,$29.16 ,$25.38 , N/A , N/A , N/A ,$28.61 , N/A ,$28.33 ,$27.44 ,$30.87 , N/A ,$29.16 , N/A ,$29.16 ,$29.16 ,$30.87 ,$30.87 ,$26.93 ,$28.33 , N/A ,$22.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413013,N/A,ELIQUIS TABLET : 2.5MG,637,1 ,$30.45 ,$19.79 ,$19.79 ,$30.45 ,$24.36 , N/A ,$24.13 ,$27.42 ,$27.42 , N/A ,$25.88 ,$22.53 , N/A , N/A , N/A ,$25.40 , N/A ,$25.15 ,$24.36 ,$27.41 ,$30.45 ,$25.88 , N/A ,$25.88 ,$25.88 ,$27.41 ,$27.41 ,$23.90 ,$25.15 , N/A ,$19.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413014,N/A,ARIPIPRAZOLE (ABILIFY) TAB : 5MG,637,1 ,$2.04 ,$1.33 ,$1.33 ,$2.04 ,$1.63 , N/A ,$1.62 ,$1.84 ,$1.84 , N/A ,$1.73 ,$1.51 , N/A , N/A , N/A ,$1.70 , N/A ,$1.69 ,$1.63 ,$1.84 ,$2.04 ,$1.73 , N/A ,$1.73 ,$1.73 ,$1.84 ,$1.84 ,$1.60 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413015,N/A,ASTRINGENT PACKET (TOPICAL) : BOX OF 12,637,1 ,$26.82 ,$17.43 ,$17.43 ,$26.82 ,$21.46 , N/A ,$21.25 ,$24.15 ,$24.15 , N/A ,$22.80 ,$19.85 , N/A , N/A , N/A ,$22.37 , N/A ,$22.15 ,$21.46 ,$24.14 ,$26.82 ,$22.80 , N/A ,$22.80 ,$22.80 ,$24.14 ,$24.14 ,$21.05 ,$22.15 , N/A ,$17.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413016,N/A,FOLIC ACID 0.8MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413017,N/A,XENADERM OINTMENT : 60GM,637,1 ,$183.75 ,$119.44 ,$119.44 ,$183.75 ,$147.00 , N/A ,$145.60 ,$165.47 ,$165.47 , N/A ,$156.19 ,$135.98 , N/A , N/A , N/A ,$153.25 , N/A ,$151.78 ,$147.00 ,$165.38 ,$183.75 ,$156.19 , N/A ,$156.19 ,$156.19 ,$165.38 ,$165.38 ,$144.24 ,$151.78 , N/A ,$119.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413018,N/A,VICOPROFEN 7.5MG/200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413019,N/A,IVERMECTIN (STROMECTOL) TAB : 3MG,637,1 ,$17.15 ,$11.15 ,$11.15 ,$17.15 ,$13.72 , N/A ,$13.59 ,$15.44 ,$15.44 , N/A ,$14.58 ,$12.69 , N/A , N/A , N/A ,$14.30 , N/A ,$14.17 ,$13.72 ,$15.44 ,$17.15 ,$14.58 , N/A ,$14.58 ,$14.58 ,$15.44 ,$15.44 ,$13.46 ,$14.17 , N/A ,$11.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413020,N/A,ADENOSCAN INJECTION : CHARGE PER 10ML,636,1 ,$156.20 ,$101.53 ,$101.53 ,$140.66 ,$124.96 , N/A ,$123.77 ,$140.66 ,$140.66 , N/A ,$132.77 ,$115.59 , N/A , N/A , N/A ,$130.27 , N/A ,$129.02 ,$124.96 ,$140.58 , N/A ,$132.77 , N/A ,$132.77 ,$132.77 ,$140.58 ,$140.58 ,$122.62 ,$129.02 , N/A ,$101.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413022,N/A,LIDAZONE HC CREAM,637,1 ,$17.00 ,$11.05 ,$11.05 ,$17.00 ,$13.60 , N/A ,$13.47 ,$15.31 ,$15.31 , N/A ,$14.45 ,$12.58 , N/A , N/A , N/A ,$14.18 , N/A ,$14.04 ,$13.60 ,$15.30 ,$17.00 ,$14.45 , N/A ,$14.45 ,$14.45 ,$15.30 ,$15.30 ,$13.35 ,$14.04 , N/A ,$11.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413023,N/A,COLCHICINE IV 0.5MG/ML : 2ML,250,1 ,$24.40 ,$15.86 ,$15.86 ,$21.97 ,$19.52 , N/A ,$19.33 ,$21.97 ,$21.97 , N/A ,$20.74 ,$18.06 , N/A , N/A , N/A ,$20.35 , N/A ,$20.15 ,$19.52 ,$21.96 , N/A ,$20.74 , N/A ,$20.74 ,$20.74 ,$21.96 ,$21.96 ,$19.15 ,$20.15 , N/A ,$15.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413024,J2543,ZOSYN (PIPERACILLIN/TAZOBACTAM) 4.5GM,636,1 ,$58.68 ,$38.14 ,$38.14 ,$52.84 ,$46.94 , N/A ,$46.50 ,$52.84 ,$52.84 , N/A ,$49.88 ,$43.42 , N/A , N/A , N/A ,$48.94 , N/A ,$48.47 ,$46.94 ,$52.81 , N/A ,$49.88 , N/A ,$49.88 ,$49.88 ,$52.81 ,$52.81 ,$46.06 ,$48.47 , N/A ,$38.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413025,N/A,FLAREX OPHTH SUSPENSION 0.1% : 5ML,637,1 ,$105.15 ,$68.35 ,$68.35 ,$105.15 ,$84.12 , N/A ,$83.32 ,$94.69 ,$94.69 , N/A ,$89.38 ,$77.81 , N/A , N/A , N/A ,$87.70 , N/A ,$86.85 ,$84.12 ,$94.64 ,$105.15 ,$89.38 , N/A ,$89.38 ,$89.38 ,$94.64 ,$94.64 ,$82.54 ,$86.85 , N/A ,$68.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413026,J0153,ADENOSINE (RAPID BOLUS FOR PSVT) 6MG/2ML,636,1 ,$26.60 ,$17.29 ,$17.29 ,$23.95 ,$21.28 , N/A ,$21.08 ,$23.95 ,$23.95 , N/A ,$22.61 ,$19.68 , N/A , N/A , N/A ,$22.18 , N/A ,$21.97 ,$21.28 ,$23.94 , N/A ,$22.61 , N/A ,$22.61 ,$22.61 ,$23.94 ,$23.94 ,$20.88 ,$21.97 , N/A ,$17.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413027,N/A,AVODART GELCAP 0.5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413028,N/A,TYLENOL SUPP. RECTAL : 80MG,637,1 ,$2.50 ,$1.63 ,$1.63 ,$2.50 ,$2.00 , N/A ,$1.98 ,$2.25 ,$2.25 , N/A ,$2.13 ,$1.85 , N/A , N/A , N/A ,$2.09 , N/A ,$2.07 ,$2.00 ,$2.25 ,$2.50 ,$2.13 , N/A ,$2.13 ,$2.13 ,$2.25 ,$2.25 ,$1.96 ,$2.07 , N/A ,$1.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413029,J3110,FORTEO SUBQ PEN,637,1 ,"$1,217.40 ",$791.31 ,$791.31 ,"$1,217.40 ",$973.92 , N/A ,$964.67 ,"$1,096.27 ","$1,096.27 ", N/A ,"$1,034.79 ",$900.88 , N/A , N/A , N/A ,"$1,015.31 ", N/A ,"$1,005.57 ",$973.92 ,"$1,095.66 ","$1,217.40 ","$1,034.79 ", N/A ,"$1,034.79 ","$1,034.79 ","$1,095.66 ","$1,095.66 ",$955.66 ,"$1,005.57 ", N/A ,$791.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413030,N/A,NORFLEX (ORPHENADRINE) ER TAB : 100MG,637,1 ,$8.50 ,$5.53 ,$5.53 ,$8.50 ,$6.80 , N/A ,$6.74 ,$7.65 ,$7.65 , N/A ,$7.23 ,$6.29 , N/A , N/A , N/A ,$7.09 , N/A ,$7.02 ,$6.80 ,$7.65 ,$8.50 ,$7.23 , N/A ,$7.23 ,$7.23 ,$7.65 ,$7.65 ,$6.67 ,$7.02 , N/A ,$5.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413031,N/A,VISINE-A EYE DROPS 15ML PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413032,N/A,FLUVOXAMINE MALEATE TAB : 100MG,637,1 ,$8.25 ,$5.36 ,$5.36 ,$8.25 ,$6.60 , N/A ,$6.54 ,$7.43 ,$7.43 , N/A ,$7.01 ,$6.11 , N/A , N/A , N/A ,$6.88 , N/A ,$6.81 ,$6.60 ,$7.43 ,$8.25 ,$7.01 , N/A ,$7.01 ,$7.01 ,$7.43 ,$7.43 ,$6.48 ,$6.81 , N/A ,$5.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413033,N/A,PROVIGIL TABLET : 200MG,637,1 ,$28.25 ,$18.36 ,$18.36 ,$28.25 ,$22.60 , N/A ,$22.39 ,$25.44 ,$25.44 , N/A ,$24.01 ,$20.91 , N/A , N/A , N/A ,$23.56 , N/A ,$23.33 ,$22.60 ,$25.43 ,$28.25 ,$24.01 , N/A ,$24.01 ,$24.01 ,$25.43 ,$25.43 ,$22.18 ,$23.33 , N/A ,$18.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413034,N/A,SODIUM CHLORIDE TABLET : 1GM,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413035,N/A,OSELTAMIVIR (TAMIFLU) 6MG/ML SUSPENSION,637,1 ,$287.19 ,$186.67 ,$186.67 ,$287.19 ,$229.75 , N/A ,$227.57 ,$258.61 ,$258.61 , N/A ,$244.11 ,$212.52 , N/A , N/A , N/A ,$239.52 , N/A ,$237.22 ,$229.75 ,$258.47 ,$287.19 ,$244.11 , N/A ,$244.11 ,$244.11 ,$258.47 ,$258.47 ,$225.44 ,$237.22 , N/A ,$186.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413036,N/A,BACTROBAN (MUPIROCIN) OINT PACKET,637,1 ,$4.35 ,$2.83 ,$2.83 ,$4.35 ,$3.48 , N/A ,$3.45 ,$3.92 ,$3.92 , N/A ,$3.70 ,$3.22 , N/A , N/A , N/A ,$3.63 , N/A ,$3.59 ,$3.48 ,$3.92 ,$4.35 ,$3.70 , N/A ,$3.70 ,$3.70 ,$3.92 ,$3.92 ,$3.41 ,$3.59 , N/A ,$2.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413037,N/A,ZELNORM TABLET : 6MG,637,1 ,$10.60 ,$6.89 ,$6.89 ,$10.60 ,$8.48 , N/A ,$8.40 ,$9.55 ,$9.55 , N/A ,$9.01 ,$7.84 , N/A , N/A , N/A ,$8.84 , N/A ,$8.76 ,$8.48 ,$9.54 ,$10.60 ,$9.01 , N/A ,$9.01 ,$9.01 ,$9.54 ,$9.54 ,$8.32 ,$8.76 , N/A ,$6.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413038,N/A,ALUMINUM HYDROXIDE GEL 320MG/5ML,637,1 ,$17.65 ,$11.47 ,$11.47 ,$17.65 ,$14.12 , N/A ,$13.99 ,$15.89 ,$15.89 , N/A ,$15.00 ,$13.06 , N/A , N/A , N/A ,$14.72 , N/A ,$14.58 ,$14.12 ,$15.89 ,$17.65 ,$15.00 , N/A ,$15.00 ,$15.00 ,$15.89 ,$15.89 ,$13.86 ,$14.58 , N/A ,$11.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413039,N/A,PRIMAXIN (IMIPENEM) INJ : 500MG,250,1 ,$10.60 ,$6.89 ,$6.89 ,$9.55 ,$8.48 , N/A ,$8.40 ,$9.55 ,$9.55 , N/A ,$9.01 ,$7.84 , N/A , N/A , N/A ,$8.84 , N/A ,$8.76 ,$8.48 ,$9.54 , N/A ,$9.01 , N/A ,$9.01 ,$9.01 ,$9.54 ,$9.54 ,$8.32 ,$8.76 , N/A ,$6.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413040,N/A,INSPRA TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413041,N/A,COLACE (DOCUSATE) CAPSULE : 50MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413042,N/A,ACAMPROSATE (CAMPRAL) TABLET : 333MG,637,1 ,$2.70 ,$1.76 ,$1.76 ,$2.70 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 ,$2.70 ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413043,N/A,METROGEL 1% FACIAL GEL : 60GM,637,1 ,$299.25 ,$194.51 ,$194.51 ,$299.25 ,$239.40 , N/A ,$237.13 ,$269.47 ,$269.47 , N/A ,$254.36 ,$221.45 , N/A , N/A , N/A ,$249.57 , N/A ,$247.18 ,$239.40 ,$269.33 ,$299.25 ,$254.36 , N/A ,$254.36 ,$254.36 ,$269.33 ,$269.33 ,$234.91 ,$247.18 , N/A ,$194.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413044,90715,ADACEL (TETANUS/DIPHTH/PERTUS) 0.5ML IM,250,1 ,$154.34 ,$100.32 ,$100.32 ,$138.98 ,$123.47 , N/A ,$122.30 ,$138.98 ,$138.98 , N/A ,$131.19 ,$114.21 , N/A , N/A , N/A ,$128.72 , N/A ,$127.48 ,$123.47 ,$138.91 , N/A ,$131.19 , N/A ,$131.19 ,$131.19 ,$138.91 ,$138.91 ,$121.16 ,$127.48 , N/A ,$100.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413045,J2353,SANDOSTATIN LAR DEPOT IM : 20MG,250,1 ,"$4,399.30 ","$2,859.55 ",$205.11 ,"$3,961.57 ","$3,519.44 ",$205.11 ,"$3,486.01 ","$3,961.57 ","$3,961.57 ",$389.71 ,"$3,739.41 ","$3,255.48 ",$512.78 ,$205.11 , N/A ,"$3,669.02 ",$205.11 ,"$3,633.82 ","$3,519.44 ","$3,959.37 ",$512.78 ,"$3,739.41 ",$205.11 ,"$3,739.41 ","$3,739.41 ","$3,959.37 ","$3,959.37 ","$3,453.45 ","$3,633.82 ",$205.11 ,"$2,859.55 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413046,J0882,ARANESP : CHARGE PER MCG DIALYSIS !!!!,636,1 ,$11.10 ,$7.22 ,$3.20 ,$10.00 ,$8.88 ,$3.20 ,$8.80 ,$10.00 ,$10.00 ,$6.07 ,$9.44 ,$8.21 ,$7.99 ,$3.20 , N/A ,$9.26 ,$3.20 ,$9.17 ,$8.88 ,$9.99 ,$7.99 ,$9.44 ,$3.20 ,$9.44 ,$9.44 ,$9.99 ,$9.99 ,$8.71 ,$9.17 ,$3.20 ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413047,N/A,ZYVOX TABLET : 600MG,637,1 ,$188.20 ,$122.33 ,$122.33 ,$188.20 ,$150.56 , N/A ,$149.13 ,$169.47 ,$169.47 , N/A ,$159.97 ,$139.27 , N/A , N/A , N/A ,$156.96 , N/A ,$155.45 ,$150.56 ,$169.38 ,$188.20 ,$159.97 , N/A ,$159.97 ,$159.97 ,$169.38 ,$169.38 ,$147.74 ,$155.45 , N/A ,$122.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413048,N/A,TOPROL XL (METOPROLOL ER) TAB : 100MG,637,1 ,$4.31 ,$2.80 ,$2.80 ,$4.31 ,$3.45 , N/A ,$3.42 ,$3.88 ,$3.88 , N/A ,$3.66 ,$3.19 , N/A , N/A , N/A ,$3.59 , N/A ,$3.56 ,$3.45 ,$3.88 ,$4.31 ,$3.66 , N/A ,$3.66 ,$3.66 ,$3.88 ,$3.88 ,$3.38 ,$3.56 , N/A ,$2.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413049,N/A,VESICARE (SOLIFENACIN) TABLET- 5MG,637,1 ,$22.23 ,$14.45 ,$14.45 ,$22.23 ,$17.78 , N/A ,$17.62 ,$20.02 ,$20.02 , N/A ,$18.90 ,$16.45 , N/A , N/A , N/A ,$18.54 , N/A ,$18.36 ,$17.78 ,$20.01 ,$22.23 ,$18.90 , N/A ,$18.90 ,$18.90 ,$20.01 ,$20.01 ,$17.45 ,$18.36 , N/A ,$14.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413050,J1162,DIGIFAB VIAL (DIGOXIN OVERDOSE) : 40MG,636,1 ,"$3,688.10 ","$2,397.27 ","$2,397.27 ","$10,320.48 ","$2,950.48 ","$4,128.19 ","$2,922.45 ","$3,321.13 ","$3,321.13 ","$7,843.56 ","$3,134.89 ","$2,729.19 ","$10,320.48 ","$4,128.19 ", N/A ,"$3,075.88 ","$4,128.19 ","$3,046.37 ","$2,950.48 ","$3,319.29 ","$3,688.10 ","$3,134.89 ","$3,688.10 ","$3,134.89 ","$3,134.89 ","$3,319.29 ","$3,319.29 ","$2,895.16 ","$3,046.37 ","$3,688.10 ","$2,397.27 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413051,N/A,AZITHROMYCIN (ZITHROMAX) 500MG TAB,637,1 ,$24.54 ,$15.95 ,$15.95 ,$24.54 ,$19.63 , N/A ,$19.45 ,$22.10 ,$22.10 , N/A ,$20.86 ,$18.16 , N/A , N/A , N/A ,$20.47 , N/A ,$20.27 ,$19.63 ,$22.09 ,$24.54 ,$20.86 , N/A ,$20.86 ,$20.86 ,$22.09 ,$22.09 ,$19.26 ,$20.27 , N/A ,$15.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413052,N/A,BYETTA SUBQ PEN PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413053,N/A,SIMVASTATIN (ZOCOR) TAB : 20MG,637,1 ,$15.50 ,$10.08 ,$10.08 ,$15.50 ,$12.40 , N/A ,$12.28 ,$13.96 ,$13.96 , N/A ,$13.18 ,$11.47 , N/A , N/A , N/A ,$12.93 , N/A ,$12.80 ,$12.40 ,$13.95 ,$15.50 ,$13.18 , N/A ,$13.18 ,$13.18 ,$13.95 ,$13.95 ,$12.17 ,$12.80 , N/A ,$10.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413054,N/A,NICOTROL INHALER CARTRIDGE,637,1 ,$11.62 ,$7.55 ,$7.55 ,$11.62 ,$9.30 , N/A ,$9.21 ,$10.46 ,$10.46 , N/A ,$9.88 ,$8.60 , N/A , N/A , N/A ,$9.69 , N/A ,$9.60 ,$9.30 ,$10.46 ,$11.62 ,$9.88 , N/A ,$9.88 ,$9.88 ,$10.46 ,$10.46 ,$9.12 ,$9.60 , N/A ,$7.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413055,N/A,RISperidONE 1MG/ML ORAL PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413056,N/A,CICLOPIROX (PENLAC) NAIL 8% : 6.6ML,637,1 ,$81.65 ,$53.07 ,$53.07 ,$81.65 ,$65.32 , N/A ,$64.70 ,$73.53 ,$73.53 , N/A ,$69.40 ,$60.42 , N/A , N/A , N/A ,$68.10 , N/A ,$67.44 ,$65.32 ,$73.49 ,$81.65 ,$69.40 , N/A ,$69.40 ,$69.40 ,$73.49 ,$73.49 ,$64.10 ,$67.44 , N/A ,$53.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413057,N/A,CITRUCEL POWDER : 454GM,637,1 ,$25.45 ,$16.54 ,$16.54 ,$25.45 ,$20.36 , N/A ,$20.17 ,$22.92 ,$22.92 , N/A ,$21.63 ,$18.83 , N/A , N/A , N/A ,$21.23 , N/A ,$21.02 ,$20.36 ,$22.91 ,$25.45 ,$21.63 , N/A ,$21.63 ,$21.63 ,$22.91 ,$22.91 ,$19.98 ,$21.02 , N/A ,$16.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413058,N/A,FOLTX (FOLAMIN) TABLET,637,1 ,$1.75 ,$1.14 ,$1.14 ,$1.75 ,$1.40 , N/A ,$1.39 ,$1.58 ,$1.58 , N/A ,$1.49 ,$1.30 , N/A , N/A , N/A ,$1.46 , N/A ,$1.45 ,$1.40 ,$1.58 ,$1.75 ,$1.49 , N/A ,$1.49 ,$1.49 ,$1.58 ,$1.58 ,$1.37 ,$1.45 , N/A ,$1.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413059,N/A,LABETALOL TAB 300MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413060,N/A,ESZOPICLONE (LUNESTA) TAB : 3MG,637,1 ,$12.70 ,$8.26 ,$8.26 ,$12.70 ,$10.16 , N/A ,$10.06 ,$11.44 ,$11.44 , N/A ,$10.80 ,$9.40 , N/A , N/A , N/A ,$10.59 , N/A ,$10.49 ,$10.16 ,$11.43 ,$12.70 ,$10.80 , N/A ,$10.80 ,$10.80 ,$11.43 ,$11.43 ,$9.97 ,$10.49 , N/A ,$8.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413061,N/A,BUPROPION XL (WELLBUTRIN XL) 24HR :150MG,637,1 ,$17.01 ,$11.06 ,$11.06 ,$17.01 ,$13.61 , N/A ,$13.48 ,$15.32 ,$15.32 , N/A ,$14.46 ,$12.59 , N/A , N/A , N/A ,$14.19 , N/A ,$14.05 ,$13.61 ,$15.31 ,$17.01 ,$14.46 , N/A ,$14.46 ,$14.46 ,$15.31 ,$15.31 ,$13.35 ,$14.05 , N/A ,$11.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413062,N/A,BRIMONIDINE 0.2% EYE DROPS : 5ML,637,1 ,$57.10 ,$37.12 ,$37.12 ,$57.10 ,$45.68 , N/A ,$45.25 ,$51.42 ,$51.42 , N/A ,$48.54 ,$42.25 , N/A , N/A , N/A ,$47.62 , N/A ,$47.16 ,$45.68 ,$51.39 ,$57.10 ,$48.54 , N/A ,$48.54 ,$48.54 ,$51.39 ,$51.39 ,$44.82 ,$47.16 , N/A ,$37.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413063,J0129,ORENCIA IV VIAL : 250MG,636,1 ,"$2,315.96 ","$1,505.37 ",$45.32 ,"$2,085.52 ","$1,852.77 ",$45.32 ,"$1,835.17 ","$2,085.52 ","$2,085.52 ",$86.11 ,"$1,968.57 ","$1,713.81 ",$113.31 ,$45.32 , N/A ,"$1,931.51 ",$45.32 ,"$1,912.98 ","$1,852.77 ","$2,084.36 ",$113.31 ,"$1,968.57 ",$45.32 ,"$1,968.57 ","$1,968.57 ","$2,084.36 ","$2,084.36 ","$1,818.03 ","$1,912.98 ",$45.32 ,"$1,505.37 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413064,N/A,LAC-HYDRIN FIVE LOTION 5% : 120ML,637,1 ,$18.30 ,$11.90 ,$11.90 ,$18.30 ,$14.64 , N/A ,$14.50 ,$16.48 ,$16.48 , N/A ,$15.56 ,$13.54 , N/A , N/A , N/A ,$15.26 , N/A ,$15.12 ,$14.64 ,$16.47 ,$18.30 ,$15.56 , N/A ,$15.56 ,$15.56 ,$16.47 ,$16.47 ,$14.37 ,$15.12 , N/A ,$11.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413065,N/A,MARCAINE 0.5% : 30ML SINGLE DOSE VIAL,250,1 ,$10.26 ,$6.67 ,$6.67 ,$9.24 ,$8.21 , N/A ,$8.13 ,$9.24 ,$9.24 , N/A ,$8.72 ,$7.59 , N/A , N/A , N/A ,$8.56 , N/A ,$8.47 ,$8.21 ,$9.23 , N/A ,$8.72 , N/A ,$8.72 ,$8.72 ,$9.23 ,$9.23 ,$8.05 ,$8.47 , N/A ,$6.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413066,N/A,CARBAMAZEPINE ER CAP 200MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413067,N/A,CARBATROL ER CAP : 300MG,637,1 ,$4.05 ,$2.63 ,$2.63 ,$4.05 ,$3.24 , N/A ,$3.21 ,$3.65 ,$3.65 , N/A ,$3.44 ,$3.00 , N/A , N/A , N/A ,$3.38 , N/A ,$3.35 ,$3.24 ,$3.65 ,$4.05 ,$3.44 , N/A ,$3.44 ,$3.44 ,$3.65 ,$3.65 ,$3.18 ,$3.35 , N/A ,$2.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413068,N/A,PREMPRO 0.45MG/1.5MG TAB : PER 28 TABS,637,1 ,$149.05 ,$96.88 ,$96.88 ,$149.05 ,$119.24 , N/A ,$118.11 ,$134.22 ,$134.22 , N/A ,$126.69 ,$110.30 , N/A , N/A , N/A ,$124.31 , N/A ,$123.12 ,$119.24 ,$134.15 ,$149.05 ,$126.69 , N/A ,$126.69 ,$126.69 ,$134.15 ,$134.15 ,$117.00 ,$123.12 , N/A ,$96.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413069,N/A,KENALOG SPRAY : 63GM,637,1 ,$110.00 ,$71.50 ,$71.50 ,$110.00 ,$88.00 , N/A ,$87.16 ,$99.06 ,$99.06 , N/A ,$93.50 ,$81.40 , N/A , N/A , N/A ,$91.74 , N/A ,$90.86 ,$88.00 ,$99.00 ,$110.00 ,$93.50 , N/A ,$93.50 ,$93.50 ,$99.00 ,$99.00 ,$86.35 ,$90.86 , N/A ,$71.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413070,N/A,ESTROPIPATE 0.75MG (OGEN 0.625MG) TAB,637,1 ,$1.35 ,$0.88 ,$0.88 ,$1.35 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 ,$1.35 ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413071,N/A,PANAFIL (ALLANFIL 405) OINTMENT : 30GM,637,1 ,$208.40 ,$135.46 ,$135.46 ,$208.40 ,$166.72 , N/A ,$165.14 ,$187.66 ,$187.66 , N/A ,$177.14 ,$154.22 , N/A , N/A , N/A ,$173.81 , N/A ,$172.14 ,$166.72 ,$187.56 ,$208.40 ,$177.14 , N/A ,$177.14 ,$177.14 ,$187.56 ,$187.56 ,$163.59 ,$172.14 , N/A ,$135.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413072,N/A,MY WAY (PLAN B) 1.5MG CONTRACEPTIVE TAB,637,1 ,$130.58 ,$84.88 ,$84.88 ,$130.58 ,$104.46 , N/A ,$103.47 ,$117.59 ,$117.59 , N/A ,$110.99 ,$96.63 , N/A , N/A , N/A ,$108.90 , N/A ,$107.86 ,$104.46 ,$117.52 ,$130.58 ,$110.99 , N/A ,$110.99 ,$110.99 ,$117.52 ,$117.52 ,$102.51 ,$107.86 , N/A ,$84.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413073,N/A,PREGABALIN (LYRICA) CAP : 75MG,637,1 ,$32.37 ,$21.04 ,$21.04 ,$32.37 ,$25.90 , N/A ,$25.65 ,$29.15 ,$29.15 , N/A ,$27.51 ,$23.95 , N/A , N/A , N/A ,$27.00 , N/A ,$26.74 ,$25.90 ,$29.13 ,$32.37 ,$27.51 , N/A ,$27.51 ,$27.51 ,$29.13 ,$29.13 ,$25.41 ,$26.74 , N/A ,$21.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413074,N/A,BENEFIBER PACKET : 4GM,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413075,J1956,LEVOFLOXACIN 250MG IVPB / 50ML,636,1 ,$26.13 ,$16.98 ,$16.98 ,$23.53 ,$20.90 , N/A ,$20.71 ,$23.53 ,$23.53 , N/A ,$22.21 ,$19.34 , N/A , N/A , N/A ,$21.79 , N/A ,$21.58 ,$20.90 ,$23.52 , N/A ,$22.21 , N/A ,$22.21 ,$22.21 ,$23.52 ,$23.52 ,$20.51 ,$21.58 , N/A ,$16.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413076,N/A,MIRALAX POWDER : 119GM,637,1 ,$17.00 ,$11.05 ,$11.05 ,$17.00 ,$13.60 , N/A ,$13.47 ,$15.31 ,$15.31 , N/A ,$14.45 ,$12.58 , N/A , N/A , N/A ,$14.18 , N/A ,$14.04 ,$13.60 ,$15.30 ,$17.00 ,$14.45 , N/A ,$14.45 ,$14.45 ,$15.30 ,$15.30 ,$13.35 ,$14.04 , N/A ,$11.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413077,N/A,POTASSIUM GLUCONATE TAB : 595MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413078,N/A,FENOFIBRATE CAP 200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413079,N/A,ESZOPICLONE (LUNESTA) TAB : 2MG,637,1 ,$13.85 ,$9.00 ,$9.00 ,$13.85 ,$11.08 , N/A ,$10.97 ,$12.47 ,$12.47 , N/A ,$11.77 ,$10.25 , N/A , N/A , N/A ,$11.55 , N/A ,$11.44 ,$11.08 ,$12.47 ,$13.85 ,$11.77 , N/A ,$11.77 ,$11.77 ,$12.47 ,$12.47 ,$10.87 ,$11.44 , N/A ,$9.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413080,N/A,DILTIAZEM (CARDIZEM) IV : 125MG/25ML,250,1 ,$24.90 ,$16.19 ,$16.19 ,$22.42 ,$19.92 , N/A ,$19.73 ,$22.42 ,$22.42 , N/A ,$21.17 ,$18.43 , N/A , N/A , N/A ,$20.77 , N/A ,$20.57 ,$19.92 ,$22.41 , N/A ,$21.17 , N/A ,$21.17 ,$21.17 ,$22.41 ,$22.41 ,$19.55 ,$20.57 , N/A ,$16.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413081,N/A,MUCINEX DM 600/30 TABLET,637,1 ,$1.13 ,$0.73 ,$0.73 ,$1.13 ,$0.90 , N/A ,$0.90 ,$1.02 ,$1.02 , N/A ,$0.96 ,$0.84 , N/A , N/A , N/A ,$0.94 , N/A ,$0.93 ,$0.90 ,$1.02 ,$1.13 ,$0.96 , N/A ,$0.96 ,$0.96 ,$1.02 ,$1.02 ,$0.89 ,$0.93 , N/A ,$0.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413082,N/A,I-VITE PROTECT (PRESERVISION AREDS) TAB,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413083,N/A,POLYSPORIN POWDER,637,1 ,$31.65 ,$20.57 ,$20.57 ,$31.65 ,$25.32 , N/A ,$25.08 ,$28.50 ,$28.50 , N/A ,$26.90 ,$23.42 , N/A , N/A , N/A ,$26.40 , N/A ,$26.14 ,$25.32 ,$28.49 ,$31.65 ,$26.90 , N/A ,$26.90 ,$26.90 ,$28.49 ,$28.49 ,$24.85 ,$26.14 , N/A ,$20.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413084,N/A,AMOXICILLIN TABLET : 875MG,637,1 ,$2.75 ,$1.79 ,$1.79 ,$2.75 ,$2.20 , N/A ,$2.18 ,$2.48 ,$2.48 , N/A ,$2.34 ,$2.04 , N/A , N/A , N/A ,$2.29 , N/A ,$2.27 ,$2.20 ,$2.48 ,$2.75 ,$2.34 , N/A ,$2.34 ,$2.34 ,$2.48 ,$2.48 ,$2.16 ,$2.27 , N/A ,$1.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413085,N/A,GLIMEPIRIDE (AMARYL) TAB : 1MG,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413086,N/A,POLYETHYLENE GLYCOL (MIRALAX) 17GM PACKT,637,1 ,$9.92 ,$6.45 ,$6.45 ,$9.92 ,$7.94 , N/A ,$7.86 ,$8.93 ,$8.93 , N/A ,$8.43 ,$7.34 , N/A , N/A , N/A ,$8.27 , N/A ,$8.19 ,$7.94 ,$8.93 ,$9.92 ,$8.43 , N/A ,$8.43 ,$8.43 ,$8.93 ,$8.93 ,$7.79 ,$8.19 , N/A ,$6.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413087,N/A,VIGAMOX 0.5% EYE DROPS PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413088,N/A,CHANTIX TAB 0.5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413089,N/A,DULOXETINE CAP 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413090,N/A,FENTANYL (DURAGESIC) PATCH 12MCG/HR,637,1 ,$27.50 ,$17.88 ,$17.88 ,$27.50 ,$22.00 , N/A ,$21.79 ,$24.76 ,$24.76 , N/A ,$23.38 ,$20.35 , N/A , N/A , N/A ,$22.94 , N/A ,$22.72 ,$22.00 ,$24.75 ,$27.50 ,$23.38 , N/A ,$23.38 ,$23.38 ,$24.75 ,$24.75 ,$21.59 ,$22.72 , N/A ,$17.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413091,N/A,TRIAMCINOLONE 0.1% CREAM : 454GM,637,1 ,$69.70 ,$45.31 ,$45.31 ,$69.70 ,$55.76 , N/A ,$55.23 ,$62.76 ,$62.76 , N/A ,$59.25 ,$51.58 , N/A , N/A , N/A ,$58.13 , N/A ,$57.57 ,$55.76 ,$62.73 ,$69.70 ,$59.25 , N/A ,$59.25 ,$59.25 ,$62.73 ,$62.73 ,$54.71 ,$57.57 , N/A ,$45.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413092,N/A,ZOVIA 1/35E TABLET : 28 TABS,637,1 ,$94.10 ,$61.17 ,$61.17 ,$94.10 ,$75.28 , N/A ,$74.56 ,$84.74 ,$84.74 , N/A ,$79.99 ,$69.63 , N/A , N/A , N/A ,$78.48 , N/A ,$77.73 ,$75.28 ,$84.69 ,$94.10 ,$79.99 , N/A ,$79.99 ,$79.99 ,$84.69 ,$84.69 ,$73.87 ,$77.73 , N/A ,$61.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413093,N/A,YAZ ORAL TABLET 3MG-0.02MG : PER 28,637,1 ,$143.65 ,$93.37 ,$93.37 ,$143.65 ,$114.92 , N/A ,$113.83 ,$129.36 ,$129.36 , N/A ,$122.10 ,$106.30 , N/A , N/A , N/A ,$119.80 , N/A ,$118.65 ,$114.92 ,$129.29 ,$143.65 ,$122.10 , N/A ,$122.10 ,$122.10 ,$129.29 ,$129.29 ,$112.77 ,$118.65 , N/A ,$93.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413094,N/A,CHANTIX TAB 1MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413095,J0135,HUMIRA SUBQ PEN : 40MG,637,1 ,"$1,463.00 ",$950.95 ,$950.95 ,"$1,463.00 ","$1,170.40 ", N/A ,"$1,159.28 ","$1,317.43 ","$1,317.43 ", N/A ,"$1,243.55 ","$1,082.62 ", N/A , N/A , N/A ,"$1,220.14 ", N/A ,"$1,208.44 ","$1,170.40 ","$1,316.70 ","$1,463.00 ","$1,243.55 ", N/A ,"$1,243.55 ","$1,243.55 ","$1,316.70 ","$1,316.70 ","$1,148.46 ","$1,208.44 ", N/A ,$950.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413096,N/A,METHADONE INTENSOL 10MG/ML (SOLUTION),637,1 ,$3.02 ,$1.96 ,$1.96 ,$3.02 ,$2.42 , N/A ,$2.39 ,$2.72 ,$2.72 , N/A ,$2.57 ,$2.23 , N/A , N/A , N/A ,$2.52 , N/A ,$2.49 ,$2.42 ,$2.72 ,$3.02 ,$2.57 , N/A ,$2.57 ,$2.57 ,$2.72 ,$2.72 ,$2.37 ,$2.49 , N/A ,$1.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413097,N/A,TRIAZOLAM TABLET : 0.25MG,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413098,N/A,BAG BALM : 300GM,637,1 ,$10.80 ,$7.02 ,$7.02 ,$10.80 ,$8.64 , N/A ,$8.56 ,$9.73 ,$9.73 , N/A ,$9.18 ,$7.99 , N/A , N/A , N/A ,$9.01 , N/A ,$8.92 ,$8.64 ,$9.72 ,$10.80 ,$9.18 , N/A ,$9.18 ,$9.18 ,$9.72 ,$9.72 ,$8.48 ,$8.92 , N/A ,$7.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413099,N/A,COREG CR CAP ER : 20MG,637,1 ,$13.15 ,$8.55 ,$8.55 ,$13.15 ,$10.52 , N/A ,$10.42 ,$11.84 ,$11.84 , N/A ,$11.18 ,$9.73 , N/A , N/A , N/A ,$10.97 , N/A ,$10.86 ,$10.52 ,$11.84 ,$13.15 ,$11.18 , N/A ,$11.18 ,$11.18 ,$11.84 ,$11.84 ,$10.32 ,$10.86 , N/A ,$8.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413100,N/A,CLINIMIX E 4.25%/D10W/ WITH ELECTROLYTES,258,1 ,$156.10 ,$101.47 ,$101.47 ,$140.57 ,$124.88 , N/A ,$123.69 ,$140.57 ,$140.57 , N/A ,$132.69 ,$115.51 , N/A , N/A , N/A ,$130.19 , N/A ,$128.94 ,$124.88 ,$140.49 , N/A ,$132.69 , N/A ,$132.69 ,$132.69 ,$140.49 ,$140.49 ,$122.54 ,$128.94 , N/A ,$101.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413101,N/A,RANEXA ER TAB 500MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413102,J0278,AMIKACIN VIAL : 1000MG,636,1 ,$58.29 ,$37.89 ,$37.89 ,$52.49 ,$46.63 , N/A ,$46.19 ,$52.49 ,$52.49 , N/A ,$49.55 ,$43.13 , N/A , N/A , N/A ,$48.61 , N/A ,$48.15 ,$46.63 ,$52.46 , N/A ,$49.55 , N/A ,$49.55 ,$49.55 ,$52.46 ,$52.46 ,$45.76 ,$48.15 , N/A ,$37.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413103,N/A,CONCERTA TABLET : 54MG,637,1 ,$14.60 ,$9.49 ,$9.49 ,$14.60 ,$11.68 , N/A ,$11.57 ,$13.15 ,$13.15 , N/A ,$12.41 ,$10.80 , N/A , N/A , N/A ,$12.18 , N/A ,$12.06 ,$11.68 ,$13.14 ,$14.60 ,$12.41 , N/A ,$12.41 ,$12.41 ,$13.14 ,$13.14 ,$11.46 ,$12.06 , N/A ,$9.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413104,J3535,XOPENEX HFA INHALER : 15GM,637,1 ,$256.34 ,$166.62 ,$166.62 ,$256.34 ,$205.07 , N/A ,$203.12 ,$230.83 ,$230.83 , N/A ,$217.89 ,$189.69 , N/A , N/A , N/A ,$213.79 , N/A ,$211.74 ,$205.07 ,$230.71 ,$256.34 ,$217.89 , N/A ,$217.89 ,$217.89 ,$230.71 ,$230.71 ,$201.23 ,$211.74 , N/A ,$166.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413105,N/A,RIZATRIPTAN ORAL DISINTEGRATING TAB 5MG,637,1 ,$114.60 ,$74.49 ,$74.49 ,$114.60 ,$91.68 , N/A ,$90.81 ,$103.20 ,$103.20 , N/A ,$97.41 ,$84.80 , N/A , N/A , N/A ,$95.58 , N/A ,$94.66 ,$91.68 ,$103.14 ,$114.60 ,$97.41 , N/A ,$97.41 ,$97.41 ,$103.14 ,$103.14 ,$89.96 ,$94.66 , N/A ,$74.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413106,N/A,ALPRAZOLAM (XAnax) TABLET : 1MG,637,1 ,$3.57 ,$2.32 ,$2.32 ,$3.57 ,$2.86 , N/A ,$2.83 ,$3.21 ,$3.21 , N/A ,$3.03 ,$2.64 , N/A , N/A , N/A ,$2.98 , N/A ,$2.95 ,$2.86 ,$3.21 ,$3.57 ,$3.03 , N/A ,$3.03 ,$3.03 ,$3.21 ,$3.21 ,$2.80 ,$2.95 , N/A ,$2.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413107,N/A,CARVEDILOL (COREG) TABLET : 6.25MG,637,1 ,$7.60 ,$4.94 ,$4.94 ,$7.60 ,$6.08 , N/A ,$6.02 ,$6.84 ,$6.84 , N/A ,$6.46 ,$5.62 , N/A , N/A , N/A ,$6.34 , N/A ,$6.28 ,$6.08 ,$6.84 ,$7.60 ,$6.46 , N/A ,$6.46 ,$6.46 ,$6.84 ,$6.84 ,$5.97 ,$6.28 , N/A ,$4.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413108,J7515,CYCLOSPORINE CAPSULE 25MG,636,1 ,$11.85 ,$7.70 ,$7.70 ,$10.67 ,$9.48 , N/A ,$9.39 ,$10.67 ,$10.67 , N/A ,$10.07 ,$8.77 , N/A , N/A , N/A ,$9.88 , N/A ,$9.79 ,$9.48 ,$10.67 , N/A ,$10.07 , N/A ,$10.07 ,$10.07 ,$10.67 ,$10.67 ,$9.30 ,$9.79 , N/A ,$7.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413109,N/A,JANUVIA TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413110,N/A,"BRIMONIDINE 0.2% OPTH SOLN, 5ML",637,1 ,$234.06 ,$152.14 ,$152.14 ,$234.06 ,$187.25 , N/A ,$185.47 ,$210.77 ,$210.77 , N/A ,$198.95 ,$173.20 , N/A , N/A , N/A ,$195.21 , N/A ,$193.33 ,$187.25 ,$210.65 ,$234.06 ,$198.95 , N/A ,$198.95 ,$198.95 ,$210.65 ,$210.65 ,$183.74 ,$193.33 , N/A ,$152.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413112,N/A,VENLAFAXINE ER (EFFEXOR XR) CAP : 75MG,637,1 ,$15.03 ,$9.77 ,$9.77 ,$15.03 ,$12.02 , N/A ,$11.91 ,$13.53 ,$13.53 , N/A ,$12.78 ,$11.12 , N/A , N/A , N/A ,$12.54 , N/A ,$12.41 ,$12.02 ,$13.53 ,$15.03 ,$12.78 , N/A ,$12.78 ,$12.78 ,$13.53 ,$13.53 ,$11.80 ,$12.41 , N/A ,$9.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413113,N/A,LOTEMAX EYE SUSP 0.5% PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413114,N/A,IPRATROPIUM 0.5MG / ALBUTEROL 3MG HHN,637,1 ,$7.94 ,$5.16 ,$5.16 ,$7.94 ,$6.35 , N/A ,$6.29 ,$7.15 ,$7.15 , N/A ,$6.75 ,$5.88 , N/A , N/A , N/A ,$6.62 , N/A ,$6.56 ,$6.35 ,$7.15 ,$7.94 ,$6.75 , N/A ,$6.75 ,$6.75 ,$7.15 ,$7.15 ,$6.23 ,$6.56 , N/A ,$5.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413115,N/A,ADDERALL(DEXTROAMPHETAMINE) TAB 5mg (NF),637,1 ,$7.37 ,$4.79 ,$4.79 ,$7.37 ,$5.90 , N/A ,$5.84 ,$6.64 ,$6.64 , N/A ,$6.26 ,$5.45 , N/A , N/A , N/A ,$6.15 , N/A ,$6.09 ,$5.90 ,$6.63 ,$7.37 ,$6.26 , N/A ,$6.26 ,$6.26 ,$6.63 ,$6.63 ,$5.79 ,$6.09 , N/A ,$4.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413116,N/A,VIOKASE 16 TABLET (PANCREALIPASE),637,1 ,$3.45 ,$2.24 ,$2.24 ,$3.45 ,$2.76 , N/A ,$2.73 ,$3.11 ,$3.11 , N/A ,$2.93 ,$2.55 , N/A , N/A , N/A ,$2.88 , N/A ,$2.85 ,$2.76 ,$3.11 ,$3.45 ,$2.93 , N/A ,$2.93 ,$2.93 ,$3.11 ,$3.11 ,$2.71 ,$2.85 , N/A ,$2.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413117,J3489,ZOLEDRONIC ACID 5MG/100ML (RECLAST) IVPB,636,1 ,"$1,822.39 ","$1,184.55 ","$1,184.55 ","$1,641.06 ","$1,457.91 ", N/A ,"$1,444.06 ","$1,641.06 ","$1,641.06 ", N/A ,"$1,549.03 ","$1,348.57 ", N/A , N/A , N/A ,"$1,519.87 ", N/A ,"$1,505.29 ","$1,457.91 ","$1,640.15 ", N/A ,"$1,549.03 ", N/A ,"$1,549.03 ","$1,549.03 ","$1,640.15 ","$1,640.15 ","$1,430.58 ","$1,505.29 ", N/A ,"$1,184.55 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413118,J1438,ENBREL 50MG/ML : PER 25MG (CHARGE FOR 2),250,1 ,$353.30 ,$229.65 ,$229.65 ,"$1,976.95 ",$282.64 ,$790.78 ,$279.95 ,$318.15 ,$318.15 ,"$1,502.48 ",$300.31 ,$261.44 ,"$1,976.95 ",$790.78 , N/A ,$294.65 ,$790.78 ,$291.83 ,$282.64 ,$317.97 ,$353.30 ,$300.31 ,$353.30 ,$300.31 ,$300.31 ,$317.97 ,$317.97 ,$277.34 ,$291.83 ,$353.30 ,$229.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413119,N/A,QVAR INHALER 40MCG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413120,J0592,BUPRENORPHINE INJ 0.3MG/ML,636,1 ,$30.00 ,$19.50 ,$19.50 ,$27.02 ,$24.00 , N/A ,$23.77 ,$27.02 ,$27.02 , N/A ,$25.50 ,$22.20 , N/A , N/A , N/A ,$25.02 , N/A ,$24.78 ,$24.00 ,$27.00 , N/A ,$25.50 , N/A ,$25.50 ,$25.50 ,$27.00 ,$27.00 ,$23.55 ,$24.78 , N/A ,$19.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413121,N/A,BENEPROTEIN : 7GM (NO CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413122,N/A,CLONAZEpam TAB 0.25MG (1/2 OF 0.5MG),637,1 ,$4.10 ,$2.67 ,$2.67 ,$4.10 ,$3.28 , N/A ,$3.25 ,$3.69 ,$3.69 , N/A ,$3.49 ,$3.03 , N/A , N/A , N/A ,$3.42 , N/A ,$3.39 ,$3.28 ,$3.69 ,$4.10 ,$3.49 , N/A ,$3.49 ,$3.49 ,$3.69 ,$3.69 ,$3.22 ,$3.39 , N/A ,$2.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413123,N/A,LEVALBUTEROL (XOPENEX) 0.31MG/3ML HHN,637,1 ,$6.30 ,$4.10 ,$4.10 ,$6.30 ,$5.04 , N/A ,$4.99 ,$5.67 ,$5.67 , N/A ,$5.36 ,$4.66 , N/A , N/A , N/A ,$5.25 , N/A ,$5.20 ,$5.04 ,$5.67 ,$6.30 ,$5.36 , N/A ,$5.36 ,$5.36 ,$5.67 ,$5.67 ,$4.95 ,$5.20 , N/A ,$4.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413124,N/A,VIT D (ERGOCALCIFEROL) CAP 50000 UNITS,637,1 ,$4.60 ,$2.99 ,$2.99 ,$4.60 ,$3.68 , N/A ,$3.65 ,$4.14 ,$4.14 , N/A ,$3.91 ,$3.40 , N/A , N/A , N/A ,$3.84 , N/A ,$3.80 ,$3.68 ,$4.14 ,$4.60 ,$3.91 , N/A ,$3.91 ,$3.91 ,$4.14 ,$4.14 ,$3.61 ,$3.80 , N/A ,$2.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413125,J0572,NF-BUPRENORPHINE 2MG / NALOXONE 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413126,N/A,LEVEMIR INSULIN : 100 UNITS/ML SUBQ,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413127,N/A,DENAVIR CREAM 1% : 1.5GM,637,1 ,$120.70 ,$78.46 ,$78.46 ,$120.70 ,$96.56 , N/A ,$95.64 ,$108.69 ,$108.69 , N/A ,$102.60 ,$89.32 , N/A , N/A , N/A ,$100.66 , N/A ,$99.70 ,$96.56 ,$108.63 ,$120.70 ,$102.60 , N/A ,$102.60 ,$102.60 ,$108.63 ,$108.63 ,$94.75 ,$99.70 , N/A ,$78.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413128,N/A,BYETTA SUBQ 5MCG INJ : 1.2ML,637,1 ,$390.25 ,$253.66 ,$253.66 ,$390.25 ,$312.20 , N/A ,$309.23 ,$351.42 ,$351.42 , N/A ,$331.71 ,$288.79 , N/A , N/A , N/A ,$325.47 , N/A ,$322.35 ,$312.20 ,$351.23 ,$390.25 ,$331.71 , N/A ,$331.71 ,$331.71 ,$351.23 ,$351.23 ,$306.35 ,$322.35 , N/A ,$253.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413129,N/A,SYSTANE,637,1 ,$120.70 ,$78.46 ,$78.46 ,$120.70 ,$96.56 , N/A ,$95.64 ,$108.69 ,$108.69 , N/A ,$102.60 ,$89.32 , N/A , N/A , N/A ,$100.66 , N/A ,$99.70 ,$96.56 ,$108.63 ,$120.70 ,$102.60 , N/A ,$102.60 ,$102.60 ,$108.63 ,$108.63 ,$94.75 ,$99.70 , N/A ,$78.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413130,N/A,SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%,637,1 ,$27.35 ,$17.78 ,$17.78 ,$27.35 ,$21.88 , N/A ,$21.67 ,$24.63 ,$24.63 , N/A ,$23.25 ,$20.24 , N/A , N/A , N/A ,$22.81 , N/A ,$22.59 ,$21.88 ,$24.62 ,$27.35 ,$23.25 , N/A ,$23.25 ,$23.25 ,$24.62 ,$24.62 ,$21.47 ,$22.59 , N/A ,$17.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413131,N/A,SODIUM CHLORIDE (MURO 128) EYE OINT 5%,637,1 ,$43.26 ,$28.12 ,$28.12 ,$43.26 ,$34.61 , N/A ,$34.28 ,$38.96 ,$38.96 , N/A ,$36.77 ,$32.01 , N/A , N/A , N/A ,$36.08 , N/A ,$35.73 ,$34.61 ,$38.93 ,$43.26 ,$36.77 , N/A ,$36.77 ,$36.77 ,$38.93 ,$38.93 ,$33.96 ,$35.73 , N/A ,$28.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413132,N/A,VITAMIN D TAB 400 UNITS (nonformulary),637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413133,N/A,AZILECT TABLET : 0.5MG,637,1 ,$30.10 ,$19.57 ,$19.57 ,$30.10 ,$24.08 , N/A ,$23.85 ,$27.11 ,$27.11 , N/A ,$25.59 ,$22.27 , N/A , N/A , N/A ,$25.10 , N/A ,$24.86 ,$24.08 ,$27.09 ,$30.10 ,$25.59 , N/A ,$25.59 ,$25.59 ,$27.09 ,$27.09 ,$23.63 ,$24.86 , N/A ,$19.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413134,N/A,CLOBETASOL TOPICAL SOLUTION 0.05% : 50ML,637,1 ,$124.75 ,$81.09 ,$81.09 ,$124.75 ,$99.80 , N/A ,$98.85 ,$112.34 ,$112.34 , N/A ,$106.04 ,$92.32 , N/A , N/A , N/A ,$104.04 , N/A ,$103.04 ,$99.80 ,$112.28 ,$124.75 ,$106.04 , N/A ,$106.04 ,$106.04 ,$112.28 ,$112.28 ,$97.93 ,$103.04 , N/A ,$81.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413135,N/A,AMITIZA CAPSULE : 8 MCG,637,1 ,$12.45 ,$8.09 ,$8.09 ,$12.45 ,$9.96 , N/A ,$9.87 ,$11.21 ,$11.21 , N/A ,$10.58 ,$9.21 , N/A , N/A , N/A ,$10.38 , N/A ,$10.28 ,$9.96 ,$11.21 ,$12.45 ,$10.58 , N/A ,$10.58 ,$10.58 ,$11.21 ,$11.21 ,$9.77 ,$10.28 , N/A ,$8.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413136,N/A,AMLODIPINE (NORVASC) 2.5MG TAB,637,1 ,$6.18 ,$4.02 ,$4.02 ,$6.18 ,$4.94 , N/A ,$4.90 ,$5.57 ,$5.57 , N/A ,$5.25 ,$4.57 , N/A , N/A , N/A ,$5.15 , N/A ,$5.10 ,$4.94 ,$5.56 ,$6.18 ,$5.25 , N/A ,$5.25 ,$5.25 ,$5.56 ,$5.56 ,$4.85 ,$5.10 , N/A ,$4.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413137,N/A,ZONISAMIDE CAP : 100MG CORRUPTED,637,1 ,$6.50 ,$4.23 ,$4.23 ,$6.50 ,$5.20 , N/A ,$5.15 ,$5.85 ,$5.85 , N/A ,$5.53 ,$4.81 , N/A , N/A , N/A ,$5.42 , N/A ,$5.37 ,$5.20 ,$5.85 ,$6.50 ,$5.53 , N/A ,$5.53 ,$5.53 ,$5.85 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413138,N/A,EPINASTINE HCL 0.05% EYE DROPS : 5ML,637,1 ,$224.70 ,$146.06 ,$146.06 ,$224.70 ,$179.76 , N/A ,$178.05 ,$202.34 ,$202.34 , N/A ,$191.00 ,$166.28 , N/A , N/A , N/A ,$187.40 , N/A ,$185.60 ,$179.76 ,$202.23 ,$224.70 ,$191.00 , N/A ,$191.00 ,$191.00 ,$202.23 ,$202.23 ,$176.39 ,$185.60 , N/A ,$146.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413139,N/A,SYMLIN SUBQ SOLN 0.6MG/1ML,637,1 ,$278.65 ,$181.12 ,$181.12 ,$278.65 ,$222.92 , N/A ,$220.80 ,$250.92 ,$250.92 , N/A ,$236.85 ,$206.20 , N/A , N/A , N/A ,$232.39 , N/A ,$230.16 ,$222.92 ,$250.79 ,$278.65 ,$236.85 , N/A ,$236.85 ,$236.85 ,$250.79 ,$250.79 ,$218.74 ,$230.16 , N/A ,$181.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413140,N/A,TEKTURNA 150MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413141,N/A,MAALOX MAX STRENGTH TAB,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413142,N/A,COENZYME Q10 CAP : 50MG,637,1 ,$0.95 ,$0.62 ,$0.62 ,$0.95 ,$0.76 , N/A ,$0.75 ,$0.86 ,$0.86 , N/A ,$0.81 ,$0.70 , N/A , N/A , N/A ,$0.79 , N/A ,$0.78 ,$0.76 ,$0.86 ,$0.95 ,$0.81 , N/A ,$0.81 ,$0.81 ,$0.86 ,$0.86 ,$0.75 ,$0.78 , N/A ,$0.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413143,N/A,HYDROCODONE 10MG / APAP 325MG TAB,637,1 ,$3.92 ,$2.55 ,$2.55 ,$3.92 ,$3.14 , N/A ,$3.11 ,$3.53 ,$3.53 , N/A ,$3.33 ,$2.90 , N/A , N/A , N/A ,$3.27 , N/A ,$3.24 ,$3.14 ,$3.53 ,$3.92 ,$3.33 , N/A ,$3.33 ,$3.33 ,$3.53 ,$3.53 ,$3.08 ,$3.24 , N/A ,$2.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413144,N/A,OXYTROL TD PATCH ER 3.9MG/24HR,637,1 ,$50.85 ,$33.05 ,$33.05 ,$50.85 ,$40.68 , N/A ,$40.29 ,$45.79 ,$45.79 , N/A ,$43.22 ,$37.63 , N/A , N/A , N/A ,$42.41 , N/A ,$42.00 ,$40.68 ,$45.77 ,$50.85 ,$43.22 , N/A ,$43.22 ,$43.22 ,$45.77 ,$45.77 ,$39.92 ,$42.00 , N/A ,$33.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413145,N/A,PATADAY 0.2% EYE DROPS : 2.5ML,637,1 ,$286.95 ,$186.52 ,$186.52 ,$286.95 ,$229.56 , N/A ,$227.38 ,$258.40 ,$258.40 , N/A ,$243.91 ,$212.34 , N/A , N/A , N/A ,$239.32 , N/A ,$237.02 ,$229.56 ,$258.26 ,$286.95 ,$243.91 , N/A ,$243.91 ,$243.91 ,$258.26 ,$258.26 ,$225.26 ,$237.02 , N/A ,$186.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413146,N/A,ALTABAX 1% OINTMENT : 10GM,637,1 ,$192.40 ,$125.06 ,$125.06 ,$192.40 ,$153.92 , N/A ,$152.46 ,$173.26 ,$173.26 , N/A ,$163.54 ,$142.38 , N/A , N/A , N/A ,$160.46 , N/A ,$158.92 ,$153.92 ,$173.16 ,$192.40 ,$163.54 , N/A ,$163.54 ,$163.54 ,$173.16 ,$173.16 ,$151.03 ,$158.92 , N/A ,$125.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413147,J3243,TYGACIL VIAL : 50MG,636,1 ,$354.94 ,$230.71 ,$1.00 ,$319.62 ,$283.95 ,$1.00 ,$281.25 ,$319.62 ,$319.62 ,$1.89 ,$301.70 ,$262.66 ,$2.49 ,$1.00 , N/A ,$296.02 ,$1.00 ,$293.18 ,$283.95 ,$319.45 ,$2.49 ,$301.70 ,$1.00 ,$301.70 ,$301.70 ,$319.45 ,$319.45 ,$278.63 ,$293.18 ,$1.00 ,$230.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413148,J3535,SYMBICORT INHALER 160MCG-4.5MCG : 60 INH,637,1 ,$434.00 ,$282.10 ,$282.10 ,$434.00 ,$347.20 , N/A ,$343.90 ,$390.82 ,$390.82 , N/A ,$368.90 ,$321.16 , N/A , N/A , N/A ,$361.96 , N/A ,$358.48 ,$347.20 ,$390.60 ,$434.00 ,$368.90 , N/A ,$368.90 ,$368.90 ,$390.60 ,$390.60 ,$340.69 ,$358.48 , N/A ,$282.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413149,N/A,BUDESONIDE EC CAP 3MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413150,N/A,MORPHINE ORAL CONCENTRATE 5MG / 0.25ML,637,1 ,$33.00 ,$21.45 ,$21.45 ,$33.00 ,$26.40 , N/A ,$26.15 ,$29.72 ,$29.72 , N/A ,$28.05 ,$24.42 , N/A , N/A , N/A ,$27.52 , N/A ,$27.26 ,$26.40 ,$29.70 ,$33.00 ,$28.05 , N/A ,$28.05 ,$28.05 ,$29.70 ,$29.70 ,$25.91 ,$27.26 , N/A ,$21.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413151,N/A,RAZADYNE ER (GALANTAMINE) CAP : 8MG,637,1 ,$20.00 ,$13.00 ,$13.00 ,$20.00 ,$16.00 , N/A ,$15.85 ,$18.01 ,$18.01 , N/A ,$17.00 ,$14.80 , N/A , N/A , N/A ,$16.68 , N/A ,$16.52 ,$16.00 ,$18.00 ,$20.00 ,$17.00 , N/A ,$17.00 ,$17.00 ,$18.00 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413152,N/A,MERCAPTOPURINE (6 MP) TAB : 50MG,637,1 ,$12.90 ,$8.39 ,$8.39 ,$12.90 ,$10.32 , N/A ,$10.22 ,$11.62 ,$11.62 , N/A ,$10.97 ,$9.55 , N/A , N/A , N/A ,$10.76 , N/A ,$10.66 ,$10.32 ,$11.61 ,$12.90 ,$10.97 , N/A ,$10.97 ,$10.97 ,$11.61 ,$11.61 ,$10.13 ,$10.66 , N/A ,$8.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413153,N/A,ESTRACE CREAM 0.01% : 42.5GM,637,1 ,$228.65 ,$148.62 ,$148.62 ,$228.65 ,$182.92 , N/A ,$181.18 ,$205.90 ,$205.90 , N/A ,$194.35 ,$169.20 , N/A , N/A , N/A ,$190.69 , N/A ,$188.86 ,$182.92 ,$205.79 ,$228.65 ,$194.35 , N/A ,$194.35 ,$194.35 ,$205.79 ,$205.79 ,$179.49 ,$188.86 , N/A ,$148.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413154,N/A,LIDODERM PATCH 5% : PHARMACY TO CHARGE,637,1 ,$26.70 ,$17.36 ,$17.36 ,$26.70 ,$21.36 , N/A ,$21.16 ,$24.04 ,$24.04 , N/A ,$22.70 ,$19.76 , N/A , N/A , N/A ,$22.27 , N/A ,$22.05 ,$21.36 ,$24.03 ,$26.70 ,$22.70 , N/A ,$22.70 ,$22.70 ,$24.03 ,$24.03 ,$20.96 ,$22.05 , N/A ,$17.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413155,N/A,ASTELIN READY-SPRAY NASAL SPRAY 137MCG/I,637,1 ,$212.85 ,$138.35 ,$138.35 ,$212.85 ,$170.28 , N/A ,$168.66 ,$191.67 ,$191.67 , N/A ,$180.92 ,$157.51 , N/A , N/A , N/A ,$177.52 , N/A ,$175.81 ,$170.28 ,$191.57 ,$212.85 ,$180.92 , N/A ,$180.92 ,$180.92 ,$191.57 ,$191.57 ,$167.09 ,$175.81 , N/A ,$138.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413156,N/A,APIDRA (LIKE HUMALOG) PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413157,N/A,ATROPINE SULFATE 1% EYE DROPS : 2ML,637,1 ,$109.83 ,$71.39 ,$71.39 ,$109.83 ,$87.86 , N/A ,$87.03 ,$98.90 ,$98.90 , N/A ,$93.36 ,$81.27 , N/A , N/A , N/A ,$91.60 , N/A ,$90.72 ,$87.86 ,$98.85 ,$109.83 ,$93.36 , N/A ,$93.36 ,$93.36 ,$98.85 ,$98.85 ,$86.22 ,$90.72 , N/A ,$71.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413158,N/A,COREG CR CAP 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413159,N/A,BUDESONIDE 0.5MG/2ML HHN,637,1 ,$39.91 ,$25.94 ,$25.94 ,$39.91 ,$31.93 , N/A ,$31.62 ,$35.94 ,$35.94 , N/A ,$33.92 ,$29.53 , N/A , N/A , N/A ,$33.28 , N/A ,$32.97 ,$31.93 ,$35.92 ,$39.91 ,$33.92 , N/A ,$33.92 ,$33.92 ,$35.92 ,$35.92 ,$31.33 ,$32.97 , N/A ,$25.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413160,N/A,VITAMIN D3 (CHOLECALCIFEROL) TAB 1000IU,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413161,N/A,RISperidONE (RISperDAL) 0.25MG TAB,637,1 ,$13.89 ,$9.03 ,$9.03 ,$13.89 ,$11.11 , N/A ,$11.01 ,$12.51 ,$12.51 , N/A ,$11.81 ,$10.28 , N/A , N/A , N/A ,$11.58 , N/A ,$11.47 ,$11.11 ,$12.50 ,$13.89 ,$11.81 , N/A ,$11.81 ,$11.81 ,$12.50 ,$12.50 ,$10.90 ,$11.47 , N/A ,$9.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413162,N/A,XIFAXAN TABLET : 200MG,637,1 ,$18.00 ,$11.70 ,$11.70 ,$18.00 ,$14.40 , N/A ,$14.26 ,$16.21 ,$16.21 , N/A ,$15.30 ,$13.32 , N/A , N/A , N/A ,$15.01 , N/A ,$14.87 ,$14.40 ,$16.20 ,$18.00 ,$15.30 , N/A ,$15.30 ,$15.30 ,$16.20 ,$16.20 ,$14.13 ,$14.87 , N/A ,$11.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413163,N/A,FENOFIBRATE (LOFIBRA) CAPSULE : 67MG,637,1 ,$2.67 ,$1.74 ,$1.74 ,$2.67 ,$2.14 , N/A ,$2.12 ,$2.40 ,$2.40 , N/A ,$2.27 ,$1.98 , N/A , N/A , N/A ,$2.23 , N/A ,$2.21 ,$2.14 ,$2.40 ,$2.67 ,$2.27 , N/A ,$2.27 ,$2.27 ,$2.40 ,$2.40 ,$2.10 ,$2.21 , N/A ,$1.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413164,J3535,SYMBICORT INHALER 80MCG-4.5MCG : 60 INH,637,1 ,$377.30 ,$245.25 ,$245.25 ,$377.30 ,$301.84 , N/A ,$298.97 ,$339.76 ,$339.76 , N/A ,$320.71 ,$279.20 , N/A , N/A , N/A ,$314.67 , N/A ,$311.65 ,$301.84 ,$339.57 ,$377.30 ,$320.71 , N/A ,$320.71 ,$320.71 ,$339.57 ,$339.57 ,$296.18 ,$311.65 , N/A ,$245.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413165,J3590,SIMPONI SUBQ SOLUTION 50MG/0.5ML,250,1 ,"$3,172.20 ","$2,061.93 ","$2,061.93 ","$2,856.57 ","$2,537.76 ", N/A ,"$2,513.65 ","$2,856.57 ","$2,856.57 ", N/A ,"$2,696.37 ","$2,347.43 ", N/A , N/A , N/A ,"$2,645.61 ", N/A ,"$2,620.24 ","$2,537.76 ","$2,854.98 ", N/A ,"$2,696.37 ", N/A ,"$2,696.37 ","$2,696.37 ","$2,854.98 ","$2,854.98 ","$2,490.18 ","$2,620.24 ", N/A ,"$2,061.93 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413166,N/A,CYCLOBENZAPRINE (FLEXERIL) TAB : 5MG,637,1 ,$5.45 ,$3.54 ,$3.54 ,$5.45 ,$4.36 , N/A ,$4.32 ,$4.91 ,$4.91 , N/A ,$4.63 ,$4.03 , N/A , N/A , N/A ,$4.55 , N/A ,$4.50 ,$4.36 ,$4.91 ,$5.45 ,$4.63 , N/A ,$4.63 ,$4.63 ,$4.91 ,$4.91 ,$4.28 ,$4.50 , N/A ,$3.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413167,N/A,BENZOYL PEROXIDE GEL 5%,637,1 ,$17.90 ,$11.64 ,$11.64 ,$17.90 ,$14.32 , N/A ,$14.18 ,$16.12 ,$16.12 , N/A ,$15.22 ,$13.25 , N/A , N/A , N/A ,$14.93 , N/A ,$14.79 ,$14.32 ,$16.11 ,$17.90 ,$15.22 , N/A ,$15.22 ,$15.22 ,$16.11 ,$16.11 ,$14.05 ,$14.79 , N/A ,$11.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413168,J1335,ERTAPENEM (INVANZ) IV VIAL : 1GM,636,1 ,$373.82 ,$242.98 ,$242.98 ,$336.62 ,$299.06 , N/A ,$296.22 ,$336.62 ,$336.62 , N/A ,$317.75 ,$276.63 , N/A , N/A , N/A ,$311.77 , N/A ,$308.78 ,$299.06 ,$336.44 , N/A ,$317.75 , N/A ,$317.75 ,$317.75 ,$336.44 ,$336.44 ,$293.45 ,$308.78 , N/A ,$242.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413169,J2785,LEXISCAN 0.4MG/5ML STRESS TEST,636,1 ,$524.71 ,$341.06 ,$341.06 ,$472.50 ,$419.77 , N/A ,$415.78 ,$472.50 ,$472.50 , N/A ,$446.00 ,$388.29 , N/A , N/A , N/A ,$437.61 , N/A ,$433.41 ,$419.77 ,$472.24 , N/A ,$446.00 , N/A ,$446.00 ,$446.00 ,$472.24 ,$472.24 ,$411.90 ,$433.41 , N/A ,$341.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413170,N/A,TRIAMCINOLONE 0.1% OINTMENT : 15GM,637,1 ,$19.90 ,$12.94 ,$12.94 ,$19.90 ,$15.92 , N/A ,$15.77 ,$17.92 ,$17.92 , N/A ,$16.92 ,$14.73 , N/A , N/A , N/A ,$16.60 , N/A ,$16.44 ,$15.92 ,$17.91 ,$19.90 ,$16.92 , N/A ,$16.92 ,$16.92 ,$17.91 ,$17.91 ,$15.62 ,$16.44 , N/A ,$12.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413171,N/A,ULORIC TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413172,J0696,CEFTRIAXONE IM (ROCEPHIN) : 1000MG,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413173,J0696,CEFTRIAXONE IM (ROCEPHIN) 500MG,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413174,J1650,ENOXAPARIN (LOVENOX) 100MG,636,1 ,$71.27 ,$46.33 ,$46.33 ,$64.18 ,$57.02 , N/A ,$56.47 ,$64.18 ,$64.18 , N/A ,$60.58 ,$52.74 , N/A , N/A , N/A ,$59.44 , N/A ,$58.87 ,$57.02 ,$64.14 , N/A ,$60.58 , N/A ,$60.58 ,$60.58 ,$64.14 ,$64.14 ,$55.95 ,$58.87 , N/A ,$46.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413175,J0696,CEFTRIAXONE IM (ROCEPHIN) 250MG,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413176,J1650,ENOXAPARIN (LOVENOX) 120MG,636,1 ,$85.50 ,$55.58 ,$55.58 ,$76.99 ,$68.40 , N/A ,$67.75 ,$76.99 ,$76.99 , N/A ,$72.68 ,$63.27 , N/A , N/A , N/A ,$71.31 , N/A ,$70.62 ,$68.40 ,$76.95 , N/A ,$72.68 , N/A ,$72.68 ,$72.68 ,$76.95 ,$76.95 ,$67.12 ,$70.62 , N/A ,$55.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413177,J1650,ENOXAPARIN (LOVENOX) : 150MG,636,1 ,$106.88 ,$69.47 ,$69.47 ,$96.25 ,$85.50 , N/A ,$84.69 ,$96.25 ,$96.25 , N/A ,$90.85 ,$79.09 , N/A , N/A , N/A ,$89.14 , N/A ,$88.28 ,$85.50 ,$96.19 , N/A ,$90.85 , N/A ,$90.85 ,$90.85 ,$96.19 ,$96.19 ,$83.90 ,$88.28 , N/A ,$69.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413178,N/A,NEOSPORIN G.U. IRRIGANT SOLUTION,637,1 ,$68.05 ,$44.23 ,$44.23 ,$68.05 ,$54.44 , N/A ,$53.92 ,$61.28 ,$61.28 , N/A ,$57.84 ,$50.36 , N/A , N/A , N/A ,$56.75 , N/A ,$56.21 ,$54.44 ,$61.25 ,$68.05 ,$57.84 , N/A ,$57.84 ,$57.84 ,$61.25 ,$61.25 ,$53.42 ,$56.21 , N/A ,$44.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413179,N/A,SAVELLA TABLET : 50MG,637,1 ,$6.70 ,$4.36 ,$4.36 ,$6.70 ,$5.36 , N/A ,$5.31 ,$6.03 ,$6.03 , N/A ,$5.70 ,$4.96 , N/A , N/A , N/A ,$5.59 , N/A ,$5.53 ,$5.36 ,$6.03 ,$6.70 ,$5.70 , N/A ,$5.70 ,$5.70 ,$6.03 ,$6.03 ,$5.26 ,$5.53 , N/A ,$4.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413180,N/A,ACETYLCYSTEINE 10% INHALATION SOLN-10ML,637,1 ,$52.08 ,$33.85 ,$33.85 ,$52.08 ,$41.66 , N/A ,$41.27 ,$46.90 ,$46.90 , N/A ,$44.27 ,$38.54 , N/A , N/A , N/A ,$43.43 , N/A ,$43.02 ,$41.66 ,$46.87 ,$52.08 ,$44.27 , N/A ,$44.27 ,$44.27 ,$46.87 ,$46.87 ,$40.88 ,$43.02 , N/A ,$33.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413181,J1642,HEPARin PORT FLUSH 100 UNITS/ML (Yellow),636,1 ,$12.59 ,$8.18 ,$8.18 ,$11.34 ,$10.07 , N/A ,$9.98 ,$11.34 ,$11.34 , N/A ,$10.70 ,$9.32 , N/A , N/A , N/A ,$10.50 , N/A ,$10.40 ,$10.07 ,$11.33 , N/A ,$10.70 , N/A ,$10.70 ,$10.70 ,$11.33 ,$11.33 ,$9.88 ,$10.40 , N/A ,$8.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413182,N/A,TOPAMAX (TOPIRAMATE) TAB : 50MG,637,1 ,$17.15 ,$11.15 ,$11.15 ,$17.15 ,$13.72 , N/A ,$13.59 ,$15.44 ,$15.44 , N/A ,$14.58 ,$12.69 , N/A , N/A , N/A ,$14.30 , N/A ,$14.17 ,$13.72 ,$15.44 ,$17.15 ,$14.58 , N/A ,$14.58 ,$14.58 ,$15.44 ,$15.44 ,$13.46 ,$14.17 , N/A ,$11.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413183,N/A,BYSTOLIC TABLET : 2.5MG,637,1 ,$7.49 ,$4.87 ,$4.87 ,$7.49 ,$5.99 , N/A ,$5.94 ,$6.74 ,$6.74 , N/A ,$6.37 ,$5.54 , N/A , N/A , N/A ,$6.25 , N/A ,$6.19 ,$5.99 ,$6.74 ,$7.49 ,$6.37 , N/A ,$6.37 ,$6.37 ,$6.74 ,$6.74 ,$5.88 ,$6.19 , N/A ,$4.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413184,N/A,NEOMYCIN/POLY B/HC EYE SUSPENSION :7.5ML,637,1 ,$249.60 ,$162.24 ,$162.24 ,$249.60 ,$199.68 , N/A ,$197.78 ,$224.76 ,$224.76 , N/A ,$212.16 ,$184.70 , N/A , N/A , N/A ,$208.17 , N/A ,$206.17 ,$199.68 ,$224.64 ,$249.60 ,$212.16 , N/A ,$212.16 ,$212.16 ,$224.64 ,$224.64 ,$195.94 ,$206.17 , N/A ,$162.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413185,N/A,ANAFRANIL (CLOMIPRAMINE) CAP : 25MG,637,1 ,$2.65 ,$1.72 ,$1.72 ,$2.65 ,$2.12 , N/A ,$2.10 ,$2.39 ,$2.39 , N/A ,$2.25 ,$1.96 , N/A , N/A , N/A ,$2.21 , N/A ,$2.19 ,$2.12 ,$2.39 ,$2.65 ,$2.25 , N/A ,$2.25 ,$2.25 ,$2.39 ,$2.39 ,$2.08 ,$2.19 , N/A ,$1.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413186,N/A,RIVASTIGMINE ER 4.6MG/24HR PATCH EXELON,637,1 ,$57.89 ,$37.63 ,$37.63 ,$57.89 ,$46.31 , N/A ,$45.87 ,$52.13 ,$52.13 , N/A ,$49.21 ,$42.84 , N/A , N/A , N/A ,$48.28 , N/A ,$47.82 ,$46.31 ,$52.10 ,$57.89 ,$49.21 , N/A ,$49.21 ,$49.21 ,$52.10 ,$52.10 ,$45.44 ,$47.82 , N/A ,$37.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413187,N/A,TRIAMCINOLONE 0.5% OINTMENT : 15GM,637,1 ,$20.70 ,$13.46 ,$13.46 ,$20.70 ,$16.56 , N/A ,$16.40 ,$18.64 ,$18.64 , N/A ,$17.60 ,$15.32 , N/A , N/A , N/A ,$17.26 , N/A ,$17.10 ,$16.56 ,$18.63 ,$20.70 ,$17.60 , N/A ,$17.60 ,$17.60 ,$18.63 ,$18.63 ,$16.25 ,$17.10 , N/A ,$13.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413188,N/A,EFFIENT TABLET 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413189,J2270,MORPHINE VIAL : 5MG/ML,636,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413190,J0897,PROLIA SUBCUTANEOUS INJECTION : 60MG,636,1 ,"$2,385.25 ","$1,550.41 ",$20.97 ,"$2,147.92 ","$1,908.20 ",$20.97 ,"$1,890.07 ","$2,147.92 ","$2,147.92 ",$39.85 ,"$2,027.46 ","$1,765.09 ",$52.43 ,$20.97 , N/A ,"$1,989.30 ",$20.97 ,"$1,970.22 ","$1,908.20 ","$2,146.73 ",$52.43 ,"$2,027.46 ",$20.97 ,"$2,027.46 ","$2,027.46 ","$2,146.73 ","$2,146.73 ","$1,872.42 ","$1,970.22 ",$20.97 ,"$1,550.41 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413191,N/A,HYDROCODONE 2.5MG/APAP 108MG : 5ML,637,1 ,$4.00 ,$2.60 ,$2.60 ,$4.00 ,$3.20 , N/A ,$3.17 ,$3.60 ,$3.60 , N/A ,$3.40 ,$2.96 , N/A , N/A , N/A ,$3.34 , N/A ,$3.30 ,$3.20 ,$3.60 ,$4.00 ,$3.40 , N/A ,$3.40 ,$3.40 ,$3.60 ,$3.60 ,$3.14 ,$3.30 , N/A ,$2.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413193,N/A,DILTIAZEM IV BOLUS 25mg/5ml,250,1 ,$12.54 ,$8.15 ,$8.15 ,$11.29 ,$10.03 , N/A ,$9.94 ,$11.29 ,$11.29 , N/A ,$10.66 ,$9.28 , N/A , N/A , N/A ,$10.46 , N/A ,$10.36 ,$10.03 ,$11.29 , N/A ,$10.66 , N/A ,$10.66 ,$10.66 ,$11.29 ,$11.29 ,$9.84 ,$10.36 , N/A ,$8.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413194,N/A,SYNTHROID (LEVOTHYROXINE) TAB : 175MCG,637,1 ,$3.15 ,$2.05 ,$2.05 ,$3.15 ,$2.52 , N/A ,$2.50 ,$2.84 ,$2.84 , N/A ,$2.68 ,$2.33 , N/A , N/A , N/A ,$2.63 , N/A ,$2.60 ,$2.52 ,$2.84 ,$3.15 ,$2.68 , N/A ,$2.68 ,$2.68 ,$2.84 ,$2.84 ,$2.47 ,$2.60 , N/A ,$2.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413195,N/A,LEVOTHYROXINE (SYNTHROID) TAB 137MCG,637,1 ,$2.95 ,$1.92 ,$1.92 ,$2.95 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 ,$2.95 ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413196,J3475,MAGNESIUM SULFATE IM : 1 GM / 2 ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413197,N/A,KEFLEX (CEPHALEXIN) SUSP. : 125MG/5ML,637,1 ,$28.15 ,$18.30 ,$18.30 ,$28.15 ,$22.52 , N/A ,$22.31 ,$25.35 ,$25.35 , N/A ,$23.93 ,$20.83 , N/A , N/A , N/A ,$23.48 , N/A ,$23.25 ,$22.52 ,$25.34 ,$28.15 ,$23.93 , N/A ,$23.93 ,$23.93 ,$25.34 ,$25.34 ,$22.10 ,$23.25 , N/A ,$18.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413198,Q2009,FOSPHENYTOIN 100MG/2ML VIAL (IV),636,1 ,$21.83 ,$14.19 ,$14.19 ,$19.66 ,$17.46 , N/A ,$17.30 ,$19.66 ,$19.66 , N/A ,$18.56 ,$16.15 , N/A , N/A , N/A ,$18.21 , N/A ,$18.03 ,$17.46 ,$19.65 , N/A ,$18.56 , N/A ,$18.56 ,$18.56 ,$19.65 ,$19.65 ,$17.14 ,$18.03 , N/A ,$14.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413199,N/A,INSULIN R (IV DRIP) : 1ML,250,1 ,$25.52 ,$16.59 ,$16.59 ,$22.98 ,$20.42 , N/A ,$20.22 ,$22.98 ,$22.98 , N/A ,$21.69 ,$18.88 , N/A , N/A , N/A ,$21.28 , N/A ,$21.08 ,$20.42 ,$22.97 , N/A ,$21.69 , N/A ,$21.69 ,$21.69 ,$22.97 ,$22.97 ,$20.03 ,$21.08 , N/A ,$16.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413200,N/A,FISH OIL 1000MG CAPSULE,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413201,N/A,PRADAXA CAPSULE : 75MG,637,1 ,$12.15 ,$7.90 ,$7.90 ,$12.15 ,$9.72 , N/A ,$9.63 ,$10.94 ,$10.94 , N/A ,$10.33 ,$8.99 , N/A , N/A , N/A ,$10.13 , N/A ,$10.04 ,$9.72 ,$10.94 ,$12.15 ,$10.33 , N/A ,$10.33 ,$10.33 ,$10.94 ,$10.94 ,$9.54 ,$10.04 , N/A ,$7.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413202,J2680,FLUPHENAZINE DECANOATE 25MG/mL IM/SUBQ,636,1 ,$304.90 ,$198.19 ,$198.19 ,$274.56 ,$243.92 , N/A ,$241.60 ,$274.56 ,$274.56 , N/A ,$259.17 ,$225.63 , N/A , N/A , N/A ,$254.29 , N/A ,$251.85 ,$243.92 ,$274.41 , N/A ,$259.17 , N/A ,$259.17 ,$259.17 ,$274.41 ,$274.41 ,$239.35 ,$251.85 , N/A ,$198.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413203,J3101,TNKase (ACUTE MI) KIT : 50MG,636,1 ,"$8,212.76 ","$5,338.29 ",$134.81 ,"$7,395.59 ","$6,570.21 ",$134.81 ,"$6,507.79 ","$7,395.59 ","$7,395.59 ",$256.13 ,"$6,980.85 ","$6,077.44 ",$337.02 ,$134.81 , N/A ,"$6,849.44 ",$134.81 ,"$6,783.74 ","$6,570.21 ","$7,391.48 ",$337.02 ,"$6,980.85 ",$134.81 ,"$6,980.85 ","$6,980.85 ","$7,391.48 ","$7,391.48 ","$6,447.02 ","$6,783.74 ",$134.81 ,"$5,338.29 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413204,N/A,VIMPAT TABLET : 50MG,637,1 ,$16.10 ,$10.47 ,$10.47 ,$16.10 ,$12.88 , N/A ,$12.76 ,$14.50 ,$14.50 , N/A ,$13.69 ,$11.91 , N/A , N/A , N/A ,$13.43 , N/A ,$13.30 ,$12.88 ,$14.49 ,$16.10 ,$13.69 , N/A ,$13.69 ,$13.69 ,$14.49 ,$14.49 ,$12.64 ,$13.30 , N/A ,$10.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413205,J1953,LEVETIRACETAM (KEPPRA) 500MG/5ML VIAL,636,1 ,$16.67 ,$10.84 ,$10.84 ,$15.01 ,$13.34 , N/A ,$13.21 ,$15.01 ,$15.01 , N/A ,$14.17 ,$12.34 , N/A , N/A , N/A ,$13.90 , N/A ,$13.77 ,$13.34 ,$15.00 , N/A ,$14.17 , N/A ,$14.17 ,$14.17 ,$15.00 ,$15.00 ,$13.09 ,$13.77 , N/A ,$10.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413206,J2550,PROMETHAZINE (PHENERGAN) IV 25MG/10ML,636,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413207,J0744,CIPROFLOXACIN IV SOLN 400MG/200ML,636,1 ,$8.80 ,$5.72 ,$5.72 ,$7.92 ,$7.04 , N/A ,$6.97 ,$7.92 ,$7.92 , N/A ,$7.48 ,$6.51 , N/A , N/A , N/A ,$7.34 , N/A ,$7.27 ,$7.04 ,$7.92 , N/A ,$7.48 , N/A ,$7.48 ,$7.48 ,$7.92 ,$7.92 ,$6.91 ,$7.27 , N/A ,$5.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413208,J0744,CIPROFLOXACIN IV SOLN *200MG*/100ML,636,1 ,$7.20 ,$4.68 ,$4.68 ,$6.48 ,$5.76 , N/A ,$5.71 ,$6.48 ,$6.48 , N/A ,$6.12 ,$5.33 , N/A , N/A , N/A ,$6.00 , N/A ,$5.95 ,$5.76 ,$6.48 , N/A ,$6.12 , N/A ,$6.12 ,$6.12 ,$6.48 ,$6.48 ,$5.65 ,$5.95 , N/A ,$4.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413209,N/A,WAFARIN (COUMADIN) 6MG tab (nonformulary,637,1 ,$6.48 ,$4.21 ,$4.21 ,$6.48 ,$5.18 , N/A ,$5.13 ,$5.84 ,$5.84 , N/A ,$5.51 ,$4.80 , N/A , N/A , N/A ,$5.40 , N/A ,$5.35 ,$5.18 ,$5.83 ,$6.48 ,$5.51 , N/A ,$5.51 ,$5.51 ,$5.83 ,$5.83 ,$5.09 ,$5.35 , N/A ,$4.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413210,J1631,HALOPERIDOL DECANOATE IM:100MG/ML CLINIC,636,1 ,$188.76 ,$122.69 ,$122.69 ,$169.98 ,$151.01 , N/A ,$149.57 ,$169.98 ,$169.98 , N/A ,$160.45 ,$139.68 , N/A , N/A , N/A ,$157.43 , N/A ,$155.92 ,$151.01 ,$169.88 , N/A ,$160.45 , N/A ,$160.45 ,$160.45 ,$169.88 ,$169.88 ,$148.18 ,$155.92 , N/A ,$122.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413211,N/A,SODIUM CHLORIDE EYE 5% SOLUTION : 15ML,637,1 ,$52.68 ,$34.24 ,$34.24 ,$52.68 ,$42.14 , N/A ,$41.74 ,$47.44 ,$47.44 , N/A ,$44.78 ,$38.98 , N/A , N/A , N/A ,$43.94 , N/A ,$43.51 ,$42.14 ,$47.41 ,$52.68 ,$44.78 , N/A ,$44.78 ,$44.78 ,$47.41 ,$47.41 ,$41.35 ,$43.51 , N/A ,$34.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413212,N/A,MAGIC MOUTHWASH : 120ML,637,1 ,$22.06 ,$14.34 ,$14.34 ,$22.06 ,$17.65 , N/A ,$17.48 ,$19.87 ,$19.87 , N/A ,$18.75 ,$16.32 , N/A , N/A , N/A ,$18.40 , N/A ,$18.22 ,$17.65 ,$19.85 ,$22.06 ,$18.75 , N/A ,$18.75 ,$18.75 ,$19.85 ,$19.85 ,$17.32 ,$18.22 , N/A ,$14.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413213,N/A,SAVELLA TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413214,N/A,BENAZEPRIL (LOTENSIN) TAB : 5MG,637,1 ,$2.85 ,$1.85 ,$1.85 ,$2.85 ,$2.28 , N/A ,$2.26 ,$2.57 ,$2.57 , N/A ,$2.42 ,$2.11 , N/A , N/A , N/A ,$2.38 , N/A ,$2.35 ,$2.28 ,$2.57 ,$2.85 ,$2.42 , N/A ,$2.42 ,$2.42 ,$2.57 ,$2.57 ,$2.24 ,$2.35 , N/A ,$1.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413215,N/A,LOSARTAN (COZAAR) 25MG TAB,637,1 ,$5.72 ,$3.72 ,$3.72 ,$5.72 ,$4.58 , N/A ,$4.53 ,$5.15 ,$5.15 , N/A ,$4.86 ,$4.23 , N/A , N/A , N/A ,$4.77 , N/A ,$4.72 ,$4.58 ,$5.15 ,$5.72 ,$4.86 , N/A ,$4.86 ,$4.86 ,$5.15 ,$5.15 ,$4.49 ,$4.72 , N/A ,$3.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413216,N/A,TERAZOSIN CAP 2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413217,J2426,INVEGA SUSTENNA IM SUSP ER 156MG,636,1 ,"$2,012.95 ","$1,308.42 ",$12.55 ,"$1,812.66 ","$1,610.36 ",$12.55 ,"$1,595.06 ","$1,812.66 ","$1,812.66 ",$23.85 ,"$1,711.01 ","$1,489.58 ",$31.38 ,$12.55 , N/A ,"$1,678.80 ",$12.55 ,"$1,662.70 ","$1,610.36 ","$1,811.66 ",$31.38 ,"$1,711.01 ",$12.55 ,"$1,711.01 ","$1,711.01 ","$1,811.66 ","$1,811.66 ","$1,580.17 ","$1,662.70 ",$12.55 ,"$1,308.42 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413218,J3411,THIAMINE HCL VIAL : 200MG/2ML,636,1 ,$30.50 ,$19.83 ,$19.83 ,$27.47 ,$24.40 , N/A ,$24.17 ,$27.47 ,$27.47 , N/A ,$25.93 ,$22.57 , N/A , N/A , N/A ,$25.44 , N/A ,$25.19 ,$24.40 ,$27.45 , N/A ,$25.93 , N/A ,$25.93 ,$25.93 ,$27.45 ,$27.45 ,$23.94 ,$25.19 , N/A ,$19.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413219,N/A,COMBIGAN EYE DROPS,637,1 ,$365.26 ,$237.42 ,$237.42 ,$365.26 ,$292.21 , N/A ,$289.43 ,$328.92 ,$328.92 , N/A ,$310.47 ,$270.29 , N/A , N/A , N/A ,$304.63 , N/A ,$301.70 ,$292.21 ,$328.73 ,$365.26 ,$310.47 , N/A ,$310.47 ,$310.47 ,$328.73 ,$328.73 ,$286.73 ,$301.70 , N/A ,$237.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413220,N/A,CITALOPRAM (CELexA) TAB : 10MG,637,1 ,$8.62 ,$5.60 ,$5.60 ,$8.62 ,$6.90 , N/A ,$6.83 ,$7.76 ,$7.76 , N/A ,$7.33 ,$6.38 , N/A , N/A , N/A ,$7.19 , N/A ,$7.12 ,$6.90 ,$7.76 ,$8.62 ,$7.33 , N/A ,$7.33 ,$7.33 ,$7.76 ,$7.76 ,$6.77 ,$7.12 , N/A ,$5.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413221,J0131,OFIRMEV (ACETAMINOPHEN IV) VIAL : 1000MG,636,1 ,$111.50 ,$72.48 ,$72.48 ,$100.41 ,$89.20 , N/A ,$88.35 ,$100.41 ,$100.41 , N/A ,$94.78 ,$82.51 , N/A , N/A , N/A ,$92.99 , N/A ,$92.10 ,$89.20 ,$100.35 , N/A ,$94.78 , N/A ,$94.78 ,$94.78 ,$100.35 ,$100.35 ,$87.53 ,$92.10 , N/A ,$72.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413222,J3262,ACTEMRA (RHEUMATOID ARTHRITIS) : 400MG,636,1 ,"$2,549.75 ","$1,657.34 ",$5.53 ,"$2,296.05 ","$2,039.80 ",$5.53 ,"$2,020.42 ","$2,296.05 ","$2,296.05 ",$10.51 ,"$2,167.29 ","$1,886.82 ",$13.83 ,$5.53 , N/A ,"$2,126.49 ",$5.53 ,"$2,106.09 ","$2,039.80 ","$2,294.78 ",$13.83 ,"$2,167.29 ",$5.53 ,"$2,167.29 ","$2,167.29 ","$2,294.78 ","$2,294.78 ","$2,001.55 ","$2,106.09 ",$5.53 ,"$1,657.34 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3413223,J0882,ARANESP SUBQ VIAL : 40 MCG ESRD *DANIELS,636,1 ,$444.65 ,$289.02 ,$3.20 ,$400.41 ,$355.72 ,$3.20 ,$352.34 ,$400.41 ,$400.41 ,$6.07 ,$377.95 ,$329.04 ,$7.99 ,$3.20 , N/A ,$370.84 ,$3.20 ,$367.28 ,$355.72 ,$400.19 ,$7.99 ,$377.95 ,$3.20 ,$377.95 ,$377.95 ,$400.19 ,$400.19 ,$349.05 ,$367.28 ,$3.20 ,$289.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413224,N/A,TELMISARTAN (MICARDIS) TAB : 20MG,637,1 ,$13.78 ,$8.96 ,$8.96 ,$13.78 ,$11.02 , N/A ,$10.92 ,$12.41 ,$12.41 , N/A ,$11.71 ,$10.20 , N/A , N/A , N/A ,$11.49 , N/A ,$11.38 ,$11.02 ,$12.40 ,$13.78 ,$11.71 , N/A ,$11.71 ,$11.71 ,$12.40 ,$12.40 ,$10.82 ,$11.38 , N/A ,$8.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413225,N/A,LUBRICANT EYE DROPS 15ML,637,1 ,$38.75 ,$25.19 ,$25.19 ,$38.75 ,$31.00 , N/A ,$30.71 ,$34.89 ,$34.89 , N/A ,$32.94 ,$28.68 , N/A , N/A , N/A ,$32.32 , N/A ,$32.01 ,$31.00 ,$34.88 ,$38.75 ,$32.94 , N/A ,$32.94 ,$32.94 ,$34.88 ,$34.88 ,$30.42 ,$32.01 , N/A ,$25.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413226,N/A,LOSARTAN/HCTZ 100MG-25MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413227,J3370,VANCOMYCIN 1000MG VIAL,636,1 ,$68.76 ,$44.69 ,$44.69 ,$61.92 ,$55.01 , N/A ,$54.49 ,$61.92 ,$61.92 , N/A ,$58.45 ,$50.88 , N/A , N/A , N/A ,$57.35 , N/A ,$56.80 ,$55.01 ,$61.88 , N/A ,$58.45 , N/A ,$58.45 ,$58.45 ,$61.88 ,$61.88 ,$53.98 ,$56.80 , N/A ,$44.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413228,N/A,VANCOMYCIN SYRUP : 125MG / 3.75ML,637,1 ,$21.85 ,$14.20 ,$14.20 ,$21.85 ,$17.48 , N/A ,$17.31 ,$19.68 ,$19.68 , N/A ,$18.57 ,$16.17 , N/A , N/A , N/A ,$18.22 , N/A ,$18.05 ,$17.48 ,$19.67 ,$21.85 ,$18.57 , N/A ,$18.57 ,$18.57 ,$19.67 ,$19.67 ,$17.15 ,$18.05 , N/A ,$14.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413229,N/A,TORSEMIDE (DEMADEX) TABLET : 10MG,637,1 ,$2.20 ,$1.43 ,$1.43 ,$2.20 ,$1.76 , N/A ,$1.74 ,$1.98 ,$1.98 , N/A ,$1.87 ,$1.63 , N/A , N/A , N/A ,$1.83 , N/A ,$1.82 ,$1.76 ,$1.98 ,$2.20 ,$1.87 , N/A ,$1.87 ,$1.87 ,$1.98 ,$1.98 ,$1.73 ,$1.82 , N/A ,$1.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413230,N/A,SODIUM CHLORIDE 0.45% 250ML,258,1 ,$11.46 ,$7.45 ,$7.45 ,$10.32 ,$9.17 , N/A ,$9.08 ,$10.32 ,$10.32 , N/A ,$9.74 ,$8.48 , N/A , N/A , N/A ,$9.56 , N/A ,$9.47 ,$9.17 ,$10.31 , N/A ,$9.74 , N/A ,$9.74 ,$9.74 ,$10.31 ,$10.31 ,$9.00 ,$9.47 , N/A ,$7.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413231,N/A,LEVETIRACETAM ORAL SOLUTION : 100MG/mL,637,1 ,$2.27 ,$1.48 ,$1.48 ,$2.27 ,$1.82 , N/A ,$1.80 ,$2.04 ,$2.04 , N/A ,$1.93 ,$1.68 , N/A , N/A , N/A ,$1.89 , N/A ,$1.88 ,$1.82 ,$2.04 ,$2.27 ,$1.93 , N/A ,$1.93 ,$1.93 ,$2.04 ,$2.04 ,$1.78 ,$1.88 , N/A ,$1.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413232,N/A,KETOROLAC (ACULAR) 0.5% EYE DROPS : 3 ML,637,1 ,$174.07 ,$113.15 ,$113.15 ,$174.07 ,$139.26 , N/A ,$137.93 ,$156.75 ,$156.75 , N/A ,$147.96 ,$128.81 , N/A , N/A , N/A ,$145.17 , N/A ,$143.78 ,$139.26 ,$156.66 ,$174.07 ,$147.96 , N/A ,$147.96 ,$147.96 ,$156.66 ,$156.66 ,$136.65 ,$143.78 , N/A ,$113.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413233,J3535,COMBIVENT RESPIMAT (IPRATROP/ALBUTEROL),637,1 ,$477.53 ,$310.39 ,$310.39 ,$477.53 ,$382.02 , N/A ,$378.39 ,$430.02 ,$430.02 , N/A ,$405.90 ,$353.37 , N/A , N/A , N/A ,$398.26 , N/A ,$394.44 ,$382.02 ,$429.78 ,$477.53 ,$405.90 , N/A ,$405.90 ,$405.90 ,$429.78 ,$429.78 ,$374.86 ,$394.44 , N/A ,$310.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413234,J1580,GENTAMICIN IM VIAL : 80MG / 2ML,636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413235,N/A,AMOXICILLIN SUSPENSION 400MG/5mL,637,1 ,$26.20 ,$17.03 ,$17.03 ,$26.20 ,$20.96 , N/A ,$20.76 ,$23.59 ,$23.59 , N/A ,$22.27 ,$19.39 , N/A , N/A , N/A ,$21.85 , N/A ,$21.64 ,$20.96 ,$23.58 ,$26.20 ,$22.27 , N/A ,$22.27 ,$22.27 ,$23.58 ,$23.58 ,$20.57 ,$21.64 , N/A ,$17.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413236,N/A,AMOXICILLIN 200/CLAVULANATE 28.5 CHEW,637,1 ,$8.90 ,$5.79 ,$5.79 ,$8.90 ,$7.12 , N/A ,$7.05 ,$8.01 ,$8.01 , N/A ,$7.57 ,$6.59 , N/A , N/A , N/A ,$7.42 , N/A ,$7.35 ,$7.12 ,$8.01 ,$8.90 ,$7.57 , N/A ,$7.57 ,$7.57 ,$8.01 ,$8.01 ,$6.99 ,$7.35 , N/A ,$5.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413237,N/A,XARELTO TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413238,N/A,PRAVASTATIN TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413239,N/A,IMDUR TAB 60MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413240,N/A,ACCUCHECK NOTIFY MD BS > 400,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413241,N/A,NICOTINE 4MG LOZENGE : RX TO CHARGE,637,1 ,$52.85 ,$34.35 ,$34.35 ,$52.85 ,$42.28 , N/A ,$41.88 ,$47.59 ,$47.59 , N/A ,$44.92 ,$39.11 , N/A , N/A , N/A ,$44.08 , N/A ,$43.65 ,$42.28 ,$47.57 ,$52.85 ,$44.92 , N/A ,$44.92 ,$44.92 ,$47.57 ,$47.57 ,$41.49 ,$43.65 , N/A ,$34.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132410,N/A,NF-LISINOPRIL/HCTZ ORAL TABLET 20MG-12.5,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132411,N/A,NF-LANSOPRAZOLE ORAL CAP DR 30MG,637,1 ,$0.57 ,$0.37 ,$0.37 ,$0.57 ,$0.46 , N/A ,$0.45 ,$0.51 ,$0.51 , N/A ,$0.48 ,$0.42 , N/A , N/A , N/A ,$0.48 , N/A ,$0.47 ,$0.46 ,$0.51 ,$0.57 ,$0.48 , N/A ,$0.48 ,$0.48 ,$0.51 ,$0.51 ,$0.45 ,$0.47 , N/A ,$0.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132412,N/A,NF-LANSOPRAZOLE CAP DR 30MG,637,1 ,$0.78 ,$0.51 ,$0.51 ,$0.78 ,$0.62 , N/A ,$0.62 ,$0.70 ,$0.70 , N/A ,$0.66 ,$0.58 , N/A , N/A , N/A ,$0.65 , N/A ,$0.64 ,$0.62 ,$0.70 ,$0.78 ,$0.66 , N/A ,$0.66 ,$0.66 ,$0.70 ,$0.70 ,$0.61 ,$0.64 , N/A ,$0.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132413,N/A,NF-BONIVA ORAL TABLET 150MG,637,1 ,$14.92 ,$9.70 ,$9.70 ,$14.92 ,$11.94 , N/A ,$11.82 ,$13.44 ,$13.44 , N/A ,$12.68 ,$11.04 , N/A , N/A , N/A ,$12.44 , N/A ,$12.32 ,$11.94 ,$13.43 ,$14.92 ,$12.68 , N/A ,$12.68 ,$12.68 ,$13.43 ,$13.43 ,$11.71 ,$12.32 , N/A ,$9.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132414,N/A,NF-MULTIPLE VITAMINS WOMEN'S TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132415,N/A,NF-CALTRATE 600 D TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132416,N/A,NF-RYTHMOL 150MG,637,1 ,$0.32 ,$0.21 ,$0.21 ,$0.32 ,$0.26 , N/A ,$0.25 ,$0.29 ,$0.29 , N/A ,$0.27 ,$0.24 , N/A , N/A , N/A ,$0.27 , N/A ,$0.26 ,$0.26 ,$0.29 ,$0.32 ,$0.27 , N/A ,$0.27 ,$0.27 ,$0.29 ,$0.29 ,$0.25 ,$0.26 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132417,N/A,NF-POTASSIUM CHLORIDE CAPSULE 10MEQ,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132418,N/A,NF-VALACYCLOVIR HCL ORAL TABLET 1GM,637,1 ,$1.27 ,$0.83 ,$0.83 ,$1.27 ,$1.02 , N/A ,$1.01 ,$1.14 ,$1.14 , N/A ,$1.08 ,$0.94 , N/A , N/A , N/A ,$1.06 , N/A ,$1.05 ,$1.02 ,$1.14 ,$1.27 ,$1.08 , N/A ,$1.08 ,$1.08 ,$1.14 ,$1.14 ,$1.00 ,$1.05 , N/A ,$0.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132419,N/A,NF-LISINOPRIL AND HCTZ TABLET 20MG-12.5M,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413242,J0885,PROCRIT SUBQ VIAL : 4000 UNITS AQUA,636,1 ,$280.27 ,$182.18 ,$8.22 ,$252.38 ,$224.22 ,$8.22 ,$222.09 ,$252.38 ,$252.38 ,$15.62 ,$238.23 ,$207.40 ,$20.56 ,$8.22 , N/A ,$233.75 ,$8.22 ,$231.50 ,$224.22 ,$252.24 ,$20.56 ,$238.23 ,$8.22 ,$238.23 ,$238.23 ,$252.24 ,$252.24 ,$220.01 ,$231.50 ,$8.22 ,$182.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132420,N/A,NF-M-M-R II INJECTION,637,1 ,$6.31 ,$4.10 ,$4.10 ,$6.31 ,$5.05 , N/A ,$5.00 ,$5.68 ,$5.68 , N/A ,$5.36 ,$4.67 , N/A , N/A , N/A ,$5.26 , N/A ,$5.21 ,$5.05 ,$5.68 ,$6.31 ,$5.36 , N/A ,$5.36 ,$5.36 ,$5.68 ,$5.68 ,$4.95 ,$5.21 , N/A ,$4.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132421,N/A,NF-NAMENDA TABLET 10MG,637,1 ,$0.33 ,$0.21 ,$0.21 ,$0.33 ,$0.26 , N/A ,$0.26 ,$0.30 ,$0.30 , N/A ,$0.28 ,$0.24 , N/A , N/A , N/A ,$0.28 , N/A ,$0.27 ,$0.26 ,$0.30 ,$0.33 ,$0.28 , N/A ,$0.28 ,$0.28 ,$0.30 ,$0.30 ,$0.26 ,$0.27 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132422,N/A,NF-ARIMIDEX,637,1 ,$1.70 ,$1.11 ,$1.11 ,$1.70 ,$1.36 , N/A ,$1.35 ,$1.53 ,$1.53 , N/A ,$1.45 ,$1.26 , N/A , N/A , N/A ,$1.42 , N/A ,$1.40 ,$1.36 ,$1.53 ,$1.70 ,$1.45 , N/A ,$1.45 ,$1.45 ,$1.53 ,$1.53 ,$1.33 ,$1.40 , N/A ,$1.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132423,N/A,NF-CALCIUM 600/VITAMIN D CAPSULE,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132424,N/A,NF-COREG TABLET 25MG,637,1 ,$0.25 ,$0.16 ,$0.16 ,$0.25 ,$0.20 , N/A ,$0.20 ,$0.23 ,$0.23 , N/A ,$0.21 ,$0.19 , N/A , N/A , N/A ,$0.21 , N/A ,$0.21 ,$0.20 ,$0.23 ,$0.25 ,$0.21 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132425,N/A,NF-CELEXA TABLET 40MG,637,1 ,$0.39 ,$0.25 ,$0.25 ,$0.39 ,$0.31 , N/A ,$0.31 ,$0.35 ,$0.35 , N/A ,$0.33 ,$0.29 , N/A , N/A , N/A ,$0.33 , N/A ,$0.32 ,$0.31 ,$0.35 ,$0.39 ,$0.33 , N/A ,$0.33 ,$0.33 ,$0.35 ,$0.35 ,$0.31 ,$0.32 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132426,N/A,NF-COMBIGAN OPHTH SOLN 0.2-0.5,637,1 ,$1.73 ,$1.12 ,$1.12 ,$1.73 ,$1.38 , N/A ,$1.37 ,$1.56 ,$1.56 , N/A ,$1.47 ,$1.28 , N/A , N/A , N/A ,$1.44 , N/A ,$1.43 ,$1.38 ,$1.56 ,$1.73 ,$1.47 , N/A ,$1.47 ,$1.47 ,$1.56 ,$1.56 ,$1.36 ,$1.43 , N/A ,$1.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132427,N/A,NF-AMIODARONE HCL TABLET 200MG,637,1 ,$0.33 ,$0.21 ,$0.21 ,$0.33 ,$0.26 , N/A ,$0.26 ,$0.30 ,$0.30 , N/A ,$0.28 ,$0.24 , N/A , N/A , N/A ,$0.28 , N/A ,$0.27 ,$0.26 ,$0.30 ,$0.33 ,$0.28 , N/A ,$0.28 ,$0.28 ,$0.30 ,$0.30 ,$0.26 ,$0.27 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132428,N/A,NF-FISH OIL CAPSULE 1000MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132429,N/A,NF-LEVOTHYROXINE ORAL TABLET 0.075MG,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413243,J2212,RELISTOR SUBQ VIAL : 12MG/0.6ML,636,1 ,$173.60 ,$112.84 ,$112.84 ,$156.33 ,$138.88 , N/A ,$137.56 ,$156.33 ,$156.33 , N/A ,$147.56 ,$128.46 , N/A , N/A , N/A ,$144.78 , N/A ,$143.39 ,$138.88 ,$156.24 , N/A ,$147.56 , N/A ,$147.56 ,$147.56 ,$156.24 ,$156.24 ,$136.28 ,$143.39 , N/A ,$112.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132430,N/A,NF-CEFTRIAXONE INJ POWDER FOR SOLN 250MG,637,1 ,$1.56 ,$1.01 ,$1.01 ,$1.56 ,$1.25 , N/A ,$1.24 ,$1.40 ,$1.40 , N/A ,$1.33 ,$1.15 , N/A , N/A , N/A ,$1.30 , N/A ,$1.29 ,$1.25 ,$1.40 ,$1.56 ,$1.33 , N/A ,$1.33 ,$1.33 ,$1.40 ,$1.40 ,$1.22 ,$1.29 , N/A ,$1.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132431,N/A,NF-COPAXONE KIT,637,1 ,$240.02 ,$156.01 ,$156.01 ,$240.02 ,$192.02 , N/A ,$190.19 ,$216.14 ,$216.14 , N/A ,$204.02 ,$177.61 , N/A , N/A , N/A ,$200.18 , N/A ,$198.26 ,$192.02 ,$216.02 ,$240.02 ,$204.02 , N/A ,$204.02 ,$204.02 ,$216.02 ,$216.02 ,$188.42 ,$198.26 , N/A ,$156.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132432,N/A,NF-PROBENECID TABLET 500MG,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132433,N/A,NF-IMIPRAMINE HCL TABLET 25MG,637,1 ,$0.08 ,$0.05 ,$0.05 ,$0.08 ,$0.06 , N/A ,$0.06 ,$0.07 ,$0.07 , N/A ,$0.07 ,$0.06 , N/A , N/A , N/A ,$0.07 , N/A ,$0.07 ,$0.06 ,$0.07 ,$0.08 ,$0.07 , N/A ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.06 ,$0.07 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132434,N/A,NF-SPRINTEC TABLET,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132435,N/A,NF-DICLOFENAC SODIUM D-R ORAL TAB EC 75M,637,1 ,$0.15 ,$0.10 ,$0.10 ,$0.15 ,$0.12 , N/A ,$0.12 ,$0.14 ,$0.14 , N/A ,$0.13 ,$0.11 , N/A , N/A , N/A ,$0.13 , N/A ,$0.12 ,$0.12 ,$0.14 ,$0.15 ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.14 ,$0.12 ,$0.12 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132436,N/A,NF-CITALOPRAM HBR ORAL TAB 40MG,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132437,N/A,NF-PRAVASTATIN SODIUM ORAL TABLET 40MG,637,1 ,$0.48 ,$0.31 ,$0.31 ,$0.48 ,$0.38 , N/A ,$0.38 ,$0.43 ,$0.43 , N/A ,$0.41 ,$0.36 , N/A , N/A , N/A ,$0.40 , N/A ,$0.40 ,$0.38 ,$0.43 ,$0.48 ,$0.41 , N/A ,$0.41 ,$0.41 ,$0.43 ,$0.43 ,$0.38 ,$0.40 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132438,N/A,NF-NORVASC TABLET 10MG,637,1 ,$0.33 ,$0.21 ,$0.21 ,$0.33 ,$0.26 , N/A ,$0.26 ,$0.30 ,$0.30 , N/A ,$0.28 ,$0.24 , N/A , N/A , N/A ,$0.28 , N/A ,$0.27 ,$0.26 ,$0.30 ,$0.33 ,$0.28 , N/A ,$0.28 ,$0.28 ,$0.30 ,$0.30 ,$0.26 ,$0.27 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132439,N/A,NF-HYDROCORTISONE ORAL TABLET 10MG,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413244,90656,INFLUENZA VACCINE IM 2014-2015 SEASON,636,1 ,$37.00 ,$24.05 ,$24.05 ,$33.32 ,$29.60 , N/A ,$29.32 ,$33.32 ,$33.32 , N/A ,$31.45 ,$27.38 , N/A , N/A , N/A ,$30.86 , N/A ,$30.56 ,$29.60 ,$33.30 , N/A ,$31.45 , N/A ,$31.45 ,$31.45 ,$33.30 ,$33.30 ,$29.05 ,$30.56 , N/A ,$24.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132440,N/A,NF-MELOXICAM ORAL TABLET 15MG,637,1 ,$0.48 ,$0.31 ,$0.31 ,$0.48 ,$0.38 , N/A ,$0.38 ,$0.43 ,$0.43 , N/A ,$0.41 ,$0.36 , N/A , N/A , N/A ,$0.40 , N/A ,$0.40 ,$0.38 ,$0.43 ,$0.48 ,$0.41 , N/A ,$0.41 ,$0.41 ,$0.43 ,$0.43 ,$0.38 ,$0.40 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132441,N/A,NF-HYDROXYZINE PAMOATE CAPSULE 25MG,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132442,N/A,NF-SYNTHROID TABLET 0.075MG,637,1 ,$0.08 ,$0.05 ,$0.05 ,$0.08 ,$0.06 , N/A ,$0.06 ,$0.07 ,$0.07 , N/A ,$0.07 ,$0.06 , N/A , N/A , N/A ,$0.07 , N/A ,$0.07 ,$0.06 ,$0.07 ,$0.08 ,$0.07 , N/A ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.06 ,$0.07 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132443,N/A,NF-NICODERM CQ CLEAR PATCH 7MG/24HRS,637,1 ,$0.35 ,$0.23 ,$0.23 ,$0.35 ,$0.28 , N/A ,$0.28 ,$0.32 ,$0.32 , N/A ,$0.30 ,$0.26 , N/A , N/A , N/A ,$0.29 , N/A ,$0.29 ,$0.28 ,$0.32 ,$0.35 ,$0.30 , N/A ,$0.30 ,$0.30 ,$0.32 ,$0.32 ,$0.27 ,$0.29 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132444,N/A,NF-AMOXAPINE TABLET 50MG,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132445,N/A,NF-EXTENDED PHENYTOIN SODIUM CAP ER 200M,637,1 ,$0.08 ,$0.05 ,$0.05 ,$0.08 ,$0.06 , N/A ,$0.06 ,$0.07 ,$0.07 , N/A ,$0.07 ,$0.06 , N/A , N/A , N/A ,$0.07 , N/A ,$0.07 ,$0.06 ,$0.07 ,$0.08 ,$0.07 , N/A ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.06 ,$0.07 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132446,N/A,NF-OXYBUTYNIN CHLORIDE ORAL TAB ER 15MG,637,1 ,$0.48 ,$0.31 ,$0.31 ,$0.48 ,$0.38 , N/A ,$0.38 ,$0.43 ,$0.43 , N/A ,$0.41 ,$0.36 , N/A , N/A , N/A ,$0.40 , N/A ,$0.40 ,$0.38 ,$0.43 ,$0.48 ,$0.41 , N/A ,$0.41 ,$0.41 ,$0.43 ,$0.43 ,$0.38 ,$0.40 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132447,N/A,NF-NASONEX SPRAY 0.05MG/INH,637,1 ,$0.81 ,$0.53 ,$0.53 ,$0.81 ,$0.65 , N/A ,$0.64 ,$0.73 ,$0.73 , N/A ,$0.69 ,$0.60 , N/A , N/A , N/A ,$0.68 , N/A ,$0.67 ,$0.65 ,$0.73 ,$0.81 ,$0.69 , N/A ,$0.69 ,$0.69 ,$0.73 ,$0.73 ,$0.64 ,$0.67 , N/A ,$0.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132448,N/A,NF-ZINC CHELATED TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132449,N/A,NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413245,N/A,VORICONAZOLE 50MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132450,N/A,NF-METFORMIN HCL TABLET 1000MG,637,1 ,$0.17 ,$0.11 ,$0.11 ,$0.17 ,$0.14 , N/A ,$0.13 ,$0.15 ,$0.15 , N/A ,$0.14 ,$0.13 , N/A , N/A , N/A ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.17 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.15 ,$0.13 ,$0.14 , N/A ,$0.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132451,N/A,NF-FERROUS SULFATE TABLET 325MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132452,N/A,NF-LACTASE TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132453,N/A,NF-CHOLESTYRAMINE PWD FOR SUSP 4GM/9GM,637,1 ,$0.21 ,$0.14 ,$0.14 ,$0.21 ,$0.17 , N/A ,$0.17 ,$0.19 ,$0.19 , N/A ,$0.18 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.17 ,$0.17 ,$0.19 ,$0.21 ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.19 ,$0.19 ,$0.16 ,$0.17 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132454,N/A,NF-ARICEPT ORAL TABLET 23MG,637,1 ,$0.88 ,$0.57 ,$0.57 ,$0.88 ,$0.70 , N/A ,$0.70 ,$0.79 ,$0.79 , N/A ,$0.75 ,$0.65 , N/A , N/A , N/A ,$0.73 , N/A ,$0.73 ,$0.70 ,$0.79 ,$0.88 ,$0.75 , N/A ,$0.75 ,$0.75 ,$0.79 ,$0.79 ,$0.69 ,$0.73 , N/A ,$0.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132455,N/A,NF-DEXILANT DELAYED-RELEASE CAPSULE 30MG,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132456,N/A,NF-HYOSCYAMINE SULFATE CAPSULE 0.375MG,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132457,N/A,NF-SUBOXONE SL TAB 8MG-2MG,637,1 ,$0.80 ,$0.52 ,$0.52 ,$0.80 ,$0.64 , N/A ,$0.63 ,$0.72 ,$0.72 , N/A ,$0.68 ,$0.59 , N/A , N/A , N/A ,$0.67 , N/A ,$0.66 ,$0.64 ,$0.72 ,$0.80 ,$0.68 , N/A ,$0.68 ,$0.68 ,$0.72 ,$0.72 ,$0.63 ,$0.66 , N/A ,$0.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132458,N/A,NF-CLONAZEPAM TABLET 2MG,637,1 ,$0.26 ,$0.17 ,$0.17 ,$0.26 ,$0.21 , N/A ,$0.21 ,$0.23 ,$0.23 , N/A ,$0.22 ,$0.19 , N/A , N/A , N/A ,$0.22 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.26 ,$0.22 , N/A ,$0.22 ,$0.22 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132459,N/A,NF-SINEMET CR TABLET 50MG-200MG,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413246,N/A,MICARDIS 80MG/HCTZ 25MG TAB PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132460,N/A,NF-VOLTAREN 1% GEL TOPICAL,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132461,N/A,NF-ACTOS TABLET 30MG,637,1 ,$0.92 ,$0.60 ,$0.60 ,$0.92 ,$0.74 , N/A ,$0.73 ,$0.83 ,$0.83 , N/A ,$0.78 ,$0.68 , N/A , N/A , N/A ,$0.77 , N/A ,$0.76 ,$0.74 ,$0.83 ,$0.92 ,$0.78 , N/A ,$0.78 ,$0.78 ,$0.83 ,$0.83 ,$0.72 ,$0.76 , N/A ,$0.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132462,N/A,NF-SODIUM CHLORIDE TABLETS,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132463,N/A,NF-REFRESH TEARS OPHTH SOLUTION 0.5,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132464,N/A,NF-ZOFRAN TABLET 4MG,637,1 ,$3.09 ,$2.01 ,$2.01 ,$3.09 ,$2.47 , N/A ,$2.45 ,$2.78 ,$2.78 , N/A ,$2.63 ,$2.29 , N/A , N/A , N/A ,$2.58 , N/A ,$2.55 ,$2.47 ,$2.78 ,$3.09 ,$2.63 , N/A ,$2.63 ,$2.63 ,$2.78 ,$2.78 ,$2.43 ,$2.55 , N/A ,$2.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132465,N/A,NF-DALIRESP ORAL TABLET 500MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132466,N/A,NF-CENTRUM SILVER ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132467,N/A,NF-DOXEPIN HCL CAPSULE 10MG,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132468,N/A,NF-LIPITOR TABLET 20MG,637,1 ,$0.61 ,$0.40 ,$0.40 ,$0.61 ,$0.49 , N/A ,$0.48 ,$0.55 ,$0.55 , N/A ,$0.52 ,$0.45 , N/A , N/A , N/A ,$0.51 , N/A ,$0.50 ,$0.49 ,$0.55 ,$0.61 ,$0.52 , N/A ,$0.52 ,$0.52 ,$0.55 ,$0.55 ,$0.48 ,$0.50 , N/A ,$0.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132469,N/A,NF-MEVACOR TABLET 40MG,637,1 ,$0.53 ,$0.34 ,$0.34 ,$0.53 ,$0.42 , N/A ,$0.42 ,$0.48 ,$0.48 , N/A ,$0.45 ,$0.39 , N/A , N/A , N/A ,$0.44 , N/A ,$0.44 ,$0.42 ,$0.48 ,$0.53 ,$0.45 , N/A ,$0.45 ,$0.45 ,$0.48 ,$0.48 ,$0.42 ,$0.44 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413247,N/A,VITAMIN D TAB 2000 UNITS PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132470,N/A,NF-BISOPROLOL/HCTZ 5MG-6.25MG TABLET,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132471,N/A,NF-CALCIUM/VITAMIN D TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132472,N/A,NF-SELENIUM OCEANIC TABLET 200MCG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132473,N/A,NF-OMEGA 3 CAPSULE 1000MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132474,N/A,NF-MULTI-VITAMIN W/MINERALS TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132475,N/A,NF-DEXAMETHASONE TABLET 4MG,637,1 ,$0.21 ,$0.14 ,$0.14 ,$0.21 ,$0.17 , N/A ,$0.17 ,$0.19 ,$0.19 , N/A ,$0.18 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.17 ,$0.17 ,$0.19 ,$0.21 ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.19 ,$0.19 ,$0.16 ,$0.17 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132476,N/A,NF-LOSARTAN POTASSIUM ORAL TABLET 100MG,637,1 ,$0.31 ,$0.20 ,$0.20 ,$0.31 ,$0.25 , N/A ,$0.25 ,$0.28 ,$0.28 , N/A ,$0.26 ,$0.23 , N/A , N/A , N/A ,$0.26 , N/A ,$0.26 ,$0.25 ,$0.28 ,$0.31 ,$0.26 , N/A ,$0.26 ,$0.26 ,$0.28 ,$0.28 ,$0.24 ,$0.26 , N/A ,$0.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132477,N/A,NF-VOSPIRE ORAL TABLET ER 8MG,637,1 ,$0.35 ,$0.23 ,$0.23 ,$0.35 ,$0.28 , N/A ,$0.28 ,$0.32 ,$0.32 , N/A ,$0.30 ,$0.26 , N/A , N/A , N/A ,$0.29 , N/A ,$0.29 ,$0.28 ,$0.32 ,$0.35 ,$0.30 , N/A ,$0.30 ,$0.30 ,$0.32 ,$0.32 ,$0.27 ,$0.29 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132478,N/A,NF-PRISTIQ TAB ER 100MG,637,1 ,$0.47 ,$0.31 ,$0.31 ,$0.47 ,$0.38 , N/A ,$0.37 ,$0.42 ,$0.42 , N/A ,$0.40 ,$0.35 , N/A , N/A , N/A ,$0.39 , N/A ,$0.39 ,$0.38 ,$0.42 ,$0.47 ,$0.40 , N/A ,$0.40 ,$0.40 ,$0.42 ,$0.42 ,$0.37 ,$0.39 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132479,N/A,NF-PRISTIQ TAB ER 50MG,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413248,N/A,PROPRANOLOL ER 120MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132480,N/A,NF-PRISTIQ TAB ER 50MG,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132481,N/A,NF-PRECOSE TABLET 100MG,637,1 ,$0.13 ,$0.08 ,$0.08 ,$0.13 ,$0.10 , N/A ,$0.10 ,$0.12 ,$0.12 , N/A ,$0.11 ,$0.10 , N/A , N/A , N/A ,$0.11 , N/A ,$0.11 ,$0.10 ,$0.12 ,$0.13 ,$0.11 , N/A ,$0.11 ,$0.11 ,$0.12 ,$0.12 ,$0.10 ,$0.11 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132482,N/A,NF-LEXAPRO TABLET 20MG,637,1 ,$0.39 ,$0.25 ,$0.25 ,$0.39 ,$0.31 , N/A ,$0.31 ,$0.35 ,$0.35 , N/A ,$0.33 ,$0.29 , N/A , N/A , N/A ,$0.33 , N/A ,$0.32 ,$0.31 ,$0.35 ,$0.39 ,$0.33 , N/A ,$0.33 ,$0.33 ,$0.35 ,$0.35 ,$0.31 ,$0.32 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132483,N/A,NF-DEPAKOTE ER TABLET 500MG,637,1 ,$0.48 ,$0.31 ,$0.31 ,$0.48 ,$0.38 , N/A ,$0.38 ,$0.43 ,$0.43 , N/A ,$0.41 ,$0.36 , N/A , N/A , N/A ,$0.40 , N/A ,$0.40 ,$0.38 ,$0.43 ,$0.48 ,$0.41 , N/A ,$0.41 ,$0.41 ,$0.43 ,$0.43 ,$0.38 ,$0.40 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132484,N/A,NF-PRILOSEC DELAYED-RELEASE CAPSULE 20MG,637,1 ,$0.45 ,$0.29 ,$0.29 ,$0.45 ,$0.36 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.38 ,$0.33 , N/A , N/A , N/A ,$0.38 , N/A ,$0.37 ,$0.36 ,$0.41 ,$0.45 ,$0.38 , N/A ,$0.38 ,$0.38 ,$0.41 ,$0.41 ,$0.35 ,$0.37 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132485,N/A,NF-FERROUS SULFATE ORAL TABLET 325MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132486,N/A,NF-CALCIUM CARBONATE ORAL SUSP 1250MG/5M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132487,N/A,NF-ERGOCALCIFEROL ORAL CAPSULE 50000IU,637,1 ,$0.19 ,$0.12 ,$0.12 ,$0.19 ,$0.15 , N/A ,$0.15 ,$0.17 ,$0.17 , N/A ,$0.16 ,$0.14 , N/A , N/A , N/A ,$0.16 , N/A ,$0.16 ,$0.15 ,$0.17 ,$0.19 ,$0.16 , N/A ,$0.16 ,$0.16 ,$0.17 ,$0.17 ,$0.15 ,$0.16 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132488,N/A,NF-MEDROXYPROGESTERONE ACETATE TABLET 5M,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132489,N/A,NF-GEODON ORAL CAPSULE 80MG,637,1 ,$0.70 ,$0.46 ,$0.46 ,$0.70 ,$0.56 , N/A ,$0.55 ,$0.63 ,$0.63 , N/A ,$0.60 ,$0.52 , N/A , N/A , N/A ,$0.58 , N/A ,$0.58 ,$0.56 ,$0.63 ,$0.70 ,$0.60 , N/A ,$0.60 ,$0.60 ,$0.63 ,$0.63 ,$0.55 ,$0.58 , N/A ,$0.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413249,N/A,"DONEPEZIL (ARICEPT) TAB, 10MG",637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132490,N/A,NF-NORTRIPTYLINE ORAL CAPSULE 50MG,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132491,N/A,NF-SENNA-PLUS TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132492,N/A,NF-SEROQUEL XR ORAL TAB ER 400MG,637,1 ,$1.66 ,$1.08 ,$1.08 ,$1.66 ,$1.33 , N/A ,$1.32 ,$1.49 ,$1.49 , N/A ,$1.41 ,$1.23 , N/A , N/A , N/A ,$1.38 , N/A ,$1.37 ,$1.33 ,$1.49 ,$1.66 ,$1.41 , N/A ,$1.41 ,$1.41 ,$1.49 ,$1.49 ,$1.30 ,$1.37 , N/A ,$1.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132493,N/A,NF-COUMADIN TABLET 10MG,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132494,N/A,NF-CELLCEPT TABLET 500MG,637,1 ,$1.43 ,$0.93 ,$0.93 ,$1.43 ,$1.14 , N/A ,$1.13 ,$1.29 ,$1.29 , N/A ,$1.22 ,$1.06 , N/A , N/A , N/A ,$1.19 , N/A ,$1.18 ,$1.14 ,$1.29 ,$1.43 ,$1.22 , N/A ,$1.22 ,$1.22 ,$1.29 ,$1.29 ,$1.12 ,$1.18 , N/A ,$0.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132495,N/A,NF-PROGRAF CAP 1MG,637,1 ,$0.48 ,$0.31 ,$0.31 ,$0.48 ,$0.38 , N/A ,$0.38 ,$0.43 ,$0.43 , N/A ,$0.41 ,$0.36 , N/A , N/A , N/A ,$0.40 , N/A ,$0.40 ,$0.38 ,$0.43 ,$0.48 ,$0.41 , N/A ,$0.41 ,$0.41 ,$0.43 ,$0.43 ,$0.38 ,$0.40 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132496,N/A,NF-MYFORTIC ENTERIC-COATED TABLET 180MG,637,1 ,$0.41 ,$0.27 ,$0.27 ,$0.41 ,$0.33 , N/A ,$0.32 ,$0.37 ,$0.37 , N/A ,$0.35 ,$0.30 , N/A , N/A , N/A ,$0.34 , N/A ,$0.34 ,$0.33 ,$0.37 ,$0.41 ,$0.35 , N/A ,$0.35 ,$0.35 ,$0.37 ,$0.37 ,$0.32 ,$0.34 , N/A ,$0.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132497,N/A,NF-SULFAMETHOXAZOLE/TRIMETH TAB 400MG-80,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132498,N/A,NF-CINNAMON ORAL CAPSULE 500MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132499,N/A,NF-FISH OIL CAPSULE 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413250,N/A,ATORVASTATIN (LIPITOR) TAB : 80MG,637,1 ,$6.10 ,$3.97 ,$3.97 ,$6.10 ,$4.88 , N/A ,$4.83 ,$5.49 ,$5.49 , N/A ,$5.19 ,$4.51 , N/A , N/A , N/A ,$5.09 , N/A ,$5.04 ,$4.88 ,$5.49 ,$6.10 ,$5.19 , N/A ,$5.19 ,$5.19 ,$5.49 ,$5.49 ,$4.79 ,$5.04 , N/A ,$3.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132500,N/A,NF-TRI-SPRINTEC 28 TABLET,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132501,N/A,NF-ANAGRELIDE HCL ORAL CAPSULE 0.5MG,637,1 ,$0.17 ,$0.11 ,$0.11 ,$0.17 ,$0.14 , N/A ,$0.13 ,$0.15 ,$0.15 , N/A ,$0.14 ,$0.13 , N/A , N/A , N/A ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.17 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.15 ,$0.13 ,$0.14 , N/A ,$0.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132502,N/A,NF-LACTAID TABLET 3000U,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132503,N/A,NF-LEVOTHYROXINE SODIUM ORAL TABLET 0.07,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132504,N/A,NF-ALREX OPHTH SUSP 0.2,637,1 ,$2.30 ,$1.50 ,$1.50 ,$2.30 ,$1.84 , N/A ,$1.82 ,$2.07 ,$2.07 , N/A ,$1.96 ,$1.70 , N/A , N/A , N/A ,$1.92 , N/A ,$1.90 ,$1.84 ,$2.07 ,$2.30 ,$1.96 , N/A ,$1.96 ,$1.96 ,$2.07 ,$2.07 ,$1.81 ,$1.90 , N/A ,$1.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132505,N/A,NF-TEARS NATURALE II OPHTH SOLUTION,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132506,N/A,NF-CLARITIN-D 12HR ORAL TAB ER 5MG-120MG,637,1 ,$0.08 ,$0.05 ,$0.05 ,$0.08 ,$0.06 , N/A ,$0.06 ,$0.07 ,$0.07 , N/A ,$0.07 ,$0.06 , N/A , N/A , N/A ,$0.07 , N/A ,$0.07 ,$0.06 ,$0.07 ,$0.08 ,$0.07 , N/A ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.06 ,$0.07 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132507,N/A,NF-ALBUTEROL SULFATE INH SOLN 1.25MG/3ML,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132509,N/A,NF-MICRO-K 10 CAPSULE 10MEQ,637,1 ,$0.08 ,$0.05 ,$0.05 ,$0.08 ,$0.06 , N/A ,$0.06 ,$0.07 ,$0.07 , N/A ,$0.07 ,$0.06 , N/A , N/A , N/A ,$0.07 , N/A ,$0.07 ,$0.06 ,$0.07 ,$0.08 ,$0.07 , N/A ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.06 ,$0.07 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413251,N/A,PRAMIPEXOLE (MIRAPEX) 0.25MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132510,N/A,NF-NAMENDA TABLET 10MG,637,1 ,$0.58 ,$0.38 ,$0.38 ,$0.58 ,$0.46 , N/A ,$0.46 ,$0.52 ,$0.52 , N/A ,$0.49 ,$0.43 , N/A , N/A , N/A ,$0.48 , N/A ,$0.48 ,$0.46 ,$0.52 ,$0.58 ,$0.49 , N/A ,$0.49 ,$0.49 ,$0.52 ,$0.52 ,$0.46 ,$0.48 , N/A ,$0.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132511,N/A,NF-PAXIL ORAL TABLET 30MG,637,1 ,$0.44 ,$0.29 ,$0.29 ,$0.44 ,$0.35 , N/A ,$0.35 ,$0.40 ,$0.40 , N/A ,$0.37 ,$0.33 , N/A , N/A , N/A ,$0.37 , N/A ,$0.36 ,$0.35 ,$0.40 ,$0.44 ,$0.37 , N/A ,$0.37 ,$0.37 ,$0.40 ,$0.40 ,$0.35 ,$0.36 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132512,N/A,NF-HYDROCODONE/APAP CAPSULE 5-500MG,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132513,N/A,NF-LETROZOLE ORAL TABLET 2.5MG,637,1 ,$1.81 ,$1.18 ,$1.18 ,$1.81 ,$1.45 , N/A ,$1.43 ,$1.63 ,$1.63 , N/A ,$1.54 ,$1.34 , N/A , N/A , N/A ,$1.51 , N/A ,$1.50 ,$1.45 ,$1.63 ,$1.81 ,$1.54 , N/A ,$1.54 ,$1.54 ,$1.63 ,$1.63 ,$1.42 ,$1.50 , N/A ,$1.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132514,N/A,NF-BACTRIM ORAL TABLET 400MG-80MG,637,1 ,$0.17 ,$0.11 ,$0.11 ,$0.17 ,$0.14 , N/A ,$0.13 ,$0.15 ,$0.15 , N/A ,$0.14 ,$0.13 , N/A , N/A , N/A ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.17 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.15 ,$0.13 ,$0.14 , N/A ,$0.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132515,N/A,NF-ONGLYZA ORAL TABLET 2.5MG,637,1 ,$0.81 ,$0.53 ,$0.53 ,$0.81 ,$0.65 , N/A ,$0.64 ,$0.73 ,$0.73 , N/A ,$0.69 ,$0.60 , N/A , N/A , N/A ,$0.68 , N/A ,$0.67 ,$0.65 ,$0.73 ,$0.81 ,$0.69 , N/A ,$0.69 ,$0.69 ,$0.73 ,$0.73 ,$0.64 ,$0.67 , N/A ,$0.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132516,N/A,NF-ONGLYZA ORAL TABLET 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132517,N/A,NF-ACIDOPHILUS CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132518,N/A,NF-OMEPRAZOLE MAGNESIUM CAP DR 20MG,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132519,N/A,NF-ACIDOPHILUS PROBIOTIC BLEND ORAL CAP,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413252,N/A,LEVETIRACETAM (KEPPRA) TABLET : 250MG,637,1 ,$9.41 ,$6.12 ,$6.12 ,$9.41 ,$7.53 , N/A ,$7.46 ,$8.47 ,$8.47 , N/A ,$8.00 ,$6.96 , N/A , N/A , N/A ,$7.85 , N/A ,$7.77 ,$7.53 ,$8.47 ,$9.41 ,$8.00 , N/A ,$8.00 ,$8.00 ,$8.47 ,$8.47 ,$7.39 ,$7.77 , N/A ,$6.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132520,N/A,NF-PROAIR HFA INH/NEB AER PWD 0.09MG/1AC,637,1 ,$0.93 ,$0.60 ,$0.60 ,$0.93 ,$0.74 , N/A ,$0.74 ,$0.84 ,$0.84 , N/A ,$0.79 ,$0.69 , N/A , N/A , N/A ,$0.78 , N/A ,$0.77 ,$0.74 ,$0.84 ,$0.93 ,$0.79 , N/A ,$0.79 ,$0.79 ,$0.84 ,$0.84 ,$0.73 ,$0.77 , N/A ,$0.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132521,N/A,NF-FAMOTIDINE TABLET 20MG,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132522,N/A,NF-CALCIUM 600 TABLET 600MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132523,N/A,NF-ARTHRICREAM 10% CREAM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132524,N/A,NF-GUAIFENESIN/DM ORAL LIQ 100MG-10MG/5M,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132525,N/A,NF-VICKS VAPORUB OINTMENT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132526,N/A,NF-DONEPEZIL HCL DISINTEGRATING TAB 5MG,637,1 ,$0.87 ,$0.57 ,$0.57 ,$0.87 ,$0.70 , N/A ,$0.69 ,$0.78 ,$0.78 , N/A ,$0.74 ,$0.64 , N/A , N/A , N/A ,$0.73 , N/A ,$0.72 ,$0.70 ,$0.78 ,$0.87 ,$0.74 , N/A ,$0.74 ,$0.74 ,$0.78 ,$0.78 ,$0.68 ,$0.72 , N/A ,$0.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132527,N/A,NF-AMLODIPINE BESYLATE ORAL TABLET 10MG,637,1 ,$0.28 ,$0.18 ,$0.18 ,$0.28 ,$0.22 , N/A ,$0.22 ,$0.25 ,$0.25 , N/A ,$0.24 ,$0.21 , N/A , N/A , N/A ,$0.23 , N/A ,$0.23 ,$0.22 ,$0.25 ,$0.28 ,$0.24 , N/A ,$0.24 ,$0.24 ,$0.25 ,$0.25 ,$0.22 ,$0.23 , N/A ,$0.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132528,N/A,NF-HYDROCODONE AND APAP TAB 5MG-325MG,637,1 ,$0.15 ,$0.10 ,$0.10 ,$0.15 ,$0.12 , N/A ,$0.12 ,$0.14 ,$0.14 , N/A ,$0.13 ,$0.11 , N/A , N/A , N/A ,$0.13 , N/A ,$0.12 ,$0.12 ,$0.14 ,$0.15 ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.14 ,$0.12 ,$0.12 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132529,N/A,NF-LANTUS SOLUTION 100U/ML,637,1 ,$1.51 ,$0.98 ,$0.98 ,$1.51 ,$1.21 , N/A ,$1.20 ,$1.36 ,$1.36 , N/A ,$1.28 ,$1.12 , N/A , N/A , N/A ,$1.26 , N/A ,$1.25 ,$1.21 ,$1.36 ,$1.51 ,$1.28 , N/A ,$1.28 ,$1.28 ,$1.36 ,$1.36 ,$1.19 ,$1.25 , N/A ,$0.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413253,J0282,AMIODARONE (CORDARONE) 900MG/18ML VIAL,636,1 ,$60.78 ,$39.51 ,$39.51 ,$54.73 ,$48.62 , N/A ,$48.16 ,$54.73 ,$54.73 , N/A ,$51.66 ,$44.98 , N/A , N/A , N/A ,$50.69 , N/A ,$50.20 ,$48.62 ,$54.70 , N/A ,$51.66 , N/A ,$51.66 ,$51.66 ,$54.70 ,$54.70 ,$47.71 ,$50.20 , N/A ,$39.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132530,N/A,NF-NEPHRO-VITE VITAMIN B AND C COMPLEX T,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132531,N/A,NF-NOVOLOG INJECTION 100U/ML,637,1 ,$1.40 ,$0.91 ,$0.91 ,$1.40 ,$1.12 , N/A ,$1.11 ,$1.26 ,$1.26 , N/A ,$1.19 ,$1.04 , N/A , N/A , N/A ,$1.17 , N/A ,$1.16 ,$1.12 ,$1.26 ,$1.40 ,$1.19 , N/A ,$1.19 ,$1.19 ,$1.26 ,$1.26 ,$1.10 ,$1.16 , N/A ,$0.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132532,N/A,NF-OMEPRAZOLE DR ORAL CAP DR 20MG,637,1 ,$0.41 ,$0.27 ,$0.27 ,$0.41 ,$0.33 , N/A ,$0.32 ,$0.37 ,$0.37 , N/A ,$0.35 ,$0.30 , N/A , N/A , N/A ,$0.34 , N/A ,$0.34 ,$0.33 ,$0.37 ,$0.41 ,$0.35 , N/A ,$0.35 ,$0.35 ,$0.37 ,$0.37 ,$0.32 ,$0.34 , N/A ,$0.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132533,N/A,NF-VITAMIN C CAPSULE 500MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132534,N/A,NF-ZINC SULFATE CAPSULE 220MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132535,N/A,NF-VYTORIN TABLET 10MG-40MG,637,1 ,$0.53 ,$0.34 ,$0.34 ,$0.53 ,$0.42 , N/A ,$0.42 ,$0.48 ,$0.48 , N/A ,$0.45 ,$0.39 , N/A , N/A , N/A ,$0.44 , N/A ,$0.44 ,$0.42 ,$0.48 ,$0.53 ,$0.45 , N/A ,$0.45 ,$0.45 ,$0.48 ,$0.48 ,$0.42 ,$0.44 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132536,N/A,NF-ASPIRIN ADULT LOW STRENGTH TABLET 81M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132537,N/A,NF-FOLIC ACID TABLET 1MG,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132538,N/A,NF-HYDROCODONE 5MG/ APAP 500MG,637,1 ,$0.17 ,$0.11 ,$0.11 ,$0.17 ,$0.14 , N/A ,$0.13 ,$0.15 ,$0.15 , N/A ,$0.14 ,$0.13 , N/A , N/A , N/A ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.17 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.15 ,$0.13 ,$0.14 , N/A ,$0.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132539,N/A,NF-MAG-OX 400 TABLET 400MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413254,N/A,CLONIdine TAB 0.2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132540,N/A,NF-IMDUR ER ORAL TAB ER 30MG,637,1 ,$0.28 ,$0.18 ,$0.18 ,$0.28 ,$0.22 , N/A ,$0.22 ,$0.25 ,$0.25 , N/A ,$0.24 ,$0.21 , N/A , N/A , N/A ,$0.23 , N/A ,$0.23 ,$0.22 ,$0.25 ,$0.28 ,$0.24 , N/A ,$0.24 ,$0.24 ,$0.25 ,$0.25 ,$0.22 ,$0.23 , N/A ,$0.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132541,N/A,NF-MACROBID CAPSULE 100MG,637,1 ,$0.25 ,$0.16 ,$0.16 ,$0.25 ,$0.20 , N/A ,$0.20 ,$0.23 ,$0.23 , N/A ,$0.21 ,$0.19 , N/A , N/A , N/A ,$0.21 , N/A ,$0.21 ,$0.20 ,$0.23 ,$0.25 ,$0.21 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132542,N/A,NF-SIMVASTATIN ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132543,N/A,NF-ZOLPIDEM ORAL TABLET 5MG,637,1 ,$0.50 ,$0.33 ,$0.33 ,$0.50 ,$0.40 , N/A ,$0.40 ,$0.45 ,$0.45 , N/A ,$0.43 ,$0.37 , N/A , N/A , N/A ,$0.42 , N/A ,$0.41 ,$0.40 ,$0.45 ,$0.50 ,$0.43 , N/A ,$0.43 ,$0.43 ,$0.45 ,$0.45 ,$0.39 ,$0.41 , N/A ,$0.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132544,N/A,NF-ACETAMINOPHEN TABLET 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132545,N/A,NF-SYNTHROID TABLET 0.125MG,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132546,N/A,NF-NITROGLYCERIN TABLET 0.4MG,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132547,N/A,NF-OMEPRAZOLE CAP DR 20MG,637,1 ,$0.57 ,$0.37 ,$0.37 ,$0.57 ,$0.46 , N/A ,$0.45 ,$0.51 ,$0.51 , N/A ,$0.48 ,$0.42 , N/A , N/A , N/A ,$0.48 , N/A ,$0.47 ,$0.46 ,$0.51 ,$0.57 ,$0.48 , N/A ,$0.48 ,$0.48 ,$0.51 ,$0.51 ,$0.45 ,$0.47 , N/A ,$0.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132548,N/A,NF-MELATONIN CAPSULE 1MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132549,N/A,NF-CARBAMIDE PEROXIDE OTIC SOLUTION 6.5,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413255,N/A,FISH OIL CAPSULE 1200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132550,N/A,NF-MECLIZINE HCL TABLET 25MG,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132551,N/A,NF-ZOLPIDEM TARTRATE ORAL TABLET 5MG,637,1 ,$0.46 ,$0.30 ,$0.30 ,$0.46 ,$0.37 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.39 ,$0.34 , N/A , N/A , N/A ,$0.38 , N/A ,$0.38 ,$0.37 ,$0.41 ,$0.46 ,$0.39 , N/A ,$0.39 ,$0.39 ,$0.41 ,$0.41 ,$0.36 ,$0.38 , N/A ,$0.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132552,N/A,NF-DIGOXIN TABLET 0.125MG,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132553,N/A,NF-ISOSORBIDE MONONITRATE TABLET 30MG,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132554,N/A,NF-METFORMIN HCL TABLET 500MG,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132555,N/A,NF-METOPROLOL ORAL TABLET 50MG,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132556,N/A,NF-CARBIDOPA AND LEVODOPA TABLET 25MG-10,637,1 ,$0.09 ,$0.06 ,$0.06 ,$0.09 ,$0.07 , N/A ,$0.07 ,$0.08 ,$0.08 , N/A ,$0.08 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.07 ,$0.07 ,$0.08 ,$0.09 ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.08 ,$0.08 ,$0.07 ,$0.07 , N/A ,$0.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132557,N/A,NF-LOPERAMIDE CAPSULE 2MG,637,1 ,$0.08 ,$0.05 ,$0.05 ,$0.08 ,$0.06 , N/A ,$0.06 ,$0.07 ,$0.07 , N/A ,$0.07 ,$0.06 , N/A , N/A , N/A ,$0.07 , N/A ,$0.07 ,$0.06 ,$0.07 ,$0.08 ,$0.07 , N/A ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.06 ,$0.07 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132558,N/A,NF-SIMVASTATIN ORAL TABLET 20MG,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132559,N/A,NF-APAP W/ CODEINE ORAL TABLET 300MG-30M,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413256,N/A,TRANDOLAPRIL TAB 4MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132560,N/A,NF-VALCYTE TAB 450MG,637,1 ,$5.16 ,$3.35 ,$3.35 ,$5.16 ,$4.13 , N/A ,$4.09 ,$4.65 ,$4.65 , N/A ,$4.39 ,$3.82 , N/A , N/A , N/A ,$4.30 , N/A ,$4.26 ,$4.13 ,$4.64 ,$5.16 ,$4.39 , N/A ,$4.39 ,$4.39 ,$4.64 ,$4.64 ,$4.05 ,$4.26 , N/A ,$3.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132561,N/A,NF-HYDROCODONE-APAP ORAL TABLET 5MG-325M,637,1 ,$0.22 ,$0.14 ,$0.14 ,$0.22 ,$0.18 , N/A ,$0.17 ,$0.20 ,$0.20 , N/A ,$0.19 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.20 ,$0.22 ,$0.19 , N/A ,$0.19 ,$0.19 ,$0.20 ,$0.20 ,$0.17 ,$0.18 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132562,N/A,NF-NARDIL ORAL TABLET 15MG,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132563,N/A,NF-ALBUTEROL SULFTE INH/NEB SOLN 0.63MG/,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132564,N/A,NF-MAALOX SUSPENSION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132565,N/A,NF-TOPAMAX ORAL TABLET 200MG,637,1 ,$0.87 ,$0.57 ,$0.57 ,$0.87 ,$0.70 , N/A ,$0.69 ,$0.78 ,$0.78 , N/A ,$0.74 ,$0.64 , N/A , N/A , N/A ,$0.73 , N/A ,$0.72 ,$0.70 ,$0.78 ,$0.87 ,$0.74 , N/A ,$0.74 ,$0.74 ,$0.78 ,$0.78 ,$0.68 ,$0.72 , N/A ,$0.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132566,N/A,NF-STRATTERA CAP 25MG,637,1 ,$0.64 ,$0.42 ,$0.42 ,$0.64 ,$0.51 , N/A ,$0.51 ,$0.58 ,$0.58 , N/A ,$0.54 ,$0.47 , N/A , N/A , N/A ,$0.53 , N/A ,$0.53 ,$0.51 ,$0.58 ,$0.64 ,$0.54 , N/A ,$0.54 ,$0.54 ,$0.58 ,$0.58 ,$0.50 ,$0.53 , N/A ,$0.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132567,N/A,NF-AMITRIPTYLINE ORAL TABLET 100MG,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132568,N/A,NF-LANTUS SOLOSTAR SUBQ SOLUTION 100U/1M,637,1 ,$1.54 ,$1.00 ,$1.00 ,$1.54 ,$1.23 , N/A ,$1.22 ,$1.39 ,$1.39 , N/A ,$1.31 ,$1.14 , N/A , N/A , N/A ,$1.28 , N/A ,$1.27 ,$1.23 ,$1.39 ,$1.54 ,$1.31 , N/A ,$1.31 ,$1.31 ,$1.39 ,$1.39 ,$1.21 ,$1.27 , N/A ,$1.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132569,N/A,NF-DIOVAN TABLET 320MG,637,1 ,$0.82 ,$0.53 ,$0.53 ,$0.82 ,$0.66 , N/A ,$0.65 ,$0.74 ,$0.74 , N/A ,$0.70 ,$0.61 , N/A , N/A , N/A ,$0.68 , N/A ,$0.68 ,$0.66 ,$0.74 ,$0.82 ,$0.70 , N/A ,$0.70 ,$0.70 ,$0.74 ,$0.74 ,$0.64 ,$0.68 , N/A ,$0.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413257,N/A,CENTRUM SILVER TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132570,N/A,NF-NORVASC TABLET 10MG,637,1 ,$0.45 ,$0.29 ,$0.29 ,$0.45 ,$0.36 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.38 ,$0.33 , N/A , N/A , N/A ,$0.38 , N/A ,$0.37 ,$0.36 ,$0.41 ,$0.45 ,$0.38 , N/A ,$0.38 ,$0.38 ,$0.41 ,$0.41 ,$0.35 ,$0.37 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132571,N/A,NF-TIKOSYN CAPSULE 0.125MG,637,1 ,$0.39 ,$0.25 ,$0.25 ,$0.39 ,$0.31 , N/A ,$0.31 ,$0.35 ,$0.35 , N/A ,$0.33 ,$0.29 , N/A , N/A , N/A ,$0.33 , N/A ,$0.32 ,$0.31 ,$0.35 ,$0.39 ,$0.33 , N/A ,$0.33 ,$0.33 ,$0.35 ,$0.35 ,$0.31 ,$0.32 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132572,N/A,NF-VERAPAMIL HCL CAP ER 100MG,637,1 ,$0.37 ,$0.24 ,$0.24 ,$0.37 ,$0.30 , N/A ,$0.29 ,$0.33 ,$0.33 , N/A ,$0.31 ,$0.27 , N/A , N/A , N/A ,$0.31 , N/A ,$0.31 ,$0.30 ,$0.33 ,$0.37 ,$0.31 , N/A ,$0.31 ,$0.31 ,$0.33 ,$0.33 ,$0.29 ,$0.31 , N/A ,$0.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132573,N/A,NF-EYE-VITES TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132574,N/A,NF-LOVASTATIN ORAL TABLET 40MG,637,1 ,$0.43 ,$0.28 ,$0.28 ,$0.43 ,$0.34 , N/A ,$0.34 ,$0.39 ,$0.39 , N/A ,$0.37 ,$0.32 , N/A , N/A , N/A ,$0.36 , N/A ,$0.36 ,$0.34 ,$0.39 ,$0.43 ,$0.37 , N/A ,$0.37 ,$0.37 ,$0.39 ,$0.39 ,$0.34 ,$0.36 , N/A ,$0.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132575,N/A,NF-NEXIUM CAP DR 40MG,637,1 ,$0.69 ,$0.45 ,$0.45 ,$0.69 ,$0.55 , N/A ,$0.55 ,$0.62 ,$0.62 , N/A ,$0.59 ,$0.51 , N/A , N/A , N/A ,$0.58 , N/A ,$0.57 ,$0.55 ,$0.62 ,$0.69 ,$0.59 , N/A ,$0.59 ,$0.59 ,$0.62 ,$0.62 ,$0.54 ,$0.57 , N/A ,$0.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132576,N/A,NF-MULTIVITAMIN,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132577,N/A,NF-FOLIC,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132578,N/A,NF-CALCIUM 600 CAPSULE 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132579,N/A,NF-OMEPRAZOLE CAPSULE DR 20MG,637,1 ,$0.43 ,$0.28 ,$0.28 ,$0.43 ,$0.34 , N/A ,$0.34 ,$0.39 ,$0.39 , N/A ,$0.37 ,$0.32 , N/A , N/A , N/A ,$0.36 , N/A ,$0.36 ,$0.34 ,$0.39 ,$0.43 ,$0.37 , N/A ,$0.37 ,$0.37 ,$0.39 ,$0.39 ,$0.34 ,$0.36 , N/A ,$0.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413258,N/A,VESICARE TABLET 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132580,N/A,NF-FISH OIL LIQUID-FILLED CAPSULE 1000MG,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132581,N/A,NF-KEPPRA ORAL TABLET 1000MG,637,1 ,$1.09 ,$0.71 ,$0.71 ,$1.09 ,$0.87 , N/A ,$0.86 ,$0.98 ,$0.98 , N/A ,$0.93 ,$0.81 , N/A , N/A , N/A ,$0.91 , N/A ,$0.90 ,$0.87 ,$0.98 ,$1.09 ,$0.93 , N/A ,$0.93 ,$0.93 ,$0.98 ,$0.98 ,$0.86 ,$0.90 , N/A ,$0.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132582,N/A,NF-METFORMIN ORAL TABLET 1000MG,637,1 ,$0.17 ,$0.11 ,$0.11 ,$0.17 ,$0.14 , N/A ,$0.13 ,$0.15 ,$0.15 , N/A ,$0.14 ,$0.13 , N/A , N/A , N/A ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.17 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.15 ,$0.13 ,$0.14 , N/A ,$0.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132583,N/A,NF-CALCIUM-600 TABLET 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132584,N/A,NF-DIGOXIN ORAL TABLET 0.25MG,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132585,N/A,NF-CALTRATE 600 TABLET 600MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132586,N/A,NF-OCUVITE TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132587,N/A,NF-NEURONTIN TABLET 600MG,637,1 ,$0.35 ,$0.23 ,$0.23 ,$0.35 ,$0.28 , N/A ,$0.28 ,$0.32 ,$0.32 , N/A ,$0.30 ,$0.26 , N/A , N/A , N/A ,$0.29 , N/A ,$0.29 ,$0.28 ,$0.32 ,$0.35 ,$0.30 , N/A ,$0.30 ,$0.30 ,$0.32 ,$0.32 ,$0.27 ,$0.29 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132588,N/A,NF-CHLORASEPTIC MUCOUS MEMBRANE SPRAY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132589,N/A,NF-LOVAZA LIQ CAP 1GM,637,1 ,$0.15 ,$0.10 ,$0.10 ,$0.15 ,$0.12 , N/A ,$0.12 ,$0.14 ,$0.14 , N/A ,$0.13 ,$0.11 , N/A , N/A , N/A ,$0.13 , N/A ,$0.12 ,$0.12 ,$0.14 ,$0.15 ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.14 ,$0.12 ,$0.12 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413259,N/A,LISINOPRIL TAB 30MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132590,N/A,NF-CARAFATE SUSPENSION 1GM/10ML,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132591,N/A,NF-FERROUS SULFATE TABLET 325MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132592,N/A,NF-NIASPAN TABLET ER 500MG,637,1 ,$0.35 ,$0.23 ,$0.23 ,$0.35 ,$0.28 , N/A ,$0.28 ,$0.32 ,$0.32 , N/A ,$0.30 ,$0.26 , N/A , N/A , N/A ,$0.29 , N/A ,$0.29 ,$0.28 ,$0.32 ,$0.35 ,$0.30 , N/A ,$0.30 ,$0.30 ,$0.32 ,$0.32 ,$0.27 ,$0.29 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132593,N/A,NF-COENZYME Q10 CAPSULE 50MG,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132594,N/A,NF-FISH OIL CONCENTRATE CAPSULE 1000MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132595,N/A,NF-INSULIN HUMAN REGULAR INJ SOLN 100U/1,637,1 ,$0.69 ,$0.45 ,$0.45 ,$0.69 ,$0.55 , N/A ,$0.55 ,$0.62 ,$0.62 , N/A ,$0.59 ,$0.51 , N/A , N/A , N/A ,$0.58 , N/A ,$0.57 ,$0.55 ,$0.62 ,$0.69 ,$0.59 , N/A ,$0.59 ,$0.59 ,$0.62 ,$0.62 ,$0.54 ,$0.57 , N/A ,$0.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132596,N/A,NF-CLOBETASOL PROPIONATE EMOLLI CREAM,637,1 ,$0.13 ,$0.08 ,$0.08 ,$0.13 ,$0.10 , N/A ,$0.10 ,$0.12 ,$0.12 , N/A ,$0.11 ,$0.10 , N/A , N/A , N/A ,$0.11 , N/A ,$0.11 ,$0.10 ,$0.12 ,$0.13 ,$0.11 , N/A ,$0.11 ,$0.11 ,$0.12 ,$0.12 ,$0.10 ,$0.11 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132597,N/A,NF-CALCIUM CITRATE + D TABLET,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132598,N/A,NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG,637,1 ,$0.35 ,$0.23 ,$0.23 ,$0.35 ,$0.28 , N/A ,$0.28 ,$0.32 ,$0.32 , N/A ,$0.30 ,$0.26 , N/A , N/A , N/A ,$0.29 , N/A ,$0.29 ,$0.28 ,$0.32 ,$0.35 ,$0.30 , N/A ,$0.30 ,$0.30 ,$0.32 ,$0.32 ,$0.27 ,$0.29 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132599,N/A,NF-NATURES BLEND VITAMIN D3 ORAL TAB 500,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413260,N/A,DULOXETINE CAP 60MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132600,N/A,NF-CO Q-10 ORAL LIQ CAP 200MG,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132601,N/A,NF-OMEGA-3 FISH OIL LIQ CAP 1200MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132602,N/A,NF-VITAMIN E CAPSULE 1000IU,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132603,N/A,NF-CEREFOLIN TABLET,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132604,N/A,NF-ONGLYZA ORAL TABLET 5MG,637,1 ,$0.81 ,$0.53 ,$0.53 ,$0.81 ,$0.65 , N/A ,$0.64 ,$0.73 ,$0.73 , N/A ,$0.69 ,$0.60 , N/A , N/A , N/A ,$0.68 , N/A ,$0.67 ,$0.65 ,$0.73 ,$0.81 ,$0.69 , N/A ,$0.69 ,$0.69 ,$0.73 ,$0.73 ,$0.64 ,$0.67 , N/A ,$0.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132605,N/A,NF-PROSIGHT LUTEIN CAPSULE,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132606,N/A,NF-TIMOLOL MALEATE OPHTH SOLUTION 0.25,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132607,N/A,NF-SEROQUEL XR EXTENDED-RELEASE TAB 200M,637,1 ,$1.08 ,$0.70 ,$0.70 ,$1.08 ,$0.86 , N/A ,$0.86 ,$0.97 ,$0.97 , N/A ,$0.92 ,$0.80 , N/A , N/A , N/A ,$0.90 , N/A ,$0.89 ,$0.86 ,$0.97 ,$1.08 ,$0.92 , N/A ,$0.92 ,$0.92 ,$0.97 ,$0.97 ,$0.85 ,$0.89 , N/A ,$0.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132608,N/A,NF-FLUTICASONE NASAL SPRAY 0.05MG/1ACT,637,1 ,$0.56 ,$0.36 ,$0.36 ,$0.56 ,$0.45 , N/A ,$0.44 ,$0.50 ,$0.50 , N/A ,$0.48 ,$0.41 , N/A , N/A , N/A ,$0.47 , N/A ,$0.46 ,$0.45 ,$0.50 ,$0.56 ,$0.48 , N/A ,$0.48 ,$0.48 ,$0.50 ,$0.50 ,$0.44 ,$0.46 , N/A ,$0.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132609,N/A,NF-CALCIUM 500 D TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413261,N/A,METforMIN TAB 1000MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132610,N/A,NF-PRESERVISION LUTEIN LQUID FILLED CAPS,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132611,N/A,NF-SILVADENE CREAM 1,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132614,N/A,NF-VYTORIN ORAL TABLET 10MG-20MG,637,1 ,$0.57 ,$0.37 ,$0.37 ,$0.57 ,$0.46 , N/A ,$0.45 ,$0.51 ,$0.51 , N/A ,$0.48 ,$0.42 , N/A , N/A , N/A ,$0.48 , N/A ,$0.47 ,$0.46 ,$0.51 ,$0.57 ,$0.48 , N/A ,$0.48 ,$0.48 ,$0.51 ,$0.51 ,$0.45 ,$0.47 , N/A ,$0.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132615,N/A,NF-ARICEPT TAB 5MG,637,1 ,$1.00 ,$0.65 ,$0.65 ,$1.00 ,$0.80 , N/A ,$0.79 ,$0.90 ,$0.90 , N/A ,$0.85 ,$0.74 , N/A , N/A , N/A ,$0.83 , N/A ,$0.83 ,$0.80 ,$0.90 ,$1.00 ,$0.85 , N/A ,$0.85 ,$0.85 ,$0.90 ,$0.90 ,$0.79 ,$0.83 , N/A ,$0.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132616,N/A,NF-ARICEPT ORAL TABLET 23MG,637,1 ,$0.88 ,$0.57 ,$0.57 ,$0.88 ,$0.70 , N/A ,$0.70 ,$0.79 ,$0.79 , N/A ,$0.75 ,$0.65 , N/A , N/A , N/A ,$0.73 , N/A ,$0.73 ,$0.70 ,$0.79 ,$0.88 ,$0.75 , N/A ,$0.75 ,$0.75 ,$0.79 ,$0.79 ,$0.69 ,$0.73 , N/A ,$0.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132617,N/A,"NF-PRILOSEC 20MG ORAL CAPSULE, DELAYED R",637,1 ,$0.46 ,$0.30 ,$0.30 ,$0.46 ,$0.37 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.39 ,$0.34 , N/A , N/A , N/A ,$0.38 , N/A ,$0.38 ,$0.37 ,$0.41 ,$0.46 ,$0.39 , N/A ,$0.39 ,$0.39 ,$0.41 ,$0.41 ,$0.36 ,$0.38 , N/A ,$0.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132618,N/A,NF-ASTEPRO 205.5MCG/ACTUATION NASAL SPRA,637,1 ,$0.39 ,$0.25 ,$0.25 ,$0.39 ,$0.31 , N/A ,$0.31 ,$0.35 ,$0.35 , N/A ,$0.33 ,$0.29 , N/A , N/A , N/A ,$0.33 , N/A ,$0.32 ,$0.31 ,$0.35 ,$0.39 ,$0.33 , N/A ,$0.33 ,$0.33 ,$0.35 ,$0.35 ,$0.31 ,$0.32 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132619,N/A,NF-EPIPEN AUTO-INJECTOR 0.3MG/0.3ML MULT,637,1 ,$10.88 ,$7.07 ,$7.07 ,$10.88 ,$8.70 , N/A ,$8.62 ,$9.80 ,$9.80 , N/A ,$9.25 ,$8.05 , N/A , N/A , N/A ,$9.07 , N/A ,$8.99 ,$8.70 ,$9.79 ,$10.88 ,$9.25 , N/A ,$9.25 ,$9.25 ,$9.79 ,$9.79 ,$8.54 ,$8.99 , N/A ,$7.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413262,N/A,METOPROLOL TARTRATE TAB 100MG PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132620,N/A,NF-MULTI-VITAMINS TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132621,N/A,NF-CITRACAL ULTRADENSE CALCIUM CITRATE 2,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132622,N/A,NF-ARTIFICIAL TEARS 0.2%-0.2%-1% OPHTHAL,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132623,N/A,NF-QUALITY CHOICE WOMEN\'S DAILY MULTIVI,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132624,N/A,NF-THE MEDICINE SHOPPE VITAMIN B12 2000M,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132625,N/A,NF-LEVOXYL 0.075MG ORAL TABLET,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132626,N/A,NF-ECASA 81MG,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132627,N/A,NF-TRICOR 48MG ORAL TABLET,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132628,N/A,NF-FOLIC ACID 0.4MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132629,N/A,NF-FUROSEMIDE 40MG,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413263,N/A,TRADJENTA TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132630,N/A,NF-PRADAXA 150MG ORAL CAPSULE,637,1 ,$0.44 ,$0.29 ,$0.29 ,$0.44 ,$0.35 , N/A ,$0.35 ,$0.40 ,$0.40 , N/A ,$0.37 ,$0.33 , N/A , N/A , N/A ,$0.37 , N/A ,$0.36 ,$0.35 ,$0.40 ,$0.44 ,$0.37 , N/A ,$0.37 ,$0.37 ,$0.40 ,$0.40 ,$0.35 ,$0.36 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132631,N/A,NF-OCEAN 0.65% NASAL SOLUTION,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132632,N/A,NF-FLUOCINOLONE ACETONIDE 0.01% TOPICAL,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132633,N/A,NF-BEPREVE 15MG/ML OPHTHALMIC SOLUTION,637,1 ,$2.75 ,$1.79 ,$1.79 ,$2.75 ,$2.20 , N/A ,$2.18 ,$2.48 ,$2.48 , N/A ,$2.34 ,$2.04 , N/A , N/A , N/A ,$2.29 , N/A ,$2.27 ,$2.20 ,$2.48 ,$2.75 ,$2.34 , N/A ,$2.34 ,$2.34 ,$2.48 ,$2.48 ,$2.16 ,$2.27 , N/A ,$1.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132634,N/A,"NF-VITAMIN D 50,000IU ORAL CAPSULE, LIQU",637,1 ,$0.39 ,$0.25 ,$0.25 ,$0.39 ,$0.31 , N/A ,$0.31 ,$0.35 ,$0.35 , N/A ,$0.33 ,$0.29 , N/A , N/A , N/A ,$0.33 , N/A ,$0.32 ,$0.31 ,$0.35 ,$0.39 ,$0.33 , N/A ,$0.33 ,$0.33 ,$0.35 ,$0.35 ,$0.31 ,$0.32 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132635,N/A,NF-DOXEPIN 10MG ORAL CAPSULE,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132636,N/A,NF-CITALOPRAM HYDROBROMIDE 40MG ORAL TAB,637,1 ,$0.24 ,$0.16 ,$0.16 ,$0.24 ,$0.19 , N/A ,$0.19 ,$0.22 ,$0.22 , N/A ,$0.20 ,$0.18 , N/A , N/A , N/A ,$0.20 , N/A ,$0.20 ,$0.19 ,$0.22 ,$0.24 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.22 ,$0.22 ,$0.19 ,$0.20 , N/A ,$0.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132637,N/A,NF-ROBITUSSIN DM,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132638,N/A,NF-TRIPLE ANTIBIOTIC OINTMENT TOPICAL AP,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132639,N/A,NF-VALIUM 10MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413264,N/A,TELMISARTAN 40/HCTZ 12.5 PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132640,N/A,NF-ZINC OXIDE 20% TOPICAL APPLICATION OI,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132641,N/A,"NF-LEADER OMEPRAZOLE 20MG ORAL TABLET, D",637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132642,N/A,NF-FERROUS SULFATE 325MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132643,N/A,NF-ZOLOFT 100MG ORAL TABLET,637,1 ,$0.35 ,$0.23 ,$0.23 ,$0.35 ,$0.28 , N/A ,$0.28 ,$0.32 ,$0.32 , N/A ,$0.30 ,$0.26 , N/A , N/A , N/A ,$0.29 , N/A ,$0.29 ,$0.28 ,$0.32 ,$0.35 ,$0.30 , N/A ,$0.30 ,$0.30 ,$0.32 ,$0.32 ,$0.27 ,$0.29 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132644,N/A,NF-TYLENOL PM EXTRA STRENGTH 500MG-25MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132645,N/A,NF-ZOFRAN 4MG ORAL TABLET,637,1 ,$2.66 ,$1.73 ,$1.73 ,$2.66 ,$2.13 , N/A ,$2.11 ,$2.40 ,$2.40 , N/A ,$2.26 ,$1.97 , N/A , N/A , N/A ,$2.22 , N/A ,$2.20 ,$2.13 ,$2.39 ,$2.66 ,$2.26 , N/A ,$2.26 ,$2.26 ,$2.39 ,$2.39 ,$2.09 ,$2.20 , N/A ,$1.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132646,N/A,NF-PENTASA CAP ER 500MG,637,1 ,$0.30 ,$0.20 ,$0.20 ,$0.30 ,$0.24 , N/A ,$0.24 ,$0.27 ,$0.27 , N/A ,$0.26 ,$0.22 , N/A , N/A , N/A ,$0.25 , N/A ,$0.25 ,$0.24 ,$0.27 ,$0.30 ,$0.26 , N/A ,$0.26 ,$0.26 ,$0.27 ,$0.27 ,$0.24 ,$0.25 , N/A ,$0.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132647,N/A,NF-MARINOL CAPSULE 2.5MG,637,1 ,$0.91 ,$0.59 ,$0.59 ,$0.91 ,$0.73 , N/A ,$0.72 ,$0.82 ,$0.82 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.76 , N/A ,$0.75 ,$0.73 ,$0.82 ,$0.91 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.82 ,$0.82 ,$0.71 ,$0.75 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132648,N/A,NF-TOVIAZ TAB ER 4MG,637,1 ,$0.53 ,$0.34 ,$0.34 ,$0.53 ,$0.42 , N/A ,$0.42 ,$0.48 ,$0.48 , N/A ,$0.45 ,$0.39 , N/A , N/A , N/A ,$0.44 , N/A ,$0.44 ,$0.42 ,$0.48 ,$0.53 ,$0.45 , N/A ,$0.45 ,$0.45 ,$0.48 ,$0.48 ,$0.42 ,$0.44 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132649,N/A,NF-DUREZOL OPHTH EMUL 0.05,637,1 ,$2.36 ,$1.53 ,$1.53 ,$2.36 ,$1.89 , N/A ,$1.87 ,$2.13 ,$2.13 , N/A ,$2.01 ,$1.75 , N/A , N/A , N/A ,$1.97 , N/A ,$1.95 ,$1.89 ,$2.12 ,$2.36 ,$2.01 , N/A ,$2.01 ,$2.01 ,$2.12 ,$2.12 ,$1.85 ,$1.95 , N/A ,$1.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413265,N/A,MOEXIPRIL 7.5MG/HCTZ 12.5MG TAB OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132650,N/A,NF-GENTEAL OPHTHALMIC GEL 0.3,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132651,N/A,NF-GENTEAL GEL OPHTHALMIC 0.3,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132652,N/A,NF-CRESTOR 20MG ORAL TABLET,637,1 ,$0.38 ,$0.25 ,$0.25 ,$0.38 ,$0.30 , N/A ,$0.30 ,$0.34 ,$0.34 , N/A ,$0.32 ,$0.28 , N/A , N/A , N/A ,$0.32 , N/A ,$0.31 ,$0.30 ,$0.34 ,$0.38 ,$0.32 , N/A ,$0.32 ,$0.32 ,$0.34 ,$0.34 ,$0.30 ,$0.31 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132653,N/A,"NF-BENADRYL ALLERGY 25MG ORAL CAPSULE, L",637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132654,N/A,NF-REVLIMID 10MG ORAL CAPSULE,637,1 ,$42.23 ,$27.45 ,$27.45 ,$42.23 ,$33.78 , N/A ,$33.46 ,$38.03 ,$38.03 , N/A ,$35.90 ,$31.25 , N/A , N/A , N/A ,$35.22 , N/A ,$34.88 ,$33.78 ,$38.01 ,$42.23 ,$35.90 , N/A ,$35.90 ,$35.90 ,$38.01 ,$38.01 ,$33.15 ,$34.88 , N/A ,$27.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132655,N/A,NF-NAMENDA 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132656,N/A,NF-PILOCARPINE HCL 2% OPHTHALMIC SOLUTIO,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132657,N/A,NF-FERROUS SULFATE 325MG ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132658,N/A,"NF-LUTEIN 6MG ORAL CAPSULE, LIQUID FILLE",637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132659,N/A,NF-INDAPAMIDE 1.25MG ORAL TABLET,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413266,N/A,ABILIFY TAB 30MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132660,N/A,NF-ONDANSETRON 4MG ORAL TABLET,637,1 ,$0.27 ,$0.18 ,$0.18 ,$0.27 ,$0.22 , N/A ,$0.21 ,$0.24 ,$0.24 , N/A ,$0.23 ,$0.20 , N/A , N/A , N/A ,$0.23 , N/A ,$0.22 ,$0.22 ,$0.24 ,$0.27 ,$0.23 , N/A ,$0.23 ,$0.23 ,$0.24 ,$0.24 ,$0.21 ,$0.22 , N/A ,$0.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132661,N/A,NF-LANTUS 100U/1ML SUBCUTANEOUS SOLUTION,637,1 ,$1.37 ,$0.89 ,$0.89 ,$1.37 ,$1.10 , N/A ,$1.09 ,$1.23 ,$1.23 , N/A ,$1.16 ,$1.01 , N/A , N/A , N/A ,$1.14 , N/A ,$1.13 ,$1.10 ,$1.23 ,$1.37 ,$1.16 , N/A ,$1.16 ,$1.16 ,$1.23 ,$1.23 ,$1.08 ,$1.13 , N/A ,$0.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132662,N/A,"NF-NEXIUM 40MG ORAL CAPSULE, DELAYED REL",637,1 ,$0.58 ,$0.38 ,$0.38 ,$0.58 ,$0.46 , N/A ,$0.46 ,$0.52 ,$0.52 , N/A ,$0.49 ,$0.43 , N/A , N/A , N/A ,$0.48 , N/A ,$0.48 ,$0.46 ,$0.52 ,$0.58 ,$0.49 , N/A ,$0.49 ,$0.49 ,$0.52 ,$0.52 ,$0.46 ,$0.48 , N/A ,$0.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132663,N/A,NF-TRICOR 145MG ORAL TABLET,637,1 ,$0.76 ,$0.49 ,$0.49 ,$0.76 ,$0.61 , N/A ,$0.60 ,$0.68 ,$0.68 , N/A ,$0.65 ,$0.56 , N/A , N/A , N/A ,$0.63 , N/A ,$0.63 ,$0.61 ,$0.68 ,$0.76 ,$0.65 , N/A ,$0.65 ,$0.65 ,$0.68 ,$0.68 ,$0.60 ,$0.63 , N/A ,$0.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132664,N/A,NF-ALBUTEROL 2.5MG,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132665,N/A,"NF-ENABLEX 15MG ORAL TABLET, EXTENDED RE",637,1 ,$0.61 ,$0.40 ,$0.40 ,$0.61 ,$0.49 , N/A ,$0.48 ,$0.55 ,$0.55 , N/A ,$0.52 ,$0.45 , N/A , N/A , N/A ,$0.51 , N/A ,$0.50 ,$0.49 ,$0.55 ,$0.61 ,$0.52 , N/A ,$0.52 ,$0.52 ,$0.55 ,$0.55 ,$0.48 ,$0.50 , N/A ,$0.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132666,N/A,NF-ZESTORETIC 12.5MG-10MG ORAL TABLET,637,1 ,$0.18 ,$0.12 ,$0.12 ,$0.18 ,$0.14 , N/A ,$0.14 ,$0.16 ,$0.16 , N/A ,$0.15 ,$0.13 , N/A , N/A , N/A ,$0.15 , N/A ,$0.15 ,$0.14 ,$0.16 ,$0.18 ,$0.15 , N/A ,$0.15 ,$0.15 ,$0.16 ,$0.16 ,$0.14 ,$0.15 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132667,N/A,NF-VITAMIN E 400IU ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132668,N/A,NF-ASPIRIN 81MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132669,N/A,NF-QUINAPRIL HCL 40MG ORAL TABLET,637,1 ,$0.18 ,$0.12 ,$0.12 ,$0.18 ,$0.14 , N/A ,$0.14 ,$0.16 ,$0.16 , N/A ,$0.15 ,$0.13 , N/A , N/A , N/A ,$0.15 , N/A ,$0.15 ,$0.14 ,$0.16 ,$0.18 ,$0.15 , N/A ,$0.15 ,$0.15 ,$0.16 ,$0.16 ,$0.14 ,$0.15 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413267,N/A,DOCUSATE CAP 250MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132670,N/A,NF-LIDODERM 5% TOPICAL APPLICATION PATCH,637,1 ,$1.36 ,$0.88 ,$0.88 ,$1.36 ,$1.09 , N/A ,$1.08 ,$1.22 ,$1.22 , N/A ,$1.16 ,$1.01 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.09 ,$1.22 ,$1.36 ,$1.16 , N/A ,$1.16 ,$1.16 ,$1.22 ,$1.22 ,$1.07 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132671,N/A,NF-PIROXICAM 20MG ORAL CAPSULE,637,1 ,$0.31 ,$0.20 ,$0.20 ,$0.31 ,$0.25 , N/A ,$0.25 ,$0.28 ,$0.28 , N/A ,$0.26 ,$0.23 , N/A , N/A , N/A ,$0.26 , N/A ,$0.26 ,$0.25 ,$0.28 ,$0.31 ,$0.26 , N/A ,$0.26 ,$0.26 ,$0.28 ,$0.28 ,$0.24 ,$0.26 , N/A ,$0.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132672,N/A,NF-LOSEASONIQUE KIT,637,1 ,$0.33 ,$0.21 ,$0.21 ,$0.33 ,$0.26 , N/A ,$0.26 ,$0.30 ,$0.30 , N/A ,$0.28 ,$0.24 , N/A , N/A , N/A ,$0.28 , N/A ,$0.27 ,$0.26 ,$0.30 ,$0.33 ,$0.28 , N/A ,$0.28 ,$0.28 ,$0.30 ,$0.30 ,$0.26 ,$0.27 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132673,N/A,NF-PROGRAF 1MG ORAL CAPSULE,637,1 ,$0.50 ,$0.33 ,$0.33 ,$0.50 ,$0.40 , N/A ,$0.40 ,$0.45 ,$0.45 , N/A ,$0.43 ,$0.37 , N/A , N/A , N/A ,$0.42 , N/A ,$0.41 ,$0.40 ,$0.45 ,$0.50 ,$0.43 , N/A ,$0.43 ,$0.43 ,$0.45 ,$0.45 ,$0.39 ,$0.41 , N/A ,$0.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132674,N/A,NF-POTASSIUM CHLORIDE 10MEQ ORAL CAPSULE,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132675,N/A,NF-ZOFRAN 8MG ORAL TABLET,637,1 ,$4.43 ,$2.88 ,$2.88 ,$4.43 ,$3.54 , N/A ,$3.51 ,$3.99 ,$3.99 , N/A ,$3.77 ,$3.28 , N/A , N/A , N/A ,$3.69 , N/A ,$3.66 ,$3.54 ,$3.99 ,$4.43 ,$3.77 , N/A ,$3.77 ,$3.77 ,$3.99 ,$3.99 ,$3.48 ,$3.66 , N/A ,$2.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132676,N/A,NF-NOVOLOG 100U/ML SUBCUTANEOUS SOLUTION,637,1 ,$1.12 ,$0.73 ,$0.73 ,$1.12 ,$0.90 , N/A ,$0.89 ,$1.01 ,$1.01 , N/A ,$0.95 ,$0.83 , N/A , N/A , N/A ,$0.93 , N/A ,$0.93 ,$0.90 ,$1.01 ,$1.12 ,$0.95 , N/A ,$0.95 ,$0.95 ,$1.01 ,$1.01 ,$0.88 ,$0.93 , N/A ,$0.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132677,N/A,NF-FLORASTOR 250MG ORAL CAPSULE,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132678,N/A,"NF-LIALDA 1.2GM ORAL TABLET, DELAYED REL",637,1 ,$0.66 ,$0.43 ,$0.43 ,$0.66 ,$0.53 , N/A ,$0.52 ,$0.59 ,$0.59 , N/A ,$0.56 ,$0.49 , N/A , N/A , N/A ,$0.55 , N/A ,$0.55 ,$0.53 ,$0.59 ,$0.66 ,$0.56 , N/A ,$0.56 ,$0.56 ,$0.59 ,$0.59 ,$0.52 ,$0.55 , N/A ,$0.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132679,N/A,NF-EXEMESTANE TAB 25MG,637,1 ,$1.57 ,$1.02 ,$1.02 ,$1.57 ,$1.26 , N/A ,$1.24 ,$1.41 ,$1.41 , N/A ,$1.33 ,$1.16 , N/A , N/A , N/A ,$1.31 , N/A ,$1.30 ,$1.26 ,$1.41 ,$1.57 ,$1.33 , N/A ,$1.33 ,$1.33 ,$1.41 ,$1.41 ,$1.23 ,$1.30 , N/A ,$1.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413268,N/A,MYRBETRIQ ER 50MG TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132680,N/A,NF-GENTEAL PM OINTMENT,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132681,N/A,NF-VYTORIN 10MG-20MG ORAL TABLET,637,1 ,$0.52 ,$0.34 ,$0.34 ,$0.52 ,$0.42 , N/A ,$0.41 ,$0.47 ,$0.47 , N/A ,$0.44 ,$0.38 , N/A , N/A , N/A ,$0.43 , N/A ,$0.43 ,$0.42 ,$0.47 ,$0.52 ,$0.44 , N/A ,$0.44 ,$0.44 ,$0.47 ,$0.47 ,$0.41 ,$0.43 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132682,N/A,NF-SENNA SOFT 15MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132683,N/A,NF-BUSPIRONE HYDROCHLORIDE 10MG ORAL TAB,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132684,N/A,NF-BACTROBAN 2% TOPICAL APPLICATION CREA,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132685,N/A,NF-ZINC OXIDE 20% TOPICAL APPLICATION OI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132686,N/A,NF-DESOXIMETASONE 0.05% TOPICAL APPLICAT,637,1 ,$0.33 ,$0.21 ,$0.21 ,$0.33 ,$0.26 , N/A ,$0.26 ,$0.30 ,$0.30 , N/A ,$0.28 ,$0.24 , N/A , N/A , N/A ,$0.28 , N/A ,$0.27 ,$0.26 ,$0.30 ,$0.33 ,$0.28 , N/A ,$0.28 ,$0.28 ,$0.30 ,$0.30 ,$0.26 ,$0.27 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132687,N/A,NF-FENOFIBRATE ORAL TABLET 54MG,637,1 ,$0.21 ,$0.14 ,$0.14 ,$0.21 ,$0.17 , N/A ,$0.17 ,$0.19 ,$0.19 , N/A ,$0.18 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.17 ,$0.17 ,$0.19 ,$0.21 ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.19 ,$0.19 ,$0.16 ,$0.17 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132688,N/A,NF-TRINESSA 28 KIT,637,1 ,$0.26 ,$0.17 ,$0.17 ,$0.26 ,$0.21 , N/A ,$0.21 ,$0.23 ,$0.23 , N/A ,$0.22 ,$0.19 , N/A , N/A , N/A ,$0.22 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.26 ,$0.22 , N/A ,$0.22 ,$0.22 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132689,N/A,NF-VYTORIN ORAL TABLET 10MG-40MG,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413269,N/A,LOSARTAN/HCTZ 100MG-12.5MG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132690,N/A,NF-TOVIAZ ORAL EXTENDED RELEASE TABLET 8,637,1 ,$0.53 ,$0.34 ,$0.34 ,$0.53 ,$0.42 , N/A ,$0.42 ,$0.48 ,$0.48 , N/A ,$0.45 ,$0.39 , N/A , N/A , N/A ,$0.44 , N/A ,$0.44 ,$0.42 ,$0.48 ,$0.53 ,$0.45 , N/A ,$0.45 ,$0.45 ,$0.48 ,$0.48 ,$0.42 ,$0.44 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132691,N/A,NF-GUANFACINE 1MG ORAL TABLET,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132692,N/A,NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG,637,1 ,$0.51 ,$0.33 ,$0.33 ,$0.51 ,$0.41 , N/A ,$0.40 ,$0.46 ,$0.46 , N/A ,$0.43 ,$0.38 , N/A , N/A , N/A ,$0.43 , N/A ,$0.42 ,$0.41 ,$0.46 ,$0.51 ,$0.43 , N/A ,$0.43 ,$0.43 ,$0.46 ,$0.46 ,$0.40 ,$0.42 , N/A ,$0.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132693,N/A,NF-TRAZODONE HYDROCHLORIDE 100MG ORAL TA,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132694,N/A,NF-CLONAZEPAM ORAL TABLET 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132695,N/A,NF-PROBIOTICA CHEWABLE TAB 100MILLION,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132696,N/A,NF-GALANTAMINE 8MG ORAL TABLET,637,1 ,$0.32 ,$0.21 ,$0.21 ,$0.32 ,$0.26 , N/A ,$0.25 ,$0.29 ,$0.29 , N/A ,$0.27 ,$0.24 , N/A , N/A , N/A ,$0.27 , N/A ,$0.26 ,$0.26 ,$0.29 ,$0.32 ,$0.27 , N/A ,$0.27 ,$0.27 ,$0.29 ,$0.29 ,$0.25 ,$0.26 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132697,N/A,NF-GLYBURIDE/METFORMIN 2.5MG-500MG ORAL,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132698,N/A,NF-FORTAZ POWDER FOR INJ 1GM,637,1 ,$1.47 ,$0.96 ,$0.96 ,$1.47 ,$1.18 , N/A ,$1.16 ,$1.32 ,$1.32 , N/A ,$1.25 ,$1.09 , N/A , N/A , N/A ,$1.23 , N/A ,$1.21 ,$1.18 ,$1.32 ,$1.47 ,$1.25 , N/A ,$1.25 ,$1.25 ,$1.32 ,$1.32 ,$1.15 ,$1.21 , N/A ,$0.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132699,N/A,NF-COUMADIN 7.5MG ORAL TABLET,637,1 ,$0.18 ,$0.12 ,$0.12 ,$0.18 ,$0.14 , N/A ,$0.14 ,$0.16 ,$0.16 , N/A ,$0.15 ,$0.13 , N/A , N/A , N/A ,$0.15 , N/A ,$0.15 ,$0.14 ,$0.16 ,$0.18 ,$0.15 , N/A ,$0.15 ,$0.15 ,$0.16 ,$0.16 ,$0.14 ,$0.15 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413270,N/A,CRESTOR TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132700,N/A,NF-COUMADIN 7.5MG ORAL TABLET,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132701,N/A,NF-NOVOLOG MIX 70/30 70/30 SUBCUTANEOUS,637,1 ,$1.44 ,$0.94 ,$0.94 ,$1.44 ,$1.15 , N/A ,$1.14 ,$1.30 ,$1.30 , N/A ,$1.22 ,$1.07 , N/A , N/A , N/A ,$1.20 , N/A ,$1.19 ,$1.15 ,$1.30 ,$1.44 ,$1.22 , N/A ,$1.22 ,$1.22 ,$1.30 ,$1.30 ,$1.13 ,$1.19 , N/A ,$0.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132702,N/A,"NF-FISH OIL 1000MG ORAL CAPSULE, LIQUID",637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132703,N/A,"NF-PRILOSEC 20MG ORAL CAPSULE, DELAYED R",637,1 ,$0.53 ,$0.34 ,$0.34 ,$0.53 ,$0.42 , N/A ,$0.42 ,$0.48 ,$0.48 , N/A ,$0.45 ,$0.39 , N/A , N/A , N/A ,$0.44 , N/A ,$0.44 ,$0.42 ,$0.48 ,$0.53 ,$0.45 , N/A ,$0.45 ,$0.45 ,$0.48 ,$0.48 ,$0.42 ,$0.44 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132704,N/A,"NF-IMDUR 60MG ORAL TABLET, EXTENDED RELE",637,1 ,$0.22 ,$0.14 ,$0.14 ,$0.22 ,$0.18 , N/A ,$0.17 ,$0.20 ,$0.20 , N/A ,$0.19 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.20 ,$0.22 ,$0.19 , N/A ,$0.19 ,$0.19 ,$0.20 ,$0.20 ,$0.17 ,$0.18 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132705,N/A,NF-HUMALOG 100U/ML SUBCUTANEOUS SUSPENSI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132706,N/A,NF-CARVEDILOL 25MG ORAL TABLET,637,1 ,$0.21 ,$0.14 ,$0.14 ,$0.21 ,$0.17 , N/A ,$0.17 ,$0.19 ,$0.19 , N/A ,$0.18 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.17 ,$0.17 ,$0.19 ,$0.21 ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.19 ,$0.19 ,$0.16 ,$0.17 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132707,N/A,NF-CRANBERRY POWDER,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132708,N/A,NF-FELODIPINE TABLET ER 5MG,637,1 ,$0.18 ,$0.12 ,$0.12 ,$0.18 ,$0.14 , N/A ,$0.14 ,$0.16 ,$0.16 , N/A ,$0.15 ,$0.13 , N/A , N/A , N/A ,$0.15 , N/A ,$0.15 ,$0.14 ,$0.16 ,$0.18 ,$0.15 , N/A ,$0.15 ,$0.15 ,$0.16 ,$0.16 ,$0.14 ,$0.15 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132709,N/A,NF-ARICEPT ORAL TABLET 10MG,637,1 ,$0.99 ,$0.64 ,$0.64 ,$0.99 ,$0.79 , N/A ,$0.78 ,$0.89 ,$0.89 , N/A ,$0.84 ,$0.73 , N/A , N/A , N/A ,$0.83 , N/A ,$0.82 ,$0.79 ,$0.89 ,$0.99 ,$0.84 , N/A ,$0.84 ,$0.84 ,$0.89 ,$0.89 ,$0.78 ,$0.82 , N/A ,$0.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413271,N/A,ROPINiroLE TAB 2MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132710,N/A,NF-TRAZODONE HYDROCHLORIDE 100MG ORAL TA,637,1 ,$0.08 ,$0.05 ,$0.05 ,$0.08 ,$0.06 , N/A ,$0.06 ,$0.07 ,$0.07 , N/A ,$0.07 ,$0.06 , N/A , N/A , N/A ,$0.07 , N/A ,$0.07 ,$0.06 ,$0.07 ,$0.08 ,$0.07 , N/A ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.06 ,$0.07 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132711,N/A,NF-FLUNISOLIDE 29MCG/1ACTUATION NASAL SP,637,1 ,$0.22 ,$0.14 ,$0.14 ,$0.22 ,$0.18 , N/A ,$0.17 ,$0.20 ,$0.20 , N/A ,$0.19 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.20 ,$0.22 ,$0.19 , N/A ,$0.19 ,$0.19 ,$0.20 ,$0.20 ,$0.17 ,$0.18 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132712,N/A,NF-CARVEDILOL ORAL TABLET 25MG,637,1 ,$0.21 ,$0.14 ,$0.14 ,$0.21 ,$0.17 , N/A ,$0.17 ,$0.19 ,$0.19 , N/A ,$0.18 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.17 ,$0.17 ,$0.19 ,$0.21 ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.19 ,$0.19 ,$0.16 ,$0.17 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132713,N/A,NF-RAMIPRIL CAP 5MG,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132714,N/A,NF-ISOSORBIDE MONONITRATE ORAL TAB ER 60,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132715,N/A,NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC,637,1 ,$2.98 ,$1.94 ,$1.94 ,$2.98 ,$2.38 , N/A ,$2.36 ,$2.68 ,$2.68 , N/A ,$2.53 ,$2.21 , N/A , N/A , N/A ,$2.49 , N/A ,$2.46 ,$2.38 ,$2.68 ,$2.98 ,$2.53 , N/A ,$2.53 ,$2.53 ,$2.68 ,$2.68 ,$2.34 ,$2.46 , N/A ,$1.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132716,N/A,NF-GLUCOSAMINE \ AND CHONDROITIN 400MG-500M,637,1 ,$0.15 ,$0.10 ,$0.10 ,$0.15 ,$0.12 , N/A ,$0.12 ,$0.14 ,$0.14 , N/A ,$0.13 ,$0.11 , N/A , N/A , N/A ,$0.13 , N/A ,$0.12 ,$0.12 ,$0.14 ,$0.15 ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.14 ,$0.12 ,$0.12 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132717,N/A,NF-QVAR 0.08MG/ACTUATION INHALATION AERO,637,1 ,$1.93 ,$1.25 ,$1.25 ,$1.93 ,$1.54 , N/A ,$1.53 ,$1.74 ,$1.74 , N/A ,$1.64 ,$1.43 , N/A , N/A , N/A ,$1.61 , N/A ,$1.59 ,$1.54 ,$1.74 ,$1.93 ,$1.64 , N/A ,$1.64 ,$1.64 ,$1.74 ,$1.74 ,$1.52 ,$1.59 , N/A ,$1.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132718,N/A,NF-GLUCOSAMINE/CHONDROITIN DS TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132719,N/A,NF-QVAR 0.04MG/ACT,637,1 ,$1.14 ,$0.74 ,$0.74 ,$1.14 ,$0.91 , N/A ,$0.90 ,$1.03 ,$1.03 , N/A ,$0.97 ,$0.84 , N/A , N/A , N/A ,$0.95 , N/A ,$0.94 ,$0.91 ,$1.03 ,$1.14 ,$0.97 , N/A ,$0.97 ,$0.97 ,$1.03 ,$1.03 ,$0.89 ,$0.94 , N/A ,$0.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413272,N/A,MULTAQ TAB 400MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132720,N/A,NF-CALCIUM CARB W/ VIT D 600MG-200IU ORA,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132721,N/A,NF-FERROUS SULFATE 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132722,N/A,NF-DIPHENHYDRAMINE HCL 25MG ORAL TABLET,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132723,N/A,"NF-PREVACID 15MG ORAL CAPSULE, DELAYED R",637,1 ,$1.09 ,$0.71 ,$0.71 ,$1.09 ,$0.87 , N/A ,$0.86 ,$0.98 ,$0.98 , N/A ,$0.93 ,$0.81 , N/A , N/A , N/A ,$0.91 , N/A ,$0.90 ,$0.87 ,$0.98 ,$1.09 ,$0.93 , N/A ,$0.93 ,$0.93 ,$0.98 ,$0.98 ,$0.86 ,$0.90 , N/A ,$0.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132724,N/A,NF-OYSTER SHELL CALCIUM 500MG ORAL TABLE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132725,N/A,NF-OMNICEF CAP 300MG,637,1 ,$0.68 ,$0.44 ,$0.44 ,$0.68 ,$0.54 , N/A ,$0.54 ,$0.61 ,$0.61 , N/A ,$0.58 ,$0.50 , N/A , N/A , N/A ,$0.57 , N/A ,$0.56 ,$0.54 ,$0.61 ,$0.68 ,$0.58 , N/A ,$0.58 ,$0.58 ,$0.61 ,$0.61 ,$0.53 ,$0.56 , N/A ,$0.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132726,N/A,"NF-NIACIN 1000MG ORAL TABLET, EXTENDED R",637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132727,N/A,NF-ASPIRIN 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132728,N/A,NF-FOLIC ACID 0.4MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132729,N/A,NF-FOLIC ACID 1MG,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413273,N/A,NAMENDA TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132730,N/A,NF-LISINOPRIL 40MG ORAL TABLET,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132731,N/A,NF-CIALIS TABLET 10MG,637,1 ,$2.45 ,$1.59 ,$1.59 ,$2.45 ,$1.96 , N/A ,$1.94 ,$2.21 ,$2.21 , N/A ,$2.08 ,$1.81 , N/A , N/A , N/A ,$2.04 , N/A ,$2.02 ,$1.96 ,$2.21 ,$2.45 ,$2.08 , N/A ,$2.08 ,$2.08 ,$2.21 ,$2.21 ,$1.92 ,$2.02 , N/A ,$1.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132732,N/A,NF-THALIDOMIDE CAP 200MG,637,1 ,$29.97 ,$19.48 ,$19.48 ,$29.97 ,$23.98 , N/A ,$23.75 ,$26.99 ,$26.99 , N/A ,$25.47 ,$22.18 , N/A , N/A , N/A ,$25.00 , N/A ,$24.76 ,$23.98 ,$26.97 ,$29.97 ,$25.47 , N/A ,$25.47 ,$25.47 ,$26.97 ,$26.97 ,$23.53 ,$24.76 , N/A ,$19.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132733,N/A,NF-THALOMID 200MG ORAL CAPSULE,637,1 ,$29.97 ,$19.48 ,$19.48 ,$29.97 ,$23.98 , N/A ,$23.75 ,$26.99 ,$26.99 , N/A ,$25.47 ,$22.18 , N/A , N/A , N/A ,$25.00 , N/A ,$24.76 ,$23.98 ,$26.97 ,$29.97 ,$25.47 , N/A ,$25.47 ,$25.47 ,$26.97 ,$26.97 ,$23.53 ,$24.76 , N/A ,$19.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132734,N/A,NF-CIALIS ORAL TABLET 10MG,637,1 ,$5.48 ,$3.56 ,$3.56 ,$5.48 ,$4.38 , N/A ,$4.34 ,$4.93 ,$4.93 , N/A ,$4.66 ,$4.06 , N/A , N/A , N/A ,$4.57 , N/A ,$4.53 ,$4.38 ,$4.93 ,$5.48 ,$4.66 , N/A ,$4.66 ,$4.66 ,$4.93 ,$4.93 ,$4.30 ,$4.53 , N/A ,$3.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132735,N/A,NF-EXCEDRIN SINUS HEADACHE 325MG-5MG ORA,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132736,N/A,NF-AQUAPHOR OIN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132737,N/A,NF-CETAPHIL MOISTURIZER CREAM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132738,N/A,NF-OMEPRAZOLE CAP DR 20MG,637,1 ,$0.47 ,$0.31 ,$0.31 ,$0.47 ,$0.38 , N/A ,$0.37 ,$0.42 ,$0.42 , N/A ,$0.40 ,$0.35 , N/A , N/A , N/A ,$0.39 , N/A ,$0.39 ,$0.38 ,$0.42 ,$0.47 ,$0.40 , N/A ,$0.40 ,$0.40 ,$0.42 ,$0.42 ,$0.37 ,$0.39 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132739,N/A,NF-LANTUS 100U/1ML SUBCUTANEOUS SOLUTION,637,1 ,$1.49 ,$0.97 ,$0.97 ,$1.49 ,$1.19 , N/A ,$1.18 ,$1.34 ,$1.34 , N/A ,$1.27 ,$1.10 , N/A , N/A , N/A ,$1.24 , N/A ,$1.23 ,$1.19 ,$1.34 ,$1.49 ,$1.27 , N/A ,$1.27 ,$1.27 ,$1.34 ,$1.34 ,$1.17 ,$1.23 , N/A ,$0.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413274,N/A,LOVASTATIN TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132740,N/A,NF-NASONEX 0.05MG/ACTUATION NASAL SPRAY,637,1 ,$0.46 ,$0.30 ,$0.30 ,$0.46 ,$0.37 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.39 ,$0.34 , N/A , N/A , N/A ,$0.38 , N/A ,$0.38 ,$0.37 ,$0.41 ,$0.46 ,$0.39 , N/A ,$0.39 ,$0.39 ,$0.41 ,$0.41 ,$0.36 ,$0.38 , N/A ,$0.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132741,N/A,NF-FERROUS SULFATE 325MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132742,N/A,NF-FERROUS SULFATE 325MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132743,N/A,NF-OMEPRAZOLE CAP DR 20MG,637,1 ,$0.53 ,$0.34 ,$0.34 ,$0.53 ,$0.42 , N/A ,$0.42 ,$0.48 ,$0.48 , N/A ,$0.45 ,$0.39 , N/A , N/A , N/A ,$0.44 , N/A ,$0.44 ,$0.42 ,$0.48 ,$0.53 ,$0.45 , N/A ,$0.45 ,$0.45 ,$0.48 ,$0.48 ,$0.42 ,$0.44 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132744,N/A,NF-ACIDOPHILUS LACTOBACILLUS 1BILLION U/,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132745,N/A,NF-VYTORIN 10MG-20MG ORAL TABLET,637,1 ,$0.53 ,$0.34 ,$0.34 ,$0.53 ,$0.42 , N/A ,$0.42 ,$0.48 ,$0.48 , N/A ,$0.45 ,$0.39 , N/A , N/A , N/A ,$0.44 , N/A ,$0.44 ,$0.42 ,$0.48 ,$0.53 ,$0.45 , N/A ,$0.45 ,$0.45 ,$0.48 ,$0.48 ,$0.42 ,$0.44 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132746,N/A,NF-CLARINEX 5MG ORAL TABLET,637,1 ,$0.33 ,$0.21 ,$0.21 ,$0.33 ,$0.26 , N/A ,$0.26 ,$0.30 ,$0.30 , N/A ,$0.28 ,$0.24 , N/A , N/A , N/A ,$0.28 , N/A ,$0.27 ,$0.26 ,$0.30 ,$0.33 ,$0.28 , N/A ,$0.28 ,$0.28 ,$0.30 ,$0.30 ,$0.26 ,$0.27 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132747,N/A,NF-RHINOCORT 0.032MG/ACTUATION NASAL SPR,637,1 ,$1.28 ,$0.83 ,$0.83 ,$1.28 ,$1.02 , N/A ,$1.01 ,$1.15 ,$1.15 , N/A ,$1.09 ,$0.95 , N/A , N/A , N/A ,$1.07 , N/A ,$1.06 ,$1.02 ,$1.15 ,$1.28 ,$1.09 , N/A ,$1.09 ,$1.09 ,$1.15 ,$1.15 ,$1.00 ,$1.06 , N/A ,$0.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132748,N/A,NF-RESTASIS 0.05% OPHTHALMIC EMULSION,637,1 ,$0.64 ,$0.42 ,$0.42 ,$0.64 ,$0.51 , N/A ,$0.51 ,$0.58 ,$0.58 , N/A ,$0.54 ,$0.47 , N/A , N/A , N/A ,$0.53 , N/A ,$0.53 ,$0.51 ,$0.58 ,$0.64 ,$0.54 , N/A ,$0.54 ,$0.54 ,$0.58 ,$0.58 ,$0.50 ,$0.53 , N/A ,$0.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132749,N/A,NF-MIRTAZAPINE 45MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413275,N/A,LOVASTATIN TAB 40MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132750,N/A,NF-TOPIRAMATE 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132751,N/A,"NF-VITAMIN C 1,000MG ORAL TABLET, EXTEND",637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132752,N/A,NF-TEMAZEPAM 30MG ORAL CAPSULE,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132753,N/A,NF-TEMAZEPAM CAP 30MG,637,1 ,$0.08 ,$0.05 ,$0.05 ,$0.08 ,$0.06 , N/A ,$0.06 ,$0.07 ,$0.07 , N/A ,$0.07 ,$0.06 , N/A , N/A , N/A ,$0.07 , N/A ,$0.07 ,$0.06 ,$0.07 ,$0.08 ,$0.07 , N/A ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.06 ,$0.07 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132754,N/A,NF-TOPIRAMATE ORAL TABLET 50MG,637,1 ,$0.50 ,$0.33 ,$0.33 ,$0.50 ,$0.40 , N/A ,$0.40 ,$0.45 ,$0.45 , N/A ,$0.43 ,$0.37 , N/A , N/A , N/A ,$0.42 , N/A ,$0.41 ,$0.40 ,$0.45 ,$0.50 ,$0.43 , N/A ,$0.43 ,$0.43 ,$0.45 ,$0.45 ,$0.39 ,$0.41 , N/A ,$0.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132755,N/A,NF-CITALOPRAM HBR ORAL TAB 40MG,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132756,N/A,NF-PRAVASTATIN ORAL TABLET 40MG,637,1 ,$0.48 ,$0.31 ,$0.31 ,$0.48 ,$0.38 , N/A ,$0.38 ,$0.43 ,$0.43 , N/A ,$0.41 ,$0.36 , N/A , N/A , N/A ,$0.40 , N/A ,$0.40 ,$0.38 ,$0.43 ,$0.48 ,$0.41 , N/A ,$0.41 ,$0.41 ,$0.43 ,$0.43 ,$0.38 ,$0.40 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132757,N/A,NF-VITAMIN C TABLET 1000MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132758,N/A,NF-LUMIGAN OPHTH SOLN 0.01,637,1 ,$4.10 ,$2.67 ,$2.67 ,$4.10 ,$3.28 , N/A ,$3.25 ,$3.69 ,$3.69 , N/A ,$3.49 ,$3.03 , N/A , N/A , N/A ,$3.42 , N/A ,$3.39 ,$3.28 ,$3.69 ,$4.10 ,$3.49 , N/A ,$3.49 ,$3.49 ,$3.69 ,$3.69 ,$3.22 ,$3.39 , N/A ,$2.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132759,N/A,NF-HYZAAR 25MG-100MG ORAL TABLET,637,1 ,$0.87 ,$0.57 ,$0.57 ,$0.87 ,$0.70 , N/A ,$0.69 ,$0.78 ,$0.78 , N/A ,$0.74 ,$0.64 , N/A , N/A , N/A ,$0.73 , N/A ,$0.72 ,$0.70 ,$0.78 ,$0.87 ,$0.74 , N/A ,$0.74 ,$0.74 ,$0.78 ,$0.78 ,$0.68 ,$0.72 , N/A ,$0.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413276,N/A,ATORVASTATIN (LIPITOR) 20MG TAB,637,1 ,$1.02 ,$0.66 ,$0.66 ,$1.02 ,$0.82 , N/A ,$0.81 ,$0.92 ,$0.92 , N/A ,$0.87 ,$0.75 , N/A , N/A , N/A ,$0.85 , N/A ,$0.84 ,$0.82 ,$0.92 ,$1.02 ,$0.87 , N/A ,$0.87 ,$0.87 ,$0.92 ,$0.92 ,$0.80 ,$0.84 , N/A ,$0.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132760,N/A,NF-OMEPRAZOLE CAP DR 20MG,637,1 ,$0.55 ,$0.36 ,$0.36 ,$0.55 ,$0.44 , N/A ,$0.44 ,$0.50 ,$0.50 , N/A ,$0.47 ,$0.41 , N/A , N/A , N/A ,$0.46 , N/A ,$0.45 ,$0.44 ,$0.50 ,$0.55 ,$0.47 , N/A ,$0.47 ,$0.47 ,$0.50 ,$0.50 ,$0.43 ,$0.45 , N/A ,$0.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132761,N/A,NF-ROPINIROLE HCL TAB 0.5MG,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132762,N/A,NF-FELODIPINE TABLET ER 5MG,637,1 ,$0.19 ,$0.12 ,$0.12 ,$0.19 ,$0.15 , N/A ,$0.15 ,$0.17 ,$0.17 , N/A ,$0.16 ,$0.14 , N/A , N/A , N/A ,$0.16 , N/A ,$0.16 ,$0.15 ,$0.17 ,$0.19 ,$0.16 , N/A ,$0.16 ,$0.16 ,$0.17 ,$0.17 ,$0.15 ,$0.16 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132763,N/A,NF-DIGOXIN ORAL TABLET 0.25MG,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132764,N/A,NF-GLIMEPIRIDE ORAL TABLET 4MG,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132765,N/A,NF-VENLAFAXINE HCL ORAL TABLET 37.5MG,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132766,N/A,NF-LEVOTHYROXINE ORAL TABLET 0.2MG,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132767,N/A,NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.5MG,637,1 ,$0.39 ,$0.25 ,$0.25 ,$0.39 ,$0.31 , N/A ,$0.31 ,$0.35 ,$0.35 , N/A ,$0.33 ,$0.29 , N/A , N/A , N/A ,$0.33 , N/A ,$0.32 ,$0.31 ,$0.35 ,$0.39 ,$0.33 , N/A ,$0.33 ,$0.33 ,$0.35 ,$0.35 ,$0.31 ,$0.32 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132768,N/A,NF-CARTIA XT ORAL 24 HR CAP ER 180MG,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132769,N/A,NF-CYANOCOBALAMIN,637,1 ,$0.92 ,$0.60 ,$0.60 ,$0.92 ,$0.74 , N/A ,$0.73 ,$0.83 ,$0.83 , N/A ,$0.78 ,$0.68 , N/A , N/A , N/A ,$0.77 , N/A ,$0.76 ,$0.74 ,$0.83 ,$0.92 ,$0.78 , N/A ,$0.78 ,$0.78 ,$0.83 ,$0.83 ,$0.72 ,$0.76 , N/A ,$0.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413277,N/A,PILOCARPINE TABLET : 5MG,637,1 ,$6.29 ,$4.09 ,$4.09 ,$6.29 ,$5.03 , N/A ,$4.98 ,$5.66 ,$5.66 , N/A ,$5.35 ,$4.65 , N/A , N/A , N/A ,$5.25 , N/A ,$5.20 ,$5.03 ,$5.66 ,$6.29 ,$5.35 , N/A ,$5.35 ,$5.35 ,$5.66 ,$5.66 ,$4.94 ,$5.20 , N/A ,$4.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132770,N/A,NF-FUROSEMIDE 20MG TAB,637,1 ,$0.18 ,$0.12 ,$0.12 ,$0.18 ,$0.14 , N/A ,$0.14 ,$0.16 ,$0.16 , N/A ,$0.15 ,$0.13 , N/A , N/A , N/A ,$0.15 , N/A ,$0.15 ,$0.14 ,$0.16 ,$0.18 ,$0.15 , N/A ,$0.15 ,$0.15 ,$0.16 ,$0.16 ,$0.14 ,$0.15 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132771,N/A,"NF-PENTASA 500MG ORAL CAPSULE, EXTENDED",637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132772,N/A,NF-SERTRALINE HCL ORAL TABLET 100MG,637,1 ,$0.27 ,$0.18 ,$0.18 ,$0.27 ,$0.22 , N/A ,$0.21 ,$0.24 ,$0.24 , N/A ,$0.23 ,$0.20 , N/A , N/A , N/A ,$0.23 , N/A ,$0.22 ,$0.22 ,$0.24 ,$0.27 ,$0.23 , N/A ,$0.23 ,$0.23 ,$0.24 ,$0.24 ,$0.21 ,$0.22 , N/A ,$0.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132773,N/A,NF-PROPRANOLOL HC CAP 160MG,637,1 ,$0.54 ,$0.35 ,$0.35 ,$0.54 ,$0.43 , N/A ,$0.43 ,$0.49 ,$0.49 , N/A ,$0.46 ,$0.40 , N/A , N/A , N/A ,$0.45 , N/A ,$0.45 ,$0.43 ,$0.49 ,$0.54 ,$0.46 , N/A ,$0.46 ,$0.46 ,$0.49 ,$0.49 ,$0.42 ,$0.45 , N/A ,$0.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132774,N/A,NF-SINGULAIR 10MG ORAL TABLET,637,1 ,$0.58 ,$0.38 ,$0.38 ,$0.58 ,$0.46 , N/A ,$0.46 ,$0.52 ,$0.52 , N/A ,$0.49 ,$0.43 , N/A , N/A , N/A ,$0.48 , N/A ,$0.48 ,$0.46 ,$0.52 ,$0.58 ,$0.49 , N/A ,$0.49 ,$0.49 ,$0.52 ,$0.52 ,$0.46 ,$0.48 , N/A ,$0.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132775,N/A,NF-METOPROLOL 100MG ORAL TABLET,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132776,N/A,NF-FENOFIBRATE MICRONIZED 134MG ORAL CAP,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132777,N/A,"NF-FERROUS SULFATE 160MG ORAL TABLET, EX",637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132778,N/A,NF-METFORMIN HCL ORAL TABLET 1000MG,637,1 ,$0.42 ,$0.27 ,$0.27 ,$0.42 ,$0.34 , N/A ,$0.33 ,$0.38 ,$0.38 , N/A ,$0.36 ,$0.31 , N/A , N/A , N/A ,$0.35 , N/A ,$0.35 ,$0.34 ,$0.38 ,$0.42 ,$0.36 , N/A ,$0.36 ,$0.36 ,$0.38 ,$0.38 ,$0.33 ,$0.35 , N/A ,$0.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132779,N/A,NF-VASOTEC ORAL TABLET 20MG,637,1 ,$0.52 ,$0.34 ,$0.34 ,$0.52 ,$0.42 , N/A ,$0.41 ,$0.47 ,$0.47 , N/A ,$0.44 ,$0.38 , N/A , N/A , N/A ,$0.43 , N/A ,$0.43 ,$0.42 ,$0.47 ,$0.52 ,$0.44 , N/A ,$0.44 ,$0.44 ,$0.47 ,$0.47 ,$0.41 ,$0.43 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413278,N/A,NORDITROPIN FLEXPRO PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132780,N/A,NF-TOPROL XL EXTENDED-RELEASE TABLET 200,637,1 ,$0.26 ,$0.17 ,$0.17 ,$0.26 ,$0.21 , N/A ,$0.21 ,$0.23 ,$0.23 , N/A ,$0.22 ,$0.19 , N/A , N/A , N/A ,$0.22 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.26 ,$0.22 , N/A ,$0.22 ,$0.22 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132781,N/A,"NF-NUVARING VAGINAL INSERT, EXTENDED REL",637,1 ,$8.73 ,$5.67 ,$5.67 ,$8.73 ,$6.98 , N/A ,$6.92 ,$7.86 ,$7.86 , N/A ,$7.42 ,$6.46 , N/A , N/A , N/A ,$7.28 , N/A ,$7.21 ,$6.98 ,$7.86 ,$8.73 ,$7.42 , N/A ,$7.42 ,$7.42 ,$7.86 ,$7.86 ,$6.85 ,$7.21 , N/A ,$5.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132782,N/A,"NF-DEPAKOTE ER 500MG ORAL TABLET, EXTEND",637,1 ,$0.53 ,$0.34 ,$0.34 ,$0.53 ,$0.42 , N/A ,$0.42 ,$0.48 ,$0.48 , N/A ,$0.45 ,$0.39 , N/A , N/A , N/A ,$0.44 , N/A ,$0.44 ,$0.42 ,$0.48 ,$0.53 ,$0.45 , N/A ,$0.45 ,$0.45 ,$0.48 ,$0.48 ,$0.42 ,$0.44 , N/A ,$0.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132783,N/A,NF-CLONIDINE HCL 0.2MG ORAL TABLET,637,1 ,$0.21 ,$0.14 ,$0.14 ,$0.21 ,$0.17 , N/A ,$0.17 ,$0.19 ,$0.19 , N/A ,$0.18 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.17 ,$0.17 ,$0.19 ,$0.21 ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.19 ,$0.19 ,$0.16 ,$0.17 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132784,N/A,NF-CALCIUM 500 + D 500MG-125IU ORAL TABL,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132785,N/A,NF-ASMANEX TWISTHALER 0.22MG/ACTUATION I,637,1 ,$14.63 ,$9.51 ,$9.51 ,$14.63 ,$11.70 , N/A ,$11.59 ,$13.17 ,$13.17 , N/A ,$12.44 ,$10.83 , N/A , N/A , N/A ,$12.20 , N/A ,$12.08 ,$11.70 ,$13.17 ,$14.63 ,$12.44 , N/A ,$12.44 ,$12.44 ,$13.17 ,$13.17 ,$11.48 ,$12.08 , N/A ,$9.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132786,N/A,NF-PROPRANOLOL HCL CAP ER 120MG,637,1 ,$0.56 ,$0.36 ,$0.36 ,$0.56 ,$0.45 , N/A ,$0.44 ,$0.50 ,$0.50 , N/A ,$0.48 ,$0.41 , N/A , N/A , N/A ,$0.47 , N/A ,$0.46 ,$0.45 ,$0.50 ,$0.56 ,$0.48 , N/A ,$0.48 ,$0.48 ,$0.50 ,$0.50 ,$0.44 ,$0.46 , N/A ,$0.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132787,N/A,NF-ASPIRIN 81MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132788,N/A,"NF-OMEPRAZOLE 20MG ORAL CAPSULE, DELAYED",637,1 ,$0.50 ,$0.33 ,$0.33 ,$0.50 ,$0.40 , N/A ,$0.40 ,$0.45 ,$0.45 , N/A ,$0.43 ,$0.37 , N/A , N/A , N/A ,$0.42 , N/A ,$0.41 ,$0.40 ,$0.45 ,$0.50 ,$0.43 , N/A ,$0.43 ,$0.43 ,$0.45 ,$0.45 ,$0.39 ,$0.41 , N/A ,$0.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132789,N/A,NF-HYDROCHLOROTHIAZIDE 12.5MG ORAL TABLE,637,1 ,$0.16 ,$0.10 ,$0.10 ,$0.16 ,$0.13 , N/A ,$0.13 ,$0.14 ,$0.14 , N/A ,$0.14 ,$0.12 , N/A , N/A , N/A ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.16 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.14 ,$0.14 ,$0.13 ,$0.13 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413279,N/A,LOSARTAN TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132790,N/A,NF-DOXYCYCLINE 100MG ORAL CAPSULE,637,1 ,$0.16 ,$0.10 ,$0.10 ,$0.16 ,$0.13 , N/A ,$0.13 ,$0.14 ,$0.14 , N/A ,$0.14 ,$0.12 , N/A , N/A , N/A ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.16 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.14 ,$0.14 ,$0.13 ,$0.13 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132791,N/A,NF-AMARYL 4MG ORAL TABLET,637,1 ,$0.18 ,$0.12 ,$0.12 ,$0.18 ,$0.14 , N/A ,$0.14 ,$0.16 ,$0.16 , N/A ,$0.15 ,$0.13 , N/A , N/A , N/A ,$0.15 , N/A ,$0.15 ,$0.14 ,$0.16 ,$0.18 ,$0.15 , N/A ,$0.15 ,$0.15 ,$0.16 ,$0.16 ,$0.14 ,$0.15 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132792,N/A,NF-LEVOTHYROXINE 0.2MG ORAL TABLET,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132793,N/A,NF-HYDROCODONE BITART/ACET 325MG-5MG ORA,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132794,N/A,NF-ARTIFICIAL TEARS OPHTHALMIC SOLUTION,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132795,N/A,NF-HYDROCODONE BITART/ACET 325MG-5MG ORA,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132796,N/A,NF-MULTI VITAMINS ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132797,N/A,NF-BONIVA 150MG ORAL TABLET,637,1 ,$15.43 ,$10.03 ,$10.03 ,$15.43 ,$12.34 , N/A ,$12.23 ,$13.89 ,$13.89 , N/A ,$13.12 ,$11.42 , N/A , N/A , N/A ,$12.87 , N/A ,$12.75 ,$12.34 ,$13.89 ,$15.43 ,$13.12 , N/A ,$13.12 ,$13.12 ,$13.89 ,$13.89 ,$12.11 ,$12.75 , N/A ,$10.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132798,N/A,"NF-CARDIZEM LA 120MG ORAL TABLET, EXTEND",637,1 ,$0.27 ,$0.18 ,$0.18 ,$0.27 ,$0.22 , N/A ,$0.21 ,$0.24 ,$0.24 , N/A ,$0.23 ,$0.20 , N/A , N/A , N/A ,$0.23 , N/A ,$0.22 ,$0.22 ,$0.24 ,$0.27 ,$0.23 , N/A ,$0.23 ,$0.23 ,$0.24 ,$0.24 ,$0.21 ,$0.22 , N/A ,$0.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132799,N/A,NF-SIMVASTATIN 40MG,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413280,N/A,TAMOXIFEN TAB 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132800,N/A,NF-ALEVE 220MG ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132801,N/A,NF-TOPIRAMATE ORAL TABLET 200MG,637,1 ,$0.82 ,$0.53 ,$0.53 ,$0.82 ,$0.66 , N/A ,$0.65 ,$0.74 ,$0.74 , N/A ,$0.70 ,$0.61 , N/A , N/A , N/A ,$0.68 , N/A ,$0.68 ,$0.66 ,$0.74 ,$0.82 ,$0.70 , N/A ,$0.70 ,$0.70 ,$0.74 ,$0.74 ,$0.64 ,$0.68 , N/A ,$0.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132802,N/A,NF-SPIRONOLACTONE ORAL TABLET 50MG,637,1 ,$0.17 ,$0.11 ,$0.11 ,$0.17 ,$0.14 , N/A ,$0.13 ,$0.15 ,$0.15 , N/A ,$0.14 ,$0.13 , N/A , N/A , N/A ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.17 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.15 ,$0.13 ,$0.14 , N/A ,$0.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132803,N/A,NF-HYDROCODONE AND APAP TAB 5MG-325MG,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132804,N/A,NF-CIPRODEX OTIC SUSP,637,1 ,$2.14 ,$1.39 ,$1.39 ,$2.14 ,$1.71 , N/A ,$1.70 ,$1.93 ,$1.93 , N/A ,$1.82 ,$1.58 , N/A , N/A , N/A ,$1.78 , N/A ,$1.77 ,$1.71 ,$1.93 ,$2.14 ,$1.82 , N/A ,$1.82 ,$1.82 ,$1.93 ,$1.93 ,$1.68 ,$1.77 , N/A ,$1.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132805,N/A,NF-OXYCODONE HCL ORAL SOLUTION 20MG/1ML,637,1 ,$0.32 ,$0.21 ,$0.21 ,$0.32 ,$0.26 , N/A ,$0.25 ,$0.29 ,$0.29 , N/A ,$0.27 ,$0.24 , N/A , N/A , N/A ,$0.27 , N/A ,$0.26 ,$0.26 ,$0.29 ,$0.32 ,$0.27 , N/A ,$0.27 ,$0.27 ,$0.29 ,$0.29 ,$0.25 ,$0.26 , N/A ,$0.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132806,N/A,NF-FLUOROURACIL 5% CRM,637,1 ,$0.50 ,$0.33 ,$0.33 ,$0.50 ,$0.40 , N/A ,$0.40 ,$0.45 ,$0.45 , N/A ,$0.43 ,$0.37 , N/A , N/A , N/A ,$0.42 , N/A ,$0.41 ,$0.40 ,$0.45 ,$0.50 ,$0.43 , N/A ,$0.43 ,$0.43 ,$0.45 ,$0.45 ,$0.39 ,$0.41 , N/A ,$0.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132807,N/A,NF-PREMARIN ORAL TABLET 0.9MG,637,1 ,$0.28 ,$0.18 ,$0.18 ,$0.28 ,$0.22 , N/A ,$0.22 ,$0.25 ,$0.25 , N/A ,$0.24 ,$0.21 , N/A , N/A , N/A ,$0.23 , N/A ,$0.23 ,$0.22 ,$0.25 ,$0.28 ,$0.24 , N/A ,$0.24 ,$0.24 ,$0.25 ,$0.25 ,$0.22 ,$0.23 , N/A ,$0.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132808,N/A,NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 1MG,637,1 ,$0.22 ,$0.14 ,$0.14 ,$0.22 ,$0.18 , N/A ,$0.17 ,$0.20 ,$0.20 , N/A ,$0.19 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.20 ,$0.22 ,$0.19 , N/A ,$0.19 ,$0.19 ,$0.20 ,$0.20 ,$0.17 ,$0.18 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132809,N/A,NF-NEXIUM ORAL DELAYED-RELEASE CAPSULE 4,637,1 ,$0.56 ,$0.36 ,$0.36 ,$0.56 ,$0.45 , N/A ,$0.44 ,$0.50 ,$0.50 , N/A ,$0.48 ,$0.41 , N/A , N/A , N/A ,$0.47 , N/A ,$0.46 ,$0.45 ,$0.50 ,$0.56 ,$0.48 , N/A ,$0.48 ,$0.48 ,$0.50 ,$0.50 ,$0.44 ,$0.46 , N/A ,$0.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413281,J2357,XOLAIR (SUBQ) SYR : 150MG CLINIC ONLY,636,1 ,"$2,361.60 ","$1,535.04 ",$37.89 ,"$2,126.62 ","$1,889.28 ",$37.89 ,"$1,871.33 ","$2,126.62 ","$2,126.62 ",$71.99 ,"$2,007.36 ","$1,747.58 ",$94.73 ,$37.89 , N/A ,"$1,969.57 ",$37.89 ,"$1,950.68 ","$1,889.28 ","$2,125.44 ",$94.73 ,"$2,007.36 ",$37.89 ,"$2,007.36 ","$2,007.36 ","$2,125.44 ","$2,125.44 ","$1,853.86 ","$1,950.68 ",$37.89 ,"$1,535.04 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34132810,N/A,NF-ENALAPRIL MALEATE ORAL TABLET 20MG,637,1 ,$0.15 ,$0.10 ,$0.10 ,$0.15 ,$0.12 , N/A ,$0.12 ,$0.14 ,$0.14 , N/A ,$0.13 ,$0.11 , N/A , N/A , N/A ,$0.13 , N/A ,$0.12 ,$0.12 ,$0.14 ,$0.15 ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.14 ,$0.12 ,$0.12 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132811,N/A,"NF-OMEPRAZOLE 40MG ORAL CAPSULE, DELAYED",637,1 ,$0.13 ,$0.08 ,$0.08 ,$0.13 ,$0.10 , N/A ,$0.10 ,$0.12 ,$0.12 , N/A ,$0.11 ,$0.10 , N/A , N/A , N/A ,$0.11 , N/A ,$0.11 ,$0.10 ,$0.12 ,$0.13 ,$0.11 , N/A ,$0.11 ,$0.11 ,$0.12 ,$0.12 ,$0.10 ,$0.11 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132812,N/A,"NF-CYMBALTA 60MG ORAL CAPSULE, DELAYED R",637,1 ,$1.00 ,$0.65 ,$0.65 ,$1.00 ,$0.80 , N/A ,$0.79 ,$0.90 ,$0.90 , N/A ,$0.85 ,$0.74 , N/A , N/A , N/A ,$0.83 , N/A ,$0.83 ,$0.80 ,$0.90 ,$1.00 ,$0.85 , N/A ,$0.85 ,$0.85 ,$0.90 ,$0.90 ,$0.79 ,$0.83 , N/A ,$0.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132813,N/A,"NF-NEXIUM 40MG ORAL CAPSULE, DELAYED REL",637,1 ,$1.50 ,$0.98 ,$0.98 ,$1.50 ,$1.20 , N/A ,$1.19 ,$1.35 ,$1.35 , N/A ,$1.28 ,$1.11 , N/A , N/A , N/A ,$1.25 , N/A ,$1.24 ,$1.20 ,$1.35 ,$1.50 ,$1.28 , N/A ,$1.28 ,$1.28 ,$1.35 ,$1.35 ,$1.18 ,$1.24 , N/A ,$0.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132814,N/A,NF-METFORMIN 1000MG ORAL TABLET,637,1 ,$0.15 ,$0.10 ,$0.10 ,$0.15 ,$0.12 , N/A ,$0.12 ,$0.14 ,$0.14 , N/A ,$0.13 ,$0.11 , N/A , N/A , N/A ,$0.13 , N/A ,$0.12 ,$0.12 ,$0.14 ,$0.15 ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.14 ,$0.12 ,$0.12 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132815,N/A,NF-METFORMIN 1000MG ORAL TABLET,637,1 ,$0.17 ,$0.11 ,$0.11 ,$0.17 ,$0.14 , N/A ,$0.13 ,$0.15 ,$0.15 , N/A ,$0.14 ,$0.13 , N/A , N/A , N/A ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.17 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.15 ,$0.13 ,$0.14 , N/A ,$0.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132816,N/A,NF-GLUCOTROL 10MG ORAL TABLET,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132817,N/A,"NF-OMEPRAZOLE 20MG ORAL CAPSULE, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132818,N/A,NF-NORVASC 10MG ORAL TABLET,637,1 ,$0.45 ,$0.29 ,$0.29 ,$0.45 ,$0.36 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.38 ,$0.33 , N/A , N/A , N/A ,$0.38 , N/A ,$0.37 ,$0.36 ,$0.41 ,$0.45 ,$0.38 , N/A ,$0.38 ,$0.38 ,$0.41 ,$0.41 ,$0.35 ,$0.37 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132819,N/A,NF-LISINOPRIL 30MG ORAL TABLET,637,1 ,$0.15 ,$0.10 ,$0.10 ,$0.15 ,$0.12 , N/A ,$0.12 ,$0.14 ,$0.14 , N/A ,$0.13 ,$0.11 , N/A , N/A , N/A ,$0.13 , N/A ,$0.12 ,$0.12 ,$0.14 ,$0.15 ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.14 ,$0.12 ,$0.12 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413282,N/A,NAMENDA XR CAP 28MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132820,N/A,NF-SIMVASTATIN 20MG ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132821,N/A,"NF-EFFEXOR XR 150MG ORAL CAPSULE, EXTEND",637,1 ,$0.43 ,$0.28 ,$0.28 ,$0.43 ,$0.34 , N/A ,$0.34 ,$0.39 ,$0.39 , N/A ,$0.37 ,$0.32 , N/A , N/A , N/A ,$0.36 , N/A ,$0.36 ,$0.34 ,$0.39 ,$0.43 ,$0.37 , N/A ,$0.37 ,$0.37 ,$0.39 ,$0.39 ,$0.34 ,$0.36 , N/A ,$0.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132822,N/A,NF-CLONIDINE HCL 0.3MG ORAL TABLET,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132823,N/A,NF-COUMADIN 10MG ORAL TABLET,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132824,N/A,NF-ZOCOR 40MG ORAL TABLET,637,1 ,$0.65 ,$0.42 ,$0.42 ,$0.65 ,$0.52 , N/A ,$0.52 ,$0.59 ,$0.59 , N/A ,$0.55 ,$0.48 , N/A , N/A , N/A ,$0.54 , N/A ,$0.54 ,$0.52 ,$0.59 ,$0.65 ,$0.55 , N/A ,$0.55 ,$0.55 ,$0.59 ,$0.59 ,$0.51 ,$0.54 , N/A ,$0.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132825,N/A,NF-ST. JOHN'S WORT CAPSULE 150MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132826,N/A,"NF-ASPIRIN 81MG ORAL TABLET, CHEWABLE",637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132827,N/A,NF-VITRON-C TABLET,637,1 ,$0.13 ,$0.08 ,$0.08 ,$0.13 ,$0.10 , N/A ,$0.10 ,$0.12 ,$0.12 , N/A ,$0.11 ,$0.10 , N/A , N/A , N/A ,$0.11 , N/A ,$0.11 ,$0.10 ,$0.12 ,$0.13 ,$0.11 , N/A ,$0.11 ,$0.11 ,$0.12 ,$0.12 ,$0.10 ,$0.11 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132828,N/A,NF-MULTAQ 400MG ORAL TABLET,637,1 ,$1.05 ,$0.68 ,$0.68 ,$1.05 ,$0.84 , N/A ,$0.83 ,$0.95 ,$0.95 , N/A ,$0.89 ,$0.78 , N/A , N/A , N/A ,$0.88 , N/A ,$0.87 ,$0.84 ,$0.95 ,$1.05 ,$0.89 , N/A ,$0.89 ,$0.89 ,$0.95 ,$0.95 ,$0.82 ,$0.87 , N/A ,$0.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132829,N/A,NF-HCTZ/LISINOPRIL 25MG-20MG ORAL TABLET,637,1 ,$0.22 ,$0.14 ,$0.14 ,$0.22 ,$0.18 , N/A ,$0.17 ,$0.20 ,$0.20 , N/A ,$0.19 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.20 ,$0.22 ,$0.19 , N/A ,$0.19 ,$0.19 ,$0.20 ,$0.20 ,$0.17 ,$0.18 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413283,N/A,EFFIENT TABLET 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132830,N/A,NF-DIOVAN HCT 12.5MG-160MG ORAL TABLET,637,1 ,$0.51 ,$0.33 ,$0.33 ,$0.51 ,$0.41 , N/A ,$0.40 ,$0.46 ,$0.46 , N/A ,$0.43 ,$0.38 , N/A , N/A , N/A ,$0.43 , N/A ,$0.42 ,$0.41 ,$0.46 ,$0.51 ,$0.43 , N/A ,$0.43 ,$0.43 ,$0.46 ,$0.46 ,$0.40 ,$0.42 , N/A ,$0.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132831,N/A,NF-ASPIRIN ORAL TABLET 325MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132832,N/A,NF-FUROSEMIDE 20MG,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132833,N/A,NF-MILK OF MAGNESIA 400MG/5ML ORAL SUSPE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132834,N/A,NF-FOLIC ACID ORAL TABLET 0.8MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132835,N/A,NF-NEPHRO-VITE 60MG-0.3MG-10MG-0.00 ORAL,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132836,N/A,NF-TEMAZEPAM 7.5MG ORAL CAPSULE,637,1 ,$1.00 ,$0.65 ,$0.65 ,$1.00 ,$0.80 , N/A ,$0.79 ,$0.90 ,$0.90 , N/A ,$0.85 ,$0.74 , N/A , N/A , N/A ,$0.83 , N/A ,$0.83 ,$0.80 ,$0.90 ,$1.00 ,$0.85 , N/A ,$0.85 ,$0.85 ,$0.90 ,$0.90 ,$0.79 ,$0.83 , N/A ,$0.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132837,N/A,NF-EPOGEN 20000U/ML INJECTION SOLUTION,637,1 ,$31.50 ,$20.48 ,$20.48 ,$31.50 ,$25.20 , N/A ,$24.96 ,$28.37 ,$28.37 , N/A ,$26.78 ,$23.31 , N/A , N/A , N/A ,$26.27 , N/A ,$26.02 ,$25.20 ,$28.35 ,$31.50 ,$26.78 , N/A ,$26.78 ,$26.78 ,$28.35 ,$28.35 ,$24.73 ,$26.02 , N/A ,$20.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132838,N/A,NF-DILTIAZEM HCL 120MG ORAL TABLET,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132839,N/A,"NF-HEPARIN SODIUM 1,000U/1ML INJECTION S",637,1 ,$0.09 ,$0.06 ,$0.06 ,$0.09 ,$0.07 , N/A ,$0.07 ,$0.08 ,$0.08 , N/A ,$0.08 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.07 ,$0.07 ,$0.08 ,$0.09 ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.08 ,$0.08 ,$0.07 ,$0.07 , N/A ,$0.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413284,N/A,ELIQUIS TABLET : 5MG,637,1 ,$30.45 ,$19.79 ,$19.79 ,$30.45 ,$24.36 , N/A ,$24.13 ,$27.42 ,$27.42 , N/A ,$25.88 ,$22.53 , N/A , N/A , N/A ,$25.40 , N/A ,$25.15 ,$24.36 ,$27.41 ,$30.45 ,$25.88 , N/A ,$25.88 ,$25.88 ,$27.41 ,$27.41 ,$23.90 ,$25.15 , N/A ,$19.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132840,N/A,NF-ROCEPHIN 1GM INJECTION POWDER FOR SOL,637,1 ,$6.25 ,$4.06 ,$4.06 ,$6.25 ,$5.00 , N/A ,$4.95 ,$5.63 ,$5.63 , N/A ,$5.31 ,$4.63 , N/A , N/A , N/A ,$5.21 , N/A ,$5.16 ,$5.00 ,$5.63 ,$6.25 ,$5.31 , N/A ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 , N/A ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132841,N/A,NF-VANCOMYCIN HCL NOVATION 1GM INTRAVENO,637,1 ,$1.77 ,$1.15 ,$1.15 ,$1.77 ,$1.42 , N/A ,$1.40 ,$1.59 ,$1.59 , N/A ,$1.50 ,$1.31 , N/A , N/A , N/A ,$1.48 , N/A ,$1.46 ,$1.42 ,$1.59 ,$1.77 ,$1.50 , N/A ,$1.50 ,$1.50 ,$1.59 ,$1.59 ,$1.39 ,$1.46 , N/A ,$1.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132842,N/A,NF-SALINE NASAL SPRAY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132843,N/A,NF-NOVOLOG FLEXPEN 100U/1ML SUBCUTANEOUS,637,1 ,$1.84 ,$1.20 ,$1.20 ,$1.84 ,$1.47 , N/A ,$1.46 ,$1.66 ,$1.66 , N/A ,$1.56 ,$1.36 , N/A , N/A , N/A ,$1.53 , N/A ,$1.52 ,$1.47 ,$1.66 ,$1.84 ,$1.56 , N/A ,$1.56 ,$1.56 ,$1.66 ,$1.66 ,$1.44 ,$1.52 , N/A ,$1.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132844,N/A,NF-GABAPENTIN 100MG ORAL TABLET,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132845,N/A,NF-ROPINIROLE HCL TAB 0.5MG,637,1 ,$0.36 ,$0.23 ,$0.23 ,$0.36 ,$0.29 , N/A ,$0.29 ,$0.32 ,$0.32 , N/A ,$0.31 ,$0.27 , N/A , N/A , N/A ,$0.30 , N/A ,$0.30 ,$0.29 ,$0.32 ,$0.36 ,$0.31 , N/A ,$0.31 ,$0.31 ,$0.32 ,$0.32 ,$0.28 ,$0.30 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132846,N/A,NF-TRIAMTERENE-HYDROCHLOROTHIAZIDE CAP 3,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132847,N/A,NF-OMEPRAZOLE CAP DR 20MG,637,1 ,$0.31 ,$0.20 ,$0.20 ,$0.31 ,$0.25 , N/A ,$0.25 ,$0.28 ,$0.28 , N/A ,$0.26 ,$0.23 , N/A , N/A , N/A ,$0.26 , N/A ,$0.26 ,$0.25 ,$0.28 ,$0.31 ,$0.26 , N/A ,$0.26 ,$0.26 ,$0.28 ,$0.28 ,$0.24 ,$0.26 , N/A ,$0.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132848,N/A,NF-PRIMIDONE 250MG,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132849,N/A,NF-ATRIPLA 600MG-200MG-300MG ORAL TABLET,637,1 ,$7.03 ,$4.57 ,$4.57 ,$7.03 ,$5.62 , N/A ,$5.57 ,$6.33 ,$6.33 , N/A ,$5.98 ,$5.20 , N/A , N/A , N/A ,$5.86 , N/A ,$5.81 ,$5.62 ,$6.33 ,$7.03 ,$5.98 , N/A ,$5.98 ,$5.98 ,$6.33 ,$6.33 ,$5.52 ,$5.81 , N/A ,$4.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413285,N/A,BESIVANCE 0.6% EYE DROP PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132850,N/A,NF-BECONASE AQ 0.042MG/ACTUATION NASAL S,637,1 ,$0.16 ,$0.10 ,$0.10 ,$0.16 ,$0.13 , N/A ,$0.13 ,$0.14 ,$0.14 , N/A ,$0.14 ,$0.12 , N/A , N/A , N/A ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.16 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.14 ,$0.14 ,$0.13 ,$0.13 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132851,N/A,NF-NATURE\'S BLEND BIOTIN 1000MCG ORAL T,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132852,N/A,NF-TYLENOL 8 HOUR TAB ER 650MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132853,N/A,NF-ATORVASTATIN CALCIUM 10MG ORAL TABLET,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132854,N/A,"NF-ASPIRIN 81MG ORAL TABLET, ENTERIC COA",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132855,N/A,NF-LORAZEPAM 0.5MG ORAL TABLET,637,1 ,$0.13 ,$0.08 ,$0.08 ,$0.13 ,$0.10 , N/A ,$0.10 ,$0.12 ,$0.12 , N/A ,$0.11 ,$0.10 , N/A , N/A , N/A ,$0.11 , N/A ,$0.11 ,$0.10 ,$0.12 ,$0.13 ,$0.11 , N/A ,$0.11 ,$0.11 ,$0.12 ,$0.12 ,$0.10 ,$0.11 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132856,N/A,NF-FUROSEMIDE 40MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132857,N/A,NF-LISINOPRIL 20MG ORAL TABLET,637,1 ,$0.11 ,$0.07 ,$0.07 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.10 ,$0.10 , N/A ,$0.09 ,$0.08 , N/A , N/A , N/A ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.11 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.10 ,$0.10 ,$0.09 ,$0.09 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132858,N/A,NF-CELEBREX CAP 200MG,637,1 ,$0.85 ,$0.55 ,$0.55 ,$0.85 ,$0.68 , N/A ,$0.67 ,$0.77 ,$0.77 , N/A ,$0.72 ,$0.63 , N/A , N/A , N/A ,$0.71 , N/A ,$0.70 ,$0.68 ,$0.77 ,$0.85 ,$0.72 , N/A ,$0.72 ,$0.72 ,$0.77 ,$0.77 ,$0.67 ,$0.70 , N/A ,$0.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132859,N/A,NF-PAROXETINE HCL TAB 40MG,637,1 ,$0.40 ,$0.26 ,$0.26 ,$0.40 ,$0.32 , N/A ,$0.32 ,$0.36 ,$0.36 , N/A ,$0.34 ,$0.30 , N/A , N/A , N/A ,$0.33 , N/A ,$0.33 ,$0.32 ,$0.36 ,$0.40 ,$0.34 , N/A ,$0.34 ,$0.34 ,$0.36 ,$0.36 ,$0.31 ,$0.33 , N/A ,$0.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413286,N/A,ILEVRO 0.3% EYE DROP PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132860,N/A,NF-HYDROCODONE AND APAP TABLET 5MG-325MG,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132861,N/A,NF-REFRESH OPHTH SOLUTION,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132862,N/A,NF-CITRACAL D TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132863,N/A,NF-FUROSEMIDE 20MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132864,N/A,NF-TRICOR 48MG ORAL TABLET,637,1 ,$0.21 ,$0.14 ,$0.14 ,$0.21 ,$0.17 , N/A ,$0.17 ,$0.19 ,$0.19 , N/A ,$0.18 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.17 ,$0.17 ,$0.19 ,$0.21 ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.19 ,$0.19 ,$0.16 ,$0.17 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132865,N/A,NF-AMLODIPINE BESYLATE ORAL TABLET 10MG,637,1 ,$0.25 ,$0.16 ,$0.16 ,$0.25 ,$0.20 , N/A ,$0.20 ,$0.23 ,$0.23 , N/A ,$0.21 ,$0.19 , N/A , N/A , N/A ,$0.21 , N/A ,$0.21 ,$0.20 ,$0.23 ,$0.25 ,$0.21 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132866,N/A,NF-BUSPIRONE HCL TAB 15MG,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132867,N/A,NF-SIMVASTATIN ORAL TABLET 80MG,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132868,N/A,NF-FENTANYL TD PATCH ER 100MCG/1HR,637,1 ,$7.55 ,$4.91 ,$4.91 ,$7.55 ,$6.04 , N/A ,$5.98 ,$6.80 ,$6.80 , N/A ,$6.42 ,$5.59 , N/A , N/A , N/A ,$6.30 , N/A ,$6.24 ,$6.04 ,$6.80 ,$7.55 ,$6.42 , N/A ,$6.42 ,$6.42 ,$6.80 ,$6.80 ,$5.93 ,$6.24 , N/A ,$4.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132869,N/A,NF-RANITIDINE 150MG,637,1 ,$0.16 ,$0.10 ,$0.10 ,$0.16 ,$0.13 , N/A ,$0.13 ,$0.14 ,$0.14 , N/A ,$0.14 ,$0.12 , N/A , N/A , N/A ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.16 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.14 ,$0.14 ,$0.13 ,$0.13 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413287,J1602,SIMPONI ARIA 50MG/4ML VIAL,636,1 ,"$3,524.19 ","$2,290.72 ",$16.96 ,"$3,173.53 ","$2,819.35 ",$16.96 ,"$2,792.57 ","$3,173.53 ","$3,173.53 ",$32.22 ,"$2,995.56 ","$2,607.90 ",$42.39 ,$16.96 , N/A ,"$2,939.17 ",$16.96 ,"$2,910.98 ","$2,819.35 ","$3,171.77 ",$42.39 ,"$2,995.56 ",$16.96 ,"$2,995.56 ","$2,995.56 ","$3,171.77 ","$3,171.77 ","$2,766.49 ","$2,910.98 ",$16.96 ,"$2,290.72 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34132870,N/A,NF-ZAROXOLYN 5MG ORAL TABLET,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132871,N/A,NF-CASODEX 50MG ORAL TABLET,637,1 ,$2.10 ,$1.37 ,$1.37 ,$2.10 ,$1.68 , N/A ,$1.66 ,$1.89 ,$1.89 , N/A ,$1.79 ,$1.55 , N/A , N/A , N/A ,$1.75 , N/A ,$1.73 ,$1.68 ,$1.89 ,$2.10 ,$1.79 , N/A ,$1.79 ,$1.79 ,$1.89 ,$1.89 ,$1.65 ,$1.73 , N/A ,$1.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132872,N/A,NF-OMEPRAZOLE CAP DR 10MG,637,1 ,$0.35 ,$0.23 ,$0.23 ,$0.35 ,$0.28 , N/A ,$0.28 ,$0.32 ,$0.32 , N/A ,$0.30 ,$0.26 , N/A , N/A , N/A ,$0.29 , N/A ,$0.29 ,$0.28 ,$0.32 ,$0.35 ,$0.30 , N/A ,$0.30 ,$0.30 ,$0.32 ,$0.32 ,$0.27 ,$0.29 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132873,N/A,NF-PRISTIQ EXTENDED-RELEASE TABLET 50MG,637,1 ,$0.59 ,$0.38 ,$0.38 ,$0.59 ,$0.47 , N/A ,$0.47 ,$0.53 ,$0.53 , N/A ,$0.50 ,$0.44 , N/A , N/A , N/A ,$0.49 , N/A ,$0.49 ,$0.47 ,$0.53 ,$0.59 ,$0.50 , N/A ,$0.50 ,$0.50 ,$0.53 ,$0.53 ,$0.46 ,$0.49 , N/A ,$0.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132874,N/A,"NF-PRISTIQ 50MG ORAL TABLET, EXTENDED RE",637,1 ,$0.67 ,$0.44 ,$0.44 ,$0.67 ,$0.54 , N/A ,$0.53 ,$0.60 ,$0.60 , N/A ,$0.57 ,$0.50 , N/A , N/A , N/A ,$0.56 , N/A ,$0.55 ,$0.54 ,$0.60 ,$0.67 ,$0.57 , N/A ,$0.57 ,$0.57 ,$0.60 ,$0.60 ,$0.53 ,$0.55 , N/A ,$0.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132875,N/A,NF-OMEPRAZOLE CAP DR 20MG,637,1 ,$0.49 ,$0.32 ,$0.32 ,$0.49 ,$0.39 , N/A ,$0.39 ,$0.44 ,$0.44 , N/A ,$0.42 ,$0.36 , N/A , N/A , N/A ,$0.41 , N/A ,$0.40 ,$0.39 ,$0.44 ,$0.49 ,$0.42 , N/A ,$0.42 ,$0.42 ,$0.44 ,$0.44 ,$0.38 ,$0.40 , N/A ,$0.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132876,N/A,"NF-PRILOSEC OTC 20MG ORAL TABLET, DELAYE",637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132877,N/A,NF-PRILOSEC CAP DR 20MG,637,1 ,$0.64 ,$0.42 ,$0.42 ,$0.64 ,$0.51 , N/A ,$0.51 ,$0.58 ,$0.58 , N/A ,$0.54 ,$0.47 , N/A , N/A , N/A ,$0.53 , N/A ,$0.53 ,$0.51 ,$0.58 ,$0.64 ,$0.54 , N/A ,$0.54 ,$0.54 ,$0.58 ,$0.58 ,$0.50 ,$0.53 , N/A ,$0.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132878,N/A,NF-OMEPRAZOLE TAB DR 20MG,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132879,N/A,NF-CELEXA 10MG ORAL TABLET,637,1 ,$0.45 ,$0.29 ,$0.29 ,$0.45 ,$0.36 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.38 ,$0.33 , N/A , N/A , N/A ,$0.38 , N/A ,$0.37 ,$0.36 ,$0.41 ,$0.45 ,$0.38 , N/A ,$0.38 ,$0.38 ,$0.41 ,$0.41 ,$0.35 ,$0.37 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413288,N/A,INDOMETHACIN CAPSULE : 25MG,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132880,N/A,NF-NITROMIST 0.4MG/ACTUATION SUBLINGUAL,637,1 ,$3.24 ,$2.11 ,$2.11 ,$3.24 ,$2.59 , N/A ,$2.57 ,$2.92 ,$2.92 , N/A ,$2.75 ,$2.40 , N/A , N/A , N/A ,$2.70 , N/A ,$2.68 ,$2.59 ,$2.92 ,$3.24 ,$2.75 , N/A ,$2.75 ,$2.75 ,$2.92 ,$2.92 ,$2.54 ,$2.68 , N/A ,$2.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132881,N/A,NF-RESTORIL 30MG ORAL CAPSULE,637,1 ,$1.24 ,$0.81 ,$0.81 ,$1.24 ,$0.99 , N/A ,$0.98 ,$1.12 ,$1.12 , N/A ,$1.05 ,$0.92 , N/A , N/A , N/A ,$1.03 , N/A ,$1.02 ,$0.99 ,$1.12 ,$1.24 ,$1.05 , N/A ,$1.05 ,$1.05 ,$1.12 ,$1.12 ,$0.97 ,$1.02 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132882,N/A,NF-ITRACONAZOLE CAP 100MG,637,1 ,$1.14 ,$0.74 ,$0.74 ,$1.14 ,$0.91 , N/A ,$0.90 ,$1.03 ,$1.03 , N/A ,$0.97 ,$0.84 , N/A , N/A , N/A ,$0.95 , N/A ,$0.94 ,$0.91 ,$1.03 ,$1.14 ,$0.97 , N/A ,$0.97 ,$0.97 ,$1.03 ,$1.03 ,$0.89 ,$0.94 , N/A ,$0.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132883,N/A,NF-PROAIR HFA INH AER PWD 0.09MG/1 INH,637,1 ,$0.43 ,$0.28 ,$0.28 ,$0.43 ,$0.34 , N/A ,$0.34 ,$0.39 ,$0.39 , N/A ,$0.37 ,$0.32 , N/A , N/A , N/A ,$0.36 , N/A ,$0.36 ,$0.34 ,$0.39 ,$0.43 ,$0.37 , N/A ,$0.37 ,$0.37 ,$0.39 ,$0.39 ,$0.34 ,$0.36 , N/A ,$0.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132884,N/A,NF-PRENATAL 100MG-200MG-0.008MG- ORAL TA,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132885,N/A,NF-LUTEIN 20MG ORAL TABLET,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132886,N/A,NF-LEVEMIR 100U/1ML SUBCUTANEOUS SOLUTIO,637,1 ,$1.51 ,$0.98 ,$0.98 ,$1.51 ,$1.21 , N/A ,$1.20 ,$1.36 ,$1.36 , N/A ,$1.28 ,$1.12 , N/A , N/A , N/A ,$1.26 , N/A ,$1.25 ,$1.21 ,$1.36 ,$1.51 ,$1.28 , N/A ,$1.28 ,$1.28 ,$1.36 ,$1.36 ,$1.19 ,$1.25 , N/A ,$0.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132887,N/A,NF-SOTALOL HCL 80MG ORAL TABLET,637,1 ,$0.25 ,$0.16 ,$0.16 ,$0.25 ,$0.20 , N/A ,$0.20 ,$0.23 ,$0.23 , N/A ,$0.21 ,$0.19 , N/A , N/A , N/A ,$0.21 , N/A ,$0.21 ,$0.20 ,$0.23 ,$0.25 ,$0.21 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132888,N/A,NF-GLYBURIDE/METFORMIN 5MG-500MG ORAL TA,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132889,N/A,NF-CLARINEX-D 24 HOUR 24 HR TAB ER 5MG-2,637,1 ,$0.60 ,$0.39 ,$0.39 ,$0.60 ,$0.48 , N/A ,$0.48 ,$0.54 ,$0.54 , N/A ,$0.51 ,$0.44 , N/A , N/A , N/A ,$0.50 , N/A ,$0.50 ,$0.48 ,$0.54 ,$0.60 ,$0.51 , N/A ,$0.51 ,$0.51 ,$0.54 ,$0.54 ,$0.47 ,$0.50 , N/A ,$0.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413289,90686,INFLUENZA VACCINE IM QUADRIVA 2015-2016,636,1 ,$53.00 ,$34.45 ,$34.45 ,$47.73 ,$42.40 , N/A ,$42.00 ,$47.73 ,$47.73 , N/A ,$45.05 ,$39.22 , N/A , N/A , N/A ,$44.20 , N/A ,$43.78 ,$42.40 ,$47.70 , N/A ,$45.05 , N/A ,$45.05 ,$45.05 ,$47.70 ,$47.70 ,$41.61 ,$43.78 , N/A ,$34.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132890,N/A,NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132891,N/A,NF-CITALOPRAM HYDROBROMIDE ORAL TAB 40MG,637,1 ,$0.26 ,$0.17 ,$0.17 ,$0.26 ,$0.21 , N/A ,$0.21 ,$0.23 ,$0.23 , N/A ,$0.22 ,$0.19 , N/A , N/A , N/A ,$0.22 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.26 ,$0.22 , N/A ,$0.22 ,$0.22 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132892,N/A,NF-OMEGA-3 KRILL OIL ORAL LIQUID CAPSULE,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132893,N/A,NF-NUCYNTA ORAL TABLET 50MG,637,1 ,$0.27 ,$0.18 ,$0.18 ,$0.27 ,$0.22 , N/A ,$0.21 ,$0.24 ,$0.24 , N/A ,$0.23 ,$0.20 , N/A , N/A , N/A ,$0.23 , N/A ,$0.22 ,$0.22 ,$0.24 ,$0.27 ,$0.23 , N/A ,$0.23 ,$0.23 ,$0.24 ,$0.24 ,$0.21 ,$0.22 , N/A ,$0.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132894,N/A,NF-CLARITIN-D 24 HOUR 24 HR TAB ER 10MG,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132895,N/A,NF-AMITRIPTYLINE HCL ORAL TABLET 75MG,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132896,N/A,NF-NOVOLOG MIX 70/30 INJECTION,637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132897,N/A,NF-WOMEN\'S DAILY ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132898,N/A,NF-HYALURONIC ACID NA SALT,637,1 ,$112.50 ,$73.13 ,$73.13 ,$112.50 ,$90.00 , N/A ,$89.15 ,$101.31 ,$101.31 , N/A ,$95.63 ,$83.25 , N/A , N/A , N/A ,$93.83 , N/A ,$92.93 ,$90.00 ,$101.25 ,$112.50 ,$95.63 , N/A ,$95.63 ,$95.63 ,$101.25 ,$101.25 ,$88.31 ,$92.93 , N/A ,$73.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132899,N/A,NF-ACARBOSE 50MG ORAL TABLET,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413290,N/A,HYDROmorPHONE (DILAUDID) TAB : 2MG,637,1 ,$2.55 ,$1.66 ,$1.66 ,$2.55 ,$2.04 , N/A ,$2.02 ,$2.30 ,$2.30 , N/A ,$2.17 ,$1.89 , N/A , N/A , N/A ,$2.13 , N/A ,$2.11 ,$2.04 ,$2.30 ,$2.55 ,$2.17 , N/A ,$2.17 ,$2.17 ,$2.30 ,$2.30 ,$2.00 ,$2.11 , N/A ,$1.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132900,N/A,NF-FOLIC ACID 0.8MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132901,N/A,NF-CLINDAMYCIN HCL 300MG ORAL CAPSULE,637,1 ,$0.46 ,$0.30 ,$0.30 ,$0.46 ,$0.37 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.39 ,$0.34 , N/A , N/A , N/A ,$0.38 , N/A ,$0.38 ,$0.37 ,$0.41 ,$0.46 ,$0.39 , N/A ,$0.39 ,$0.39 ,$0.41 ,$0.41 ,$0.36 ,$0.38 , N/A ,$0.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132902,N/A,NF-LORTAB 500MG-7.5MG ORAL TABLET,637,1 ,$0.10 ,$0.07 ,$0.07 ,$0.10 ,$0.08 , N/A ,$0.08 ,$0.09 ,$0.09 , N/A ,$0.09 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.09 ,$0.10 ,$0.09 , N/A ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.08 ,$0.08 , N/A ,$0.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132903,N/A,NF-CITALOPRAM 40MG ORAL TABLET,637,1 ,$0.35 ,$0.23 ,$0.23 ,$0.35 ,$0.28 , N/A ,$0.28 ,$0.32 ,$0.32 , N/A ,$0.30 ,$0.26 , N/A , N/A , N/A ,$0.29 , N/A ,$0.29 ,$0.28 ,$0.32 ,$0.35 ,$0.30 , N/A ,$0.30 ,$0.30 ,$0.32 ,$0.32 ,$0.27 ,$0.29 , N/A ,$0.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132904,N/A,NF-PROVENTIL 0.09MG/ACTUATION INHALATION,637,1 ,$0.17 ,$0.11 ,$0.11 ,$0.17 ,$0.14 , N/A ,$0.13 ,$0.15 ,$0.15 , N/A ,$0.14 ,$0.13 , N/A , N/A , N/A ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.17 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.15 ,$0.15 ,$0.13 ,$0.14 , N/A ,$0.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132905,N/A,NF-WARFARIN ORAL TABLET 10MG,637,1 ,$0.09 ,$0.06 ,$0.06 ,$0.09 ,$0.07 , N/A ,$0.07 ,$0.08 ,$0.08 , N/A ,$0.08 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.07 ,$0.07 ,$0.08 ,$0.09 ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.08 ,$0.08 ,$0.07 ,$0.07 , N/A ,$0.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132906,N/A,NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION,637,1 ,$1.88 ,$1.22 ,$1.22 ,$1.88 ,$1.50 , N/A ,$1.49 ,$1.69 ,$1.69 , N/A ,$1.60 ,$1.39 , N/A , N/A , N/A ,$1.57 , N/A ,$1.55 ,$1.50 ,$1.69 ,$1.88 ,$1.60 , N/A ,$1.60 ,$1.60 ,$1.69 ,$1.69 ,$1.48 ,$1.55 , N/A ,$1.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132907,N/A,NF-DESOXIMETASONE 0.25% TOPICAL APPLICAT,637,1 ,$0.22 ,$0.14 ,$0.14 ,$0.22 ,$0.18 , N/A ,$0.17 ,$0.20 ,$0.20 , N/A ,$0.19 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.20 ,$0.22 ,$0.19 , N/A ,$0.19 ,$0.19 ,$0.20 ,$0.20 ,$0.17 ,$0.18 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132908,N/A,NF-FLUOCINONIDE 0.05% TOPICAL APPLICATIO,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132909,N/A,NF-NYSTATIN 100000U/GM TOPICAL APPLICATI,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413291,N/A,CALCIUM 600 + VIT D 800 PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132910,N/A,"NF-OMEPRAZOLE 20MG ORAL CAPSULE, DELAYED",637,1 ,$0.64 ,$0.42 ,$0.42 ,$0.64 ,$0.51 , N/A ,$0.51 ,$0.58 ,$0.58 , N/A ,$0.54 ,$0.47 , N/A , N/A , N/A ,$0.53 , N/A ,$0.53 ,$0.51 ,$0.58 ,$0.64 ,$0.54 , N/A ,$0.54 ,$0.54 ,$0.58 ,$0.58 ,$0.50 ,$0.53 , N/A ,$0.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132911,N/A,NF-HYDROCODONE BITART/ACET 500MG-5MG ORA,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132912,N/A,NF-MILK OF MAGNESIA 400MG/5ML ORAL SOLUT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132913,N/A,NF-COUMADIN 7.5MG ORAL TABLET,637,1 ,$0.22 ,$0.14 ,$0.14 ,$0.22 ,$0.18 , N/A ,$0.17 ,$0.20 ,$0.20 , N/A ,$0.19 ,$0.16 , N/A , N/A , N/A ,$0.18 , N/A ,$0.18 ,$0.18 ,$0.20 ,$0.22 ,$0.19 , N/A ,$0.19 ,$0.19 ,$0.20 ,$0.20 ,$0.17 ,$0.18 , N/A ,$0.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132914,N/A,NF-MAGNESIUM OXIDE 400MG ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132915,N/A,NF-THEOPHYLLINE 200MG,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132916,N/A,NF-HEPARIN LOCK FLUSH INJ,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132917,N/A,NF-ZESTRIL 30MG ORAL TABLET,637,1 ,$0.24 ,$0.16 ,$0.16 ,$0.24 ,$0.19 , N/A ,$0.19 ,$0.22 ,$0.22 , N/A ,$0.20 ,$0.18 , N/A , N/A , N/A ,$0.20 , N/A ,$0.20 ,$0.19 ,$0.22 ,$0.24 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.22 ,$0.22 ,$0.19 ,$0.20 , N/A ,$0.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132918,N/A,NF-PREDNISONE 5MG,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132919,N/A,NF-BESIVANCE OPHTH 0.6% SUSP,637,1 ,$2.22 ,$1.44 ,$1.44 ,$2.22 ,$1.78 , N/A ,$1.76 ,$2.00 ,$2.00 , N/A ,$1.89 ,$1.64 , N/A , N/A , N/A ,$1.85 , N/A ,$1.83 ,$1.78 ,$2.00 ,$2.22 ,$1.89 , N/A ,$1.89 ,$1.89 ,$2.00 ,$2.00 ,$1.74 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413292,N/A,ACIDOPHILUS CAPSULE PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132920,N/A,NF-VITAMIN B6 TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132921,N/A,NF-POTASSIUM GLUCONATE 80MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132922,N/A,NF-MAGNESIUM GLUCONATE 500MG ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132923,N/A,NF-ZINC GLUCONATE 15MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132924,N/A,NF-TYLENOL EXTRA STRENGTH 500MG ORAL CAP,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132925,N/A,NF-FLEET ENEMA RECTAL ENEMA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132926,N/A,NF-NOVOLIN R 100U/ML INJECTION SOLUTION,637,1 ,$0.39 ,$0.25 ,$0.25 ,$0.39 ,$0.31 , N/A ,$0.31 ,$0.35 ,$0.35 , N/A ,$0.33 ,$0.29 , N/A , N/A , N/A ,$0.33 , N/A ,$0.32 ,$0.31 ,$0.35 ,$0.39 ,$0.33 , N/A ,$0.33 ,$0.33 ,$0.35 ,$0.35 ,$0.31 ,$0.32 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132927,N/A,NF-GUAIFENESIN 100MG/5ML ORAL SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132928,N/A,NF-IRON 65MG ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132929,N/A,NF-LOVASTATIN 40MG ORAL TABLET,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413293,J2315,VIVITROL IM 380MG VIAL,636,1 ,"$2,897.54 ","$1,883.40 ",$3.44 ,"$2,609.23 ","$2,318.03 ",$3.44 ,"$2,296.01 ","$2,609.23 ","$2,609.23 ",$6.53 ,"$2,462.91 ","$2,144.18 ",$8.59 ,$3.44 , N/A ,"$2,416.55 ",$3.44 ,"$2,393.37 ","$2,318.03 ","$2,607.79 ",$8.59 ,"$2,462.91 ",$3.44 ,"$2,462.91 ","$2,462.91 ","$2,607.79 ","$2,607.79 ","$2,274.57 ","$2,393.37 ",$3.44 ,"$1,883.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34132930,N/A,"NF-THEOPHYLLINE 300MG ORAL TABLET, EXTEN",637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132931,N/A,NF-FOLBEE 1MG-2.5MG-25MG ORAL TABLET,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132932,N/A,NF-ZIKS HEMATOGEN 250MG-0.01MG-200MG-1 O,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132933,N/A,NF-DOXYCYCLINE 20MG ORAL TABLET,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132934,N/A,NF-PLETAL 100MG ORAL TABLET,637,1 ,$0.27 ,$0.18 ,$0.18 ,$0.27 ,$0.22 , N/A ,$0.21 ,$0.24 ,$0.24 , N/A ,$0.23 ,$0.20 , N/A , N/A , N/A ,$0.23 , N/A ,$0.22 ,$0.22 ,$0.24 ,$0.27 ,$0.23 , N/A ,$0.23 ,$0.23 ,$0.24 ,$0.24 ,$0.21 ,$0.22 , N/A ,$0.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132935,N/A,NF-LUTEIN 20MG ORAL TABLET,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132936,N/A,NF-WARFARIN 4MG,637,1 ,$0.16 ,$0.10 ,$0.10 ,$0.16 ,$0.13 , N/A ,$0.13 ,$0.14 ,$0.14 , N/A ,$0.14 ,$0.12 , N/A , N/A , N/A ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.16 ,$0.14 , N/A ,$0.14 ,$0.14 ,$0.14 ,$0.14 ,$0.13 ,$0.13 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132937,N/A,NF-NEO/POLY-B/DEX 3.5MG-10000U-1MG/1GM,637,1 ,$0.77 ,$0.50 ,$0.50 ,$0.77 ,$0.62 , N/A ,$0.61 ,$0.69 ,$0.69 , N/A ,$0.65 ,$0.57 , N/A , N/A , N/A ,$0.64 , N/A ,$0.64 ,$0.62 ,$0.69 ,$0.77 ,$0.65 , N/A ,$0.65 ,$0.65 ,$0.69 ,$0.69 ,$0.60 ,$0.64 , N/A ,$0.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132938,N/A,NF-NOVOLIN R 100U/ML INJECTION SOLUTION,637,1 ,$1.11 ,$0.72 ,$0.72 ,$1.11 ,$0.89 , N/A ,$0.88 ,$1.00 ,$1.00 , N/A ,$0.94 ,$0.82 , N/A , N/A , N/A ,$0.93 , N/A ,$0.92 ,$0.89 ,$1.00 ,$1.11 ,$0.94 , N/A ,$0.94 ,$0.94 ,$1.00 ,$1.00 ,$0.87 ,$0.92 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132939,N/A,NF-ROBAFEN CF 10MG-100MG-5MG/5ML ORAL SO,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413294,N/A,NEXIUM CAPSULE 20MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132940,N/A,NF-GABAPENTIN 300MG ORAL TABLET,637,1 ,$0.13 ,$0.08 ,$0.08 ,$0.13 ,$0.10 , N/A ,$0.10 ,$0.12 ,$0.12 , N/A ,$0.11 ,$0.10 , N/A , N/A , N/A ,$0.11 , N/A ,$0.11 ,$0.10 ,$0.12 ,$0.13 ,$0.11 , N/A ,$0.11 ,$0.11 ,$0.12 ,$0.12 ,$0.10 ,$0.11 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132941,N/A,NF-HUMALOG 100U/ML SUBCUTANEOUS SUSPENSI,637,1 ,$2.01 ,$1.31 ,$1.31 ,$2.01 ,$1.61 , N/A ,$1.59 ,$1.81 ,$1.81 , N/A ,$1.71 ,$1.49 , N/A , N/A , N/A ,$1.68 , N/A ,$1.66 ,$1.61 ,$1.81 ,$2.01 ,$1.71 , N/A ,$1.71 ,$1.71 ,$1.81 ,$1.81 ,$1.58 ,$1.66 , N/A ,$1.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132942,N/A,NF-12 HOUR DECONGESTANT ORAL TAB ER 120M,637,1 ,$0.04 ,$0.03 ,$0.03 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.04 ,$0.04 , N/A ,$0.03 ,$0.03 , N/A , N/A , N/A ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.04 ,$0.04 ,$0.03 ,$0.03 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132943,N/A,NF-REMERON 30MG ORAL TABLET,637,1 ,$0.42 ,$0.27 ,$0.27 ,$0.42 ,$0.34 , N/A ,$0.33 ,$0.38 ,$0.38 , N/A ,$0.36 ,$0.31 , N/A , N/A , N/A ,$0.35 , N/A ,$0.35 ,$0.34 ,$0.38 ,$0.42 ,$0.36 , N/A ,$0.36 ,$0.36 ,$0.38 ,$0.38 ,$0.33 ,$0.35 , N/A ,$0.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132944,N/A,NF-MAGNESIUM ELEMENTAL 300MG ORAL CAPSUL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132945,N/A,NF-IRON 100 WITH VITAMIN C 250MG-25MCG-1,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132946,N/A,NF-BENADRYL ALLERGY 25MG ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132947,N/A,NF-TYLENOL EXTRA STRENGTH 500MG ORAL CAP,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132948,N/A,NF-POTASSIUM CHLORIDE CAP ER 8MEQ,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132949,N/A,"NF-OMEPRAZOLE 40MG ORAL CAPSULE, DELAYED",637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413295,N/A,JARDIANCE TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132950,N/A,NF-FERROUS SULFATE TABLET 27MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132951,N/A,"NF-DIVALPROEX SODIUM 500MG ORAL TABLET,",637,1 ,$0.30 ,$0.20 ,$0.20 ,$0.30 ,$0.24 , N/A ,$0.24 ,$0.27 ,$0.27 , N/A ,$0.26 ,$0.22 , N/A , N/A , N/A ,$0.25 , N/A ,$0.25 ,$0.24 ,$0.27 ,$0.30 ,$0.26 , N/A ,$0.26 ,$0.26 ,$0.27 ,$0.27 ,$0.24 ,$0.25 , N/A ,$0.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132952,N/A,NF-TORSEMIDE 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132953,N/A,NF-TRAZODONE 100MG ORAL TABLET,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132954,N/A,NF-FEXOFENADINE 60MG ORAL TABLET,637,1 ,$0.14 ,$0.09 ,$0.09 ,$0.14 ,$0.11 , N/A ,$0.11 ,$0.13 ,$0.13 , N/A ,$0.12 ,$0.10 , N/A , N/A , N/A ,$0.12 , N/A ,$0.12 ,$0.11 ,$0.13 ,$0.14 ,$0.12 , N/A ,$0.12 ,$0.12 ,$0.13 ,$0.13 ,$0.11 ,$0.12 , N/A ,$0.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132955,N/A,NF-VICODIN 500MG-5MG ORAL TABLET,637,1 ,$0.19 ,$0.12 ,$0.12 ,$0.19 ,$0.15 , N/A ,$0.15 ,$0.17 ,$0.17 , N/A ,$0.16 ,$0.14 , N/A , N/A , N/A ,$0.16 , N/A ,$0.16 ,$0.15 ,$0.17 ,$0.19 ,$0.16 , N/A ,$0.16 ,$0.16 ,$0.17 ,$0.17 ,$0.15 ,$0.16 , N/A ,$0.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132956,N/A,"NF-OMEPRAZOLE DR 20MG ORAL CAPSULE, DELA",637,1 ,$0.42 ,$0.27 ,$0.27 ,$0.42 ,$0.34 , N/A ,$0.33 ,$0.38 ,$0.38 , N/A ,$0.36 ,$0.31 , N/A , N/A , N/A ,$0.35 , N/A ,$0.35 ,$0.34 ,$0.38 ,$0.42 ,$0.36 , N/A ,$0.36 ,$0.36 ,$0.38 ,$0.38 ,$0.33 ,$0.35 , N/A ,$0.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132957,N/A,"NF-THEOPHYLLINE 300MG ORAL CAPSULE, EXTE",637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132958,N/A,NF-ZOFRAN 4MG ORAL TABLET,637,1 ,$2.66 ,$1.73 ,$1.73 ,$2.66 ,$2.13 , N/A ,$2.11 ,$2.40 ,$2.40 , N/A ,$2.26 ,$1.97 , N/A , N/A , N/A ,$2.22 , N/A ,$2.20 ,$2.13 ,$2.39 ,$2.66 ,$2.26 , N/A ,$2.26 ,$2.26 ,$2.39 ,$2.39 ,$2.09 ,$2.20 , N/A ,$1.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132959,N/A,"NF-TRILIPIX 135MG ORAL CAPSULE, DELAYED",637,1 ,$0.61 ,$0.40 ,$0.40 ,$0.61 ,$0.49 , N/A ,$0.48 ,$0.55 ,$0.55 , N/A ,$0.52 ,$0.45 , N/A , N/A , N/A ,$0.51 , N/A ,$0.50 ,$0.49 ,$0.55 ,$0.61 ,$0.52 , N/A ,$0.52 ,$0.52 ,$0.55 ,$0.55 ,$0.48 ,$0.50 , N/A ,$0.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413296,N/A,RIVAROXABAN (XARELTO) TABLET 10MG,637,1 ,$60.90 ,$39.59 ,$39.59 ,$60.90 ,$48.72 , N/A ,$48.26 ,$54.84 ,$54.84 , N/A ,$51.77 ,$45.07 , N/A , N/A , N/A ,$50.79 , N/A ,$50.30 ,$48.72 ,$54.81 ,$60.90 ,$51.77 , N/A ,$51.77 ,$51.77 ,$54.81 ,$54.81 ,$47.81 ,$50.30 , N/A ,$39.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132960,N/A,NF-CLARINEX-D12 HOUR 2.5MG-120MG ORAL TA,637,1 ,$0.39 ,$0.25 ,$0.25 ,$0.39 ,$0.31 , N/A ,$0.31 ,$0.35 ,$0.35 , N/A ,$0.33 ,$0.29 , N/A , N/A , N/A ,$0.33 , N/A ,$0.32 ,$0.31 ,$0.35 ,$0.39 ,$0.33 , N/A ,$0.33 ,$0.33 ,$0.35 ,$0.35 ,$0.31 ,$0.32 , N/A ,$0.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132961,N/A,NF-VIMPAT 50MG ORAL TABLET,637,1 ,$0.51 ,$0.33 ,$0.33 ,$0.51 ,$0.41 , N/A ,$0.40 ,$0.46 ,$0.46 , N/A ,$0.43 ,$0.38 , N/A , N/A , N/A ,$0.43 , N/A ,$0.42 ,$0.41 ,$0.46 ,$0.51 ,$0.43 , N/A ,$0.43 ,$0.43 ,$0.46 ,$0.46 ,$0.40 ,$0.42 , N/A ,$0.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132962,N/A,NF-WARFARIN SODIUM ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132963,N/A,NF-SINGULAIR CHEW TAB 4MG,637,1 ,$0.63 ,$0.41 ,$0.41 ,$0.63 ,$0.50 , N/A ,$0.50 ,$0.57 ,$0.57 , N/A ,$0.54 ,$0.47 , N/A , N/A , N/A ,$0.53 , N/A ,$0.52 ,$0.50 ,$0.57 ,$0.63 ,$0.54 , N/A ,$0.54 ,$0.54 ,$0.57 ,$0.57 ,$0.49 ,$0.52 , N/A ,$0.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132964,N/A,NF-WARFARIN SOD ORAL TABLET 2MG,637,1 ,$0.09 ,$0.06 ,$0.06 ,$0.09 ,$0.07 , N/A ,$0.07 ,$0.08 ,$0.08 , N/A ,$0.08 ,$0.07 , N/A , N/A , N/A ,$0.08 , N/A ,$0.07 ,$0.07 ,$0.08 ,$0.09 ,$0.08 , N/A ,$0.08 ,$0.08 ,$0.08 ,$0.08 ,$0.07 ,$0.07 , N/A ,$0.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132965,N/A,NF-HYDROCODONE AND APAP TABLET 7.5MG-750,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132966,N/A,NF-LOVASTATIN ORAL TABLET 10MG,637,1 ,$0.13 ,$0.08 ,$0.08 ,$0.13 ,$0.10 , N/A ,$0.10 ,$0.12 ,$0.12 , N/A ,$0.11 ,$0.10 , N/A , N/A , N/A ,$0.11 , N/A ,$0.11 ,$0.10 ,$0.12 ,$0.13 ,$0.11 , N/A ,$0.11 ,$0.11 ,$0.12 ,$0.12 ,$0.10 ,$0.11 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132967,N/A,NF-GLIPIZIDE 10MG ORAL TABLET,637,1 ,$0.07 ,$0.05 ,$0.05 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.06 ,$0.05 , N/A , N/A , N/A ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.07 ,$0.06 , N/A ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 , N/A ,$0.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132968,N/A,NF-HYDROCODONE BITART/ACET 500MG-5MG ORA,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132969,N/A,NF-LITHIUM CARBONATE 150MG ORAL CAPSULE,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413297,Q3027,AVONEX IM : 30 MCG,636,1 ,"$2,840.65 ","$1,846.42 ",$55.52 ,"$2,558.01 ","$2,272.52 ",$55.52 ,"$2,250.93 ","$2,558.01 ","$2,558.01 ",$105.49 ,"$2,414.55 ","$2,102.08 ",$138.80 ,$55.52 , N/A ,"$2,369.10 ",$55.52 ,"$2,346.38 ","$2,272.52 ","$2,556.59 ",$138.80 ,"$2,414.55 ",$55.52 ,"$2,414.55 ","$2,414.55 ","$2,556.59 ","$2,556.59 ","$2,229.91 ","$2,346.38 ",$55.52 ,"$1,846.42 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34132970,N/A,"NF-PRILOSEC 40MG ORAL CAPSULE, DELAYED R",637,1 ,$0.78 ,$0.51 ,$0.51 ,$0.78 ,$0.62 , N/A ,$0.62 ,$0.70 ,$0.70 , N/A ,$0.66 ,$0.58 , N/A , N/A , N/A ,$0.65 , N/A ,$0.64 ,$0.62 ,$0.70 ,$0.78 ,$0.66 , N/A ,$0.66 ,$0.66 ,$0.70 ,$0.70 ,$0.61 ,$0.64 , N/A ,$0.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132971,N/A,NF-LEXAPRO 20MG ORAL TABLET,637,1 ,$0.31 ,$0.20 ,$0.20 ,$0.31 ,$0.25 , N/A ,$0.25 ,$0.28 ,$0.28 , N/A ,$0.26 ,$0.23 , N/A , N/A , N/A ,$0.26 , N/A ,$0.26 ,$0.25 ,$0.28 ,$0.31 ,$0.26 , N/A ,$0.26 ,$0.26 ,$0.28 ,$0.28 ,$0.24 ,$0.26 , N/A ,$0.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132972,N/A,NF-IRON 65MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132973,N/A,NF-OLANZAPINE 15MG ORAL TABLET,637,1 ,$2.99 ,$1.94 ,$1.94 ,$2.99 ,$2.39 , N/A ,$2.37 ,$2.69 ,$2.69 , N/A ,$2.54 ,$2.21 , N/A , N/A , N/A ,$2.49 , N/A ,$2.47 ,$2.39 ,$2.69 ,$2.99 ,$2.54 , N/A ,$2.54 ,$2.54 ,$2.69 ,$2.69 ,$2.35 ,$2.47 , N/A ,$1.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132974,N/A,NF-NIZORAL 2% TOPICAL APPLICATION SHAMPO,637,1 ,$0.02 ,$0.01 ,$0.01 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.01 , N/A , N/A , N/A ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 ,$0.02 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132975,N/A,NF-VOLTAREN GEL 1% TOPICAL APPLICATION G,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132976,N/A,NF-NASONEX 0.05MG/ACTUATION NASAL SPRAY,637,1 ,$0.98 ,$0.64 ,$0.64 ,$0.98 ,$0.78 , N/A ,$0.78 ,$0.88 ,$0.88 , N/A ,$0.83 ,$0.73 , N/A , N/A , N/A ,$0.82 , N/A ,$0.81 ,$0.78 ,$0.88 ,$0.98 ,$0.83 , N/A ,$0.83 ,$0.83 ,$0.88 ,$0.88 ,$0.77 ,$0.81 , N/A ,$0.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132977,N/A,NF-GUAIFENESIN 100MG/5ML ORAL SYRUP,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132978,N/A,NF-IMODIUM A-D 2MG ORAL TABLET,637,1 ,$0.05 ,$0.03 ,$0.03 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.05 ,$0.05 , N/A ,$0.04 ,$0.04 , N/A , N/A , N/A ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 , N/A ,$0.04 ,$0.04 ,$0.05 ,$0.05 ,$0.04 ,$0.04 , N/A ,$0.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132979,N/A,NF-EUCERIN TOPICAL APPLICATION LOTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413298,90686,INFLUENZA VACCINE IM QUADRIVA 2016-2017,636,1 ,$67.80 ,$44.07 ,$44.07 ,$61.05 ,$54.24 , N/A ,$53.72 ,$61.05 ,$61.05 , N/A ,$57.63 ,$50.17 , N/A , N/A , N/A ,$56.55 , N/A ,$56.00 ,$54.24 ,$61.02 , N/A ,$57.63 , N/A ,$57.63 ,$57.63 ,$61.02 ,$61.02 ,$53.22 ,$56.00 , N/A ,$44.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132980,N/A,NF-ASPIRIN 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132981,N/A,NF-LISINOPRIL AND HCTZ TABLET 20MG-25MG,637,1 ,$0.12 ,$0.08 ,$0.08 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.11 ,$0.11 , N/A ,$0.10 ,$0.09 , N/A , N/A , N/A ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.12 ,$0.10 , N/A ,$0.10 ,$0.10 ,$0.11 ,$0.11 ,$0.09 ,$0.10 , N/A ,$0.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132982,N/A,NF-JANUMET 1000MG-50MG ORAL TABLET,637,1 ,$0.45 ,$0.29 ,$0.29 ,$0.45 ,$0.36 , N/A ,$0.36 ,$0.41 ,$0.41 , N/A ,$0.38 ,$0.33 , N/A , N/A , N/A ,$0.38 , N/A ,$0.37 ,$0.36 ,$0.41 ,$0.45 ,$0.38 , N/A ,$0.38 ,$0.38 ,$0.41 ,$0.41 ,$0.35 ,$0.37 , N/A ,$0.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132983,N/A,NF-CRESTOR 5MG,637,1 ,$0.68 ,$0.44 ,$0.44 ,$0.68 ,$0.54 , N/A ,$0.54 ,$0.61 ,$0.61 , N/A ,$0.58 ,$0.50 , N/A , N/A , N/A ,$0.57 , N/A ,$0.56 ,$0.54 ,$0.61 ,$0.68 ,$0.58 , N/A ,$0.58 ,$0.58 ,$0.61 ,$0.61 ,$0.53 ,$0.56 , N/A ,$0.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132984,N/A,NF-FERROUS SULFATE 65MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132985,N/A,NF-BENAZEPRIL 20MG ORAL TABLET,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132986,N/A,NF-NOVOLOG FLEXPEN SUBQ SOLN 100U/1ML,637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132987,N/A,NF-SARAFEM ORAL TABLET 20MG,637,1 ,$0.70 ,$0.46 ,$0.46 ,$0.70 ,$0.56 , N/A ,$0.55 ,$0.63 ,$0.63 , N/A ,$0.60 ,$0.52 , N/A , N/A , N/A ,$0.58 , N/A ,$0.58 ,$0.56 ,$0.63 ,$0.70 ,$0.60 , N/A ,$0.60 ,$0.60 ,$0.63 ,$0.63 ,$0.55 ,$0.58 , N/A ,$0.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132988,N/A,NF-ZINC 50MG ORAL TABLET,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132989,N/A,NF-IPRATROPIUM BROM 0.03% NASAL SPRAY,637,1 ,$0.56 ,$0.36 ,$0.36 ,$0.56 ,$0.45 , N/A ,$0.44 ,$0.50 ,$0.50 , N/A ,$0.48 ,$0.41 , N/A , N/A , N/A ,$0.47 , N/A ,$0.46 ,$0.45 ,$0.50 ,$0.56 ,$0.48 , N/A ,$0.48 ,$0.48 ,$0.50 ,$0.50 ,$0.44 ,$0.46 , N/A ,$0.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3413299,J1453,EMEND VIAL : 150MG,636,1 ,$649.10 ,$421.92 ,$0.33 ,$584.51 ,$519.28 ,$0.33 ,$514.35 ,$584.51 ,$584.51 ,$0.63 ,$551.74 ,$480.33 ,$0.83 ,$0.33 , N/A ,$541.35 ,$0.33 ,$536.16 ,$519.28 ,$584.19 ,$0.83 ,$551.74 ,$0.33 ,$551.74 ,$551.74 ,$584.19 ,$584.19 ,$509.54 ,$536.16 ,$0.33 ,$421.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132990,N/A,NF-ZYPREXA 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132991,N/A,NF-DOXAZOSIN MESYLATE TAB 4MG,637,1 ,$0.23 ,$0.15 ,$0.15 ,$0.23 ,$0.18 , N/A ,$0.18 ,$0.21 ,$0.21 , N/A ,$0.20 ,$0.17 , N/A , N/A , N/A ,$0.19 , N/A ,$0.19 ,$0.18 ,$0.21 ,$0.23 ,$0.20 , N/A ,$0.20 ,$0.20 ,$0.21 ,$0.21 ,$0.18 ,$0.19 , N/A ,$0.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132992,N/A,NF-PANTOPRAZOLE SODIUM TAB EC 20MG,637,1 ,$0.70 ,$0.46 ,$0.46 ,$0.70 ,$0.56 , N/A ,$0.55 ,$0.63 ,$0.63 , N/A ,$0.60 ,$0.52 , N/A , N/A , N/A ,$0.58 , N/A ,$0.58 ,$0.56 ,$0.63 ,$0.70 ,$0.60 , N/A ,$0.60 ,$0.60 ,$0.63 ,$0.63 ,$0.55 ,$0.58 , N/A ,$0.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132993,N/A,NF-GABAPENTIN ORAL TABLET 800MG,637,1 ,$0.30 ,$0.20 ,$0.20 ,$0.30 ,$0.24 , N/A ,$0.24 ,$0.27 ,$0.27 , N/A ,$0.26 ,$0.22 , N/A , N/A , N/A ,$0.25 , N/A ,$0.25 ,$0.24 ,$0.27 ,$0.30 ,$0.26 , N/A ,$0.26 ,$0.26 ,$0.27 ,$0.27 ,$0.24 ,$0.25 , N/A ,$0.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132994,N/A,NF-ZINC LOZENGE 23MG,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132995,N/A,NF-VITABESE ORAL CAPSULE,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132996,N/A,NF-ALLEGRA 60MG ORAL TABLET,637,1 ,$0.20 ,$0.13 ,$0.13 ,$0.20 ,$0.16 , N/A ,$0.16 ,$0.18 ,$0.18 , N/A ,$0.17 ,$0.15 , N/A , N/A , N/A ,$0.17 , N/A ,$0.17 ,$0.16 ,$0.18 ,$0.20 ,$0.17 , N/A ,$0.17 ,$0.17 ,$0.18 ,$0.18 ,$0.16 ,$0.17 , N/A ,$0.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132997,N/A,NF-GABAPENTIN 600MG ORAL TABLET,637,1 ,$0.25 ,$0.16 ,$0.16 ,$0.25 ,$0.20 , N/A ,$0.20 ,$0.23 ,$0.23 , N/A ,$0.21 ,$0.19 , N/A , N/A , N/A ,$0.21 , N/A ,$0.21 ,$0.20 ,$0.23 ,$0.25 ,$0.21 , N/A ,$0.21 ,$0.21 ,$0.23 ,$0.23 ,$0.20 ,$0.21 , N/A ,$0.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),34132998,N/A,NF-EFFIENT 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34132999,N/A,NF-VITAMIN B12 250MCG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413300,N/A,FAMOTIDINE (PEPCID) 20MG VIAL,250,1 ,$8.56 ,$5.56 ,$5.56 ,$7.71 ,$6.85 , N/A ,$6.78 ,$7.71 ,$7.71 , N/A ,$7.28 ,$6.33 , N/A , N/A , N/A ,$7.14 , N/A ,$7.07 ,$6.85 ,$7.70 , N/A ,$7.28 , N/A ,$7.28 ,$7.28 ,$7.70 ,$7.70 ,$6.72 ,$7.07 , N/A ,$5.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133000,N/A,NF-BENZTROPINE 2MG ORAL TABLET,637,1 ,$0.03 ,$0.02 ,$0.02 ,$0.03 ,$0.02 , N/A ,$0.02 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.02 , N/A , N/A , N/A ,$0.03 , N/A ,$0.02 ,$0.02 ,$0.03 ,$0.03 ,$0.03 , N/A ,$0.03 ,$0.03 ,$0.03 ,$0.03 ,$0.02 ,$0.02 , N/A ,$0.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133001,N/A,NF-MILK OF MAGNESIA 400MG/5ML ORAL SUSPE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133002,N/A,NF-TAB-A-VITE 60MG-45MG-400IU-6MCG ORAL,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133003,N/A,NF-GUAIFENESIN 100MG/5ML ORAL SYRUP,637,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133004,N/A,NF-LOPERAMIDE 2MG ORAL TABLET,637,1 ,$0.06 ,$0.04 ,$0.04 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.05 ,$0.04 , N/A , N/A , N/A ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.06 ,$0.05 , N/A ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 ,$0.05 , N/A ,$0.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133005,N/A,NF-IRON TABLET 65MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133006,N/A,"NF-PAXIL CR 25MG ORAL TABLET, EXTENDED R",637,1 ,$0.48 ,$0.31 ,$0.31 ,$0.48 ,$0.38 , N/A ,$0.38 ,$0.43 ,$0.43 , N/A ,$0.41 ,$0.36 , N/A , N/A , N/A ,$0.40 , N/A ,$0.40 ,$0.38 ,$0.43 ,$0.48 ,$0.41 , N/A ,$0.41 ,$0.41 ,$0.43 ,$0.43 ,$0.38 ,$0.40 , N/A ,$0.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133007,N/A,NF-NAPROXEN 500MG ORAL TABLET,637,1 ,$0.15 ,$0.10 ,$0.10 ,$0.15 ,$0.12 , N/A ,$0.12 ,$0.14 ,$0.14 , N/A ,$0.13 ,$0.11 , N/A , N/A , N/A ,$0.13 , N/A ,$0.12 ,$0.12 ,$0.14 ,$0.15 ,$0.13 , N/A ,$0.13 ,$0.13 ,$0.14 ,$0.14 ,$0.12 ,$0.12 , N/A ,$0.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133008,N/A,NF-POTASSIUM CHLORIDE ORAL CAP ER 8MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133009,N/A,NF-SLOW RELEASE IRON ORAL TABLET 45MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413301,N/A,SODIUM CHLORIDE 7% (PULMOSAL) HHN 4ML,637,1 ,$1.42 ,$0.92 ,$0.92 ,$1.42 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 ,$1.42 ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133010,N/A,NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 25,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133011,N/A,NF-SORIATANE CAP 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133012,N/A,NF-CARTEOLOL HCL OPHTH SOLUTION 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133013,N/A,NF-PRAVASTATIN ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133014,N/A,NF-CARTEOLOL HCL 1% OPHTHALMIC SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133015,N/A,NF-4 WAY FAST ACTING 1% NASAL SPRAY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133016,N/A,NF-VOLTAREN OPHTHALMIC SOLUTION 0.1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133017,N/A,NF-VOLTAREN GEL 1% TOPICAL APPLICATION G,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133018,N/A,NF-PRANDIN 1MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133019,N/A,NF-PRANDIN 1MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413302,J2543,ZOSYN (PIPERACILLIN/TAZOBACTAM) 2.25GM,636,1 ,$31.13 ,$20.23 ,$20.23 ,$28.03 ,$24.90 , N/A ,$24.67 ,$28.03 ,$28.03 , N/A ,$26.46 ,$23.04 , N/A , N/A , N/A ,$25.96 , N/A ,$25.71 ,$24.90 ,$28.02 , N/A ,$26.46 , N/A ,$26.46 ,$26.46 ,$28.02 ,$28.02 ,$24.44 ,$25.71 , N/A ,$20.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133020,N/A,NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133021,N/A,NF-NITROFURANTOIN 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133022,N/A,"NF-DIVALPROEX SODIUM 500MG ORAL TABLET,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133023,N/A,NF-BUMETANIDE TAB 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133024,N/A,NF-SLOW FE ORAL TABLET 45MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133025,N/A,NF-METFORMIN 1000MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133026,N/A,NF-SPIRIVA 18MCG INHALATION CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133027,N/A,NF-ADVAIR DISKUS 250/50 0.25MG/ACTUATION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133028,N/A,NF-FLUTICASONE PROPIONATE 0.05MG/ACTUATI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133029,N/A,NF-VICODIN 500MG-5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413303,J0712,TEFLARO (CEFTAROLINE FOSAMIL) VIAL:400MG,636,1 ,$363.39 ,$236.20 ,$3.54 ,$327.23 ,$290.71 ,$3.54 ,$287.95 ,$327.23 ,$327.23 ,$6.72 ,$308.88 ,$268.91 ,$8.85 ,$3.54 , N/A ,$303.07 ,$3.54 ,$300.16 ,$290.71 ,$327.05 ,$8.85 ,$308.88 ,$3.54 ,$308.88 ,$308.88 ,$327.05 ,$327.05 ,$285.26 ,$300.16 ,$3.54 ,$236.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133030,N/A,NF-DOCUSATE SODIUM 100MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133031,N/A,NF-GLUCOSAMINE \ AND CHONDROITIN WITH MSM 4,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133032,N/A,NF-VIACTIV 500MG-0.04MG-100IU ORAL TABLE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133033,N/A,NF-HYZAAR 25MG-100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133034,N/A,"NF-INDERAL LA 120MG ORAL CAPSULE, EXTEND",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133035,N/A,NF-XARELTO ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133036,N/A,NF-METHOTREXATE 2.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133037,N/A,NF-DIOVAN ORAL TABLET 160MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133038,N/A,NF-BYSTOLIC ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133039,N/A,NF-LEVONORGESTREL-ETHINYL ESTRADIOL TABL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413304,N/A,DICYCLOMINE TABLET : 20MG,637,1 ,$1.10 ,$0.72 ,$0.72 ,$1.10 ,$0.88 , N/A ,$0.87 ,$0.99 ,$0.99 , N/A ,$0.94 ,$0.81 , N/A , N/A , N/A ,$0.92 , N/A ,$0.91 ,$0.88 ,$0.99 ,$1.10 ,$0.94 , N/A ,$0.94 ,$0.94 ,$0.99 ,$0.99 ,$0.86 ,$0.91 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133040,N/A,"NF-ASPIRIN 81MG ORAL TABLET, ENTERIC COA",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133041,N/A,NF-CLONIDINE 0.2MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133042,N/A,NF-DOCUSATE CALCIUM LIQ CAP 240MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133043,N/A,NF-CLONIDINE HCL TAB 0.2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133044,N/A,NF-CREON 30000U-6000U-19000U ORAL CAPSUL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133045,N/A,NF-TOPAMAX 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133046,N/A,NF-FUROSEMIDE 20MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133047,N/A,NF-RELPAX 40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133048,N/A,NF-ATORVASTATIN CALCIUM 20MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133049,N/A,NF-METOPROLOL TARTRATE 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413305,N/A,RANITIDINE TAB 75MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133050,N/A,"NF-DILTIAZEM HCL 120MG ORAL CAPSULE, EXT",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133051,N/A,NF-MODAFINIL 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133052,N/A,NF-MODAFINIL ORAL TABLET 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133053,N/A,NF-CALCIUM 600 600MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133054,N/A,NF-LEUCOVORIN CALCIUM TAB 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133055,N/A,NF-ROPINIROLE HCL TAB 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133056,N/A,NF-LISINOPRIL 40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133057,N/A,NF-NORTRIPTYLINE HCL 50MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133058,N/A,"NF-OXYBUTYNIN ER 15MG ORAL TABLET, EXTEN",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133059,N/A,NF-ACTOS 45MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413306,N/A,CRANBERRY CAPSULE : 500MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133060,N/A,NF-OXYBUTYNIN CHLORIDE TAB ER 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133061,N/A,"NF-VITAMIN E 200IU ORAL CAPSULE, LIQUID",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133062,N/A,NF-GLUCOSAMINE \ AND CHONDROITIN 400MG-500M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133063,N/A,NF-TRAZODONE HCL ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133064,N/A,NF-NOVOLIN 70/30 INJECTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133065,N/A,NF-DONEPEZIL HCL TAB 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133066,N/A,NF-PRAVACHOL ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133067,N/A,NF-AFINITOR 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133068,N/A,NF-NORVASC 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133069,N/A,"NF-PANTOPRAZOLE SODIUM 20MG ORAL TABLET,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413307,90651,GARDASIL VACCINE (SHAKE WELL - ED ONLY),636,1 ,$346.90 ,$225.49 ,$225.49 ,$312.38 ,$277.52 , N/A ,$274.88 ,$312.38 ,$312.38 , N/A ,$294.87 ,$256.71 , N/A , N/A , N/A ,$289.31 , N/A ,$286.54 ,$277.52 ,$312.21 , N/A ,$294.87 , N/A ,$294.87 ,$294.87 ,$312.21 ,$312.21 ,$272.32 ,$286.54 , N/A ,$225.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133070,N/A,NF-HYDROCODONE BITARTRATE/APAP 500MG-5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133071,N/A,NF-SEROQUEL XR ORAL TAB ER 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133072,N/A,NF-VENLAFAXINE HCL ORAL CAP ER 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133073,N/A,NF-LOXITANE CAPSULE 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133074,N/A,NF-NATURE\'S BLEND SUPER THERAVITE-M 90M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133075,N/A,NF-FOLIC ACID 0.4MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133076,N/A,NF-PRAVACHOL 40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133077,N/A,NF-NEURONTIN 600MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133078,N/A,NF-NIFEDICAL XL TABLET 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133079,N/A,NF-CITALOPRAM 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413308,N/A,"LIDOCAINE 1% PRESERVATIVE FREE, 30 ML",250,1 ,$12.76 ,$8.29 ,$8.29 ,$11.49 ,$10.21 , N/A ,$10.11 ,$11.49 ,$11.49 , N/A ,$10.85 ,$9.44 , N/A , N/A , N/A ,$10.64 , N/A ,$10.54 ,$10.21 ,$11.48 , N/A ,$10.85 , N/A ,$10.85 ,$10.85 ,$11.48 ,$11.48 ,$10.02 ,$10.54 , N/A ,$8.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133080,N/A,"NF-OMEPRAZOLE 20MG ORAL TABLET, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133081,N/A,NF-GABAPENTIN 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133082,N/A,NF-GABAPENTIN 300MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133083,N/A,NF-ATORVASTATIN CALCIUM 40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133084,N/A,NF-HYDROCODONE BITART/ACET 325MG-7.5MG O,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133085,N/A,"NF-PANTOPRAZOLE SODIUM 40MG ORAL TABLET,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133086,N/A,"NF-OXYCONTIN 15MG ORAL TABLET, EXTENDED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133087,N/A,NF-ACIDOPHILUS 200MG-1BILLION U ORAL TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133088,N/A,NF-NEURONTIN 300MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133089,N/A,"NF-CYMBALTA 30MG ORAL CAPSULE, DELAYED R",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413309,N/A,LINZESS CAP 145MCG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133090,N/A,NF-CLONIDINE HCL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133091,N/A,NF-HUMULIN R 100U/ML INJECTION SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133092,N/A,NF-TRAZODONE 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133093,N/A,NF-CYMBALTA 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133094,N/A,NF-POLYMYXIN B/TRIMETHOPRIM OPHTH SOLUT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133095,N/A,NF-TOBRAMYCIN/DEXAMETHASONE SUSP,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133096,N/A,NF-ALEVE ARTHRITIS TAB 220MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133097,N/A,NF-REFRESH OPTIVE ADVANCED OPHTH SOLN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133098,N/A,NF-HYDROCORTISONE 0.5% TOPICAL APPLICATI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133099,N/A,NF-PROCTOSOL-HC 2.5% RECTAL CREAM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413310,N/A,GUAIFENESIN DM SYRUP (DIABETIC PATIENTS),637,1 ,$18.54 ,$12.05 ,$12.05 ,$18.54 ,$14.83 , N/A ,$14.69 ,$16.70 ,$16.70 , N/A ,$15.76 ,$13.72 , N/A , N/A , N/A ,$15.46 , N/A ,$15.31 ,$14.83 ,$16.69 ,$18.54 ,$15.76 , N/A ,$15.76 ,$15.76 ,$16.69 ,$16.69 ,$14.55 ,$15.31 , N/A ,$12.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133100,N/A,NF-PREDNISOLONE ACETATE 1% OPHTHALMIC SU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133101,N/A,NF-SPIRONOLACTONE 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133102,N/A,NF-HYDROCODONE AND APAP TABLET 10MG-500M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133103,N/A,NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133104,N/A,NF-GUAIFENESIN ORAL TABLET 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133105,N/A,NF-TERAZOSIN HCL CAPSULE 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133106,N/A,NF-NORTRIPTYLINE HCL CAPSULE 75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133107,N/A,NF-BRIMONIDINE TARTRATE OPHTH SOLUTION 0,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133108,N/A,NF-ARMOUR THYROID 90MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133109,N/A,NF-ARMOUR THYROID ORAL TABLET 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413311,N/A,QUETIAPINE TAB 300MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133110,N/A,NF-GLYCERIN SUPPOSITORIES PED SUPPOSITOR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133111,N/A,NF-PRAVASTATIN 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133112,N/A,NF-BUSPIRONE HCL TAB 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133113,N/A,NF-MONO-LINYAH ORAL KIT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133114,N/A,NF-CYCLOBENZAPRINE 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133115,N/A,NF-LISINOPRIL TAB 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133116,N/A,NF-VITAMIN B-6 ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133117,N/A,NF-CRESTOR TAB 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133118,N/A,NF-TENIVAC IM SUSPENSION 5LF U-2LF U/0.5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133119,N/A,NF-OMNICEF 300MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413312,N/A,CALCITRIOL CAP 0.5MCG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133120,N/A,"NF-DILANTIN KAPSEALS 30MG ORAL CAPSULE,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133121,N/A,NF-MIMVEY ORAL TABLET 1MG-0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133122,N/A,NF-ACETYLCYSTEINE POWDER,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133123,N/A,NF-FISH OIL ULTRA WITH NATURAL OMEGA-3 2,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133124,N/A,NF-EXELON TD PATCH ER 9.5MG/24HR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133125,N/A,NF-TOPIRAMATE ORAL TABLET 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133126,N/A,NF-DIFICID ORAL TABLET 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133127,N/A,NF-METOPROLOL TARTRATE 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133128,N/A,NF-CRANBERRY 400MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133129,N/A,NF-LOTREL 5MG-20MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413313,N/A,VALSARTAN TAB 320MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133130,N/A,NF-MULTIVITAMIN W/IRON ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133131,N/A,NF-VYTORIN 10MG-40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133132,N/A,NF-AMITRIPTYLINE 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133133,N/A,NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133134,N/A,NF-VITAMIN B COMPLEX ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133135,N/A,NF-ASPIRIN ORAL TABLET 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133136,N/A,NF-ENOXAPARIN SODIUM INJ SOLN 100MG/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133137,N/A,NF-PREDNISOLONE 1% OPHTHALMIC SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133138,N/A,"NF-NORFLEX 100MG ORAL TABLET, EXTENDED R",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133139,N/A,NF-VICODIN 300MG-5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413314,N/A,ROPINiroLE TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133140,N/A,NF-NAMENDA 5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133141,N/A,NF-OS-CAL 500 D ORAL TABLET 500MG-200I,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133142,N/A,NF-ALBUTEROL 0.09MG/ACTUATION INHALATION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133143,N/A,NF-CARVEDILOL 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133144,N/A,NF-PROMETHAZINE 6.25MG/5ML ORAL SYRUP,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133145,N/A,NF-CYMBALTA CAP DR 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133146,N/A,NF-PRAVACHOL TAB 80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133147,N/A,NF-HUMALOG 100U/ML SUBCUTANEOUS SUSPENSI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133148,N/A,NF-HUMALOG 100U/ML SUBCUTANEOUS SUSPENSI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133149,N/A,NF-BENICAR HCT 25MG-40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413315,N/A,OXYcodone 1MG/mL ORAL PEDIATRIC PAIN,637,1 ,$26.37 ,$17.14 ,$17.14 ,$26.37 ,$21.10 , N/A ,$20.90 ,$23.75 ,$23.75 , N/A ,$22.41 ,$19.51 , N/A , N/A , N/A ,$21.99 , N/A ,$21.78 ,$21.10 ,$23.73 ,$26.37 ,$22.41 , N/A ,$22.41 ,$22.41 ,$23.73 ,$23.73 ,$20.70 ,$21.78 , N/A ,$17.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133150,N/A,NF-FUROSEMIIDE 40MG TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133151,N/A,NF-DIGOXIN 0.125MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133152,N/A,NF-ANASTAZOLE 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133153,N/A,NF-SLOW-MAG 106MG-186.5MG-64MG ORAL TABL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133154,N/A,"NF-GARLIC 500MG ORAL CAPSULE, LIQUID FIL",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133155,N/A,NF-BILBERRY ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133156,N/A,NF-NEXIUM ORAL DELAYED-RELEASE CAP 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133157,N/A,NF-HYDROXYZINE HCL 25MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133158,N/A,NF-CALAMINE LOTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133159,N/A,NF-RESTASIS 0.05% OPHTHALMIC EMULSION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413316,N/A,ANORO ELLIPTA 62.5/25MCG PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133160,N/A,NF-PROVIGIL 200MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133161,N/A,NF-BETASERON 0.3MG SUBCUTANEOUS POWDER F,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133162,N/A,NF-VANCOMYCIN HCL CAP 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133163,N/A,NF-BICALUTAMIDE 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133164,N/A,NF-METHYLFOLATE 2000MCG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133165,N/A,NF-ONE DAILY ESSENTIAL ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133166,N/A,NF-FENOFIBRATE CAP 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133167,N/A,NF-PANTOPRAZOLE SODIUM ORAL TAB EC 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133168,N/A,NF-LORAZEPAM 2MG/ML ORAL SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133169,N/A,NF-CLOBETASOL PROP 0.05% TOPICAL APPLICA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413317,N/A,CRESTOR TAB 5MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133170,N/A,NF-MILK OF MAGNESIA 400MG/5ML ORAL SUSPE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133171,N/A,NF-MINERAL ICE 2% TOPICAL APPLICATION GE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133172,N/A,NF-ONDANSETRON 4MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133173,N/A,NF-ARTIFICIAL TEARS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133174,N/A,NF-LISINOPRIL 20MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133175,N/A,NF-METOPROLOL ER 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133176,N/A,NF-POLYETHYLENE 3350,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133177,N/A,NF-VISION FORMULA 60MG-2MG-0.04MG-5000 O,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133178,N/A,NF-TIKOSYN CAP 0.25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133179,N/A,NF-ACETAMINOPHEN 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413318,N/A,ZIOPTAN EYE DROPS PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133180,N/A,NF-SIMVASTATIN 40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133181,N/A,NF-DONEPEZIL HYDROCHLORIDE 5MG ORAL TABL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133182,N/A,"NF-PANTOPRAZOLE SODIUM 20MG ORAL TABLET,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133183,N/A,NF-HYDROCODONE BITART/ACET 500MG-5MG ORA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133184,N/A,NF-SYNTHROID 0.025MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133185,N/A,NF-GABAPENTIN 300MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133186,N/A,NF-KEPPRA 500MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133187,N/A,NF-EXCEDRIN MIGRAINE 250MG-250MG-65MG OR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133188,N/A,NF-ASPIRIN 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133189,N/A,"NF-VITAMIN D3 2000IU ORAL CAPSULE, LIQUI",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413319,N/A,MUCINEX ER TAB 1200MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133190,N/A,"NF-ROPINIROLE 4MG ORAL TABLET, EXTENDED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133191,N/A,NF-ESCITALOPRAM ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133192,N/A,NF-BENAZEPRIL HCL ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133193,N/A,NF-VITAMIN D ORAL CAPSULE 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133194,N/A,NF-ZINC TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133195,N/A,NF-OMEPRAZOLE DELAYED RELEASE CAPSULE 20,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133196,N/A,NF-EPITOL TABLET 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133197,N/A,NF-TRAZODONE HCL ORAL TABLET 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133198,N/A,"NF-OMEPRAZOLE 40MG ORAL CAPSULE, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133199,N/A,NF-LIVALO ORAL TABLET 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413320,N/A,FOLIC ACID TAB 0.4MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133200,N/A,"NF-VITAMIN D CAPSULE, LIQUID FILLED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133201,N/A,NF-CLARITIN-D TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133202,N/A,NF-CYMBALTA CAP DR 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133203,N/A,NF-PRAVASTATIN SODIUM ORAL TABLET 80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133204,N/A,NF-LOSARTAN POTASSIUM 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133205,N/A,"NF-OMEPRAZOLE 20MG ORAL CAPSULE, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133206,N/A,NF-VITAMIN B-12 100MCG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133207,N/A,NF-VITAMIN D ORAL TABLET 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133208,N/A,NF-VITAMIN D3 ORAL CAPSULE 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133209,N/A,NF-VITAMIN B-12 ORAL TABLET 500MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413321,J0282,AMIODARONE 450MG/9ML VIAL,636,1 ,$18.76 ,$12.19 ,$12.19 ,$16.89 ,$15.01 , N/A ,$14.87 ,$16.89 ,$16.89 , N/A ,$15.95 ,$13.88 , N/A , N/A , N/A ,$15.65 , N/A ,$15.50 ,$15.01 ,$16.88 , N/A ,$15.95 , N/A ,$15.95 ,$15.95 ,$16.88 ,$16.88 ,$14.73 ,$15.50 , N/A ,$12.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133210,N/A,NF-SENNA 8.6MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133211,N/A,"NF-OMEPRAZOLE 20MG ORAL CAPSULE, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133212,N/A,"NF-DIVALPROEX SODIUM 125MG ORAL TABLET,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133213,N/A,NF-LOSARTAN/HCTZ ORAL TABLET 100MG-12.5M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133214,N/A,NF-VIIBRYD TAB 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133215,N/A,NF-ROPINIROLE HCL TAB 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133216,N/A,NF-VIVELLE TRANSDERM PATCH 0.05MG/24HRS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133217,N/A,NF-VIVELLE TRANSDERM PATCH 0.1MG/24HRS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133218,N/A,NF-BAYER CONTOUR BLOOD GLUCOSE TEST STRI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133219,N/A,NF-ELIQUIS ORAL TABLET 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413322,J1071,TESTOSTERONE CYPIONATE IM 200MG/ML JOHN,636,1 ,$73.05 ,$47.48 ,$47.48 ,$65.78 ,$58.44 , N/A ,$57.88 ,$65.78 ,$65.78 , N/A ,$62.09 ,$54.06 , N/A , N/A , N/A ,$60.92 , N/A ,$60.34 ,$58.44 ,$65.75 , N/A ,$62.09 , N/A ,$62.09 ,$62.09 ,$65.75 ,$65.75 ,$57.34 ,$60.34 , N/A ,$47.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133220,N/A,NF-MATZIM LA ORAL TAB ER 180MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133221,N/A,NF-CELEBREX CAPSULE 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133222,N/A,NF-MULTIPLE VITAMINS W/IRON TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133223,N/A,NF-TERAZOSIN HCL CAP 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133224,N/A,NF-KEPPRA 100MG/ML ORAL SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133225,N/A,NF-TRILEPTAL 300MG/5ML ORAL SUSPENSION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133226,N/A,NF-PREVACID SOLUTAB 30MG ORAL TABLET DIS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133227,N/A,NF-CABERGOLINE TAB 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133228,N/A,NF-MESALAMINE CAP DR 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133229,N/A,NF-BENAZEPRIL HCL ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413323,N/A,DR PAINTER IRRIGATION NS 3000mL+EPI 1mL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133230,N/A,NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133231,N/A,NF-CELEBREX 200MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133232,N/A,NF-BUSPIRONE HYDROCHLORIDE 15MG ORAL TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133233,N/A,NF-GABAPENTIN ORAL TABLET 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133234,N/A,"NF-DOCUSATE 100MG ORAL CAPSULE, LIQUID F",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133235,N/A,NF-ISOSORBIDE MONONITRATE 60MG ORAL TABL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133236,N/A,NF-NECON 0.5/35 35MCG-0.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133237,N/A,NF-CITALOPRAM HYDROBROMIDE ORAL TAB 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133238,N/A,NF-LOSARTAN POTASSIUM ORAL TABLET 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133239,N/A,NF-BUMETANIDE ORAL TABLET 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413324,N/A,FOLIC ACID TAB 1MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133240,N/A,NF-LOSARTAN POTASSIUM ORAL TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133241,N/A,NF-VITAMIN B COMPLEX W/B12 TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133242,N/A,NF-METOPROLOL SUCCINATE 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133243,N/A,NF-GABAPENTIN 300MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133244,N/A,NF-SIMVASTATIN 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133245,N/A,NF-LISINOPRIL 20MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133246,N/A,NF-LORTAB 10/500 500MG-10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133247,N/A,NF-SERTRALINE 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133248,N/A,NF-PLAVIX 75MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133249,N/A,NF-METFORMIN 1000MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413325,N/A,NF-BACLOFEN TAB 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133250,N/A,NF-JANUMET 1000MG-50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133251,N/A,NF-LISINOPRIL 40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133252,N/A,NF-ASTRAGALUS ROOT POWDER,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133253,N/A,NF-MELATONIN ORAL CAPSULE 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133254,N/A,NF-MELOXICAM ORAL TAB 15MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133255,N/A,NF-ONDANSETRON DISINTEGRATING TABLET 8MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133256,N/A,NF-HYDROMORPHONE HCL TABLET 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133257,N/A,NF-COLACE 100MG/10ML ORAL LIQUID,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133258,N/A,NF-OXY IR 5MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133259,N/A,NF-OXYCODONE HYDROCHLORIDE ORAL TABLET 1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413326,N/A,ZINC OXIDE 20% OINTMENT PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133260,N/A,NF-K-TAB TABLET 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133261,N/A,NF-ATORVASTATIN CALCIUM ORAL TAB 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133262,N/A,NF-OCUVITE LUTEIN CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133263,N/A,"NF-2,3 DIMERCAPTOSUCCINIC ACID POWDER",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133264,N/A,NF-ZINC CHELATED TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133265,N/A,NF-LORAZEPAM 0.5MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133266,N/A,NF-CARBIDOPA-LEVODOPA DISINTEGRATING TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133267,N/A,NF-AMANTADINE HCL TAB 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133268,N/A,NF-ALEVE ORAL TABLET 220MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133269,N/A,NF-OYST SHELL CAL/NAT VIT D TAB 500MG-20,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413327,N/A,IRRIGATION (SODIUM CHLORIDE) : 3000ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133270,N/A,NF-FERREX 150 FORTE 25MCG-1MG-150MG ORAL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133271,N/A,"NF-OMEPRAZOLE 20MG ORAL CAPSULE, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133272,N/A,NF-REVATIO 20MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133273,N/A,NF-ATORVASTATIN CALCIUM ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133274,N/A,NF-RAMIPRIL CAP 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133275,N/A,NF-METOPROLOL TARTRATE 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133276,N/A,"NF-CARDIZEM CD 120MG ORAL CAPSULE, EXTEN",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133277,N/A,NF-FERROUS SULFATE 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133278,N/A,NF-CARAFATE 1GM/10ML ORAL SUSPENSION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133279,N/A,NF-DOXYCYCLINE 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413328,90686,INFLUENZA VACCINE IM QUADRIVA 2017-2018,636,1 ,$67.45 ,$43.84 ,$43.84 ,$60.74 ,$53.96 , N/A ,$53.45 ,$60.74 ,$60.74 , N/A ,$57.33 ,$49.91 , N/A , N/A , N/A ,$56.25 , N/A ,$55.71 ,$53.96 ,$60.71 , N/A ,$57.33 , N/A ,$57.33 ,$57.33 ,$60.71 ,$60.71 ,$52.95 ,$55.71 , N/A ,$43.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133280,N/A,"NF-FLUTICASONE PROPIONATE, MICRONIZED PO",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133281,N/A,NF-FOLIC ACID ORAL TABLET 0.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133282,N/A,NF-LISINOPRIL ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133283,N/A,NF-FIBER ORAL CAPSULE 0.52GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133284,N/A,NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133285,N/A,NF-DEXAMETHASONE TAB 0.75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133286,N/A,NF-IMIPRAMINE HCL ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133287,N/A,NF-ALLOPURINOL 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133288,N/A,NF-VITAMIN B COMPLEX 10MG-10MG-0.2MG-2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133289,N/A,NF-PROPAFENONE HCL ORAL TABLET 225MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413329,N/A,SODIUM CHLORIDE 0.9% 20ML VIAL,250,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133290,N/A,NF-CLORAZEPATE TAB 7.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133291,N/A,NF-SIMETHICONE CHEWABLE TAB 125MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133292,N/A,NF-NABUMETONE TAB 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133293,N/A,NF-ALBUTEROL ORAL TABLET 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133294,N/A,"NF-NAMENDA XR 14MG ORAL CAPSULE, EXTENDE",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133295,N/A,NF-ICY HOT STICK 7.6%-29% TOPICAL APPLIC,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133296,N/A,NF-CITALOPRAM HBR ORAL TAB 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133297,N/A,NF-LINZESS 290MCG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133298,N/A,NF-GLIPIZIDE ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133299,N/A,NF-1-HEXANOL LIQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413330,N/A,FAMOTIDINE TAB 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133300,N/A,NF-VENLAFAXINE HCL CAP ER 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133301,N/A,NF-FENOFIBRATE ORAL TABLET 145MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133302,N/A,NF-BROVANA 15MCG/2ML INHALATION SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133303,N/A,NF-OXYBUTYNIN 5MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133304,N/A,NF-MORPHINE SULFATE IR 30MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133305,N/A,NF-FUROSEMIDE 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133306,N/A,"NF-DOCUSATE SOD 100MG ORAL CAPSULE, LIQU",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133307,N/A,NF-TOPIRAMATE 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133308,N/A,"NF-WELLBUTRIN XL 300MG ORAL TABLET, EXTE",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133309,N/A,NF-LISINOPRIL 40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413331,N/A,SODIUM HYPOCHLORITE 0.25% TOPICAL,637,1 ,$42.36 ,$27.53 ,$27.53 ,$42.36 ,$33.89 , N/A ,$33.57 ,$38.15 ,$38.15 , N/A ,$36.01 ,$31.35 , N/A , N/A , N/A ,$35.33 , N/A ,$34.99 ,$33.89 ,$38.12 ,$42.36 ,$36.01 , N/A ,$36.01 ,$36.01 ,$38.12 ,$38.12 ,$33.25 ,$34.99 , N/A ,$27.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133310,N/A,NF-CRESTOR 5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133311,N/A,NF-ATORVASTATIN CALCIUM ORAL TAB 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133312,N/A,NF-PROMETH/CODEINE 10MG/5ML-6.25MG/5ML O,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133313,N/A,NF-SODIUM CHLORIDE 0.9% INTRAVENOUS SOLU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133314,N/A,NF-SEROQUEL 300MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133315,N/A,NF-PAROXETINE HCL 30MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133316,N/A,NF-FENOFIBRATE 160MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133317,N/A,NF-METFORMIN 1000MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133318,N/A,NF-FOSINOPRIL SODIUM ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133319,N/A,NF-VICTOZA 6MG/ML SUBCUTANEOUS SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413332,J1642,HEPARin PORT FLUSH 10 UNITS/ML : 5 ML,636,1 ,$5.80 ,$3.77 ,$3.77 ,$5.22 ,$4.64 , N/A ,$4.60 ,$5.22 ,$5.22 , N/A ,$4.93 ,$4.29 , N/A , N/A , N/A ,$4.84 , N/A ,$4.79 ,$4.64 ,$5.22 , N/A ,$4.93 , N/A ,$4.93 ,$4.93 ,$5.22 ,$5.22 ,$4.55 ,$4.79 , N/A ,$3.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133320,N/A,NF-CALCIUM 600 PLUS VITAMIN D-3,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133321,N/A,"NF-NEXIUM 40MG ORAL CAPSULE, DELAYED REL",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133322,N/A,NF-PRAMIPEXOLE DIHYDROCHLORIDE 0.25MG OR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133323,N/A,NF-ATORVASTATIN CALCIUM ORAL TAB 80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133324,N/A,"NF-VERAPAMIL HCL 180MG ORAL CAPSULE, EXT",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133325,N/A,NF-NABUMETONE 750MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133326,N/A,NF-VERAPAMIL HCL ORAL TAB ER 180MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133327,N/A,NF-VANCOMYCIN HYDROCHLORIDE ORAL CAP 125,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133328,N/A,"NF-BISACODYL 5MG ORAL TABLET, ENTERIC CO",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133329,N/A,NF-ROPINIROLE 0.25MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413333,N/A,ABREVA 10% CREAM PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133330,N/A,NF-ASPIRIN 325MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133331,N/A,"NF-NEXIUM 40MG ORAL CAPSULE, DELAYED REL",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133332,N/A,NF-MELOXICAM 7.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133333,N/A,"NF-POTASSIUM CHLORIDE 8MEQ ORAL TABLET,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133334,N/A,NF-FUROSEMIDE 40MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133335,N/A,NF-RISPERIDONE 0.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133336,N/A,NF-SUCRALFATE 1GM ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133337,N/A,NF-MECLIZINE 12.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133338,N/A,NF-ACETAMINOPHEN 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133339,N/A,NF-PROAIR HFA 0.09MG/ACTUATION INHALATIO,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413334,N/A,QUETIAPINE TAB 400MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133340,N/A,NF-DIAZEPAM 5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133341,N/A,"NF-BENZONATATE 200MG ORAL CAPSULE, LIQUI",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133342,N/A,NF-LEVAQUIN 500MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133343,N/A,NF-KEPPRA 250MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133344,N/A,NF-POTASSIUM CHLORIDE 10MEQ ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133345,N/A,NF-COMBIVENT 0.09MG/ACTUATION-0.0 INHALA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133346,N/A,NF-AMITRIPTYLINE 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133347,N/A,NF-SERTRALINE 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133348,N/A,NF-HYDROCODONE BITART/ACET 325MG-7.5MG O,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133349,N/A,NF-RANITIDINE 300MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413335,N/A,OXCARBAZEPINE TAB 600MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133350,N/A,NF-NAPROSYN 500MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133351,N/A,NF-LISINOPRIL 5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133352,N/A,NF-SUBOXONE 8MG-2MG SUBLINGUAL FILM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133353,N/A,NF-FENOFIBRATE ORAL TABLET 48MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133354,N/A,NF-VITAMIN B12 1000MCG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133355,N/A,NF-TRIAMTERINE 37.5MG/HCTZ 25MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133356,N/A,NF-BACLOFEN ORAL TAB 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133357,N/A,NF-LISINOPRIL 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133358,N/A,NF-ASPIRIN 325MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133359,N/A,NF-RAMIPRIL 10MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413336,N/A,HYDROCHLOROTHIAZIDE TAB 50MG PATIENTS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133360,N/A,NF-ZIAC 10MG-6.25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133361,N/A,NF-CARDURA 8MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133362,N/A,NF-DIGOXIN 0.25MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133363,N/A,NF-NIFEDIAC CC EXTENDED-RELEASE TABLET 9,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133364,N/A,NF-METAMUCIL MULTIHEALTH FIBER 0.52GM OR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133365,N/A,NF-NASONEX 0.05MG/ACTUATION NASAL SPRAY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133366,N/A,NF-CALCIUM 600-D 600MG-400IU ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133367,N/A,NF-ESTRACE 0.1MG/GM VAGINAL CREAM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133368,N/A,NF-BISOPROLOL FUMARATE AND HYDROCHLOROTH,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133369,N/A,NF-RAMIPRIL 10MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413337,N/A,GLYCOPYRROLATE TABLET : 1MG,637,1 ,$4.10 ,$2.67 ,$2.67 ,$4.10 ,$3.28 , N/A ,$3.25 ,$3.69 ,$3.69 , N/A ,$3.49 ,$3.03 , N/A , N/A , N/A ,$3.42 , N/A ,$3.39 ,$3.28 ,$3.69 ,$4.10 ,$3.49 , N/A ,$3.49 ,$3.49 ,$3.69 ,$3.69 ,$3.22 ,$3.39 , N/A ,$2.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133370,N/A,NF-DOXAZOSIN MESYLATE ORAL TABLET 8MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133371,N/A,"NF-DOCUSATE SOD 100MG ORAL CAPSULE, LIQU",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133372,N/A,NF-NATURE\'S BLEND MULTIPLE VITAMIN WITH,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133373,N/A,NF-FENOFIBRATE 160MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133374,N/A,NF-AMLODIPINE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133375,N/A,NF-ACIDOPHILUS PROBIOTIC BLEND ORAL CAP,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133376,N/A,NF-ATENOLOL ORAL TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133377,N/A,NF-PRAMOSONE 1%-1% TOPICAL APPLICATION L,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133378,N/A,NF-BETAXOLOL HCL OPHTH SOLN 0.5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133379,N/A,NF-2 IN 1 DANDRUFF SHAMPOO,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413338,N/A,MELATONIN CAP 10MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133380,N/A,NF-HALOPERIDOL DECANOATE IM OIL 100MG/1M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133381,N/A,NF-ALIGN ORAL CAPSULE 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133382,N/A,NF-PROPRANOLOL HCL TAB 80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133383,N/A,NF-LISINOPRIL 10MG TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133384,N/A,NF-METFORMIN 1000MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133385,N/A,NF-POTASSIUM 8MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133386,N/A,NF-GENTAMICIN SULFATE INJ 40MG/1ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133387,N/A,NF-NIFEDIPINE ER TABLET 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133388,N/A,NF-IMODIUM A-D 2MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133389,N/A,NF-PLETAL 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413339,N/A,DOXEPIN CAP 50MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133390,N/A,NF-SENNA LAX 8.6MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133391,N/A,NF-HYDROCODONE BITART/ACET 325MG-5MG ORA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133392,N/A,NF-TAMSULOSIN HYDROCHLORIDE 0.4MG ORAL C,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133393,N/A,"NF-ZOFRAN ODT 4MG ORAL TABLET, DISINTEGR",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133394,N/A,NF-METFORMIN 500MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133395,N/A,NF-ATORVASTATIN CALCIUM 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133396,N/A,"NF-ASPIRIN 325MG ORAL TABLET, ENTERIC CO",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133397,N/A,"NF-COLACE 100MG ORAL CAPSULE, LIQUID FIL",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133398,N/A,NF-CITALOPRAM 20MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133399,N/A,NF-VITAMIN D3 1000IU ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413340,N/A,ALEVE PM TAB PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133400,N/A,NF-ISOSORBIDE MONONITRATE 60MG ORAL TABL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133401,N/A,NF-LISINOPRIL 20MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133402,N/A,NF-ATENOLOL/CHLORTHALIDONE 50MG-25MG ORA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133403,N/A,NF-LISINOPRIL AND HCTZ TABLET 10MG-12.5M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133404,N/A,NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133405,N/A,NF-MICARDIS HCT TAB 12.5MG-80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133406,N/A,NF-VYTORIN 10MG-80MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133407,N/A,NF-VYTORIN TAB 10MG-80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133408,N/A,NF-MIRTAZAPINE 7.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133409,N/A,NF-FENTANYL 25MCG/HR PATCH,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413341,N/A,DEXTROSE 5%/SODIUM CHL 0.45% 250ML******,258,1 ,$19.85 ,$12.90 ,$12.90 ,$17.87 ,$15.88 , N/A ,$15.73 ,$17.87 ,$17.87 , N/A ,$16.87 ,$14.69 , N/A , N/A , N/A ,$16.55 , N/A ,$16.40 ,$15.88 ,$17.87 , N/A ,$16.87 , N/A ,$16.87 ,$16.87 ,$17.87 ,$17.87 ,$15.58 ,$16.40 , N/A ,$12.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133410,N/A,NF-BENAZEPRIL 5MG/HCTZ 6.25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133411,N/A,NF-BENAZEPRIL HCL/HCTZ TABLET 5MG-6.25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133412,N/A,NF-FLEXERIL 10MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133413,N/A,NF-JANUMET 1000MG-50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133414,N/A,NF-PIOGLITAZONE HYDROCHLORIDE 30MG ORAL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133415,N/A,NF-ATORVASTATIN CALCIUM 20MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133416,N/A,NF-VITAMIN B-12 1000MCG SUBLINGUAL TABLE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133417,N/A,NF-GLIMEPIRIDE 4MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133418,N/A,NF-MULTIPLE VITAMIN TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133419,N/A,NF-FISH OIL CONCENTRATE CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413342,90686,INFLUENZA VACCINE (QUADRIVALENT) 20-21,636,1 ,$52.41 ,$34.07 ,$34.07 ,$47.20 ,$41.93 , N/A ,$41.53 ,$47.20 ,$47.20 , N/A ,$44.55 ,$38.78 , N/A , N/A , N/A ,$43.71 , N/A ,$43.29 ,$41.93 ,$47.17 , N/A ,$44.55 , N/A ,$44.55 ,$44.55 ,$47.17 ,$47.17 ,$41.14 ,$43.29 , N/A ,$34.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133420,N/A,NF-ALLOPURINOL 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133421,N/A,NF-PRAVASTATIN 20MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133422,N/A,"NF-COLACE 100MG ORAL CAPSULE, LIQUID FIL",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133423,N/A,NF-DONEPEZIL HCL ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133424,N/A,NF-NAMENDA XR CAP ER 28MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133425,N/A,NF-HCTZ/LISINOPRIL 25MG-20MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133426,N/A,NF-VITAMIN B12 1000MCG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133427,N/A,NF-CALCIUM CITRATE WITH VITAMIN D TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133428,N/A,NF-GARLIC OIL NATURAL CAPSULE 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133429,N/A,NF-CLONIDINE TD PATCH ER 0.3MG/24HR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413343,J1642,HEPARIN FLUSH 10 UNITS/ML SYRINGE (BLUE),636,1 ,$6.57 ,$4.27 ,$4.27 ,$5.92 ,$5.26 , N/A ,$5.21 ,$5.92 ,$5.92 , N/A ,$5.58 ,$4.86 , N/A , N/A , N/A ,$5.48 , N/A ,$5.43 ,$5.26 ,$5.91 , N/A ,$5.58 , N/A ,$5.58 ,$5.58 ,$5.91 ,$5.91 ,$5.16 ,$5.43 , N/A ,$4.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133430,N/A,NF-PROBIOTIC,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133431,N/A,NF-CRANBERRY CONCENTRATE CAPSULE 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133432,N/A,NF-REQUIP XL TAB ER 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133433,N/A,NF-LEUCOVORIN CALCIUM 5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133434,N/A,"NF-LOVAZA 1GM ORAL CAPSULE, LIQUID FILLE",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133435,N/A,NF-LISINOPRIL 20MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133436,N/A,NF-LEVEMIR FLEXPEN 100U/ML SUBCUTANEOUS,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133437,N/A,NF-LEVEMIR FLEXPEN 100U/ML SUBCUTANEOUS,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133438,N/A,NF-COZAAR 50MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133439,N/A,NF-CARVEDILOL 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413344,J1450,FLUCONAZOLE 400MG/200ML IV,636,1 ,$66.74 ,$43.38 ,$43.38 ,$60.10 ,$53.39 , N/A ,$52.88 ,$60.10 ,$60.10 , N/A ,$56.73 ,$49.39 , N/A , N/A , N/A ,$55.66 , N/A ,$55.13 ,$53.39 ,$60.07 , N/A ,$56.73 , N/A ,$56.73 ,$56.73 ,$60.07 ,$60.07 ,$52.39 ,$55.13 , N/A ,$43.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),34133440,N/A,NF-CARDURA 2MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133441,N/A,NF-SYNTHROID 0.15MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133442,N/A,NF-LORAZEPAM 0.5MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133443,N/A,NF-ZOLOFT 50MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133444,N/A,NF-LIPITOR 10MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133445,N/A,"NF-ASPIRIN 81MG ORAL TABLET, ENTERIC COA",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133446,N/A,NF-PREDNISONE 5MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133447,N/A,NF-SEROQUEL 300MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133448,N/A,"NF-ASPIRIN E.C. 81MG ORAL TABLET, ENTERI",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133449,N/A,NF-JANUMET ORAL TABLET 50MG-500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133450,N/A,NF-MILK THISTLE TABLET 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133451,N/A,NF-INSPRA 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133452,N/A,NF-RANEXA 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133453,N/A,NF-MAGNESIUM 250MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133454,N/A,"NF-NEXIUM 40MG ORAL CAPSULE, DELAYED REL",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133455,N/A,NF-HYDROCODONE BITART/ACET 650MG-7.5MG O,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133457,N/A,NF-2 IN 1 DANDRUFF SHAMPOO,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133458,N/A,NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133459,N/A,NF-MOEXIPRIL HCL/HCTZ ORAL TAB 7.5MG-12.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133460,N/A,NF-MAGNESIUM OXIDE TABLET 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133461,N/A,NF-FERREX 150 FORTE PLUS 60MG-0.8MG-0.02,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133462,N/A,NF-LISINOPRIL 5MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133463,N/A,NF-ADDERALL 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133464,N/A,NF-DONEPEZIL HYDROCHLORIDE 10MG ORAL TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133465,N/A,NF-CRESTOR ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133466,N/A,NF-ZONISAMIDE CAP 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133467,N/A,NF-LISINOPRIL 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133468,N/A,NF-1-HEXANOL LIQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133469,N/A,NF-PROPAFENONE HCL TAB 225MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133470,N/A,NF-VALSARTAN AND HYDROCHLOROTHIAZIDE 12.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133471,N/A,NF-FOLIC ACID ORAL TABLET 0.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133472,N/A,NF-VITAMIN D ORAL TABLET 2000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133473,N/A,NF-ZINC GLUCONATE NATURAL TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133474,N/A,NF-SYNTHROID 0.05MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133475,N/A,NF-NITROFURANTOIN 100MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133476,N/A,NF-METOPROLOL SUCCINATE 50MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133477,N/A,"NF-KLOR-CON 10 10MEQ ORAL TABLET, EXTEND",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133478,N/A,"NF-ASPIRIN 81MG ORAL TABLET, ENTERIC COA",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133479,N/A,"NF-FELODIPINE 5MG ORAL TABLET, EXTENDED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133480,N/A,NF-TRAMADOL HCL 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133481,N/A,NF-PIOGLITAZONE HCL AND METFORMIN HCL 50,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133482,N/A,NF-VOLTAREN GEL 1% TOPICAL APPLICATION G,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133483,N/A,NF-GLIPIZIDE ER 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133484,N/A,NF-METFORMIN 500MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133485,N/A,NF-AMIODARONE 200MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133486,N/A,NF-FUROSEMIDE 20MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133487,N/A,NF-LISINOPRIL 20MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133488,N/A,NF-COREG ORAL TABLET 25MG,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133489,N/A,NF-LO LOESTRIN FE 10MCG-1MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133490,N/A,NF-DILTIAZEM CD 180MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133491,N/A,NF-FOLIC ACID 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133492,N/A,NF-NITROGLYCERIN 0.4MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133493,N/A,NF-LOSARTAN AND HYDROCHLOROTHIAZIDE 100-,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133494,N/A,NF-SERTRALINE 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133495,N/A,NF-EFFIENT 5MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133496,N/A,NF-POTASSIUM BROMIDE CRYSTAL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133497,N/A,NF-COMPLETE MULTI 50+ ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133498,N/A,NF-AMITRIPTYLINE 50MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133499,N/A,NF-DM/CHLORPHENIRAMINE MALEATE/PHENYLEPH,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3413350,N/A,CAPTOPRIL TAB 25MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133500,N/A,NF-LEADER MELATONIN 5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133501,N/A,NF-CRESTOR TAB 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133502,N/A,NF-TRAZODONE HYDROCHLORIDE 150MG ORAL TA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133503,N/A,NF-GABAPENTIN 300MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133504,N/A,NF-PILOCARPINE HCL TAB 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133505,N/A,NF-VITAMIN C 500MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133506,N/A,NF-COUMADIN 2.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133507,N/A,NF-BISACODYL 10MG RECTAL SUPPOSITORY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133508,N/A,NF-METOPROLOL TARTRATE 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133509,N/A,"NF-DOCUSATE SOD 100MG ORAL CAPSULE, LIQU",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133510,N/A,"NF-ASPIR LOW 81MG ORAL TABLET, ENTERIC C",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133511,N/A,NF-LIDOCAINE HCL VISCOUS 2% OROMUCOSAL S,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133512,N/A,"NF-DULCOLAX 5MG ORAL TABLET, ENTERIC COA",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133513,N/A,NF-BENADRYL ALLERGY 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133514,N/A,NF-DEMEROL HYDROCHLORIDE 50MG ORAL TABLE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133515,N/A,NF-HERCEPTIN 440MG INTRAVENOUS POWDER FO,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133516,N/A,NF-TAMOXIFEN CITRATE TAB 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133517,N/A,NF-FENOFIBRATE CAP 134MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133518,N/A,NF-METOPROLOL XL 25MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133519,N/A,NF-MELATONIN ORAL TABLET 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133520,N/A,NF-CITRACAL CAL CITR PETITES 200IU-200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133521,N/A,NF-Citracal Ultradense 250mg+D 250MG-200,N/A,1 ,"$17,160.00 ", N/A ,"$13,597.58 ","$15,452.58 ","$13,728.00 ", N/A ,"$13,597.58 ","$15,452.58 ","$15,452.58 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$13,728.00 ","$15,444.00 ", N/A ,"$14,586.00 ", N/A ,"$14,586.00 ", N/A , N/A ,"$15,444.00 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133522,N/A,NF-VENLAFAXINE 50MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133523,N/A,NF-CLOPIDOGREL 75MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133524,N/A,NF-NEXIUM CAPSULE 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133525,N/A,NF-ELIQUIS ORAL TABLET 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133526,N/A,NF-QUETIAPINE FUMARATE ORAL TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133527,N/A,NF-Patanase Nasal Spray 0.6%,N/A,1 ,"$2,340,002.00 ", N/A ,"$1,854,217.58 ","$2,107,171.80 ","$1,872,001.60 ", N/A ,"$1,854,217.58 ","$2,107,171.80 ","$2,107,171.80 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$1,872,001.60 ","$2,106,001.80 ", N/A ,"$1,989,001.70 ", N/A ,"$1,989,001.70 ", N/A , N/A ,"$2,106,001.80 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133528,N/A,NF-HYDROGEL GEL/JELLY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133529,N/A,NF-PREMPRO 0.3MG-1.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133530,N/A,NF-Lutein Tablet 20MG,N/A,1 ,"$85,380.00 ", N/A ,"$67,655.11 ","$76,884.69 ","$68,304.00 ", N/A ,"$67,655.11 ","$76,884.69 ","$76,884.69 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$68,304.00 ","$76,842.00 ", N/A ,"$72,573.00 ", N/A ,"$72,573.00 ", N/A , N/A ,"$76,842.00 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133531,N/A,"NF-K Cl Oral Capsule, ER 8MEQ",N/A,1 ,"$281,910.00 ", N/A ,"$223,385.48 ","$253,859.96 ","$225,528.00 ", N/A ,"$223,385.48 ","$253,859.96 ","$253,859.96 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$225,528.00 ","$253,719.00 ", N/A ,"$239,623.50 ", N/A ,"$239,623.50 ", N/A , N/A ,"$253,719.00 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133532,N/A,NF-Lutein Tablet 20MG,N/A,1 ,"$85,380.00 ", N/A ,"$67,655.11 ","$76,884.69 ","$68,304.00 ", N/A ,"$67,655.11 ","$76,884.69 ","$76,884.69 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$68,304.00 ","$76,842.00 ", N/A ,"$72,573.00 ", N/A ,"$72,573.00 ", N/A , N/A ,"$76,842.00 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133533,N/A,NF-Eliquis Oral Tablet 5MG,N/A,1 ,"$1,749,991.00 ", N/A ,"$1,386,692.87 ","$1,575,866.90 ","$1,399,992.80 ", N/A ,"$1,386,692.87 ","$1,575,866.90 ","$1,575,866.90 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$1,399,992.80 ","$1,574,991.90 ", N/A ,"$1,487,492.35 ", N/A ,"$1,487,492.35 ", N/A , N/A ,"$1,574,991.90 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133534,N/A,NF-Eliquis Oral Tablet 5MG,N/A,1 ,"$1,749,991.00 ", N/A ,"$1,386,692.87 ","$1,575,866.90 ","$1,399,992.80 ", N/A ,"$1,386,692.87 ","$1,575,866.90 ","$1,575,866.90 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$1,399,992.80 ","$1,574,991.90 ", N/A ,"$1,487,492.35 ", N/A ,"$1,487,492.35 ", N/A , N/A ,"$1,574,991.90 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133535,N/A,NF-LEVETIRACETAM ORAL TABLET 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133536,N/A,NF-LOVASTATIN TAB 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133537,N/A,NF-Mega Multivitamin w/Minerals Tablet,N/A,1 ,"$33,549.00 ", N/A ,"$26,584.23 ","$30,210.87 ","$26,839.20 ", N/A ,"$26,584.23 ","$30,210.87 ","$30,210.87 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$26,839.20 ","$30,194.10 ", N/A ,"$28,516.65 ", N/A ,"$28,516.65 ", N/A , N/A ,"$30,194.10 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133538,N/A,NF-ZINC SULFATE 220MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133539,N/A,NF-ESCITALOPRAM 10MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133540,N/A,NF-SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133541,N/A,NF-Melatonin Capsule 5MG,637,1 ,"$45,000.00 ","$29,250.00 ","$29,250.00 ","$45,000.00 ","$36,000.00 ", N/A ,"$35,658.00 ","$40,522.50 ","$40,522.50 ", N/A ,"$38,250.00 ","$33,300.00 ", N/A , N/A , N/A ,"$37,530.00 ", N/A ,"$37,170.00 ","$36,000.00 ","$40,500.00 ","$45,000.00 ","$38,250.00 ", N/A ,"$38,250.00 ","$38,250.00 ","$40,500.00 ","$40,500.00 ","$35,325.00 ","$37,170.00 ", N/A ,"$29,250.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34133542,N/A,NF-Melatonin Capsule 5MG,N/A,1 ,"$45,000.00 ", N/A ,"$35,658.00 ","$40,522.50 ","$36,000.00 ", N/A ,"$35,658.00 ","$40,522.50 ","$40,522.50 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$36,000.00 ","$40,500.00 ", N/A ,"$38,250.00 ", N/A ,"$38,250.00 ", N/A , N/A ,"$40,500.00 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133543,N/A,"NF-DULOXETINE 60MG ORAL CAPSULE, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133544,N/A,NF-Besivance Ophthalmic Suspension 0.6%,N/A,1 ,"$9,168,610.00 ", N/A ,"$7,265,206.56 ","$8,256,333.31 ","$7,334,888.00 ", N/A ,"$7,265,206.56 ","$8,256,333.31 ","$8,256,333.31 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$7,334,888.00 ","$8,251,749.00 ", N/A ,"$7,793,318.50 ", N/A ,"$7,793,318.50 ", N/A , N/A ,"$8,251,749.00 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133545,N/A,NF-Besivance Ophthalmic Suspension 0.6%,N/A,1 ,"$8,802,009.00 ", N/A ,"$6,974,711.93 ","$7,926,209.10 ","$7,041,607.20 ", N/A ,"$6,974,711.93 ","$7,926,209.10 ","$7,926,209.10 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$7,041,607.20 ","$7,921,808.10 ", N/A ,"$7,481,707.65 ", N/A ,"$7,481,707.65 ", N/A , N/A ,"$7,921,808.10 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133547,N/A,NF-PROLENSA OPHTH SOLN 0.07%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133548,N/A,NF-Namenda XROral Capsule ER 28MG,N/A,1 ,"$3,562,603.00 ", N/A ,"$2,823,006.62 ","$3,208,124.00 ","$2,850,082.40 ", N/A ,"$2,823,006.62 ","$3,208,124.00 ","$3,208,124.00 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$2,850,082.40 ","$3,206,342.70 ", N/A ,"$3,028,212.55 ", N/A ,"$3,028,212.55 ", N/A , N/A ,"$3,206,342.70 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133549,N/A,NF-TUDORZA PRESSAIR 400MCG/ACTUATION INH,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133550,N/A,NF-CRANBERRY 400MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133551,N/A,NF-MEPROBAMATE 200MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133552,N/A,NF-Farxiga Oral Tablet 5MG,637,1 ,"$3,744,604.00 ","$2,433,992.60 ","$2,433,992.60 ","$3,744,604.00 ","$2,995,683.20 ", N/A ,"$2,967,224.21 ","$3,372,015.90 ","$3,372,015.90 ", N/A ,"$3,182,913.40 ","$2,771,006.96 ", N/A , N/A , N/A ,"$3,122,999.74 ", N/A ,"$3,093,042.90 ","$2,995,683.20 ","$3,370,143.60 ","$3,744,604.00 ","$3,182,913.40 ", N/A ,"$3,182,913.40 ","$3,182,913.40 ","$3,370,143.60 ","$3,370,143.60 ","$2,939,514.14 ","$3,093,042.90 ", N/A ,"$2,433,992.60 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34133553,N/A,NF-Caltrate 600 + D Oral Tablet 600MG-20,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133554,N/A,NF-CARBIDOPA AND LEVODOPA 25-100,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133555,N/A,NF-OCUVITE 60MG-0.04MG-5000IU-3 ORAL TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133556,N/A,NF-PROPRANOLOL 60MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133557,N/A,NF-GUIAFENESIN/PSE 600MG-120MG ORAL TABL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133558,N/A,NF-SIMVASTATIN 80MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133559,N/A,NF-ZOFRAN 4MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133560,N/A,NF-HEMORRHOIDAL RECTAL CREAM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133561,N/A,NF-PHARMASSURE VITAMIN B-12 1000MCG ORAL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133562,N/A,NF-HYDROCHLOROTHIAZIDE 12.5MG ORAL TABLE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133563,N/A,NF-Selenium Tablet 200mcg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133564,N/A,NF-Patanase Nasal Spray 0.6%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133565,N/A,NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133566,N/A,NF-CIPROFLOXACIN IV SOLN 10MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133567,N/A,NF-POTASSIUM TAB 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133568,N/A,NF-CLORAZEPATE 3.75MG TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133569,N/A,NF-RYTHMOL 225MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133570,N/A,NF-ACTONEL 150MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133571,N/A,NF-TERBINAFINE 250MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133572,N/A,NF-METOPROLOL TARTRATE 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133573,N/A,NF-IMURAN 50MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133574,N/A,NF-ZETIA 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133575,N/A,NF-LUMIGAN 0.03% OPHTHALMIC SOLUTION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133576,N/A,NF-VITAMIN D 1000 UNITS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133577,N/A,NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133578,N/A,NF-AMBIEN 10MG TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133579,N/A,NF-ASPIRIN 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133580,N/A,NF-FLUOXETINE 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133581,N/A,NF-TERBINAFINE 250MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133582,N/A,NF-Vitamin B12 Oral Tablet 500MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133583,N/A,NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133584,N/A,"NF-CYMBALTA 60MG ORAL CAPSULE, DELAYED R",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133585,N/A,NF-Bisacodyl Tablet 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133586,N/A,NF-Gabapentin Oral Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133587,N/A,NF-Abilify Tablet 15MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133588,N/A,NF-discontinued inhaler,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133589,N/A,NF-LUMIGAN 0.01% OPHTHALMIC SOLUTION,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133590,N/A,NF-LOW-OGESTREL 28 30MCG-0.3MG ORAL TABL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133591,N/A,NF-Ferrous Sulfate Oral Tablet 65MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133592,N/A,NF-Ferrous Sulfate Oral Tablet 65MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133593,N/A,NF-TESTOSTERONE CYPIONATE IM OIL 200MG/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133594,N/A,NF-Maxalt Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133595,N/A,NF-Lovastatin Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133596,N/A,NF-tablet 325mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133597,N/A,NF-GAVISCON REGULAR STRENGTH 95MG/15ML-3,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133598,N/A,NF-HALOG 0.1% TOPICAL APPLICATION OINTME,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133599,N/A,NF-EXELON 3MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133600,N/A,NF-VALSARTAN 320MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133601,N/A,NF-FERROUS SULFATE 325MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133602,N/A,NF-NAPROXEN SOD 550MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133603,N/A,NF-REFRESH TEARS 0.5% OPHTHALMIC SOLUTIO,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133604,N/A,NF-NATURE\'S BLEND MULTI VITAMIN AND MIN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133605,N/A,NF-VITAMIN B COMPLEX + C 300MG-10MG-50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133606,N/A,"NF-OMEPRAZOLE 40MG ORAL CAPSULE, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133607,N/A,NF-PROZAC 40MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133608,N/A,NF-ABILIFY 30MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133609,N/A,NF-MORPHINE SULFATE 20MG/ML ORAL SOLUTIO,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133610,N/A,NF-KLOR-CON 20MEQ ORAL POWDER FOR SOLUTI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133611,N/A,NF-CHOLECALCIFEROL CRYSTAL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133612,N/A,NF-LAMICTAL 200MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133613,N/A,"NF-TECFIDERA 240MG ORAL CAPSULE, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133614,N/A,NF-LOVASTATIN 10MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133615,N/A,NF-tramadol 50mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133616,N/A,NF-VITAMIN C 500MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133617,N/A,NF-AMLODIPINE BESYLATE 2.5MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133618,N/A,NF-FUROSEMIDE 20MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133619,N/A,NF-tablet 81mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133620,N/A,NF-OXYBUTYNIN 5MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133621,N/A,NF-TYLENOL PM EXTRA STRENGTH 500MG-25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133622,N/A,NF-LORAZEPAM 0.5MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133623,N/A,NF-SODIUM CHLORIDE 1GM ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133624,N/A,NF-ALFUZOSIN HYDROCHLORIDE 10MG ORAL TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133625,N/A,NF-PILOCARPINE 5MG ORAL TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133626,N/A,NF-Aspirin Oral Tablet 81MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133627,N/A,"NF-K Cl Oral Capsule, ER 8MEQ",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133628,N/A,NF-Gentak Ophth Solution 3MG/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133629,N/A,NF-TARCEVA 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133630,N/A,"NF-RANEXA 500MG ORAL TABLET, EXTENDED RE",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133631,N/A,NF-HUMIRA 20MG/0.4ML SUBCUTANEOUS SOLUTI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133632,N/A,NF-glyBURIDE/metFORMIN HCl Tab 1.25MG-25,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133633,N/A,NF-Refresh Tears Ophth Solution 0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133634,N/A,NF-traMADol Oral Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133635,N/A,NF-Fenofibrate Oral Tablet 160MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133636,N/A,NF-Enalapril Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133637,N/A,NF-Dicyclomine Oral Capsule 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133638,N/A,NF-Fish Oil Liquid-Filled Capsule 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133639,N/A,NF-PROGESTERONE 100MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133640,N/A,NF-TARCEVA 100MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133641,N/A,NF-LOPERAMIDE HCL 2MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133642,N/A,NF-EXCEDRIN 250MG-250MG-65MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133643,N/A,NF-LATANOPROST 0.005% OPHTHALMIC SOLUTIO,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133644,N/A,NF-ATIVAN 0.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133645,N/A,"NF-TOPROL XL 25MG ORAL TABLET, EXTENDED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133646,N/A,NF-MIRTAZAPINE 15MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133647,N/A,NF-CALCIUM 600MG+D 600MG-200IU ORAL TABL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133648,N/A,"NF-OMEPRAZOLE 20MG ORAL TABLET, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133649,N/A,NF-ILEVRO 0.3% OPHTHALMIC SUSPENSION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133650,N/A,NF-Q-Tussin DM Liquid,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133651,N/A,NF-RisperDAL Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133652,N/A,NF-Depakote ER Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133653,N/A,NF-Paxil Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133654,N/A,NF-Naltrexone HCl Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133655,N/A,NF-Norco Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133656,N/A,NF-Bisacodyl Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133657,N/A,NF-RANITIDINE HCL 150MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133658,N/A,NF-HCTZ/SPIRONOLACTONE 25MG-25MG ORAL TA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133659,N/A,"NF-OXYBUTYNIN CHLORIDE 10MG ORAL TABLET,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133660,N/A,NF-Loperamide Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133661,N/A,NF-Good Sense Ibuprofen PM Tab 200MG-38M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133662,N/A,NF-traMADol Oral Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133663,N/A,NF-CHOLESTYRAMINE 4GM/9GM ORAL POWDER FO,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133664,N/A,NF-ESCITALOPRAM 20MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133665,N/A,NF-CLOPIDOGREL 75MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133666,N/A,NF-Famotidine Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133667,N/A,NF-Clopidogrel Oral Tablet 75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133668,N/A,NF-Allopurinol Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133669,N/A,NF-Fish Oil Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133670,N/A,NF-Verapamil HCl Capsule 180MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133671,N/A,NF-Aspirin Tablet 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133672,N/A,NF-OS-Cal 500 Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133673,N/A,"NF-OMEGA-3 FISH OIL 1000MG ORAL CAPSULE,",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133674,N/A,NF-Q-TUSSIN DM 10MG-100MG/5ML ORAL LIQUI,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133675,N/A,NF-NITROGLYCERIN 0.4MG SUBLINGUAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133676,N/A,NF-DIPHENOXYLATE HCL-ATROPINE SULFATE 2.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133677,N/A,NF-MECLIZINE 25MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133678,N/A,NF-MELOXICAM 15MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133679,N/A,NF-MACROBID 100MG ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133680,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133681,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133682,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133683,N/A,NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133684,N/A,NF-Nortrel Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133685,N/A,NF-CHOLESTYRAMINE 4GM/9GM ORAL POWDER FO,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133686,N/A,NF-Albuterol Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133687,N/A,NF-Cilostazol Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133688,N/A,NF-Nasonex Spray 0.05MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133689,N/A,NF-Cilostazol Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133690,N/A,NF-Nasonex Spray 0.05MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133691,N/A,NF-DOXAZOSIN MESYLATE ORAL TABLET 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133692,N/A,NF-Zocor Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133693,N/A,NF-NIFEdipine Extended-Release Tablet 30,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133694,N/A,NF-Aspirin EC Tablet 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133695,N/A,NF-Vision Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133696,N/A,"NF-FISH OIL 1000MG ORAL CAPSULE, LIQUID",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133697,N/A,NF-Lisinopril Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133698,N/A,NF-Aspirin Tablet 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133699,N/A,NF-Klor-Con 10 Tablet 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133700,N/A,NF-Augmentin Chewable Tab 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133701,N/A,NF-MONTELUKAST SODIUM 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133702,N/A,NF-RAZADYNE 12MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133703,N/A,"NF-OMEPRAZOLE 20MG ORAL TABLET, DELAYED",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133704,N/A,NF-ELIQUIS 2.5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133705,N/A,NF-DIOVAN 160MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133706,N/A,NF-AMLODIPINE 5MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133707,N/A,NF-COUMADIN 2MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133708,N/A,NF-CALCIUM 600/VITAMIN D 600MG-125IU ORA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133709,N/A,NF-FLOVENT HFA 0.044MG/1ACTUATION INHALA,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133710,N/A,NF-SINGULAIR 10MG ORAL TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133711,N/A,NF-VITAMIN B12 TABLET 1500MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133712,N/A,NF-EXTENDED PHENYTOIN SODIUM 200MG ORAL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133713,N/A,NF-LOSARTAN POTASSIUM-HYDROCHLOROTHIAZID,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133714,N/A,NF-Furosemide Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133715,N/A,NF-Aspirin Oral Enteric-Coated Tablet 81,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133716,N/A,NF-Klor-Con 10 Tablet 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133717,N/A,NF-traMADol Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133718,N/A,NF-Requip Oral Tablet 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133719,N/A,NF-Calcium 600 Capsule 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133720,N/A,NF-Aspirin Oral Tablet 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133721,N/A,NF-Folic Acid Tablet 0.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133722,N/A,NF-predniSONE Tab 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133723,N/A,NF-Clarithromycin Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133724,N/A,NF-Amoxicillin/Clavulanate Pot 500MG-125,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133725,N/A,NF-Lisinopril/HCTZ 10MG-12.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133726,N/A,NF-Amoxicillin/Clavulanate Pot 500MG-125,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133727,N/A,NF-Vitamin D3 Liquid-Filled Capsule 1000,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133728,N/A,NF-Calcium 600 Capsule 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133729,N/A,NF-Hyzaar Oral Tablet 100MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133730,N/A,NF-metFORMIN Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133731,N/A,NF-Omeprazole Delayed Release Tablet 20M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133732,N/A,NF-CoQ10 In Oil Liquid Capsule 100MG-30I,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133733,N/A,NF-Niaspan Tablet ER 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133734,N/A,NF-Losartan Potassium Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133735,N/A,NF-Aleve Oral Tablet 220MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133736,N/A,NF-Coenzyme Q-10 Liq Cap 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133737,N/A,NF-Calcium Tablet 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133738,N/A,NF-Levothyroxine Oral Tablet 25MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133739,N/A,NF-Leader Melatonin Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133740,N/A,NF-Calcium Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133741,N/A,NF-Gas Relief Infants Liquid 40MG/0.6ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133742,N/A,NF-Women's Multivitamin/Multimineral,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133743,N/A,NF-Osmolite 1.5 Cal Oral Solution,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133744,N/A,NF-clonazePAM Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133745,N/A,NF-Gas Relief Max Strength Capsule 166,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133746,N/A,NF-One Daily Women's Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133747,N/A,NF-Dok Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133748,N/A,NF-HCTZ/Triamterene Tablet 50MG-75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133749,N/A,NF-Ultracet Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133750,N/A,NF-Fleet Enema Rectal Liquid,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133751,N/A,NF-Nuedexta Oral Capsule 20MG-10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133752,N/A,NF-Senna Oral Tablet 8.6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133753,N/A,NF-APAP AND Diphen Oral Tablet 50MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133754,N/A,NF-Iron Tablet 90MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133755,N/A,NF-Chlorpheniramine Maleate Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133756,N/A,NF-Melatonin Capsule 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133757,N/A,NF-Chantix Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133758,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133759,N/A,NF-Vitamin D Oral Capsule 50000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133760,N/A,NF-NexIUM Capsule 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133761,N/A,NF-glipiZIDE Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133762,N/A,NF-Oxybutynin Chloride Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133763,N/A,NF-Omeprazole DR Oral Cap DR 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133764,N/A,NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133765,N/A,NF-Mirtazapine Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133766,N/A,NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133767,N/A,NF-ACIDOPHILUS CAPSULE 100MILLIONU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133768,N/A,NF-Anafranil Capsule 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133769,N/A,NF-Acetaminophen Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133770,N/A,NF-Vitamin D Oral Capsule 50000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133771,N/A,NF-Acidophilus Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133772,N/A,NF-Acetaminophen Oral Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133773,N/A,NF-Pepto-Bismol Oral Suspension 262MG/15,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133774,N/A,NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133775,N/A,NF-Boniva Oral Tablet 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133776,N/A,NF-Vicks DayQuil/NyQuil Cough Oral Kit,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133777,N/A,NF-CHANTIX STARTING MONTH PAK KIT,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133778,N/A,NF-CHANTIX ORAL TABLET 0.5MG-1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133779,N/A,NF-BYSTOLIC ORAL TABLET 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133780,N/A,NF-Calcium 600/Vitamin D Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133781,N/A,NF-Cinnamon Oral Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133782,N/A,NF-Cinnamon Oral Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133783,N/A,NF-Cinnamon Oral Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133784,N/A,NF-Cinnamon Oral Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133785,N/A,NF-Meclizine Oral Chewable Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133786,N/A,NF-Meclizine Oral Chewable Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133787,N/A,NF-Vimpat Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133788,N/A,NF-Vimpat Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133789,N/A,NF-Aspirin Oral Tablet 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133790,N/A,NF-PreNatal Vitamins Plus Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133791,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133792,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133793,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133794,N/A,NF-Ondansetron Oral Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133795,N/A,NF-Acetaminophen Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133796,N/A,NF-Dynacirc Capsule 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133797,N/A,NF-K-PHOS NEUTRAL TAB 155MG-852MG-130MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133798,N/A,NF-Hydrocortisone A Rectal Suppository 2,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133799,N/A,NF-Night-Time Sleep Aid Liq Cap 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133800,N/A,NF-Namenda XR Oral Capsule ER 7MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133801,N/A,NF-HumaLOG Subcutaneous Susp 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133802,N/A,NF-Nortriptyline HCl Capsule 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133803,N/A,NF-buPROPion HCl Tab ER 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133804,N/A,NF-Omeprazole Delayed Release Tablet 20M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133805,N/A,NF-Ondansetron Oral Tablet 8MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133806,N/A,NF-Tylenol Oral Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133807,N/A,NF-Fleet Enema Rectal Liquid,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133808,N/A,NF-Milk Of Magnesia Liquid 400MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133809,N/A,NF-Phenergan Rectal Suppository 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133810,N/A,NF-Sennosides Oral Tablet 8.6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133811,N/A,NF-Sennosides Oral Tablet 8.6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133812,N/A,NF-Lansoprazole Oral Cap DR 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133813,N/A,NF-Ferrous Sulfate Tablet 325mg,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133814,N/A,NF-Cyanocobalamin Injection 1000MCG/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133815,N/A,NF-Vitamin D Oral Capsule 50000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133816,N/A,NF-Transderm Scop Transdermal PatchER 1.,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133817,N/A,NF-Cranberry Capsule 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133818,N/A,NF-ICaps Areds Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133819,N/A,NF-Ferrous Sulfate Tablet 325mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133820,N/A,NF-Fish Oil Concentrate Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133821,N/A,NF-Senokot S Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133822,N/A,NF-Vimpat Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133823,N/A,NF-guanFACINE Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133824,N/A,NF-ProAir HFA Aer Pwd 0.09MG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133825,N/A,NF-Lyrica Oral Capsule 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133826,N/A,NF-Lyrica Oral Capsule 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133827,N/A,NF-Vimpat Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133828,N/A,NF-busPIRone HCl Tablet 7.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133829,N/A,NF-Co Q-10 Capsule 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133830,N/A,NF-Calcitriol Capsule 0.25MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133831,N/A,NF-Donepezil Hydrochloride Oral Tablet 5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133832,N/A,NF-Nabumetone Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133833,N/A,NF-Levothyroxine Oral Tablet 50MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133834,N/A,NF-Multi Vitamins Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133835,N/A,NF-Lisinopril Oral Tablet 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133836,N/A,NF-rOPINIRole Hydrochloride Tablet 0.25M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133837,N/A,NF-Lovastatin Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133838,N/A,NF-Temazepam Capsule 15MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133839,N/A,NF-Meclizine HCl Tablet 12.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133840,N/A,NF-Donepezil Hydrochloride Oral Tablet 5,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133841,N/A,NF-Levothyroxine Oral Tablet 50MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133842,N/A,NF-Lisinopril Tablet 2.5mg,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133843,N/A,NF-Lovastatin Oral Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133844,N/A,NF-Meclizine HCl Oral Tablet 12.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133845,N/A,NF-Donepezil Hydrochloride Oral Tablet 5,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133846,N/A,NF-donepezil HCl Oral Tablet 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133847,N/A,NF-cloNIDine Oral Tablet 0.2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133848,N/A,NF-Ambien Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133849,N/A,NF-Potassium Chloride Oral Tab ER 20MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133850,N/A,NF-Combigan Ophth Soln 0.2%-0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133851,N/A,NF-Travatan Z Ophthalmic Solution 0.004%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133852,N/A,NF-cloNIDine Oral Tablet 0.2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133853,N/A,NF-Carvedilol Oral Tablet 3.125MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133854,N/A,NF-Diovan Tablet 160MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133855,N/A,NF-Aspir Low Oral Tablet EC 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133856,N/A,NF-Norvasc Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133857,N/A,NF-Combigan Ophth Soln 0.2%-0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133858,N/A,NF-Systane Ophthalmic Gel/Jelly 0.3%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133859,N/A,NF-Tylenol Extra Strength Oral Cap 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133860,N/A,NF-acetaZOLAMIDE Capsule ER 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133861,N/A,NF-cloNIDine Oral Tablet 0.2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133862,N/A,NF-Ambien Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133863,N/A,NF-Potassium Chloride Oral Tab ER 20MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133864,N/A,NF-Combigan Ophth Soln 0.2%-0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133865,N/A,NF-Travatan Z Ophthalmic Solution 0.004%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133866,N/A,NF-cloNIDine Oral Tablet 0.2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133867,N/A,NF-Carvedilol Oral Tablet 3.125MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133868,N/A,NF-Diovan Tablet 160MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133869,N/A,NF-Aspir Low Oral Tablet EC 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133870,N/A,NF-Norvasc Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133871,N/A,NF-Combigan Ophth Soln 0.2%-0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133872,N/A,NF-Systane Ophthalmic Gel/Jelly 0.3%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133873,N/A,NF-Tylenol Extra Strength Oral Cap 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133874,N/A,NF-acetaZOLAMIDE Capsule ER 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133875,N/A,NF-Zofran Oral Disintegrating Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133876,N/A,NF-Galantamine Hydrobromide Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133877,N/A,NF-Sinemet 25-250 Oral Tablet 25MG-250MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133878,N/A,NF-Galantamine Hydrobromide Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133879,N/A,NF-Sinemet 25-250 Oral Tablet 25MG-250MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133880,N/A,NF-Fish Oil Capsule 1000MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133881,N/A,NF-Fish Oil Capsule 1000MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133882,N/A,NF-Fish Oil Capsule 1000MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133883,N/A,NF-Fish Oil Capsule 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133884,N/A,NF-metFORMIN HCl Oral Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133885,N/A,N/A,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133886,N/A,NF-metFORMIN HCl Oral Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133887,N/A,N/A,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133888,N/A,NF-metFORMIN HCl Oral Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133889,N/A,N/A,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133890,N/A,NF-metFORMIN HCl Oral Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133891,N/A,N/A,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133892,N/A,NF-Latuda Oral Tablet 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133893,N/A,NF-Melatonin Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133894,N/A,NF-Toviaz Oral Extended Release Tablet 4,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133895,N/A,NF-Halobetasol Propionate Cream 0.05%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133896,N/A,NF-naproxen Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133897,N/A,NF-B Complex AND B12 Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133898,N/A,NF-D3-5 Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133899,N/A,NF-Paxil Tablet 40mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133900,N/A,NF-Gas Relief Extra Strength Capsule 125,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133901,N/A,NF-Omeprazole Oral Tab DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133902,N/A,NF-Tylenol Oral Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133903,N/A,NF-Vicodin Oral Tablet 5MG-300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133904,N/A,NF-Lisinopril-HCTZ Tablet 10MG-12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133905,N/A,NF-Apidra Injection Solution 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133906,N/A,NF-Aspirin Oral Tablet 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133907,N/A,NF-Chromium Oral Liq Cap 200MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133908,N/A,NF-Apidra Injection Solution 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133909,N/A,NF-Garlic Oil Capsule 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133910,N/A,NF-Ranitidine Oral Tablet 75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133911,N/A,NF-Fish Oil Ultra With Natural Omega-3,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133912,N/A,NF-Vitamin B6 Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133913,N/A,NF-HumaLOG Subcutaneous Susp 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133914,N/A,NF-HumaLOG Subcutaneous Susp 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133915,N/A,NF-HumaLOG Subcutaneous Susp 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133916,N/A,NF-PREVACID CAP DR 15MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133917,N/A,NF-Folic Acid Tablet 0.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133918,N/A,NF-Ocuvite Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133919,N/A,NF-Lovaza Oral Liquid Filled Capsule 1GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133920,N/A,NF-TUDORZA PRESSAIR INH AER PWD 400MCG/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133921,N/A,NF-Elmiron Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133922,N/A,NF-Metamucil Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133923,N/A,NF-Ocuvite Lutein Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133924,N/A,NF-valsartan Oral Tablet 320MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133925,N/A,NF-Imodium A-D Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133926,N/A,NF-Metamucil Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133927,N/A,NF-Tylenol Oral Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133928,N/A,NF-Fleet Enema Rectal Liquid,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133929,N/A,NF-Vision Formula Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133930,N/A,NF-Liquid Protein Fortifier Oral Solutio,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133931,N/A,NF-Coenzyme Q-10 Liq Cap 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133932,N/A,NF-Human Chorionic Gonadotropin EP,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133933,N/A,NF-Naproxen Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133934,N/A,NF-Fleet Enema Rectal Liquid,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133935,N/A,NF-Folic Acid Xtra Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133936,N/A,NF-Claritin-D 12HR Oral Tab ER 5MG-120MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133937,N/A,NF-Pradaxa Oral Capsule 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133938,N/A,NF-Ultram Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133939,N/A,NF-Zofran Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133940,N/A,NF-Pradaxa Oral Capsule 150MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133941,N/A,NF-Ultram Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133942,N/A,NF-Zofran Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133943,N/A,NF-Pradaxa Oral Capsule 75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133944,N/A,NF-Lovaza Oral Liquid Filled Capsule 1GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133945,N/A,NF-Vitamin D3 Oral Tablet 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133946,N/A,NF-Melatonin Oral Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133947,N/A,NF-Multi-Vitamin w/Minerals Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133948,N/A,NF-Cardizem CD Oral Capsule ER 120MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133949,N/A,NF-Eliquis Oral Tablet 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133950,N/A,NF-Ranitidine Oral Tablet 75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133951,N/A,NF-NovoLOG Mix 70/30 SubQ Susp 70U-30U/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133952,N/A,NF-Fanapt Oral Tablet 6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133953,N/A,NF-Pramipexole Dihydrochloride Tab 0.75M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133954,N/A,NF-Calcium/Vitamin D Oral Tab 600MG-800I,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133955,N/A,NF-Ocuvite Adult 50+ Liquid-Filled Capsu,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133956,N/A,NF-Clobetasol Prop Topical Ointment 0.05,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133957,N/A,NF-Fluconazole Oral Tablet 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133958,N/A,NF-Percocet Oral Tablet 2.5MG-325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133959,N/A,NF-morphine sulfate Tablet 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133960,N/A,NF-Potassium Tablet 99MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133961,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133962,N/A,NF-Zinc Sulfate Oral Tablet 220MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133963,N/A,NF-Banatrol Plus Oral Solution,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133964,N/A,NF-Buprenorphine HCl Sublingual Tablet 8,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133965,N/A,NF-Buprenorphine/Naloxone SL Tab 8MG-2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133966,N/A,NF-Buprenorphine/Naloxone SL Tab 8MG-2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133967,N/A,NF-Cinnamon Oral Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133968,N/A,NF-Mapap Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133969,N/A,NF-Vitamin D Oral Tablet 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133970,N/A,NF-APAP Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133971,N/A,NF-cloNIDine HCl Tablet 0.3MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133972,N/A,NF-Morphine Sulfate Tablet 30MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133973,N/A,NF-Water For Inhalation Solution,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133974,N/A,NF-Sterile Water for Injection Solution,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133975,N/A,NF-Codeine/Promethazine Syrup,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133976,N/A,NF-Daily Calcium + Vit D Tablet 600MG-12,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133977,N/A,NF-Vitamin B6 Tablet 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133978,N/A,NF-Women's Daily Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133979,N/A,NF-Dialyvite Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133980,N/A,NF-Trolamine Salicylate Topical Cream 10,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133981,N/A,NF-Cataflam Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133982,N/A,NF-Diclofenac Potassium Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133983,N/A,NF-MS Contin Oral Tablet ER 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133984,N/A,NF-Triamterene/HCTZ Tablet 75-50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133985,N/A,NF-SEROquel Tablet 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133986,N/A,NF-Naloxone HCl Injection 0.4MG/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133987,N/A,NF-Good Neighbor Pharmacy Calcium 500 w/,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133988,N/A,NF-Refresh Liquigel Ophthalmic Gel 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133989,N/A,NF-Nitrostat Tablet 0.3MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133990,N/A,NF-Vitamin D Oral Tablet 2000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133991,N/A,NF-Caduet Tablet 10MG-80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133992,N/A,NF-Tolterodine Tartrate Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133993,N/A,NF-Fenofibrate Oral Tablet 145MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133994,N/A,NF-Medrol DOSEPAK Oral Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133995,N/A,NF-Restasis Ophthalmic Emulsion 0.05%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133996,N/A,NF-Zaleplon Oral Capsule 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133997,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133998,N/A,NF-PARoxetine HCl Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34133999,N/A,NF-Fluocinolone Acetonide Cream 0.01%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134000,N/A,NF-Prevacid Delayed-Release Capsule 15MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134001,N/A,NF-Vitamin B12 Tablet 50mcg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134002,N/A,NF-Vitamin D Oral Capsule 50000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134003,N/A,NF-Invokana Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134004,N/A,NF-Invokana Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134005,N/A,NF-Ursodiol Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134006,N/A,NF-Tab-A-Vite Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134007,N/A,NF-Clobetasol Prop Topical Ointment 0.05,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134008,N/A,NF-OS-Cal 500 Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134009,N/A,NF-Hydrocortisone Topical Lotion 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134010,N/A,NF-Fleet Rectal Enema,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134011,N/A,NF-Gabapentin Oral Solution 250MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134012,N/A,NF-Acetaminophen Oral Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134013,N/A,NF-busPIRone HCl Tablet 7.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134014,N/A,NF-Verapamil HCl Capsule 240MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134015,N/A,NF-Albuterol HFA Inh Aer Pwd 0.09MG/1ACT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134016,N/A,NF-MonoNessa Oral Kit,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134017,N/A,NF-Align Oral Capsule 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134018,N/A,NF-Colace Liquid Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134019,N/A,NF-Proventil Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134020,N/A,NF-Omeprazole Oral Tab DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134021,N/A,NF-Dialyvite Vitamin D3 Max Tablet 50000,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134022,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134023,N/A,NF-Keppra Oral Tablet 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134024,N/A,NF-Gabapentin Oral Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134025,N/A,NF-Calcium 600-D Oral Tab 600MG-400IU-5M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134026,N/A,NF-Calcium 600 Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134027,N/A,NF-Vision Vitamins Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134028,N/A,NF-Mirtazapine Tablet 15MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134029,N/A,NF-fentaNYL Transdermal Patch 100MCG/HRS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134030,N/A,NF-Calcium 600 Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134031,N/A,NF-Restasis Ophthalmic Emulsion 0.05%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134032,N/A,NF-QUEtiapine Fumarate Oral Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134033,N/A,NF-Atripla Oral Tablet 600MG-200MG-300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134034,N/A,NF-Opsumit Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134035,N/A,NF-Levonorgestrel-Ethinyl Estradiol Tabl,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134036,N/A,NF-Tolterodine Tartrate Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134037,N/A,NF-Lisinopril/HCTZ 10MG-12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134038,N/A,NF-Colchicine Oral Tablet 0.6MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134039,N/A,NF-Mirena Insert ER 52MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134040,N/A,NF-Ranitidine Oral Tablet 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134041,N/A,NF-Fiber Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134042,N/A,NF-Coumadin Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134043,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134044,N/A,NF-Sildenafil Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134045,N/A,NF-Spironolactone Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134046,N/A,NF-BYDUREON Pen SubQ PwdforSusp ER 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134047,N/A,NF-Eliquis Oral Tablet 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134048,N/A,NF-Docusate Sodium AND Senna Tab 50MG-8.6M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134049,N/A,NF-BYDUREON Pen SubQ PwdforSusp ER 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134050,N/A,NF-hydrALAZINE HCl Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134051,N/A,NF-Morphine Sulfate Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134052,N/A,NF-Creon Oral Delayed Release Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134053,N/A,NF-Creon Oral Delayed Release Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134054,N/A,NF-Methylphenidate HCl Oral Tab ER 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134055,N/A,NF-Alpha Lipoic Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134056,N/A,NF-Chlorhexidine Gluconate Liquid 0.12%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134057,N/A,NF-Xtandi Oral Liquid Filled Capsule 40M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134058,N/A,NF-Lo Loestrin Fe Oral Tab,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134059,N/A,NF-Vitamin C Oral Tablet 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134060,N/A,NF-rivastigmine TD Patch ER 13.3MG/24HR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134061,N/A,NF-OXcarbazepine Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134062,N/A,NF-Eliquis Oral Tablet 2.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134063,N/A,NF-Lisinopril-HCTZ Oral Tablet 10MG-12.5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134064,N/A,NF-Ursodiol Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134065,N/A,NF-Opcon-A Allergy Ophth Soln 0.027%-0.3,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134066,N/A,NF-rOPINIRole Hydrochloride Tablet 3MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134067,N/A,NF-NexIUM Capsule 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134068,N/A,NF-Uceris Oral Extended Release Tablet 9,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134069,N/A,NF-Anti-Diarrheal Tablet 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134070,N/A,NF-Creon Oral Delayed Release Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134071,N/A,NF-Aubagio Oral Tablet 14MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134072,N/A,NF-Loperamide Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134073,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134074,N/A,NF-Calcium Carbonate Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134075,N/A,NF-Lactaid Tablet 3000U,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134076,N/A,NF-Citrucel Powder 2GM/Dose,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134077,N/A,NF-Enalapril Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134078,N/A,NF-Align Oral Capsule 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134079,N/A,NF-Clindamycin HCl Capsule 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134080,N/A,NF-hydrOXYzine Hydrochloride Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134081,N/A,NF-OXcarbazepine Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134082,N/A,NF-Benztropine Mesylate Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134083,N/A,NF-Acidophilus Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134084,N/A,NF-Albuterol Sulfate Inh Soln 1.25MG/3ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134085,N/A,NF-Ursodiol Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134086,N/A,NF-Lyrica Oral Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134087,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134088,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134089,N/A,NF-SEROquel XR Oral Tab ER 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134090,N/A,NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134091,N/A,NF-Acidophilus Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134092,N/A,NF-Captopril Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134093,N/A,NF-Captopril Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134094,N/A,NF-Captopril Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134095,N/A,NF-OLANZapine Disintegrating Tablet 15MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134096,N/A,NF-OLANZapine Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134097,N/A,NF-Omeprazole Delayed Release Tablet 20M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134098,N/A,NF-Lutein Capsule 6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134099,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134100,N/A,NF-Osteo Bi-Flex Oral Tablet 200MG-250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134101,N/A,NF-Vision Vitamins Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134102,N/A,NF-Eliquis Oral Tablet 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134103,N/A,NF-Vitamin D3 Oral Tablet 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134104,N/A,NF-Estroven Nighttime Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134105,N/A,NF-Garlic Oil Capsule 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134106,N/A,NF-Garlic Oil Capsule 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134107,N/A,NF-Contrave Oral Tab ER 8MG-90MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134108,N/A,NF-Calcium with D3 Chew Tab 600MG-400IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134109,N/A,NF-Nasacort AQ Spray 55mcg/Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134110,N/A,NF-Amitriptyline HCl Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134111,N/A,NF-Eliquis Oral Tablet 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134112,N/A,NF-Nature's Blend Glucosamine Chondroiti,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134113,N/A,NF-INSULIN HUMAN REGULAR INJ SOLN 100U/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134114,N/A,NF-INSULIN HUMAN REGULAR INJ SOLN 100U/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134115,N/A,NF-clonazePAM Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134116,N/A,NF-Prempro Tablet 0.625MG-2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134117,N/A,NF-Prevacid SoluTab Disintegrating Tab 3,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134118,N/A,NF-Hyland's Leg Cramps Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134119,N/A,NF-Adult Probiotic Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134120,N/A,NF-Jardiance Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134121,N/A,NF-Aubagio Oral Tablet 14MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134122,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134123,N/A,NF-Citrucel Powder 2GM/Dose,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134124,N/A,NF-Lactaid Tablet 3000U,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134125,N/A,NF-Lactaid Fast Act Chewable Tablet 9000,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134126,N/A,NF-Dialyvite Vitamin D3 Max Tablet 50000,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134127,N/A,NF-JARDIANCE ORAL TABLET 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134128,N/A,NF-GABAPENTIN CAP 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134129,N/A,NF-GABAPENTIN ORAL TABLET 800MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134130,N/A,NF-HUMALOG SUBQ SUSP 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134131,N/A,NF-Refresh Tears Ophth Solution 0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134132,N/A,NF-Glucosamine Sulfate Capsule 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134133,N/A,NF-Farxiga Oral Tablet 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134134,N/A,NF-Pramipexole Dihydrochloride Tab 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134135,N/A,NF-Coenzyme Q-10 Liq Cap 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134136,N/A,NF-Nadolol Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134137,N/A,NF-Pentasa Capsule Extended-Release 500M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134138,N/A,NF-Hypromellose Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134139,N/A,NF-Opdivo Intravenous Solution 10MG/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134140,N/A,NF-MonoNessa Oral Kit,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134141,N/A,NF-Flomax Oral Capsule 0.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134142,N/A,NF-Sprintec Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134143,N/A,NF-Mimvey Oral Tablet 1MG-0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134144,N/A,NF-Vitamin C Tablet 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134145,N/A,NF-Rite Aid Potassium Gluconate Tablet 9,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134146,N/A,NF-Tecfidera Oral Cap DR 240MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134147,N/A,NF-Xarelto Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134148,N/A,NF-Invokana Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134149,N/A,NF-Zavesca Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134150,N/A,NF-Turmeric Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134151,N/A,NF-Onfi Oral Suspension 2.5MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134152,N/A,NF-Onfi Oral Suspension 2.5MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134153,N/A,NF-OXcarbazepine Oral Suspension 300MG/5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134154,N/A,NF-Promethazine HCl Rectal Supp 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134155,N/A,NF-Rite Aid Potassium Gluconate Tablet 9,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134156,N/A,NF-Tecfidera Oral Cap DR 240MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134157,N/A,NF-Vitamin C Tablet 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134158,N/A,NF-Janumet XR Oral Tab ER 1000MG-50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134159,N/A,NF-DIPHENHYDRAMINE CAP 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134160,N/A,NF-Econazole Nitrate Cream 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134161,N/A,NF-Pramipexole Dihydrochloride Tab 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134162,N/A,NF-Pramipexole Dihydrochloride Tab 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134163,N/A,NF-Invokana Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134164,N/A,NF-Mucinex Extended-Release Tablet 1200M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134165,N/A,NF-PriLOSEC OTC Tablet DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134166,N/A,NF-Chantix Oral Tablet 0.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134167,N/A,NF-Omeprazole Oral Tab DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134168,N/A,NF-risperiDONE Oral Solution 1MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134169,N/A,NF-risperiDONE Oral Solution 1MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134170,N/A,NF-busPIRone Oral Tablet 15MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134171,N/A,NF-Nuvaring Vaginal Insert,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134172,N/A,NF-Albuterol HFA Inh Aer Pwd 0.09MG/1ACT,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134173,N/A,NF-Calcium 600-D Oral Tab 600MG-400IU-5M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134174,N/A,NF-Vitamin D Oral Capsule 50000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134175,N/A,NF-oxyCODONE Hydrochloride Oral Tablet 2,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134176,N/A,NF-Torsemide Oral Tablet 100mg,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134177,N/A,NF-Doxazosin Mesylate Tablet 8MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134178,N/A,NF-Isosorbide Mononitrate Tablet 60MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134179,N/A,NF-Omeprazole Oral Tab DR 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134180,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134181,N/A,NF-Aranesp Injection Solution 0.06MG/0.3,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134182,N/A,NF-Custom Base PCCA Lipoderm CMO Cream,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134183,N/A,NF-Custom Base PCCA Lipoderm CMO Cream,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134184,N/A,NF-Anoro Ellipta Inhalation Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134185,N/A,NF-Diltiazem HCl Tablet 120MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134186,N/A,NF-Vitamin C Tablet 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134187,N/A,NF-Chantix Oral Tablet 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134188,N/A,NF-Enalapril Maleate Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134189,N/A,NF-Metamucil Fiber 3.4GM/1Dose,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134190,N/A,NF-Acidophilus Lactobacillus Powder 1BU/,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134191,N/A,NF-Viibryd Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134192,N/A,NF-Ramipril Oral Capsule 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134193,N/A,NF-Coenzyme Q10 Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134194,N/A,NF-chlorproMAZINE HCl Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134195,N/A,NF-Folic Acid Oral Tablet 0.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134196,N/A,NF-Lutein Liquid Filled Capsule 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134197,N/A,NF-Calcium 500 w/Vitamin D Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134198,N/A,NF-Enalapril Maleate Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134199,N/A,NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134200,N/A,NF-Niaspan Extended-Release Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134201,N/A,NF-Cyanocobalamin Injection 1000mcg/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134202,N/A,NF-Centra-Vit Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134203,N/A,NF-Linzess Oral Capsule 145MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134204,N/A,NF-Acidophilus Lactobacillus Powder 1BU/,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134205,N/A,NF-Benadryl Allergy Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134206,N/A,NF-Bisacodyl Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134207,N/A,NF-Fleet Enema EXTRA Enema 19GM-7GM/197M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134208,N/A,NF-Fish Oil Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134209,N/A,NF-Vitamin D Oral Capsule 50000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134210,N/A,NF-clonazePAM Tablet 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134211,N/A,NF-Potassium Chloride Capsule 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134212,N/A,NF-Acidophilus Probiotic Blend Oral Cap,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134213,N/A,NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134214,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134215,N/A,NF-Polyethylene Glycol 3350 Powder,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134216,N/A,NF-Folic Acid/Vitamin B12 Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134217,N/A,NF-Tussin Cough/Cold Maximum Strength Sy,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134218,N/A,NF-Mucinex Extended-Release Tablet 1200M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134219,N/A,NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134220,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134221,N/A,NF-Macrobid Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134222,N/A,NF-Macrobid Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134223,N/A,NF-Macrobid Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134224,N/A,NF-Macrobid Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134225,N/A,NF-Macrobid Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134226,N/A,NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134227,N/A,NF-Aspercreme Topical Cream 10%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134228,N/A,NF-NORTRIPTYLINE HCL CAP 75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134229,N/A,NF-Jolessa Oral Kit,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134230,N/A,NF-Premarin Vaginal Cream 0.625MG/1GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134231,N/A,NF-Premarin Vaginal Cream 0.625MG/1GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134232,N/A,NF-Hyland's Leg Cramps Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134233,N/A,NF-Glucosamine AND Chondr Cap 500MG-400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134234,N/A,NF-Toviaz Oral Extended Release Tablet 4,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134235,N/A,NF-diltiaZEM HCl 24 Hr Cap 180MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134236,N/A,NF-Omeprazole Oral Tab DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134237,N/A,NF-diltiaZEM HCl 24 Hr Cap 180MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134238,N/A,NF-Omeprazole Oral Tab DR 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134239,N/A,NF-clonazePAM Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134240,N/A,NF-Estroven Nighttime Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134241,N/A,NF-Calcium 600 Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134242,N/A,NF-Refresh Tears Ophth Solution 0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134243,N/A,NF-Vitamin B Complex Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134244,N/A,NF-Calcitonin-Salmon Nasal Spray 200IU/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134245,N/A,NF-Macrobid Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134246,N/A,NF-Formoterol Fumarate Powder,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134247,N/A,NF-Rapaflo Oral Capsule 8MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134248,N/A,NF-Detrol LA Oral Capsule ER 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134249,N/A,NF-Vitamin B Complex Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134250,N/A,NF-KlonoPIN Tablet 0.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134251,N/A,NF-Fortical Nasal Spray 200IU/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134252,N/A,NF-Anoro Ellipta Inhalation Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134253,N/A,NF-Terbinafine Hydrochloride Tablet 250M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134254,N/A,NF-Gabapentin Oral Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134255,N/A,NF-Cranberry Concentrate Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134257,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134258,N/A,NF-Clobetasol Propionate Lotion 0.05%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134259,N/A,NF-Movantik Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134260,N/A,NF-Morphine Sulfate Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134261,N/A,NF-Senna-S Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134262,N/A,NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134263,N/A,NF-Zegerid Oral Capsule 20MG-1100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134264,N/A,NF-Lovaza Oral Liquid Filled Capsule 1GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134265,N/A,NF-amLODIPine Besylate/Atorvastatin Calc,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134266,N/A,NF-Indomethacin Cap 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134267,N/A,NF-Anoro Ellipta Inhalation Powder,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134268,N/A,NF-Cranberry Concentrate Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134269,N/A,NF-Lutein Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134270,N/A,NF-Vitamin D3 Liquid-Filled Capsule 2000,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134271,N/A,NF-Famotidine Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134272,N/A,NF-Laxative Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134273,N/A,NF-Mucinex Full Force Nasal Spray 0.05%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134274,N/A,NF-Abreva Topical Cream 10%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134275,N/A,NF-Zinc Oxide Ointment 20%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134276,N/A,NF-Abreva Topical Cream 10%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134277,N/A,NF-Rite Aid Glucosamine Chondroitin W/MS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134278,N/A,NF-Salmon Oil Oral Liquid Filled Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134279,N/A,NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134280,N/A,NF-Epipen Kit 0.3MG/0.3ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134281,N/A,NF-Refresh Ophth Solution,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134282,N/A,NF-Refresh Tears Ophth Solution 0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134283,N/A,NF-Indomethacin Cap 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134284,N/A,NF-Vytorin Oral Tablet 10MG-40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134285,N/A,NF-Desloratadine Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134286,N/A,NF-4 Way Fast Acting Nasal Spray 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134287,N/A,NF-Valsartan and hydroCHLOROthiazide Tab,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134288,N/A,NF-Saw Palmetto Extract Tablet 160MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134289,N/A,NF-Oyster Shell Calcium Tablet 200IU-500,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134290,N/A,NF-Fenofibrate Oral Tablet 54MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134291,N/A,NF-busPIRone HCl Oral Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134292,N/A,NF-Folic Acid Oral Tablet 800MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134293,N/A,NF-Hyoscyamine Sulfate Tablet 0.125MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134294,N/A,NF-Vitamin D3 Liquid Filled Capsule 1000,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134295,N/A,NF-Namenda Oral Tablet 5MG-10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134296,N/A,NF-Albuterol Sulfate Inh Soln 0.63MG/3ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134297,N/A,NF-Myrbetriq Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134298,N/A,NF-Cranberry Fruit Capsule 425MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134299,N/A,NF-Iron Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134300,N/A,NF-Mirtazapine Oral Tablet 15MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134301,N/A,NF-Cranberry Concentrate Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134302,N/A,NF-ICaps Lutein AND Zeaxanthin Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134303,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134304,N/A,NF-Cefdinir Oral Capsule 300MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134305,N/A,NF-Calcium 600 Plus Vitamin D Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134306,N/A,NF-Glucosamine/Chondroitin/MSM Oral Tabl,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134307,N/A,NF-Salmon Oil Oral Liquid Filled Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134308,N/A,NF-Culturelle Oral Capsule 10 Billion OR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134309,N/A,NF-Folic Acid Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134310,N/A,NF-Vitamin B Complex Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134311,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134312,N/A,NF-Melatonin Oral Capsule 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134313,N/A,NF-Vitamin D3 Liquid-Filled Capsule 2000,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134314,N/A,NF-Oyster Shell Calcium Tablet 200IU-500,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134315,N/A,NF-Butrans Transdermal Patch ER 10MCG/1H,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134316,N/A,NF-Calcitonin-Salmon Nasal Spray 200IU/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134317,N/A,NF-Coconut Oil Oil,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134318,N/A,NF-PreserVision Areds 2 Oral Liq Cap,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134319,N/A,"NF-Krill Oil Oral Capsule, Liquid Filled",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134320,N/A,NF-Butrans Transdermal Patch ER 10MCG/1H,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134321,N/A,NF-Calcium 600 Plus Vitamin D Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134322,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134323,N/A,NF-Perphenazine/Amitriptyline Tablet 2-2,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134324,N/A,NF-Prevident Gel/Jelly 1.1%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134325,N/A,NF-busPIRone Oral Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134326,N/A,NF-Tacrolimus Oral Capsule 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134327,N/A,NF-Tacrolimus Oral Capsule 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134328,N/A,NF-Vitamin D Oral Capsule 50000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134329,N/A,NF-Thiothixene Capsule 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134330,N/A,NF-Thiothixene Capsule 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134331,N/A,NF-Armour Thyroid Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134332,N/A,NF-QUETIAPINE FUMARATE ORAL TABLET 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134333,N/A,NF-Albuterol Sulfate Inh Soln 1.25MG/3ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134334,N/A,NF-Temazepam Capsule 7.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134335,N/A,NF-Namzaric Oral Cap ER 28MG-10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134336,N/A,NF-Antacid Extra Strength Susp 400-400-4,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134337,N/A,NF-Robitussin Cough+Chest Congestion DM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134338,N/A,NF-Donepezil HCl Disintegrating Tab 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134339,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134340,N/A,NF-Cranberry Concentrate Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134341,N/A,NF-ICaps Lutein AND Zeaxanthin Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134342,N/A,NF-traMADol HCl Oral Cap ER 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134343,N/A,NF-Sodium Chloride Hyperton Ophth Oint 5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134344,N/A,NF-raNITIdine Oral Tablet 75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134345,N/A,NF-Garlic Oil Natural Capsule 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134346,N/A,NF-metFORMIN HCl Oral Tablet ER 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134347,N/A,NF-QUEtiapine Fumarate Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134348,N/A,NF-DIABETIC TUSSIN ORAL SOLUTION 100MG/5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134349,N/A,NF-Linzess Oral Capsule 145MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134350,N/A,NF-KlonoPIN Tablet 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134351,N/A,NF-Pramipexole Dihydrochloride Tab 0.75M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134352,N/A,NF-Calcium Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134353,N/A,"NF-Meclizine Oral Tablet, Chewable 25MG",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134354,N/A,NF-Bismuth Maximum Streng Liquid 525MG/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134355,N/A,NF-QUEtiapine Fumarate Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134356,N/A,NF-TACROLIMUS CAP 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134357,N/A,NF-Tikosyn Oral Capsule 250MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134358,N/A,NF-Eliquis Oral Tablet 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134359,N/A,NF-Abreva Topical Cream 10%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134360,N/A,NF-Zinc Oxide Ointment 20%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134361,N/A,NF-Tecfidera Oral Cap DR 240MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134362,N/A,NF-Night Time Multi-Symptom Cold/Flu Rel,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134363,N/A,NF-Rite Aid DayTime Cold/Flu 325MG-10MG-,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134364,N/A,NF-Potassium Oral Tablet 99MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134365,N/A,NF-Valsartan/HCTZ Oral Tablet 320MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134366,N/A,NF-Asmanex HFA Inh Aer Powder 200MCG/1AC,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134367,N/A,NF-B-12 TABLET 1000MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134368,N/A,NF-D-3 ORAL CAPSULE 1000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134369,N/A,NF-Vitamin D3 Liquid Filled Cap 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134370,N/A,NF-HumuLIN R Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134371,N/A,NF-QUEtiapine Fumarate Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134372,N/A,NF-Lactulose Solution 10GM/15ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134373,N/A,NF-SEROquel Oral Tablet 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134374,N/A,NF-Spironolactone Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134375,N/A,NF-ALKA-SELTZER EXTRA STR EFF. TABLET 50,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134376,N/A,NF-Thermotabs Oral Tablet 287MG-180MG-15,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134377,N/A,NF-Citrucel Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134378,N/A,NF-Vitamin D Oral Capsule 50000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134379,N/A,NF-Slow Release Iron Oral Tablet 45MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134380,N/A,NF-Orsythia Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134381,N/A,NF-Aspirin Maximum Strength Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134382,N/A,NF-Aspirin Maximum Strength Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134383,N/A,NF-Genvoya Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134384,N/A,NF-Dymista Nasal Spray 137MCG-50MCG/1 Ac,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134385,N/A,NF-Nora-BE Tablet 0.35MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134386,N/A,NF-Magnesium Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134387,N/A,NF-Probiotic AND Acidophilus Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134388,N/A,NF-Famotidine 10 Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134389,N/A,NF-Dymista Nasal Spray 137MCG-50MCG/1 Ac,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134390,N/A,NF-Oyster Shell Calcium Tablet 200IU-500,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134391,N/A,NF-SEROquel Tablet 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134392,N/A,NF-Benazepril HCl/HCTZ Tablet 20/12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134393,N/A,NF-Vitamin D Oral Tablet 1000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134394,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134395,N/A,NF-Ramipril Oral Capsule 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134396,N/A,NF-Acidophilus Probiotic Blend Oral Cap,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134397,N/A,NF-metFORMIN HCl Oral Tablet ER 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134398,N/A,NF-Zioptan Ophthalmic Solution 0.0015%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134399,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134400,N/A,NF-Acetaminophen Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134401,N/A,NF-hydroCHLOROthiazide Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134402,N/A,NF-Digoxin Oral Solution 0.05MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134403,N/A,NF-Propranolol HCl Solution 40MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134404,N/A,NF-Citalopram HBr Oral Solution 10MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134405,N/A,NF-Loperamide HCl Liquid 1MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134406,N/A,NF-Trazamine Oral Kit,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134407,N/A,NF-Mycophenolate Mofetil Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134408,N/A,NF-sirolimus Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134409,N/A,NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.75M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134410,N/A,NF-Fanapt Oral Tablet 8MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134411,N/A,NF-FAMOTIDINE ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134412,N/A,NF-Calcium Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134413,N/A,NF-Iron Tablet 65MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134414,N/A,NF-Nadolol Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134415,N/A,"NF-Nystatin Ointment 100,000U/GM",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134416,N/A,NF-NovoLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134417,N/A,NF-Viagra Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134418,N/A,NF-Budesonide MIcronized Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134419,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134420,N/A,"NF-bisacodyl Tablet, Delayed Release 5MG",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134421,N/A,NF-Adult Probiotic Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134422,N/A,NF-Lovaza Oral Liquid Filled Capsule 1GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134423,N/A,NF-Sucralfate Oral Suspension 1GM/10ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134424,N/A,NF-hydroCHLOROthiazide Capsule 12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134425,N/A,NF-Renvela Oral Tablet 800MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134426,N/A,NF-Skelaxin Oral Tablet 800MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134427,N/A,NF-Zioptan Ophthalmic Solution 0.0015%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134428,N/A,NF-Anoro Ellipta Inhalation Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134429,N/A,NF-Proventil HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134430,N/A,NF-Vitamin D Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134431,N/A,NF-Adult Probiotic Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134432,N/A,NF-B Complex Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134433,N/A,NF-Thyroid Tablet 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134434,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134435,N/A,NF-Flovent Diskus Inh/Neb Pwd 250MCG/1AC,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134436,N/A,NF-Azelastine HCl Nasal Spray 137MCG/1IN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134437,N/A,NF-Iron Tablet 65MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134438,N/A,"NF-CoQ10 Oral Capsule, Liquid Filled 100",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134439,N/A,NF-Ocuvite Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134440,N/A,NF-Meclizine Hydrochloride Tablet 12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134441,N/A,NF-Fiber Health Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134442,N/A,NF-Natures Blend Multi Vitamin and Miner,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134443,N/A,NF-Vitamin B-12 Oral Tablet 100MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134444,N/A,NF-NovoLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134445,N/A,NF-Famotidine 10 Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134446,N/A,NF-RA Probiotic Colon Care Oral Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134447,N/A,NF-RA Probiotic Colon Care Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134448,N/A,NF-Vit B-6 Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134449,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134450,N/A,NF-Methocarbamol Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134451,N/A,NF-CLINDAMYCIN HCL CAP 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134452,N/A,NF-Folic Acid Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134453,N/A,NF-Zinc Oxide Ointment 20%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134454,N/A,NF-Dexilant Delayed-Release Capsule 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134455,N/A,NF-Bicillin L-A IM Suspension 600000U/1M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134456,N/A,NF-Bicillin L-A IM Suspension 600000U/1M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134457,N/A,NF-LEVETIRACETAM ORAL TABLET 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134458,N/A,NF-Mucinex DM Oral Tab ER 60MG-1200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134459,N/A,NF-Pioglitazone Oral Tablet 30MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134460,N/A,NF-Osteo Bi-Flex Oral Tablet 200MG-250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134461,N/A,NF-Victoza 1.8MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134462,N/A,NF-Vitamin D3 Liquid-Filled Capsule 2000,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134463,N/A,NF-PHENOBARBITAL ORAL TABLET 32.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134464,N/A,NF-PHENobarbital Oral Tablet 32.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134465,N/A,NF-PHENobarbital Oral Tablet 32.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134466,N/A,NF-Jardiance Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134467,N/A,NF-Bystolic Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134468,N/A,NF-Glycopyrrolate Oral Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134469,N/A,NF-PreserVision Lutein Lquid Filled Caps,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134470,N/A,NF-Entresto Oral Tablet 24MG-26MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134471,N/A,NF-Citalopram HBr Oral Solution 10MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134472,N/A,NF-Digoxin Oral Solution 0.05MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134473,N/A,NF-Propranolol HCl Solution 40MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134474,N/A,NF-Loperamide HCl Liquid 1MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134475,N/A,NF-Loratadine Oral Solution 5MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134476,N/A,NF-Lutein Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134477,N/A,NF-Chlorhexidine Gluconate Liquid 0.12%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134478,N/A,NF-Betamethasone Valerate Lotion 0.1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134479,N/A,NF-Albuterol Sulfate Inh Soln 1.25MG/3ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134480,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134481,N/A,NF-Leader Co Q10 Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134482,N/A,NF-Lutein Oral Liquid-Filled Capsule 6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134483,N/A,NF-Multiple Vitamins Women's Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134484,N/A,NF-Calcium 500 + D Oral Tablet 400IU-500,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134485,N/A,NF-B Complex Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134486,N/A,NF-Atripla Oral Tablet 600MG-200MG-300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134487,N/A,NF-Trulicity SubQ Solution 0.75MG/0.5ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134488,N/A,NF-Tresiba Subcutaneous Solution 200U/1M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134489,N/A,NF-DUONEB SOLUTION,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134490,N/A,NF-Fexofenadine Hydrochloride Oral Tab 6,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134491,N/A,NF-Fish Oil Concentrate Oral Liq Cap 100,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134492,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134493,N/A,NF-Sodium Bicarbonate IV Solution 8.4%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134494,N/A,NF-Sodium Bicarbonate IV Solution 8.4%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134495,N/A,NF-Sodium Bicarbonate IV Solution 8.4%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134496,N/A,NF-Sodium Bicarbonate IV Solution 8.4%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134497,N/A,NF-Tussionex Pennkinetic Suspension,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134498,N/A,NF-Tussionex Pennkinetic 10MG-8MG/5ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134499,N/A,NF-Tussionex Pennkinetic Suspension,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134500,N/A,NF-hydroCHLOROthiazide Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134501,N/A,NF-Janumet Oral Tablet 50MG-500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134502,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134503,N/A,NF-Metamucil Free Oral Powd for Susp,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134504,N/A,NF-Pioglitazone Oral Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134505,N/A,NF-Children's Robitussin Cough AND Cold CF,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134506,N/A,NF-Ocean Solution 0.65%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134507,N/A,NF-guaiFENesin Oral Tablet 200MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134508,N/A,NF-Cough Drops Lozenge,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134509,N/A,NF-Nuedexta Oral Capsule 20MG-10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134510,N/A,NF-Multivitamin Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134511,N/A,NF-Riboflavin Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134512,N/A,NF-Aleve PM Oral Tablet 220MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134513,N/A,NF-Fish Oil Concentrate Oral Liq Cap 100,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134514,N/A,NF-Folic Acid Oral Tablet 800MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134515,N/A,NF-Ultra B100 Complex Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134516,N/A,NF-Fish Oil Concentrate Oral Liq Cap 100,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134517,N/A,NF-Folic Acid Oral Tablet 800MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134518,N/A,NF-Ultra B100 Complex Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134519,N/A,"NF-Bisacodyl Tablet, Delayed Release 5MG",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134520,N/A,NF-Vitamin B Complex Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134521,N/A,NF-Istalol Ophthalmic Solution 0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134522,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134523,N/A,NF-Cogentin Injection Solution 1MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134524,N/A,NF-Trileptal Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134525,N/A,NF-Abilify Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134526,N/A,NF-Cialis Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134527,N/A,NF-MYOFLEX CREAM 10%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134528,N/A,NF-Lantiseptic Daily Care Skin Protectan,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134529,N/A,NF-Atropine Care Ophthalmic Solution 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134530,N/A,NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134531,N/A,NF-Myrbetriq Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134532,N/A,NF-Tranzgel Topical Gel,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134533,N/A,NF-busPIRone Oral Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134534,N/A,NF-hydroCHLOROthiazide Capsule 12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134535,N/A,NF-Preparation H Suppository,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134536,N/A,NF-HEParin Sodium/Sodium Chloride 10/1-0,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134537,N/A,NF-Normal Saline Flush Injection 0.9%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134538,N/A,NF-hydroCHLOROthiazide Capsule 12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134539,N/A,NF-Magnesium Tablet 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134540,N/A,NF-Haloperidol Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134541,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134542,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134543,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134544,N/A,NF-Tresiba Subcutaneous Solution 100U/1M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134545,N/A,NF-clonazePAM Oral Tablet 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134546,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134547,N/A,NF-Daily Multiple Vitamins Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134548,N/A,NF-Fondaparinux Sodium SubQ Soln 10MG/0.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134549,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134550,N/A,NF-Temovate Solution 0.05%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134551,N/A,NF-Imipramine Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134552,N/A,NF-Aspirin Tablet 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134553,N/A,NF-Carvedilol Oral Tablet 6.25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134554,N/A,NF-Glimepiride Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134555,N/A,NF-Klor-Con M20 Tablet 20MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134556,N/A,NF-Simvastatin Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134557,N/A,NF-Synthroid Tablet 175MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134558,N/A,NF-Tamsulosin Hydrochloride Capsule 0.4M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134559,N/A,NF-Advair Diskus 250/50 Disk,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134560,N/A,NF-Flonase Nasal Spray 0.05MG/1ACTUATION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134561,N/A,NF-Mucus Relief Oral Tablet 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134562,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134563,N/A,NF-Plavix Tab 75MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134564,N/A,NF-Lasix Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134565,N/A,NF-Tylenol Extra Strength Oral Tablet 50,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134566,N/A,NF-Macrobid Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134567,N/A,NF-metFORMIN HCl Oral Tablet ER 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134568,N/A,NF-Lisinopril Tablet 20mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134569,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134570,N/A,NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134571,N/A,NF-Nitrofurantoin Mono/Macro Cap 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134572,N/A,NF-Rite Aid Vitamin B-12 Tab ER 1000MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134573,N/A,NF-NovoLOG Mix 70/30 SubQ Susp 70U-30U/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134574,N/A,NF-NovoLOG Mix 70/30 SubQ Susp 70U-30U/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134575,N/A,NF-Phillips' Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134576,N/A,NF-Co-Q-10 Oral Liquid Capsule 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134577,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134578,N/A,NF-Dymista Nasal Spray 137MCG-50MCG/1 Ac,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134579,N/A,NF-Hydrocortisone Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134580,N/A,NF-Hydrocortisone Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134581,N/A,NF-Spiriva Respimat Inh Spray 1.25MCG/1A,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134582,N/A,NF-Claritin-D 12HR Oral Tab ER 5MG-120MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134583,N/A,NF-Metoprolol Tartrate Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134584,N/A,NF-BUPRENORPHINE-NALOXONE SL FILM 8MG-2M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134585,N/A,NF-KALETRA ORAL TABLET 200MG-50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134586,N/A,NF-SUSTIVA TAB 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134587,N/A,NF-STAVUDINE CAP 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134588,N/A,NF-LAMIVUDINE ORAL TABLET 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134589,N/A,NF-CYMBALTA CAP DR 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134590,N/A,NF-LIVALO ORAL TABLET 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134591,N/A,NF-Viberzi Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134592,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134593,N/A,NF-Magnesium Tablet 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134594,N/A,NF-HydrOXYzine HCl Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134595,N/A,NF-Hyoscyamine Oral Tablet 0.125MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134596,N/A,NF-Valproic Acid Liq Cap 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134597,N/A,NF-Diclofenac Sodium Topical Gel 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134598,N/A,NF-Aubagio Oral Tablet 14MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134599,N/A,NF-Azelastine HCl Nasal Spray 205.5MCG/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134600,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134601,N/A,NF-Multivitamin w/Iron Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134602,N/A,NF-Aubagio Oral Tablet 14MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134603,N/A,NF-Azelastine HCl Nasal Spray 205.5MCG/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134604,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134605,N/A,NF-Multivitamin w/Iron Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134606,N/A,NF-Aubagio Oral Tablet 14MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134607,N/A,NF-Azelastine HCl Nasal Spray 205.5MCG/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134608,N/A,NF-Calcium 600MG+D Oral Tablet 600MG-200,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134609,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134610,N/A,NF-Lactase Enzyme Oral Tablet 3000U-5.7M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134611,N/A,NF-Multivitamin w/Iron Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134612,N/A,NF-Potassium Citrate Tablet ER 10MEQ,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134613,N/A,NF-Spironolactone Oral Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134614,N/A,NF-Aubagio Oral Tablet 14MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134615,N/A,NF-Azelastine HCl Nasal Spray 205.5MCG/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134616,N/A,NF-Calcium 600MG+D Oral Tablet 600MG-200,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134617,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134618,N/A,NF-Lactase Enzyme Oral Tablet 3000U-5.7M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134619,N/A,NF-Multivitamin w/Iron Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134620,N/A,NF-Potassium Citrate Tablet ER 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134621,N/A,NF-Spironolactone Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134622,N/A,NF-BIOTIN ORAL TABLET 1000MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134623,N/A,NF-CHERATUSSIN AC SYR 10MG-100MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134624,N/A,NF-P-CARE K80G MR KIT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134625,N/A,NF-ENTRESTO ORAL TABLET 49MG-51MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134626,N/A,NF-Acetaminophen Oral Tablet ER 650MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134627,N/A,NF-ISOSORBIDE DINITRATE ORAL TABLET 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134628,N/A,NF-guaiFENesin DM Oral Liq 100MG-10MG/5M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134629,N/A,NF-Robitussin Cough+Chest Congestion DM,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134630,N/A,NF-ceFAZolin Intravenous Pwd for Soln 1G,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134631,N/A,NF-Pepto Bismol Max Oral Susp 525MG/15ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134632,N/A,NF-Tylenol Oral Capsule Liquid Filled 32,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134633,N/A,NF-Calcium Acetate Oral Tablet 667MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134634,N/A,NF-V-Go 40 Device,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134635,N/A,NF-Verapamil HCl Capsule 120MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134636,N/A,NF-BUPRENORPHINE-NALOXONE SL TAB 8MG-2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134637,N/A,NF-Carbidopa/Levodopa Disintegrating 25-,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134638,N/A,NF-Multi Vitamins Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134639,N/A,NF-Creon Oral Cap DR 180000U-36000U-1140,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134640,N/A,NF-Dymista Nasal Spray 137MCG-50MCG/1 Ac,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134641,N/A,NF-Estradiol Topical Cream 10%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134642,N/A,NF-Promethazine HCl Syrup 6.25MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134643,N/A,NF-Co-Q-10 Oral Liquid Capsule 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134644,N/A,NF-Milk Of Magnesia Liquid 400MG/5ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134645,N/A,NF-Benefiber Fiber Drink Mix Oral Packet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134646,N/A,NF-BENEFIBER FIBER DRINK MIX ORAL PACKET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134647,N/A,NF-WOMEN'S DAILY FORMULA TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134648,N/A,NF-Mega CoQ10 Oral Capsule 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134649,N/A,NF-Vitamin D3 Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134650,N/A,NF-Coumadin Tablet 7.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134651,N/A,NF-Clindamycin Phosphate Topical Lotion,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134652,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134653,N/A,NF-Vitamin D3 Oral Tablet 400IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134654,N/A,NF-Vitamin B12 Tablet 250mcg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134655,N/A,NF-Senna Tablet 8.6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134656,N/A,NF-NEUPOGEN INJ SOLN 480MCG/0.8ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134657,N/A,NF-Omega 3-6-9 Oral Liquid Filled Capsul,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134658,N/A,NF-Nature's Blend Omega-3 Fish Oil Liq C,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134659,N/A,NF-Robafen Oral Solution 100MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134660,N/A,NF-metFORMIN Hydrochloride Tab ER 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134661,N/A,NF-Vaseline Pure Ultra White Petroleum O,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134662,N/A,NF-Orajel Mouth Sore Medicine,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134663,N/A,NF-Hysingla ER Oral Tab ER 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134664,N/A,NF-Trolamine Salicylate Topical Cream 10,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134665,N/A,NF-Invega Oral Extended Release Tablet 3,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134666,N/A,NF-Mometasone Furoate Ointment 0.1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134667,N/A,NF-Azo Bladder Control Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134668,N/A,NF-KlonoPIN Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134669,N/A,NF-Phentermine Oral Tablet 37.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134670,N/A,NF-BELSOMRA ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134671,N/A,NF-Benadryl ES Itch Stopping Cream,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134672,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134673,N/A,NF-Cholecalciferol Crystal,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134674,N/A,NF-Vitamin C w/Rose Hips Natu Tablet 100,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134675,N/A,NF-Ocrevus Intravenous Solution 30MG/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134676,N/A,NF-Sodium Chloride Inh/Neb Solution 7%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134677,N/A,NF-LISINOPRIL ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134678,N/A,NF-ACIDOPHILUS ORAL CAPSULE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134679,N/A,NF-FOSINOPRIL ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134680,N/A,NF-Vitamin D Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134681,N/A,NF-Niferex Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134682,N/A,NF-Cholestyramine Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134683,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134684,N/A,NF-Culturelle Oral Capsule 10 Billion OR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134685,N/A,NF-Calcium 600 Plus Vitamin D Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134686,N/A,NF-Daily Vite Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134687,N/A,NF-HumaLOG Injection 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134688,N/A,NF-HumaLOG Injection 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134689,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134690,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134691,N/A,NF-Albuterol Sulfate Inh/Neb Soln 0.021%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134692,N/A,NF-buPROPion HCl Oral Tab ER 12HR 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134693,N/A,NF-QUEtiapine Fumarate Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134694,N/A,NF-Proventil HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134695,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134696,N/A,NF-Milk Of Magnesia Liquid 400MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134697,N/A,NF-Senna Tablet 8.6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134698,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134699,N/A,NF-Vicks DayQuil/NyQuil Cold AND Flu Soln,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134700,N/A,NF-Ocusoft Irrigating Soluti Ophth Solut,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134701,N/A,NF-Ocusoft Irrigating Soluti Ophth Solut,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134702,N/A,NF-methazolAMIDE Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134703,N/A,NF-Ipratropium/Albuterol Sulf 0.5MG-3MG/,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134704,N/A,NF-Vitamin D3 Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134705,N/A,NF-Co-Q-10 Oral Liquid Capsule 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134706,N/A,NF-Hydrocortisone Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134707,N/A,NF-Hydrocortisone Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134708,N/A,NF-Metoprolol Succinate Oral Tab ER 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134709,N/A,NF-Spiriva Respimat Inh Spray 1.25MCG/1A,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134710,N/A,NF-Mupirocin Topical Cream 2%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134711,N/A,NF-Eye-Vites Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134712,N/A,NF-Mylanta Maximum Strength Suspension,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134713,N/A,NF-Skelaxin Oral Tablet 800MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134714,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134715,N/A,NF-Vitamin D3 Oral Liq Cap 1000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134716,N/A,NF-Pantoprazole Sodium Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134717,N/A,NF-Ferrous Glucon Tab 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134718,N/A,NF-Magnesium Tablet 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134719,N/A,NF-Isosorbide Mononitrate Tablet 120MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134720,N/A,NF-SEROquel XR Oral Tab ER 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134721,N/A,NF-Dok Plus Tablets,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134722,N/A,NF-Stomahesive Protective,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134723,N/A,NF-Tylenol Extra Strength Oral Cap 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134724,N/A,NF-Neosporin + Pain Relief Topical Cream,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134725,N/A,NF-NovoLOG Injection 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134726,N/A,NF-Align Oral Capsule 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134727,N/A,NF-Silace Liquid 150MG/15ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134728,N/A,NF-Vitamin D3 Oral Liq Cap 1000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134729,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134730,N/A,NF-Albuterol Sulfate Inh Soln 0.63MG/3ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134731,N/A,NF-Lutein Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134732,N/A,NF-Acetaminophen Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134733,N/A,NF-Nuedexta Oral Capsule 20MG-10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134734,N/A,NF-Simethicone Liq Cap 180MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134735,N/A,NF-Macrobid Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134736,N/A,NF-Ocusoft Irrigating Soluti Ophth Solut,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134737,N/A,NF-Ipratropium Bromide Nasal Spray 0.03%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134738,N/A,NF-Galantamine Hydrobromide Cap ER 24MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134739,N/A,NF-Ciclopirox Crm 0.77%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134741,N/A,NF-Adcirca Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134742,N/A,NF-Prograf Capsule 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134743,N/A,NF-entecavir Oral Tablet 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134744,N/A,NF-dilTIAZem HCl 24 Hr Cap ER 360MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134745,N/A,NF-Adcirca Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134746,N/A,NF-One Daily Women's Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134747,N/A,NF-Prograf Capsule 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134748,N/A,NF-entecavir Oral Tablet 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134749,N/A,NF-dilTIAZem HCl 24 Hr Cap ER 360MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134750,N/A,NF-Lanoxin Oral Tablet 0.0625MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134751,N/A,NF-CoQ10 Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134752,N/A,NF-Alogliptin Benzoate Oral Tablet 12.5M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134753,N/A,NF-Proair HFA Inh Susp 0.09MG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134754,N/A,NF-Mucinex Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134755,N/A,NF-Melatonin Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134756,N/A,NF-Milk Of Magnesia Liquid 400MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134757,N/A,NF-Orajel Mouth Sore Medicine,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134758,N/A,NF-HumaLOG Injection 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134759,N/A,NF-amLODIPine besylate-valsartan 5MG-320,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134760,N/A,NF-Isosorbide Dinitrate Tablet 30MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134761,N/A,NF-Entresto Oral Tablet 97MG-103MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134762,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134763,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134764,N/A,NF-Entresto Oral Tablet 97MG-103MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134765,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134766,N/A,NF-Bumetanide Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134767,N/A,NF-Vancomycin HCl-Dextrose 1.5GM/500ML-5,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134768,N/A,NF-Maalox Extra Strength Suspension,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134769,N/A,NF-Lispro-PFC SQ Susp 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134770,N/A,NF-Folic Acid Oral Tablet 0.4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134771,N/A,NF-Calcium 500 + D Oral Tablet 500MG-125,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134772,N/A,NF-Pepto-Bismol Oral Suspension 262MG/15,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134773,N/A,NF-Toviaz Oral Extended Release Tablet 4,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134774,N/A,NF-Vitamin D3 Oral Liq Cap 2000 IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134775,N/A,NF-NovoLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134776,N/A,NF-Adderall Oral Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134777,N/A,NF-Boniva Oral Tablet 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134778,N/A,NF-Truvada Oral Tablet 100MG-150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134779,N/A,NF-Norvir Solution 80MG/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134780,N/A,NF-Reyataz Oral Capsule 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134781,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134782,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134783,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134784,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134785,N/A,NF-TRIAMTERENE AND HCTZ TABLET 37.5MG-25,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134786,N/A,NF-Metoprolol Succinate Oral Tab ER 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134787,N/A,NF-Spiriva Respimat Inh Spray 1.25MCG/1A,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134788,N/A,NF-Hydrocortisone Oral Tablet 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134789,N/A,NF-Allegra Allergy Oral Tablet 60MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134790,N/A,NF-HYDROCORTISONE ORAL TABLET 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134791,N/A,NF-HYDROCORTISONE TAB 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134792,N/A,NF-Lithium Carbonate Tab ER 300MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134793,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134794,N/A,NF-dilTIAZem Oral Cap ER 240MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134795,N/A,NF-Carvedilol Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134796,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134797,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134798,N/A,NF-Mucus Relief DM Oral Tablet 20MG-400M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134799,N/A,NF-Proctozone-Hc Rectal Cream 2.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134800,N/A,NF-Psyllium Oral Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134801,N/A,NF-Artificial Tears Ophth Solution,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134802,N/A,NF-Vitamin B12 Oral Tablet 250MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134803,N/A,NF-Dok Plus Tablets,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134804,N/A,NF-Lisinopril Tablet 40mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134805,N/A,NF-Acetaminophen Oral Tablet ER 650MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134806,N/A,NF-Sentry Senior Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134807,N/A,NF-Super B Complex w/B-12 Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134808,N/A,NF-Vitamin D3 Oral Liq Cap 1000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134809,N/A,NF-Myrbetriq Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134810,N/A,NF-Linzess Oral Capsule 290MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134811,N/A,NF-Probiotic Colon Care Oral Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134812,N/A,NF-Ketorolac Tromethamine Ophth Soln 0.4,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134813,N/A,NF-Testosterone Cypionate IM Oil 100MG/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134814,N/A,NF-Aubagio Oral Tablet 14MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134815,N/A,NF-Calcium 600MG+D Oral Tablet 600MG-200,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134816,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134817,N/A,NF-Ritalin Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134818,N/A,NF-RITALIN TAB 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134819,N/A,NF-RITALIN TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134820,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134821,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134822,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134823,N/A,NF-Cholesterol Powder,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134824,N/A,NF-Bisoprolol/Hctz Oral Tablet 2.5MG-6.2,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134825,N/A,NF-Caltrate 600 + D Oral Tablet 600MG-20,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134826,N/A,NF-MAXZIDE TAB 37.5MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134827,N/A,NF-LOSARTAN POTASSIUM ORAL TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134828,N/A,NF-CLONAZEPAM ORAL TABLET 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134829,N/A,NF-CLONAZEPAM ORAL TABLET 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134830,N/A,NF-ZANTAC 150 ORAL TABLET 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134831,N/A,NF-Actos Oral Tablet 45MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134832,N/A,NF-Cardizem Tablet 120MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134833,N/A,NF-Multiple Vitamins Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134834,N/A,NF-Combivent Inh Aer Pwd 103MCG-18MCG/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134835,N/A,NF-ACTIVELLA ORAL TABLET 0.5MG-0.1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134836,N/A,NF-EC Naprosyn Tablet 375MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134837,N/A,NF-Amiodarone HCl Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134838,N/A,NF-HYDROcodone-Acetaminophen Tab 7.5-300,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134839,N/A,NF-Mycophenolate Mofetil Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134840,N/A,NF-MYCOPHENOLIC ACID ORAL TAB EC 360MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134841,N/A,NF-TACROLIMUS CAP ER 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134842,N/A,NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134843,N/A,NF-KlonoPIN Tablet 0.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134844,N/A,NF-Zofran Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134845,N/A,NF-amLODIPine-HCTZ-olmesartan,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134846,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134847,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134848,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134849,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134850,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134851,N/A,NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134852,N/A,NF-Theophylline Oral Tab ER 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134853,N/A,NF-Multivitamin Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134854,N/A,NF-Ziprasidone HCl Oral Capsule 80MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134855,N/A,NF-RisperDAL Tablet 3MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134856,N/A,NF-Diclofenac Sodium Topical Gel 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134857,N/A,NF-Topiramate Oral Capsule 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134858,N/A,NF-Liquid Protein Fortifier Oral Solutio,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134859,N/A,NF-Tresiba Subcutaneous Solution 100U/1M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134860,N/A,NF-Sodium Bicarbonate Tablet 325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134861,N/A,NF-Sevelamer Carbonate Oral Tablet 800MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134862,N/A,NF-Lovaza Oral Liquid Filled Capsule 1GM,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134863,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134864,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134865,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134866,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134867,N/A,NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134868,N/A,NF-Theophylline Oral Tab ER 400MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134869,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134870,N/A,NF-Ceftin Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134871,N/A,NF-Folic Acid Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134872,N/A,NF-Dok Plus Tablets,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134873,N/A,NF-doxycycline Oral Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134874,N/A,NF-scopolamine TD Patch 0.33MG/24hr,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134875,N/A,NF-Jevity 1.2 Cal Suspension,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134876,N/A,NF-Amphetamine Salt Combo Tablet 15MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134877,N/A,NF-Folic Acid Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134878,N/A,NF-PROTEIN POWDER,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134879,N/A,NF-rOPINIRole Oral Tab ER 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134880,N/A,NF-Aspirin Tablet 325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134881,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134882,N/A,NF-diphenhydrAMINE HCl Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134883,N/A,NF-Magnesium Oxide Tablet 250MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134884,N/A,NF-P-CARE K40G MR KIT,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134885,N/A,NF-MAGNESIUM CITRATE ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134886,N/A,NF-Vitamin B-12 Oral Tablet 100MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134887,N/A,NF-Vitamin B-6 Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134888,N/A,NF-Calcitonin-Salmon Nasal Spray 200IU/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134889,N/A,NF-Adult Probiotic Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134890,N/A,NF-Align Oral Capsule 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134891,N/A,NF-Cholecalciferol Crystal,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134892,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134893,N/A,NF-Zofran Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134894,N/A,NF-Sildenafil Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134895,N/A,NF-Calcium 500 + D Oral Tablet 400IU-500,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134896,N/A,"NF-PALIPERIDONE ORAL TABLET, ER 3MG",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134897,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134898,N/A,NF-Spiriva Respimat Inh Spray 2.5MCG/1Ac,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134899,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134900,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134901,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134902,N/A,NF-Clobetasol Propionate Ointment 0.05%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134903,N/A,NF-Clobetasol Propionate Solution 0.05%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134904,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134905,N/A,NF-Brovana Inhalation Solution 15MCG/2ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134906,N/A,NF-aMILoride HCl Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134907,N/A,NF-Famotidine Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134908,N/A,NF-Optimum Vitamin B-12 SL Tab 1000MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134909,N/A,NF-Klor-Con Sprinkle Oral Capsule ER 10M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134910,N/A,NF-Ceftriaxone Injection Pwd for Soln 1G,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134911,N/A,NF-Calcium Oral Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134912,N/A,NF-Cough Control DM Susp 10MG-100MG/5ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134913,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134914,N/A,NF-dilTIAZem Oral Cap ER 240MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134915,N/A,NF-Doxepin HCl Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134916,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134917,N/A,NF-Carvedilol Oral Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134918,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134919,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134920,N/A,NF-GABITRIL TABLET 16MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134921,N/A,NF-PROGESTERONE ORAL CAPSULE 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134922,N/A,NF-Aleve Liquid Capsule 220MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134923,N/A,NF-FiberCel Oral Powder 5GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134924,N/A,NF-Tymlos Subcutaneous Solution 2000MCG/,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134925,N/A,NF-LOVASTATIN ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134926,N/A,NF-LOVASTATIN ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134927,N/A,NF-VERAPAMIL HCL CAP ER 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134928,N/A,NF-Lyrica Oral Capsule 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134929,N/A,NF-Terazosin HCl Capsule 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134930,N/A,NF-Atorvastatin Calcium Oral Tab 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134931,N/A,NF-Carvedilol Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134932,N/A,NF-HumuLIN R Injection Solution 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134933,N/A,NF-Lactulose Solution 10GM/15ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134934,N/A,NF-HumaLOG Injection 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134935,N/A,NF-Daily Multivitamin Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134936,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134937,N/A,NF-Liquid Protein Fortifier Oral Solutio,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134938,N/A,"NF-Bisacodyl Tablet, Delayed Release 5MG",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134939,N/A,NF-Multivitamin Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134940,N/A,NF-Sodium Bicarbonate Tablet 325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134941,N/A,NF-Tresiba Subcutaneous Solution 100U/1M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134942,N/A,NF-Cranberry Oral Capsule 425MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134943,N/A,NF-Valsartan/HCTZ Oral Tablet 160MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134944,N/A,NF-Vitamin D3 Oral Tablet 5000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134945,N/A,NF-Voltaren Gel Topical 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134946,N/A,NF-Lutein Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134947,N/A,NF-Nuedexta Oral Capsule 20MG-10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134948,N/A,NF-Trifluoperazine HCl Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134949,N/A,NF-fluvoxaMINE Maleate Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134950,N/A,"NF-Bisacodyl Tablet, Delayed Release 5MG",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134951,N/A,NF-BUDESONIDE CAP DR 3MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134952,N/A,NF-Ferrous Gluconate Tablet 324MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134953,N/A,NF-Sodium Bicarbonate Oral Tablet 325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134954,N/A,NF-Epogen Injection 2000U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134955,N/A,NF-Triamcinolone Acetonide Cream 0.025%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134956,N/A,NF-VOLTAREN GEL 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134957,N/A,NF-ODEFSEY TAB 200MG-25MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134958,N/A,NF-Lisinopril Tablet 40mg,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134959,N/A,NF-Caltrate 600 + D Oral Tablet 600MG-20,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134960,N/A,NF-Vitamin D3 Oral Capsule 5000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134961,N/A,NF-Vitamin D3 Oral Capsule 5000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134962,N/A,"NF-Vitamin D Capsule, Liquid Filled",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134963,N/A,NF-Fosinopril Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134964,N/A,NF-metFORMIN HCl Tablet 1000MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134965,N/A,NF-Norvasc Tablet 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134966,N/A,NF-Albuterol Inhaler Aer Pwd 0.09MG/1Act,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134967,N/A,NF-clonazePAM Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134968,N/A,NF-clonazePAM Oral Tablet 1MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134969,N/A,NF-QUEtiapine Fumarate Tab ER 150MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134970,N/A,NF-HumuLIN R Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134971,N/A,NF-HumuLIN R Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134972,N/A,NF-Stavudine Oral Capsule 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134973,N/A,NF-AMLODIPINE BESYLATE TAB 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134974,N/A,NF-Ocean Solution 0.65%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134975,N/A,NF-HumuLIN R Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134976,N/A,NF-Lidocaine HCl Solution 2%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134977,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134978,N/A,NF-guaiFENesin Syrup 100MG/5ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134979,N/A,NF-Refresh PM Ophth Ointment 42.5%-57.3%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134980,N/A,NF-Multivitamin Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134981,N/A,NF-Zofran Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134982,N/A,NF-Imodium A-D Tablet 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134983,N/A,NF-Metamucil Clear and Natural Oral Powd,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134984,N/A,NF-Ensure Plus Liquid,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134985,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134986,N/A,NF-tiZANidine Hydrochloride Capsule 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134987,N/A,NF-dilTIAZem Oral Cap ER 240MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134988,N/A,NF-ADVAIR HFA 230/21 INH AER 230MCG-21MC,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134989,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134990,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134991,N/A,NF-Crestor Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134992,N/A,NF-Carvedilol Oral Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134993,N/A,NF-FLUoxetine Hydrochloride Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134994,N/A,NF-Balsalazide Disodium Oral Capsule 750,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134995,N/A,NF-Multivitamin Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134996,N/A,NF-GABITRIL TABLET 16MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134997,N/A,NF-LOVASTATIN ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134998,N/A,NF-Valsartan/HCTZ Oral Tablet 160MG-25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34134999,N/A,NF-TIAGABINE HYDROCHLORIDE ORAL TABLET 1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135000,N/A,NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135001,N/A,NF-metFORMIN HCl Oral Tablet ER 750MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135002,N/A,NF-fluticasone-salmeterol 113MCG-14MCG/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135003,N/A,NF-Votrient Oral Tablet 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135004,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135005,N/A,NF-Votrient Oral Tablet 200MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135006,N/A,NF-Multivitamin Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135007,N/A,NF-Calcium 600 Plus Vitamin D Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135008,N/A,NF-CoQ10 Oral Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135009,N/A,NF-Fish Oil Liquid Capsule 160MG-100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135010,N/A,NF-Methocarbamol Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135011,N/A,NF-Aranesp Injection Solution 0.01MG/0.4,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135012,N/A,NF-Zemplar Injection 0.002MG/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135013,N/A,NF-Cymbalta Delayed-Release Capsule 60MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135014,N/A,NF-Multiple Vitamins Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135015,N/A,NF-Healthy Living Compressor Nebulizer,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135016,N/A,NF-TRELEGY ELLIPTA INH PWD,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135017,N/A,NF-Crestor Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135018,N/A,NF-Crestor Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135019,N/A,NF-Citracal Ultradense 250mg+D 250MG-200,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135020,N/A,NF-Women's Daily Multivitamin Oral Table,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135021,N/A,NF-Bumetanide Oral Tablet 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135022,N/A,NF-Entresto Oral Tablet 97MG-103MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135023,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135024,N/A,NF-dilTIAZem Oral Cap ER 240MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135025,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135026,N/A,NF-Bumetanide Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135027,N/A,NF-Entresto Oral Tablet 97MG-103MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135028,N/A,NF-Lyrica Oral Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135029,N/A,NF-levETIRAcetam Oral Tab ER 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135030,N/A,NF-OLANZapine Oral Tablet 15MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135031,N/A,NF-Irbesartan Oral Tablet 75MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135032,N/A,NF-Cholestyramine Light Powder 4GM/5.7GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135033,N/A,NF-Atorvastatin Calcium Oral Tab 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135034,N/A,NF-Sertraline Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135035,N/A,NF-TEGretol-XR Oral Tab ER 400MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135036,N/A,NF-carBAMazepine Oral Tab ER 400MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135037,N/A,NF-CIPRO IV IV SOLN 400MG/200ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135038,N/A,NF-Saline Spray,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135039,N/A,NF-Docusate Sodium Liquid 100MG/10ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135040,N/A,NF-fluvoxaMINE Maleate Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135041,N/A,NF-Hyoscyamine Oral Tablet 0.125MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135042,N/A,NF-QUEtiapine Fumarate Tab ER 200MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135043,N/A,NF-buPROPion Hydrochloride SR 200MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135044,N/A,NF-clomiPRAMINE HCl Capsule 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135045,N/A,NF-scopolamine TD Patch 0.33MG/24hr,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135046,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135047,N/A,NF-Centrum Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135048,N/A,NF-Caltrate 600 + D Oral Tablet 600MG-20,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135049,N/A,NF-Magnesium Oral Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135050,N/A,NF-Famotidine Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135051,N/A,NF-Progesterone Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135052,N/A,NF-Dymista Nasal Spray 137MCG-50MCG/1 Ac,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135053,N/A,NF-Trulicity SubQ Soln 1.5MG/0.5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135054,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135055,N/A,NF-Sertraline Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135056,N/A,NF-Acidophilus Lactobacilli 500 Million,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135057,N/A,NF-Zofran Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135058,N/A,NF-Albuterol Sulfte Inh/Neb Soln 0.63MG/,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135059,N/A,NF-Fexofenadine Oral Tablet 60MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135060,N/A,NF-Banatrol Plus Pwd for Soln,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135061,N/A,NF-BASAGLAR KWIKPEN SUBQ SOLN 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135062,N/A,NF-Lispro-PFC SQ Susp 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135063,N/A,NF-Enalapril Oral Tablet 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135064,N/A,NF-Multivitamin Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135065,N/A,NF-Pioglitazone Oral Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135066,N/A,NF-raNITIdine HCl Tablet 150MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135067,N/A,NF-Potassium Oral Tablet 99MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135068,N/A,NF-Sertraline Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135069,N/A,NF-Tecfidera Oral Cap DR 240MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135070,N/A,NF-Gabapentin Oral Tablet 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135071,N/A,NF-Systane Ultra Ophthalmic Soln 0.4%-0.,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135072,N/A,NF-HumaLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135073,N/A,NF-Ocuvite Lutein Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135074,N/A,NF-Vitamin D3 Liquid Filled Capsule 1000,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135075,N/A,NF-Ferrous Fumarate Oral Tablet 325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135076,N/A,NF-Isosorbide Mononitrate Tablet 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135077,N/A,NF-Tresiba Subcutaneous Solution 100U/1M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135078,N/A,NF-Praluent Subcutaneous Solution 75MG/1,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135079,N/A,NF-Calcium 600-D Oral Tablet 600MG-400IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135080,N/A,NF-Belladonna/Opium Rectal Supp 16.2MG-6,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135081,N/A,NF-Vitamin E Tablet 100iu,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135082,N/A,NF-Multi Vitamins Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135083,N/A,NF-Welchol Oral Tablet 625MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135084,N/A,NF-Potassium Chloride Oral Cap ER 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135085,N/A,NF-Bicalutamide Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135086,N/A,NF-LOSARTAN POTASSIUM ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135087,N/A,NF-AMLODIPINE BESYLATE ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135088,N/A,NF-CARVEDILOL ORAL TABLET 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135089,N/A,NF-Atenolol/Chlorthalidone Tab 100MG-25M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135090,N/A,NF-Creon Oral Cap DR 180000U-36000U-1140,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135091,N/A,NF-Centrum Silver Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135092,N/A,NF-Aleve Arthritis Tablet 220MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135093,N/A,NF-Vitamin D2 Tablet 400iu,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135094,N/A,NF-Aspirin Oral Tablet 325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135095,N/A,NF-Doxycycline Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135096,N/A,"NF-Cymbalta Capsule, Delayed Release 20M",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135097,N/A,NF-Latuda Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135098,N/A,NF-Albuterol HFA Inh Aer Pwd 0.09MG/1ACT,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135099,N/A,NF-Daily Calcium + Vit D Tablet 600MG-12,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135100,N/A,NF-Multivitamin Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135101,N/A,NF-Colace Liquid Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135102,N/A,NF-Zofran Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135103,N/A,NF-Atorvastatin Calcium Oral Tab 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135104,N/A,NF-Atorvastatin Calcium Oral Tab 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135105,N/A,NF-Myrbetriq Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135106,N/A,NF-Myrbetriq Oral Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135107,N/A,NF-Viagra Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135108,N/A,NF-OMEPRAZOLE CAP DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135109,N/A,NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135110,N/A,NF-AMLODIPINE BESYLATE ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135111,N/A,NF-PreserVision Lutein Lquid Filled Caps,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135112,N/A,NF-Orajel Mouth Sore Medicine,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135113,N/A,NF-glipiZIDE Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135114,N/A,NF-Potassium Gluconate Oral Tablet 99MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135115,N/A,NF-Calcium Oral Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135116,N/A,NF-Vitamin D Tablet 400iu,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135117,N/A,NF-Adult Probiotic Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135118,N/A,NF-Pramipexole Dihydrochloride Tab 0.125,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135119,N/A,NF-Centrum Silver Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135120,N/A,NF-Potassium Citrate Oral Tablet ER 10ME,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135121,N/A,NF-Pramipexole Dihydrochloride Tab 0.125,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135122,N/A,NF-Probiotic Complex Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135123,N/A,"NF-Vitamin D Capsule, Liquid Filled",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135124,N/A,NF-Benazepril Oral Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135125,N/A,NF-AMITRIPTYLINE HCL ORAL TABLET 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135126,N/A,NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135127,N/A,NF-Banatrol Plus Pwd for Soln,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135128,N/A,NF-Gabapentin Oral Tablet 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135129,N/A,NF-Gabapentin Oral Tablet 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135130,N/A,NF-Gabapentin Oral Tablet 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135131,N/A,NF-Tekturna Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135132,N/A,NF-Dapsone Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135133,N/A,NF-Sildenafil Oral Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135134,N/A,NF-cloNIDine HCl Tablet 0.2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135135,N/A,NF-Coreg Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135136,N/A,NF-Simvastatin Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135137,N/A,NF-Omeprazole Oral Tablet DR 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135138,N/A,NF-Lumigan Ophthalmic Solution 0.03%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135139,N/A,NF-Multivitamin Oral Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135140,N/A,NF-Folic Acid Oral Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135141,N/A,NF-Ambien Oral Tablet 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135142,N/A,NF-NexIUM Capsule 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135143,N/A,NF-OMEPRAZOLE CAP DR 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135144,N/A,NF-DOXAZOSIN MESYLATE ORAL TABLET 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135145,N/A,NF-Viagra Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135146,N/A,NF-busPIRone HCl Tablet 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135147,N/A,NF-Vitamin D3 Oral Liq Cap 1000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135148,N/A,NF-VITAMIN D ORAL TABLET 2000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135149,N/A,NF-LOSARTAN POTASSIUM AVPAK ORAL TAB 100,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135150,N/A,NF-Simvastatin Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135151,N/A,NF-Acetaminophen Capsule 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135152,N/A,NF-Aspirin Oral Tablet 81MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135153,N/A,NF-Lisinopril/HCTZ 10MG-12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135154,N/A,NF-Lansoprazole Disintegrating Tab DR 15,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135155,N/A,NF-Doxepin Oral Capsule 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135156,N/A,NF-Prazosin Oral Capsule 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135157,N/A,NF-Midodrine HCl Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135158,N/A,NF-Prazosin HCl Oral Capsule 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135159,N/A,NF-Lyrica Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135160,N/A,NF-QUEtiapine Fumarate Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135161,N/A,NF-Abilify Tablet 15MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135162,N/A,NF-Coenzyme Q10 Capsule 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135163,N/A,NF-Enalapril Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135164,N/A,NF-Simvastatin Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135165,N/A,NF-ZOCOR ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135166,N/A,NF-METFORMIN HCL ORAL TAB ER 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135167,N/A,NF-METFORMIN HCL ORAL TABLET 1000MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135168,N/A,NF-MINERAL OIL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135169,N/A,NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135170,N/A,"NF-Vitamin D Capsule, Liquid Filled",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135171,N/A,NF-Simvastatin Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135172,N/A,NF-CoQ10 Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135173,N/A,NF-Lisinopril-HCTZ Tablet 20MG-25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135174,N/A,NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135175,N/A,NF-Zestoretic Oral Tablet 20MG-25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135176,N/A,NF-Potassium Oral Tablet 99MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135177,N/A,NF-PriLOSEC Capsule 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135178,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135179,N/A,NF-Irbesartan Oral Tablet 300MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135180,N/A,NF-Ketotifen Fumarate Ophth Solution 0.0,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135181,N/A,NF-Slow-Mag Oral Tab EC 119MG-208MG-71.5,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135182,N/A,NF-PreserVision Areds 2 Oral Liq Cap,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135183,N/A,NF-PreserVision Areds 2 Oral Liq Cap,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135184,N/A,"NF-D3 2000 Capsule, Liquid Filled 2000IU",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135185,N/A,NF-Stress Formula w/Zinc Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135186,N/A,NF-HumaLOG KwikPen SubQ Susp 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135187,N/A,NF-Estrace Vaginal Cream 0.1MG/1GM,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135188,N/A,NF-Lantus Subcutaneous Solution 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135189,N/A,NF-SPIRONOLACTONE ORAL TAB 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135190,N/A,NF-Doxazosin Mesylate Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135191,N/A,NF-PriLOSEC Capsule 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135192,N/A,NF-glipiZIDE Oral Tab ER 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135193,N/A,NF-Lantus Solution 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135194,N/A,NF-NovoLOG Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135195,N/A,NF-Multiple Vitamin Tab,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135196,N/A,NF-Januvia Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135197,N/A,NF-Spironolactone Oral Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135198,N/A,NF-Lisinopril Tablet 40mg,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135199,N/A,NF-MYCOPHENOLATE MOFETIL ORAL TABLET 500,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135200,N/A,NF-Levothyroxine Sodium Oral Tablet 175M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135201,N/A,NF-Sodium Bicarbonate Tablet 325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135202,N/A,NF-Cranberry Oral Capsule 425MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135203,N/A,NF-HumaLOG SubQ Suspension 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135204,N/A,NF-Zofran Oral Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135205,N/A,NF-Tresiba Subcutaneous Solution 100U/1M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135206,N/A,"NF-Bisacodyl Tablet, Delayed Release 5MG",N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135207,N/A,NF-Lumigan Ophthalmic Solution 0.03%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135208,N/A,NF-Hyzaar Oral Tablet 100MG-25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135209,N/A,NF-Multivitamin Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135210,N/A,NF-Tylenol Arthritis Oral Tablet 650MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135211,N/A,NF-Crestor Tablet 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135212,N/A,NF-amLODIPine and Benazepril Cap 10MG-20,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135213,N/A,NF-Pramipexole Dihydrochloride Tab 0.125,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135214,N/A,NF-dilTIAZem CD Capsule ER 300MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135215,N/A,NF-Gabapentin Oral Tablet 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135216,N/A,NF-Crestor Tablet 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135217,N/A,NF-Triamterene/HCTZ Capsule 37.5-25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135218,N/A,NF-Allopurinol Oral Tablet 300MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135219,N/A,NF-Adult Probiotic Oral Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135220,N/A,NF-Nature's Blend Co-Q10 Omega-3 Liq Cap,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135221,N/A,NF-Crestor Oral Tablet 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135222,N/A,NF-Zofran Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135223,N/A,NF-ROPINIROLE HCL TAB 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135224,N/A,"NF-PAROXETINE HCL ORAL TABLET, ER 25MG",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135225,N/A,NF-LEVOCETIRIZINE DIHCL ORAL TABLET 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135226,N/A,NF-GABITRIL TABLET 16MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135227,N/A,NF-PRAVASTATIN SODIUM ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135228,N/A,NF-OLMESARTAN MEDOXOMIL ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135229,N/A,NF-Vitamin B-1 Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135230,N/A,NF-Allergy Relief Oral Tablet 180MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135231,N/A,NF-OMEPRAZOLE CAP DR 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135232,N/A,NF-Lipitor Tablet 80MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135233,N/A,NF-Requip XL Oral Tab ER 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135234,N/A,NF-Fluorouracil Topical Solution 5%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135235,N/A,NF-Pyridoxine HCl Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135236,N/A,NF-Simvastatin Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135237,N/A,NF-Cipro Oral Tablet 250MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135238,N/A,NF-TIROSINT LIQ CAP 125MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135239,N/A,NF-BISOPROLOL FUMARATE TAB 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135240,N/A,NF-DOMPERIDONE POWDER,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135241,N/A,NF-GALANTAMINE HBR CAPSULE ER 24MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135242,N/A,NF-Aleve Oral Tablet 220MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135243,N/A,NF-MYCOPHENOLATE MOFETIL ORAL TABLET 500,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135244,N/A,NF-Acidophilus Probiotic Blend Oral Cap,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135245,N/A,NF-Doxycycline Oral Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135246,N/A,NF-Venclexta Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135247,N/A,NF-Multi-Day Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135248,N/A,NF-Vitamin D3 Oral Liq Cap 1000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135249,N/A,NF-Calcium Ascorbate Pwd 3256MG-400MG/5M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135250,N/A,NF-AMLODIPINE BESYLATE ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135251,N/A,NF-Multi-Day Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135252,N/A,NF-Vitamin D3 Oral Liq Cap 1000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135253,N/A,NF-Calcium Ascorbate Pwd 3256MG-400MG/5M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135254,N/A,NF-Meloxicam Oral Tablet 15MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135255,N/A,NF-Aspir Low Oral Tablet EC 81MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135256,N/A,NF-COUMADIN ORAL TABLET 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135257,N/A,NF-COUMADIN ORAL TABLET 2.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135258,N/A,NF-COUMADIN ORAL TABLET 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135259,N/A,NF-COUMADIN ORAL TABLET 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135260,N/A,NF-Mirapex Oral Tablet 0.125MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135261,N/A,NF-Dok Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135262,N/A,NF-Vitamin D2 Oral Tablet 2000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135263,N/A,NF-Simvastatin Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135264,N/A,NF-Esomeprazole Magnesium Oral Cap DR 20,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135265,N/A,NF-Multivitamin Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135266,N/A,NF-ALPRAZolam Tablet 0.25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135267,N/A,NF-MORPHINE SULFATE ORAL SOLUTION 20MG/1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135268,N/A,NF-ZyPREXA Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135269,N/A,NF-Gabapentin Oral Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135270,N/A,NF-Lantus SoloStar SubQ Solution 100U/1M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135271,N/A,NF-NovoLIN R Injection 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135272,N/A,NF-Warfarin Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135273,N/A,NF-Warfarin Sodium Tablet 7.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135274,N/A,NF-Xanax Oral Tablet 0.25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135275,N/A,NF-metFORMIN HCl Tablet 1000MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135276,N/A,NF-Lisinopril-HCTZ Tablet 20MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135277,N/A,NF-Allopurinol Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135278,N/A,NF-Cymbalta Delayed-Release Capsule 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135279,N/A,NF-Travatan Z Ophthalmic Solution 0.004%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135280,N/A,NF-Theophylline Oral Tab ER 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135281,N/A,NF-Thiamine HCl Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135282,N/A,NF-rOPINIRole Hydrochloride Tablet 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135283,N/A,NF-Lutein Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135284,N/A,NF-Synthroid Tablet 150MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135285,N/A,NF-Acetaminophen Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135286,N/A,NF-Trifluoperazine HCl Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135287,N/A,NF-Acetaminophen PM Cap 500MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135288,N/A,NF-Zofran Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135289,N/A,NF-Ocuvite Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135290,N/A,NF-Vitamin D3 Oral Liq Cap 2000 IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135291,N/A,NF-Vitamin B12 Tablet 1000mcg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135292,N/A,NF-Gabapentin Oral Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135293,N/A,NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135294,N/A,NF-SIMVASTATIN AVPAK ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135295,N/A,NF-Vitamin B12 Tablet 1000mcg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135296,N/A,NF-Vitamin D3 Liquid Filled Capsule 1000,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135297,N/A,NF-Multivitamins Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135298,N/A,NF-Omega-3 Oil Liquid Filled Capsule 100,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135299,N/A,NF-Lutein Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135300,N/A,NF-Guaiasorb DM Solution 10MG-100MG/5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135301,N/A,NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135302,N/A,NF-Coenzyme Q10 Capsule 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135303,N/A,NF-D3-400IU Oral Tablet 400IU-90MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135304,N/A,NF-Glucosamine/Chondroitin/MSM Oral Tabl,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135305,N/A,NF-Norco Oral Tablet 5MG-325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135306,N/A,NF-Biotin Oral Tablet 1000MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135307,N/A,NF-HumaLOG KwikPen SubQ Susp 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135308,N/A,NF-Citrucel Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135309,N/A,NF-Zofran Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135310,N/A,NF-Baclofen Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135311,N/A,NF-INTROVALE ORAL TABLET 0.15MG-30MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135312,N/A,NF-Allopurinol Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135313,N/A,NF-Coenzyme Q-10 Liq Cap 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135314,N/A,NF-Allopurinol Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135315,N/A,NF-Coenzyme Q-10 Liq Cap 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135316,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135317,N/A,NF-Calcium 600 Oral Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135318,N/A,NF-Lantus Solution 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135319,N/A,NF-Omega-3 Oil Liquid Filled Capsule 100,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135320,N/A,NF-HumaLOG Injection 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135321,N/A,NF-amLODIPine and Benazepril Cap 10MG-40,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135322,N/A,NF-hydrOXYzine HCl Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135323,N/A,NF-Vision Formula Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135324,N/A,NF-Xarelto Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135325,N/A,NF-dilTIAZem ER Oral 24HR Cap ER 240MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135326,N/A,NF-Advair HFA 115/21 Inh Aer 115MCG-21MC,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135327,N/A,NF-Lisinopril Tablet 40mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135328,N/A,NF-Calcium 500 + D Oral Tablet 500MG-125,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135329,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135330,N/A,NF-Januvia Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135331,N/A,NF-POTASSIUM CHLORIDE CAP ER 10MEQ,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135332,N/A,NF-Fiber Choice Chewable Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135333,N/A,NF-Probiotic Colon Care Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135334,N/A,NF-Boniva Oral Tablet 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135335,N/A,NF-LamISIL Tablet 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135336,N/A,NF-Citrucel with Smartfiber 2GM/1Dose,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135337,N/A,NF-Aubagio Oral Tablet 14MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135338,N/A,NF-Calcium 600MG+D Oral Tablet 600MG-200,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135339,N/A,NF-Chloraseptic Mucous Membrane Spray 1.,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135340,N/A,NF-Lactase Enzyme Oral Tablet 3000U-5.7M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135341,N/A,NF-Multivitamin w/Iron Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135342,N/A,NF-Acidophilus Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135343,N/A,NF-RisperDAL Tablet 0.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135344,N/A,NF-Benadryl Allergy Oral Liq Cap 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135345,N/A,NF-Liquid Protein Fortifier Oral Solutio,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135346,N/A,NF-Myrbetriq Oral Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135347,N/A,NF-Xarelto Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135348,N/A,NF-Multivitamin Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135349,N/A,NF-Refresh PM Ophth Ointment 42.5%-57.3%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135350,N/A,NF-Lyrica Oral Capsule 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135351,N/A,NF-Cymbalta Delayed-Release Capsule 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135352,N/A,NF-Lisinopril-HCTZ Oral Tablet 10MG-12.5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135353,N/A,NF-Nasonex Spray 0.05MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135354,N/A,NF-CeleBREX Oral Capsule 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135355,N/A,NF-Cyclobenzaprine Hydrochloride Tab 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135356,N/A,NF-Advair Diskus 100/50 Disk,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135357,N/A,NF-Terazosin HCl Capsule 10MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135358,N/A,NF-Potassium Chloride Oral Cap ER 10MEQ,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135359,N/A,NF-Simvastatin Oral Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135360,N/A,NF-Multivitamin Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135361,N/A,NF-metOLazone Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135362,N/A,NF-Desitin Maximum Strength Topical Past,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135363,N/A,NF-Lantiseptic Skin Protectant Ointment,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135364,N/A,NF-NexIUM Capsule 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135365,N/A,NF-Procardia XL Tablet 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135366,N/A,NF-Systane Balance Ophth Soln 0.6%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135367,N/A,NF-Zofran Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135368,N/A,NF-Loperamide Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135369,N/A,NF-Zofran Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135370,N/A,NF-Vitamin B1 AvPak Tab 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135371,N/A,NF-Advil Migraine Liq Cap 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135372,N/A,NF-Multivitamin Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135373,N/A,NF-Vicodin Oral Tablet 5MG-300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135374,N/A,NF-Vitamin C Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135375,N/A,NF-Biotin Oral Tablet 1000MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135376,N/A,NF-Enalapril Oral Tablet 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135377,N/A,NF-Simvastatin Oral Tablet 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135378,N/A,NF-Lantus SoloStar Pen SubQ Soln 100U/1M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135379,N/A,NF-Albuterol Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135380,N/A,NF-Enalapril Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135381,N/A,NF-Calcium 500 + D Tablet 500MG-125IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135382,N/A,NF-Leader CoQ-10 Oral Capsule 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135383,N/A,NF-Carlson Vitamin D3 Oral Liq Cap 4000I,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135384,N/A,NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135385,N/A,NF-Potassium Oral Tablet 99MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135386,N/A,NF-Imitrex Kit 6MG/0.5ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135387,N/A,NF-Fexofenadine Oral Tablet 180MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135388,N/A,NF-Irbesartan Oral Tablet 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135389,N/A,NF-Vitamin D3 Oral Liq Cap 1000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135390,N/A,NF-Oxy IR Capsule 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135391,N/A,NF-Desitin Maximum Strength Topical Past,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135392,N/A,NF-Carvedilol Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135393,N/A,NF-TraZODone HCl Oral Tablet 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135394,N/A,NF-Lisinopril Tablet 40mg,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135395,N/A,NF-rOPINIRole Hydrochloride Tablet 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135396,N/A,NF-Vitamin D3 Oral Liq Cap 1000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135397,N/A,NF-Simvastatin Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135398,N/A,NF-Proventil HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135399,N/A,NF-Desitin Maximum Strength Topical Past,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135400,N/A,NF-Simvastatin Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135401,N/A,NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135402,N/A,NF-Maxzide Tablet 25MG-37.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135403,N/A,NF-Tresiba Subcutaneous Solution 100U/1M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135404,N/A,NF-Spironolactone Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135405,N/A,NF-Florajen3 Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135406,N/A,NF-Vitamin B6 Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135407,N/A,NF-Vitamin D3 Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135408,N/A,NF-Trospium Chloride Oral Capsule ER 60M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135409,N/A,NF-buPROPion HCl Tablet SR 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135410,N/A,NF-Zinc Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135411,N/A,NF-Valproic Acid Liq Cap 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135412,N/A,NF-Coumadin Tablet 2.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135413,N/A,NF-Januvia Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135414,N/A,NF-CLORAZEPATE DIPOTASSIUM TAB 7.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135415,N/A,NF-TRANXENE T-TAB ORAL TABLET 7.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135416,N/A,NF-Glucosamine Complex Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135417,N/A,NF-Enalapril Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135418,N/A,NF-Lisinopril-HCTZ Tablet 20MG-12.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135419,N/A,NF-Januvia Oral Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135420,N/A,NF-Calcium 600/Vitamin D Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135421,N/A,NF-Trelegy Ellipta Inhalation Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135422,N/A,NF-Banatrol Plus Pwd for Soln,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135423,N/A,NF-Adult Probiotic Oral Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135424,N/A,NF-Vitamin D3 Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135425,N/A,NF-clomiPRAMINE HCl Capsule 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135426,N/A,"NF-D3 2000 Capsule, Liquid Filled 2000IU",637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135427,N/A,NF-DONEPEZIL HCL ORAL TABLET 23MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135428,N/A,NF-Crestor Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135429,N/A,NF-Janumet XR Oral Tab ER 1000MG-100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135430,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135431,N/A,NF-MEDROL DOSEPAK ORAL TABLET 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135432,N/A,NF-MEDROL DOSEPAK TAB 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135433,N/A,NF-Nature's Blend Ginseng Capsule 250MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135434,N/A,NF-Clorazepate Dipotassium Tablet 7.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135435,N/A,NF-Lisinopril Tablet 2.5mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135436,N/A,NF-Atorvastatin Calcium Oral Tab 80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135437,N/A,NF-Omeprazole Oral Tablet DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135438,N/A,NF-Vitamin D3 Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135439,N/A,NF-Doxepin HCl Oral Capsule 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135440,N/A,NF-NovoLOG FlexPen SQ Soln 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135441,N/A,NF-HumuLIN R Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135442,N/A,NF-Garlic Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135443,N/A,NF-HumaLOG KwikPen SubQ Susp 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135444,N/A,NF-Tresiba Subcutaneous Solution 100U/1M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135445,N/A,NF-Allegra Oral Tablet 180MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135446,N/A,NF-Vitamin D3 Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135447,N/A,NF-clonazePAM Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135448,N/A,NF-Calcium 600 Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135449,N/A,NF-Multivitamin Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135450,N/A,NF-Lisinopril Tablet 2.5mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135451,N/A,NF-rOPINIRole Hydrochloride Tablet 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135452,N/A,NF-Gabapentin Oral Tablet 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135453,N/A,NF-Pravastatin Sodium Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135454,N/A,NF-Lunesta Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135455,N/A,NF-rOPINIRole Hydrochloride Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135456,N/A,NF-Cyclobenzaprine Hydrochloride Tablet,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135457,N/A,NF-BYDUREON Pen SubQ PwdforSusp ER 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135458,N/A,NF-metFORMIN Hydrochloride Tab ER 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135459,N/A,NF-Lyrica Oral Capsule 150MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135460,N/A,NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135461,N/A,NF-Proventil HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135462,N/A,NF-Vytorin Tablet 10MG-10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135463,N/A,NF-rOPINIRole Hydrochloride Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135464,N/A,NF-BYDUREON Pen SubQ PwdforSusp ER 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135465,N/A,NF-Cyclobenzaprine HCl Oral Tablet 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135466,N/A,NF-Lyrica Oral Capsule 150MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135467,N/A,NF-Proventil HFA Inhaler 0.09MG/Inh,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135468,N/A,NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135469,N/A,NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135470,N/A,NF-Blistex Ointment,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135471,N/A,NF-Calcium Citrate Tablet 950MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135472,N/A,NF-CoQ10 Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135473,N/A,NF-Bevespi Aerosphere Inh 4.8MCG-9MCG/1A,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135474,N/A,NF-Vitamin B12 Tablet 50mcg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135475,N/A,NF-Zofran Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135476,N/A,NF-Onfi Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135477,N/A,NF-Vitamin D Oral Tablet 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135478,N/A,NF-levETIRAcetam Oral Tablet ER 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135479,N/A,NF-Mag-Tab SR Tablet 84MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135480,N/A,NF-Travatan Z Ophthalmic Solution 0.004%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135481,N/A,NF-Famotidine Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135482,N/A,NF-Lumigan Solution Ophthalmic 0.03%,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135483,N/A,NF-Famotidine Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135484,N/A,NF-Lumigan Solution Ophthalmic 0.03%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135485,N/A,NF-Symbicort Inh Aer Liq 160MCG-4.5MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135486,N/A,NF-Welchol Oral Tablet 625MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135487,N/A,NF-Vitamin D3 Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135488,N/A,NF-Cardizem LA Oral Tab ER 180MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135489,N/A,NF-predniSONE Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135490,N/A,NF-SEROQUEL ORAL TABLET 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135491,N/A,NF-Nitrofurantoin Mono/Macro Oral Cap 10,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135492,N/A,NF-Co-Q-10 Oral Liquid Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135493,N/A,NF-Vitamin B Complex Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135494,N/A,NF-doxazosin Oral Tablet 4MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135495,N/A,NF-FLUoxetine HCl Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135496,N/A,NF-Vimpat Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135497,N/A,NF-Lantus Solution 100U/ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135498,N/A,NF-Hydrocortisone Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135499,N/A,NF-Hydrocortisone Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135500,N/A,NF-Hydrocortisone Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135501,N/A,NF-Hydrocortisone Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135502,N/A,NF-Alendronate Sod Oral Tablet 70MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135503,N/A,NF-HYDROCORTISONE ACETATE AVPAK RECTAL S,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135504,N/A,NF-HYDROCORTISONE TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135505,N/A,NF-Calcium Carbonate Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135506,N/A,NF-DESMOPRESSIN ACETATE AVPAK TAB 0.2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135507,N/A,NF-DESMOPRESSIN ACETATE ORAL TABLET 0.2M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135508,N/A,NF-POSACONAZOLE TAB DR 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135509,N/A,NF-paliperidone Oral Tablet ER 6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135510,N/A,NF-Desmopressin Acetate Oral Tablet 0.2M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135511,N/A,NF-Calcium Carbonate Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135512,N/A,DEXTROSE 10% 250ML,258,1 ,$17.85 ,$11.60 ,$11.60 ,$16.07 ,$14.28 , N/A ,$14.14 ,$16.07 ,$16.07 , N/A ,$15.17 ,$13.21 , N/A , N/A , N/A ,$14.89 , N/A ,$14.74 ,$14.28 ,$16.07 , N/A ,$15.17 , N/A ,$15.17 ,$15.17 ,$16.07 ,$16.07 ,$14.01 ,$14.74 , N/A ,$11.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135513,N/A,"LIDOCAINE 2% / EPI 1:200000 MPF, 20ML",250,1 ,$59.85 ,$38.90 ,$38.90 ,$53.89 ,$47.88 , N/A ,$47.43 ,$53.89 ,$53.89 , N/A ,$50.87 ,$44.29 , N/A , N/A , N/A ,$49.91 , N/A ,$49.44 ,$47.88 ,$53.87 , N/A ,$50.87 , N/A ,$50.87 ,$50.87 ,$53.87 ,$53.87 ,$46.98 ,$49.44 , N/A ,$38.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135514,N/A,NF-Movantik Oral Tablet 12.5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135515,N/A,NF-FLUoxetine HCl Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135516,N/A,NF-Pravastatin Sodium Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135517,N/A,NF-clonazePAM Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135518,N/A,NF-clonazePAM Tablet 1MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135519,N/A,NF-Lantus Solution 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135520,N/A,NF-LEVOBUNOLOL HCL OPHTH SOLN 0.5%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135521,N/A,NF-Breo Ellipta Inhalation Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135522,N/A,CHLORDIAZEPOXIDE (LIBRIUM) : 5MG,637,1 ,$1.10 ,$0.72 ,$0.72 ,$1.10 ,$0.88 , N/A ,$0.87 ,$0.99 ,$0.99 , N/A ,$0.94 ,$0.81 , N/A , N/A , N/A ,$0.92 , N/A ,$0.91 ,$0.88 ,$0.99 ,$1.10 ,$0.94 , N/A ,$0.94 ,$0.94 ,$0.99 ,$0.99 ,$0.86 ,$0.91 , N/A ,$0.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135523,N/A,FERAHEME 510MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135524,J1756,FERAHEME 510MG/17ML,636,1 ,"$1,183.88 ",$769.52 ,$769.52 ,"$1,066.08 ",$947.10 , N/A ,$938.11 ,"$1,066.08 ","$1,066.08 ", N/A ,"$1,006.30 ",$876.07 , N/A , N/A , N/A ,$987.36 , N/A ,$977.88 ,$947.10 ,"$1,065.49 ", N/A ,"$1,006.30 ", N/A ,"$1,006.30 ","$1,006.30 ","$1,065.49 ","$1,065.49 ",$929.35 ,$977.88 , N/A ,$769.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135525,N/A,NF-OMEPRAZOLE CAP DR 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135526,N/A,NF-Milk Thistle Capsule 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135527,N/A,NF-Cranberry Capsule 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135528,N/A,NF-glipiZIDE Oral Tab ER 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135529,N/A,NF-Simvastatin Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135530,N/A,NF-Ginko Biloba Capsule 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135531,N/A,NF-HCTZ/Triamterene Tablet 25MG-37.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135532,N/A,NF-Simvastatin Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135533,N/A,NF-Acetaminophen AvPak Tablet ER 650MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135534,N/A,NF-Calcium Oral Tablet 600MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135535,N/A,NF-Carvedilol Oral Tablet 25MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135536,N/A,NF-Xyzal Allergy 24HR Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135537,N/A,NF-Levothyroxine Oral Tablet 150MCG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135538,N/A,NF-Vision Vitamins Oral Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135539,N/A,NF-Flecainide Acetate Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135540,N/A,NF-Depakote Delayed-Release Tablet 250MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135541,N/A,NF-FIORICET ORAL CAPSULE 300MG-50MG-40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135542,N/A,FIORICET TABLET 50MG-325MG-40MG,637,1 ,$1.63 ,$1.06 ,$1.06 ,$1.63 ,$1.30 , N/A ,$1.29 ,$1.47 ,$1.47 , N/A ,$1.39 ,$1.21 , N/A , N/A , N/A ,$1.36 , N/A ,$1.35 ,$1.30 ,$1.47 ,$1.63 ,$1.39 , N/A ,$1.39 ,$1.39 ,$1.47 ,$1.47 ,$1.28 ,$1.35 , N/A ,$1.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135543,N/A,NF-Metoprolol Tartrate Tablet 100MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135544,N/A,NF-Pravastatin Sodium Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135545,N/A,FOLIC ACID 5MG/ML (50MG/10ML),250,1 ,$142.12 ,$92.38 ,$92.38 ,$127.98 ,$113.70 , N/A ,$112.62 ,$127.98 ,$127.98 , N/A ,$120.80 ,$105.17 , N/A , N/A , N/A ,$118.53 , N/A ,$117.39 ,$113.70 ,$127.91 , N/A ,$120.80 , N/A ,$120.80 ,$120.80 ,$127.91 ,$127.91 ,$111.56 ,$117.39 , N/A ,$92.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135546,N/A,NF-Enalapril Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135547,N/A,NF-Bismatrol Chewable Tab 262MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135548,N/A,NF-Bismatrol Chewable Tab 262MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135549,N/A,NF-UNASYN 2GM-1GM INJECTION,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135550,N/A,NF-Melatonin Capsule 3MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135551,N/A,NF-Alendronate Sodium Oral Tablet 70MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135552,N/A,NF-Macrobid Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135553,N/A,NF-PreserVision Areds Liquid Filled Caps,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135554,N/A,NF-Xtandi Oral Liquid Filled Capsule 40M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135555,N/A,NF-Methylphenidate Oral Tablet 5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135556,N/A,NF-PreserVision Areds Liquid Filled Caps,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135557,N/A,NF-Vitamin D3 Oral Capsule 50000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135558,N/A,NF-Xtandi Oral Liquid Filled Capsule 40M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135559,N/A,NF-Methylphenidate Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135560,N/A,NF-Lantiseptic Daily Care Skin Protectan,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135561,N/A,NF-Caltrate 600 + D Oral Tablet 600MG-20,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135562,N/A,GLUTOSE 15 (ORAL GLUCOSE GEL),637,1 ,$10.36 ,$6.73 ,$6.73 ,$10.36 ,$8.29 , N/A ,$8.21 ,$9.33 ,$9.33 , N/A ,$8.81 ,$7.67 , N/A , N/A , N/A ,$8.64 , N/A ,$8.56 ,$8.29 ,$9.32 ,$10.36 ,$8.81 , N/A ,$8.81 ,$8.81 ,$9.32 ,$9.32 ,$8.13 ,$8.56 , N/A ,$6.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135563,N/A,HURRICANE ONE (20% BENZOCAINE ORAL),637,1 ,$33.55 ,$21.81 ,$21.81 ,$33.55 ,$26.84 , N/A ,$26.59 ,$30.21 ,$30.21 , N/A ,$28.52 ,$24.83 , N/A , N/A , N/A ,$27.98 , N/A ,$27.71 ,$26.84 ,$30.20 ,$33.55 ,$28.52 , N/A ,$28.52 ,$28.52 ,$30.20 ,$30.20 ,$26.34 ,$27.71 , N/A ,$21.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135564,N/A,NF-Simvastatin Oral Tablet 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135565,N/A,NF-Caltrate 600 + D Oral Tablet 600MG-20,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135566,N/A,NF-Simvastatin Oral Tablet 40MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135567,N/A,NITROFURANTOIN MONOHYDRATE/MACRO 100MG,637,1 ,$8.42 ,$5.47 ,$5.47 ,$8.42 ,$6.74 , N/A ,$6.67 ,$7.58 ,$7.58 , N/A ,$7.16 ,$6.23 , N/A , N/A , N/A ,$7.02 , N/A ,$6.95 ,$6.74 ,$7.58 ,$8.42 ,$7.16 , N/A ,$7.16 ,$7.16 ,$7.58 ,$7.58 ,$6.61 ,$6.95 , N/A ,$5.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135568,J2930,METHYLPREDNISOLONE IVPB VIAL : 500MG,636,1 ,$55.99 ,$36.39 ,$36.39 ,$50.42 ,$44.79 , N/A ,$44.37 ,$50.42 ,$50.42 , N/A ,$47.59 ,$41.43 , N/A , N/A , N/A ,$46.70 , N/A ,$46.25 ,$44.79 ,$50.39 , N/A ,$47.59 , N/A ,$47.59 ,$47.59 ,$50.39 ,$50.39 ,$43.95 ,$46.25 , N/A ,$36.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135569,N/A,NF-Vitamin D3 Oral Liq Cap 2000 IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135570,N/A,NF-Pedia-Lax Fiber Gummies 2GM Chew Tabl,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135571,N/A,NF-Biotin Tablet 300mcg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135572,N/A,NF-Calcium Oral Tablet 333.33MG-133.33IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135573,N/A,NF-Biotin Oral Capsule 2500MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135574,N/A,NF-Magnesium Tablet 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135575,N/A,NF-Zinc Oral Tablet 15MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135576,N/A,NF-HYDROcodone polistirex-CPM 10MG-8MG/5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135577,N/A,NF-Glimepiride Oral Tablet 4MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135578,N/A,NF-Januvia Oral Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135579,N/A,NF-Acetic Acid Intravesical Solution 0.2,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135580,N/A,NF-Trospium Chloride Oral Capsule ER 60M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135581,N/A,NF-Orphenadrine Oral Tab ER 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135582,N/A,NF-Irbesartan Oral Tablet 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135583,N/A,NF-Thiamine HCl Tablet 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135584,N/A,NF-Lisinopril-HCTZ Oral Tablet 10MG-12.5,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135585,N/A,NF-Esbriet Oral Capsule 267MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135586,N/A,NF-Trelegy Ellipta Inhalation Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135587,N/A,NF-Mirtazapine Tablet 7.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135588,N/A,NF-VENLAFAXINE HCL AVPAK TAB 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135589,N/A,NF-Steglatro Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135590,N/A,NF-GLUCOVANCE TAB 5MG-500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135591,N/A,NF-Fish Oil Concentrate Capsule,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135592,N/A,NF-Multi-Vite Oral Suspension,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135593,N/A,NF-Hydrocortisone 1% Topical Cream 1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135594,N/A,NF-Benazepril Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135595,N/A,NF-Benazepril Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135596,N/A,NF-Krill Oil Oral Liquid Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135597,N/A,NF-HumuLIN R Concentrate U-500 Inj 500U/,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135598,N/A,NF-HumuLIN R Concentrate U-500 Inj 500U/,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135599,N/A,NF-HumuLIN R Concentrate U-500 Inj 500U/,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135600,N/A,NF-HumuLIN R Concentrate U-500 Inj 500U/,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135601,N/A,NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135602,N/A,NF-Lithium Carbonate Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135603,N/A,NF-Mycophenolate Mofetil Oral Tablet 500,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135604,N/A,NF-Multivitamin Tablet,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135605,N/A,NF-Ginko Biloba Capsule 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135606,N/A,NF-Silodosin Oral Capsule 8MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135607,N/A,NF-Sildenafil Oral Tablet 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135608,N/A,NF-Calcium Oral Tablet 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135609,N/A,ACTEMRA (TOCILIZUMAB) in NS 100 ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135610,J1745,ACTEMRA (TOCILIZUMAB) 80MG/4ML,636,1 ,"$1,178.63 ",$766.11 ,$41.32 ,"$1,061.36 ",$942.90 ,$41.32 ,$933.95 ,"$1,061.36 ","$1,061.36 ",$78.51 ,"$1,001.84 ",$872.19 ,$103.30 ,$41.32 , N/A ,$982.98 ,$41.32 ,$973.55 ,$942.90 ,"$1,060.77 ",$103.30 ,"$1,001.84 ",$41.32 ,"$1,001.84 ","$1,001.84 ","$1,060.77 ","$1,060.77 ",$925.22 ,$973.55 ,$41.32 ,$766.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135611,N/A,NF-Zosyn IV Solution 2GM-0.25GM/50ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135612,N/A,"BUPIVACAINE 0.5% W/ EPI 1:200,000",250,1 ,$16.70 ,$10.86 ,$10.86 ,$15.04 ,$13.36 , N/A ,$13.23 ,$15.04 ,$15.04 , N/A ,$14.20 ,$12.36 , N/A , N/A , N/A ,$13.93 , N/A ,$13.79 ,$13.36 ,$15.03 , N/A ,$14.20 , N/A ,$14.20 ,$14.20 ,$15.03 ,$15.03 ,$13.11 ,$13.79 , N/A ,$10.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135613,N/A,ADRENALIN 1MG/1ML 30 ML VIAL: IV/IM/SQ,637,1 ,$462.90 ,$300.89 ,$300.89 ,$462.90 ,$370.32 , N/A ,$366.80 ,$416.84 ,$416.84 , N/A ,$393.47 ,$342.55 , N/A , N/A , N/A ,$386.06 , N/A ,$382.36 ,$370.32 ,$416.61 ,$462.90 ,$393.47 , N/A ,$393.47 ,$393.47 ,$416.61 ,$416.61 ,$363.38 ,$382.36 , N/A ,$300.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135614,J1745,KCENTRA 500 UNIT VIAL,636,1 ,"$2,329.92 ","$1,514.45 ",$41.32 ,"$2,098.09 ","$1,863.94 ",$41.32 ,"$1,846.23 ","$2,098.09 ","$2,098.09 ",$78.51 ,"$1,980.43 ","$1,724.14 ",$103.30 ,$41.32 , N/A ,"$1,943.15 ",$41.32 ,"$1,924.51 ","$1,863.94 ","$2,096.93 ",$103.30 ,"$1,980.43 ",$41.32 ,"$1,980.43 ","$1,980.43 ","$2,096.93 ","$2,096.93 ","$1,828.99 ","$1,924.51 ",$41.32 ,"$1,514.45 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34135615,J1745,KCENTRA 1000 UNIT VIAL,636,1 ,"$4,798.68 ","$3,119.14 ",$41.32 ,"$4,321.21 ","$3,838.94 ",$41.32 ,"$3,802.47 ","$4,321.21 ","$4,321.21 ",$78.51 ,"$4,078.88 ","$3,551.02 ",$103.30 ,$41.32 , N/A ,"$4,002.10 ",$41.32 ,"$3,963.71 ","$3,838.94 ","$4,318.81 ",$103.30 ,"$4,078.88 ",$41.32 ,"$4,078.88 ","$4,078.88 ","$4,318.81 ","$4,318.81 ","$3,766.96 ","$3,963.71 ",$41.32 ,"$3,119.14 " HSHS GOOD SHEPHERD HOSPITAL (ACU),34135616,N/A,KCENTRA 1500 UNITS/ 60 ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135617,N/A,KCENTRA 2000 UNIT/80 ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135618,N/A,NF-Glucosamine Sulfate Oral Tablet 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135619,N/A,NF-Hydroquinone Topical Cream 4%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135620,N/A,NF-Luvira Oral Liq Cap,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135621,N/A,NF-Triamcinolone Acetonide Ointment 0.1%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135622,N/A,NF-Turmeric Oral Capsule 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135623,N/A,NF-aMILoride HCl Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135624,N/A,IRON SUCROSE (VENOFER) 100MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135625,N/A,NF-Magnesium Oxide Tablet 250MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135626,N/A,NF-NovoLIN R Injection 100U/ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135627,N/A,NF-Spironolactone Oral Tablet 50MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135628,N/A,NF-rOPINIRole Hydrochloride Tablet 3MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135629,N/A,NF-Temazepam Capsule 30MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135630,N/A,NF-Vitamin D3 Oral Capsule 50000IU,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135631,N/A,SOTALOL TAB 80MG,637,1 ,$2.21 ,$1.44 ,$1.44 ,$2.21 ,$1.77 , N/A ,$1.75 ,$1.99 ,$1.99 , N/A ,$1.88 ,$1.64 , N/A , N/A , N/A ,$1.84 , N/A ,$1.83 ,$1.77 ,$1.99 ,$2.21 ,$1.88 , N/A ,$1.88 ,$1.88 ,$1.99 ,$1.99 ,$1.73 ,$1.83 , N/A ,$1.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135632,N/A,NF-Calcium 500 + D Oral Tablet 400IU-500,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135633,N/A,NF-Doxycycline Oral Tablet 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135634,N/A,NF-Calcium 600 Capsule 600MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135635,N/A,NF-Saline Nasal Spray,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135636,N/A,NF-Systane Complete Ophth Soln 0.6%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135637,N/A,NF-Magnesium Hydroxide Powder,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135638,N/A,NF-Trintellix Oral Tablet 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135639,N/A,NF-Acamprosate Calcium Oral Tab DR 333MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135640,N/A,NF-Rexulti Oral Tablet 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135641,N/A,NF-Kyleena Intrauterine Insert ER 19.5MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135642,N/A,TRINTELLIX 5MG,637,1 ,$31.30 ,$20.35 ,$20.35 ,$31.30 ,$25.04 , N/A ,$24.80 ,$28.19 ,$28.19 , N/A ,$26.61 ,$23.16 , N/A , N/A , N/A ,$26.10 , N/A ,$25.85 ,$25.04 ,$28.17 ,$31.30 ,$26.61 , N/A ,$26.61 ,$26.61 ,$28.17 ,$28.17 ,$24.57 ,$25.85 , N/A ,$20.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135643,N/A,REXULTI 1MG,637,1 ,$90.50 ,$58.83 ,$58.83 ,$90.50 ,$72.40 , N/A ,$71.71 ,$81.50 ,$81.50 , N/A ,$76.93 ,$66.97 , N/A , N/A , N/A ,$75.48 , N/A ,$74.75 ,$72.40 ,$81.45 ,$90.50 ,$76.93 , N/A ,$76.93 ,$76.93 ,$81.45 ,$81.45 ,$71.04 ,$74.75 , N/A ,$58.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135644,N/A,NF-Trospium Chloride Oral Capsule ER 60M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135646,N/A,NF-Ranexa Extended-Release Tablet 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135647,N/A,NF-Vitamin D-3 Oral Liquid Capsule 5000I,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135648,N/A,NF-Exemestane Oral Tablet 25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135649,N/A,NF-Ibrance Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135650,N/A,NF-Methenamine Hippurate Oral Tablet 1GM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135651,N/A,NF-Ventolin HFA Inhaler 0.09MG/Inh,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135652,N/A,NF-Divalproex Sodium Oral Tab DR 125MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135653,N/A,NF-Vitamin D Oral Capsule 5000IU,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135654,N/A,NF-Acidophilus Oral Capsule,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135655,N/A,NF-Lantus Subcutaneous Solution 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135656,N/A,NF-PriLOSEC Capsule 20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135657,N/A,NF-HumaLOG SubQ Soln 100U/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135658,N/A,EXEMESTANE 25MG TABLET,637,1 ,$3.20 ,$2.08 ,$2.08 ,$3.20 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 ,$3.20 ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135659,N/A,METHENAMINE HIPPURATE 1G,637,1 ,$2.40 ,$1.56 ,$1.56 ,$2.40 ,$1.92 , N/A ,$1.90 ,$2.16 ,$2.16 , N/A ,$2.04 ,$1.78 , N/A , N/A , N/A ,$2.00 , N/A ,$1.98 ,$1.92 ,$2.16 ,$2.40 ,$2.04 , N/A ,$2.04 ,$2.04 ,$2.16 ,$2.16 ,$1.88 ,$1.98 , N/A ,$1.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135660,N/A,NF-METHADONE 100MG LIQUID-PATIENT OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135661,N/A,NF-Pepto-Bismol Oral Suspension 262MG/15,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135662,N/A,NF-Sensipar Oral Tablet 30MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135663,J1644,HEPARin 25000 UNITS/250ML 0.45% SODIUM,636,1 ,$10.31 ,$6.70 ,$6.70 ,$9.28 ,$8.25 , N/A ,$8.17 ,$9.28 ,$9.28 , N/A ,$8.76 ,$7.63 , N/A , N/A , N/A ,$8.60 , N/A ,$8.52 ,$8.25 ,$9.28 , N/A ,$8.76 , N/A ,$8.76 ,$8.76 ,$9.28 ,$9.28 ,$8.09 ,$8.52 , N/A ,$6.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),34135664,N/A,NF-DEPAKOTE DR ORAL TAB DR 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135665,N/A,NF-Coenzyme Q-10 Oral Capsule 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135666,N/A,aMILoride/Hydrochlorothiazide 5mg/50mg,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135667,N/A,NF-Basaglar KwikPen SubQ Soln 100U/1ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135668,N/A,NF-Methocarbamol Tablet 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135669,N/A,NF-Jardiance Oral Tablet 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135670,N/A,NF-amLODIPine/Benazepril HCl Cap 5MG-10M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135671,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135672,N/A,NF-amLODIPine/Benazepril HCl Cap 5MG-10M,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135673,N/A,NF-Victoza Subcutaneous Solution 6MG/1ML,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135674,N/A,NF-AMLODIPINE AND BENAZEPRIL HCL 10MG-20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135675,N/A,NF-Avapro Oral Tablet 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135676,N/A,NF-Liothyronine Sodium Oral Tablet 5MCG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135677,N/A,NF-Vraylar Oral Capsule 3MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135678,N/A,NF-Iron Tablet 325MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),34135679,N/A,NF-Mason Natural CO Q-10 Oral Liq Cap 10,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420001,N/A,RIFAMPIN 300MG CAPSULE,637,1 ,$10.50 ,$6.83 ,$6.83 ,$10.50 ,$8.40 , N/A ,$8.32 ,$9.46 ,$9.46 , N/A ,$8.93 ,$7.77 , N/A , N/A , N/A ,$8.76 , N/A ,$8.67 ,$8.40 ,$9.45 ,$10.50 ,$8.93 , N/A ,$8.93 ,$8.93 ,$9.45 ,$9.45 ,$8.24 ,$8.67 , N/A ,$6.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420002,N/A,ETHAMBUTOL 400MG TABLET,637,1 ,$3.15 ,$2.05 ,$2.05 ,$3.15 ,$2.52 , N/A ,$2.50 ,$2.84 ,$2.84 , N/A ,$2.68 ,$2.33 , N/A , N/A , N/A ,$2.63 , N/A ,$2.60 ,$2.52 ,$2.84 ,$3.15 ,$2.68 , N/A ,$2.68 ,$2.68 ,$2.84 ,$2.84 ,$2.47 ,$2.60 , N/A ,$2.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420075,N/A,CELESTONE VIAL : 3-3MG/ML,250,1 ,$90.25 ,$58.66 ,$58.66 ,$81.27 ,$72.20 , N/A ,$71.51 ,$81.27 ,$81.27 , N/A ,$76.71 ,$66.79 , N/A , N/A , N/A ,$75.27 , N/A ,$74.55 ,$72.20 ,$81.23 , N/A ,$76.71 , N/A ,$76.71 ,$76.71 ,$81.23 ,$81.23 ,$70.85 ,$74.55 , N/A ,$58.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420080,N/A,PRAVASTATIN (PRAVACHOL) TAB : 10MG,637,1 ,$10.26 ,$6.67 ,$6.67 ,$10.26 ,$8.21 , N/A ,$8.13 ,$9.24 ,$9.24 , N/A ,$8.72 ,$7.59 , N/A , N/A , N/A ,$8.56 , N/A ,$8.47 ,$8.21 ,$9.23 ,$10.26 ,$8.72 , N/A ,$8.72 ,$8.72 ,$9.23 ,$9.23 ,$8.05 ,$8.47 , N/A ,$6.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420104,N/A,CLAFORAN (CEFOTAXIME) VIAL: 500MG,250,1 ,$27.20 ,$17.68 ,$17.68 ,$24.49 ,$21.76 , N/A ,$21.55 ,$24.49 ,$24.49 , N/A ,$23.12 ,$20.13 , N/A , N/A , N/A ,$22.68 , N/A ,$22.47 ,$21.76 ,$24.48 , N/A ,$23.12 , N/A ,$23.12 ,$23.12 ,$24.48 ,$24.48 ,$21.35 ,$22.47 , N/A ,$17.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420106,N/A,CLAFORAN (CEFOTAXIME) : 1GM,250,1 ,$31.50 ,$20.48 ,$20.48 ,$28.37 ,$25.20 , N/A ,$24.96 ,$28.37 ,$28.37 , N/A ,$26.78 ,$23.31 , N/A , N/A , N/A ,$26.27 , N/A ,$26.02 ,$25.20 ,$28.35 , N/A ,$26.78 , N/A ,$26.78 ,$26.78 ,$28.35 ,$28.35 ,$24.73 ,$26.02 , N/A ,$20.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420110,N/A,PIPERACILLIN SODIUM VIAL:2G,250,1 ,$46.50 ,$30.23 ,$30.23 ,$41.87 ,$37.20 , N/A ,$36.85 ,$41.87 ,$41.87 , N/A ,$39.53 ,$34.41 , N/A , N/A , N/A ,$38.78 , N/A ,$38.41 ,$37.20 ,$41.85 , N/A ,$39.53 , N/A ,$39.53 ,$39.53 ,$41.85 ,$41.85 ,$36.50 ,$38.41 , N/A ,$30.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420111,N/A,PIPERACILLIN SODIUM VIAL:3G,250,1 ,$69.70 ,$45.31 ,$45.31 ,$62.76 ,$55.76 , N/A ,$55.23 ,$62.76 ,$62.76 , N/A ,$59.25 ,$51.58 , N/A , N/A , N/A ,$58.13 , N/A ,$57.57 ,$55.76 ,$62.73 , N/A ,$59.25 , N/A ,$59.25 ,$59.25 ,$62.73 ,$62.73 ,$54.71 ,$57.57 , N/A ,$45.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420112,N/A,PIPERACILLIN SODIUM VIAL:4G,250,1 ,$92.90 ,$60.39 ,$60.39 ,$83.66 ,$74.32 , N/A ,$73.61 ,$83.66 ,$83.66 , N/A ,$78.97 ,$68.75 , N/A , N/A , N/A ,$77.48 , N/A ,$76.74 ,$74.32 ,$83.61 , N/A ,$78.97 , N/A ,$78.97 ,$78.97 ,$83.61 ,$83.61 ,$72.93 ,$76.74 , N/A ,$60.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420135,N/A,EARWAX TREATMENT DROPS : 15mL,637,1 ,$19.23 ,$12.50 ,$12.50 ,$19.23 ,$15.38 , N/A ,$15.24 ,$17.32 ,$17.32 , N/A ,$16.35 ,$14.23 , N/A , N/A , N/A ,$16.04 , N/A ,$15.88 ,$15.38 ,$17.31 ,$19.23 ,$16.35 , N/A ,$16.35 ,$16.35 ,$17.31 ,$17.31 ,$15.10 ,$15.88 , N/A ,$12.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420165,J1265,DOPAMINE 400MG/250ML D5W,636,1 ,$55.51 ,$36.08 ,$36.08 ,$49.99 ,$44.41 , N/A ,$43.99 ,$49.99 ,$49.99 , N/A ,$47.18 ,$41.08 , N/A , N/A , N/A ,$46.30 , N/A ,$45.85 ,$44.41 ,$49.96 , N/A ,$47.18 , N/A ,$47.18 ,$47.18 ,$49.96 ,$49.96 ,$43.58 ,$45.85 , N/A ,$36.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420205,N/A,GLYCERIN SUPP.RECT:PEDIATRIC,637,1 ,$1.25 ,$0.81 ,$0.81 ,$1.25 ,$1.00 , N/A ,$0.99 ,$1.13 ,$1.13 , N/A ,$1.06 ,$0.93 , N/A , N/A , N/A ,$1.04 , N/A ,$1.03 ,$1.00 ,$1.13 ,$1.25 ,$1.06 , N/A ,$1.06 ,$1.06 ,$1.13 ,$1.13 ,$0.98 ,$1.03 , N/A ,$0.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420206,N/A,PATIENTS OWN MED FROM HOME,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420207,N/A,POTASSIUM 40MEQ/1000ML NS (IV Premix),250,1 ,$41.11 ,$26.72 ,$26.72 ,$37.02 ,$32.89 , N/A ,$32.58 ,$37.02 ,$37.02 , N/A ,$34.94 ,$30.42 , N/A , N/A , N/A ,$34.29 , N/A ,$33.96 ,$32.89 ,$37.00 , N/A ,$34.94 , N/A ,$34.94 ,$34.94 ,$37.00 ,$37.00 ,$32.27 ,$33.96 , N/A ,$26.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420208,N/A,MORPHINE ORAL CONC 10MG / 0.5ML SYR,637,1 ,$6.41 ,$4.17 ,$4.17 ,$6.41 ,$5.13 , N/A ,$5.08 ,$5.77 ,$5.77 , N/A ,$5.45 ,$4.74 , N/A , N/A , N/A ,$5.35 , N/A ,$5.29 ,$5.13 ,$5.77 ,$6.41 ,$5.45 , N/A ,$5.45 ,$5.45 ,$5.77 ,$5.77 ,$5.03 ,$5.29 , N/A ,$4.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420209,J3480,MAGNESIUM SULF 1GM/100ML IVPB (PREMIX),636,1 ,$22.91 ,$14.89 ,$14.89 ,$20.63 ,$18.33 , N/A ,$18.15 ,$20.63 ,$20.63 , N/A ,$19.47 ,$16.95 , N/A , N/A , N/A ,$19.11 , N/A ,$18.92 ,$18.33 ,$20.62 , N/A ,$19.47 , N/A ,$19.47 ,$19.47 ,$20.62 ,$20.62 ,$17.98 ,$18.92 , N/A ,$14.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420210,J2250,MIDAZOLAM (VERSED) VIAL 5MG/1ML,636,1 ,$10.15 ,$6.60 ,$6.60 ,$9.14 ,$8.12 , N/A ,$8.04 ,$9.14 ,$9.14 , N/A ,$8.63 ,$7.51 , N/A , N/A , N/A ,$8.47 , N/A ,$8.38 ,$8.12 ,$9.14 , N/A ,$8.63 , N/A ,$8.63 ,$8.63 ,$9.14 ,$9.14 ,$7.97 ,$8.38 , N/A ,$6.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420211,N/A,POTASSIUM 20MEQ/1000ML NS (IV Premix),250,1 ,$13.49 ,$8.77 ,$8.77 ,$12.15 ,$10.79 , N/A ,$10.69 ,$12.15 ,$12.15 , N/A ,$11.47 ,$9.98 , N/A , N/A , N/A ,$11.25 , N/A ,$11.14 ,$10.79 ,$12.14 , N/A ,$11.47 , N/A ,$11.47 ,$11.47 ,$12.14 ,$12.14 ,$10.59 ,$11.14 , N/A ,$8.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420212,N/A,BUMETANIDE TAB 1MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420213,J3480,MAGNESIUM SULF 2GM/50ML IVPB (PREMIX),636,1 ,$39.94 ,$25.96 ,$25.96 ,$35.97 ,$31.95 , N/A ,$31.65 ,$35.97 ,$35.97 , N/A ,$33.95 ,$29.56 , N/A , N/A , N/A ,$33.31 , N/A ,$32.99 ,$31.95 ,$35.95 , N/A ,$33.95 , N/A ,$33.95 ,$33.95 ,$35.95 ,$35.95 ,$31.35 ,$32.99 , N/A ,$25.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420214,J1170,HYDROmorPHONE (DILAUDID) 0.5MG/0.5ML INJ,636,1 ,$12.59 ,$8.18 ,$8.18 ,$11.34 ,$10.07 , N/A ,$9.98 ,$11.34 ,$11.34 , N/A ,$10.70 ,$9.32 , N/A , N/A , N/A ,$10.50 , N/A ,$10.40 ,$10.07 ,$11.33 , N/A ,$10.70 , N/A ,$10.70 ,$10.70 ,$11.33 ,$11.33 ,$9.88 ,$10.40 , N/A ,$8.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420215,N/A,HYDROCORTISONE 1% CREAM,637,1 ,$9.30 ,$6.05 ,$6.05 ,$9.30 ,$7.44 , N/A ,$7.37 ,$8.37 ,$8.37 , N/A ,$7.91 ,$6.88 , N/A , N/A , N/A ,$7.76 , N/A ,$7.68 ,$7.44 ,$8.37 ,$9.30 ,$7.91 , N/A ,$7.91 ,$7.91 ,$8.37 ,$8.37 ,$7.30 ,$7.68 , N/A ,$6.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420216,N/A,IRON SUCROSE (VENOFER) 200MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420255,N/A,ISOPROTERENOL HCL TAB SUBL:10MG,637,1 ,$2.05 ,$1.33 ,$1.33 ,$2.05 ,$1.64 , N/A ,$1.62 ,$1.85 ,$1.85 , N/A ,$1.74 ,$1.52 , N/A , N/A , N/A ,$1.71 , N/A ,$1.69 ,$1.64 ,$1.85 ,$2.05 ,$1.74 , N/A ,$1.74 ,$1.74 ,$1.85 ,$1.85 ,$1.61 ,$1.69 , N/A ,$1.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420260,N/A,K-PHOS ORIGINAL TABLET (URINE ACIDIFIER),637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420270,N/A,LANACANE CREAM : 1.2 OUNCES,637,1 ,$3.95 ,$2.57 ,$2.57 ,$3.95 ,$3.16 , N/A ,$3.13 ,$3.56 ,$3.56 , N/A ,$3.36 ,$2.92 , N/A , N/A , N/A ,$3.29 , N/A ,$3.26 ,$3.16 ,$3.56 ,$3.95 ,$3.36 , N/A ,$3.36 ,$3.36 ,$3.56 ,$3.56 ,$3.10 ,$3.26 , N/A ,$2.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420285,N/A,METOPROLOL TARTRATE AMPUL:1MG/ML,637,1 ,$15.45 ,$10.04 ,$10.04 ,$15.45 ,$12.36 , N/A ,$12.24 ,$13.91 ,$13.91 , N/A ,$13.13 ,$11.43 , N/A , N/A , N/A ,$12.89 , N/A ,$12.76 ,$12.36 ,$13.91 ,$15.45 ,$13.13 , N/A ,$13.13 ,$13.13 ,$13.91 ,$13.91 ,$12.13 ,$12.76 , N/A ,$10.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420295,N/A,MELLARIL (THIORIDAZINE) CONC.: 30MG/ML,637,1 ,$48.15 ,$31.30 ,$31.30 ,$48.15 ,$38.52 , N/A ,$38.15 ,$43.36 ,$43.36 , N/A ,$40.93 ,$35.63 , N/A , N/A , N/A ,$40.16 , N/A ,$39.77 ,$38.52 ,$43.34 ,$48.15 ,$40.93 , N/A ,$40.93 ,$40.93 ,$43.34 ,$43.34 ,$37.80 ,$39.77 , N/A ,$31.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420300,N/A,MINERAL OIL 6 OUNCES,637,1 ,$6.15 ,$4.00 ,$4.00 ,$6.15 ,$4.92 , N/A ,$4.87 ,$5.54 ,$5.54 , N/A ,$5.23 ,$4.55 , N/A , N/A , N/A ,$5.13 , N/A ,$5.08 ,$4.92 ,$5.54 ,$6.15 ,$5.23 , N/A ,$5.23 ,$5.23 ,$5.54 ,$5.54 ,$4.83 ,$5.08 , N/A ,$4.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420305,N/A,MICONAZOLE NITRATE 2% CREAM,637,1 ,$25.75 ,$16.74 ,$16.74 ,$25.75 ,$20.60 , N/A ,$20.40 ,$23.19 ,$23.19 , N/A ,$21.89 ,$19.06 , N/A , N/A , N/A ,$21.48 , N/A ,$21.27 ,$20.60 ,$23.18 ,$25.75 ,$21.89 , N/A ,$21.89 ,$21.89 ,$23.18 ,$23.18 ,$20.21 ,$21.27 , N/A ,$16.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420316,N/A,MAALOX TABLET,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420325,N/A,NALDELATE SYRUP,637,1 ,$1.65 ,$1.07 ,$1.07 ,$1.65 ,$1.32 , N/A ,$1.31 ,$1.49 ,$1.49 , N/A ,$1.40 ,$1.22 , N/A , N/A , N/A ,$1.38 , N/A ,$1.36 ,$1.32 ,$1.49 ,$1.65 ,$1.40 , N/A ,$1.40 ,$1.40 ,$1.49 ,$1.49 ,$1.30 ,$1.36 , N/A ,$1.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420330,N/A,NARCAN AMPUL : 0.02MG/ML,250,1 ,$43.25 ,$28.11 ,$28.11 ,$38.95 ,$34.60 , N/A ,$34.27 ,$38.95 ,$38.95 , N/A ,$36.76 ,$32.01 , N/A , N/A , N/A ,$36.07 , N/A ,$35.72 ,$34.60 ,$38.93 , N/A ,$36.76 , N/A ,$36.76 ,$36.76 ,$38.93 ,$38.93 ,$33.95 ,$35.72 , N/A ,$28.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420350,N/A,PHENYLEPHRINE HCL DROPS: 0.13,637,1 ,$10.85 ,$7.05 ,$7.05 ,$10.85 ,$8.68 , N/A ,$8.60 ,$9.77 ,$9.77 , N/A ,$9.22 ,$8.03 , N/A , N/A , N/A ,$9.05 , N/A ,$8.96 ,$8.68 ,$9.77 ,$10.85 ,$9.22 , N/A ,$9.22 ,$9.22 ,$9.77 ,$9.77 ,$8.52 ,$8.96 , N/A ,$7.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420375,N/A,AMPICILLIN TRIHYDRATE DROP RECON:100MG/M,637,1 ,$14.55 ,$9.46 ,$9.46 ,$14.55 ,$11.64 , N/A ,$11.53 ,$13.10 ,$13.10 , N/A ,$12.37 ,$10.77 , N/A , N/A , N/A ,$12.13 , N/A ,$12.02 ,$11.64 ,$13.10 ,$14.55 ,$12.37 , N/A ,$12.37 ,$12.37 ,$13.10 ,$13.10 ,$11.42 ,$12.02 , N/A ,$9.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420395,N/A,OSMOLITE 1.5 CAL/ML PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420396,N/A,BOOST GLUCOSE CONTROL 237ML (NO CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420416,J1165,DILANTIN (PHENYTOIN) VIAL : 250MG/5ML,636,1 ,$6.25 ,$4.06 ,$4.06 ,$5.63 ,$5.00 , N/A ,$4.95 ,$5.63 ,$5.63 , N/A ,$5.31 ,$4.63 , N/A , N/A , N/A ,$5.21 , N/A ,$5.16 ,$5.00 ,$5.63 , N/A ,$5.31 , N/A ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 , N/A ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420429,N/A,PILOCARPINE HCL DROPS: 0.50,637,1 ,$46.50 ,$30.23 ,$30.23 ,$46.50 ,$37.20 , N/A ,$36.85 ,$41.87 ,$41.87 , N/A ,$39.53 ,$34.41 , N/A , N/A , N/A ,$38.78 , N/A ,$38.41 ,$37.20 ,$41.85 ,$46.50 ,$39.53 , N/A ,$39.53 ,$39.53 ,$41.85 ,$41.85 ,$36.50 ,$38.41 , N/A ,$30.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420430,N/A,PILOCARPINE EYE DROPS 1% PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420435,N/A,PILOCARPINE EYE DROPS 2% PATIENTS OWN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420437,N/A,PILOCARPINE HCL EYE DROPS 4%,637,1 ,$35.15 ,$22.85 ,$22.85 ,$35.15 ,$28.12 , N/A ,$27.85 ,$31.65 ,$31.65 , N/A ,$29.88 ,$26.01 , N/A , N/A , N/A ,$29.32 , N/A ,$29.03 ,$28.12 ,$31.64 ,$35.15 ,$29.88 , N/A ,$29.88 ,$29.88 ,$31.64 ,$31.64 ,$27.59 ,$29.03 , N/A ,$22.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420438,N/A,REMOVE PATCH,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3420440,N/A,PILOCARPINE HCL DROPS: 2,637,1 ,$9.30 ,$6.05 ,$6.05 ,$9.30 ,$7.44 , N/A ,$7.37 ,$8.37 ,$8.37 , N/A ,$7.91 ,$6.88 , N/A , N/A , N/A ,$7.76 , N/A ,$7.68 ,$7.44 ,$8.37 ,$9.30 ,$7.91 , N/A ,$7.91 ,$7.91 ,$8.37 ,$8.37 ,$7.30 ,$7.68 , N/A ,$6.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420441,N/A,PILOCARPINE HCL EYE DROPS 4%,637,1 ,$39.81 ,$25.88 ,$25.88 ,$39.81 ,$31.85 , N/A ,$31.55 ,$35.85 ,$35.85 , N/A ,$33.84 ,$29.46 , N/A , N/A , N/A ,$33.20 , N/A ,$32.88 ,$31.85 ,$35.83 ,$39.81 ,$33.84 , N/A ,$33.84 ,$33.84 ,$35.83 ,$35.83 ,$31.25 ,$32.88 , N/A ,$25.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420460,N/A,OXACILLIN SODIUM VIAL:2G,637,1 ,$20.25 ,$13.16 ,$13.16 ,$20.25 ,$16.20 , N/A ,$16.05 ,$18.24 ,$18.24 , N/A ,$17.21 ,$14.99 , N/A , N/A , N/A ,$16.89 , N/A ,$16.73 ,$16.20 ,$18.23 ,$20.25 ,$17.21 , N/A ,$17.21 ,$17.21 ,$18.23 ,$18.23 ,$15.90 ,$16.73 , N/A ,$13.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420470,N/A,ANDEHIST-DM NR ORAL DROPS (CARDEC-DM),637,1 ,$10.50 ,$6.83 ,$6.83 ,$10.50 ,$8.40 , N/A ,$8.32 ,$9.46 ,$9.46 , N/A ,$8.93 ,$7.77 , N/A , N/A , N/A ,$8.76 , N/A ,$8.67 ,$8.40 ,$9.45 ,$10.50 ,$8.93 , N/A ,$8.93 ,$8.93 ,$9.45 ,$9.45 ,$8.24 ,$8.67 , N/A ,$6.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420475,N/A,SULFAMETHOXAZOLE 200MG/TMP 40MG PER 5mL,637,1 ,$6.75 ,$4.39 ,$4.39 ,$6.75 ,$5.40 , N/A ,$5.35 ,$6.08 ,$6.08 , N/A ,$5.74 ,$5.00 , N/A , N/A , N/A ,$5.63 , N/A ,$5.58 ,$5.40 ,$6.08 ,$6.75 ,$5.74 , N/A ,$5.74 ,$5.74 ,$6.08 ,$6.08 ,$5.30 ,$5.58 , N/A ,$4.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420500,N/A,SORBITOL SOLUTION SOLUTION: 7,637,1 ,$2.50 ,$1.63 ,$1.63 ,$2.50 ,$2.00 , N/A ,$1.98 ,$2.25 ,$2.25 , N/A ,$2.13 ,$1.85 , N/A , N/A , N/A ,$2.09 , N/A ,$2.07 ,$2.00 ,$2.25 ,$2.50 ,$2.13 , N/A ,$2.13 ,$2.13 ,$2.25 ,$2.25 ,$1.96 ,$2.07 , N/A ,$1.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420540,J3411,THIAMINE HCL VIAL (IVPB) : 200MG/2ML,636,1 ,$30.50 ,$19.83 ,$19.83 ,$27.47 ,$24.40 , N/A ,$24.17 ,$27.47 ,$27.47 , N/A ,$25.93 ,$22.57 , N/A , N/A , N/A ,$25.44 , N/A ,$25.19 ,$24.40 ,$27.45 , N/A ,$25.93 , N/A ,$25.93 ,$25.93 ,$27.45 ,$27.45 ,$23.94 ,$25.19 , N/A ,$19.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420545,N/A,THYROID (1/2 GRAIN) TABLET : 30MG,637,1 ,$0.90 ,$0.59 ,$0.59 ,$0.90 ,$0.72 , N/A ,$0.71 ,$0.81 ,$0.81 , N/A ,$0.77 ,$0.67 , N/A , N/A , N/A ,$0.75 , N/A ,$0.74 ,$0.72 ,$0.81 ,$0.90 ,$0.77 , N/A ,$0.77 ,$0.77 ,$0.81 ,$0.81 ,$0.71 ,$0.74 , N/A ,$0.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),3420925,N/A,MIVACURIUM CHLORIDE VIAL:2MG/ML,250,1 ,$51.55 ,$33.51 ,$33.51 ,$46.42 ,$41.24 , N/A ,$40.85 ,$46.42 ,$46.42 , N/A ,$43.82 ,$38.15 , N/A , N/A , N/A ,$42.99 , N/A ,$42.58 ,$41.24 ,$46.40 , N/A ,$43.82 , N/A ,$43.82 ,$43.82 ,$46.40 ,$46.40 ,$40.47 ,$42.58 , N/A ,$33.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450000,J9040,BLEOMYCIN SULFATE 15U VIAL,636,1 ,$306.40 ,$199.16 ,$199.16 ,$275.91 ,$245.12 , N/A ,$242.79 ,$275.91 ,$275.91 , N/A ,$260.44 ,$226.74 , N/A , N/A , N/A ,$255.54 , N/A ,$253.09 ,$245.12 ,$275.76 , N/A ,$260.44 , N/A ,$260.44 ,$260.44 ,$275.76 ,$275.76 ,$240.52 ,$253.09 , N/A ,$199.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450005,N/A,TAXOL : 30MG,636,1 ,$280.56 ,$182.36 ,$182.36 ,$252.64 ,$224.45 , N/A ,$222.32 ,$252.64 ,$252.64 , N/A ,$238.48 ,$207.61 , N/A , N/A , N/A ,$233.99 , N/A ,$231.74 ,$224.45 ,$252.50 , N/A ,$238.48 , N/A ,$238.48 ,$238.48 ,$252.50 ,$252.50 ,$220.24 ,$231.74 , N/A ,$182.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450007,N/A,MITOMYCIN VIAL:20MG,636,1 ,$695.80 ,$452.27 ,$452.27 ,$626.57 ,$556.64 , N/A ,$551.35 ,$626.57 ,$626.57 , N/A ,$591.43 ,$514.89 , N/A , N/A , N/A ,$580.30 , N/A ,$574.73 ,$556.64 ,$626.22 , N/A ,$591.43 , N/A ,$591.43 ,$591.43 ,$626.22 ,$626.22 ,$546.20 ,$574.73 , N/A ,$452.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450008,J9280,MITOMYCIN VIAL:5MG,636,1 ,$270.45 ,$175.79 ,$44.38 ,$243.54 ,$216.36 ,$44.38 ,$214.30 ,$243.54 ,$243.54 ,$84.33 ,$229.88 ,$200.13 ,$110.96 ,$44.38 , N/A ,$225.56 ,$44.38 ,$223.39 ,$216.36 ,$243.41 ,$110.96 ,$229.88 ,$44.38 ,$229.88 ,$229.88 ,$243.41 ,$243.41 ,$212.30 ,$223.39 ,$44.38 ,$175.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450020,N/A,CYTOXAN,636,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3450023,N/A,GEMZAR : 1GM VIAL (GEMCITABINE),636,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3450060,J9000,DOXORUBICIN 2MG/ML VIAL : 10MG,636,1 ,$149.30 ,$97.05 ,$97.05 ,$134.44 ,$119.44 , N/A ,$118.31 ,$134.44 ,$134.44 , N/A ,$126.91 ,$110.48 , N/A , N/A , N/A ,$124.52 , N/A ,$123.32 ,$119.44 ,$134.37 , N/A ,$126.91 , N/A ,$126.91 ,$126.91 ,$134.37 ,$134.37 ,$117.20 ,$123.32 , N/A ,$97.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450070,J9000,DOXORUBICIN 2MG/ML VIAL : 50MG,636,1 ,$450.70 ,$292.96 ,$292.96 ,$405.86 ,$360.56 , N/A ,$357.13 ,$405.86 ,$405.86 , N/A ,$383.10 ,$333.52 , N/A , N/A , N/A ,$375.88 , N/A ,$372.28 ,$360.56 ,$405.63 , N/A ,$383.10 , N/A ,$383.10 ,$383.10 ,$405.63 ,$405.63 ,$353.80 ,$372.28 , N/A ,$292.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450074,J9999,LEVAMISOLE HCL TABLET : 50MG,636,1 ,$7.60 ,$4.94 ,$4.94 ,$6.84 ,$6.08 , N/A ,$6.02 ,$6.84 ,$6.84 , N/A ,$6.46 ,$5.62 , N/A , N/A , N/A ,$6.34 , N/A ,$6.28 ,$6.08 ,$6.84 , N/A ,$6.46 , N/A ,$6.46 ,$6.46 ,$6.84 ,$6.84 ,$5.97 ,$6.28 , N/A ,$4.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450090,N/A,LEUCOVORIN CALCIUM 100MG VIAL,250,1 ,$72.05 ,$46.83 ,$46.83 ,$64.88 ,$57.64 , N/A ,$57.09 ,$64.88 ,$64.88 , N/A ,$61.24 ,$53.32 , N/A , N/A , N/A ,$60.09 , N/A ,$59.51 ,$57.64 ,$64.85 , N/A ,$61.24 , N/A ,$61.24 ,$61.24 ,$64.85 ,$64.85 ,$56.56 ,$59.51 , N/A ,$46.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450120,J9218,LUPRON DEPOT : 7.5MG,636,1 ,$951.45 ,$618.44 ,$618.44 ,$856.78 ,$761.16 , N/A ,$753.93 ,$856.78 ,$856.78 , N/A ,$808.73 ,$704.07 , N/A , N/A , N/A ,$793.51 , N/A ,$785.90 ,$761.16 ,$856.31 , N/A ,$808.73 , N/A ,$808.73 ,$808.73 ,$856.31 ,$856.31 ,$746.89 ,$785.90 , N/A ,$618.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450132,N/A,METHOTREXATE,636,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3450153,J9045,PARAPLATIN : PER 50MG,636,1 ,$328.85 ,$213.75 ,$213.75 ,$296.13 ,$263.08 , N/A ,$260.58 ,$296.13 ,$296.13 , N/A ,$279.52 ,$243.35 , N/A , N/A , N/A ,$274.26 , N/A ,$271.63 ,$263.08 ,$295.97 , N/A ,$279.52 , N/A ,$279.52 ,$279.52 ,$295.97 ,$295.97 ,$258.15 ,$271.63 , N/A ,$213.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450154,J9045,PARAPLATIN : 150MG,636,1 ,$503.80 ,$327.47 ,$327.47 ,$453.67 ,$403.04 , N/A ,$399.21 ,$453.67 ,$453.67 , N/A ,$428.23 ,$372.81 , N/A , N/A , N/A ,$420.17 , N/A ,$416.14 ,$403.04 ,$453.42 , N/A ,$428.23 , N/A ,$428.23 ,$428.23 ,$453.42 ,$453.42 ,$395.48 ,$416.14 , N/A ,$327.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450155,J9045,PARAPLATIN : 450MG,636,1 ,$167.90 ,$109.14 ,$109.14 ,$151.19 ,$134.32 , N/A ,$133.04 ,$151.19 ,$151.19 , N/A ,$142.72 ,$124.25 , N/A , N/A , N/A ,$140.03 , N/A ,$138.69 ,$134.32 ,$151.11 , N/A ,$142.72 , N/A ,$142.72 ,$142.72 ,$151.11 ,$151.11 ,$131.80 ,$138.69 , N/A ,$109.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450171,J8560,ETOPOSIDE CAPSULE:50MG,636,1 ,$112.60 ,$73.19 ,$73.19 ,$189.34 ,$90.08 ,$75.73 ,$89.22 ,$101.40 ,$101.40 ,$143.89 ,$95.71 ,$83.32 ,$189.34 ,$75.73 , N/A ,$93.91 ,$75.73 ,$93.01 ,$90.08 ,$101.34 ,$112.60 ,$95.71 ,$75.73 ,$95.71 ,$95.71 ,$101.34 ,$101.34 ,$88.39 ,$93.01 ,$75.73 ,$73.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450222,J2405,ZOFRAN : 2MG/ML (PER ML) CHEMO,636,1 ,$40.40 ,$26.26 ,$26.26 ,$36.38 ,$32.32 , N/A ,$32.01 ,$36.38 ,$36.38 , N/A ,$34.34 ,$29.90 , N/A , N/A , N/A ,$33.69 , N/A ,$33.37 ,$32.32 ,$36.36 , N/A ,$34.34 , N/A ,$34.34 ,$34.34 ,$36.36 ,$36.36 ,$31.71 ,$33.37 , N/A ,$26.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450223,N/A,SERTRALINE TAB 100MG PATIENTS OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3450224,J9218,LUPRON DEPOT 22.5MG : 3 MONTH,636,1 ,"$2,854.35 ","$1,855.33 ","$1,855.33 ","$2,570.34 ","$2,283.48 ", N/A ,"$2,261.79 ","$2,570.34 ","$2,570.34 ", N/A ,"$2,426.20 ","$2,112.22 ", N/A , N/A , N/A ,"$2,380.53 ", N/A ,"$2,357.69 ","$2,283.48 ","$2,568.92 ", N/A ,"$2,426.20 ", N/A ,"$2,426.20 ","$2,426.20 ","$2,568.92 ","$2,568.92 ","$2,240.66 ","$2,357.69 ", N/A ,"$1,855.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3450225,N/A,NAPROXEN 500MG TABLET,637,1 ,$3.85 ,$2.50 ,$2.50 ,$3.85 ,$3.08 , N/A ,$3.05 ,$3.47 ,$3.47 , N/A ,$3.27 ,$2.85 , N/A , N/A , N/A ,$3.21 , N/A ,$3.18 ,$3.08 ,$3.47 ,$3.85 ,$3.27 , N/A ,$3.27 ,$3.27 ,$3.47 ,$3.47 ,$3.02 ,$3.18 , N/A ,$2.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450226,N/A,TRIAMTERENE 37.5/ HCTZ 25MG TABLET,637,1 ,$1.61 ,$1.05 ,$1.05 ,$1.61 ,$1.29 , N/A ,$1.28 ,$1.45 ,$1.45 , N/A ,$1.37 ,$1.19 , N/A , N/A , N/A ,$1.34 , N/A ,$1.33 ,$1.29 ,$1.45 ,$1.61 ,$1.37 , N/A ,$1.37 ,$1.37 ,$1.45 ,$1.45 ,$1.26 ,$1.33 , N/A ,$1.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450227,J1885,HYDROXYZINE HCL 50MG/ML VIAL (2ML),636,1 ,$22.90 ,$14.89 ,$14.89 ,$20.62 ,$18.32 , N/A ,$18.15 ,$20.62 ,$20.62 , N/A ,$19.47 ,$16.95 , N/A , N/A , N/A ,$19.10 , N/A ,$18.92 ,$18.32 ,$20.61 , N/A ,$19.47 , N/A ,$19.47 ,$19.47 ,$20.61 ,$20.61 ,$17.98 ,$18.92 , N/A ,$14.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450228,J1442,GRANIX (TBO-FILGRASTIM) 480MCG/0.8ML,636,1 ,$806.62 ,$524.30 ,$0.96 ,$726.36 ,$645.30 ,$0.96 ,$639.17 ,$726.36 ,$726.36 ,$1.83 ,$685.63 ,$596.90 ,$2.41 ,$0.96 , N/A ,$672.72 ,$0.96 ,$666.27 ,$645.30 ,$725.96 ,$2.41 ,$685.63 ,$0.96 ,$685.63 ,$685.63 ,$725.96 ,$725.96 ,$633.20 ,$666.27 ,$0.96 ,$524.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),3450300,N/A,MAGNESIUM 8GM/500CC 1/2 NS,258,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3450301,N/A,CEFDINIR (OMNICEF) SUSP 250MG/5mL,637,1 ,$298.55 ,$194.06 ,$194.06 ,$298.55 ,$238.84 , N/A ,$236.57 ,$268.84 ,$268.84 , N/A ,$253.77 ,$220.93 , N/A , N/A , N/A ,$248.99 , N/A ,$246.60 ,$238.84 ,$268.70 ,$298.55 ,$253.77 , N/A ,$253.77 ,$253.77 ,$268.70 ,$268.70 ,$234.36 ,$246.60 , N/A ,$194.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),3451111,J9185,FLUDARA VIAL : 50MG,636,1 ,$599.70 ,$389.81 ,$389.81 ,$540.03 ,$479.76 , N/A ,$475.20 ,$540.03 ,$540.03 , N/A ,$509.75 ,$443.78 , N/A , N/A , N/A ,$500.15 , N/A ,$495.35 ,$479.76 ,$539.73 , N/A ,$509.75 , N/A ,$509.75 ,$509.75 ,$539.73 ,$539.73 ,$470.76 ,$495.35 , N/A ,$389.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),3452000,J1442,NEUPOGEN 480MCG/1.6ML,636,1 ,$421.30 ,$273.85 ,$0.96 ,$379.38 ,$337.04 ,$0.96 ,$333.84 ,$379.38 ,$379.38 ,$1.83 ,$358.11 ,$311.76 ,$2.41 ,$0.96 , N/A ,$351.36 ,$0.96 ,$347.99 ,$337.04 ,$379.17 ,$2.41 ,$358.11 ,$0.96 ,$358.11 ,$358.11 ,$379.17 ,$379.17 ,$330.72 ,$347.99 ,$0.96 ,$273.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),3459010,J0885,PROCRIT VIAL : 3000 U/ML,636,1 ,$117.85 ,$76.60 ,$8.22 ,$106.12 ,$94.28 ,$8.22 ,$93.38 ,$106.12 ,$106.12 ,$15.62 ,$100.17 ,$87.21 ,$20.56 ,$8.22 , N/A ,$98.29 ,$8.22 ,$97.34 ,$94.28 ,$106.07 ,$20.56 ,$100.17 ,$8.22 ,$100.17 ,$100.17 ,$106.07 ,$106.07 ,$92.51 ,$97.34 ,$8.22 ,$76.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3459015,J0885,PROCRIT SUBQ VIAL : 10000 UNITS RED,636,1 ,$533.88 ,$347.02 ,$8.22 ,$480.76 ,$427.10 ,$8.22 ,$423.05 ,$480.76 ,$480.76 ,$15.62 ,$453.80 ,$395.07 ,$20.56 ,$8.22 , N/A ,$445.26 ,$8.22 ,$440.98 ,$427.10 ,$480.49 ,$20.56 ,$453.80 ,$8.22 ,$453.80 ,$453.80 ,$480.49 ,$480.49 ,$419.10 ,$440.98 ,$8.22 ,$347.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),3459016,J9206,CAMPTOSAR VIAL : 100MG/5ML,636,1 ,"$1,056.65 ",$686.82 ,$686.82 ,$951.51 ,$845.32 , N/A ,$837.29 ,$951.51 ,$951.51 , N/A ,$898.15 ,$781.92 , N/A , N/A , N/A ,$881.25 , N/A ,$872.79 ,$845.32 ,$950.99 , N/A ,$898.15 , N/A ,$898.15 ,$898.15 ,$950.99 ,$950.99 ,$829.47 ,$872.79 , N/A ,$686.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3459081,J9015,PROLEUKIN VIAL : 22MMU,636,1 ,"$1,110.00 ",$721.50 ,$721.50 ,"$9,488.15 ",$888.00 ,"$3,795.26 ",$879.56 ,$999.56 ,$999.56 ,"$7,210.99 ",$943.50 ,$821.40 ,"$9,488.15 ","$3,795.26 ", N/A ,$925.74 ,"$3,795.26 ",$916.86 ,$888.00 ,$999.00 ,"$1,110.00 ",$943.50 ,"$1,110.00 ",$943.50 ,$943.50 ,$999.00 ,$999.00 ,$871.35 ,$916.86 ,"$1,110.00 ",$721.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),3459082,J9390,NAVELBINE : PER 10MG (VINORELBINE),636,1 ,$251.05 ,$163.18 ,$163.18 ,$226.07 ,$200.84 , N/A ,$198.93 ,$226.07 ,$226.07 , N/A ,$213.39 ,$185.78 , N/A , N/A , N/A ,$209.38 , N/A ,$207.37 ,$200.84 ,$225.95 , N/A ,$213.39 , N/A ,$213.39 ,$213.39 ,$225.95 ,$225.95 ,$197.07 ,$207.37 , N/A ,$163.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3459083,J9390,NAVELBINE (VINORELBINE) 50MG VIAL :,636,1 ,$610.40 ,$396.76 ,$396.76 ,$549.67 ,$488.32 , N/A ,$483.68 ,$549.67 ,$549.67 , N/A ,$518.84 ,$451.70 , N/A , N/A , N/A ,$509.07 , N/A ,$504.19 ,$488.32 ,$549.36 , N/A ,$518.84 , N/A ,$518.84 ,$518.84 ,$549.36 ,$549.36 ,$479.16 ,$504.19 , N/A ,$396.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3460000,N/A,CEFAZOLIN 1GM/10ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460001,N/A,CEFAZOLIN 500MG/10ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460002,N/A,CEFAZOLIN 2GM/50ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460003,N/A,CLAFORAN 1GM/10CC NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460004,N/A,CLAFORAN 500MG/10CC NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460005,N/A,CLAFORAN 2GM/10CC NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460006,N/A,RANITIDINE (ZANTAC) 50MG/50ML NS SURGERY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460007,N/A,CEFTAZIDIME 1GM/60ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460008,N/A,FORTAZ 2GM/20CC NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460009,N/A,FORTAZ 500MG/10CC NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460010,N/A,GENTAMICIN IV (PRESCRIBER TO DOSE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460011,N/A,DOXYCYCLINE 100MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460012,N/A,UNASYN 1.5GM/50CC NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460013,N/A,UNASYN 3GM/100CC NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460014,N/A,CLINDAMYCIN 150MG/50ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460015,N/A,CLINDAMYCIN 300MG/50ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460016,N/A,CLINDAMYCIN 600MG/50ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460017,N/A,MAXIPIME (CEFEPIME) 1GM/60ML NS LOADING,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460018,N/A,VANCOMYCIN 500MG/250ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460019,N/A,VANCOMYCIN 750MG/250ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460020,N/A,VANCOMYCIN 1000MG/250ML NS(nonformulary),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460021,N/A,VANCOMYCIN 1250MG/250ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460022,N/A,VANCOMYCIN 1500MG/500ML NS(nonformulary),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460023,N/A,ZINACEF (CEFUROXIME) 750MG/10ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460024,N/A,ZINACEF (CEFUROXIME) 1500MG/70ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460025,N/A,LEVAQUIN 250MG/100ML D5W (1/2 STR),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460026,N/A,FLAGYL (METRONIDAZOLE) 500MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460027,N/A,ROCEPHIN IV 1000MG/10ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460028,N/A,ROCEPHIN IV 500MG/10ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460029,N/A,ERYTHROMYCIN 500MG/100CC NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460030,N/A,NITROGLYCERIN 25MG/250ML D5W,250,1 ,$34.20 ,$22.23 ,$22.23 ,$30.80 ,$27.36 , N/A ,$27.10 ,$30.80 ,$30.80 , N/A ,$29.07 ,$25.31 , N/A , N/A , N/A ,$28.52 , N/A ,$28.25 ,$27.36 ,$30.78 , N/A ,$29.07 , N/A ,$29.07 ,$29.07 ,$30.78 ,$30.78 ,$26.85 ,$28.25 , N/A ,$22.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),3460031,J1265,DOPAMINE 400MG/250ML D5W,636,1 ,$74.50 ,$48.43 ,$48.43 ,$67.09 ,$59.60 , N/A ,$59.03 ,$67.09 ,$67.09 , N/A ,$63.33 ,$55.13 , N/A , N/A , N/A ,$62.13 , N/A ,$61.54 ,$59.60 ,$67.05 , N/A ,$63.33 , N/A ,$63.33 ,$63.33 ,$67.05 ,$67.05 ,$58.48 ,$61.54 , N/A ,$48.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),3460032,N/A,DOBUTAMINE 250MG/250ML D5W,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460033,N/A,DILTIAZEM IV DRIP 125MG/125ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460034,N/A,INSULIN R DRIP 100 UNITS/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460035,N/A,PAMIDRONATE (AREDIA) 90MG/1000ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460036,N/A,AZITHROMYCIN 500MG/250ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460037,N/A,NS 500ML + 15 DROP SET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460038,N/A,BSS + EPI EYE IRRIGATION,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460039,N/A,ACYCLOVIR 400MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460040,N/A,PROTONIX 40MG/10ML NS IVP OVER 2 MINUTES,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460041,N/A,ZOLENDRONIC ACID 4MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460042,N/A,AMPICILLIN 250MG/10ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460043,N/A,AMPICILLIN 500MG/50ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460044,N/A,AMPICILLIN 1GM/50ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460045,N/A,AMPICILLIN 2GM/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460046,N/A,CEFEPIME (MAXIPIME) 2GM/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460047,N/A,MEROPENEM 1GM/100ML NS LOADING,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460048,N/A,NS 250ML + MVI + THIAMINE 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460049,N/A,ZOSYN 3.375GM/100ML NS LOADING (ER ONLY),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460050,N/A,CEFTRIAXONE 2000MG/100ML NS IVPB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460051,N/A,ERTAPENEM (INVANZ) 1GM/50ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460052,N/A,INVANZ 500MG/55ML NS : STABLE 6 HOURS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460053,N/A,POTASSIUM 20MEQ/250ML NS (RX USE ONLY),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460054,N/A,POTASSIUM 40MEQ/500ML NS (RX USE ONLY),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460055,N/A,MVI + 1/2NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460056,N/A,MVI + 1/2NS 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460057,N/A,MVI + NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460058,N/A,MVI + NS 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460059,N/A,MVI + D5 1/2NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460060,N/A,MVI + D5 1/2NS 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460061,N/A,MVI + D5NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460062,N/A,MVI + D5LR 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460063,N/A,MVI + D5LR 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460064,N/A,MVI + D5W 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460065,N/A,MVI + D5W 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460066,N/A,MVI + LR 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460067,N/A,MVI + LR 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460068,N/A,IMIPENEM 500MG/110ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460069,N/A,IMIPENEM 250MG/55ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460070,N/A,KCL 20MEQ + D5 1/2NS 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460071,N/A,KCL 20MEQ + NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460072,N/A,KCL 40MEQ + NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460073,N/A,KCL 20MEQ + D5NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460074,N/A,KCL 20MEQ + D5W 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460075,N/A,KCL 20MEQ + 1/2NS 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460076,N/A,MAGNESIUM SULFATE 1GM/100ML D5W,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460077,N/A,MAGNESIUM SULFATE 2GM/100ML D5W,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460078,N/A,MAGNESIUM SULFATE 3GM/100ML D5W,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460079,N/A,MAGNESIUM SULFATE 4GM/250ML D5W,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460080,N/A,KCL 20MEQ + D5/0.45%NS 1000ML,250,1 ,$21.68 ,$14.09 ,$14.09 ,$19.52 ,$17.34 , N/A ,$17.18 ,$19.52 ,$19.52 , N/A ,$18.43 ,$16.04 , N/A , N/A , N/A ,$18.08 , N/A ,$17.91 ,$17.34 ,$19.51 , N/A ,$18.43 , N/A ,$18.43 ,$18.43 ,$19.51 ,$19.51 ,$17.02 ,$17.91 , N/A ,$14.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3460081,N/A,VANCOMYCIN (PHARMACY TO DOSE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460082,N/A,GENTAMICIN 80MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460083,N/A,VENOFER (IV IRON) 200MG/10ML : 2 VIALS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460084,N/A,VENOFER (IV IRON) 300MG/250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460085,N/A,ZOSYN 2.25GM/60ML NS LOADING,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460086,N/A,MEROPENEM 0.5GM/55ML NS LOADING,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460087,N/A,ROCEPHIN IV 250MG/10ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460088,N/A,CErebYX 1000MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460089,N/A,CErebYX 100MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460090,N/A,CErebYX 100MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460091,N/A,AMIODARONE DRIP 900MG/500ML D5W,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460092,N/A,AMIODARONE 150MG/100ML D5W BOLUS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460093,N/A,CUBICIN (DAPTOMYCIN) IVPB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460094,N/A,TEFLARO 600MG/270ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460095,N/A,LEVETIRACETAM IV 500MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460096,N/A,ACYCLOVIR 500MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460097,N/A,REMICADE 300MG/250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460098,N/A,BANANA BAG FOR ALCOHOL ABUSE,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460099,N/A,REMICADE 400MG/250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460100,N/A,ORENCIA 500MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460101,N/A,ORENCIA 750MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460102,N/A,REMICADE 500MG/500ML NS ****BAUER****,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460103,N/A,REMICADE 500MG/500ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460104,N/A,REMICADE 200MG/250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460105,N/A,ROCEPHIN IV 750MG/7.5ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460106,N/A,SOLU-MEDROL IVPB 500MG/NS 100ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460107,N/A,KCL 40MEQ + D5 1/2NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460108,N/A,NOREPINEPHRINE (LEVOPHED) 8MG/250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460109,N/A,ZOSYN 4.5GM/100ML NS LOADING,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460110,N/A,PROTONIX 40MG/50ML NS (GI BLEED DRIP),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460111,N/A,NITROPRESS 50MG/D5W 250ML HBP CRISIS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460112,N/A,AMIKACIN IVPB/100ML : DOCTOR TO ADD DOSE,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460113,N/A,REMICADE in 500ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460114,N/A,MVI + THIAMINE 100MG + NS 1000ML IVF,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460115,N/A,CErebYX 400MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460116,N/A,CErebYX 300MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460117,N/A,KCL 10MEQ + D5NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460118,N/A,MAGNESIUM SULFATE 2GM/1000ML D5NS*******,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460119,N/A,DEXAMETHASONE IVPB 10MG/50ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460120,N/A,DEXAMETHASONE IVPB 4MG/50ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460121,N/A,ACTEMRA 360MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460122,N/A,ACTEMRA 680MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460123,N/A,OXYTOCIN 30 UNITS/500ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460124,N/A,KCL 10MEQ + D5 1/2NS 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460125,N/A,VITAMIN K 10MG/50ML NS IVPB,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460126,N/A,VANCOMYCIN 1750MG/*500*ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460127,N/A,ACTIVASE (TPA) - FOR STROKE -100MG/100ML,636,1 ,"$19,160.85 ","$12,454.55 ","$12,454.55 ","$17,254.35 ","$15,328.68 ", N/A ,"$15,183.06 ","$17,254.35 ","$17,254.35 ", N/A ,"$16,286.72 ","$14,179.03 ", N/A , N/A , N/A ,"$15,980.15 ", N/A ,"$15,826.86 ","$15,328.68 ","$17,244.77 ", N/A ,"$16,286.72 ", N/A ,"$16,286.72 ","$16,286.72 ","$17,244.77 ","$17,244.77 ","$15,041.27 ","$15,826.86 ", N/A ,"$12,454.55 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3460128,N/A,ACTEMRA 80MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460129,N/A,ACTEMRA 800MG/250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460130,N/A,MORPHINE 25 MILLIGRAMS/ 50ML NS INFUSION,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460131,N/A,LEVETIRACETAM IV 1000MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460132,N/A,MAGNESIUM SULF 20GM/500ML D5W PREGNANCY,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460133,N/A,THIAMINE 100MG (1ML) + NS 100ML IVPB,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460134,N/A,CErebYX 1100MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460135,N/A,CErebYX 1200MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460136,N/A,CErebYX 1300MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460137,N/A,CErebYX 1400MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460138,N/A,CErebYX 1500MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460139,N/A,CErebYX 1600MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460140,N/A,CErebYX 1700MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460141,N/A,LEVETIRACETAM IV 1500MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460142,N/A,ACETYLCYSTEINE IV WITH D5W 250ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460143,N/A,REMICADE IN 500ML NS PATIENTS OWN,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460144,N/A,DIGIFAB MIXED WITH NS 100ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460145,N/A,KCL 40MEQ + NS 500ML (RX USE ONLY),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460146,N/A,NEXIUM 40MG/10ML NS IVP OVER 3 MINUTES,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460147,N/A,CLINDAMYCIN 900MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460148,N/A,SIMPONI ARIA 180MG/250ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460149,N/A,THIAMINE 100MG (1ML) + NS 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460150,N/A,LABETALOL 100MG/100ML NS DRIP (STROKE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460151,N/A,SODIUM THIOSULFATE 25GM/200ML IVPB,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460152,N/A,VENOFER (IV IRON) 500MG/250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460153,N/A,CEFEPIME (MAXIPIME) 1GM/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460154,N/A,MAXIPIME (CEFEPIME) 2GM/70ML NS EXTENDED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460155,N/A,ZOSYN 2.25GM/60ML NS EXTENDED,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460156,N/A,ZOSYN 3.375GM/100ML NS EXTENDED,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460157,N/A,ZOSYN 4.5GM/100ML NS EXTENDED,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460158,N/A,MEROPENEM 0.5GM/100ML NS EXTENDED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460159,N/A,MEROPENEM 1GM/100ML NS EXTENDED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460160,N/A,AZITHROMYCIN ***250MG/250ML NS**********,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460161,N/A,VANCOMYCIN 2000MG/*500*ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460162,N/A,RITUXAN 1000MG/1000ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460163,N/A,GENTAMICIN 240MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460164,N/A,GENTAMICIN 320MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460165,N/A,MORPHINE 50 MILLIGRAMS/ 50ML NS INFUSION,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460166,N/A,GENTAMICIN 160MG/100ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460167,N/A,MEROPENEM 2GM/100ML NS EXTENDED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460168,N/A,ONDANSETRON IN NS 50ML IVPB,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460169,N/A,REMICADE 260MG/250ML NS ****JOHNSON*****,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460170,N/A,DEXAMETHASONE IVPB 5MG/50ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460171,N/A,EMEND 150MG/250ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460172,N/A,SODIUM BICARB 50MEQ / D5W 500ML IVPB,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460173,N/A,FAMOTIDINE 20MG/100ML NS IVPB,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460174,N/A,PROPOFOL DRIP (4 VIALS IN EMPTY BAG),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460175,N/A,TYGACIL 50MG/100ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460176,N/A,TEFLARO 400MG/270ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460177,N/A,KCL 20MEQ + D5W 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460178,N/A,TOBRAMYCIN IVPB IN NS 100ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460179,N/A,NICARDIPINE 25MG/250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460180,N/A,ROCEPHIN IV 2000MG/20ML NS,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460181,N/A,REMICADE in 250ML NS,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460182,N/A,SODIUM BICARB 150MEQ / D5W 1000ML IVPB,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460183,J3380,ENTYVIO 300MG INJECTION,636,1 ,"$12,978.29 ","$8,435.89 ",$21.02 ,"$11,686.95 ","$10,382.63 ",$21.02 ,"$10,284.00 ","$11,686.95 ","$11,686.95 ",$39.93 ,"$11,031.55 ","$9,603.93 ",$52.54 ,$21.02 , N/A ,"$10,823.89 ",$21.02 ,"$10,720.07 ","$10,382.63 ","$11,680.46 ",$52.54 ,"$11,031.55 ",$21.02 ,"$11,031.55 ","$11,031.55 ","$11,680.46 ","$11,680.46 ","$10,187.96 ","$10,720.07 ",$21.02 ,"$8,435.89 " HSHS GOOD SHEPHERD HOSPITAL (ACU),3460184,J3490,ESMOLOL 2500MG/0.9% NACL 250ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460185,N/A,PROTONIX 80MG/50ML NS (GI BLEED BOLUS),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3460186,N/A,FORMOTEROL NEB SOLN (20MCG/2ML),637,1 ,$69.45 ,$45.14 ,$45.14 ,$69.45 ,$55.56 , N/A ,$55.03 ,$62.54 ,$62.54 , N/A ,$59.03 ,$51.39 , N/A , N/A , N/A ,$57.92 , N/A ,$57.37 ,$55.56 ,$62.51 ,$69.45 ,$59.03 , N/A ,$59.03 ,$59.03 ,$62.51 ,$62.51 ,$54.52 ,$57.37 , N/A ,$45.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),3490001,N/A,MISCELLANEOUS MEDICAL SUPPLY EACH:,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3490083,N/A,GENTAMICIN IV (PHARMACY TO DOSE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3494251,N/A,FEE (SYRINGE PUMP),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3494258,N/A,FLEXIFLO ENTERAL BAG,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498010,N/A,FREAMINE III 8.5% (FOR TPN) : 500ML,258,1 ,$155.10 ,$100.82 ,$100.82 ,$139.67 ,$124.08 , N/A ,$122.90 ,$139.67 ,$139.67 , N/A ,$131.84 ,$114.77 , N/A , N/A , N/A ,$129.35 , N/A ,$128.11 ,$124.08 ,$139.59 , N/A ,$131.84 , N/A ,$131.84 ,$131.84 ,$139.59 ,$139.59 ,$121.75 ,$128.11 , N/A ,$100.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498011,N/A,LIPOSYN III 200CC. :,258,1 ,$44.00 ,$28.60 ,$28.60 ,$39.62 ,$35.20 , N/A ,$34.87 ,$39.62 ,$39.62 , N/A ,$37.40 ,$32.56 , N/A , N/A , N/A ,$36.70 , N/A ,$36.34 ,$35.20 ,$39.60 , N/A ,$37.40 , N/A ,$37.40 ,$37.40 ,$39.60 ,$39.60 ,$34.54 ,$36.34 , N/A ,$28.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498013,N/A,LIPOSYN III 20 PERCENT,258,1 ,$95.40 ,$62.01 ,$62.01 ,$85.91 ,$76.32 , N/A ,$75.60 ,$85.91 ,$85.91 , N/A ,$81.09 ,$70.60 , N/A , N/A , N/A ,$79.56 , N/A ,$78.80 ,$76.32 ,$85.86 , N/A ,$81.09 , N/A ,$81.09 ,$81.09 ,$85.86 ,$85.86 ,$74.89 ,$78.80 , N/A ,$62.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498014,N/A,GLUCERNA 1.5 CAL/ML ENTERAL (NO CHARGE),637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498015,N/A,MALE ADAPTER,250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498020,N/A,SET (PUMP),250,1 ,$54.25 ,$35.26 ,$35.26 ,$48.85 ,$43.40 , N/A ,$42.99 ,$48.85 ,$48.85 , N/A ,$46.11 ,$40.15 , N/A , N/A , N/A ,$45.24 , N/A ,$44.81 ,$43.40 ,$48.83 , N/A ,$46.11 , N/A ,$46.11 ,$46.11 ,$48.83 ,$48.83 ,$42.59 ,$44.81 , N/A ,$35.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498025,N/A,SET (15 DROP),250,1 ,$40.45 ,$26.29 ,$26.29 ,$36.43 ,$32.36 , N/A ,$32.05 ,$36.43 ,$36.43 , N/A ,$34.38 ,$29.93 , N/A , N/A , N/A ,$33.74 , N/A ,$33.41 ,$32.36 ,$36.41 , N/A ,$34.38 , N/A ,$34.38 ,$34.38 ,$36.41 ,$36.41 ,$31.75 ,$33.41 , N/A ,$26.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498075,N/A,DEXTROSE 5%-WATER IV 1000ML,258,1 ,$22.91 ,$14.89 ,$14.89 ,$20.63 ,$18.33 , N/A ,$18.15 ,$20.63 ,$20.63 , N/A ,$19.47 ,$16.95 , N/A , N/A , N/A ,$19.11 , N/A ,$18.92 ,$18.33 ,$20.62 , N/A ,$19.47 , N/A ,$19.47 ,$19.47 ,$20.62 ,$20.62 ,$17.98 ,$18.92 , N/A ,$14.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498077,N/A,DEXTROSE 10% WATER IV SOLUTION: 1000ML,258,1 ,$13.49 ,$8.77 ,$8.77 ,$12.15 ,$10.79 , N/A ,$10.69 ,$12.15 ,$12.15 , N/A ,$11.47 ,$9.98 , N/A , N/A , N/A ,$11.25 , N/A ,$11.14 ,$10.79 ,$12.14 , N/A ,$11.47 , N/A ,$11.47 ,$11.47 ,$12.14 ,$12.14 ,$10.59 ,$11.14 , N/A ,$8.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498080,N/A,DEXTROSE 5%-WATER IV SOLN.: 250ML,258,1 ,$11.11 ,$7.22 ,$7.22 ,$10.00 ,$8.89 , N/A ,$8.80 ,$10.00 ,$10.00 , N/A ,$9.44 ,$8.22 , N/A , N/A , N/A ,$9.27 , N/A ,$9.18 ,$8.89 ,$10.00 , N/A ,$9.44 , N/A ,$9.44 ,$9.44 ,$10.00 ,$10.00 ,$8.72 ,$9.18 , N/A ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498085,N/A,DEXTROSE 5%-WATER IV SOLN.: 500ML,258,1 ,$15.36 ,$9.98 ,$9.98 ,$13.83 ,$12.29 , N/A ,$12.17 ,$13.83 ,$13.83 , N/A ,$13.06 ,$11.37 , N/A , N/A , N/A ,$12.81 , N/A ,$12.69 ,$12.29 ,$13.82 , N/A ,$13.06 , N/A ,$13.06 ,$13.06 ,$13.82 ,$13.82 ,$12.06 ,$12.69 , N/A ,$9.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498086,N/A,DEXTROSE 5%-WATER IV SOLN.: 100ML,258,1 ,$11.11 ,$7.22 ,$7.22 ,$10.00 ,$8.89 , N/A ,$8.80 ,$10.00 ,$10.00 , N/A ,$9.44 ,$8.22 , N/A , N/A , N/A ,$9.27 , N/A ,$9.18 ,$8.89 ,$10.00 , N/A ,$9.44 , N/A ,$9.44 ,$9.44 ,$10.00 ,$10.00 ,$8.72 ,$9.18 , N/A ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498087,N/A,DEXTROSE 5%-WATER IV SOLN.: 50ML,258,1 ,$11.11 ,$7.22 ,$7.22 ,$10.00 ,$8.89 , N/A ,$8.80 ,$10.00 ,$10.00 , N/A ,$9.44 ,$8.22 , N/A , N/A , N/A ,$9.27 , N/A ,$9.18 ,$8.89 ,$10.00 , N/A ,$9.44 , N/A ,$9.44 ,$9.44 ,$10.00 ,$10.00 ,$8.72 ,$9.18 , N/A ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498088,N/A,DEXTROSE 20%-WATER (FOR TPN): 500ML,258,1 ,$74.90 ,$48.69 ,$48.69 ,$67.45 ,$59.92 , N/A ,$59.35 ,$67.45 ,$67.45 , N/A ,$63.67 ,$55.43 , N/A , N/A , N/A ,$62.47 , N/A ,$61.87 ,$59.92 ,$67.41 , N/A ,$63.67 , N/A ,$63.67 ,$63.67 ,$67.41 ,$67.41 ,$58.80 ,$61.87 , N/A ,$48.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498089,N/A,DEXTROSE 50%-WATER (FOR TPN): 500ML,258,1 ,$96.10 ,$62.47 ,$62.47 ,$86.54 ,$76.88 , N/A ,$76.15 ,$86.54 ,$86.54 , N/A ,$81.69 ,$71.11 , N/A , N/A , N/A ,$80.15 , N/A ,$79.38 ,$76.88 ,$86.49 , N/A ,$81.69 , N/A ,$81.69 ,$81.69 ,$86.49 ,$86.49 ,$75.44 ,$79.38 , N/A ,$62.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498090,N/A,DEXTROSE 5%-0.45% SALINE 1000ML,258,1 ,$11.79 ,$7.66 ,$7.66 ,$10.62 ,$9.43 , N/A ,$9.34 ,$10.62 ,$10.62 , N/A ,$10.02 ,$8.72 , N/A , N/A , N/A ,$9.83 , N/A ,$9.74 ,$9.43 ,$10.61 , N/A ,$10.02 , N/A ,$10.02 ,$10.02 ,$10.61 ,$10.61 ,$9.26 ,$9.74 , N/A ,$7.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498091,J1644,HEPARin 25000 UNITS/500ML 0.45% SODIUM,636,1 ,$27.62 ,$17.95 ,$17.95 ,$24.87 ,$22.10 , N/A ,$21.89 ,$24.87 ,$24.87 , N/A ,$23.48 ,$20.44 , N/A , N/A , N/A ,$23.04 , N/A ,$22.81 ,$22.10 ,$24.86 , N/A ,$23.48 , N/A ,$23.48 ,$23.48 ,$24.86 ,$24.86 ,$21.68 ,$22.81 , N/A ,$17.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498095,N/A,DEXTROSE 5%-0.45% SALINE 500ML,258,1 ,$10.40 ,$6.76 ,$6.76 ,$9.37 ,$8.32 , N/A ,$8.24 ,$9.37 ,$9.37 , N/A ,$8.84 ,$7.70 , N/A , N/A , N/A ,$8.67 , N/A ,$8.59 ,$8.32 ,$9.36 , N/A ,$8.84 , N/A ,$8.84 ,$8.84 ,$9.36 ,$9.36 ,$8.16 ,$8.59 , N/A ,$6.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498115,N/A,DEXTROSE 5%-0.2% NS : 1000ML (PEDIATRIC),258,1 ,$11.79 ,$7.66 ,$7.66 ,$10.62 ,$9.43 , N/A ,$9.34 ,$10.62 ,$10.62 , N/A ,$10.02 ,$8.72 , N/A , N/A , N/A ,$9.83 , N/A ,$9.74 ,$9.43 ,$10.61 , N/A ,$10.02 , N/A ,$10.02 ,$10.02 ,$10.61 ,$10.61 ,$9.26 ,$9.74 , N/A ,$7.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498130,N/A,DEXTROSE 5%-LACTATED RINGERS IV 1000ML,258,1 ,$35.10 ,$22.82 ,$22.82 ,$31.61 ,$28.08 , N/A ,$27.81 ,$31.61 ,$31.61 , N/A ,$29.84 ,$25.97 , N/A , N/A , N/A ,$29.27 , N/A ,$28.99 ,$28.08 ,$31.59 , N/A ,$29.84 , N/A ,$29.84 ,$29.84 ,$31.59 ,$31.59 ,$27.55 ,$28.99 , N/A ,$22.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498131,N/A,DEXTROSE 5%-LACTATED RINGERS IV 1000ML,258,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498135,N/A,DEXTROSE 5%-LACTATED RINGERS IV : 500ML,258,1 ,$10.40 ,$6.76 ,$6.76 ,$9.37 ,$8.32 , N/A ,$8.24 ,$9.37 ,$9.37 , N/A ,$8.84 ,$7.70 , N/A , N/A , N/A ,$8.67 , N/A ,$8.59 ,$8.32 ,$9.36 , N/A ,$8.84 , N/A ,$8.84 ,$8.84 ,$9.36 ,$9.36 ,$8.16 ,$8.59 , N/A ,$6.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498145,N/A,DEXTROSE 5%-0.9% SALINE 1000ML,258,1 ,$22.91 ,$14.89 ,$14.89 ,$20.63 ,$18.33 , N/A ,$18.15 ,$20.63 ,$20.63 , N/A ,$19.47 ,$16.95 , N/A , N/A , N/A ,$19.11 , N/A ,$18.92 ,$18.33 ,$20.62 , N/A ,$19.47 , N/A ,$19.47 ,$19.47 ,$20.62 ,$20.62 ,$17.98 ,$18.92 , N/A ,$14.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498148,J3480,"POTASSIUM 10MEQ/100ML (K-RIDER, PREMIX)",636,1 ,$12.59 ,$8.18 ,$8.18 ,$11.34 ,$10.07 , N/A ,$9.98 ,$11.34 ,$11.34 , N/A ,$10.70 ,$9.32 , N/A , N/A , N/A ,$10.50 , N/A ,$10.40 ,$10.07 ,$11.33 , N/A ,$10.70 , N/A ,$10.70 ,$10.70 ,$11.33 ,$11.33 ,$9.88 ,$10.40 , N/A ,$8.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498190,N/A,LACTATED RINGERS 1000ML,258,1 ,$19.28 ,$12.53 ,$12.53 ,$17.36 ,$15.42 , N/A ,$15.28 ,$17.36 ,$17.36 , N/A ,$16.39 ,$14.27 , N/A , N/A , N/A ,$16.08 , N/A ,$15.93 ,$15.42 ,$17.35 , N/A ,$16.39 , N/A ,$16.39 ,$16.39 ,$17.35 ,$17.35 ,$15.13 ,$15.93 , N/A ,$12.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498195,N/A,LACTATED RINGERS 500ML,258,1 ,$23.95 ,$15.57 ,$15.57 ,$21.57 ,$19.16 , N/A ,$18.98 ,$21.57 ,$21.57 , N/A ,$20.36 ,$17.72 , N/A , N/A , N/A ,$19.97 , N/A ,$19.78 ,$19.16 ,$21.56 , N/A ,$20.36 , N/A ,$20.36 ,$20.36 ,$21.56 ,$21.56 ,$18.80 ,$19.78 , N/A ,$15.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498286,N/A,MICROBORE EXTENSION SET,250,1 ,$17.05 ,$11.08 ,$11.08 ,$15.35 ,$13.64 , N/A ,$13.51 ,$15.35 ,$15.35 , N/A ,$14.49 ,$12.62 , N/A , N/A , N/A ,$14.22 , N/A ,$14.08 ,$13.64 ,$15.35 , N/A ,$14.49 , N/A ,$14.49 ,$14.49 ,$15.35 ,$15.35 ,$13.38 ,$14.08 , N/A ,$11.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498287,N/A,SET (60 DROP),250,1 ,$22.05 ,$14.33 ,$14.33 ,$19.86 ,$17.64 , N/A ,$17.47 ,$19.86 ,$19.86 , N/A ,$18.74 ,$16.32 , N/A , N/A , N/A ,$18.39 , N/A ,$18.21 ,$17.64 ,$19.85 , N/A ,$18.74 , N/A ,$18.74 ,$18.74 ,$19.85 ,$19.85 ,$17.31 ,$18.21 , N/A ,$14.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498289,N/A,"QUIK-CATH 20G X 1 1/4""",250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498290,N/A,"QUIK-CATH 18G X 1 1/4""",250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498291,N/A,"QUIK-CATH 16G X 2""",250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498292,N/A,MISCELLANEOUS MEDICAL SUPPLY DIS NEEDLE:,637,1 ,$6.85 ,$4.45 ,$4.45 ,$6.85 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 ,$6.85 ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498294,N/A,EVACUATED CONTAINER : 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498296,N/A,"QUIK-CATH 24G X 5/8""",250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498297,N/A,"QUIK-CATH 22G X 1""",250,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498300,N/A,LTA ANESTHESIA TRAY KIT,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498330,N/A,SET (SECONDARY-NON VENTED),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498331,N/A,SET (NITROGLYCERIN),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498332,N/A,FILTER (0.22 MICRON),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498333,N/A,SERZONE TABLET : 100MG,637,1 ,$4.80 ,$3.12 ,$3.12 ,$4.80 ,$3.84 , N/A ,$3.80 ,$4.32 ,$4.32 , N/A ,$4.08 ,$3.55 , N/A , N/A , N/A ,$4.00 , N/A ,$3.96 ,$3.84 ,$4.32 ,$4.80 ,$4.08 , N/A ,$4.08 ,$4.08 ,$4.32 ,$4.32 ,$3.77 ,$3.96 , N/A ,$3.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498334,N/A,BURITROL,250,1 ,$45.05 ,$29.28 ,$29.28 ,$40.57 ,$36.04 , N/A ,$35.70 ,$40.57 ,$40.57 , N/A ,$38.29 ,$33.34 , N/A , N/A , N/A ,$37.57 , N/A ,$37.21 ,$36.04 ,$40.55 , N/A ,$38.29 , N/A ,$38.29 ,$38.29 ,$40.55 ,$40.55 ,$35.36 ,$37.21 , N/A ,$29.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498335,N/A,SODIUM CHLORIDE 0.9% 250ML,258,1 ,$21.78 ,$14.16 ,$14.16 ,$19.61 ,$17.42 , N/A ,$17.26 ,$19.61 ,$19.61 , N/A ,$18.51 ,$16.12 , N/A , N/A , N/A ,$18.16 , N/A ,$17.99 ,$17.42 ,$19.60 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 ,$19.60 ,$19.60 ,$17.10 ,$17.99 , N/A ,$14.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498340,N/A,DIAL-A-FLO SECONDARY,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498345,N/A,SODIUM CHLORIDE 0.9% 500ML,258,1 ,$22.91 ,$14.89 ,$14.89 ,$20.63 ,$18.33 , N/A ,$18.15 ,$20.63 ,$20.63 , N/A ,$19.47 ,$16.95 , N/A , N/A , N/A ,$19.11 , N/A ,$18.92 ,$18.33 ,$20.62 , N/A ,$19.47 , N/A ,$19.47 ,$19.47 ,$20.62 ,$20.62 ,$17.98 ,$18.92 , N/A ,$14.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498355,N/A,SODIUM CHLORIDE 0.9% 1000ML,258,1 ,$18.08 ,$11.75 ,$11.75 ,$16.28 ,$14.46 , N/A ,$14.33 ,$16.28 ,$16.28 , N/A ,$15.37 ,$13.38 , N/A , N/A , N/A ,$15.08 , N/A ,$14.93 ,$14.46 ,$16.27 , N/A ,$15.37 , N/A ,$15.37 ,$15.37 ,$16.27 ,$16.27 ,$14.19 ,$14.93 , N/A ,$11.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498356,N/A,SODIUM CHLORIDE 0.9% 1000ML BOLUS X 1,258,1 ,$18.08 ,$11.75 ,$11.75 ,$16.28 ,$14.46 , N/A ,$14.33 ,$16.28 ,$16.28 , N/A ,$15.37 ,$13.38 , N/A , N/A , N/A ,$15.08 , N/A ,$14.93 ,$14.46 ,$16.27 , N/A ,$15.37 , N/A ,$15.37 ,$15.37 ,$16.27 ,$16.27 ,$14.19 ,$14.93 , N/A ,$11.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498360,N/A,Vancomycin HCL caps 125mg,637,1 ,$4.73 ,$3.07 ,$3.07 ,$4.73 ,$3.78 , N/A ,$3.75 ,$4.26 ,$4.26 , N/A ,$4.02 ,$3.50 , N/A , N/A , N/A ,$3.94 , N/A ,$3.91 ,$3.78 ,$4.26 ,$4.73 ,$4.02 , N/A ,$4.02 ,$4.02 ,$4.26 ,$4.26 ,$3.71 ,$3.91 , N/A ,$3.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498365,N/A,IRRIGATION (SODIUM CHLORIDE) : 3000ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498370,N/A,IRRIGATION (SODIUM CHLORIDE) : 1000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498372,N/A,IRRIGATION (SODIUM CHLORIDE) : 500ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498389,N/A,SODIUM CHLORIDE 0.9% 150ML,258,1 ,$9.80 ,$6.37 ,$6.37 ,$8.82 ,$7.84 , N/A ,$7.77 ,$8.82 ,$8.82 , N/A ,$8.33 ,$7.25 , N/A , N/A , N/A ,$8.17 , N/A ,$8.09 ,$7.84 ,$8.82 , N/A ,$8.33 , N/A ,$8.33 ,$8.33 ,$8.82 ,$8.82 ,$7.69 ,$8.09 , N/A ,$6.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498390,N/A,SODIUM CHLORIDE 0.9% 100ML,258,1 ,$9.92 ,$6.45 ,$6.45 ,$8.93 ,$7.94 , N/A ,$7.86 ,$8.93 ,$8.93 , N/A ,$8.43 ,$7.34 , N/A , N/A , N/A ,$8.27 , N/A ,$8.19 ,$7.94 ,$8.93 , N/A ,$8.43 , N/A ,$8.43 ,$8.43 ,$8.93 ,$8.93 ,$7.79 ,$8.19 , N/A ,$6.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498391,N/A,SODIUM CHLORIDE 0.9% 50ML,258,1 ,$11.11 ,$7.22 ,$7.22 ,$10.00 ,$8.89 , N/A ,$8.80 ,$10.00 ,$10.00 , N/A ,$9.44 ,$8.22 , N/A , N/A , N/A ,$9.27 , N/A ,$9.18 ,$8.89 ,$10.00 , N/A ,$9.44 , N/A ,$9.44 ,$9.44 ,$10.00 ,$10.00 ,$8.72 ,$9.18 , N/A ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498393,N/A,SODIUM CHLORIDE 0.9% : 150ML ***********,258,1 ,$11.11 ,$7.22 ,$7.22 ,$10.00 ,$8.89 , N/A ,$8.80 ,$10.00 ,$10.00 , N/A ,$9.44 ,$8.22 , N/A , N/A , N/A ,$9.27 , N/A ,$9.18 ,$8.89 ,$10.00 , N/A ,$9.44 , N/A ,$9.44 ,$9.44 ,$10.00 ,$10.00 ,$8.72 ,$9.18 , N/A ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498400,N/A,SODIUM CHLORIDE 0.45% 1000ML,258,1 ,$11.79 ,$7.66 ,$7.66 ,$10.62 ,$9.43 , N/A ,$9.34 ,$10.62 ,$10.62 , N/A ,$10.02 ,$8.72 , N/A , N/A , N/A ,$9.83 , N/A ,$9.74 ,$9.43 ,$10.61 , N/A ,$10.02 , N/A ,$10.02 ,$10.02 ,$10.61 ,$10.61 ,$9.26 ,$9.74 , N/A ,$7.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498405,N/A,SODIUM CHLORIDE 0.45% 500ML,258,1 ,$16.55 ,$10.76 ,$10.76 ,$14.90 ,$13.24 , N/A ,$13.11 ,$14.90 ,$14.90 , N/A ,$14.07 ,$12.25 , N/A , N/A , N/A ,$13.80 , N/A ,$13.67 ,$13.24 ,$14.90 , N/A ,$14.07 , N/A ,$14.07 ,$14.07 ,$14.90 ,$14.90 ,$12.99 ,$13.67 , N/A ,$10.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498406,N/A,SODIUM CHLORIDE 0.45% 100ML FOR FLUSH,258,1 ,$11.11 ,$7.22 ,$7.22 ,$10.00 ,$8.89 , N/A ,$8.80 ,$10.00 ,$10.00 , N/A ,$9.44 ,$8.22 , N/A , N/A , N/A ,$9.27 , N/A ,$9.18 ,$8.89 ,$10.00 , N/A ,$9.44 , N/A ,$9.44 ,$9.44 ,$10.00 ,$10.00 ,$8.72 ,$9.18 , N/A ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498411,N/A,SODIUM CHLORIDE 3% IV 500ML (LOW NA),258,1 ,$24.66 ,$16.03 ,$16.03 ,$22.21 ,$19.73 , N/A ,$19.54 ,$22.21 ,$22.21 , N/A ,$20.96 ,$18.25 , N/A , N/A , N/A ,$20.57 , N/A ,$20.37 ,$19.73 ,$22.19 , N/A ,$20.96 , N/A ,$20.96 ,$20.96 ,$22.19 ,$22.19 ,$19.36 ,$20.37 , N/A ,$16.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498422,N/A,IRRIGATION (WATER) : 500ML,250,1 ,$14.86 ,$9.66 ,$9.66 ,$13.38 ,$11.89 , N/A ,$11.78 ,$13.38 ,$13.38 , N/A ,$12.63 ,$11.00 , N/A , N/A , N/A ,$12.39 , N/A ,$12.27 ,$11.89 ,$13.37 , N/A ,$12.63 , N/A ,$12.63 ,$12.63 ,$13.37 ,$13.37 ,$11.67 ,$12.27 , N/A ,$9.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498425,N/A,IRRIGATION (WATER) : 1000ML,250,1 ,$13.27 ,$8.63 ,$8.63 ,$11.95 ,$10.62 , N/A ,$10.52 ,$11.95 ,$11.95 , N/A ,$11.28 ,$9.82 , N/A , N/A , N/A ,$11.07 , N/A ,$10.96 ,$10.62 ,$11.94 , N/A ,$11.28 , N/A ,$11.28 ,$11.28 ,$11.94 ,$11.94 ,$10.42 ,$10.96 , N/A ,$8.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498428,N/A,IRRIGATION (WATER) : 2000ML,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498431,N/A,SET (TWO BOTTLE UNIVERSAL),250,1 ,$30.90 ,$20.09 ,$20.09 ,$27.83 ,$24.72 , N/A ,$24.49 ,$27.83 ,$27.83 , N/A ,$26.27 ,$22.87 , N/A , N/A , N/A ,$25.77 , N/A ,$25.52 ,$24.72 ,$27.81 , N/A ,$26.27 , N/A ,$26.27 ,$26.27 ,$27.81 ,$27.81 ,$24.26 ,$25.52 , N/A ,$20.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498432,N/A,CYSTO IRRIGATION SET,637,1 ,$17.20 ,$11.18 ,$11.18 ,$17.20 ,$13.76 , N/A ,$13.63 ,$15.49 ,$15.49 , N/A ,$14.62 ,$12.73 , N/A , N/A , N/A ,$14.34 , N/A ,$14.21 ,$13.76 ,$15.48 ,$17.20 ,$14.62 , N/A ,$14.62 ,$14.62 ,$15.48 ,$15.48 ,$13.50 ,$14.21 , N/A ,$11.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498433,N/A,GLYCINE IRRIG SOLN: 1.50,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498435,N/A,SET (Y-TYPE BLOOD),250,1 ,$22.55 ,$14.66 ,$14.66 ,$20.31 ,$18.04 , N/A ,$17.87 ,$20.31 ,$20.31 , N/A ,$19.17 ,$16.69 , N/A , N/A , N/A ,$18.81 , N/A ,$18.63 ,$18.04 ,$20.30 , N/A ,$19.17 , N/A ,$19.17 ,$19.17 ,$20.30 ,$20.30 ,$17.70 ,$18.63 , N/A ,$14.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498514,J2001,LIDOCAINE 2GM/500ML D5W,636,1 ,$57.78 ,$37.56 ,$37.56 ,$52.03 ,$46.22 , N/A ,$45.78 ,$52.03 ,$52.03 , N/A ,$49.11 ,$42.76 , N/A , N/A , N/A ,$48.19 , N/A ,$47.73 ,$46.22 ,$52.00 , N/A ,$49.11 , N/A ,$49.11 ,$49.11 ,$52.00 ,$52.00 ,$45.36 ,$47.73 , N/A ,$37.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),3498520,N/A,FEE (ADMIXTURE IV),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498522,N/A,FLEXIFLO PUMP DAILY CHARGE,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498523,N/A,LOOP (VENI) CONNECTOR,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498524,N/A,FEE (PUMP DAILY INFUSION CHARGE),250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3498575,N/A,FLEXIFLO ENTERAL FEEDING TUBE 8 FRENCH,250,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3499998,N/A,MISCELLANEOUS PHARMACY ITEM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3499999,N/A,PATIENT'S OWN MED,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),35,N/A,NF-AMIODARONE HCL TABLET 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36,N/A,NF-DIAZEPAM,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36000001,N/A,PEAK FLOW,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36009996,N/A,DO NOT USE,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36009998,N/A,DO NOT USE,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36009999,N/A,<=CANC/CHG/DC/RO ORDER=>,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36012120,93270,CARDIAC EVENT MONITOR,480,1 ,$804.01 ,$522.61 ,$33.61 ,$724.01 ,$643.21 ,$33.61 ,$637.10 ,$724.01 ,$724.01 ,$63.87 ,$683.41 ,$594.97 ,$84.04 ,$33.61 , N/A ,$670.54 ,$33.61 ,$664.11 ,$643.21 ,$723.61 ,$84.04 ,$683.41 ,$36.00 ,$683.41 ,$683.41 ,$723.61 ,$723.61 ,$631.15 ,$664.11 ,$36.00 ,$522.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),36012195,93018,CARDIOLOGY PURCHASED,730,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36012203,93010,EKG PRO FEE BOKKA,985,1 ,$56.54 ,$36.75 ,$36.75 ,$50.91 ,$45.23 , N/A ,$44.80 ,$50.91 ,$50.91 , N/A ,$48.06 ,$41.84 , N/A , N/A , N/A ,$47.15 , N/A ,$46.70 ,$45.23 ,$50.89 , N/A ,$48.06 , N/A ,$48.06 ,$48.06 ,$50.89 ,$50.89 ,$44.38 ,$46.70 , N/A ,$36.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),36012204,93010,EKG PRO FEE AGAPITO,985,1 ,$56.54 ,$36.75 ,$36.75 ,$50.91 ,$45.23 , N/A ,$44.80 ,$50.91 ,$50.91 , N/A ,$48.06 ,$41.84 , N/A , N/A , N/A ,$47.15 , N/A ,$46.70 ,$45.23 ,$50.89 , N/A ,$48.06 , N/A ,$48.06 ,$48.06 ,$50.89 ,$50.89 ,$44.38 ,$46.70 , N/A ,$36.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),36012205,93010,EKG PRO FEE ISLAM,985,1 ,$56.54 ,$36.75 ,$36.75 ,$50.91 ,$45.23 , N/A ,$44.80 ,$50.91 ,$50.91 , N/A ,$48.06 ,$41.84 , N/A , N/A , N/A ,$47.15 , N/A ,$46.70 ,$45.23 ,$50.89 , N/A ,$48.06 , N/A ,$48.06 ,$48.06 ,$50.89 ,$50.89 ,$44.38 ,$46.70 , N/A ,$36.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),36012211,93017,DO NOT USE,482,1 , N/A , N/A ,$239.28 ,$598.21 , N/A ,$239.28 , N/A , N/A , N/A ,$454.64 , N/A , N/A ,$598.21 ,$239.28 , N/A , N/A ,$239.28 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36012222,93005,EKG,730,1 ,$336.38 ,$218.65 ,$50.36 ,$302.91 ,$269.10 ,$50.36 ,$266.55 ,$302.91 ,$302.91 ,$95.69 ,$285.92 ,$248.92 ,$125.91 ,$50.36 , N/A ,$280.54 ,$50.36 ,$277.85 ,$269.10 ,$302.74 ,$125.91 ,$285.92 ,$53.94 ,$285.92 ,$285.92 ,$302.74 ,$302.74 ,$264.06 ,$277.85 ,$53.94 ,$218.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),36012223,93005,EKG RHC,730,1 ,$336.38 ,$218.65 ,$50.36 ,$302.91 ,$269.10 ,$50.36 ,$266.55 ,$302.91 ,$302.91 ,$95.69 ,$285.92 ,$248.92 ,$125.91 ,$50.36 , N/A ,$280.54 ,$50.36 ,$277.85 ,$269.10 ,$302.74 ,$125.91 ,$285.92 ,$53.94 ,$285.92 ,$285.92 ,$302.74 ,$302.74 ,$264.06 ,$277.85 ,$53.94 ,$218.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),36012225,G0404,EKG WELCOME TO MEDICARE,730,1 ,$359.72 ,$233.82 ,$22.32 ,$323.93 ,$287.78 ,$22.32 ,$285.04 ,$323.93 ,$323.93 ,$42.41 ,$305.76 ,$266.19 ,$55.81 ,$22.32 , N/A ,$300.01 ,$22.32 ,$297.13 ,$287.78 ,$323.75 ,$55.81 ,$305.76 ,$23.91 ,$305.76 ,$305.76 ,$323.75 ,$323.75 ,$282.38 ,$297.13 ,$23.91 ,$233.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),36012229,N/A,*****DO NOT USE **********,731,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36012300,G0366,EKG ROUTINE INIT PREVENT EXAM,730,1 ,$222.94 ,$144.91 ,$144.91 ,$200.76 ,$178.35 , N/A ,$176.66 ,$200.76 ,$200.76 , N/A ,$189.50 ,$164.98 , N/A , N/A , N/A ,$185.93 , N/A ,$184.15 ,$178.35 ,$200.65 , N/A ,$189.50 , N/A ,$189.50 ,$189.50 ,$200.65 ,$200.65 ,$175.01 ,$184.15 , N/A ,$144.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020008,N/A,**********DO NOT USE ** OXY HRLY *******,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020009,N/A,OXYGEN,270,1 ,$509.54 ,$331.20 ,$331.20 ,$458.84 ,$407.63 , N/A ,$403.76 ,$458.84 ,$458.84 , N/A ,$433.11 ,$377.06 , N/A , N/A , N/A ,$424.96 , N/A ,$420.88 ,$407.63 ,$458.59 , N/A ,$433.11 , N/A ,$433.11 ,$433.11 ,$458.59 ,$458.59 ,$399.99 ,$420.88 , N/A ,$331.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020010,N/A,VAPOTHERM INITIAL,270,1 ,$193.60 ,$125.84 ,$125.84 ,$174.34 ,$154.88 , N/A ,$153.41 ,$174.34 ,$174.34 , N/A ,$164.56 ,$143.26 , N/A , N/A , N/A ,$161.46 , N/A ,$159.91 ,$154.88 ,$174.24 , N/A ,$164.56 , N/A ,$164.56 ,$164.56 ,$174.24 ,$174.24 ,$151.98 ,$159.91 , N/A ,$125.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020018,N/A,OXYGEN USAGE (E.R.),270,1 ,$116.48 ,$75.71 ,$75.71 ,$104.89 ,$93.18 , N/A ,$92.30 ,$104.89 ,$104.89 , N/A ,$99.01 ,$86.20 , N/A , N/A , N/A ,$97.14 , N/A ,$96.21 ,$93.18 ,$104.83 , N/A ,$99.01 , N/A ,$99.01 ,$99.01 ,$104.83 ,$104.83 ,$91.44 ,$96.21 , N/A ,$75.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020060,93017,REGULAR STRESS TEST,482,1 ,"$1,509.90 ",$981.44 ,$239.28 ,"$1,359.67 ","$1,207.92 ",$239.28 ,"$1,196.44 ","$1,359.67 ","$1,359.67 ",$454.64 ,"$1,283.42 ","$1,117.33 ",$598.21 ,$239.28 , N/A ,"$1,259.26 ",$239.28 ,"$1,247.18 ","$1,207.92 ","$1,358.91 ",$598.21 ,"$1,283.42 ",$256.27 ,"$1,283.42 ","$1,283.42 ","$1,358.91 ","$1,358.91 ","$1,185.27 ","$1,247.18 ",$256.27 ,$981.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020061,93017,REGULAR STRESS TEST-AGAPITO,482,1 ,"$1,509.90 ",$981.44 ,$239.28 ,"$1,359.67 ","$1,207.92 ",$239.28 ,"$1,196.44 ","$1,359.67 ","$1,359.67 ",$454.64 ,"$1,283.42 ","$1,117.33 ",$598.21 ,$239.28 , N/A ,"$1,259.26 ",$239.28 ,"$1,247.18 ","$1,207.92 ","$1,358.91 ",$598.21 ,"$1,283.42 ",$256.27 ,"$1,283.42 ","$1,283.42 ","$1,358.91 ","$1,358.91 ","$1,185.27 ","$1,247.18 ",$256.27 ,$981.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020062,93017,REGULAR STRESS TEST-ISLAM,482,1 ,"$1,509.90 ",$981.44 ,$239.28 ,"$1,359.67 ","$1,207.92 ",$239.28 ,"$1,196.44 ","$1,359.67 ","$1,359.67 ",$454.64 ,"$1,283.42 ","$1,117.33 ",$598.21 ,$239.28 , N/A ,"$1,259.26 ",$239.28 ,"$1,247.18 ","$1,207.92 ","$1,358.91 ",$598.21 ,"$1,283.42 ",$256.27 ,"$1,283.42 ","$1,283.42 ","$1,358.91 ","$1,358.91 ","$1,185.27 ","$1,247.18 ",$256.27 ,$981.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020115,N/A,DO NOT USE SEE 60020115,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020123,N/A,DO NOT USE SEE 60020123,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020144,94070,METHACHOLINE CHALLENGE (PFT),460,1 ,$813.95 ,$529.07 ,$239.28 ,$732.96 ,$651.16 ,$239.28 ,$644.97 ,$732.96 ,$732.96 ,$454.64 ,$691.86 ,$602.32 ,$598.21 ,$239.28 , N/A ,$678.83 ,$239.28 ,$672.32 ,$651.16 ,$732.56 ,$598.21 ,$691.86 ,$256.27 ,$691.86 ,$691.86 ,$732.56 ,$732.56 ,$638.95 ,$672.32 ,$256.27 ,$529.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020155,94726,FUNCTIONAL RESIDUAL CAPACITY,460,1 ,$237.49 ,$154.37 ,$154.37 ,$598.21 ,$189.99 ,$239.28 ,$188.19 ,$213.86 ,$213.86 ,$454.64 ,$201.87 ,$175.74 ,$598.21 ,$239.28 , N/A ,$198.07 ,$239.28 ,$196.17 ,$189.99 ,$213.74 ,$237.49 ,$201.87 ,$237.49 ,$201.87 ,$201.87 ,$213.74 ,$213.74 ,$186.43 ,$196.17 ,$237.49 ,$154.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020172,N/A,DO NOT USE SEE 60020172,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020193,N/A,DO NOT USE ***********,740,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020222,93017,CARDIOLYTE STRESS TEST,482,1 ,"$1,605.36 ","$1,043.48 ",$239.28 ,"$1,445.63 ","$1,284.29 ",$239.28 ,"$1,272.09 ","$1,445.63 ","$1,445.63 ",$454.64 ,"$1,364.56 ","$1,187.97 ",$598.21 ,$239.28 , N/A ,"$1,338.87 ",$239.28 ,"$1,326.03 ","$1,284.29 ","$1,444.82 ",$598.21 ,"$1,364.56 ",$256.27 ,"$1,364.56 ","$1,364.56 ","$1,444.82 ","$1,444.82 ","$1,260.21 ","$1,326.03 ",$256.27 ,"$1,043.48 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36020305,N/A,DO NOT USE SEE 60020305,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020313,N/A,******INACTIVATED******,270,1 ,$49.29 ,$32.04 ,$32.04 ,$44.39 ,$39.43 , N/A ,$39.06 ,$44.39 ,$44.39 , N/A ,$41.90 ,$36.47 , N/A , N/A , N/A ,$41.11 , N/A ,$40.71 ,$39.43 ,$44.36 , N/A ,$41.90 , N/A ,$41.90 ,$41.90 ,$44.36 ,$44.36 ,$38.69 ,$40.71 , N/A ,$32.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020321,94664,IPPB INITIAL TREATMENT,410,1 ,$47.76 ,$31.04 ,$31.04 ,$425.00 ,$38.21 ,$170.00 ,$37.85 ,$43.01 ,$43.01 ,$323.00 ,$40.60 ,$35.34 ,$425.00 ,$170.00 , N/A ,$39.83 ,$170.00 ,$39.45 ,$38.21 ,$42.98 ,$47.76 ,$40.60 ,$47.76 ,$40.60 ,$40.60 ,$42.98 ,$42.98 ,$37.49 ,$39.45 ,$47.76 ,$31.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020323,93017,LEXISCAN STRESS TEST,482,1 ,"$1,719.85 ","$1,117.90 ",$239.28 ,"$1,548.72 ","$1,375.88 ",$239.28 ,"$1,362.81 ","$1,548.72 ","$1,548.72 ",$454.64 ,"$1,461.87 ","$1,272.69 ",$598.21 ,$239.28 , N/A ,"$1,434.35 ",$239.28 ,"$1,420.60 ","$1,375.88 ","$1,547.87 ",$598.21 ,"$1,461.87 ",$256.27 ,"$1,461.87 ","$1,461.87 ","$1,547.87 ","$1,547.87 ","$1,350.08 ","$1,420.60 ",$256.27 ,"$1,117.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36020339,94640,USN TX,410,1 ,$69.68 ,$45.29 ,$45.29 ,$425.00 ,$55.74 ,$170.00 ,$55.21 ,$62.75 ,$62.75 ,$323.00 ,$59.23 ,$51.56 ,$425.00 ,$170.00 , N/A ,$58.11 ,$170.00 ,$57.56 ,$55.74 ,$62.71 ,$69.68 ,$59.23 ,$69.68 ,$59.23 ,$59.23 ,$62.71 ,$62.71 ,$54.70 ,$57.56 ,$69.68 ,$45.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020354,94668,CPT SUBSEQUENT,410,1 ,$76.40 ,$49.66 ,$49.66 ,$253.24 ,$61.12 ,$101.30 ,$60.54 ,$68.80 ,$68.80 ,$192.46 ,$64.94 ,$56.54 ,$253.24 ,$101.30 , N/A ,$63.72 ,$101.30 ,$63.11 ,$61.12 ,$68.76 ,$76.40 ,$64.94 ,$76.40 ,$64.94 ,$64.94 ,$68.76 ,$68.76 ,$59.97 ,$63.11 ,$76.40 ,$49.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020412,N/A,******INACTIVATED*****,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020450,93017,PERSANTINE STRESS TEST,482,1 ,"$1,324.80 ",$861.12 ,$239.28 ,"$1,192.98 ","$1,059.84 ",$239.28 ,"$1,049.77 ","$1,192.98 ","$1,192.98 ",$454.64 ,"$1,126.08 ",$980.35 ,$598.21 ,$239.28 , N/A ,"$1,104.88 ",$239.28 ,"$1,094.28 ","$1,059.84 ","$1,192.32 ",$598.21 ,"$1,126.08 ",$256.27 ,"$1,126.08 ","$1,126.08 ","$1,192.32 ","$1,192.32 ","$1,039.97 ","$1,094.28 ",$256.27 ,$861.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020451,36600,ARTERIAL BLOOD SAMPLING,450,1 ,$18.53 ,$12.04 ,$12.04 ,$253.24 ,$14.82 ,$101.30 ,$14.68 ,$16.69 ,$16.69 ,$192.46 ,$15.75 ,$13.71 ,$253.24 ,$101.30 , N/A ,$15.45 ,$101.30 ,$15.31 ,$14.82 ,$16.68 ,$18.53 ,$15.75 ,$18.53 ,$15.75 ,$15.75 ,$16.68 ,$16.68 ,$14.55 ,$15.31 ,$18.53 ,$12.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020453,N/A,******INACTIVATED******,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020455,94660,BIPAP/CPAP,410,1 ,$66.03 ,$42.92 ,$42.92 ,$425.00 ,$52.82 ,$170.00 ,$52.32 ,$59.46 ,$59.46 ,$323.00 ,$56.13 ,$48.86 ,$425.00 ,$170.00 , N/A ,$55.07 ,$170.00 ,$54.54 ,$52.82 ,$59.43 ,$66.03 ,$56.13 ,$66.03 ,$56.13 ,$56.13 ,$59.43 ,$59.43 ,$51.83 ,$54.54 ,$66.03 ,$42.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020457,93041,EKG/RHYTHM STRIP,730,1 ,$541.83 ,$352.19 ,$50.36 ,$487.92 ,$433.46 ,$50.36 ,$429.35 ,$487.92 ,$487.92 ,$95.69 ,$460.56 ,$400.95 ,$125.91 ,$50.36 , N/A ,$451.89 ,$50.36 ,$447.55 ,$433.46 ,$487.65 ,$125.91 ,$460.56 ,$53.94 ,$460.56 ,$460.56 ,$487.65 ,$487.65 ,$425.34 ,$447.55 ,$53.94 ,$352.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020479,92950,CPR,450,1 ,$288.02 ,$187.21 ,$187.21 ,$598.21 ,$230.42 ,$239.28 ,$228.23 ,$259.36 ,$259.36 ,$454.64 ,$244.82 ,$213.13 ,$598.21 ,$239.28 , N/A ,$240.21 ,$239.28 ,$237.90 ,$230.42 ,$259.22 ,$288.02 ,$244.82 ,$256.27 ,$244.82 ,$244.82 ,$259.22 ,$259.22 ,$226.10 ,$237.90 ,$256.27 ,$187.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020487,N/A,*DO NOT USE * S CODE DELETED,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020511,94003,VENTILATOR SUBSQT DAY,410,1 ,$154.33 ,$100.31 ,$100.31 ,"$1,097.71 ",$123.46 ,$439.08 ,$122.29 ,$138.97 ,$138.97 ,$834.26 ,$131.18 ,$114.20 ,"$1,097.71 ",$439.08 , N/A ,$128.71 ,$439.08 ,$127.48 ,$123.46 ,$138.90 ,$154.33 ,$131.18 ,$154.33 ,$131.18 ,$131.18 ,$138.90 ,$138.90 ,$121.15 ,$127.48 ,$154.33 ,$100.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020552,94010,SPIROMETRY W GRAPHIC,460,1 ,$349.03 ,$226.87 ,$126.27 ,$315.68 ,$279.22 ,$126.27 ,$276.57 ,$314.30 ,$314.30 ,$239.91 ,$296.68 ,$258.28 ,$315.68 ,$126.27 , N/A ,$291.09 ,$126.27 ,$288.30 ,$279.22 ,$314.13 ,$315.68 ,$296.68 ,$135.24 ,$296.68 ,$296.68 ,$314.13 ,$314.13 ,$273.99 ,$288.30 ,$135.24 ,$226.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020610,N/A,******INACTIVATED******,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020628,94200,INCENTIVE SPIRO TX,460,1 ,$90.84 ,$59.05 ,$50.36 ,$125.91 ,$72.67 ,$50.36 ,$71.98 ,$81.80 ,$81.80 ,$95.69 ,$77.21 ,$67.22 ,$125.91 ,$50.36 , N/A ,$75.76 ,$50.36 ,$75.03 ,$72.67 ,$81.76 ,$90.84 ,$77.21 ,$53.94 ,$77.21 ,$77.21 ,$81.76 ,$81.76 ,$71.31 ,$75.03 ,$53.94 ,$59.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020634,N/A,HHN TREATMENT FOR RT,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020635,N/A,RT TIME X 15 MINUTES,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020636,94640,HHN TREATMENT,410,1 ,$66.19 ,$43.02 ,$43.02 ,$425.00 ,$52.95 ,$170.00 ,$52.45 ,$59.60 ,$59.60 ,$323.00 ,$56.26 ,$48.98 ,$425.00 ,$170.00 , N/A ,$55.20 ,$170.00 ,$54.67 ,$52.95 ,$59.57 ,$66.19 ,$56.26 ,$66.19 ,$56.26 ,$56.26 ,$59.57 ,$59.57 ,$51.96 ,$54.67 ,$66.19 ,$43.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020637,94640,IPPB TREATMENT SUBSQT,410,1 ,$47.76 ,$31.04 ,$31.04 ,$425.00 ,$38.21 ,$170.00 ,$37.85 ,$43.01 ,$43.01 ,$323.00 ,$40.60 ,$35.34 ,$425.00 ,$170.00 , N/A ,$39.83 ,$170.00 ,$39.45 ,$38.21 ,$42.98 ,$47.76 ,$40.60 ,$47.76 ,$40.60 ,$40.60 ,$42.98 ,$42.98 ,$37.49 ,$39.45 ,$47.76 ,$31.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020644,99082,RT ASSIST TRANSPORT,969,1 ,$123.30 ,$80.15 ,$80.15 ,$111.03 ,$98.64 , N/A ,$97.70 ,$111.03 ,$111.03 , N/A ,$104.81 ,$91.24 , N/A , N/A , N/A ,$102.83 , N/A ,$101.85 ,$98.64 ,$110.97 , N/A ,$104.81 , N/A ,$104.81 ,$104.81 ,$110.97 ,$110.97 ,$96.79 ,$101.85 , N/A ,$80.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020693,N/A,DO NOT USE SEE 60020693,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020701,94002,VENTILATOR FIRST DAY,410,1 ,$873.59 ,$567.83 ,$439.08 ,"$1,097.71 ",$698.87 ,$439.08 ,$692.23 ,$786.67 ,$786.67 ,$834.26 ,$742.55 ,$646.46 ,"$1,097.71 ",$439.08 , N/A ,$728.57 ,$439.08 ,$721.59 ,$698.87 ,$786.23 ,$873.59 ,$742.55 ,$470.26 ,$742.55 ,$742.55 ,$786.23 ,$786.23 ,$685.77 ,$721.59 ,$470.26 ,$567.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020727,94667,CPT INITIAL,410,1 ,$103.15 ,$67.05 ,$67.05 ,$253.24 ,$82.52 ,$101.30 ,$81.74 ,$92.89 ,$92.89 ,$192.46 ,$87.68 ,$76.33 ,$253.24 ,$101.30 , N/A ,$86.03 ,$101.30 ,$85.20 ,$82.52 ,$92.84 ,$103.15 ,$87.68 ,$103.15 ,$87.68 ,$87.68 ,$92.84 ,$92.84 ,$80.97 ,$85.20 ,$103.15 ,$67.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020750,N/A,CROUP TENT,270,1 ,$11.48 ,$7.46 ,$7.46 ,$10.34 ,$9.18 , N/A ,$9.10 ,$10.34 ,$10.34 , N/A ,$9.76 ,$8.50 , N/A , N/A , N/A ,$9.57 , N/A ,$9.48 ,$9.18 ,$10.33 , N/A ,$9.76 , N/A ,$9.76 ,$9.76 ,$10.33 ,$10.33 ,$9.01 ,$9.48 , N/A ,$7.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020776,89220,SPUTUM COLLECTION,300,1 ,$62.22 ,$40.44 ,$40.44 ,$337.41 ,$49.78 ,$134.97 ,$49.30 ,$56.03 ,$56.03 ,$256.44 ,$52.89 ,$46.04 ,$337.41 ,$134.97 , N/A ,$51.89 ,$134.97 ,$51.39 ,$49.78 ,$56.00 ,$62.22 ,$52.89 ,$62.22 ,$52.89 ,$52.89 ,$56.00 ,$56.00 ,$48.84 ,$51.39 ,$62.22 ,$40.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020784,31720,SUCTION PER RT,460,1 ,$33.92 ,$22.05 ,$22.05 ,$425.00 ,$27.14 ,$170.00 ,$26.88 ,$30.55 ,$30.55 ,$323.00 ,$28.83 ,$25.10 ,$425.00 ,$170.00 , N/A ,$28.29 ,$170.00 ,$28.02 ,$27.14 ,$30.53 ,$33.92 ,$28.83 ,$33.92 ,$28.83 ,$28.83 ,$30.53 ,$30.53 ,$26.63 ,$28.02 ,$33.92 ,$22.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020785,N/A,SMOKING EDUCATION,460,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020786,N/A,COPD EDUCATION,460,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020826,N/A,***** DO NOT USE*****,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020834,N/A,******INACTIVATED******,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020843,N/A,***** DO NOT USE ************,460,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020917,N/A,DO NOT USE,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36020923,94060,PRE POST BRONCHODILATOR,460,1 ,$526.65 ,$342.32 ,$239.28 ,$598.21 ,$421.32 ,$239.28 ,$417.32 ,$474.25 ,$474.25 ,$454.64 ,$447.65 ,$389.72 ,$598.21 ,$239.28 , N/A ,$439.23 ,$239.28 ,$435.01 ,$421.32 ,$473.99 ,$526.65 ,$447.65 ,$256.27 ,$447.65 ,$447.65 ,$473.99 ,$473.99 ,$413.42 ,$435.01 ,$256.27 ,$342.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020945,94729,DIFFUSION CAPACITY,460,1 ,$268.63 ,$174.61 ,$174.61 ,$241.90 ,$214.90 , N/A ,$212.86 ,$241.90 ,$241.90 , N/A ,$228.34 ,$198.79 , N/A , N/A , N/A ,$224.04 , N/A ,$221.89 ,$214.90 ,$241.77 , N/A ,$228.34 , N/A ,$228.34 ,$228.34 ,$241.77 ,$241.77 ,$210.87 ,$221.89 , N/A ,$174.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020997,97150,TX PROC STRENGTH RESP MUSCLES,420,1 ,$123.06 ,$79.99 ,$17.53 ,$110.82 ,$98.45 ,$17.53 ,$97.51 ,$110.82 ,$110.82 ,$33.31 ,$104.60 ,$91.06 ,$43.83 ,$17.53 , N/A ,$102.63 ,$17.53 ,$101.65 ,$98.45 ,$110.75 ,$43.83 ,$104.60 ,$17.53 ,$104.60 ,$104.60 ,$110.75 ,$110.75 ,$96.60 ,$101.65 ,$17.53 ,$79.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),36020999,97530,TX PROC IMPROVE RESP FUNCTION,420,1 ,$123.06 ,$79.99 ,$37.50 ,$110.82 ,$98.45 ,$37.50 ,$97.51 ,$110.82 ,$110.82 ,$71.25 ,$104.60 ,$91.06 ,$93.75 ,$37.50 , N/A ,$102.63 ,$37.50 ,$101.65 ,$98.45 ,$110.75 ,$93.75 ,$104.60 ,$37.50 ,$104.60 ,$104.60 ,$110.75 ,$110.75 ,$96.60 ,$101.65 ,$37.50 ,$79.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021071,N/A,*****INACTIVATED******,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021089,94762,OXIMETRY CONTINUOUS,460,1 ,$13.95 ,$9.07 ,$9.07 ,$315.68 ,$11.16 ,$126.27 ,$11.05 ,$12.56 ,$12.56 ,$239.91 ,$11.86 ,$10.32 ,$315.68 ,$126.27 , N/A ,$11.63 ,$126.27 ,$11.52 ,$11.16 ,$12.56 ,$13.95 ,$11.86 ,$13.95 ,$11.86 ,$11.86 ,$12.56 ,$12.56 ,$10.95 ,$11.52 ,$13.95 ,$9.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021105,94760,OXIMETRY SPOTCHECK,460,1 ,$70.89 ,$46.08 ,$46.08 ,$63.84 ,$56.71 , N/A ,$56.17 ,$63.84 ,$63.84 , N/A ,$60.26 ,$52.46 , N/A , N/A , N/A ,$59.12 , N/A ,$58.56 ,$56.71 ,$63.80 , N/A ,$60.26 , N/A ,$60.26 ,$60.26 ,$63.80 ,$63.80 ,$55.65 ,$58.56 , N/A ,$46.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021111,94761,EXERCISE OX. STUDY/12 MIN WALK,460,1 ,$79.65 ,$51.77 ,$51.77 ,$71.72 ,$63.72 , N/A ,$63.11 ,$71.72 ,$71.72 , N/A ,$67.70 ,$58.94 , N/A , N/A , N/A ,$66.43 , N/A ,$65.79 ,$63.72 ,$71.69 , N/A ,$67.70 , N/A ,$67.70 ,$67.70 ,$71.69 ,$71.69 ,$62.53 ,$65.79 , N/A ,$51.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021170,N/A,DO NOT USE SEE 60021170,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021200,N/A,DO NOT USE SEE 60021200,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021212,N/A,*****INACTIVATE*****,460,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021238,N/A,***** DO NOT USE*******,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021250,N/A,DO NOT USE SEE 60021250,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021253,N/A,DO NOT USE THIS CODE,460,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021261,N/A,DO NOT USE THIS CODE,460,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021303,95819,EEG,740,1 ,"$1,521.42 ",$988.92 ,$239.28 ,"$1,370.04 ","$1,217.14 ",$239.28 ,"$1,205.57 ","$1,370.04 ","$1,370.04 ",$454.64 ,"$1,293.21 ","$1,125.85 ",$598.21 ,$239.28 , N/A ,"$1,268.86 ",$239.28 ,"$1,256.69 ","$1,217.14 ","$1,369.28 ",$598.21 ,"$1,293.21 ",$256.27 ,"$1,293.21 ","$1,293.21 ","$1,369.28 ","$1,369.28 ","$1,194.31 ","$1,256.69 ",$256.27 ,$988.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021337,93225,HOLTER MONITOR,731,1 ,"$1,802.36 ","$1,171.53 ",$101.30 ,"$1,623.03 ","$1,441.89 ",$101.30 ,"$1,428.19 ","$1,623.03 ","$1,623.03 ",$192.46 ,"$1,532.01 ","$1,333.75 ",$253.24 ,$101.30 , N/A ,"$1,503.17 ",$101.30 ,"$1,488.75 ","$1,441.89 ","$1,622.12 ",$253.24 ,"$1,532.01 ",$108.49 ,"$1,532.01 ","$1,532.01 ","$1,622.12 ","$1,622.12 ","$1,414.85 ","$1,488.75 ",$108.49 ,"$1,171.53 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36021345,95811,CPAP TITRATION,740,1 ,"$7,119.86 ","$4,627.91 ",$832.29 ,"$6,411.43 ","$5,695.89 ",$832.29 ,"$5,641.78 ","$6,411.43 ","$6,411.43 ","$1,581.35 ","$6,051.88 ","$5,268.70 ","$2,080.72 ",$832.29 , N/A ,"$5,937.96 ",$832.29 ,"$5,881.00 ","$5,695.89 ","$6,407.87 ","$2,080.72 ","$6,051.88 ",$891.38 ,"$6,051.88 ","$6,051.88 ","$6,407.87 ","$6,407.87 ","$5,589.09 ","$5,881.00 ",$891.38 ,"$4,627.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36021346,95811,INCOMPLETE CPAP TITRATION,740,1 ,"$7,119.86 ","$4,627.91 ",$832.29 ,"$6,411.43 ","$5,695.89 ",$832.29 ,"$5,641.78 ","$6,411.43 ","$6,411.43 ","$1,581.35 ","$6,051.88 ","$5,268.70 ","$2,080.72 ",$832.29 , N/A ,"$5,937.96 ",$832.29 ,"$5,881.00 ","$5,695.89 ","$6,407.87 ","$2,080.72 ","$6,051.88 ",$891.38 ,"$6,051.88 ","$6,051.88 ","$6,407.87 ","$6,407.87 ","$5,589.09 ","$5,881.00 ",$891.38 ,"$4,627.91 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36021350,N/A,EMG,922,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021352,95860,EMG 1 EXTREMITY,922,1 ,$86.48 ,$56.21 ,$56.21 ,$253.24 ,$69.18 ,$101.30 ,$68.53 ,$77.88 ,$77.88 ,$192.46 ,$73.51 ,$64.00 ,$253.24 ,$101.30 , N/A ,$72.12 ,$101.30 ,$71.43 ,$69.18 ,$77.83 ,$86.48 ,$73.51 ,$86.48 ,$73.51 ,$73.51 ,$77.83 ,$77.83 ,$67.89 ,$71.43 ,$86.48 ,$56.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021360,95861,EMG 2 EXTREMITY,922,1 ,$124.11 ,$80.67 ,$80.67 ,$253.24 ,$99.29 ,$101.30 ,$98.34 ,$111.76 ,$111.76 ,$192.46 ,$105.49 ,$91.84 ,$253.24 ,$101.30 , N/A ,$103.51 ,$101.30 ,$102.51 ,$99.29 ,$111.70 ,$124.11 ,$105.49 ,$108.49 ,$105.49 ,$105.49 ,$111.70 ,$111.70 ,$97.43 ,$102.51 ,$108.49 ,$80.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021378,95863,EMG 3 EXTREMITY,922,1 ,$185.43 ,$120.53 ,$120.53 ,$315.68 ,$148.34 ,$126.27 ,$146.93 ,$166.98 ,$166.98 ,$239.91 ,$157.62 ,$137.22 ,$315.68 ,$126.27 , N/A ,$154.65 ,$126.27 ,$153.17 ,$148.34 ,$166.89 ,$185.43 ,$157.62 ,$135.24 ,$157.62 ,$157.62 ,$166.89 ,$166.89 ,$145.56 ,$153.17 ,$135.24 ,$120.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021386,95864,EMG 4 EXTREMITY,922,1 ,$248.12 ,$161.28 ,$126.27 ,$315.68 ,$198.50 ,$126.27 ,$196.61 ,$223.43 ,$223.43 ,$239.91 ,$210.90 ,$183.61 ,$315.68 ,$126.27 , N/A ,$206.93 ,$126.27 ,$204.95 ,$198.50 ,$223.31 ,$248.12 ,$210.90 ,$135.24 ,$210.90 ,$210.90 ,$223.31 ,$223.31 ,$194.77 ,$204.95 ,$135.24 ,$161.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021394,N/A,*****DO NOT USE*******,922,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021410,N/A,PIN ELECTRODE,272,1 ,$19.95 ,$12.97 ,$12.97 ,$17.97 ,$15.96 , N/A ,$15.81 ,$17.97 ,$17.97 , N/A ,$16.96 ,$14.76 , N/A , N/A , N/A ,$16.64 , N/A ,$16.48 ,$15.96 ,$17.96 , N/A ,$16.96 , N/A ,$16.96 ,$16.96 ,$17.96 ,$17.96 ,$15.66 ,$16.48 , N/A ,$12.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021436,31500,INTUBATION,410,1 ,$48.51 ,$31.53 ,$31.53 ,$478.66 ,$38.81 ,$191.46 ,$38.44 ,$43.68 ,$43.68 ,$363.78 ,$41.23 ,$35.90 ,$478.66 ,$191.46 , N/A ,$40.46 ,$191.46 ,$40.07 ,$38.81 ,$43.66 ,$48.51 ,$41.23 ,$48.51 ,$41.23 ,$41.23 ,$43.66 ,$43.66 ,$38.08 ,$40.07 ,$48.51 ,$31.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021444,95824,EEG DEATH EVALUATION,740,1 ,"$1,147.49 ",$745.87 ,$441.36 ,"$1,103.41 ",$917.99 ,$441.36 ,$909.27 ,"$1,033.31 ","$1,033.31 ",$838.59 ,$975.37 ,$849.14 ,"$1,103.41 ",$441.36 , N/A ,$957.01 ,$441.36 ,$947.83 ,$917.99 ,"$1,032.74 ","$1,103.41 ",$975.37 ,$472.70 ,$975.37 ,$975.37 ,"$1,032.74 ","$1,032.74 ",$900.78 ,$947.83 ,$472.70 ,$745.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021512,95810,SLEEP STUDY PSG,740,1 ,"$5,825.18 ","$3,786.37 ",$832.29 ,"$5,245.57 ","$4,660.14 ",$832.29 ,"$4,615.87 ","$5,245.57 ","$5,245.57 ","$1,581.35 ","$4,951.40 ","$4,310.63 ","$2,080.72 ",$832.29 , N/A ,"$4,858.20 ",$832.29 ,"$4,811.60 ","$4,660.14 ","$5,242.66 ","$2,080.72 ","$4,951.40 ",$891.38 ,"$4,951.40 ","$4,951.40 ","$5,242.66 ","$5,242.66 ","$4,572.77 ","$4,811.60 ",$891.38 ,"$3,786.37 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36021642,95867,EMG CRANIAL-UNILATER,922,1 ,$50.19 ,$32.62 ,$32.62 ,$598.21 ,$40.15 ,$239.28 ,$39.77 ,$45.20 ,$45.20 ,$454.64 ,$42.66 ,$37.14 ,$598.21 ,$239.28 , N/A ,$41.86 ,$239.28 ,$41.46 ,$40.15 ,$45.17 ,$50.19 ,$42.66 ,$50.19 ,$42.66 ,$42.66 ,$45.17 ,$45.17 ,$39.40 ,$41.46 ,$50.19 ,$32.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021675,N/A,***** DO NOT USE *******,740,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36021677,95819,EEG ****** NO INTERPT,740,1 ,"$1,042.73 ",$677.77 ,$239.28 ,$938.98 ,$834.18 ,$239.28 ,$826.26 ,$938.98 ,$938.98 ,$454.64 ,$886.32 ,$771.62 ,$598.21 ,$239.28 , N/A ,$869.64 ,$239.28 ,$861.30 ,$834.18 ,$938.46 ,$598.21 ,$886.32 ,$256.27 ,$886.32 ,$886.32 ,$938.46 ,$938.46 ,$818.54 ,$861.30 ,$256.27 ,$677.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),36021832,N/A,DO NOT USE SEE 60021832,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36022038,N/A,DO NOT USE,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36022046,N/A,DO NOT USE,410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36022053,92950,CARDIOPULMONARY RESUSCITATION,480,1 ,$131.69 ,$85.60 ,$85.60 ,$598.21 ,$105.35 ,$239.28 ,$104.35 ,$118.59 ,$118.59 ,$454.64 ,$111.94 ,$97.45 ,$598.21 ,$239.28 , N/A ,$109.83 ,$239.28 ,$108.78 ,$105.35 ,$118.52 ,$131.69 ,$111.94 ,$131.69 ,$111.94 ,$111.94 ,$118.52 ,$118.52 ,$103.38 ,$108.78 ,$131.69 ,$85.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),36022061,94761,EXERCISE PULSE OXIMETERY,460,1 ,$113.86 ,$74.01 ,$74.01 ,$102.53 ,$91.09 , N/A ,$90.22 ,$102.53 ,$102.53 , N/A ,$96.78 ,$84.26 , N/A , N/A , N/A ,$94.96 , N/A ,$94.05 ,$91.09 ,$102.47 , N/A ,$96.78 , N/A ,$96.78 ,$96.78 ,$102.47 ,$102.47 ,$89.38 ,$94.05 , N/A ,$74.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),36022062,94762,APNEA LINK OVERNIGHT OXIMETERY,460,1 ,$169.86 ,$110.41 ,$110.41 ,$315.68 ,$135.89 ,$126.27 ,$134.60 ,$152.96 ,$152.96 ,$239.91 ,$144.38 ,$125.70 ,$315.68 ,$126.27 , N/A ,$141.66 ,$126.27 ,$140.30 ,$135.89 ,$152.87 ,$169.86 ,$144.38 ,$135.24 ,$144.38 ,$144.38 ,$152.87 ,$152.87 ,$133.34 ,$140.30 ,$135.24 ,$110.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),36022079,N/A,DO NOT USE SEE 60022079,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36022080,N/A,******INACTIVATED*****,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36040000,N/A,CPAP (May use home unit),410,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36050123,87420,*****DO NOT USE********,306,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36090951,N/A,DO NOT USE SEE 60090951,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36090977,N/A,******INACTIVATED*******,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36090993,N/A,DO NOT USE/ SEE 60020107,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36093015,93017,CARDIOLYTE/AGAPITO,482,1 ,"$2,375.63 ","$1,544.16 ",$239.28 ,"$2,139.25 ","$1,900.50 ",$239.28 ,"$1,882.45 ","$2,139.25 ","$2,139.25 ",$454.64 ,"$2,019.29 ","$1,757.97 ",$598.21 ,$239.28 , N/A ,"$1,981.28 ",$239.28 ,"$1,962.27 ","$1,900.50 ","$2,138.07 ",$598.21 ,"$2,019.29 ",$256.27 ,"$2,019.29 ","$2,019.29 ","$2,138.07 ","$2,138.07 ","$1,864.87 ","$1,962.27 ",$256.27 ,"$1,544.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36093016,93017,CARDIOLYTE/ISLAM,482,1 ,"$2,375.63 ","$1,544.16 ",$239.28 ,"$2,139.25 ","$1,900.50 ",$239.28 ,"$1,882.45 ","$2,139.25 ","$2,139.25 ",$454.64 ,"$2,019.29 ","$1,757.97 ",$598.21 ,$239.28 , N/A ,"$1,981.28 ",$239.28 ,"$1,962.27 ","$1,900.50 ","$2,138.07 ",$598.21 ,"$2,019.29 ",$256.27 ,"$2,019.29 ","$2,019.29 ","$2,138.07 ","$2,138.07 ","$1,864.87 ","$1,962.27 ",$256.27 ,"$1,544.16 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36094644,94644,INHALER IINSTRUCTIN INITIAL,410,1 ,$226.80 ,$147.42 ,$101.30 ,$253.24 ,$181.44 ,$101.30 ,$179.72 ,$204.23 ,$204.23 ,$192.46 ,$192.78 ,$167.83 ,$253.24 ,$101.30 , N/A ,$189.15 ,$101.30 ,$187.34 ,$181.44 ,$204.12 ,$226.80 ,$192.78 ,$108.49 ,$192.78 ,$192.78 ,$204.12 ,$204.12 ,$178.04 ,$187.34 ,$108.49 ,$147.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),36094645,94645,CONT NEBULIZER SUBSQT,410,1 ,$73.15 ,$47.55 ,$47.55 ,$65.87 ,$58.52 , N/A ,$57.96 ,$65.87 ,$65.87 , N/A ,$62.18 ,$54.13 , N/A , N/A , N/A ,$61.01 , N/A ,$60.42 ,$58.52 ,$65.84 , N/A ,$62.18 , N/A ,$62.18 ,$62.18 ,$65.84 ,$65.84 ,$57.42 ,$60.42 , N/A ,$47.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),36094799,94799,TRACH CARE,740,1 ,$265.36 ,$172.48 ,$126.27 ,$315.68 ,$212.29 ,$126.27 ,$210.27 ,$238.96 ,$238.96 ,$239.91 ,$225.56 ,$196.37 ,$315.68 ,$126.27 , N/A ,$221.31 ,$126.27 ,$219.19 ,$212.29 ,$238.82 ,$265.36 ,$225.56 ,$135.24 ,$225.56 ,$225.56 ,$238.82 ,$238.82 ,$208.31 ,$219.19 ,$135.24 ,$172.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),36095810,95810,SLEEP STUDY INCOMPLETE,740,1 ,"$5,495.56 ","$3,572.11 ",$832.29 ,"$4,948.75 ","$4,396.45 ",$832.29 ,"$4,354.68 ","$4,948.75 ","$4,948.75 ","$1,581.35 ","$4,671.23 ","$4,066.71 ","$2,080.72 ",$832.29 , N/A ,"$4,583.30 ",$832.29 ,"$4,539.33 ","$4,396.45 ","$4,946.00 ","$2,080.72 ","$4,671.23 ",$891.38 ,"$4,671.23 ","$4,671.23 ","$4,946.00 ","$4,946.00 ","$4,314.01 ","$4,539.33 ",$891.38 ,"$3,572.11 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36095816,95816,EEG AWAKE AND DROWSY,740,1 ,"$1,042.73 ",$677.77 ,$239.28 ,$938.98 ,$834.18 ,$239.28 ,$826.26 ,$938.98 ,$938.98 ,$454.64 ,$886.32 ,$771.62 ,$598.21 ,$239.28 , N/A ,$869.64 ,$239.28 ,$861.30 ,$834.18 ,$938.46 ,$598.21 ,$886.32 ,$256.27 ,$886.32 ,$886.32 ,$938.46 ,$938.46 ,$818.54 ,$861.30 ,$256.27 ,$677.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),36120923,94060,PULMONARY FUNCTION TEST,460,1 , N/A , N/A ,$239.28 ,$598.21 , N/A ,$239.28 , N/A , N/A , N/A ,$454.64 , N/A , N/A ,$598.21 ,$239.28 , N/A , N/A ,$239.28 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3612093,N/A,<=PULMONARY FUNCTION TEST=>,460,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36121337,93225,HOLTER MONITOR/DR AGAPITO,731,1 ,"$1,855.23 ","$1,205.90 ",$101.30 ,"$1,670.63 ","$1,484.18 ",$101.30 ,"$1,470.08 ","$1,670.63 ","$1,670.63 ",$192.46 ,"$1,576.95 ","$1,372.87 ",$253.24 ,$101.30 , N/A ,"$1,547.26 ",$101.30 ,"$1,532.42 ","$1,484.18 ","$1,669.71 ",$253.24 ,"$1,576.95 ",$108.49 ,"$1,576.95 ","$1,576.95 ","$1,669.71 ","$1,669.71 ","$1,456.36 ","$1,532.42 ",$108.49 ,"$1,205.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36193015,93017,LEXISCAN/AGAPITO,482,1 ,"$2,072.42 ","$1,347.07 ",$239.28 ,"$1,866.21 ","$1,657.94 ",$239.28 ,"$1,642.19 ","$1,866.21 ","$1,866.21 ",$454.64 ,"$1,761.56 ","$1,533.59 ",$598.21 ,$239.28 , N/A ,"$1,728.40 ",$239.28 ,"$1,711.82 ","$1,657.94 ","$1,865.18 ",$598.21 ,"$1,761.56 ",$256.27 ,"$1,761.56 ","$1,761.56 ","$1,865.18 ","$1,865.18 ","$1,626.85 ","$1,711.82 ",$256.27 ,"$1,347.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36193016,93017,LEXISCAN/ISLAM,482,1 ,"$2,072.42 ","$1,347.07 ",$239.28 ,"$1,866.21 ","$1,657.94 ",$239.28 ,"$1,642.19 ","$1,866.21 ","$1,866.21 ",$454.64 ,"$1,761.56 ","$1,533.59 ",$598.21 ,$239.28 , N/A ,"$1,728.40 ",$239.28 ,"$1,711.82 ","$1,657.94 ","$1,865.18 ",$598.21 ,"$1,761.56 ",$256.27 ,"$1,761.56 ","$1,761.56 ","$1,865.18 ","$1,865.18 ","$1,626.85 ","$1,711.82 ",$256.27 ,"$1,347.07 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36220923,94060,PFT WITH METHACHOLINE CHALLENGE,460,1 , N/A , N/A ,$239.28 ,$598.21 , N/A ,$239.28 , N/A , N/A , N/A ,$454.64 , N/A , N/A ,$598.21 ,$239.28 , N/A , N/A ,$239.28 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),36221337,93226,HOLTER MONITOR AGAPITO 48 HR,731,1 ,"$3,710.50 ","$2,411.83 ",$101.30 ,"$3,341.31 ","$2,968.40 ",$101.30 ,"$2,940.20 ","$3,341.31 ","$3,341.31 ",$192.46 ,"$3,153.93 ","$2,745.77 ",$253.24 ,$101.30 , N/A ,"$3,094.56 ",$101.30 ,"$3,064.87 ","$2,968.40 ","$3,339.45 ",$253.24 ,"$3,153.93 ",$108.49 ,"$3,153.93 ","$3,153.93 ","$3,339.45 ","$3,339.45 ","$2,912.74 ","$3,064.87 ",$108.49 ,"$2,411.83 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36293015,93015,PERSANTINE/AGAPITO,482,1 ,"$1,596.38 ","$1,037.65 ","$1,037.65 ","$1,437.54 ","$1,277.10 ", N/A ,"$1,264.97 ","$1,437.54 ","$1,437.54 ", N/A ,"$1,356.92 ","$1,181.32 ", N/A , N/A , N/A ,"$1,331.38 ", N/A ,"$1,318.61 ","$1,277.10 ","$1,436.74 ", N/A ,"$1,356.92 ", N/A ,"$1,356.92 ","$1,356.92 ","$1,436.74 ","$1,436.74 ","$1,253.16 ","$1,318.61 ", N/A ,"$1,037.65 " HSHS GOOD SHEPHERD HOSPITAL (ACU),36321337,93225,HOLTER MONITOR 48 HR,731,1 ,$868.08 ,$564.25 ,$101.30 ,$781.71 ,$694.46 ,$101.30 ,$687.87 ,$781.71 ,$781.71 ,$192.46 ,$737.87 ,$642.38 ,$253.24 ,$101.30 , N/A ,$723.98 ,$101.30 ,$717.03 ,$694.46 ,$781.27 ,$253.24 ,$737.87 ,$108.49 ,$737.87 ,$737.87 ,$781.27 ,$781.27 ,$681.44 ,$717.03 ,$108.49 ,$564.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),37,N/A,NF-BUPROPION SR ORAL 12HR TAB ER 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37000300,300,ANES LESION BACK OR FLANK REMOVAL,370,1 ,$193.92 ,$126.05 ,$126.05 ,$174.63 ,$155.14 , N/A ,$153.66 ,$174.63 ,$174.63 , N/A ,$164.83 ,$143.50 , N/A , N/A , N/A ,$161.73 , N/A ,$160.18 ,$155.14 ,$174.53 , N/A ,$164.83 , N/A ,$164.83 ,$164.83 ,$174.53 ,$174.53 ,$152.23 ,$160.18 , N/A ,$126.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),37000750,750,CRNA FOR UPPER ABD HERNIA,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37001382,1382,CRNA PROCEDURE ON KNEE AND POPLITEAL ARE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37001400,1400,ANES KNEE ARTHROSCOPY,370,1 ,$193.92 ,$126.05 ,$126.05 ,$174.63 ,$155.14 , N/A ,$153.66 ,$174.63 ,$174.63 , N/A ,$164.83 ,$143.50 , N/A , N/A , N/A ,$161.73 , N/A ,$160.18 ,$155.14 ,$174.53 , N/A ,$164.83 , N/A ,$164.83 ,$164.83 ,$174.53 ,$174.53 ,$152.23 ,$160.18 , N/A ,$126.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),37001622,1622,CRNA PROCEDURE ON SHOULDER AND AXILLA,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37010400,400,CRNA PILONIDAL CYST,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37020400,400,CRNA REMOVAL FOREIGN BODY LEG,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37030400,400,CRNA EXCISION MASS RIGHT BUTTOCK,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37040400,400,CRNA EXCISION TOENAIL,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37040725,N/A,******INACTIVATE**********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060103,N/A,****INACTIVATE**********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060319,N/A,*******INACTIVATE**********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060459,N/A,*****INACTIVATE*******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060467,N/A,*****INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060566,N/A,*****INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060608,N/A,ANES SERVICE-UNIT,370,1 ,$193.92 ,$126.05 ,$126.05 ,$174.63 ,$155.14 , N/A ,$153.66 ,$174.63 ,$174.63 , N/A ,$164.83 ,$143.50 , N/A , N/A , N/A ,$161.73 , N/A ,$160.18 ,$155.14 ,$174.53 , N/A ,$164.83 , N/A ,$164.83 ,$164.83 ,$174.53 ,$174.53 ,$152.23 ,$160.18 , N/A ,$126.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),37060624,N/A,******INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060632,N/A,*****INACTIVATE**********0,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060640,N/A,***** INACTIVATE*********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060657,N/A,*****INACTIVATE**********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060665,N/A,******INACTIVATE********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060673,N/A,****INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060699,N/A,*****INACTIVATE*****,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060707,N/A,*****INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060715,N/A,*****INACTIVATE********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060723,N/A,*****INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060731,N/A,******INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060749,N/A,******INACTIVATE*********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060764,N/A,*****INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060772,N/A,SPINAL TRAY,270,1 ,$216.03 ,$140.42 ,$140.42 ,$194.54 ,$172.82 , N/A ,$171.18 ,$194.54 ,$194.54 , N/A ,$183.63 ,$159.86 , N/A , N/A , N/A ,$180.17 , N/A ,$178.44 ,$172.82 ,$194.43 , N/A ,$183.63 , N/A ,$183.63 ,$183.63 ,$194.43 ,$194.43 ,$169.58 ,$178.44 , N/A ,$140.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),37060780,N/A,******INACTIVATE*****,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060798,N/A,******INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060806,N/A,*******INACTIVATE*******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060814,N/A,******INACTIVATE********,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060830,N/A,******INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060848,N/A,******INACTIVATE*******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060863,N/A,******INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37060871,N/A,REGIONAL BLOCK TRAY,270,1 ,$164.77 ,$107.10 ,$107.10 ,$148.38 ,$131.82 , N/A ,$130.56 ,$148.38 ,$148.38 , N/A ,$140.05 ,$121.93 , N/A , N/A , N/A ,$137.42 , N/A ,$136.10 ,$131.82 ,$148.29 , N/A ,$140.05 , N/A ,$140.05 ,$140.05 ,$148.29 ,$148.29 ,$129.34 ,$136.10 , N/A ,$107.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),37060954,N/A,******INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37099100,99100,ANES FOR PNT EXTREME AGE (OVER 70),964,1 ,$184.68 ,$120.04 ,$120.04 ,$166.30 ,$147.74 , N/A ,$146.34 ,$166.30 ,$166.30 , N/A ,$156.98 ,$136.66 , N/A , N/A , N/A ,$154.02 , N/A ,$152.55 ,$147.74 ,$166.21 , N/A ,$156.98 , N/A ,$156.98 ,$156.98 ,$166.21 ,$166.21 ,$144.97 ,$152.55 , N/A ,$120.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100140,140,CRNA PROCEDURE ON EYE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100142,142,CRNA CATARACT LENS,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100406,406,CRNA BOWEL RESECTION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100450,450,CRNA EX ON CLAVICLE AND SCAPULA,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100530,530,CRNA PACEMAKER,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100532,532,CRNA INSERTION TUNNELED CATH,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100548,548,CRNA CHEST TUBE PLACEMENT,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100700,700,CRNA ABDOMINAL PARACENTES,964,1 ,$195.66 ,$127.18 ,$127.18 ,$176.19 ,$156.53 , N/A ,$155.04 ,$176.19 ,$176.19 , N/A ,$166.31 ,$144.79 , N/A , N/A , N/A ,$163.18 , N/A ,$161.62 ,$156.53 ,$176.09 , N/A ,$166.31 , N/A ,$166.31 ,$166.31 ,$176.09 ,$176.09 ,$153.59 ,$161.62 , N/A ,$127.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100851,851,CRNA TUBAL LIGATION/TRANSECTION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100921,921,CRNA VASECTOMY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100926,926,CRNA HYDROCELE/ORCHIECTOMY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37100952,952,CRNA HYSTEROSCOPY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101200,1200,CRNA CLOSED HIP REDUCTION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101210,1210,CRNA EXCISION TUMOR HIP,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101214,1214,CRNA TOTAL HIP ARTHROPLASTY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101230,1230,CRNA ORIF FEMUR/PLATE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101250,1250,CRNA LESION UPPER LEG,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101300,300,CRNA EXC SCALP/HEAD,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101400,1400,CRNA KNEE ARTHROSCOPY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101480,1480,ANES BUNION CORRECTION,370,1 ,$205.47 ,$133.56 ,$133.56 ,$185.03 ,$164.38 , N/A ,$162.81 ,$185.03 ,$185.03 , N/A ,$174.65 ,$152.05 , N/A , N/A , N/A ,$171.36 , N/A ,$169.72 ,$164.38 ,$184.92 , N/A ,$174.65 , N/A ,$174.65 ,$174.65 ,$184.92 ,$184.92 ,$161.29 ,$169.72 , N/A ,$133.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101610,1610,CRNA EXCISION CYST AXILLA,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101620,1620,CRNA SHOULDER JOINT CLOSED PROC,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101710,1710,CRNA EX TUMOR UPPER ARM,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101716,1716,CRNA TENODESIS RUPTURE LONG TENDON BICEP,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101740,1740,CRNA ORIF OLECRANON PROCEDURE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37101830,1830,CRNA ORIF DIST PHALNYX,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37103001,300,CRNA I AND D HEMATOMA,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37111462,1462,CRNA CLOSED PROC LOWER LEG ANKLE FOOT,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37149561,752,CRNA REP INIT INCIS/VENTRAL HERNIA INCAR,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37200404,404,CRNA RADICAL OR MOD RADICAL PROC BREATS,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37200532,532,CRNA INSERTION TUNNELED CATH,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37200534,534,CRNA INSERT PULSE GENERATOR,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37200740,813,CRNA EGD,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37200832,832,CRNA VENTRAL HERNIA LOWER ABDOMEN,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37200860,942,CRNA BLADDER SLING,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37200920,920,CRNA I AND D TESTES OR SCROTUM,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37201462,1462,CRNA EXCISION TOENAIL(S),964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37201630,1630,CRNA ROTATOR CUFF REPAIR,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37201810,1810,CRNA ALL PROC WRIST AND HANDS,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37210400,400,CRNA LESION BREAST,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300164,164,CRNA PROCEDURE ON THE HEAD,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300300,300,CRNA LESION BACK OR FLANK REMOVAL,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300400,11750,EXCISION TOENAIL,360,1 ,$182.96 ,$118.92 ,$118.92 ,$782.32 ,$146.37 ,$312.93 ,$144.98 ,$164.76 ,$164.76 ,$594.57 ,$155.52 ,$135.39 ,$782.32 ,$312.93 , N/A ,$152.59 ,$312.93 ,$151.13 ,$146.37 ,$164.66 ,$182.96 ,$155.52 ,$182.96 ,$155.52 ,$155.52 ,$164.66 ,$164.66 ,$143.62 ,$151.13 ,$182.96 ,$118.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300404,404,CRNA REMOVAL OF BREAST,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300534,534,CRNA PACEMAKER INSERTION/REPLACEMENT,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300740,731,CRNA UPPER GI ENDOSCOPY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300790,790,CRNA LAP CHOLE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300800,800,CRNA EX SOFT TISSUE MASS ABDOMEN,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300810,812,CRNA COLONOSCOPIES,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300830,830,CRNA HERNIA REPAIR W/MESH,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300832,832,CRNA REREPAIR HERNIA INCISIONAL,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300860,860,CRNA CYSTO DILATION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300903,790,CRNA APPENDECTOMY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300920,920,CRNA SPERMATIC CORD LESION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37300940,940,CRNA CONIZATION OF CERVIX,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301382,1382,CRNA PROCEDURE ON THE KNEE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301392,1392,CRNA PROCEDURE OF THE KNEE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301462,1462,CRNA FB - FOOT,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301472,1472,CRNA PROCEDURE BELOW THE KNEE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301480,1480,ANES OPEN PROC ON BONES LOWER LEG/ANKLE/,370,1 ,$193.92 ,$126.05 ,$126.05 ,$174.63 ,$155.14 , N/A ,$153.66 ,$174.63 ,$174.63 , N/A ,$164.83 ,$143.50 , N/A , N/A , N/A ,$161.73 , N/A ,$160.18 ,$155.14 ,$174.53 , N/A ,$164.83 , N/A ,$164.83 ,$164.83 ,$174.53 ,$174.53 ,$152.23 ,$160.18 , N/A ,$126.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301484,1484,CRNA PROCEDURE FOR LOWER LEG,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301622,1622,CRNA PROCEDURE OF THE AXILLA,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301630,1630,CRNA SHOULDER ARTHROPLASTY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301710,1710,CRNA PROCEDURE ON THE UPPER ARM AND ELBO,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37301810,1810,CRNA EXC CYST WRIST,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37400790,790,CRNA DRAIN PERITONEAL CYST,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37400800,800,CRNA LAPROSCOPY ENTEROL,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37400810,810,CRNA LOWER INTES ENDOSCOPIC PROC,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37400830,830,CRNA INGUINAL HERNIA,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37400902,902,CRNA ANORECTAL PROCEDURE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37400940,940,CRNA D AND C,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37401480,1480,CRNA BUNION CORRECTION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37500435,N/A,******INACTIVATE******,370,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),37500800,800,CRNA UMBILICAL EXCISION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37500810,810,CRNA SIGMOIDOSCOPY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37500830,830,CRNA UMBILICAL HERNIA REPAIR,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37500840,840,CRNA BOWEL RESECTION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37500902,902,CRNA I AND D ANORECTAL,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37500940,940,CRNA ENDOMETRIAL ABLATION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37501480,1480,CRNA HAMMERTOE REPAIR,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37600840,840,CRNA HYSTERECTOMY,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37601480,1480,CRNA OPEN PROC ON BONES LOWER LEG/ANKLE,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37700400,400,CRNA EXCISE MASS,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37700840,840,CRNA LAPAROSCOPY ASPIRATION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37701480,1480,CRNA ORIF ANKLE FX,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37800400,400,CRNA INCISION BREAST LESION,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37800840,840,CRNA LAPAROSCOPY LOWER ABDOMEN,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37800902,902,CRNA I AND D ANAL ABCESS,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37900400,400,CRNA NIPPLE BX,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),37900840,840,CRNA LYSIS OF ADHESIONS,964,1 ,$195.68 ,$127.19 ,$127.19 ,$176.21 ,$156.54 , N/A ,$155.06 ,$176.21 ,$176.21 , N/A ,$166.33 ,$144.80 , N/A , N/A , N/A ,$163.20 , N/A ,$161.63 ,$156.54 ,$176.11 , N/A ,$166.33 , N/A ,$166.33 ,$166.33 ,$176.11 ,$176.11 ,$153.61 ,$161.63 , N/A ,$127.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),38,N/A,NF-NEVANAC OPHTHALMIC SUSPENSION 0.1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),3800188,N/A,RIB BELT MALE.SA3812,291,1 ,$41.54 ,$27.00 ,$27.00 ,$37.41 ,$33.23 , N/A ,$32.92 ,$37.41 ,$37.41 , N/A ,$35.31 ,$30.74 , N/A , N/A , N/A ,$34.64 , N/A ,$34.31 ,$33.23 ,$37.39 , N/A ,$35.31 , N/A ,$35.31 ,$35.31 ,$37.39 ,$37.39 ,$32.61 ,$34.31 , N/A ,$27.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),39,N/A,NF-MULTIVITAMIN TABLET,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000000,97003,OT ORDERS,434,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000001,N/A,STAY ACTIVE EXCERCISE,420,1 ,$5.95 ,$3.87 ,$3.87 ,$5.36 ,$4.76 , N/A ,$4.71 ,$5.36 ,$5.36 , N/A ,$5.06 ,$4.40 , N/A , N/A , N/A ,$4.96 , N/A ,$4.91 ,$4.76 ,$5.36 , N/A ,$5.06 , N/A ,$5.06 ,$5.06 ,$5.36 ,$5.36 ,$4.67 ,$4.91 , N/A ,$3.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),39000002,N/A,MASSAGE SESSION .5HR,420,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000003,N/A,MASSAGE SESSION 1HR,420,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000004,N/A,MASSAGE SESSION 45MIN,420,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000005,N/A,MASSAGE SESSION CHAIR 1MIN,420,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000006,N/A,MASSAGE SHIATSU 1.5 HR,420,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000007,N/A,MASSAGE SHIATSU 1 HR,420,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000008,N/A,FACIALS,420,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000009,N/A,SPORTS PREVENT/ENHANCEMENT,420,1 ,$59.54 ,$38.70 ,$38.70 ,$53.62 ,$47.63 , N/A ,$47.18 ,$53.62 ,$53.62 , N/A ,$50.61 ,$44.06 , N/A , N/A , N/A ,$49.66 , N/A ,$49.18 ,$47.63 ,$53.59 , N/A ,$50.61 , N/A ,$50.61 ,$50.61 ,$53.59 ,$53.59 ,$46.74 ,$49.18 , N/A ,$38.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),39000010,97001,PT ORDERS,424,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39000039,N/A,BALANCE SCREENING,420,1 ,$19.38 ,$12.60 ,$12.60 ,$17.45 ,$15.50 , N/A ,$15.36 ,$17.45 ,$17.45 , N/A ,$16.47 ,$14.34 , N/A , N/A , N/A ,$16.16 , N/A ,$16.01 ,$15.50 ,$17.44 , N/A ,$16.47 , N/A ,$16.47 ,$16.47 ,$17.44 ,$17.44 ,$15.21 ,$16.01 , N/A ,$12.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),39000100,N/A,ST ORDERS,444,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39003245,N/A,*******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39009991,N/A,<==ST EVAL/TREAT FOR SWALLOW EVAL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39009992,N/A,<==OT EVAL/TREAT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39009993,N/A,<=CANCEL PT/OT/ST=>,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39009994,N/A,<==ST EVAL/TREAT FOR SPEECH/LANG/COG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39009995,N/A,<==PT EVAL/TREAT FOR WHIRLPOOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39009999,N/A,<==PT EVAL/TREAT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39010001,G8978,PT LIMITED FUNCTION MOBILITY CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010002,G8978,PT LIMITED FUNCTION MOBILITY CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010003,G8978,PT LIMITED FUNCTION MOBILITY CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010004,G8978,PT LIMITED FUNCTION MOBILITY CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010005,G8978,PT LIMITED FUNCTION MOBILITY CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010006,G8978,PT LIMITED FUNCTION MOBILITY CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010007,G8978,PT LIMITED FUNCTION MOBILITY CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010011,G8979,PT LIMITED FUNCTION MOBILITY PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010012,G8979,PT LIMITED FUNCTION MOBILITY PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010013,G8979,PT LIMITED FUNCTION MOBILITY PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010014,G8979,PT LIMITED FUNCTION MOBILITY PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010015,G8979,PT LIMITED FUNCTION MOBILITY PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010016,G8979,PT LIMITED FUNCTION MOBILITY PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010017,G8979,PT LIMITED FUNCTION MOBILITY PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010021,G8980,PT LIMITED FUNCTION MOBILITY DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010022,G8980,PT LIMITED FUNCTION MOBILITY DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010023,G8980,PT LIMITED FUNCTION MOBILITY DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010024,G8980,PT LIMITED FUNCTION MOBILITY DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010025,G8980,PT LIMITED FUNCTION MOBILITY DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010026,G8980,PT LIMITED FUNCTION MOBILITY DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010027,G8980,PT LIMITED FUNCTION MOBILITY DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010031,G8981,PT CHANGING MAINT POSITION CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010032,G8981,PT CHANGING MAINT POSITION CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010033,G8981,PT CHANGING MAINT POSITION CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010034,G8981,PT CHANGING MAINT POSITION CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010035,G8981,PT CHANGING MAINT POSITION CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010036,G8981,PT CHANGING MAINT POSITION CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010037,G8981,PT CHANGING MAINT POSITION CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010041,G8982,PT CHANGING MAINT POSITION PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010042,G8982,PT CHANGING MAINT POSITION PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010043,G8982,PT CHANGING MAINT POSITION PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010044,G8982,PT CHANGING MAINT POSITION PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010045,G8982,PT CHANGING MAINT POSITION PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010046,G8982,PT CHANGING MAINT POSITION PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010047,G8982,PT CHANGING MAINT POSITION PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010051,G8983,PT CHANGING MAINT POSITION DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010052,G8983,PT CHANGING MAINT POSITION DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010053,G8983,PT CHANGING MAINT POSITION DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010054,G8983,PT CHANGING MAINT POSITION DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010055,G8983,PT CHANGING MAINT POSITION DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010056,G8983,PT CHANGING MAINT POSITION DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010057,G8983,PT CHANGING MAINT POSITION DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010061,G8984,PT MOVING AND HANDLING FUNCT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010062,G8984,PT MOVING AND HANDLING FUNCT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010063,G8984,PT MOVING AND HANDLING FUNCT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010064,G8984,PT MOVING AND HANDLING FUNCT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010065,G8984,PT MOVING AND HANDLING FUNCT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010066,G8984,PT MOVING AND HANDLING FUNCT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010067,G8984,PT MOVING AND HANDLING FUNCT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010071,G8985,PT MOVING AND HANDLING PROJECTED GOAL,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010072,G8985,PT MOVING AND HANDLING PROJECTED GOAL,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010073,G8985,PT MOVING AND HANDLING PROJECTED GOAL,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010074,G8985,PT MOVING AND HANDLING PROJECTED GOAL,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010075,G8985,PT MOVING AND HANDLING PROJECTED GOAL,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010076,G8985,PT MOVING AND HANDLING PROJECTED GOAL,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010077,G8985,PT MOVING AND HANDLING PROJECTED GOAL,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010081,G8986,PT MOVING AND HANDLING DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010082,G8986,PT MOVING AND HANDLING DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010083,G8986,PT MOVING AND HANDLING DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010084,G8986,PT MOVING AND HANDLING DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010085,G8986,PT MOVING AND HANDLING DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010086,G8986,PT MOVING AND HANDLING DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010087,G8986,PT MOVING AND HANDLING DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010100,G8987,SELF CARE FUNC CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010101,G8987,SELF CARE FUNC CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010102,G8987,SELF CARE FUNC CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010103,G8987,SELF CARE FUNC CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010104,G8987,SELF CARE FUNC CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010105,G8987,SELF CARE FUNC CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010106,G8987,SELF CARE FUNC CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010200,G8988,SELF CARE FUNC PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010201,G8988,SELF CARE FUNC PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010202,G8988,SELF CARE FUNC PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010203,G8988,SELF CARE FUNC PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010204,G8988,SELF CARE FUNC PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010205,G8988,SELF CARE FUNC PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010206,G8988,SELF CARE FUNC PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010300,G8989,SELF CARE FUNC DISCHARGE,424,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010301,G8989,SELF CARE FUNC DISCHARGE,424,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010302,G8989,SELF CARE FUNC DISCHARGE,424,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010303,G8989,SELF CARE FUNC DISCHARGE,424,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010304,G8989,SELF CARE FUNC DISCHARGE,424,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010305,G8989,SELF CARE FUNC DISCHARGE,424,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010306,G8989,SELF CARE FUNC DISCHARGE,424,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010400,G8990,PT FUNCTION LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010401,G8990,PT FUNCTION LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010402,G8990,PT FUNCTION LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010403,G8990,PT FUNCTION LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010404,G8990,PT FUNCTION LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010405,G8990,PT FUNCTION LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010406,G8990,PT FUNCTION LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010500,G8991,PT FUNCTION LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010501,G8991,PT FUNCTION LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010502,G8991,PT FUNCTION LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010503,G8991,PT FUNCTION LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010504,G8991,PT FUNCTION LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010505,G8991,PT FUNCTION LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010506,G8991,PT FUNCTION LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010600,G8992,PT FUNCTION LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010601,G8992,PT FUNCTION LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010602,G8992,PT FUNCTION LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010603,G8992,PT FUNCTION LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010604,G8992,PT FUNCTION LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010605,G8992,PT FUNCTION LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010606,G8992,PT FUNCTION LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010700,G8993,PT SUBSQ FUNC LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010701,G8993,PT SUBSQ FUNC LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010702,G8993,PT SUBSQ FUNC LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010703,G8993,PT SUBSQ FUNC LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010704,G8993,PT SUBSQ FUNC LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010705,G8993,PT SUBSQ FUNC LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010706,G8993,PT SUBSQ FUNC LIMIT CURRENT,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010800,G8994,PT SUBSQ FUNC LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010801,G8994,PT SUBSQ FUNC LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010802,G8994,PT SUBSQ FUNC LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010803,G8994,PT SUBSQ FUNC LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010804,G8994,PT SUBSQ FUNC LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010805,G8994,PT SUBSQ FUNC LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010806,G8994,PT SUBSQ FUNC LIMIT PROJECTED,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010900,G8995,PT SUBSQ FUNC LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010901,G8995,PT SUBSQ FUNC LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010902,G8995,PT SUBSQ FUNC LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010903,G8995,PT SUBSQ FUNC LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010904,G8995,PT SUBSQ FUNC LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010905,G8995,PT SUBSQ FUNC LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39010906,G8995,PT SUBSQ FUNC LIMIT DISCHARGE,420,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39011908,97003,OT EVALUATION,434,1 ,$216.41 ,$140.67 ,$140.67 ,$194.88 ,$173.13 , N/A ,$171.48 ,$194.88 ,$194.88 , N/A ,$183.95 ,$160.14 , N/A , N/A , N/A ,$180.49 , N/A ,$178.75 ,$173.13 ,$194.77 , N/A ,$183.95 , N/A ,$183.95 ,$183.95 ,$194.77 ,$194.77 ,$169.88 ,$178.75 , N/A ,$140.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),39011916,97110,OT 15 MIN,431,1 ,$141.60 ,$92.04 ,$29.26 ,$127.51 ,$113.28 ,$29.26 ,$112.20 ,$127.51 ,$127.51 ,$55.59 ,$120.36 ,$104.78 ,$73.15 ,$29.26 , N/A ,$118.09 ,$29.26 ,$116.96 ,$113.28 ,$127.44 ,$73.15 ,$120.36 ,$29.26 ,$120.36 ,$120.36 ,$127.44 ,$127.44 ,$111.16 ,$116.96 ,$29.26 ,$92.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),39012021,97004,OT RE EVAL,431,1 ,$106.97 ,$69.53 ,$69.53 ,$96.33 ,$85.58 , N/A ,$84.76 ,$96.33 ,$96.33 , N/A ,$90.92 ,$79.16 , N/A , N/A , N/A ,$89.21 , N/A ,$88.36 ,$85.58 ,$96.27 , N/A ,$90.92 , N/A ,$90.92 ,$90.92 ,$96.27 ,$96.27 ,$83.97 ,$88.36 , N/A ,$69.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),39012104,97535,PT ADL,420,1 ,$132.86 ,$86.36 ,$32.44 ,$119.64 ,$106.29 ,$32.44 ,$105.28 ,$119.64 ,$119.64 ,$61.64 ,$112.93 ,$98.32 ,$81.10 ,$32.44 , N/A ,$110.81 ,$32.44 ,$109.74 ,$106.29 ,$119.57 ,$81.10 ,$112.93 ,$32.44 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$32.44 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39012106,N/A,*******DEACTIVATED******0,999,1 ,$105.19 ,$68.37 ,$68.37 ,$94.72 ,$84.15 , N/A ,$83.35 ,$94.72 ,$94.72 , N/A ,$89.41 ,$77.84 , N/A , N/A , N/A ,$87.73 , N/A ,$86.89 ,$84.15 ,$94.67 , N/A ,$89.41 , N/A ,$89.41 ,$89.41 ,$94.67 ,$94.67 ,$82.57 ,$86.89 , N/A ,$68.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),39019991,N/A,SWALLOW EVALUATION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39019992,N/A,"OCCUPATIONAL THERAPY, EVALUATE AND TREAT",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39019994,N/A,SPEECH EVALUATION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39019999,N/A,"PHYSICAL THERAPY, EVALUATE AND TREAT",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39020000,G8978,OT LIMITED FUNCTION MOBILITY CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020001,G8978,OT LIMITED FUNCTION MOBILITY CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020002,G8978,OT LIMITED FUNCTION MOBILITY CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020003,G8978,OT LIMITED FUNCTION MOBILITY CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020004,G8978,OT LIMITED FUNCTION MOBILITY CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020005,G8978,OT LIMITED FUNCTION MOBILITY CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020006,G8978,OT LIMITED FUNCTION MOBILITY CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020010,G8979,OT LIMITED FUNCTION MOBILITY PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020011,G8979,OT LIMITED FUNCTION MOBILITY PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020012,G8979,OT LIMITED FUNCTION MOBILITY PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020013,G8979,OT LIMITED FUNCTION MOBILITY PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020014,G8979,OT LIMITED FUNCTION MOBILITY PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020015,G8979,OT LIMITED FUNCTION MOBILITY PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020016,G8979,OT LIMITED FUNCTION MOBILITY PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020020,G8980,OT LIMITED FUNCTION MOBILITY DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020021,G8980,OT LIMITED FUNCTION MOBILITY DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020022,G8980,OT LIMITED FUNCTION MOBILITY DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020023,G8980,OT LIMITED FUNCTION MOBILITY DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020024,G8980,OT LIMITED FUNCTION MOBILITY DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020025,G8980,OT LIMITED FUNCTION MOBILITY DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020026,G8980,OT LIMITED FUNCTION MOBILITY DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020030,G8981,OT CHANGING MAINT POSITION CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020031,G8981,OT CHANGING MAINT POSITION CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020032,G8981,OT CHANGING MAINT POSITION CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020033,G8981,OT CHANGING MAINT POSITION CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020034,G8981,OT CHANGING MAINT POSITION CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020035,G8981,OT CHANGING MAINT POSITION CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020036,G8981,OT CHANGING MAINT POSITION CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020040,G8982,OT CHANGING MAINT POSITION PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020041,G8982,OT CHANGING MAINT POSITION PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020042,G8982,OT CHANGING MAINT POSITION PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020043,G8982,OT CHANGING MAINT POSITION PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020044,G8982,OT CHANGING MAINT POSITION PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020045,G8982,OT CHANGING MAINT POSITION PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020046,G8982,OT CHANGING MAINT POSITION PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020050,G8983,OT CHANGING MAINT POSITION DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020051,G8983,OT CHANGING MAINT POSITION DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020052,G8983,OT CHANGING MAINT POSITION DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020053,G8983,OT CHANGING MAINT POSITION DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020054,G8983,OT CHANGING MAINT POSITION DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020055,G8983,OT CHANGING MAINT POSITION DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020056,G8983,OT CHANGING MAINT POSITION DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020060,G8984,"OT CARRYING, MOVING AND HANDLING CURRENT",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020061,G8984,"OT CARRYING, MOVING AND HANDLING CURRENT",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020062,G8984,"OT CARRYING, MOVING AND HANDLING CURRENT",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020063,G8984,"OT CARRYING, MOVING AND HANDLING CURRENT",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020064,G8984,"OT CARRYING, MOVING AND HANDLING CURRENT",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020065,G8984,"OT CARRYING, MOVING AND HANDLING CURRENT",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020066,G8984,"OT CARRYING, MOVING AND HANDLING CURRENT",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020070,G8985,"OT CARRYING, MOVING AND HANDLING PROJECTED",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020071,G8985,"OT CARRYING, MOVING AND HANDLING PROJECTED",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020072,G8985,"OT CARRYING, MOVING AND HANDLING PROJECTED",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020073,G8985,"OT CARRYING, MOVING AND HANDLING PROJECTED",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020074,G8985,"OT CARRYING, MOVING AND HANDLING PROJECTED",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020075,G8985,"OT CARRYING, MOVING AND HANDLING PROJECTED",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020076,G8985,"OT CARRYING, MOVING AND HANDLING PROJECTED",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020080,G8986,"OT CARRYING, MOVING AND HANDLING DISCHARGE",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020081,G8986,"OT CARRYING, MOVING AND HANDLING DISCHARGE",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020082,G8986,"OT CARRYING, MOVING AND HANDLING DISCHARGE",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020083,G8986,"OT CARRYING, MOVING AND HANDLING DISCHARGE",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020084,G8986,"OT CARRYING, MOVING AND HANDLING DISCHARGE",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020085,G8986,"OT CARRYING, MOVING AND HANDLING DISCHARGE",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020086,G8986,"OT CARRYING, MOVING AND HANDLING DISCHARGE",431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020100,G8987,OT SELF CARE FUNC CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020101,G8987,OT SELF CARE FUNC CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020102,G8987,OT SELF CARE FUNC CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020103,G8987,OT SELF CARE FUNC CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020104,G8987,OT SELF CARE FUNC CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020105,G8987,OT SELF CARE FUNC CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020106,G8987,OT SELF CARE FUNC CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020200,G8988,OT SELF CARE FUNC PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020201,G8988,OT SELF CARE FUNC PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020202,G8988,OT SELF CARE FUNC PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020203,G8988,OT SELF CARE FUNC PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020204,G8988,OT SELF CARE FUNC PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020205,G8988,OT SELF CARE FUNC PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020206,G8988,OT SELF CARE FUNC PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020300,G8989,OT SELF CARE FUNC DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020301,G8989,OT SELF CARE FUNC DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020302,G8989,OT SELF CARE FUNC DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020303,G8989,OT SELF CARE FUNC DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020304,G8989,OT SELF CARE FUNC DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020305,G8989,OT SELF CARE FUNC DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020306,G8989,OT SELF CARE FUNC DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020400,G8990,OT FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020401,G8990,OT FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020402,G8990,OT FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020403,G8990,OT FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020404,G8990,OT FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020405,G8990,OT FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020406,G8990,OT FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020500,G8991,OT FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020501,G8991,OT FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020502,G8991,OT FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020503,G8991,OT FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020504,G8991,OT FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020505,G8991,OT FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020506,G8991,OT FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020600,G8992,OT FUNCTION LIMIT DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020601,G8992,OT FUNCTION LIMIT DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020602,G8992,OT FUNCTION LIMIT DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020603,G8992,OT FUNCTION LIMIT DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020604,G8992,OT FUNCTION LIMIT DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020605,G8992,OT FUNCTION LIMIT DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020606,G8992,OT FUNCTION LIMIT DISCHARGE,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020700,G8993,OT SUBSQ FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020701,G8993,OT SUBSQ FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020702,G8993,OT SUBSQ FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020703,G8993,OT SUBSQ FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020704,G8993,OT SUBSQ FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020705,G8993,OT SUBSQ FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020706,G8993,OT SUBSQ FUNCTION LIMIT CURRENT,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020800,G8994,OT SUBSQ FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020801,G8994,OT SUBSQ FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020802,G8994,OT SUBSQ FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020803,G8994,OT SUBSQ FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020804,G8994,OT SUBSQ FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020805,G8994,OT SUBSQ FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020806,G8994,OT SUBSQ FUNCTION LIMIT PROJECTED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020900,G8995,OT SUBSQ FUNCTION LIMIT DISCHARGED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020901,G8995,OT SUBSQ FUNCTION LIMIT DISCHARGED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020902,G8995,OT SUBSQ FUNCTION LIMIT DISCHARGED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020903,G8995,OT SUBSQ FUNCTION LIMIT DISCHARGED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020904,G8995,OT SUBSQ FUNCTION LIMIT DISCHARGED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020905,G8995,OT SUBSQ FUNCTION LIMIT DISCHARGED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39020906,G8995,OT SUBSQ FUNCTION LIMIT DISCHARGED,431,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39040790,N/A,******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39064550,64550,OT TENS APPLICATION,431,1 ,$83.29 ,$54.14 ,$54.14 ,$75.00 ,$66.63 , N/A ,$66.00 ,$75.00 ,$75.00 , N/A ,$70.80 ,$61.63 , N/A , N/A , N/A ,$69.46 , N/A ,$68.80 ,$66.63 ,$74.96 , N/A ,$70.80 , N/A ,$70.80 ,$70.80 ,$74.96 ,$74.96 ,$65.38 ,$68.80 , N/A ,$54.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070030,N/A,BACITRACIN ZINC OINT,637,1 ,$18.98 ,$12.34 ,$12.34 ,$18.98 ,$15.18 , N/A ,$15.04 ,$17.09 ,$17.09 , N/A ,$16.13 ,$14.05 , N/A , N/A , N/A ,$15.83 , N/A ,$15.68 ,$15.18 ,$17.08 ,$18.98 ,$16.13 , N/A ,$16.13 ,$16.13 ,$17.08 ,$17.08 ,$14.90 ,$15.68 , N/A ,$12.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070060,97035,PT ULTRASOUND/15MIN,420,1 ,$132.86 ,$86.36 ,$14.10 ,$119.64 ,$106.29 ,$14.10 ,$105.28 ,$119.64 ,$119.64 ,$26.79 ,$112.93 ,$98.32 ,$35.25 ,$14.10 , N/A ,$110.81 ,$14.10 ,$109.74 ,$106.29 ,$119.57 ,$35.25 ,$112.93 ,$14.10 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$14.10 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070065,97035,OT ULTRASOUND/15MIN,431,1 ,$132.86 ,$86.36 ,$14.10 ,$119.64 ,$106.29 ,$14.10 ,$105.28 ,$119.64 ,$119.64 ,$26.79 ,$112.93 ,$98.32 ,$35.25 ,$14.10 , N/A ,$110.81 ,$14.10 ,$109.74 ,$106.29 ,$119.57 ,$35.25 ,$112.93 ,$14.10 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$14.10 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070086,97110,PT PHONOPHORESIS/15MIN,420,1 ,$165.81 ,$107.78 ,$29.26 ,$149.31 ,$132.65 ,$29.26 ,$131.39 ,$149.31 ,$149.31 ,$55.59 ,$140.94 ,$122.70 ,$73.15 ,$29.26 , N/A ,$138.29 ,$29.26 ,$136.96 ,$132.65 ,$149.23 ,$73.15 ,$140.94 ,$29.26 ,$140.94 ,$140.94 ,$149.23 ,$149.23 ,$130.16 ,$136.96 ,$29.26 ,$107.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070094,N/A,*****DEACTIVATED******0,999,1 ,$157.73 ,$102.52 ,$102.52 ,$142.04 ,$126.18 , N/A ,$124.99 ,$142.04 ,$142.04 , N/A ,$134.07 ,$116.72 , N/A , N/A , N/A ,$131.55 , N/A ,$130.29 ,$126.18 ,$141.96 , N/A ,$134.07 , N/A ,$134.07 ,$134.07 ,$141.96 ,$141.96 ,$123.82 ,$130.29 , N/A ,$102.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070120,N/A,**********INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070128,N/A,*******DEACTIVATED******,999,1 ,$180.89 ,$117.58 ,$117.58 ,$162.89 ,$144.71 , N/A ,$143.34 ,$162.89 ,$162.89 , N/A ,$153.76 ,$133.86 , N/A , N/A , N/A ,$150.86 , N/A ,$149.42 ,$144.71 ,$162.80 , N/A ,$153.76 , N/A ,$153.76 ,$153.76 ,$162.80 ,$162.80 ,$142.00 ,$149.42 , N/A ,$117.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070130,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070140,N/A,KNEE BRACE HINGED XL,292,1 ,$255.78 ,$166.26 ,$166.26 ,$230.33 ,$204.62 , N/A ,$202.68 ,$230.33 ,$230.33 , N/A ,$217.41 ,$189.28 , N/A , N/A , N/A ,$213.32 , N/A ,$211.27 ,$204.62 ,$230.20 , N/A ,$217.41 , N/A ,$217.41 ,$217.41 ,$230.20 ,$230.20 ,$200.79 ,$211.27 , N/A ,$166.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070165,N/A,********INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070169,97124,PT MASSAGE/15MIN,420,1 ,$114.08 ,$74.15 ,$28.22 ,$102.73 ,$91.26 ,$28.22 ,$90.40 ,$102.73 ,$102.73 ,$53.62 ,$96.97 ,$84.42 ,$70.55 ,$28.22 , N/A ,$95.14 ,$28.22 ,$94.23 ,$91.26 ,$102.67 ,$70.55 ,$96.97 ,$28.22 ,$96.97 ,$96.97 ,$102.67 ,$102.67 ,$89.55 ,$94.23 ,$28.22 ,$74.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070185,97110,PT THERAPEUTIC EXERCISE/15MIN,420,1 ,$132.86 ,$86.36 ,$29.26 ,$119.64 ,$106.29 ,$29.26 ,$105.28 ,$119.64 ,$119.64 ,$55.59 ,$112.93 ,$98.32 ,$73.15 ,$29.26 , N/A ,$110.81 ,$29.26 ,$109.74 ,$106.29 ,$119.57 ,$73.15 ,$112.93 ,$29.26 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$29.26 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070235,97116,PT GAIT TRAINING/15MIN,420,1 ,$124.52 ,$80.94 ,$29.26 ,$112.13 ,$99.62 ,$29.26 ,$98.67 ,$112.13 ,$112.13 ,$55.59 ,$105.84 ,$92.14 ,$73.15 ,$29.26 , N/A ,$103.85 ,$29.26 ,$102.85 ,$99.62 ,$112.07 ,$73.15 ,$105.84 ,$29.26 ,$105.84 ,$105.84 ,$112.07 ,$112.07 ,$97.75 ,$102.85 ,$29.26 ,$80.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070243,97010,PT HOT PACK,420,1 ,$136.95 ,$89.02 ,$89.02 ,$123.32 ,$109.56 , N/A ,$108.52 ,$123.32 ,$123.32 , N/A ,$116.41 ,$101.34 , N/A , N/A , N/A ,$114.22 , N/A ,$113.12 ,$109.56 ,$123.26 , N/A ,$116.41 , N/A ,$116.41 ,$116.41 ,$123.26 ,$123.26 ,$107.51 ,$113.12 , N/A ,$89.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070250,97012,PT TRACTION,420,1 ,$149.57 ,$97.22 ,$14.55 ,$134.69 ,$119.66 ,$14.55 ,$118.52 ,$134.69 ,$134.69 ,$27.65 ,$127.13 ,$110.68 ,$36.38 ,$14.55 , N/A ,$124.74 ,$14.55 ,$123.54 ,$119.66 ,$134.61 ,$36.38 ,$127.13 ,$14.55 ,$127.13 ,$127.13 ,$134.61 ,$134.61 ,$117.41 ,$123.54 ,$14.55 ,$97.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070284,97034,PT CONTRAST BATH/15MIN,420,1 ,$165.81 ,$107.78 ,$14.42 ,$149.31 ,$132.65 ,$14.42 ,$131.39 ,$149.31 ,$149.31 ,$27.40 ,$140.94 ,$122.70 ,$36.05 ,$14.42 , N/A ,$138.29 ,$14.42 ,$136.96 ,$132.65 ,$149.23 ,$36.05 ,$140.94 ,$14.42 ,$140.94 ,$140.94 ,$149.23 ,$149.23 ,$130.16 ,$136.96 ,$14.42 ,$107.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070302,N/A,*******INACTIVATED********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070303,N/A,*******INACTIVATED********,999,1 ,$111.56 ,$72.51 ,$72.51 ,$100.46 ,$89.25 , N/A ,$88.40 ,$100.46 ,$100.46 , N/A ,$94.83 ,$82.55 , N/A , N/A , N/A ,$93.04 , N/A ,$92.15 ,$89.25 ,$100.40 , N/A ,$94.83 , N/A ,$94.83 ,$94.83 ,$100.40 ,$100.40 ,$87.57 ,$92.15 , N/A ,$72.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070326,97001,PT PAT EVALUATION,424,1 ,$228.35 ,$148.43 ,$148.43 ,$205.63 ,$182.68 , N/A ,$180.94 ,$205.63 ,$205.63 , N/A ,$194.10 ,$168.98 , N/A , N/A , N/A ,$190.44 , N/A ,$188.62 ,$182.68 ,$205.52 , N/A ,$194.10 , N/A ,$194.10 ,$194.10 ,$205.52 ,$205.52 ,$179.25 ,$188.62 , N/A ,$148.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070334,N/A,******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070336,N/A,********INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070337,N/A,********INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070340,N/A,*******INACTIVATE******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070375,N/A,*****INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070410,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070420,N/A,********INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070430,N/A,*******INACTIVATED********,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070499,97602,PT DEBRIDEMENT NON-SELECTIVE,420,1 ,$101.80 ,$66.17 ,$66.17 ,$91.67 ,$81.44 , N/A ,$80.67 ,$91.67 ,$91.67 , N/A ,$86.53 ,$75.33 , N/A , N/A , N/A ,$84.90 , N/A ,$84.09 ,$81.44 ,$91.62 , N/A ,$86.53 , N/A ,$86.53 ,$86.53 ,$91.62 ,$91.62 ,$79.91 ,$84.09 , N/A ,$66.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070521,97140,OT/OTA MANUAL THERAPY,431,1 ,$114.08 ,$74.15 ,$26.97 ,$102.73 ,$91.26 ,$26.97 ,$90.40 ,$102.73 ,$102.73 ,$51.24 ,$96.97 ,$84.42 ,$67.43 ,$26.97 , N/A ,$95.14 ,$26.97 ,$94.23 ,$91.26 ,$102.67 ,$67.43 ,$96.97 ,$26.97 ,$96.97 ,$96.97 ,$102.67 ,$102.67 ,$89.55 ,$94.23 ,$26.97 ,$74.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070525,97022,PT WHIRLPOOL,420,1 ,$318.98 ,$207.34 ,$17.16 ,$287.24 ,$255.18 ,$17.16 ,$252.76 ,$287.24 ,$287.24 ,$32.60 ,$271.13 ,$236.05 ,$42.90 ,$17.16 , N/A ,$266.03 ,$17.16 ,$263.48 ,$255.18 ,$287.08 ,$42.90 ,$271.13 ,$17.16 ,$271.13 ,$271.13 ,$287.08 ,$287.08 ,$250.40 ,$263.48 ,$17.16 ,$207.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070530,N/A,KNEE BRACE PLUMB MLG,292,1 ,$225.79 ,$146.76 ,$146.76 ,$203.32 ,$180.63 , N/A ,$178.92 ,$203.32 ,$203.32 , N/A ,$191.92 ,$167.08 , N/A , N/A , N/A ,$188.31 , N/A ,$186.50 ,$180.63 ,$203.21 , N/A ,$191.92 , N/A ,$191.92 ,$191.92 ,$203.21 ,$203.21 ,$177.25 ,$186.50 , N/A ,$146.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070540,N/A,********INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070573,N/A,******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070599,97014,PT E-STIM UNATT,420,1 ,$138.54 ,$90.05 ,$90.05 ,$124.76 ,$110.83 , N/A ,$109.78 ,$124.76 ,$124.76 , N/A ,$117.76 ,$102.52 , N/A , N/A , N/A ,$115.54 , N/A ,$114.43 ,$110.83 ,$124.69 , N/A ,$117.76 , N/A ,$117.76 ,$117.76 ,$124.69 ,$124.69 ,$108.75 ,$114.43 , N/A ,$90.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070656,N/A,******DEACTIVATED******0,999,1 ,$238.08 ,$154.75 ,$154.75 ,$214.39 ,$190.46 , N/A ,$188.65 ,$214.39 ,$214.39 , N/A ,$202.37 ,$176.18 , N/A , N/A , N/A ,$198.56 , N/A ,$196.65 ,$190.46 ,$214.27 , N/A ,$202.37 , N/A ,$202.37 ,$202.37 ,$214.27 ,$214.27 ,$186.89 ,$196.65 , N/A ,$154.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070664,N/A,*******DEACTIVATED******0,999,1 ,$252.63 ,$164.21 ,$164.21 ,$227.49 ,$202.10 , N/A ,$200.18 ,$227.49 ,$227.49 , N/A ,$214.74 ,$186.95 , N/A , N/A , N/A ,$210.69 , N/A ,$208.67 ,$202.10 ,$227.37 , N/A ,$214.74 , N/A ,$214.74 ,$214.74 ,$227.37 ,$227.37 ,$198.31 ,$208.67 , N/A ,$164.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070670,97545,OT WORK HARD INIT 2HR,431,1 ,$243.55 ,$158.31 ,$158.31 ,$219.32 ,$194.84 , N/A ,$192.99 ,$219.32 ,$219.32 , N/A ,$207.02 ,$180.23 , N/A , N/A , N/A ,$203.12 , N/A ,$201.17 ,$194.84 ,$219.20 , N/A ,$207.02 , N/A ,$207.02 ,$207.02 ,$219.20 ,$219.20 ,$191.19 ,$201.17 , N/A ,$158.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070672,97545,PT WORK HARD INIT 2HR,420,1 ,$243.55 ,$158.31 ,$158.31 ,$219.32 ,$194.84 , N/A ,$192.99 ,$219.32 ,$219.32 , N/A ,$207.02 ,$180.23 , N/A , N/A , N/A ,$203.12 , N/A ,$201.17 ,$194.84 ,$219.20 , N/A ,$207.02 , N/A ,$207.02 ,$207.02 ,$219.20 ,$219.20 ,$191.19 ,$201.17 , N/A ,$158.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070685,97750,OT FCE/15MIN,431,1 ,$114.08 ,$74.15 ,$33.07 ,$102.73 ,$91.26 ,$33.07 ,$90.40 ,$102.73 ,$102.73 ,$62.83 ,$96.97 ,$84.42 ,$82.68 ,$33.07 , N/A ,$95.14 ,$33.07 ,$94.23 ,$91.26 ,$102.67 ,$82.68 ,$96.97 ,$33.07 ,$96.97 ,$96.97 ,$102.67 ,$102.67 ,$89.55 ,$94.23 ,$33.07 ,$74.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070706,97039,PT PULSAVAC,420,1 ,$482.40 ,$313.56 ,$217.08 ,$434.40 ,$385.92 , N/A ,$382.25 ,$434.40 ,$434.40 ,$217.08 ,$410.04 ,$356.98 ,$337.68 , N/A , N/A ,$402.32 , N/A ,$398.46 ,$385.92 ,$434.16 , N/A ,$410.04 , N/A ,$410.04 ,$410.04 ,$434.16 ,$434.16 ,$378.68 ,$398.46 , N/A ,$313.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070714,97545,PT WORK CONDITIONING,420,1 ,$243.55 ,$158.31 ,$158.31 ,$219.32 ,$194.84 , N/A ,$192.99 ,$219.32 ,$219.32 , N/A ,$207.02 ,$180.23 , N/A , N/A , N/A ,$203.12 , N/A ,$201.17 ,$194.84 ,$219.20 , N/A ,$207.02 , N/A ,$207.02 ,$207.02 ,$219.20 ,$219.20 ,$191.19 ,$201.17 , N/A ,$158.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070748,97032,PT E-STIM ATT,420,1 ,$172.08 ,$111.85 ,$14.55 ,$154.96 ,$137.66 ,$14.55 ,$136.36 ,$154.96 ,$154.96 ,$27.65 ,$146.27 ,$127.34 ,$36.38 ,$14.55 , N/A ,$143.51 ,$14.55 ,$142.14 ,$137.66 ,$154.87 ,$36.38 ,$146.27 ,$14.55 ,$146.27 ,$146.27 ,$154.87 ,$154.87 ,$135.08 ,$142.14 ,$14.55 ,$111.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070763,97761,PT PROSTHETIC TRAINING/15MIN,420,1 ,$132.86 ,$86.36 ,$40.55 ,$119.64 ,$106.29 ,$40.55 ,$105.28 ,$119.64 ,$119.64 ,$77.05 ,$112.93 ,$98.32 ,$101.38 ,$40.55 , N/A ,$110.81 ,$40.55 ,$109.74 ,$106.29 ,$119.57 ,$101.38 ,$112.93 ,$40.55 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$40.55 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070789,97112,PT NEUROMUSC RE-ED 15MIN,420,1 ,$132.86 ,$86.36 ,$33.86 ,$119.64 ,$106.29 ,$33.86 ,$105.28 ,$119.64 ,$119.64 ,$64.33 ,$112.93 ,$98.32 ,$84.65 ,$33.86 , N/A ,$110.81 ,$33.86 ,$109.74 ,$106.29 ,$119.57 ,$84.65 ,$112.93 ,$33.86 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$33.86 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070790,97039,OT UNLIST MOD-DIRECT CONT,431,1 ,$149.57 ,$97.22 ,$67.31 ,$134.69 ,$119.66 , N/A ,$118.52 ,$134.69 ,$134.69 ,$67.31 ,$127.13 ,$110.68 ,$104.70 , N/A , N/A ,$124.74 , N/A ,$123.54 ,$119.66 ,$134.61 , N/A ,$127.13 , N/A ,$127.13 ,$127.13 ,$134.61 ,$134.61 ,$117.41 ,$123.54 , N/A ,$97.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070800,N/A,*******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070805,97546,PT WORK HARD EA ADD HR,420,1 ,$121.87 ,$79.22 ,$79.22 ,$109.74 ,$97.50 , N/A ,$96.57 ,$109.74 ,$109.74 , N/A ,$103.59 ,$90.18 , N/A , N/A , N/A ,$101.64 , N/A ,$100.66 ,$97.50 ,$109.68 , N/A ,$103.59 , N/A ,$103.59 ,$103.59 ,$109.68 ,$109.68 ,$95.67 ,$100.66 , N/A ,$79.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070813,N/A,PULLEY SYSTEM,270,1 ,$70.62 ,$45.90 ,$45.90 ,$63.59 ,$56.50 , N/A ,$55.96 ,$63.59 ,$63.59 , N/A ,$60.03 ,$52.26 , N/A , N/A , N/A ,$58.90 , N/A ,$58.33 ,$56.50 ,$63.56 , N/A ,$60.03 , N/A ,$60.03 ,$60.03 ,$63.56 ,$63.56 ,$55.44 ,$58.33 , N/A ,$45.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070821,97002,PT PAT RE-EVAL,420,1 ,$132.86 ,$86.36 ,$86.36 ,$119.64 ,$106.29 , N/A ,$105.28 ,$119.64 ,$119.64 , N/A ,$112.93 ,$98.32 , N/A , N/A , N/A ,$110.81 , N/A ,$109.74 ,$106.29 ,$119.57 , N/A ,$112.93 , N/A ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 , N/A ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070870,97033,PT IONTO,420,1 ,$182.77 ,$118.80 ,$19.67 ,$164.58 ,$146.22 ,$19.67 ,$144.83 ,$164.58 ,$164.58 ,$37.37 ,$155.35 ,$135.25 ,$49.18 ,$19.67 , N/A ,$152.43 ,$19.67 ,$150.97 ,$146.22 ,$164.49 ,$49.18 ,$155.35 ,$19.67 ,$155.35 ,$155.35 ,$164.49 ,$164.49 ,$143.47 ,$150.97 ,$19.67 ,$118.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070888,97799,PT UNLISTED REHAB SERV,420,1 ,$132.86 ,$86.36 ,$59.79 ,$119.64 ,$106.29 , N/A ,$105.28 ,$119.64 ,$119.64 ,$59.79 ,$112.93 ,$98.32 ,$93.00 , N/A , N/A ,$110.81 , N/A ,$109.74 ,$106.29 ,$119.57 , N/A ,$112.93 , N/A ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 , N/A ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070898,97750,OT PHYS PERF TEST/15MIN,431,1 ,$132.86 ,$86.36 ,$33.07 ,$119.64 ,$106.29 ,$33.07 ,$105.28 ,$119.64 ,$119.64 ,$62.83 ,$112.93 ,$98.32 ,$82.68 ,$33.07 , N/A ,$110.81 ,$33.07 ,$109.74 ,$106.29 ,$119.57 ,$82.68 ,$112.93 ,$33.07 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$33.07 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070900,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070904,97762,PT CHECKOUT ORT/PRO/15MIN,420,1 ,$132.86 ,$86.36 ,$86.36 ,$119.64 ,$106.29 , N/A ,$105.28 ,$119.64 ,$119.64 , N/A ,$112.93 ,$98.32 , N/A , N/A , N/A ,$110.81 , N/A ,$109.74 ,$106.29 ,$119.57 , N/A ,$112.93 , N/A ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 , N/A ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070905,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070910,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070912,97542,PT WHEELCHAIR MANAGEMENT/15MIN,420,1 ,$106.97 ,$69.53 ,$31.58 ,$96.33 ,$85.58 ,$31.58 ,$84.76 ,$96.33 ,$96.33 ,$60.00 ,$90.92 ,$79.16 ,$78.95 ,$31.58 , N/A ,$89.21 ,$31.58 ,$88.36 ,$85.58 ,$96.27 ,$78.95 ,$90.92 ,$31.58 ,$90.92 ,$90.92 ,$96.27 ,$96.27 ,$83.97 ,$88.36 ,$31.58 ,$69.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070915,N/A,*******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070938,97760,PT ORTHO FIT/TRAIN/15MIN,420,1 ,$132.86 ,$86.36 ,$47.55 ,$119.64 ,$106.29 ,$47.55 ,$105.28 ,$119.64 ,$119.64 ,$90.35 ,$112.93 ,$98.32 ,$118.88 ,$47.55 , N/A ,$110.81 ,$47.55 ,$109.74 ,$106.29 ,$119.57 ,$118.88 ,$112.93 ,$47.55 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$47.55 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39070946,N/A,***** DO NOT USE ***SEE 39097140,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39070979,N/A,***** DO NOT USE ** SEE 39097140,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39071001,97012,PT CERVICAL TRACTION,420,1 ,$445.68 ,$289.69 ,$14.55 ,$401.33 ,$356.54 ,$14.55 ,$353.16 ,$401.33 ,$401.33 ,$27.65 ,$378.83 ,$329.80 ,$36.38 ,$14.55 , N/A ,$371.70 ,$14.55 ,$368.13 ,$356.54 ,$401.11 ,$36.38 ,$378.83 ,$14.55 ,$378.83 ,$378.83 ,$401.11 ,$401.11 ,$349.86 ,$368.13 ,$14.55 ,$289.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),39071027,97012,PT PELVIC TRACTION,420,1 ,$514.70 ,$334.56 ,$14.55 ,$463.49 ,$411.76 ,$14.55 ,$407.85 ,$463.49 ,$463.49 ,$27.65 ,$437.50 ,$380.88 ,$36.38 ,$14.55 , N/A ,$429.26 ,$14.55 ,$425.14 ,$411.76 ,$463.23 ,$36.38 ,$437.50 ,$14.55 ,$437.50 ,$437.50 ,$463.23 ,$463.23 ,$404.04 ,$425.14 ,$14.55 ,$334.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),39071803,97597,PT DEBRIDEMENT SELECTIVE,420,1 ,$101.80 ,$66.17 ,$66.17 ,$240.98 ,$81.44 ,$96.39 ,$80.67 ,$91.67 ,$91.67 ,$183.14 ,$86.53 ,$75.33 ,$240.98 ,$96.39 , N/A ,$84.90 ,$96.39 ,$84.09 ,$81.44 ,$91.62 ,$101.80 ,$86.53 ,$96.39 ,$86.53 ,$86.53 ,$91.62 ,$91.62 ,$79.91 ,$84.09 ,$96.39 ,$66.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080000,G8996,SWALLOWING FUNCTION CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080001,G8996,SWALLOWING FUNCTION CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080002,G8996,SWALLOWING FUNCTION CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080003,G8996,SWALLOWING FUNCTION CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080004,G8996,SWALLOWING FUNCTION CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080005,G8996,SWALLOWING FUNCTION CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080006,G8996,SWALLOWING FUNCTION CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080010,G9162,SPOKEN LANGUAGE EXPRESSION CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080011,G9162,SPOKEN LANGUAGE EXPRESSION CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080012,G9162,SPOKEN LANGUAGE EXPRESSION CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080013,G9162,SPOKEN LANGUAGE EXPRESSION CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080014,G9162,SPOKEN LANGUAGE EXPRESSION CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080015,G9162,SPOKEN LANGUAGE EXPRESSION CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080016,G9162,SPOKEN LANGUAGE EXPRESSION CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080020,G9163,SPOKEN LANGUAGE EXPRESSION PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080021,G9163,SPOKEN LANGUAGE EXPRESSION PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080022,G9163,SPOKEN LANGUAGE EXPRESSION PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080023,G9163,SPOKEN LANGUAGE EXPRESSION PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080024,G9163,SPOKEN LANGUAGE EXPRESSION PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080025,G9163,SPOKEN LANGUAGE EXPRESSION PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080026,G9163,SPOKEN LANGUAGE EXPRESSION PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080030,G9164,SPOKEN LANGUAGE EXPRESSION DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080031,G9164,SPOKEN LANGUAGE EXPRESSION DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080032,G9164,SPOKEN LANGUAGE EXPRESSION DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080033,G9164,SPOKEN LANGUAGE EXPRESSION DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080034,G9164,SPOKEN LANGUAGE EXPRESSION DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080035,G9164,SPOKEN LANGUAGE EXPRESSION DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080036,G9164,SPOKEN LANGUAGE EXPRESSION DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080040,G9165,ST FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080041,G9165,ST FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080042,G9165,ST FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080043,G9165,ST FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080044,G9165,ST FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080045,G9165,ST FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080046,G9165,ST FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080050,G9166,ST FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080051,G9166,ST FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080052,G9166,ST FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080053,G9166,ST FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080054,G9166,ST FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080055,G9166,ST FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080056,G9166,ST FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080060,G9167,ST FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080061,G9167,ST FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080062,G9167,ST FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080063,G9167,ST FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080064,G9167,ST FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080065,G9167,ST FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080066,G9167,ST FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080070,G9168,MEMORY FUNCTIONAL CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080071,G9168,MEMORY FUNCTIONAL CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080072,G9168,MEMORY FUNCTIONAL CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080073,G9168,MEMORY FUNCTIONAL CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080074,G9168,MEMORY FUNCTIONAL CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080075,G9168,MEMORY FUNCTIONAL CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080076,G9168,MEMORY FUNCTIONAL CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080080,G9169,MEMORY FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080081,G9169,MEMORY FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080082,G9169,MEMORY FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080083,G9169,MEMORY FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080084,G9169,MEMORY FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080085,G9169,MEMORY FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080086,G9169,MEMORY FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080090,G9170,MEMORY FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080091,G9170,MEMORY FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080092,G9170,MEMORY FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080093,G9170,MEMORY FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080094,G9170,MEMORY FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080095,G9170,MEMORY FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080096,G9170,MEMORY FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080100,G8997,SWALLOWING FUNCTION PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080101,G8997,SWALLOWING FUNCTION PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080102,G8997,SWALLOWING FUNCTION PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080103,G8997,SWALLOWING FUNCTION PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080104,G8997,SWALLOWING FUNCTION PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080105,G8997,SWALLOWING FUNCTION PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080106,G8997,SWALLOWING FUNCTION PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080200,N/A,*******INACTIVATE*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080218,N/A,*******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080219,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080220,N/A,*******INACTIVATE*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080300,G8999,MOTOR SPEECH FUNC CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080301,G8999,MOTOR SPEECH FUNC CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080302,G8999,MOTOR SPEECH FUNC CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080303,G8999,MOTOR SPEECH FUNC CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080304,G8999,MOTOR SPEECH FUNC CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080305,G8999,MOTOR SPEECH FUNC CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080306,G8999,MOTOR SPEECH FUNC CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080400,G9186,MOTOR SPEECH FUNC PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080401,G9186,MOTOR SPEECH FUNC PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080402,G9186,MOTOR SPEECH FUNC PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080403,G9186,MOTOR SPEECH FUNC PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080404,G9186,MOTOR SPEECH FUNC PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080405,G9186,MOTOR SPEECH FUNC PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080406,G9186,MOTOR SPEECH FUNC PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080500,N/A,********INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080501,G9158,MOTOR SPEECH FUNC DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080502,G9158,MOTOR SPEECH FUNC DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080503,G9158,MOTOR SPEECH FUNC DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080504,G9158,MOTOR SPEECH FUNC DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080505,G9158,MOTOR SPEECH FUNC DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080506,G9158,MOTOR SPEECH FUNC DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080507,G9158,MOTOR SPEECH FUNC DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080600,G9159,SPOKEN LANGUAGE COMP CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080601,G9159,SPOKEN LANGUAGE COMP CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080602,G9159,SPOKEN LANGUAGE COMP CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080603,G9159,SPOKEN LANGUAGE COMP CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080604,G9159,SPOKEN LANGUAGE COMP CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080605,G9159,SPOKEN LANGUAGE COMP CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080606,G9159,SPOKEN LANGUAGE COMP CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080700,G9160,SPOKEN LANGUAGE COMP PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080701,G9160,SPOKEN LANGUAGE COMP PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080702,G9160,SPOKEN LANGUAGE COMP PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080703,G9160,SPOKEN LANGUAGE COMP PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080704,G9160,SPOKEN LANGUAGE COMP PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080705,G9160,SPOKEN LANGUAGE COMP PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080706,G9160,SPOKEN LANGUAGE COMP PROJECTED,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080800,G9161,SPOKEN LANGUAGE COMP DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080801,G9161,SPOKEN LANGUAGE COMP DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080802,G9161,SPOKEN LANGUAGE COMP DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080803,G9161,SPOKEN LANGUAGE COMP DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080804,G9161,SPOKEN LANGUAGE COMP DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080805,G9161,SPOKEN LANGUAGE COMP DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080806,G9161,SPOKEN LANGUAGE COMP DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080810,92611,FLUORO EVAL OF SWALLOWING,441,1 ,$314.62 ,$204.50 ,$90.57 ,$283.32 ,$251.70 ,$90.57 ,$249.30 ,$283.32 ,$283.32 ,$172.08 ,$267.43 ,$232.82 ,$226.43 ,$90.57 , N/A ,$262.39 ,$90.57 ,$259.88 ,$251.70 ,$283.16 ,$226.43 ,$267.43 ,$90.57 ,$267.43 ,$267.43 ,$283.16 ,$283.16 ,$246.98 ,$259.88 ,$90.57 ,$204.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080812,92507,ST SPEECH THERAPY VISIT,441,1 ,$398.34 ,$258.92 ,$75.75 ,$358.71 ,$318.67 ,$75.75 ,$315.64 ,$358.71 ,$358.71 ,$143.93 ,$338.59 ,$294.77 ,$189.38 ,$75.75 , N/A ,$332.22 ,$75.75 ,$329.03 ,$318.67 ,$358.51 ,$189.38 ,$338.59 ,$75.75 ,$338.59 ,$338.59 ,$358.51 ,$358.51 ,$312.70 ,$329.03 ,$75.75 ,$258.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080813,N/A,*******DO NOT USE *************,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39080879,92552,TONE AUDIOMETRY AIR,470,1 ,$163.89 ,$106.53 ,$101.30 ,$253.24 ,$131.11 ,$101.30 ,$129.87 ,$147.58 ,$147.58 ,$192.46 ,$139.31 ,$121.28 ,$253.24 ,$101.30 , N/A ,$136.68 ,$101.30 ,$135.37 ,$131.11 ,$147.50 ,$163.89 ,$139.31 ,$108.49 ,$139.31 ,$139.31 ,$147.50 ,$147.50 ,$128.65 ,$135.37 ,$108.49 ,$106.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080881,97537,OT COMMUNITY TRAINING/15MIN,431,1 ,$132.86 ,$86.36 ,$31.26 ,$119.64 ,$106.29 ,$31.26 ,$105.28 ,$119.64 ,$119.64 ,$59.39 ,$112.93 ,$98.32 ,$78.15 ,$31.26 , N/A ,$110.81 ,$31.26 ,$109.74 ,$106.29 ,$119.57 ,$78.15 ,$112.93 ,$31.26 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$31.26 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080895,N/A,HEARING TEST W-I INT,470,1 ,$108.96 ,$70.82 ,$70.82 ,$98.12 ,$87.17 , N/A ,$86.34 ,$98.12 ,$98.12 , N/A ,$92.62 ,$80.63 , N/A , N/A , N/A ,$90.87 , N/A ,$90.00 ,$87.17 ,$98.06 , N/A ,$92.62 , N/A ,$92.62 ,$92.62 ,$98.06 ,$98.06 ,$85.53 ,$90.00 , N/A ,$70.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080903,N/A,HEARING TEST W-I RET,470,1 ,$80.09 ,$52.06 ,$52.06 ,$72.12 ,$64.07 , N/A ,$63.46 ,$72.12 ,$72.12 , N/A ,$68.08 ,$59.27 , N/A , N/A , N/A ,$66.80 , N/A ,$66.15 ,$64.07 ,$72.08 , N/A ,$68.08 , N/A ,$68.08 ,$68.08 ,$72.08 ,$72.08 ,$62.87 ,$66.15 , N/A ,$52.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080911,92610,ST SWALLOWING EVALUATION,444,1 ,$182.03 ,$118.32 ,$83.38 ,$208.45 ,$145.62 ,$83.38 ,$144.24 ,$163.92 ,$163.92 ,$158.42 ,$154.73 ,$134.70 ,$208.45 ,$83.38 , N/A ,$151.81 ,$83.38 ,$150.36 ,$145.62 ,$163.83 ,$182.03 ,$154.73 ,$83.38 ,$154.73 ,$154.73 ,$163.83 ,$163.83 ,$142.89 ,$150.36 ,$83.38 ,$118.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),39080922,92526,ST SWALLOWING TREATMENT,441,1 ,$398.34 ,$258.92 ,$83.51 ,$358.71 ,$318.67 ,$83.51 ,$315.64 ,$358.71 ,$358.71 ,$158.67 ,$338.59 ,$294.77 ,$208.78 ,$83.51 , N/A ,$332.22 ,$83.51 ,$329.03 ,$318.67 ,$358.51 ,$208.78 ,$338.59 ,$83.51 ,$338.59 ,$338.59 ,$358.51 ,$358.51 ,$312.70 ,$329.03 ,$83.51 ,$258.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),39081000,G9171,VOICE FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39081001,G9171,VOICE FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39081002,G9171,VOICE FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39081003,G9171,VOICE FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39081004,G9171,VOICE FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39081005,G9171,VOICE FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39081006,G9171,VOICE FUNCTIONAL LIMIT CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39082000,G8998,SWALLOWING FUNCTION DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39082001,G8998,SWALLOWING FUNCTION DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39082002,G8998,SWALLOWING FUNCTION DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39082003,G8998,SWALLOWING FUNCTION DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39082004,G8998,SWALLOWING FUNCTION DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39082005,G8998,SWALLOWING FUNCTION DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39082006,G8998,SWALLOWING FUNCTION DISCHARGE,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39083000,G9172,VOICE FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39083001,G9172,VOICE FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39083002,G9172,VOICE FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39083003,G9172,VOICE FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39083004,G9172,VOICE FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39083005,G9172,VOICE FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39083006,G9172,VOICE FUNCTIONAL LIMIT PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39084000,G9173,VOICE FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39084001,G9173,VOICE FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39084002,G9173,VOICE FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39084003,G9173,VOICE FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39084004,G9173,VOICE FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39084005,G9173,VOICE FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39084006,G9173,VOICE FUNCTIONAL LIMIT DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39085000,G9174,OTHER SPEECH LANGUAGE CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39085001,G9174,OTHER SPEECH LANGUAGE CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39085002,G9174,OTHER SPEECH LANGUAGE CURRENT,441,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),39085003,G9174,OTHER SPEECH LANGUAGE CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39085004,G9174,OTHER SPEECH LANGUAGE CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39085005,G9174,OTHER SPEECH LANGUAGE CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39085006,G9174,OTHER SPEECH LANGUAGE CURRENT,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39086000,G9175,OTHER SPEECH LANGUAGE PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39086001,G9175,OTHER SPEECH LANGUAGE PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39086002,G9175,OTHER SPEECH LANGUAGE PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39086003,G9175,OTHER SPEECH LANGUAGE PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39086004,G9175,OTHER SPEECH LANGUAGE PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39086005,G9175,OTHER SPEECH LANGUAGE PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39086006,G9175,OTHER SPEECH LANGUAGE PROJECTED,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39087000,G9176,OTHER SPEECH LANGUAGE DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39087001,G9176,OTHER SPEECH LANGUAGE DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39087002,G9176,OTHER SPEECH LANGUAGE DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39087003,G9176,OTHER SPEECH LANGUAGE DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39087004,G9176,OTHER SPEECH LANGUAGE DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39087005,G9176,OTHER SPEECH LANGUAGE DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39087006,G9176,OTHER SPEECH LANGUAGE DISCHARGE,441,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090015,N/A,********INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090110,N/A,HAND PUTTY XSOFT,270,1 ,$13.19 ,$8.57 ,$8.57 ,$11.88 ,$10.55 , N/A ,$10.45 ,$11.88 ,$11.88 , N/A ,$11.21 ,$9.76 , N/A , N/A , N/A ,$11.00 , N/A ,$10.89 ,$10.55 ,$11.87 , N/A ,$11.21 , N/A ,$11.21 ,$11.21 ,$11.87 ,$11.87 ,$10.35 ,$10.89 , N/A ,$8.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090111,N/A,SULFADIAZINE CREAM 400 G,637,1 ,$112.12 ,$72.88 ,$72.88 ,$112.12 ,$89.70 , N/A ,$88.84 ,$100.96 ,$100.96 , N/A ,$95.30 ,$82.97 , N/A , N/A , N/A ,$93.51 , N/A ,$92.61 ,$89.70 ,$100.91 ,$112.12 ,$95.30 , N/A ,$95.30 ,$95.30 ,$100.91 ,$100.91 ,$88.01 ,$92.61 , N/A ,$72.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090115,N/A,HAND PUTTY XXSOFT,270,1 ,$13.19 ,$8.57 ,$8.57 ,$11.88 ,$10.55 , N/A ,$10.45 ,$11.88 ,$11.88 , N/A ,$11.21 ,$9.76 , N/A , N/A , N/A ,$11.00 , N/A ,$10.89 ,$10.55 ,$11.87 , N/A ,$11.21 , N/A ,$11.21 ,$11.21 ,$11.87 ,$11.87 ,$10.35 ,$10.89 , N/A ,$8.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090120,N/A,HAND PUTTY SOFT,270,1 ,$13.19 ,$8.57 ,$8.57 ,$11.88 ,$10.55 , N/A ,$10.45 ,$11.88 ,$11.88 , N/A ,$11.21 ,$9.76 , N/A , N/A , N/A ,$11.00 , N/A ,$10.89 ,$10.55 ,$11.87 , N/A ,$11.21 , N/A ,$11.21 ,$11.21 ,$11.87 ,$11.87 ,$10.35 ,$10.89 , N/A ,$8.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090130,N/A,HAND PUTTY MED,270,1 ,$13.19 ,$8.57 ,$8.57 ,$11.88 ,$10.55 , N/A ,$10.45 ,$11.88 ,$11.88 , N/A ,$11.21 ,$9.76 , N/A , N/A , N/A ,$11.00 , N/A ,$10.89 ,$10.55 ,$11.87 , N/A ,$11.21 , N/A ,$11.21 ,$11.21 ,$11.87 ,$11.87 ,$10.35 ,$10.89 , N/A ,$8.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090140,N/A,HAND PUTTY FIRM,270,1 ,$13.19 ,$8.57 ,$8.57 ,$11.88 ,$10.55 , N/A ,$10.45 ,$11.88 ,$11.88 , N/A ,$11.21 ,$9.76 , N/A , N/A , N/A ,$11.00 , N/A ,$10.89 ,$10.55 ,$11.87 , N/A ,$11.21 , N/A ,$11.21 ,$11.21 ,$11.87 ,$11.87 ,$10.35 ,$10.89 , N/A ,$8.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090210,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090222,N/A,SULFADIAZINE CREAM 50 G,637,1 ,$28.16 ,$18.30 ,$18.30 ,$28.16 ,$22.53 , N/A ,$22.31 ,$25.36 ,$25.36 , N/A ,$23.94 ,$20.84 , N/A , N/A , N/A ,$23.49 , N/A ,$23.26 ,$22.53 ,$25.34 ,$28.16 ,$23.94 , N/A ,$23.94 ,$23.94 ,$25.34 ,$25.34 ,$22.11 ,$23.26 , N/A ,$18.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090241,N/A,*********DO NOT USE *************0,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090282,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090283,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090308,N/A,********INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090316,N/A,*******INACTIVATE******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090506,N/A,*******ACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090530,N/A,*******INACTIVATE*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090544,97537,PT COMMUNITY TRAIN W/INT/15MIN,420,1 ,$132.86 ,$86.36 ,$31.26 ,$119.64 ,$106.29 ,$31.26 ,$105.28 ,$119.64 ,$119.64 ,$59.39 ,$112.93 ,$98.32 ,$78.15 ,$31.26 , N/A ,$110.81 ,$31.26 ,$109.74 ,$106.29 ,$119.57 ,$78.15 ,$112.93 ,$31.26 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$31.26 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090548,64550,PT TENS APPLICATION,420,1 ,$83.29 ,$54.14 ,$54.14 ,$75.00 ,$66.63 , N/A ,$66.00 ,$75.00 ,$75.00 , N/A ,$70.80 ,$61.63 , N/A , N/A , N/A ,$69.46 , N/A ,$68.80 ,$66.63 ,$74.96 , N/A ,$70.80 , N/A ,$70.80 ,$70.80 ,$74.96 ,$74.96 ,$65.38 ,$68.80 , N/A ,$54.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090555,N/A,*******INACTIVATE******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090563,N/A,ELECTRODES SILICONE,270,1 ,$22.35 ,$14.53 ,$14.53 ,$20.13 ,$17.88 , N/A ,$17.71 ,$20.13 ,$20.13 , N/A ,$19.00 ,$16.54 , N/A , N/A , N/A ,$18.64 , N/A ,$18.46 ,$17.88 ,$20.12 , N/A ,$19.00 , N/A ,$19.00 ,$19.00 ,$20.12 ,$20.12 ,$17.54 ,$18.46 , N/A ,$14.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090571,N/A,*******INACTIVATE*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090720,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090787,N/A,PROFORE BANDAGE SYS,270,1 ,$54.31 ,$35.30 ,$35.30 ,$48.91 ,$43.45 , N/A ,$43.04 ,$48.91 ,$48.91 , N/A ,$46.16 ,$40.19 , N/A , N/A , N/A ,$45.29 , N/A ,$44.86 ,$43.45 ,$48.88 , N/A ,$46.16 , N/A ,$46.16 ,$46.16 ,$48.88 ,$48.88 ,$42.63 ,$44.86 , N/A ,$35.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090795,N/A,*******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090860,N/A,******INACTIVATED******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090878,N/A,******INACTIVATED*******,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39090880,N/A,WRIST SPLINTS RT SM,270,1 ,$49.71 ,$32.31 ,$32.31 ,$44.76 ,$39.77 , N/A ,$39.39 ,$44.76 ,$44.76 , N/A ,$42.25 ,$36.79 , N/A , N/A , N/A ,$41.46 , N/A ,$41.06 ,$39.77 ,$44.74 , N/A ,$42.25 , N/A ,$42.25 ,$42.25 ,$44.74 ,$44.74 ,$39.02 ,$41.06 , N/A ,$32.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090881,N/A,WRIST SPLINTS RT MED,270,1 ,$49.71 ,$32.31 ,$32.31 ,$44.76 ,$39.77 , N/A ,$39.39 ,$44.76 ,$44.76 , N/A ,$42.25 ,$36.79 , N/A , N/A , N/A ,$41.46 , N/A ,$41.06 ,$39.77 ,$44.74 , N/A ,$42.25 , N/A ,$42.25 ,$42.25 ,$44.74 ,$44.74 ,$39.02 ,$41.06 , N/A ,$32.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090882,N/A,WRIST SPLINTS RT LG,270,1 ,$49.71 ,$32.31 ,$32.31 ,$44.76 ,$39.77 , N/A ,$39.39 ,$44.76 ,$44.76 , N/A ,$42.25 ,$36.79 , N/A , N/A , N/A ,$41.46 , N/A ,$41.06 ,$39.77 ,$44.74 , N/A ,$42.25 , N/A ,$42.25 ,$42.25 ,$44.74 ,$44.74 ,$39.02 ,$41.06 , N/A ,$32.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090886,N/A,WRIST SPLINTS LT SM,270,1 ,$49.71 ,$32.31 ,$32.31 ,$44.76 ,$39.77 , N/A ,$39.39 ,$44.76 ,$44.76 , N/A ,$42.25 ,$36.79 , N/A , N/A , N/A ,$41.46 , N/A ,$41.06 ,$39.77 ,$44.74 , N/A ,$42.25 , N/A ,$42.25 ,$42.25 ,$44.74 ,$44.74 ,$39.02 ,$41.06 , N/A ,$32.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090887,N/A,WRIST SPLINTS LT MED,270,1 ,$49.71 ,$32.31 ,$32.31 ,$44.76 ,$39.77 , N/A ,$39.39 ,$44.76 ,$44.76 , N/A ,$42.25 ,$36.79 , N/A , N/A , N/A ,$41.46 , N/A ,$41.06 ,$39.77 ,$44.74 , N/A ,$42.25 , N/A ,$42.25 ,$42.25 ,$44.74 ,$44.74 ,$39.02 ,$41.06 , N/A ,$32.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090888,N/A,WRIST SPLINTS LT LG,270,1 ,$49.71 ,$32.31 ,$32.31 ,$44.76 ,$39.77 , N/A ,$39.39 ,$44.76 ,$44.76 , N/A ,$42.25 ,$36.79 , N/A , N/A , N/A ,$41.46 , N/A ,$41.06 ,$39.77 ,$44.74 , N/A ,$42.25 , N/A ,$42.25 ,$42.25 ,$44.74 ,$44.74 ,$39.02 ,$41.06 , N/A ,$32.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39090901,90901,BIO FEEDBACK,917,1 ,$128.80 ,$83.72 ,$39.63 ,$115.98 ,$103.04 ,$39.63 ,$102.06 ,$115.98 ,$115.98 ,$75.30 ,$109.48 ,$95.31 ,$99.08 ,$39.63 , N/A ,$107.42 ,$39.63 ,$106.39 ,$103.04 ,$115.92 ,$99.08 ,$109.48 ,$42.44 ,$109.48 ,$109.48 ,$115.92 ,$115.92 ,$101.11 ,$106.39 ,$42.44 ,$83.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),39092521,92521,ST SPEECH FLUENCY EVALUATION,441,1 ,$183.27 ,$119.13 ,$119.13 ,$331.18 ,$146.62 ,$132.47 ,$145.22 ,$165.03 ,$165.03 ,$251.69 ,$155.78 ,$135.62 ,$331.18 ,$132.47 , N/A ,$152.85 ,$132.47 ,$151.38 ,$146.62 ,$164.94 ,$183.27 ,$155.78 ,$132.47 ,$155.78 ,$155.78 ,$164.94 ,$164.94 ,$143.87 ,$151.38 ,$132.47 ,$119.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),39092524,92524,ST BEHAVIOR VOICE ANALYSIS,441,1 ,$154.60 ,$100.49 ,$100.49 ,$272.23 ,$123.68 ,$108.89 ,$122.51 ,$139.22 ,$139.22 ,$206.89 ,$131.41 ,$114.40 ,$272.23 ,$108.89 , N/A ,$128.94 ,$108.89 ,$127.70 ,$123.68 ,$139.14 ,$154.60 ,$131.41 ,$108.89 ,$131.41 ,$131.41 ,$139.14 ,$139.14 ,$121.36 ,$127.70 ,$108.89 ,$100.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),39092526,92522,ST SPEECH SOUND PROD EVALUATION,441,1 ,$148.22 ,$96.34 ,$96.34 ,$278.05 ,$118.58 ,$111.22 ,$117.45 ,$133.47 ,$133.47 ,$211.32 ,$125.99 ,$109.68 ,$278.05 ,$111.22 , N/A ,$123.62 ,$111.22 ,$122.43 ,$118.58 ,$133.40 ,$148.22 ,$125.99 ,$111.22 ,$125.99 ,$125.99 ,$133.40 ,$133.40 ,$116.35 ,$122.43 ,$111.22 ,$96.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),39092527,92523,ST SPEECH SOUND LANG COMPREHENSION EXPRE,441,1 ,$159.37 ,$103.59 ,$103.59 ,$569.23 ,$127.50 ,$227.69 ,$126.28 ,$143.51 ,$143.51 ,$432.61 ,$135.46 ,$117.93 ,$569.23 ,$227.69 , N/A ,$132.91 ,$227.69 ,$131.64 ,$127.50 ,$143.43 ,$159.37 ,$135.46 ,$159.37 ,$135.46 ,$135.46 ,$143.43 ,$143.43 ,$125.11 ,$131.64 ,$159.37 ,$103.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),39092528,92524,ST LANG COMPREHENSION EXP EVAL,441,1 ,$159.37 ,$103.59 ,$103.59 ,$272.23 ,$127.50 ,$108.89 ,$126.28 ,$143.51 ,$143.51 ,$206.89 ,$135.46 ,$117.93 ,$272.23 ,$108.89 , N/A ,$132.91 ,$108.89 ,$131.64 ,$127.50 ,$143.43 ,$159.37 ,$135.46 ,$108.89 ,$135.46 ,$135.46 ,$143.43 ,$143.43 ,$125.11 ,$131.64 ,$108.89 ,$103.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),39095831,95831,OT MMT EXTREMITY,431,1 ,$106.97 ,$69.53 ,$69.53 ,$96.33 ,$85.58 , N/A ,$84.76 ,$96.33 ,$96.33 , N/A ,$90.92 ,$79.16 , N/A , N/A , N/A ,$89.21 , N/A ,$88.36 ,$85.58 ,$96.27 , N/A ,$90.92 , N/A ,$90.92 ,$90.92 ,$96.27 ,$96.27 ,$83.97 ,$88.36 , N/A ,$69.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),39095832,95832,OT MMT HAND,431,1 ,$192.56 ,$125.16 ,$125.16 ,$173.40 ,$154.05 , N/A ,$152.58 ,$173.40 ,$173.40 , N/A ,$163.68 ,$142.49 , N/A , N/A , N/A ,$160.60 , N/A ,$159.05 ,$154.05 ,$173.30 , N/A ,$163.68 , N/A ,$163.68 ,$163.68 ,$173.30 ,$173.30 ,$151.16 ,$159.05 , N/A ,$125.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),39095833,95833,PT MMT T EVAL-EXC HAND,420,1 ,$106.97 ,$69.53 ,$69.53 ,$96.33 ,$85.58 , N/A ,$84.76 ,$96.33 ,$96.33 , N/A ,$90.92 ,$79.16 , N/A , N/A , N/A ,$89.21 , N/A ,$88.36 ,$85.58 ,$96.27 , N/A ,$90.92 , N/A ,$90.92 ,$90.92 ,$96.27 ,$96.27 ,$83.97 ,$88.36 , N/A ,$69.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),39095834,95834,OT MMT T EVAL-INC HAND,431,1 ,$183.84 ,$119.50 ,$119.50 ,$165.55 ,$147.07 , N/A ,$145.67 ,$165.55 ,$165.55 , N/A ,$156.26 ,$136.04 , N/A , N/A , N/A ,$153.32 , N/A ,$151.85 ,$147.07 ,$165.46 , N/A ,$156.26 , N/A ,$156.26 ,$156.26 ,$165.46 ,$165.46 ,$144.31 ,$151.85 , N/A ,$119.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),39095851,95851,OT ROM TEST EXT/TRUNK,431,1 ,$106.97 ,$69.53 ,$21.59 ,$96.33 ,$85.58 ,$21.59 ,$84.76 ,$96.33 ,$96.33 ,$41.02 ,$90.92 ,$79.16 ,$53.98 ,$21.59 , N/A ,$89.21 ,$21.59 ,$88.36 ,$85.58 ,$96.27 ,$53.98 ,$90.92 ,$21.59 ,$90.92 ,$90.92 ,$96.27 ,$96.27 ,$83.97 ,$88.36 ,$21.59 ,$69.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),39095852,95852,OT ROM HAND TEST,431,1 ,$192.56 ,$125.16 ,$17.30 ,$173.40 ,$154.05 ,$17.30 ,$152.58 ,$173.40 ,$173.40 ,$32.87 ,$163.68 ,$142.49 ,$43.25 ,$17.30 , N/A ,$160.60 ,$17.30 ,$159.05 ,$154.05 ,$173.30 ,$43.25 ,$163.68 ,$17.30 ,$163.68 ,$163.68 ,$173.30 ,$173.30 ,$151.16 ,$159.05 ,$17.30 ,$125.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097001,97003,OT IFSP OFFSITE,431,1 ,$132.86 ,$86.36 ,$86.36 ,$119.64 ,$106.29 , N/A ,$105.28 ,$119.64 ,$119.64 , N/A ,$112.93 ,$98.32 , N/A , N/A , N/A ,$110.81 , N/A ,$109.74 ,$106.29 ,$119.57 , N/A ,$112.93 , N/A ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 , N/A ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097010,97010,OT HOT PACK,431,1 ,$136.95 ,$89.02 ,$89.02 ,$123.32 ,$109.56 , N/A ,$108.52 ,$123.32 ,$123.32 , N/A ,$116.41 ,$101.34 , N/A , N/A , N/A ,$114.22 , N/A ,$113.12 ,$109.56 ,$123.26 , N/A ,$116.41 , N/A ,$116.41 ,$116.41 ,$123.26 ,$123.26 ,$107.51 ,$113.12 , N/A ,$89.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097014,97014,OT E-STIM UNATT,431,1 ,$138.54 ,$90.05 ,$90.05 ,$124.76 ,$110.83 , N/A ,$109.78 ,$124.76 ,$124.76 , N/A ,$117.76 ,$102.52 , N/A , N/A , N/A ,$115.54 , N/A ,$114.43 ,$110.83 ,$124.69 , N/A ,$117.76 , N/A ,$117.76 ,$117.76 ,$124.69 ,$124.69 ,$108.75 ,$114.43 , N/A ,$90.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097016,97016,OT VASOPNEUMATIC PUMP,431,1 ,$174.05 ,$113.13 ,$11.78 ,$156.73 ,$139.24 ,$11.78 ,$137.92 ,$156.73 ,$156.73 ,$22.38 ,$147.94 ,$128.80 ,$29.45 ,$11.78 , N/A ,$145.16 ,$11.78 ,$143.77 ,$139.24 ,$156.65 ,$29.45 ,$147.94 ,$11.78 ,$147.94 ,$147.94 ,$156.65 ,$156.65 ,$136.63 ,$143.77 ,$11.78 ,$113.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097018,97018,OT PARAFIN,431,1 ,$170.16 ,$110.60 ,$5.69 ,$153.23 ,$136.13 ,$5.69 ,$134.83 ,$153.23 ,$153.23 ,$10.81 ,$144.64 ,$125.92 ,$14.23 ,$5.69 , N/A ,$141.91 ,$5.69 ,$140.55 ,$136.13 ,$153.14 ,$14.23 ,$144.64 ,$5.69 ,$144.64 ,$144.64 ,$153.14 ,$153.14 ,$133.58 ,$140.55 ,$5.69 ,$110.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097022,97022,OT WHIRLPOOL,431,1 ,$318.98 ,$207.34 ,$17.16 ,$287.24 ,$255.18 ,$17.16 ,$252.76 ,$287.24 ,$287.24 ,$32.60 ,$271.13 ,$236.05 ,$42.90 ,$17.16 , N/A ,$266.03 ,$17.16 ,$263.48 ,$255.18 ,$287.08 ,$42.90 ,$271.13 ,$17.16 ,$271.13 ,$271.13 ,$287.08 ,$287.08 ,$250.40 ,$263.48 ,$17.16 ,$207.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097026,97026,OT INFRA RED,431,1 ,$120.16 ,$78.10 ,$6.32 ,$108.20 ,$96.13 ,$6.32 ,$95.21 ,$108.20 ,$108.20 ,$12.01 ,$102.14 ,$88.92 ,$15.80 ,$6.32 , N/A ,$100.21 ,$6.32 ,$99.25 ,$96.13 ,$108.14 ,$15.80 ,$102.14 ,$6.32 ,$102.14 ,$102.14 ,$108.14 ,$108.14 ,$94.33 ,$99.25 ,$6.32 ,$78.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097028,97028,OT ULTRA VIOLET,431,1 ,$149.57 ,$97.22 ,$7.98 ,$134.69 ,$119.66 ,$7.98 ,$118.52 ,$134.69 ,$134.69 ,$15.16 ,$127.13 ,$110.68 ,$19.95 ,$7.98 , N/A ,$124.74 ,$7.98 ,$123.54 ,$119.66 ,$134.61 ,$19.95 ,$127.13 ,$7.98 ,$127.13 ,$127.13 ,$134.61 ,$134.61 ,$117.41 ,$123.54 ,$7.98 ,$97.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097032,97032,OT E-STIM ATT,431,1 ,$172.08 ,$111.85 ,$14.55 ,$154.96 ,$137.66 ,$14.55 ,$136.36 ,$154.96 ,$154.96 ,$27.65 ,$146.27 ,$127.34 ,$36.38 ,$14.55 , N/A ,$143.51 ,$14.55 ,$142.14 ,$137.66 ,$154.87 ,$36.38 ,$146.27 ,$14.55 ,$146.27 ,$146.27 ,$154.87 ,$154.87 ,$135.08 ,$142.14 ,$14.55 ,$111.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097033,97033,OT IONTO,431,1 ,$182.77 ,$118.80 ,$19.67 ,$164.58 ,$146.22 ,$19.67 ,$144.83 ,$164.58 ,$164.58 ,$37.37 ,$155.35 ,$135.25 ,$49.18 ,$19.67 , N/A ,$152.43 ,$19.67 ,$150.97 ,$146.22 ,$164.49 ,$49.18 ,$155.35 ,$19.67 ,$155.35 ,$155.35 ,$164.49 ,$164.49 ,$143.47 ,$150.97 ,$19.67 ,$118.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097034,97034,OT CONTRAST BATH/15MIN,431,1 ,$165.81 ,$107.78 ,$14.42 ,$149.31 ,$132.65 ,$14.42 ,$131.39 ,$149.31 ,$149.31 ,$27.40 ,$140.94 ,$122.70 ,$36.05 ,$14.42 , N/A ,$138.29 ,$14.42 ,$136.96 ,$132.65 ,$149.23 ,$36.05 ,$140.94 ,$14.42 ,$140.94 ,$140.94 ,$149.23 ,$149.23 ,$130.16 ,$136.96 ,$14.42 ,$107.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097035,97035,OT PHONOPHORESIS/15MIN,431,1 ,$165.81 ,$107.78 ,$14.10 ,$149.31 ,$132.65 ,$14.10 ,$131.39 ,$149.31 ,$149.31 ,$26.79 ,$140.94 ,$122.70 ,$35.25 ,$14.10 , N/A ,$138.29 ,$14.10 ,$136.96 ,$132.65 ,$149.23 ,$35.25 ,$140.94 ,$14.10 ,$140.94 ,$140.94 ,$149.23 ,$149.23 ,$130.16 ,$136.96 ,$14.10 ,$107.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097039,97039,OT MEDCO SONOLATOR,431,1 ,$174.05 ,$113.13 ,$78.32 ,$156.73 ,$139.24 , N/A ,$137.92 ,$156.73 ,$156.73 ,$78.32 ,$147.94 ,$128.80 ,$121.84 , N/A , N/A ,$145.16 , N/A ,$143.77 ,$139.24 ,$156.65 , N/A ,$147.94 , N/A ,$147.94 ,$147.94 ,$156.65 ,$156.65 ,$136.63 ,$143.77 , N/A ,$113.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097110,97110,OT BTE STRENGTH ROM,431,1 ,$132.86 ,$86.36 ,$29.26 ,$119.64 ,$106.29 ,$29.26 ,$105.28 ,$119.64 ,$119.64 ,$55.59 ,$112.93 ,$98.32 ,$73.15 ,$29.26 , N/A ,$110.81 ,$29.26 ,$109.74 ,$106.29 ,$119.57 ,$73.15 ,$112.93 ,$29.26 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$29.26 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097112,97112,OT/OTA NEUROMUSC RE-ED 15MIN,431,1 ,$132.86 ,$86.36 ,$33.86 ,$119.64 ,$106.29 ,$33.86 ,$105.28 ,$119.64 ,$119.64 ,$64.33 ,$112.93 ,$98.32 ,$84.65 ,$33.86 , N/A ,$110.81 ,$33.86 ,$109.74 ,$106.29 ,$119.57 ,$84.65 ,$112.93 ,$33.86 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$33.86 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097124,97124,OT MASSAGE/15MIN,431,1 ,$114.08 ,$74.15 ,$28.22 ,$102.73 ,$91.26 ,$28.22 ,$90.40 ,$102.73 ,$102.73 ,$53.62 ,$96.97 ,$84.42 ,$70.55 ,$28.22 , N/A ,$95.14 ,$28.22 ,$94.23 ,$91.26 ,$102.67 ,$70.55 ,$96.97 ,$28.22 ,$96.97 ,$96.97 ,$102.67 ,$102.67 ,$89.55 ,$94.23 ,$28.22 ,$74.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097140,97140,PT MANUAL THERAPY,420,1 ,$114.08 ,$74.15 ,$26.97 ,$102.73 ,$91.26 ,$26.97 ,$90.40 ,$102.73 ,$102.73 ,$51.24 ,$96.97 ,$84.42 ,$67.43 ,$26.97 , N/A ,$95.14 ,$26.97 ,$94.23 ,$91.26 ,$102.67 ,$67.43 ,$96.97 ,$26.97 ,$96.97 ,$96.97 ,$102.67 ,$102.67 ,$89.55 ,$94.23 ,$26.97 ,$74.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097150,97150,OT THER PRO-GRPIZORMO,431,1 ,$95.84 ,$62.30 ,$17.53 ,$86.30 ,$76.67 ,$17.53 ,$75.94 ,$86.30 ,$86.30 ,$33.31 ,$81.46 ,$70.92 ,$43.83 ,$17.53 , N/A ,$79.93 ,$17.53 ,$79.16 ,$76.67 ,$86.26 ,$43.83 ,$81.46 ,$17.53 ,$81.46 ,$81.46 ,$86.26 ,$86.26 ,$75.23 ,$79.16 ,$17.53 ,$62.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097161,97161,PT EVAL 1,424,1 ,$228.35 ,$148.43 ,$98.12 ,$245.30 ,$182.68 ,$98.12 ,$180.94 ,$205.63 ,$205.63 ,$186.43 ,$194.10 ,$168.98 ,$245.30 ,$98.12 , N/A ,$190.44 ,$98.12 ,$188.62 ,$182.68 ,$205.52 ,$228.35 ,$194.10 ,$98.12 ,$194.10 ,$194.10 ,$205.52 ,$205.52 ,$179.25 ,$188.62 ,$98.12 ,$148.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097162,97162,PT EVAL 2,424,1 ,$228.35 ,$148.43 ,$98.12 ,$245.30 ,$182.68 ,$98.12 ,$180.94 ,$205.63 ,$205.63 ,$186.43 ,$194.10 ,$168.98 ,$245.30 ,$98.12 , N/A ,$190.44 ,$98.12 ,$188.62 ,$182.68 ,$205.52 ,$228.35 ,$194.10 ,$98.12 ,$194.10 ,$194.10 ,$205.52 ,$205.52 ,$179.25 ,$188.62 ,$98.12 ,$148.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097163,97163,PT EVAL 3,424,1 ,$228.35 ,$148.43 ,$98.12 ,$245.30 ,$182.68 ,$98.12 ,$180.94 ,$205.63 ,$205.63 ,$186.43 ,$194.10 ,$168.98 ,$245.30 ,$98.12 , N/A ,$190.44 ,$98.12 ,$188.62 ,$182.68 ,$205.52 ,$228.35 ,$194.10 ,$98.12 ,$194.10 ,$194.10 ,$205.52 ,$205.52 ,$179.25 ,$188.62 ,$98.12 ,$148.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097164,97164,PT RE EVAL 1,424,1 ,$132.86 ,$86.36 ,$66.97 ,$167.43 ,$106.29 ,$66.97 ,$105.28 ,$119.64 ,$119.64 ,$127.24 ,$112.93 ,$98.32 ,$167.43 ,$66.97 , N/A ,$110.81 ,$66.97 ,$109.74 ,$106.29 ,$119.57 ,$132.86 ,$112.93 ,$66.97 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$66.97 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097165,97165,OT EVAL 1,434,1 ,$216.41 ,$140.67 ,$95.26 ,$238.15 ,$173.13 ,$95.26 ,$171.48 ,$194.88 ,$194.88 ,$180.99 ,$183.95 ,$160.14 ,$238.15 ,$95.26 , N/A ,$180.49 ,$95.26 ,$178.75 ,$173.13 ,$194.77 ,$216.41 ,$183.95 ,$95.26 ,$183.95 ,$183.95 ,$194.77 ,$194.77 ,$169.88 ,$178.75 ,$95.26 ,$140.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097166,97166,OT EVAL 2,434,1 ,$216.41 ,$140.67 ,$95.26 ,$238.15 ,$173.13 ,$95.26 ,$171.48 ,$194.88 ,$194.88 ,$180.99 ,$183.95 ,$160.14 ,$238.15 ,$95.26 , N/A ,$180.49 ,$95.26 ,$178.75 ,$173.13 ,$194.77 ,$216.41 ,$183.95 ,$95.26 ,$183.95 ,$183.95 ,$194.77 ,$194.77 ,$169.88 ,$178.75 ,$95.26 ,$140.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097167,97167,OT EVAL 3,434,1 ,$216.41 ,$140.67 ,$95.26 ,$238.15 ,$173.13 ,$95.26 ,$171.48 ,$194.88 ,$194.88 ,$180.99 ,$183.95 ,$160.14 ,$238.15 ,$95.26 , N/A ,$180.49 ,$95.26 ,$178.75 ,$173.13 ,$194.77 ,$216.41 ,$183.95 ,$95.26 ,$183.95 ,$183.95 ,$194.77 ,$194.77 ,$169.88 ,$178.75 ,$95.26 ,$140.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097168,97168,OT RE EVAL 1,434,1 ,$132.86 ,$86.36 ,$64.11 ,$160.28 ,$106.29 ,$64.11 ,$105.28 ,$119.64 ,$119.64 ,$121.81 ,$112.93 ,$98.32 ,$160.28 ,$64.11 , N/A ,$110.81 ,$64.11 ,$109.74 ,$106.29 ,$119.57 ,$132.86 ,$112.93 ,$64.11 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$64.11 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097504,97760,OT ORTHO FIT/TRAIN/15MIN,431,1 ,$132.86 ,$86.36 ,$47.55 ,$119.64 ,$106.29 ,$47.55 ,$105.28 ,$119.64 ,$119.64 ,$90.35 ,$112.93 ,$98.32 ,$118.88 ,$47.55 , N/A ,$110.81 ,$47.55 ,$109.74 ,$106.29 ,$119.57 ,$118.88 ,$112.93 ,$47.55 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$47.55 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097520,97761,OT PROSTHETIC TRAINING/15MIN,431,1 ,$132.86 ,$86.36 ,$40.55 ,$119.64 ,$106.29 ,$40.55 ,$105.28 ,$119.64 ,$119.64 ,$77.05 ,$112.93 ,$98.32 ,$101.38 ,$40.55 , N/A ,$110.81 ,$40.55 ,$109.74 ,$106.29 ,$119.57 ,$101.38 ,$112.93 ,$40.55 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$40.55 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097530,97530,PT FUNCTIONAL TRAIN 15 MIN,420,1 ,$126.44 ,$82.19 ,$37.50 ,$113.86 ,$101.15 ,$37.50 ,$100.19 ,$113.86 ,$113.86 ,$71.25 ,$107.47 ,$93.57 ,$93.75 ,$37.50 , N/A ,$105.45 ,$37.50 ,$104.44 ,$101.15 ,$113.80 ,$93.75 ,$107.47 ,$37.50 ,$107.47 ,$107.47 ,$113.80 ,$113.80 ,$99.26 ,$104.44 ,$37.50 ,$82.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097531,97530,OT THER ACT 15MIN,431,1 ,$132.86 ,$86.36 ,$37.50 ,$119.64 ,$106.29 ,$37.50 ,$105.28 ,$119.64 ,$119.64 ,$71.25 ,$112.93 ,$98.32 ,$93.75 ,$37.50 , N/A ,$110.81 ,$37.50 ,$109.74 ,$106.29 ,$119.57 ,$93.75 ,$112.93 ,$37.50 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$37.50 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097532,97532,OT COG SKILL TRNG,431,1 ,$132.86 ,$86.36 ,$86.36 ,$119.64 ,$106.29 , N/A ,$105.28 ,$119.64 ,$119.64 , N/A ,$112.93 ,$98.32 , N/A , N/A , N/A ,$110.81 , N/A ,$109.74 ,$106.29 ,$119.57 , N/A ,$112.93 , N/A ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 , N/A ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097535,97535,OT/OTA ADL,431,1 ,$132.86 ,$86.36 ,$32.44 ,$119.64 ,$106.29 ,$32.44 ,$105.28 ,$119.64 ,$119.64 ,$61.64 ,$112.93 ,$98.32 ,$81.10 ,$32.44 , N/A ,$110.81 ,$32.44 ,$109.74 ,$106.29 ,$119.57 ,$81.10 ,$112.93 ,$32.44 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$32.44 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097542,97542,OT WHEELCHAIR MANAGEMENT/15MIN,431,1 ,$106.97 ,$69.53 ,$31.58 ,$96.33 ,$85.58 ,$31.58 ,$84.76 ,$96.33 ,$96.33 ,$60.00 ,$90.92 ,$79.16 ,$78.95 ,$31.58 , N/A ,$89.21 ,$31.58 ,$88.36 ,$85.58 ,$96.27 ,$78.95 ,$90.92 ,$31.58 ,$90.92 ,$90.92 ,$96.27 ,$96.27 ,$83.97 ,$88.36 ,$31.58 ,$69.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097545,97545,OT WORK CONDITIONING,431,1 ,$243.55 ,$158.31 ,$158.31 ,$219.32 ,$194.84 , N/A ,$192.99 ,$219.32 ,$219.32 , N/A ,$207.02 ,$180.23 , N/A , N/A , N/A ,$203.12 , N/A ,$201.17 ,$194.84 ,$219.20 , N/A ,$207.02 , N/A ,$207.02 ,$207.02 ,$219.20 ,$219.20 ,$191.19 ,$201.17 , N/A ,$158.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097546,97546,OT WORK HARD EA ADD HR,431,1 ,$121.87 ,$79.22 ,$79.22 ,$109.74 ,$97.50 , N/A ,$96.57 ,$109.74 ,$109.74 , N/A ,$103.59 ,$90.18 , N/A , N/A , N/A ,$101.64 , N/A ,$100.66 ,$97.50 ,$109.68 , N/A ,$103.59 , N/A ,$103.59 ,$103.59 ,$109.68 ,$109.68 ,$95.67 ,$100.66 , N/A ,$79.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097605,97605,WOUND VAC MANAGEMENT,420,1 ,$101.80 ,$66.17 ,$41.34 ,$103.35 ,$81.44 ,$41.34 ,$80.67 ,$91.67 ,$91.67 ,$78.55 ,$86.53 ,$75.33 ,$103.35 ,$41.34 , N/A ,$84.90 ,$41.34 ,$84.09 ,$81.44 ,$91.62 ,$101.80 ,$86.53 ,$41.34 ,$86.53 ,$86.53 ,$91.62 ,$91.62 ,$79.91 ,$84.09 ,$41.34 ,$66.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097703,97762,OT CHECKOUT ORT/PRO/15MIN,431,1 ,$132.86 ,$86.36 ,$86.36 ,$119.64 ,$106.29 , N/A ,$105.28 ,$119.64 ,$119.64 , N/A ,$112.93 ,$98.32 , N/A , N/A , N/A ,$110.81 , N/A ,$109.74 ,$106.29 ,$119.57 , N/A ,$112.93 , N/A ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 , N/A ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097750,97750,OT BTE TEST/15MIN,431,1 ,$321.81 ,$209.18 ,$33.07 ,$289.79 ,$257.45 ,$33.07 ,$255.00 ,$289.79 ,$289.79 ,$62.83 ,$273.54 ,$238.14 ,$82.68 ,$33.07 , N/A ,$268.39 ,$33.07 ,$265.82 ,$257.45 ,$289.63 ,$82.68 ,$273.54 ,$33.07 ,$273.54 ,$273.54 ,$289.63 ,$289.63 ,$252.62 ,$265.82 ,$33.07 ,$209.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),39097799,97799,OT UNLISTED REHAB SERV,431,1 ,$132.86 ,$86.36 ,$59.79 ,$119.64 ,$106.29 , N/A ,$105.28 ,$119.64 ,$119.64 ,$59.79 ,$112.93 ,$98.32 ,$93.00 , N/A , N/A ,$110.81 , N/A ,$109.74 ,$106.29 ,$119.57 , N/A ,$112.93 , N/A ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 , N/A ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39100885,N/A,*********DO NOT USE******************,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39100891,N/A,PT SOLD-SHELBY SCHOOL/SHELBY COMM SERV,420,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),39107078,97112,PTA PT NEUROMUSC RE-ED 15MIN,420,1 ,$132.86 ,$86.36 ,$33.86 ,$119.64 ,$106.29 ,$33.86 ,$105.28 ,$119.64 ,$119.64 ,$64.33 ,$112.93 ,$98.32 ,$84.65 ,$33.86 , N/A ,$110.81 ,$33.86 ,$109.74 ,$106.29 ,$119.57 ,$84.65 ,$112.93 ,$33.86 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$33.86 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39107870,97033,PTA PT IONTO,420,1 ,$182.77 ,$118.80 ,$19.67 ,$164.58 ,$146.22 ,$19.67 ,$144.83 ,$164.58 ,$164.58 ,$37.37 ,$155.35 ,$135.25 ,$49.18 ,$19.67 , N/A ,$152.43 ,$19.67 ,$150.97 ,$146.22 ,$164.49 ,$49.18 ,$155.35 ,$19.67 ,$155.35 ,$155.35 ,$164.49 ,$164.49 ,$143.47 ,$150.97 ,$19.67 ,$118.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),39111916,97110,OT/OTA 15 MIN,431,1 ,$141.60 ,$92.04 ,$29.26 ,$127.51 ,$113.28 ,$29.26 ,$112.20 ,$127.51 ,$127.51 ,$55.59 ,$120.36 ,$104.78 ,$73.15 ,$29.26 , N/A ,$118.09 ,$29.26 ,$116.96 ,$113.28 ,$127.44 ,$73.15 ,$120.36 ,$29.26 ,$120.36 ,$120.36 ,$127.44 ,$127.44 ,$111.16 ,$116.96 ,$29.26 ,$92.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),39170060,97035,PTA PT ULTRASOUND/15MIN,420,1 ,$132.86 ,$86.36 ,$14.10 ,$119.64 ,$106.29 ,$14.10 ,$105.28 ,$119.64 ,$119.64 ,$26.79 ,$112.93 ,$98.32 ,$35.25 ,$14.10 , N/A ,$110.81 ,$14.10 ,$109.74 ,$106.29 ,$119.57 ,$35.25 ,$112.93 ,$14.10 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$14.10 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39170065,97035,OT/OTA ULTRASOUND/15MIN,431,1 ,$132.86 ,$86.36 ,$14.10 ,$119.64 ,$106.29 ,$14.10 ,$105.28 ,$119.64 ,$119.64 ,$26.79 ,$112.93 ,$98.32 ,$35.25 ,$14.10 , N/A ,$110.81 ,$14.10 ,$109.74 ,$106.29 ,$119.57 ,$35.25 ,$112.93 ,$14.10 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$14.10 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39170185,97110,PTA PT THERAPEUTIC EXERCISE/15MIN,420,1 ,$132.86 ,$86.36 ,$29.26 ,$119.64 ,$106.29 ,$29.26 ,$105.28 ,$119.64 ,$119.64 ,$55.59 ,$112.93 ,$98.32 ,$73.15 ,$29.26 , N/A ,$110.81 ,$29.26 ,$109.74 ,$106.29 ,$119.57 ,$73.15 ,$112.93 ,$29.26 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$29.26 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),39170235,97116,PTA PT GAIT TRAINING/15MIN,420,1 ,$124.52 ,$80.94 ,$29.26 ,$112.13 ,$99.62 ,$29.26 ,$98.67 ,$112.13 ,$112.13 ,$55.59 ,$105.84 ,$92.14 ,$73.15 ,$29.26 , N/A ,$103.85 ,$29.26 ,$102.85 ,$99.62 ,$112.07 ,$73.15 ,$105.84 ,$29.26 ,$105.84 ,$105.84 ,$112.07 ,$112.07 ,$97.75 ,$102.85 ,$29.26 ,$80.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),39170599,97014,PTA PT E-STIM UNATT,420,1 ,$138.54 ,$90.05 ,$90.05 ,$124.76 ,$110.83 , N/A ,$109.78 ,$124.76 ,$124.76 , N/A ,$117.76 ,$102.52 , N/A , N/A , N/A ,$115.54 , N/A ,$114.43 ,$110.83 ,$124.69 , N/A ,$117.76 , N/A ,$117.76 ,$117.76 ,$124.69 ,$124.69 ,$108.75 ,$114.43 , N/A ,$90.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),39197014,97014,OT/OTA E-STIM UNATT,431,1 ,$138.54 ,$90.05 ,$90.05 ,$124.76 ,$110.83 , N/A ,$109.78 ,$124.76 ,$124.76 , N/A ,$117.76 ,$102.52 , N/A , N/A , N/A ,$115.54 , N/A ,$114.43 ,$110.83 ,$124.69 , N/A ,$117.76 , N/A ,$117.76 ,$117.76 ,$124.69 ,$124.69 ,$108.75 ,$114.43 , N/A ,$90.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),39197033,97033,OT/OTA IONTO,431,1 ,$182.77 ,$118.80 ,$19.67 ,$164.58 ,$146.22 ,$19.67 ,$144.83 ,$164.58 ,$164.58 ,$37.37 ,$155.35 ,$135.25 ,$49.18 ,$19.67 , N/A ,$152.43 ,$19.67 ,$150.97 ,$146.22 ,$164.49 ,$49.18 ,$155.35 ,$19.67 ,$155.35 ,$155.35 ,$164.49 ,$164.49 ,$143.47 ,$150.97 ,$19.67 ,$118.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),39197140,97140,PTA PT MANUAL THERAPY,420,1 ,$114.08 ,$74.15 ,$26.97 ,$102.73 ,$91.26 ,$26.97 ,$90.40 ,$102.73 ,$102.73 ,$51.24 ,$96.97 ,$84.42 ,$67.43 ,$26.97 , N/A ,$95.14 ,$26.97 ,$94.23 ,$91.26 ,$102.67 ,$67.43 ,$96.97 ,$26.97 ,$96.97 ,$96.97 ,$102.67 ,$102.67 ,$89.55 ,$94.23 ,$26.97 ,$74.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),39197530,97530,PTA PT FUNCTIONAL TRAIN 15 MIN,420,1 ,$126.44 ,$82.19 ,$37.50 ,$113.86 ,$101.15 ,$37.50 ,$100.19 ,$113.86 ,$113.86 ,$71.25 ,$107.47 ,$93.57 ,$93.75 ,$37.50 , N/A ,$105.45 ,$37.50 ,$104.44 ,$101.15 ,$113.80 ,$93.75 ,$107.47 ,$37.50 ,$107.47 ,$107.47 ,$113.80 ,$113.80 ,$99.26 ,$104.44 ,$37.50 ,$82.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),39197531,97530,OT/OTA THER ACT 15MIN,431,1 ,$132.86 ,$86.36 ,$37.50 ,$119.64 ,$106.29 ,$37.50 ,$105.28 ,$119.64 ,$119.64 ,$71.25 ,$112.93 ,$98.32 ,$93.75 ,$37.50 , N/A ,$110.81 ,$37.50 ,$109.74 ,$106.29 ,$119.57 ,$93.75 ,$112.93 ,$37.50 ,$112.93 ,$112.93 ,$119.57 ,$119.57 ,$104.30 ,$109.74 ,$37.50 ,$86.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),3996111,96111,DEVELOPMENTAL TESTING PEOS,444,1 ,$335.03 ,$217.77 ,$217.77 ,$301.69 ,$268.02 , N/A ,$265.48 ,$301.69 ,$301.69 , N/A ,$284.78 ,$247.92 , N/A , N/A , N/A ,$279.42 , N/A ,$276.73 ,$268.02 ,$301.53 , N/A ,$284.78 , N/A ,$284.78 ,$284.78 ,$301.53 ,$301.53 ,$263.00 ,$276.73 , N/A ,$217.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),4,N/A,NF-SPEARMINT OIL,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),40,N/A,NF-FERROUS SULFATE ORAL TABLET 325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),4001,N/A,IK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),40200007,51798,HC US BLADDER SCAN,450,1 ,$186.05 ,$120.93 ,$50.36 ,$167.54 ,$148.84 ,$50.36 ,$147.43 ,$167.54 ,$167.54 ,$95.69 ,$158.14 ,$137.68 ,$125.91 ,$50.36 , N/A ,$155.17 ,$50.36 ,$153.68 ,$148.84 ,$167.45 ,$125.91 ,$158.14 ,$53.94 ,$158.14 ,$158.14 ,$167.45 ,$167.45 ,$146.05 ,$153.68 ,$53.94 ,$120.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),41,N/A,NF-NAMENDA ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),42,N/A,NF-OMEPRAZOLE DELAYED RELEASE TABLET 20M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),43,N/A,NF-NIZATIDINE CAP 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),44,N/A,NF-SEROQUEL XR EXTENDED-RELEASE TAB 300M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),45,N/A,NF-ABILIFY ORAL TABLET 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),46,N/A,NF-WELLBUTRIN SR 12 HR TAB ER 150MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47,N/A,NF-ZESTORETIC TABLET 12.5MG-20MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47009991,N/A,<=SPECIAL DIET INSTRUCT=>,942,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47009992,N/A,<=GUEST/PARENT TRAY=>,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47009993,97803,MNT REASSESS/INTERV 15MIN,940,1 ,$178.02 ,$115.71 ,$26.49 ,$160.31 ,$142.42 ,$26.49 ,$141.06 ,$160.31 ,$160.31 ,$59.22 ,$151.32 ,$131.73 ,$77.93 ,$26.49 , N/A ,$148.47 ,$26.49 ,$147.04 ,$142.42 ,$160.22 ,$26.49 ,$151.32 ,$26.49 ,$151.32 ,$151.32 ,$160.22 ,$160.22 ,$139.75 ,$147.04 ,$26.49 ,$115.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),47009995,N/A,<=CALORIE COUNT=>,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47009996,N/A,<=TUBE FEEDING=>,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47009997,97804,MNT GROUP 30MIN,940,1 ,$142.38 ,$92.55 ,$13.98 ,$128.21 ,$113.90 ,$13.98 ,$112.82 ,$128.21 ,$128.21 ,$31.26 ,$121.02 ,$105.36 ,$41.13 ,$13.98 , N/A ,$118.74 ,$13.98 ,$117.61 ,$113.90 ,$128.14 ,$13.98 ,$121.02 ,$13.98 ,$121.02 ,$121.02 ,$128.14 ,$128.14 ,$111.77 ,$117.61 ,$13.98 ,$92.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),47009998,N/A,BMI CALCULATION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47009999,N/A,<=DIET ORDER=>,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010000,N/A,<=DIETICIAN CONSULT=>,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010001,N/A,REGULAR DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010002,N/A,NPO DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010003,N/A,2 GNA DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010004,N/A,CARDIAC DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010005,N/A,4 GNA DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010006,N/A,=>SPECIAL INSTRUCTIONS<=,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010007,N/A,1200 CALORIE ADA DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010008,N/A,1800 ADA LOW FAT LOW CHOLESTEROL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010009,N/A,1800 ADA 2GM NA LOW FAT LOW CHOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010010,N/A,1600 CALORIE ADA DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010011,N/A,1800 CALORIE ADA DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010012,N/A,2000 CALORIE ADA DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010013,N/A,2000 ADA 4 GM NA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010014,N/A,1800 ADA 4GM NA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010015,N/A,NCS DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010016,N/A,40 GM PROTEIN DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010017,N/A,60 GM PROTEIN DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010018,N/A,HIGH POTASSIUM DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010019,N/A,LOW POTASSIUM DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010020,N/A,LOW FAT DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010021,N/A,LOW FAT LOW CHOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010022,N/A,SOFT DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010023,N/A,BLAND DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010024,N/A,CLEAR LIQUID DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010025,N/A,FULL LIQUID DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010026,N/A,FLUID RESTRICTION DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010027,N/A,PUREE DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010028,N/A,HIGH FIBER DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010029,N/A,MECHANICAL SOFT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010030,N/A,LACTOSE RESTRICTED DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010031,N/A,PURINE RESTRICTED DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010032,N/A,LOW FIBER DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010033,N/A,NEUTROPENIC DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010034,N/A,CAFFEINE FREE DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010035,N/A,GLUTEN RESTRICTED DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47010132,N/A,BEHAVIORAL HEALTH DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47011100,N/A,=>DIET ORDER<=,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47020021,N/A,LOW FAT/CHOL/SALT NO CARBONATION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47020022,N/A,2 GM NA LOW FAT LOW CHOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47020121,N/A,LOW FAT/CHOL/2 GM SODIUM DIET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47030021,N/A,REGULAR DIET W/DOUBLE PORTIONS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),47100602,97802,MNT INIT ASSESS 15MIN,942,1 ,$87.16 ,$56.65 ,$30.75 ,$90.45 ,$69.73 ,$30.75 ,$69.07 ,$78.49 ,$78.49 ,$68.74 ,$74.09 ,$64.50 ,$90.45 ,$30.75 , N/A ,$72.69 ,$30.75 ,$71.99 ,$69.73 ,$78.44 ,$30.75 ,$74.09 ,$30.75 ,$74.09 ,$74.09 ,$78.44 ,$78.44 ,$68.42 ,$71.99 ,$30.75 ,$56.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),48,N/A,NF-ENDOCET TABLET 7.5MG-325MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),49,N/A,NF-COUMADIN TABLET 6MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),5,N/A,NF-CADUET ORAL TABLET 10MG-80MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),50,N/A,NF-PLAVIX ORAL TABLET 300MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),51,N/A,NF-HUMULIN R CONCENTRATE U-500 INJ 500U/,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),51009999,N/A,<=MAINTENANCE ORDER=>,320,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),52,N/A,NF-STRATTERA ORAL CAPSULE 60MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),53,N/A,NF-OMEPRAZOLE DR ORAL CAP DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),54,N/A,NF-ASPERCREME TOPICAL CREAM 10%,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),55,N/A,NF-BICALUTAMIDE ORAL TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),56,N/A,NF-AVELOX ORAL TABLET 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),57,N/A,NF-NIACIN CAPSULE 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),58,N/A,NF-VITAMIN C TABLET 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),59,N/A,NF-ALBUTEROL SULFATE INH SOLN 0.63MG/3ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),59598801,N/A,FINANCE CHG 15% APR,110,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),59998801,N/A,FINANCE CHARGE 1.25%,110,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6,N/A,NF-BENEFIT BAR,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60,N/A,NF-NIASPAN EXTENDED-RELEASE TABLET 500MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6000,N/A,XEROX COPIER TONER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600000,N/A,CATH PLUG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600001,N/A,MALICIOUS ASSAULT KIT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600002,N/A,GE MULTIVAPOR LIGHT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600003,N/A,ALCOHOL-ISOP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600004,N/A,APPLICATORS-STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600005,N/A,AUTOCLAVE TAPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600006,N/A,BANDAID SPOTS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600007,N/A,BANDAIDS COVERLET-2X3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600008,N/A,BANDAIDS-COVERLET 3X3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600009,N/A,"BANDAID COV.7/8""RD",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600010,N/A,BANDAID STRIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60001004,N/A,ACE BGD 2 IN,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60001012,N/A,ACE BDG 4 IN,270,1 ,$7.20 ,$4.68 ,$4.68 ,$6.48 ,$5.76 , N/A ,$5.71 ,$6.48 ,$6.48 , N/A ,$6.12 ,$5.33 , N/A , N/A , N/A ,$6.00 , N/A ,$5.95 ,$5.76 ,$6.48 , N/A ,$6.12 , N/A ,$6.12 ,$6.12 ,$6.48 ,$6.48 ,$5.65 ,$5.95 , N/A ,$4.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60001020,N/A,ACE BDG 6 IN,270,1 ,$22.80 ,$14.82 ,$14.82 ,$20.53 ,$18.24 , N/A ,$18.07 ,$20.53 ,$20.53 , N/A ,$19.38 ,$16.87 , N/A , N/A , N/A ,$19.02 , N/A ,$18.83 ,$18.24 ,$20.52 , N/A ,$19.38 , N/A ,$19.38 ,$19.38 ,$20.52 ,$20.52 ,$17.90 ,$18.83 , N/A ,$14.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),60001030,N/A,"ACE-6"" STERILE",270,1 ,$32.75 ,$21.29 ,$21.29 ,$29.49 ,$26.20 , N/A ,$25.95 ,$29.49 ,$29.49 , N/A ,$27.84 ,$24.24 , N/A , N/A , N/A ,$27.31 , N/A ,$27.05 ,$26.20 ,$29.48 , N/A ,$27.84 , N/A ,$27.84 ,$27.84 ,$29.48 ,$29.48 ,$25.71 ,$27.05 , N/A ,$21.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),60001038,N/A,ACE BDG 3 IN,270,1 ,$6.50 ,$4.23 ,$4.23 ,$5.85 ,$5.20 , N/A ,$5.15 ,$5.85 ,$5.85 , N/A ,$5.53 ,$4.81 , N/A , N/A , N/A ,$5.42 , N/A ,$5.37 ,$5.20 ,$5.85 , N/A ,$5.53 , N/A ,$5.53 ,$5.53 ,$5.85 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),600011,N/A,BANDAID XLARGE STRIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60001103,N/A,ADAPTIC 3X3,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60001111,N/A,ADAPTIC 3X8,270,1 ,$10.65 ,$6.92 ,$6.92 ,$9.59 ,$8.52 , N/A ,$8.44 ,$9.59 ,$9.59 , N/A ,$9.05 ,$7.88 , N/A , N/A , N/A ,$8.88 , N/A ,$8.80 ,$8.52 ,$9.59 , N/A ,$9.05 , N/A ,$9.05 ,$9.05 ,$9.59 ,$9.59 ,$8.36 ,$8.80 , N/A ,$6.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),600012,N/A,BANDAIDS-NOVELTY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600013,N/A,BAGS-TRANSPORT SPECIMEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600014,N/A,BETADINE OINTMENT PACKETTES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600015,N/A,BETA.SOL.GALLON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600016,N/A,BETA.SOL.8OZ.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600017,N/A,BLADES-TONGUE STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600018,N/A,COMBS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600019,N/A,CONTAMINATION BOX-RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600020,N/A,CONTAMINATION BOX-CLEAR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600021,N/A,COTTONBALLS-N STER.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60002184,N/A,ARM IV ADULT,270,1 ,$8.60 ,$5.59 ,$5.59 ,$7.74 ,$6.88 , N/A ,$6.81 ,$7.74 ,$7.74 , N/A ,$7.31 ,$6.36 , N/A , N/A , N/A ,$7.17 , N/A ,$7.10 ,$6.88 ,$7.74 , N/A ,$7.31 , N/A ,$7.31 ,$7.31 ,$7.74 ,$7.74 ,$6.75 ,$7.10 , N/A ,$5.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),600022,N/A,CUPS-METERED DRINKING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60002200,N/A,ARMBOARD ADULT,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002218,N/A,ARMBOARD PEDIATRIC,270,1 ,$7.50 ,$4.88 ,$4.88 ,$6.75 ,$6.00 , N/A ,$5.94 ,$6.75 ,$6.75 , N/A ,$6.38 ,$5.55 , N/A , N/A , N/A ,$6.26 , N/A ,$6.20 ,$6.00 ,$6.75 , N/A ,$6.38 , N/A ,$6.38 ,$6.38 ,$6.75 ,$6.75 ,$5.89 ,$6.20 , N/A ,$4.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002267,N/A,TED KNEE HI/SMALL **,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002283,N/A,TED KNEE HI/XLARGE **,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002291,N/A,TED KNEE HI/LARGE **,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),600023,N/A,ELECTRODE PIN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60002300,N/A,ARTH.KNEE DRAPE,270,1 ,$216.25 ,$140.56 ,$140.56 ,$194.73 ,$173.00 , N/A ,$171.36 ,$194.73 ,$194.73 , N/A ,$183.81 ,$160.03 , N/A , N/A , N/A ,$180.35 , N/A ,$178.62 ,$173.00 ,$194.63 , N/A ,$183.81 , N/A ,$183.81 ,$183.81 ,$194.63 ,$194.63 ,$169.76 ,$178.62 , N/A ,$140.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002309,N/A,TED KNEE HI / MEDIUM **,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002317,N/A,TED THIGH HI / MEDIUM **,270,1 ,$46.00 ,$29.90 ,$29.90 ,$41.42 ,$36.80 , N/A ,$36.45 ,$41.42 ,$41.42 , N/A ,$39.10 ,$34.04 , N/A , N/A , N/A ,$38.36 , N/A ,$38.00 ,$36.80 ,$41.40 , N/A ,$39.10 , N/A ,$39.10 ,$39.10 ,$41.40 ,$41.40 ,$36.11 ,$38.00 , N/A ,$29.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002325,N/A,TED KNEE HI/LG LONG **,270,1 ,$46.00 ,$29.90 ,$29.90 ,$41.42 ,$36.80 , N/A ,$36.45 ,$41.42 ,$41.42 , N/A ,$39.10 ,$34.04 , N/A , N/A , N/A ,$38.36 , N/A ,$38.00 ,$36.80 ,$41.40 , N/A ,$39.10 , N/A ,$39.10 ,$39.10 ,$41.40 ,$41.40 ,$36.11 ,$38.00 , N/A ,$29.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002333,N/A,TED THIGH HI/XLARGE **,270,1 ,$46.00 ,$29.90 ,$29.90 ,$41.42 ,$36.80 , N/A ,$36.45 ,$41.42 ,$41.42 , N/A ,$39.10 ,$34.04 , N/A , N/A , N/A ,$38.36 , N/A ,$38.00 ,$36.80 ,$41.40 , N/A ,$39.10 , N/A ,$39.10 ,$39.10 ,$41.40 ,$41.40 ,$36.11 ,$38.00 , N/A ,$29.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002341,N/A,TED THIGH HI/SMALL **,270,1 ,$29.80 ,$19.37 ,$19.37 ,$26.83 ,$23.84 , N/A ,$23.61 ,$26.83 ,$26.83 , N/A ,$25.33 ,$22.05 , N/A , N/A , N/A ,$24.85 , N/A ,$24.61 ,$23.84 ,$26.82 , N/A ,$25.33 , N/A ,$25.33 ,$25.33 ,$26.82 ,$26.82 ,$23.39 ,$24.61 , N/A ,$19.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60002350,N/A,ARTH.SHOULDER DRAPE,270,1 ,$252.80 ,$164.32 ,$164.32 ,$227.65 ,$202.24 , N/A ,$200.32 ,$227.65 ,$227.65 , N/A ,$214.88 ,$187.07 , N/A , N/A , N/A ,$210.84 , N/A ,$208.81 ,$202.24 ,$227.52 , N/A ,$214.88 , N/A ,$214.88 ,$214.88 ,$227.52 ,$227.52 ,$198.45 ,$208.81 , N/A ,$164.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),600024,N/A,EKG SOLUTION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600025,N/A,EMESIS BASIN-DISP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600026,N/A,ELECTRODE-QUICKPACE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600027,N/A,ENDOZIMES(ASEPTI-ZYME),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60002705,N/A,SKIN MARKER,270,1 ,$4.70 ,$3.06 ,$3.06 ,$4.23 ,$3.76 , N/A ,$3.72 ,$4.23 ,$4.23 , N/A ,$4.00 ,$3.48 , N/A , N/A , N/A ,$3.92 , N/A ,$3.88 ,$3.76 ,$4.23 , N/A ,$4.00 , N/A ,$4.00 ,$4.00 ,$4.23 ,$4.23 ,$3.69 ,$3.88 , N/A ,$3.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),600028,N/A,FILTER-KIDNEY STONE,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600029,N/A,"GAUZE-TUBE 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600030,N/A,GRADUATES-DISPOSABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600031,N/A,GLOVES SMALL VINYL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600032,N/A,GLOVE MEDIUM VINYL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60003224,N/A,ANKLE BRACE LG **,270,1 ,$57.30 ,$37.25 ,$37.25 ,$51.60 ,$45.84 , N/A ,$45.40 ,$51.60 ,$51.60 , N/A ,$48.71 ,$42.40 , N/A , N/A , N/A ,$47.79 , N/A ,$47.33 ,$45.84 ,$51.57 , N/A ,$48.71 , N/A ,$48.71 ,$48.71 ,$51.57 ,$51.57 ,$44.98 ,$47.33 , N/A ,$37.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60003225,N/A,ANKLE BRACE XLG **,270,1 ,$57.30 ,$37.25 ,$37.25 ,$51.60 ,$45.84 , N/A ,$45.40 ,$51.60 ,$51.60 , N/A ,$48.71 ,$42.40 , N/A , N/A , N/A ,$47.79 , N/A ,$47.33 ,$45.84 ,$51.57 , N/A ,$48.71 , N/A ,$48.71 ,$48.71 ,$51.57 ,$51.57 ,$44.98 ,$47.33 , N/A ,$37.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60003232,N/A,ANKLE BRACE MED **,270,1 ,$57.30 ,$37.25 ,$37.25 ,$51.60 ,$45.84 , N/A ,$45.40 ,$51.60 ,$51.60 , N/A ,$48.71 ,$42.40 , N/A , N/A , N/A ,$47.79 , N/A ,$47.33 ,$45.84 ,$51.57 , N/A ,$48.71 , N/A ,$48.71 ,$48.71 ,$51.57 ,$51.57 ,$44.98 ,$47.33 , N/A ,$37.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60003240,N/A,ANKLE BRACE SM **,270,1 ,$57.30 ,$37.25 ,$37.25 ,$51.60 ,$45.84 , N/A ,$45.40 ,$51.60 ,$51.60 , N/A ,$48.71 ,$42.40 , N/A , N/A , N/A ,$47.79 , N/A ,$47.33 ,$45.84 ,$51.57 , N/A ,$48.71 , N/A ,$48.71 ,$48.71 ,$51.57 ,$51.57 ,$44.98 ,$47.33 , N/A ,$37.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60003245,N/A,ANKLE SUP.LACE-UP XS **,270,1 ,$27.30 ,$17.75 ,$17.75 ,$24.58 ,$21.84 , N/A ,$21.63 ,$24.58 ,$24.58 , N/A ,$23.21 ,$20.20 , N/A , N/A , N/A ,$22.77 , N/A ,$22.55 ,$21.84 ,$24.57 , N/A ,$23.21 , N/A ,$23.21 ,$23.21 ,$24.57 ,$24.57 ,$21.43 ,$22.55 , N/A ,$17.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60003250,N/A,ANKLE SUP.LACE-UP SM. **,270,1 ,$27.30 ,$17.75 ,$17.75 ,$24.58 ,$21.84 , N/A ,$21.63 ,$24.58 ,$24.58 , N/A ,$23.21 ,$20.20 , N/A , N/A , N/A ,$22.77 , N/A ,$22.55 ,$21.84 ,$24.57 , N/A ,$23.21 , N/A ,$23.21 ,$23.21 ,$24.57 ,$24.57 ,$21.43 ,$22.55 , N/A ,$17.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60003255,N/A,ANKLE SUP.LACE-UP MD. **,270,1 ,$27.30 ,$17.75 ,$17.75 ,$24.58 ,$21.84 , N/A ,$21.63 ,$24.58 ,$24.58 , N/A ,$23.21 ,$20.20 , N/A , N/A , N/A ,$22.77 , N/A ,$22.55 ,$21.84 ,$24.57 , N/A ,$23.21 , N/A ,$23.21 ,$23.21 ,$24.57 ,$24.57 ,$21.43 ,$22.55 , N/A ,$17.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60003260,N/A,ANKLE SUP.LACE-UP LG **,270,1 ,$27.30 ,$17.75 ,$17.75 ,$24.58 ,$21.84 , N/A ,$21.63 ,$24.58 ,$24.58 , N/A ,$23.21 ,$20.20 , N/A , N/A , N/A ,$22.77 , N/A ,$22.55 ,$21.84 ,$24.57 , N/A ,$23.21 , N/A ,$23.21 ,$23.21 ,$24.57 ,$24.57 ,$21.43 ,$22.55 , N/A ,$17.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),600033,N/A,GLOVES LARGE VINYL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600034,N/A,GLOVES-ALOE ICE MEDIUM (LAB),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600035,N/A,GLOVES-ALLERGENIC NEUTRA ME,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600036,N/A,GOWN-STERILE-DO NOT USE...,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600037,N/A,GOWN-PROTECTIVE SHIELD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600038,N/A,HEMOSTAT-DISPOSABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600039,N/A,HIBICLENS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600040,N/A,PURELL SMALL BOTTLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600041,N/A,ID BRACELETS-BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600042,N/A,ID BRACELETS-RED ALLERGY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600043,N/A,ID BRACELETS-YEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600044,N/A,ID BRACELETS-WHITE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600045,N/A,ID BRACELETS-GREEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600046,N/A,ID PLASTIC PLATES-BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600047,N/A,ID PLASTIC PLATES-GREEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600048,N/A,ID PLASTIC PLATES-WHITE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600049,N/A,ID PLASTIC PLATES-YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600050,N/A,ID PLASTIC PLATES-ORANGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600051,N/A,ISOLATION GOWNS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600052,N/A,IVAC COVERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600053,N/A,KETODIASTIX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600054,N/A,CHEMSTRIP-BG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600055,N/A,GLUCOMETER TEST STRIP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600056,N/A,GLUCOMETER HI / LOW CONTROLS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600057,N/A,GLUCOMETER-HI CONT DON'T ORDER DISCNTD.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600058,N/A,ID BRACELET PURPLE DNR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600059,N/A,GLUC. LANCETS- ADULT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600060,N/A,GLUCO.LANCETS-PEDIATRIC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600061,N/A,KY JELLY(SURGILUBE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600062,N/A,LIGHT SHIELDS-SURGICAL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600063,N/A,MASK-DISP.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600064,N/A,MASK W/SHIELD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600065,N/A,MASKS-MOLDED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600066,N/A,MASK-SURGICAL-FOG FREE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60006639,N/A,YUOI,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600067,N/A,MED CUP-PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600068,N/A,MED CUP-PLASTIC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600069,N/A,NEEDLES-19X1 1/2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60006969,N/A,4P,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600070,N/A,NEEDLE-20 X 1 1.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600071,N/A,NEEDLE-20X3 1/2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600072,N/A,NEEDLE-21 X 1,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600073,N/A,NEEDLE-21 X 1.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600074,N/A,NEEDLE-22X1,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600075,N/A,NEEDLE-25 X 5/8,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600076,N/A,NEEDLE-22X1 1/2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600077,N/A,NEEDLE-27 X.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600078,N/A,NEEDLE 27X1 1/2 ER/OR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600079,N/A,NEEDLE-30 X .5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600080,N/A,NEEDLES-BUTTERFLY 21G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600082,N/A,NEEDLES-BUTTERFLY 25G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600083,N/A,NURSE CAPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600084,N/A,NURSE CAP LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600085,N/A,NURSE CAP-REG.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600086,N/A,CAP-SURGICAL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600087,N/A,OMNICIDE-28 DAY CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600088,N/A,PACK-PERI,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600089,N/A,PATIENT CARE KITS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600090,N/A,PEROXIDE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600091,N/A,POUCH-PEEL 5 1/4x10 1/4,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600092,N/A,POUCH-PEEL 3 1/2x8 1/2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600093,N/A,POUCH-PEEL 7 1/2x13 1/2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600094,N/A,PRINTER PAPER-WELCH/ALLYN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600095,N/A,PROBE COVERS-GENIUS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600096,N/A,PROBE COVERS-THERMOSCAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600097,N/A,PROBE COVER-WELCH ALLYN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600098,N/A,SAFETY PIN #3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600099,N/A,SCALPEL BLADE #10,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6001,N/A,HP DESKJET 6980,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600100,N/A,SCALPEL BLADE #11,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600101,N/A,SCALPEL BLADE #15,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600102,N/A,SCALPEL W/HANDEL #15,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600103,N/A,SCALPEL W/ HANDEL #10,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600104,N/A,SHEETS-TRANSVERSE LAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600105,N/A,SODASORB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600106,N/A,STEAM STERILIZATION INTEGRATOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600107,N/A,STEAM INDICATOR BIOSIGN--REFRIGERATE!!!,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600108,N/A,SPONGE-2X2 NON STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600109,N/A,SPONGE-3X3 NON STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600110,N/A,SPONGE-4X4 NON STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600111,N/A,SPONGE-4X4 X-TEC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600112,N/A,SPONGE-E-Z SCRUB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600113,N/A,SPONGE-PREOP IODOPHOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600114,N/A,SWAB-ACUDYNE PREP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600115,N/A,SWAB ALCOWIPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600116,N/A,SYRINGE-21X1 3CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600117,N/A,SYRINGE-21X1 1/2 3 CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600118,N/A,SYRINGE-22X1 1/2 3CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60011805,N/A,BABY BOTTLE 8 OZ,270,1 ,$3.30 ,$2.15 ,$2.15 ,$2.97 ,$2.64 , N/A ,$2.61 ,$2.97 ,$2.97 , N/A ,$2.81 ,$2.44 , N/A , N/A , N/A ,$2.75 , N/A ,$2.73 ,$2.64 ,$2.97 , N/A ,$2.81 , N/A ,$2.81 ,$2.81 ,$2.97 ,$2.97 ,$2.59 ,$2.73 , N/A ,$2.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011850,N/A,BACKBRACE-UNV **,270,1 ,$52.00 ,$33.80 ,$33.80 ,$46.83 ,$41.60 , N/A ,$41.20 ,$46.83 ,$46.83 , N/A ,$44.20 ,$38.48 , N/A , N/A , N/A ,$43.37 , N/A ,$42.95 ,$41.60 ,$46.80 , N/A ,$44.20 , N/A ,$44.20 ,$44.20 ,$46.80 ,$46.80 ,$40.82 ,$42.95 , N/A ,$33.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011886,N/A,BAIR-GOWN **,270,1 ,$122.50 ,$79.63 ,$79.63 ,$110.31 ,$98.00 , N/A ,$97.07 ,$110.31 ,$110.31 , N/A ,$104.13 ,$90.65 , N/A , N/A , N/A ,$102.17 , N/A ,$101.19 ,$98.00 ,$110.25 , N/A ,$104.13 , N/A ,$104.13 ,$104.13 ,$110.25 ,$110.25 ,$96.16 ,$101.19 , N/A ,$79.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011887,N/A,BAIR HIGH FLOW TUBING **,270,1 ,$172.00 ,$111.80 ,$111.80 ,$154.89 ,$137.60 , N/A ,$136.29 ,$154.89 ,$154.89 , N/A ,$146.20 ,$127.28 , N/A , N/A , N/A ,$143.45 , N/A ,$142.07 ,$137.60 ,$154.80 , N/A ,$146.20 , N/A ,$146.20 ,$146.20 ,$154.80 ,$154.80 ,$135.02 ,$142.07 , N/A ,$111.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011888,N/A,BAIR BLANKET-UPPER BODY **,270,1 ,$57.00 ,$37.05 ,$37.05 ,$51.33 ,$45.60 , N/A ,$45.17 ,$51.33 ,$51.33 , N/A ,$48.45 ,$42.18 , N/A , N/A , N/A ,$47.54 , N/A ,$47.08 ,$45.60 ,$51.30 , N/A ,$48.45 , N/A ,$48.45 ,$48.45 ,$51.30 ,$51.30 ,$44.75 ,$47.08 , N/A ,$37.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011889,N/A,BAIR BLANKET-LOWER BODY **,270,1 ,$57.00 ,$37.05 ,$37.05 ,$51.33 ,$45.60 , N/A ,$45.17 ,$51.33 ,$51.33 , N/A ,$48.45 ,$42.18 , N/A , N/A , N/A ,$47.54 , N/A ,$47.08 ,$45.60 ,$51.30 , N/A ,$48.45 , N/A ,$48.45 ,$48.45 ,$51.30 ,$51.30 ,$44.75 ,$47.08 , N/A ,$37.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011890,N/A,BAIR BLANKET **,270,1 ,$57.00 ,$37.05 ,$37.05 ,$51.33 ,$45.60 , N/A ,$45.17 ,$51.33 ,$51.33 , N/A ,$48.45 ,$42.18 , N/A , N/A , N/A ,$47.54 , N/A ,$47.08 ,$45.60 ,$51.30 , N/A ,$48.45 , N/A ,$48.45 ,$48.45 ,$51.30 ,$51.30 ,$44.75 ,$47.08 , N/A ,$37.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011891,N/A,BAIR WARM SET **,270,1 ,$52.50 ,$34.13 ,$34.13 ,$47.28 ,$42.00 , N/A ,$41.60 ,$47.28 ,$47.28 , N/A ,$44.63 ,$38.85 , N/A , N/A , N/A ,$43.79 , N/A ,$43.37 ,$42.00 ,$47.25 , N/A ,$44.63 , N/A ,$44.63 ,$44.63 ,$47.25 ,$47.25 ,$41.21 ,$43.37 , N/A ,$34.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011892,N/A,RANGER ER SET,270,1 ,$62.50 ,$40.63 ,$40.63 ,$56.28 ,$50.00 , N/A ,$49.53 ,$56.28 ,$56.28 , N/A ,$53.13 ,$46.25 , N/A , N/A , N/A ,$52.13 , N/A ,$51.63 ,$50.00 ,$56.25 , N/A ,$53.13 , N/A ,$53.13 ,$53.13 ,$56.25 ,$56.25 ,$49.06 ,$51.63 , N/A ,$40.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011893,N/A,RANGER STANDARD FLOW TUBING,270,1 ,$65.00 ,$42.25 ,$42.25 ,$58.53 ,$52.00 , N/A ,$51.51 ,$58.53 ,$58.53 , N/A ,$55.25 ,$48.10 , N/A , N/A , N/A ,$54.21 , N/A ,$53.69 ,$52.00 ,$58.50 , N/A ,$55.25 , N/A ,$55.25 ,$55.25 ,$58.50 ,$58.50 ,$51.03 ,$53.69 , N/A ,$42.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011895,N/A,BEDPAN,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),600119,N/A,SYRINGE-25 X 5/8 A 3CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60011900,N/A,BEDPAN-FRACTURE,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011950,N/A,BP CUFF-ADULT (DISPOSABLE),270,1 ,$59.10 ,$38.42 ,$38.42 ,$53.22 ,$47.28 , N/A ,$46.83 ,$53.22 ,$53.22 , N/A ,$50.24 ,$43.73 , N/A , N/A , N/A ,$49.29 , N/A ,$48.82 ,$47.28 ,$53.19 , N/A ,$50.24 , N/A ,$50.24 ,$50.24 ,$53.19 ,$53.19 ,$46.39 ,$48.82 , N/A ,$38.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011951,N/A,BP CUFF-PEDIATRIC (DISPOSABLE),270,1 ,$63.65 ,$41.37 ,$41.37 ,$57.32 ,$50.92 , N/A ,$50.44 ,$57.32 ,$57.32 , N/A ,$54.10 ,$47.10 , N/A , N/A , N/A ,$53.08 , N/A ,$52.57 ,$50.92 ,$57.29 , N/A ,$54.10 , N/A ,$54.10 ,$54.10 ,$57.29 ,$57.29 ,$49.97 ,$52.57 , N/A ,$41.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60011975,N/A,BONE MARROW TRAY-LAB,270,1 ,$101.85 ,$66.20 ,$66.20 ,$91.72 ,$81.48 , N/A ,$80.71 ,$91.72 ,$91.72 , N/A ,$86.57 ,$75.37 , N/A , N/A , N/A ,$84.94 , N/A ,$84.13 ,$81.48 ,$91.67 , N/A ,$86.57 , N/A ,$86.57 ,$86.57 ,$91.67 ,$91.67 ,$79.95 ,$84.13 , N/A ,$66.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),600120,N/A,SYRINGE-25 X 5/8 TB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60012001,N/A,BULB SYRINGE,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),600121,N/A,SYRINGE-27 X 1/2 INS.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600122,N/A,SYRINGE-27X1 1/2 OR/ER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600123,N/A,SYRINGE-29 X 1/2 INSULIN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600124,N/A,SYRINGE-25X5/8 INS.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600125,N/A,SYRINGE-6CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600126,N/A,SYRINGE-3CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600127,N/A,SYRINGE-20CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600128,N/A,SYRINGE-35CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600129,N/A,SYRINGE-60CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60012951,L3260,CAST BOOT XLG,274,1 ,$44.10 ,$28.67 ,$28.67 ,$39.71 ,$35.28 , N/A ,$34.94 ,$39.71 ,$39.71 , N/A ,$37.49 ,$32.63 , N/A , N/A , N/A ,$36.78 , N/A ,$36.43 ,$35.28 ,$39.69 , N/A ,$37.49 , N/A ,$37.49 ,$37.49 ,$39.69 ,$39.69 ,$34.62 ,$36.43 , N/A ,$28.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60012969,L3260,CAST BOOT LG,274,1 ,$44.10 ,$28.67 ,$28.67 ,$39.71 ,$35.28 , N/A ,$34.94 ,$39.71 ,$39.71 , N/A ,$37.49 ,$32.63 , N/A , N/A , N/A ,$36.78 , N/A ,$36.43 ,$35.28 ,$39.69 , N/A ,$37.49 , N/A ,$37.49 ,$37.49 ,$39.69 ,$39.69 ,$34.62 ,$36.43 , N/A ,$28.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60012977,L3260,CAST BOOT MED,274,1 ,$44.10 ,$28.67 ,$28.67 ,$39.71 ,$35.28 , N/A ,$34.94 ,$39.71 ,$39.71 , N/A ,$37.49 ,$32.63 , N/A , N/A , N/A ,$36.78 , N/A ,$36.43 ,$35.28 ,$39.69 , N/A ,$37.49 , N/A ,$37.49 ,$37.49 ,$39.69 ,$39.69 ,$34.62 ,$36.43 , N/A ,$28.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60012985,L3260,CAST BOOT SM,274,1 ,$44.10 ,$28.67 ,$28.67 ,$39.71 ,$35.28 , N/A ,$34.94 ,$39.71 ,$39.71 , N/A ,$37.49 ,$32.63 , N/A , N/A , N/A ,$36.78 , N/A ,$36.43 ,$35.28 ,$39.69 , N/A ,$37.49 , N/A ,$37.49 ,$37.49 ,$39.69 ,$39.69 ,$34.62 ,$36.43 , N/A ,$28.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60012993,N/A,CAST BOOT XSM,270,1 ,$44.10 ,$28.67 ,$28.67 ,$39.71 ,$35.28 , N/A ,$34.94 ,$39.71 ,$39.71 , N/A ,$37.49 ,$32.63 , N/A , N/A , N/A ,$36.78 , N/A ,$36.43 ,$35.28 ,$39.69 , N/A ,$37.49 , N/A ,$37.49 ,$37.49 ,$39.69 ,$39.69 ,$34.62 ,$36.43 , N/A ,$28.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),600130,N/A,SYRINGE-12CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60013000,N/A,BREATHING CIRCUITS-ADULT,270,1 ,$28.35 ,$18.43 ,$18.43 ,$25.53 ,$22.68 , N/A ,$22.46 ,$25.53 ,$25.53 , N/A ,$24.10 ,$20.98 , N/A , N/A , N/A ,$23.64 , N/A ,$23.42 ,$22.68 ,$25.52 , N/A ,$24.10 , N/A ,$24.10 ,$24.10 ,$25.52 ,$25.52 ,$22.25 ,$23.42 , N/A ,$18.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),60013001,N/A,BREATH CIRCUITS-PEDIATRIC,270,1 ,$35.55 ,$23.11 ,$23.11 ,$32.01 ,$28.44 , N/A ,$28.17 ,$32.01 ,$32.01 , N/A ,$30.22 ,$26.31 , N/A , N/A , N/A ,$29.65 , N/A ,$29.36 ,$28.44 ,$32.00 , N/A ,$30.22 , N/A ,$30.22 ,$30.22 ,$32.00 ,$32.00 ,$27.91 ,$29.36 , N/A ,$23.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),600131,N/A,SYRINGE-CONTROL 12CC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600132,N/A,TUBING CONNECTIVE PN7100,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600133,N/A,SPECIMEN CONTAINER-STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600134,N/A,SHOE COVERS-UNIVERSAL(SPORT),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600135,N/A,SHOE COVERS-X-LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600136,N/A,SPONGE-LAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600137,N/A,"STOCKINETTE 5""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600138,N/A,"STOCKINETTE 4""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600139,N/A,"STOCKINETTE 3""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600140,N/A,"STOCKINETTE-2""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600141,N/A,"TAPE-TRANSPORE 3""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600142,N/A,"TAPE-TRANSPORE 1/2""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600143,N/A,"TAPE-TRANSPORE 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600144,N/A,"TAPE-TRANSPORE 2""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600145,N/A,"TAPE-CLOTH 2""(CURASILK)",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600146,N/A,"TAPE-CLOTH 1""(CURASILK)",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600147,N/A,"TAPE-CLOTH 3""(CURASILK)",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600148,N/A,"TAPE-PAPER 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600149,N/A,"TAPE-PAPER 2""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600150,N/A,"TAPE-PAPER 3""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600151,N/A,TAPE-DOCTOR ORANGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600152,N/A,TAPE-DOCTOR YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600153,N/A,TAPE-DOCTOR BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600154,N/A,TAPE-ISOLATION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600155,N/A,TAPE-DOCTOR RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600156,N/A,TAPE-DOCTOR GRAY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600157,N/A,TAPE-DOCTOR PINK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600158,N/A,TAPE-DOCTOR GREEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600159,N/A,TAPE-DOCTOR WHITE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600160,N/A,TAPE-DOCTOR SALMON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600161,N/A,TELEMETRY-PAPER 9661,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600162,N/A,URINE COLLECTOR-PEDIATRIC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600163,N/A,URINE TUBES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600164,N/A,WASH PACKS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600165,N/A,WRAP-24X24,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600166,N/A,WRAP-36X36,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600167,N/A,WRAP-45X45,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600168,N/A,CONTAINER-BD VACUTAINER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600169,N/A,SALINE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600170,N/A,"BANDAID STRIPS 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600171,N/A,NEEDLE 15Gx1 1/2 (SURG),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600172,N/A,STOMAHESIVE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600173,N/A,NEEDLE 16 (SURG),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600174,N/A,EYE SHIELD-DISPOSABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600175,N/A,SAFESORB(VIRASORB),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600176,N/A,GOWN-NON STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600178,N/A,ID BRACELET FALL RISK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600179,N/A,COLOSTOMY CLIP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600180,N/A,CIDEX OPA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600181,N/A,MONSELS PASTE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600182,N/A,LUGOLS SOLUTION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600183,N/A,BENZOIN TENTURE STICKS (SURG),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600184,N/A,NEEDLE 27Gx1 1/2 (SURG),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600185,N/A,NEEDLE-FILTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600186,N/A,PROBE COVER PARACENTISIS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600187,N/A,PRE-KLENZ INSTRUMENT CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600188,N/A,ISOLATION GOWN FLUID RESISTANT XL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600189,N/A,BIOPATCH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6001891,N/A,DG,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600190,N/A,GAUZE STERILE 2X2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600191,N/A,GAUZE STERILE 3X3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600192,N/A,GAUZE STERILE 4X4,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600193,N/A,TELFA 2X3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600194,N/A,TELFA 3X4,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600195,N/A,TELFA 3X8,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600196,N/A,PATIENT CARE WIPE READYFLUSH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600197,N/A,MYELOGRAM TRAY**,270,1 ,$63.80 ,$41.47 ,$41.47 ,$57.45 ,$51.04 , N/A ,$50.56 ,$57.45 ,$57.45 , N/A ,$54.23 ,$47.21 , N/A , N/A , N/A ,$53.21 , N/A ,$52.70 ,$51.04 ,$57.42 , N/A ,$54.23 , N/A ,$54.23 ,$54.23 ,$57.42 ,$57.42 ,$50.08 ,$52.70 , N/A ,$41.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),600198,N/A,BASIN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600199,N/A,PATIENT CARAFE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600200,N/A,TAPE-DOCTOR VIOLET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020000,N/A,FULL FACE-PETITE MASK DO NOT USE **,270,1 ,$100.00 ,$65.00 ,$65.00 ,$90.05 ,$80.00 , N/A ,$79.24 ,$90.05 ,$90.05 , N/A ,$85.00 ,$74.00 , N/A , N/A , N/A ,$83.40 , N/A ,$82.60 ,$80.00 ,$90.00 , N/A ,$85.00 , N/A ,$85.00 ,$85.00 ,$90.00 ,$90.00 ,$78.50 ,$82.60 , N/A ,$65.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020001,N/A,FULL FACE-SMALL MASK **,270,1 ,$100.00 ,$65.00 ,$65.00 ,$90.05 ,$80.00 , N/A ,$79.24 ,$90.05 ,$90.05 , N/A ,$85.00 ,$74.00 , N/A , N/A , N/A ,$83.40 , N/A ,$82.60 ,$80.00 ,$90.00 , N/A ,$85.00 , N/A ,$85.00 ,$85.00 ,$90.00 ,$90.00 ,$78.50 ,$82.60 , N/A ,$65.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020002,N/A,FULL FACE-MEDIUM MASK **,270,1 ,$100.00 ,$65.00 ,$65.00 ,$90.05 ,$80.00 , N/A ,$79.24 ,$90.05 ,$90.05 , N/A ,$85.00 ,$74.00 , N/A , N/A , N/A ,$83.40 , N/A ,$82.60 ,$80.00 ,$90.00 , N/A ,$85.00 , N/A ,$85.00 ,$85.00 ,$90.00 ,$90.00 ,$78.50 ,$82.60 , N/A ,$65.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020003,N/A,FULL FACE-LARGE MASK **,270,1 ,$100.00 ,$65.00 ,$65.00 ,$90.05 ,$80.00 , N/A ,$79.24 ,$90.05 ,$90.05 , N/A ,$85.00 ,$74.00 , N/A , N/A , N/A ,$83.40 , N/A ,$82.60 ,$80.00 ,$90.00 , N/A ,$85.00 , N/A ,$85.00 ,$85.00 ,$90.00 ,$90.00 ,$78.50 ,$82.60 , N/A ,$65.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020004,N/A,NASAL-PETITE MASK,270,1 ,$63.00 ,$40.95 ,$40.95 ,$56.73 ,$50.40 , N/A ,$49.92 ,$56.73 ,$56.73 , N/A ,$53.55 ,$46.62 , N/A , N/A , N/A ,$52.54 , N/A ,$52.04 ,$50.40 ,$56.70 , N/A ,$53.55 , N/A ,$53.55 ,$53.55 ,$56.70 ,$56.70 ,$49.46 ,$52.04 , N/A ,$40.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020005,N/A,NASAL-SMALL MASK,270,1 ,$63.00 ,$40.95 ,$40.95 ,$56.73 ,$50.40 , N/A ,$49.92 ,$56.73 ,$56.73 , N/A ,$53.55 ,$46.62 , N/A , N/A , N/A ,$52.54 , N/A ,$52.04 ,$50.40 ,$56.70 , N/A ,$53.55 , N/A ,$53.55 ,$53.55 ,$56.70 ,$56.70 ,$49.46 ,$52.04 , N/A ,$40.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020006,N/A,NASAL-MEDIUM MASK,270,1 ,$63.00 ,$40.95 ,$40.95 ,$56.73 ,$50.40 , N/A ,$49.92 ,$56.73 ,$56.73 , N/A ,$53.55 ,$46.62 , N/A , N/A , N/A ,$52.54 , N/A ,$52.04 ,$50.40 ,$56.70 , N/A ,$53.55 , N/A ,$53.55 ,$53.55 ,$56.70 ,$56.70 ,$49.46 ,$52.04 , N/A ,$40.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020007,N/A,NASAL-LARGE MASK,270,1 ,$63.00 ,$40.95 ,$40.95 ,$56.73 ,$50.40 , N/A ,$49.92 ,$56.73 ,$56.73 , N/A ,$53.55 ,$46.62 , N/A , N/A , N/A ,$52.54 , N/A ,$52.04 ,$50.40 ,$56.70 , N/A ,$53.55 , N/A ,$53.55 ,$53.55 ,$56.70 ,$56.70 ,$49.46 ,$52.04 , N/A ,$40.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020008,N/A,BIPAP CIRCUIT-DISPOSABLE **,270,1 ,$47.40 ,$30.81 ,$30.81 ,$42.68 ,$37.92 , N/A ,$37.56 ,$42.68 ,$42.68 , N/A ,$40.29 ,$35.08 , N/A , N/A , N/A ,$39.53 , N/A ,$39.15 ,$37.92 ,$42.66 , N/A ,$40.29 , N/A ,$40.29 ,$40.29 ,$42.66 ,$42.66 ,$37.21 ,$39.15 , N/A ,$30.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020009,N/A,HEADSTRAP-DISPOSABLE **,270,1 ,$32.55 ,$21.16 ,$21.16 ,$29.31 ,$26.04 , N/A ,$25.79 ,$29.31 ,$29.31 , N/A ,$27.67 ,$24.09 , N/A , N/A , N/A ,$27.15 , N/A ,$26.89 ,$26.04 ,$29.30 , N/A ,$27.67 , N/A ,$27.67 ,$27.67 ,$29.30 ,$29.30 ,$25.55 ,$26.89 , N/A ,$21.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020010,N/A,SPACER SIZING GAUGE,270,1 ,$45.30 ,$29.45 ,$29.45 ,$40.79 ,$36.24 , N/A ,$35.90 ,$40.79 ,$40.79 , N/A ,$38.51 ,$33.52 , N/A , N/A , N/A ,$37.78 , N/A ,$37.42 ,$36.24 ,$40.77 , N/A ,$38.51 , N/A ,$38.51 ,$38.51 ,$40.77 ,$40.77 ,$35.56 ,$37.42 , N/A ,$29.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020011,N/A,SPACER #3 AND #5(FOR NASAL MASK) **,270,1 ,$7.95 ,$5.17 ,$5.17 ,$7.16 ,$6.36 , N/A ,$6.30 ,$7.16 ,$7.16 , N/A ,$6.76 ,$5.88 , N/A , N/A , N/A ,$6.63 , N/A ,$6.57 ,$6.36 ,$7.16 , N/A ,$6.76 , N/A ,$6.76 ,$6.76 ,$7.16 ,$7.16 ,$6.24 ,$6.57 , N/A ,$5.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020012,N/A,SPACER #4 AND #6 (FOR NASAL MASK) **,270,1 ,$7.95 ,$5.17 ,$5.17 ,$7.16 ,$6.36 , N/A ,$6.30 ,$7.16 ,$7.16 , N/A ,$6.76 ,$5.88 , N/A , N/A , N/A ,$6.63 , N/A ,$6.57 ,$6.36 ,$7.16 , N/A ,$6.76 , N/A ,$6.76 ,$6.76 ,$7.16 ,$7.16 ,$6.24 ,$6.57 , N/A ,$5.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020015,N/A,CHINSTRAP-DISPOSABLE,270,1 ,$94.50 ,$61.43 ,$61.43 ,$85.10 ,$75.60 , N/A ,$74.88 ,$85.10 ,$85.10 , N/A ,$80.33 ,$69.93 , N/A , N/A , N/A ,$78.81 , N/A ,$78.06 ,$75.60 ,$85.05 , N/A ,$80.33 , N/A ,$80.33 ,$80.33 ,$85.05 ,$85.05 ,$74.18 ,$78.06 , N/A ,$61.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020020,N/A,ARTIFICAL NOSE,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020050,N/A,AMBU BAG NEONATAL,270,1 ,$107.60 ,$69.94 ,$69.94 ,$96.89 ,$86.08 , N/A ,$85.26 ,$96.89 ,$96.89 , N/A ,$91.46 ,$79.62 , N/A , N/A , N/A ,$89.74 , N/A ,$88.88 ,$86.08 ,$96.84 , N/A ,$91.46 , N/A ,$91.46 ,$91.46 ,$96.84 ,$96.84 ,$84.47 ,$88.88 , N/A ,$69.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),600201,N/A,STATLOCK FOLEY SECUREMENT DEVICE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020107,N/A,NASAL CANNULA ADULT,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020110,N/A,INFANT CANNULA,270,1 ,$18.00 ,$11.70 ,$11.70 ,$16.21 ,$14.40 , N/A ,$14.26 ,$16.21 ,$16.21 , N/A ,$15.30 ,$13.32 , N/A , N/A , N/A ,$15.01 , N/A ,$14.87 ,$14.40 ,$16.20 , N/A ,$15.30 , N/A ,$15.30 ,$15.30 ,$16.20 ,$16.20 ,$14.13 ,$14.87 , N/A ,$11.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020111,N/A,INTERMEDIATE INFANT CANNULA,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020112,N/A,INFANT MASK,270,1 ,$26.10 ,$16.97 ,$16.97 ,$23.50 ,$20.88 , N/A ,$20.68 ,$23.50 ,$23.50 , N/A ,$22.19 ,$19.31 , N/A , N/A , N/A ,$21.77 , N/A ,$21.56 ,$20.88 ,$23.49 , N/A ,$22.19 , N/A ,$22.19 ,$22.19 ,$23.49 ,$23.49 ,$20.49 ,$21.56 , N/A ,$16.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020113,N/A,MASK TRACHEOSTOMY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020115,N/A,GAS SUPPLY TUBING,270,1 ,$5.30 ,$3.45 ,$3.45 ,$4.77 ,$4.24 , N/A ,$4.20 ,$4.77 ,$4.77 , N/A ,$4.51 ,$3.92 , N/A , N/A , N/A ,$4.42 , N/A ,$4.38 ,$4.24 ,$4.77 , N/A ,$4.51 , N/A ,$4.51 ,$4.51 ,$4.77 ,$4.77 ,$4.16 ,$4.38 , N/A ,$3.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020123,N/A,O2 SIMPLE MASK,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020124,N/A,O2 SIMPLE MASK-PED,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020131,N/A,MASK NON REBREATH ADULT,270,1 ,$14.20 ,$9.23 ,$9.23 ,$12.79 ,$11.36 , N/A ,$11.25 ,$12.79 ,$12.79 , N/A ,$12.07 ,$10.51 , N/A , N/A , N/A ,$11.84 , N/A ,$11.73 ,$11.36 ,$12.78 , N/A ,$12.07 , N/A ,$12.07 ,$12.07 ,$12.78 ,$12.78 ,$11.15 ,$11.73 , N/A ,$9.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020149,N/A,VENTURI MASK **,270,1 ,$12.95 ,$8.42 ,$8.42 ,$11.66 ,$10.36 , N/A ,$10.26 ,$11.66 ,$11.66 , N/A ,$11.01 ,$9.58 , N/A , N/A , N/A ,$10.80 , N/A ,$10.70 ,$10.36 ,$11.66 , N/A ,$11.01 , N/A ,$11.01 ,$11.01 ,$11.66 ,$11.66 ,$10.17 ,$10.70 , N/A ,$8.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020156,N/A,MASK ADULT AEROSOL,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020180,N/A,02 HUMIDIFIER **,270,1 ,$16.80 ,$10.92 ,$10.92 ,$15.13 ,$13.44 , N/A ,$13.31 ,$15.13 ,$15.13 , N/A ,$14.28 ,$12.43 , N/A , N/A , N/A ,$14.01 , N/A ,$13.88 ,$13.44 ,$15.12 , N/A ,$14.28 , N/A ,$14.28 ,$14.28 ,$15.12 ,$15.12 ,$13.19 ,$13.88 , N/A ,$10.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020185,N/A,02 TAG NEBULIZER **,270,1 ,$16.75 ,$10.89 ,$10.89 ,$15.08 ,$13.40 , N/A ,$13.27 ,$15.08 ,$15.08 , N/A ,$14.24 ,$12.40 , N/A , N/A , N/A ,$13.97 , N/A ,$13.84 ,$13.40 ,$15.08 , N/A ,$14.24 , N/A ,$14.24 ,$14.24 ,$15.08 ,$15.08 ,$13.15 ,$13.84 , N/A ,$10.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020198,N/A,IPPB CIRCUIT,270,1 ,$24.65 ,$16.02 ,$16.02 ,$22.20 ,$19.72 , N/A ,$19.53 ,$22.20 ,$22.20 , N/A ,$20.95 ,$18.24 , N/A , N/A , N/A ,$20.56 , N/A ,$20.36 ,$19.72 ,$22.19 , N/A ,$20.95 , N/A ,$20.95 ,$20.95 ,$22.19 ,$22.19 ,$19.35 ,$20.36 , N/A ,$16.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),600202,N/A,STATLOCK IV SECUREMENT DEVICE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020206,N/A,TENT CANOPY(CROUPETTE TENT),270,1 ,$32.20 ,$20.93 ,$20.93 ,$29.00 ,$25.76 , N/A ,$25.52 ,$29.00 ,$29.00 , N/A ,$27.37 ,$23.83 , N/A , N/A , N/A ,$26.85 , N/A ,$26.60 ,$25.76 ,$28.98 , N/A ,$27.37 , N/A ,$27.37 ,$27.37 ,$28.98 ,$28.98 ,$25.28 ,$26.60 , N/A ,$20.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020271,N/A,VENTILATOR CIRCUIT HUDSON,270,1 ,$38.60 ,$25.09 ,$25.09 ,$34.76 ,$30.88 , N/A ,$30.59 ,$34.76 ,$34.76 , N/A ,$32.81 ,$28.56 , N/A , N/A , N/A ,$32.19 , N/A ,$31.88 ,$30.88 ,$34.74 , N/A ,$32.81 , N/A ,$32.81 ,$32.81 ,$34.74 ,$34.74 ,$30.30 ,$31.88 , N/A ,$25.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),600203,N/A,GLOVES-ALOE ICE SMALL (LAB),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020300,N/A,AMBU BAG PEDIATRIC,270,1 ,$122.30 ,$79.50 ,$79.50 ,$110.13 ,$97.84 , N/A ,$96.91 ,$110.13 ,$110.13 , N/A ,$103.96 ,$90.50 , N/A , N/A , N/A ,$102.00 , N/A ,$101.02 ,$97.84 ,$110.07 , N/A ,$103.96 , N/A ,$103.96 ,$103.96 ,$110.07 ,$110.07 ,$96.01 ,$101.02 , N/A ,$79.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020305,N/A,SPUTUM TRAP,270,1 ,$23.90 ,$15.54 ,$15.54 ,$21.52 ,$19.12 , N/A ,$18.94 ,$21.52 ,$21.52 , N/A ,$20.32 ,$17.69 , N/A , N/A , N/A ,$19.93 , N/A ,$19.74 ,$19.12 ,$21.51 , N/A ,$20.32 , N/A ,$20.32 ,$20.32 ,$21.51 ,$21.51 ,$18.76 ,$19.74 , N/A ,$15.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020310,N/A,CPR MICROMASK BLUE BAG,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600204,N/A,GLOVES EXTRA LARGE VINYL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600205,N/A,GLOVES-X-LARGE VINYL DO NOT USE!,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600206,N/A,PATIENT RM SET UP BAG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020633,N/A,BEAR NEBULIZER **,270,1 ,$68.37 ,$44.44 ,$44.44 ,$61.57 ,$54.70 , N/A ,$54.18 ,$61.57 ,$61.57 , N/A ,$58.11 ,$50.59 , N/A , N/A , N/A ,$57.02 , N/A ,$56.47 ,$54.70 ,$61.53 , N/A ,$58.11 , N/A ,$58.11 ,$58.11 ,$61.53 ,$61.53 ,$53.67 ,$56.47 , N/A ,$44.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020644,N/A,MICRO MIST NEBULIZER**,270,1 ,$16.80 ,$10.92 ,$10.92 ,$15.13 ,$13.44 , N/A ,$13.31 ,$15.13 ,$15.13 , N/A ,$14.28 ,$12.43 , N/A , N/A , N/A ,$14.01 , N/A ,$13.88 ,$13.44 ,$15.12 , N/A ,$14.28 , N/A ,$14.28 ,$14.28 ,$15.12 ,$15.12 ,$13.19 ,$13.88 , N/A ,$10.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020693,N/A,AERO FACE TENT,270,1 ,$12.95 ,$8.42 ,$8.42 ,$11.66 ,$10.36 , N/A ,$10.26 ,$11.66 ,$11.66 , N/A ,$11.01 ,$9.58 , N/A , N/A , N/A ,$10.80 , N/A ,$10.70 ,$10.36 ,$11.66 , N/A ,$11.01 , N/A ,$11.01 ,$11.01 ,$11.66 ,$11.66 ,$10.17 ,$10.70 , N/A ,$8.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),600207,N/A,ALCOHOL 4 OZ,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020743,N/A,AMBU BAG ADULT,270,1 ,$91.95 ,$59.77 ,$59.77 ,$82.80 ,$73.56 , N/A ,$72.86 ,$82.80 ,$82.80 , N/A ,$78.16 ,$68.04 , N/A , N/A , N/A ,$76.69 , N/A ,$75.95 ,$73.56 ,$82.76 , N/A ,$78.16 , N/A ,$78.16 ,$78.16 ,$82.76 ,$82.76 ,$72.18 ,$75.95 , N/A ,$59.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),600208,N/A,POVIDONE IODINE 2 OZ,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60020826,N/A,BACTERIAL FILTER PFT **,270,1 ,$23.90 ,$15.54 ,$15.54 ,$21.52 ,$19.12 , N/A ,$18.94 ,$21.52 ,$21.52 , N/A ,$20.32 ,$17.69 , N/A , N/A , N/A ,$19.93 , N/A ,$19.74 ,$19.12 ,$21.51 , N/A ,$20.32 , N/A ,$20.32 ,$20.32 ,$21.51 ,$21.51 ,$18.76 ,$19.74 , N/A ,$15.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020834,N/A,DRAIN BAG,270,1 ,$5.95 ,$3.87 ,$3.87 ,$5.36 ,$4.76 , N/A ,$4.71 ,$5.36 ,$5.36 , N/A ,$5.06 ,$4.40 , N/A , N/A , N/A ,$4.96 , N/A ,$4.91 ,$4.76 ,$5.36 , N/A ,$5.06 , N/A ,$5.06 ,$5.06 ,$5.36 ,$5.36 ,$4.67 ,$4.91 , N/A ,$3.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60020842,N/A,IMV MANIFOLD,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600209,N/A,PROPHASE WOUND CLEANSER 2 OZ,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600210,N/A,HIBICLENS 4 OZ,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60021010,N/A,MASK NON REBREATH PED,270,1 ,$11.25 ,$7.31 ,$7.31 ,$10.13 ,$9.00 , N/A ,$8.91 ,$10.13 ,$10.13 , N/A ,$9.56 ,$8.33 , N/A , N/A , N/A ,$9.38 , N/A ,$9.29 ,$9.00 ,$10.13 , N/A ,$9.56 , N/A ,$9.56 ,$9.56 ,$10.13 ,$10.13 ,$8.83 ,$9.29 , N/A ,$7.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021020,N/A,MASK AD HIGH CONC,270,1 ,$6.65 ,$4.32 ,$4.32 ,$5.99 ,$5.32 , N/A ,$5.27 ,$5.99 ,$5.99 , N/A ,$5.65 ,$4.92 , N/A , N/A , N/A ,$5.55 , N/A ,$5.49 ,$5.32 ,$5.99 , N/A ,$5.65 , N/A ,$5.65 ,$5.65 ,$5.99 ,$5.99 ,$5.22 ,$5.49 , N/A ,$4.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021030,N/A,MASK AD ANESTHESIA,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),600211,N/A,PEROXIDE 4 OZ,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60021110,N/A,PEEP VALVE DISP ADJ,270,1 ,$53.55 ,$34.81 ,$34.81 ,$48.22 ,$42.84 , N/A ,$42.43 ,$48.22 ,$48.22 , N/A ,$45.52 ,$39.63 , N/A , N/A , N/A ,$44.66 , N/A ,$44.23 ,$42.84 ,$48.20 , N/A ,$45.52 , N/A ,$45.52 ,$45.52 ,$48.20 ,$48.20 ,$42.04 ,$44.23 , N/A ,$34.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021150,N/A,THOMAS ET HOLDER-ADULT,999,1 ,$31.45 ,$20.44 ,$20.44 ,$28.32 ,$25.16 , N/A ,$24.92 ,$28.32 ,$28.32 , N/A ,$26.73 ,$23.27 , N/A , N/A , N/A ,$26.23 , N/A ,$25.98 ,$25.16 ,$28.31 , N/A ,$26.73 , N/A ,$26.73 ,$26.73 ,$28.31 ,$28.31 ,$24.69 ,$25.98 , N/A ,$20.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021151,N/A,THOMAS ET HOLDER-PED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60021170,N/A,I.S. DEVICE,270,1 ,$63.75 ,$41.44 ,$41.44 ,$57.41 ,$51.00 , N/A ,$50.52 ,$57.41 ,$57.41 , N/A ,$54.19 ,$47.18 , N/A , N/A , N/A ,$53.17 , N/A ,$52.66 ,$51.00 ,$57.38 , N/A ,$54.19 , N/A ,$54.19 ,$54.19 ,$57.38 ,$57.38 ,$50.04 ,$52.66 , N/A ,$41.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),600212,N/A,ULTRASOUND GEL 8.5 OZ PRE-FILLED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60021200,N/A,EMG NEEDLE-37mm,270,1 ,$18.95 ,$12.32 ,$12.32 ,$17.06 ,$15.16 , N/A ,$15.02 ,$17.06 ,$17.06 , N/A ,$16.11 ,$14.02 , N/A , N/A , N/A ,$15.80 , N/A ,$15.65 ,$15.16 ,$17.06 , N/A ,$16.11 , N/A ,$16.11 ,$16.11 ,$17.06 ,$17.06 ,$14.88 ,$15.65 , N/A ,$12.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021210,N/A,NASAL CANNULA PED,270,1 ,$8.60 ,$5.59 ,$5.59 ,$7.74 ,$6.88 , N/A ,$6.81 ,$7.74 ,$7.74 , N/A ,$7.31 ,$6.36 , N/A , N/A , N/A ,$7.17 , N/A ,$7.10 ,$6.88 ,$7.74 , N/A ,$7.31 , N/A ,$7.31 ,$7.31 ,$7.74 ,$7.74 ,$6.75 ,$7.10 , N/A ,$5.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021211,N/A,NASAL CANNULA-INFANT,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021218,N/A,CATH TRAY 16FR,270,1 ,$55.50 ,$36.08 ,$36.08 ,$49.98 ,$44.40 , N/A ,$43.98 ,$49.98 ,$49.98 , N/A ,$47.18 ,$41.07 , N/A , N/A , N/A ,$46.29 , N/A ,$45.84 ,$44.40 ,$49.95 , N/A ,$47.18 , N/A ,$47.18 ,$47.18 ,$49.95 ,$49.95 ,$43.57 ,$45.84 , N/A ,$36.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021226,N/A,CATH TRAY 18FR,270,1 ,$55.50 ,$36.08 ,$36.08 ,$49.98 ,$44.40 , N/A ,$43.98 ,$49.98 ,$49.98 , N/A ,$47.18 ,$41.07 , N/A , N/A , N/A ,$46.29 , N/A ,$45.84 ,$44.40 ,$49.95 , N/A ,$47.18 , N/A ,$47.18 ,$47.18 ,$49.95 ,$49.95 ,$43.57 ,$45.84 , N/A ,$36.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021234,N/A,CATH FOLEY 20FR,270,1 ,$20.35 ,$13.23 ,$13.23 ,$18.33 ,$16.28 , N/A ,$16.13 ,$18.33 ,$18.33 , N/A ,$17.30 ,$15.06 , N/A , N/A , N/A ,$16.97 , N/A ,$16.81 ,$16.28 ,$18.32 , N/A ,$17.30 , N/A ,$17.30 ,$17.30 ,$18.32 ,$18.32 ,$15.97 ,$16.81 , N/A ,$13.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021242,N/A,CATH FOLEY 22FR,270,1 ,$56.20 ,$36.53 ,$36.53 ,$50.61 ,$44.96 , N/A ,$44.53 ,$50.61 ,$50.61 , N/A ,$47.77 ,$41.59 , N/A , N/A , N/A ,$46.87 , N/A ,$46.42 ,$44.96 ,$50.58 , N/A ,$47.77 , N/A ,$47.77 ,$47.77 ,$50.58 ,$50.58 ,$44.12 ,$46.42 , N/A ,$36.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021250,N/A,EMG NEEDLE-25mm,270,1 ,$18.95 ,$12.32 ,$12.32 ,$17.06 ,$15.16 , N/A ,$15.02 ,$17.06 ,$17.06 , N/A ,$16.11 ,$14.02 , N/A , N/A , N/A ,$15.80 , N/A ,$15.65 ,$15.16 ,$17.06 , N/A ,$16.11 , N/A ,$16.11 ,$16.11 ,$17.06 ,$17.06 ,$14.88 ,$15.65 , N/A ,$12.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021259,N/A,CATH FOLEY 24FR,270,1 ,$46.80 ,$30.42 ,$30.42 ,$42.14 ,$37.44 , N/A ,$37.08 ,$42.14 ,$42.14 , N/A ,$39.78 ,$34.63 , N/A , N/A , N/A ,$39.03 , N/A ,$38.66 ,$37.44 ,$42.12 , N/A ,$39.78 , N/A ,$39.78 ,$39.78 ,$42.12 ,$42.12 ,$36.74 ,$38.66 , N/A ,$30.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021267,N/A,CATH FOLEY 20FR 30CC(3WAY),270,1 ,$22.70 ,$14.76 ,$14.76 ,$20.44 ,$18.16 , N/A ,$17.99 ,$20.44 ,$20.44 , N/A ,$19.30 ,$16.80 , N/A , N/A , N/A ,$18.93 , N/A ,$18.75 ,$18.16 ,$20.43 , N/A ,$19.30 , N/A ,$19.30 ,$19.30 ,$20.43 ,$20.43 ,$17.82 ,$18.75 , N/A ,$14.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021270,N/A,CATH FOLEY 20FR 30CC,270,1 ,$50.00 ,$32.50 ,$32.50 ,$45.03 ,$40.00 , N/A ,$39.62 ,$45.03 ,$45.03 , N/A ,$42.50 ,$37.00 , N/A , N/A , N/A ,$41.70 , N/A ,$41.30 ,$40.00 ,$45.00 , N/A ,$42.50 , N/A ,$42.50 ,$42.50 ,$45.00 ,$45.00 ,$39.25 ,$41.30 , N/A ,$32.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021275,N/A,CATH FOLEY 22FR 30CC,270,1 ,$46.80 ,$30.42 ,$30.42 ,$42.14 ,$37.44 , N/A ,$37.08 ,$42.14 ,$42.14 , N/A ,$39.78 ,$34.63 , N/A , N/A , N/A ,$39.03 , N/A ,$38.66 ,$37.44 ,$42.12 , N/A ,$39.78 , N/A ,$39.78 ,$39.78 ,$42.12 ,$42.12 ,$36.74 ,$38.66 , N/A ,$30.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021283,N/A,CATH FOLEY 10FR,270,1 ,$21.95 ,$14.27 ,$14.27 ,$19.77 ,$17.56 , N/A ,$17.39 ,$19.77 ,$19.77 , N/A ,$18.66 ,$16.24 , N/A , N/A , N/A ,$18.31 , N/A ,$18.13 ,$17.56 ,$19.76 , N/A ,$18.66 , N/A ,$18.66 ,$18.66 ,$19.76 ,$19.76 ,$17.23 ,$18.13 , N/A ,$14.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021291,N/A,CATH FOLEY 12FR,270,1 ,$20.35 ,$13.23 ,$13.23 ,$18.33 ,$16.28 , N/A ,$16.13 ,$18.33 ,$18.33 , N/A ,$17.30 ,$15.06 , N/A , N/A , N/A ,$16.97 , N/A ,$16.81 ,$16.28 ,$18.32 , N/A ,$17.30 , N/A ,$17.30 ,$17.30 ,$18.32 ,$18.32 ,$15.97 ,$16.81 , N/A ,$13.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),600213,N/A,TRIPLE ANTIBIOTIC OINTMENT PKT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60021300,N/A,CATH FOLEY 14FR,270,1 ,$20.35 ,$13.23 ,$13.23 ,$18.33 ,$16.28 , N/A ,$16.13 ,$18.33 ,$18.33 , N/A ,$17.30 ,$15.06 , N/A , N/A , N/A ,$16.97 , N/A ,$16.81 ,$16.28 ,$18.32 , N/A ,$17.30 , N/A ,$17.30 ,$17.30 ,$18.32 ,$18.32 ,$15.97 ,$16.81 , N/A ,$13.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021309,N/A,CATH COUDE 16FR,270,1 ,$36.50 ,$23.73 ,$23.73 ,$32.87 ,$29.20 , N/A ,$28.92 ,$32.87 ,$32.87 , N/A ,$31.03 ,$27.01 , N/A , N/A , N/A ,$30.44 , N/A ,$30.15 ,$29.20 ,$32.85 , N/A ,$31.03 , N/A ,$31.03 ,$31.03 ,$32.85 ,$32.85 ,$28.65 ,$30.15 , N/A ,$23.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021315,N/A,O2 MASK PEDIATRIC--DO NOT USE,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021317,N/A,CATH COUDE 18FR,270,1 ,$36.50 ,$23.73 ,$23.73 ,$32.87 ,$29.20 , N/A ,$28.92 ,$32.87 ,$32.87 , N/A ,$31.03 ,$27.01 , N/A , N/A , N/A ,$30.44 , N/A ,$30.15 ,$29.20 ,$32.85 , N/A ,$31.03 , N/A ,$31.03 ,$31.03 ,$32.85 ,$32.85 ,$28.65 ,$30.15 , N/A ,$23.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021320,N/A,CATH COUDE 20FR,270,1 ,$36.50 ,$23.73 ,$23.73 ,$32.87 ,$29.20 , N/A ,$28.92 ,$32.87 ,$32.87 , N/A ,$31.03 ,$27.01 , N/A , N/A , N/A ,$30.44 , N/A ,$30.15 ,$29.20 ,$32.85 , N/A ,$31.03 , N/A ,$31.03 ,$31.03 ,$32.85 ,$32.85 ,$28.65 ,$30.15 , N/A ,$23.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021358,N/A,CATH FOLEY 26FR 30CC,270,1 ,$46.80 ,$30.42 ,$30.42 ,$42.14 ,$37.44 , N/A ,$37.08 ,$42.14 ,$42.14 , N/A ,$39.78 ,$34.63 , N/A , N/A , N/A ,$39.03 , N/A ,$38.66 ,$37.44 ,$42.12 , N/A ,$39.78 , N/A ,$39.78 ,$39.78 ,$42.12 ,$42.12 ,$36.74 ,$38.66 , N/A ,$30.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021390,N/A,CLIPPER HEAD/OR,270,1 ,$22.65 ,$14.72 ,$14.72 ,$20.40 ,$18.12 , N/A ,$17.95 ,$20.40 ,$20.40 , N/A ,$19.25 ,$16.76 , N/A , N/A , N/A ,$18.89 , N/A ,$18.71 ,$18.12 ,$20.39 , N/A ,$19.25 , N/A ,$19.25 ,$19.25 ,$20.39 ,$20.39 ,$17.78 ,$18.71 , N/A ,$14.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021392,N/A,CLIPPER AND CHARGER (3M),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60021393,N/A,CLIPPER BLADE ASSY (3M),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600214,N/A,GLOVE PINK NITRILE SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60021440,N/A,CATH FOLEY 8FR,270,1 ,$21.95 ,$14.27 ,$14.27 ,$19.77 ,$17.56 , N/A ,$17.39 ,$19.77 ,$19.77 , N/A ,$18.66 ,$16.24 , N/A , N/A , N/A ,$18.31 , N/A ,$18.13 ,$17.56 ,$19.76 , N/A ,$18.66 , N/A ,$18.66 ,$18.66 ,$19.76 ,$19.76 ,$17.23 ,$18.13 , N/A ,$14.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),600215,N/A,GLOVE PINK NITRILE MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600216,N/A,GLOVE PINK NITRILE LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600217,N/A,GLOVE PINK NITRILE XLARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600218,N/A,ULTRASOUND GEL PACKETS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60021804,N/A,SUCTION CATH 14 FR,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021820,N/A,SUCTION CATH 10 FR,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021822,N/A,SUCTION CATH 8FR INFANT,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021825,N/A,FEEDTUBE 5FR INFANT **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60021832,N/A,PEAK FLOW DEVICE,270,1 ,$58.40 ,$37.96 ,$37.96 ,$52.59 ,$46.72 , N/A ,$46.28 ,$52.59 ,$52.59 , N/A ,$49.64 ,$43.22 , N/A , N/A , N/A ,$48.71 , N/A ,$48.24 ,$46.72 ,$52.56 , N/A ,$49.64 , N/A ,$49.64 ,$49.64 ,$52.56 ,$52.56 ,$45.84 ,$48.24 , N/A ,$37.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),600220,N/A,GLOVES-SMALL VINYL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022083,N/A,CATH FOLEY 16FR,270,1 ,$20.35 ,$13.23 ,$13.23 ,$18.33 ,$16.28 , N/A ,$16.13 ,$18.33 ,$18.33 , N/A ,$17.30 ,$15.06 , N/A , N/A , N/A ,$16.97 , N/A ,$16.81 ,$16.28 ,$18.32 , N/A ,$17.30 , N/A ,$17.30 ,$17.30 ,$18.32 ,$18.32 ,$15.97 ,$16.81 , N/A ,$13.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022091,N/A,CATH FOLEY 18FR,270,1 ,$20.35 ,$13.23 ,$13.23 ,$18.33 ,$16.28 , N/A ,$16.13 ,$18.33 ,$18.33 , N/A ,$17.30 ,$15.06 , N/A , N/A , N/A ,$16.97 , N/A ,$16.81 ,$16.28 ,$18.32 , N/A ,$17.30 , N/A ,$17.30 ,$17.30 ,$18.32 ,$18.32 ,$15.97 ,$16.81 , N/A ,$13.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022092,N/A,CATH FOLEY 18FR 30CC,270,1 ,$23.20 ,$15.08 ,$15.08 ,$20.89 ,$18.56 , N/A ,$18.38 ,$20.89 ,$20.89 , N/A ,$19.72 ,$17.17 , N/A , N/A , N/A ,$19.35 , N/A ,$19.16 ,$18.56 ,$20.88 , N/A ,$19.72 , N/A ,$19.72 ,$19.72 ,$20.88 ,$20.88 ,$18.21 ,$19.16 , N/A ,$15.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),600221,N/A,GLOVES-MEDIUM VINYL do not use!,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022109,N/A,CATH TRAY AAF,270,1 ,$23.65 ,$15.37 ,$15.37 ,$21.30 ,$18.92 , N/A ,$18.74 ,$21.30 ,$21.30 , N/A ,$20.10 ,$17.50 , N/A , N/A , N/A ,$19.72 , N/A ,$19.53 ,$18.92 ,$21.29 , N/A ,$20.10 , N/A ,$20.10 ,$20.10 ,$21.29 ,$21.29 ,$18.57 ,$19.53 , N/A ,$15.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022117,N/A,CATH TRAY A,270,1 ,$11.40 ,$7.41 ,$7.41 ,$10.27 ,$9.12 , N/A ,$9.03 ,$10.27 ,$10.27 , N/A ,$9.69 ,$8.44 , N/A , N/A , N/A ,$9.51 , N/A ,$9.42 ,$9.12 ,$10.26 , N/A ,$9.69 , N/A ,$9.69 ,$9.69 ,$10.26 ,$10.26 ,$8.95 ,$9.42 , N/A ,$7.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),600222,N/A,GLOVES-LARGE VINYL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022252,N/A,CARASPLINT 2-INCH,270,1 ,$18.95 ,$12.32 ,$12.32 ,$17.06 ,$15.16 , N/A ,$15.02 ,$17.06 ,$17.06 , N/A ,$16.11 ,$14.02 , N/A , N/A , N/A ,$15.80 , N/A ,$15.65 ,$15.16 ,$17.06 , N/A ,$16.11 , N/A ,$16.11 ,$16.11 ,$17.06 ,$17.06 ,$14.88 ,$15.65 , N/A ,$12.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022253,N/A,CARASPLINT 3-INCH,270,1 ,$26.20 ,$17.03 ,$17.03 ,$23.59 ,$20.96 , N/A ,$20.76 ,$23.59 ,$23.59 , N/A ,$22.27 ,$19.39 , N/A , N/A , N/A ,$21.85 , N/A ,$21.64 ,$20.96 ,$23.58 , N/A ,$22.27 , N/A ,$22.27 ,$22.27 ,$23.58 ,$23.58 ,$20.57 ,$21.64 , N/A ,$17.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022254,N/A,CARASPLINT 4-INCH,270,1 ,$31.50 ,$20.48 ,$20.48 ,$28.37 ,$25.20 , N/A ,$24.96 ,$28.37 ,$28.37 , N/A ,$26.78 ,$23.31 , N/A , N/A , N/A ,$26.27 , N/A ,$26.02 ,$25.20 ,$28.35 , N/A ,$26.78 , N/A ,$26.78 ,$26.78 ,$28.35 ,$28.35 ,$24.73 ,$26.02 , N/A ,$20.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022255,N/A,CARASPLINT 5-INCH,270,1 ,$39.35 ,$25.58 ,$25.58 ,$35.43 ,$31.48 , N/A ,$31.18 ,$35.43 ,$35.43 , N/A ,$33.45 ,$29.12 , N/A , N/A , N/A ,$32.82 , N/A ,$32.50 ,$31.48 ,$35.42 , N/A ,$33.45 , N/A ,$33.45 ,$33.45 ,$35.42 ,$35.42 ,$30.89 ,$32.50 , N/A ,$25.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022265,N/A,CAST SPLINT 3 IN,270,1 ,$37.30 ,$24.25 ,$24.25 ,$33.59 ,$29.84 , N/A ,$29.56 ,$33.59 ,$33.59 , N/A ,$31.71 ,$27.60 , N/A , N/A , N/A ,$31.11 , N/A ,$30.81 ,$29.84 ,$33.57 , N/A ,$31.71 , N/A ,$31.71 ,$31.71 ,$33.57 ,$33.57 ,$29.28 ,$30.81 , N/A ,$24.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022273,N/A,CAST SPLINT 4 IN,270,1 ,$37.30 ,$24.25 ,$24.25 ,$33.59 ,$29.84 , N/A ,$29.56 ,$33.59 ,$33.59 , N/A ,$31.71 ,$27.60 , N/A , N/A , N/A ,$31.11 , N/A ,$30.81 ,$29.84 ,$33.57 , N/A ,$31.71 , N/A ,$31.71 ,$31.71 ,$33.57 ,$33.57 ,$29.28 ,$30.81 , N/A ,$24.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022281,N/A,CAST ROLL 2 IN,270,1 ,$21.70 ,$14.11 ,$14.11 ,$19.54 ,$17.36 , N/A ,$17.20 ,$19.54 ,$19.54 , N/A ,$18.45 ,$16.06 , N/A , N/A , N/A ,$18.10 , N/A ,$17.92 ,$17.36 ,$19.53 , N/A ,$18.45 , N/A ,$18.45 ,$18.45 ,$19.53 ,$19.53 ,$17.03 ,$17.92 , N/A ,$14.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022299,N/A,CAST ROLL 3 IN,270,1 ,$27.05 ,$17.58 ,$17.58 ,$24.36 ,$21.64 , N/A ,$21.43 ,$24.36 ,$24.36 , N/A ,$22.99 ,$20.02 , N/A , N/A , N/A ,$22.56 , N/A ,$22.34 ,$21.64 ,$24.35 , N/A ,$22.99 , N/A ,$22.99 ,$22.99 ,$24.35 ,$24.35 ,$21.23 ,$22.34 , N/A ,$17.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),600223,N/A,STERILE STAPLE REMOVER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022307,N/A,CAST ROLL 4 IN,270,1 ,$35.25 ,$22.91 ,$22.91 ,$31.74 ,$28.20 , N/A ,$27.93 ,$31.74 ,$31.74 , N/A ,$29.96 ,$26.09 , N/A , N/A , N/A ,$29.40 , N/A ,$29.12 ,$28.20 ,$31.73 , N/A ,$29.96 , N/A ,$29.96 ,$29.96 ,$31.73 ,$31.73 ,$27.67 ,$29.12 , N/A ,$22.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022315,N/A,CAST ROLL 5 IN,270,1 ,$43.35 ,$28.18 ,$28.18 ,$39.04 ,$34.68 , N/A ,$34.35 ,$39.04 ,$39.04 , N/A ,$36.85 ,$32.08 , N/A , N/A , N/A ,$36.15 , N/A ,$35.81 ,$34.68 ,$39.02 , N/A ,$36.85 , N/A ,$36.85 ,$36.85 ,$39.02 ,$39.02 ,$34.03 ,$35.81 , N/A ,$28.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022323,N/A,CAST PAD 2IN,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022331,N/A,CAST PAD 3 IN,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022332,N/A,"SPLINT ROLL 4"" X 15'",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022333,N/A,"SPLINT ROLL 2"" X 15'",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022334,N/A,"SPLINT ROLL 3"" X 15'",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022335,N/A,"SPLINT ROLL 5"" X 15'",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022349,N/A,CAST PAD 4 IN,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022352,N/A,CAST PAD 5 IN,270,1 ,$7.65 ,$4.97 ,$4.97 ,$6.89 ,$6.12 , N/A ,$6.06 ,$6.89 ,$6.89 , N/A ,$6.50 ,$5.66 , N/A , N/A , N/A ,$6.38 , N/A ,$6.32 ,$6.12 ,$6.89 , N/A ,$6.50 , N/A ,$6.50 ,$6.50 ,$6.89 ,$6.89 ,$6.01 ,$6.32 , N/A ,$4.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022356,N/A,CAST PAD 6 IN(DO NOT USE),270,1 ,$7.65 ,$4.97 ,$4.97 ,$6.89 ,$6.12 , N/A ,$6.06 ,$6.89 ,$6.89 , N/A ,$6.50 ,$5.66 , N/A , N/A , N/A ,$6.38 , N/A ,$6.32 ,$6.12 ,$6.89 , N/A ,$6.50 , N/A ,$6.50 ,$6.50 ,$6.89 ,$6.89 ,$6.01 ,$6.32 , N/A ,$4.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60022360,N/A,CAST BUCKET,270,1 ,$2.95 ,$1.92 ,$1.92 ,$2.66 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 , N/A ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),600224,N/A,MASK-DUCKBILL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022400,N/A,C-LINE CAUTERY(LOW TEMP)FINE TIP,270,1 ,$31.02 ,$20.16 ,$20.16 ,$27.93 ,$24.82 , N/A ,$24.58 ,$27.93 ,$27.93 , N/A ,$26.37 ,$22.95 , N/A , N/A , N/A ,$25.87 , N/A ,$25.62 ,$24.82 ,$27.92 , N/A ,$26.37 , N/A ,$26.37 ,$26.37 ,$27.92 ,$27.92 ,$24.35 ,$25.62 , N/A ,$20.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),600225,N/A,SURGILAST#3 BANDAGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600226,N/A,SURGILAST#5.5 BANDAGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60022604,N/A,ABD DSG (COMBINE),270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),600227,N/A,SURGILAST#7 BANDAGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600228,N/A,SURGILAST#10 BANDAGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600229,N/A,STERIS 20 STERILANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60023006,L0120,CERVICAL COLLAR- PED **,274,1 ,$36.90 ,$23.99 ,$23.99 ,$71.55 ,$29.52 ,$28.62 ,$29.24 ,$33.23 ,$33.23 ,$54.38 ,$31.37 ,$27.31 ,$71.55 ,$28.62 , N/A ,$30.77 ,$28.62 ,$30.48 ,$29.52 ,$33.21 ,$36.90 ,$31.37 ,$30.65 ,$31.37 ,$31.37 ,$33.21 ,$33.21 ,$28.97 ,$30.48 ,$30.65 ,$23.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023008,L0120,CERVICAL COLLAR SM **,274,1 ,$36.90 ,$23.99 ,$23.99 ,$71.55 ,$29.52 ,$28.62 ,$29.24 ,$33.23 ,$33.23 ,$54.38 ,$31.37 ,$27.31 ,$71.55 ,$28.62 , N/A ,$30.77 ,$28.62 ,$30.48 ,$29.52 ,$33.21 ,$36.90 ,$31.37 ,$30.65 ,$31.37 ,$31.37 ,$33.21 ,$33.21 ,$28.97 ,$30.48 ,$30.65 ,$23.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023024,L0120,CERVICAL COLLAR LG **,274,1 ,$36.90 ,$23.99 ,$23.99 ,$71.55 ,$29.52 ,$28.62 ,$29.24 ,$33.23 ,$33.23 ,$54.38 ,$31.37 ,$27.31 ,$71.55 ,$28.62 , N/A ,$30.77 ,$28.62 ,$30.48 ,$29.52 ,$33.21 ,$36.90 ,$31.37 ,$30.65 ,$31.37 ,$31.37 ,$33.21 ,$33.21 ,$28.97 ,$30.48 ,$30.65 ,$23.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023106,L0120,CERVICAL COLLAR MED **,274,1 ,$36.90 ,$23.99 ,$23.99 ,$71.55 ,$29.52 ,$28.62 ,$29.24 ,$33.23 ,$33.23 ,$54.38 ,$31.37 ,$27.31 ,$71.55 ,$28.62 , N/A ,$30.77 ,$28.62 ,$30.48 ,$29.52 ,$33.21 ,$36.90 ,$31.37 ,$30.65 ,$31.37 ,$31.37 ,$33.21 ,$33.21 ,$28.97 ,$30.48 ,$30.65 ,$23.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023479,N/A,ETH-SKIN STAPLER 35W**,270,1 ,$88.55 ,$57.56 ,$57.56 ,$79.74 ,$70.84 , N/A ,$70.17 ,$79.74 ,$79.74 , N/A ,$75.27 ,$65.53 , N/A , N/A , N/A ,$73.85 , N/A ,$73.14 ,$70.84 ,$79.70 , N/A ,$75.27 , N/A ,$75.27 ,$75.27 ,$79.70 ,$79.70 ,$69.51 ,$73.14 , N/A ,$57.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023487,N/A,SKIN STPLR ROYAL 25W,270,1 ,$26.00 ,$16.90 ,$16.90 ,$23.41 ,$20.80 , N/A ,$20.60 ,$23.41 ,$23.41 , N/A ,$22.10 ,$19.24 , N/A , N/A , N/A ,$21.68 , N/A ,$21.48 ,$20.80 ,$23.40 , N/A ,$22.10 , N/A ,$22.10 ,$22.10 ,$23.40 ,$23.40 ,$20.41 ,$21.48 , N/A ,$16.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023495,N/A,SKIN STPLR ROYAL 12W,270,1 ,$22.70 ,$14.76 ,$14.76 ,$20.44 ,$18.16 , N/A ,$17.99 ,$20.44 ,$20.44 , N/A ,$19.30 ,$16.80 , N/A , N/A , N/A ,$18.93 , N/A ,$18.75 ,$18.16 ,$20.43 , N/A ,$19.30 , N/A ,$19.30 ,$19.30 ,$20.43 ,$20.43 ,$17.82 ,$18.75 , N/A ,$14.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023503,N/A,BEAVER MINI BLADE 64,270,1 ,$7.80 ,$5.07 ,$5.07 ,$7.02 ,$6.24 , N/A ,$6.18 ,$7.02 ,$7.02 , N/A ,$6.63 ,$5.77 , N/A , N/A , N/A ,$6.51 , N/A ,$6.44 ,$6.24 ,$7.02 , N/A ,$6.63 , N/A ,$6.63 ,$6.63 ,$7.02 ,$7.02 ,$6.12 ,$6.44 , N/A ,$5.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023511,N/A,BEAVER MINI BLADE 67,270,1 ,$8.05 ,$5.23 ,$5.23 ,$7.25 ,$6.44 , N/A ,$6.38 ,$7.25 ,$7.25 , N/A ,$6.84 ,$5.96 , N/A , N/A , N/A ,$6.71 , N/A ,$6.65 ,$6.44 ,$7.25 , N/A ,$6.84 , N/A ,$6.84 ,$6.84 ,$7.25 ,$7.25 ,$6.32 ,$6.65 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023529,N/A,BEAVER MINI BLADE 69,270,1 ,$16.65 ,$10.82 ,$10.82 ,$14.99 ,$13.32 , N/A ,$13.19 ,$14.99 ,$14.99 , N/A ,$14.15 ,$12.32 , N/A , N/A , N/A ,$13.89 , N/A ,$13.75 ,$13.32 ,$14.99 , N/A ,$14.15 , N/A ,$14.15 ,$14.15 ,$14.99 ,$14.99 ,$13.07 ,$13.75 , N/A ,$10.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023636,N/A,CUSHION INVALID RING,270,1 ,$27.15 ,$17.65 ,$17.65 ,$24.45 ,$21.72 , N/A ,$21.51 ,$24.45 ,$24.45 , N/A ,$23.08 ,$20.09 , N/A , N/A , N/A ,$22.64 , N/A ,$22.43 ,$21.72 ,$24.44 , N/A ,$23.08 , N/A ,$23.08 ,$23.08 ,$24.44 ,$24.44 ,$21.31 ,$22.43 , N/A ,$17.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023644,N/A,CLAVICAL XSM **,270,1 ,$35.15 ,$22.85 ,$22.85 ,$31.65 ,$28.12 , N/A ,$27.85 ,$31.65 ,$31.65 , N/A ,$29.88 ,$26.01 , N/A , N/A , N/A ,$29.32 , N/A ,$29.03 ,$28.12 ,$31.64 , N/A ,$29.88 , N/A ,$29.88 ,$29.88 ,$31.64 ,$31.64 ,$27.59 ,$29.03 , N/A ,$22.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023651,N/A,CLAVICAL SM **,270,1 ,$35.15 ,$22.85 ,$22.85 ,$31.65 ,$28.12 , N/A ,$27.85 ,$31.65 ,$31.65 , N/A ,$29.88 ,$26.01 , N/A , N/A , N/A ,$29.32 , N/A ,$29.03 ,$28.12 ,$31.64 , N/A ,$29.88 , N/A ,$29.88 ,$29.88 ,$31.64 ,$31.64 ,$27.59 ,$29.03 , N/A ,$22.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023669,N/A,CLAVICAL MD **,270,1 ,$35.15 ,$22.85 ,$22.85 ,$31.65 ,$28.12 , N/A ,$27.85 ,$31.65 ,$31.65 , N/A ,$29.88 ,$26.01 , N/A , N/A , N/A ,$29.32 , N/A ,$29.03 ,$28.12 ,$31.64 , N/A ,$29.88 , N/A ,$29.88 ,$29.88 ,$31.64 ,$31.64 ,$27.59 ,$29.03 , N/A ,$22.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023677,N/A,CLAVICAL LG **,270,1 ,$35.15 ,$22.85 ,$22.85 ,$31.65 ,$28.12 , N/A ,$27.85 ,$31.65 ,$31.65 , N/A ,$29.88 ,$26.01 , N/A , N/A , N/A ,$29.32 , N/A ,$29.03 ,$28.12 ,$31.64 , N/A ,$29.88 , N/A ,$29.88 ,$29.88 ,$31.64 ,$31.64 ,$27.59 ,$29.03 , N/A ,$22.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023685,N/A,CLAVICAL XLG **,270,1 ,$35.15 ,$22.85 ,$22.85 ,$31.65 ,$28.12 , N/A ,$27.85 ,$31.65 ,$31.65 , N/A ,$29.88 ,$26.01 , N/A , N/A , N/A ,$29.32 , N/A ,$29.03 ,$28.12 ,$31.64 , N/A ,$29.88 , N/A ,$29.88 ,$29.88 ,$31.64 ,$31.64 ,$27.59 ,$29.03 , N/A ,$22.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023701,N/A,PEANUT SPONGES,270,1 ,$18.35 ,$11.93 ,$11.93 ,$16.52 ,$14.68 , N/A ,$14.54 ,$16.52 ,$16.52 , N/A ,$15.60 ,$13.58 , N/A , N/A , N/A ,$15.30 , N/A ,$15.16 ,$14.68 ,$16.52 , N/A ,$15.60 , N/A ,$15.60 ,$15.60 ,$16.52 ,$16.52 ,$14.40 ,$15.16 , N/A ,$11.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023719,N/A,ELECTRODES,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023720,N/A,ELECTRODE-PEDIATRIC,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023721,N/A,ELECTRODES-- BULK PKG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60023727,N/A,FOAM O/R DONUTS,270,1 ,$5.70 ,$3.71 ,$3.71 ,$5.13 ,$4.56 , N/A ,$4.52 ,$5.13 ,$5.13 , N/A ,$4.85 ,$4.22 , N/A , N/A , N/A ,$4.75 , N/A ,$4.71 ,$4.56 ,$5.13 , N/A ,$4.85 , N/A ,$4.85 ,$4.85 ,$5.13 ,$5.13 ,$4.47 ,$4.71 , N/A ,$3.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023730,N/A,ESU-TUBING,270,1 ,$55.00 ,$35.75 ,$35.75 ,$49.53 ,$44.00 , N/A ,$43.58 ,$49.53 ,$49.53 , N/A ,$46.75 ,$40.70 , N/A , N/A , N/A ,$45.87 , N/A ,$45.43 ,$44.00 ,$49.50 , N/A ,$46.75 , N/A ,$46.75 ,$46.75 ,$49.50 ,$49.50 ,$43.18 ,$45.43 , N/A ,$35.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023731,N/A,ESU-PREFILTER,270,1 ,$39.60 ,$25.74 ,$25.74 ,$35.66 ,$31.68 , N/A ,$31.38 ,$35.66 ,$35.66 , N/A ,$33.66 ,$29.30 , N/A , N/A , N/A ,$33.03 , N/A ,$32.71 ,$31.68 ,$35.64 , N/A ,$33.66 , N/A ,$33.66 ,$33.66 ,$35.64 ,$35.64 ,$31.09 ,$32.71 , N/A ,$25.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023732,N/A,ESU-EVAC FILTER,270,1 ,$295.00 ,$191.75 ,$191.75 ,$265.65 ,$236.00 , N/A ,$233.76 ,$265.65 ,$265.65 , N/A ,$250.75 ,$218.30 , N/A , N/A , N/A ,$246.03 , N/A ,$243.67 ,$236.00 ,$265.50 , N/A ,$250.75 , N/A ,$250.75 ,$250.75 ,$265.50 ,$265.50 ,$231.58 ,$243.67 , N/A ,$191.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023750,N/A,ESU PENCIL,270,1 ,$74.20 ,$48.23 ,$48.23 ,$66.82 ,$59.36 , N/A ,$58.80 ,$66.82 ,$66.82 , N/A ,$63.07 ,$54.91 , N/A , N/A , N/A ,$61.88 , N/A ,$61.29 ,$59.36 ,$66.78 , N/A ,$63.07 , N/A ,$63.07 ,$63.07 ,$66.78 ,$66.78 ,$58.25 ,$61.29 , N/A ,$48.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023751,N/A,ESU GROUNDPAD,270,1 ,$16.50 ,$10.73 ,$10.73 ,$14.86 ,$13.20 , N/A ,$13.07 ,$14.86 ,$14.86 , N/A ,$14.03 ,$12.21 , N/A , N/A , N/A ,$13.76 , N/A ,$13.63 ,$13.20 ,$14.85 , N/A ,$14.03 , N/A ,$14.03 ,$14.03 ,$14.85 ,$14.85 ,$12.95 ,$13.63 , N/A ,$10.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023752,N/A,ESU-NEEDLE,270,1 ,$27.40 ,$17.81 ,$17.81 ,$24.67 ,$21.92 , N/A ,$21.71 ,$24.67 ,$24.67 , N/A ,$23.29 ,$20.28 , N/A , N/A , N/A ,$22.85 , N/A ,$22.63 ,$21.92 ,$24.66 , N/A ,$23.29 , N/A ,$23.29 ,$23.29 ,$24.66 ,$24.66 ,$21.51 ,$22.63 , N/A ,$17.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023753,N/A,ESU-BLADE,270,1 ,$27.40 ,$17.81 ,$17.81 ,$24.67 ,$21.92 , N/A ,$21.71 ,$24.67 ,$24.67 , N/A ,$23.29 ,$20.28 , N/A , N/A , N/A ,$22.85 , N/A ,$22.63 ,$21.92 ,$24.66 , N/A ,$23.29 , N/A ,$23.29 ,$23.29 ,$24.66 ,$24.66 ,$21.51 ,$22.63 , N/A ,$17.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023754,N/A,ESU-LONG NEEDLE,270,1 ,$32.35 ,$21.03 ,$21.03 ,$29.13 ,$25.88 , N/A ,$25.63 ,$29.13 ,$29.13 , N/A ,$27.50 ,$23.94 , N/A , N/A , N/A ,$26.98 , N/A ,$26.72 ,$25.88 ,$29.12 , N/A ,$27.50 , N/A ,$27.50 ,$27.50 ,$29.12 ,$29.12 ,$25.39 ,$26.72 , N/A ,$21.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023755,N/A,ESU-BALL,270,1 ,$67.15 ,$43.65 ,$43.65 ,$60.47 ,$53.72 , N/A ,$53.21 ,$60.47 ,$60.47 , N/A ,$57.08 ,$49.69 , N/A , N/A , N/A ,$56.00 , N/A ,$55.47 ,$53.72 ,$60.44 , N/A ,$57.08 , N/A ,$57.08 ,$57.08 ,$60.44 ,$60.44 ,$52.71 ,$55.47 , N/A ,$43.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023756,N/A,ESU-LARGE LOOP,270,1 ,$67.15 ,$43.65 ,$43.65 ,$60.47 ,$53.72 , N/A ,$53.21 ,$60.47 ,$60.47 , N/A ,$57.08 ,$49.69 , N/A , N/A , N/A ,$56.00 , N/A ,$55.47 ,$53.72 ,$60.44 , N/A ,$57.08 , N/A ,$57.08 ,$57.08 ,$60.44 ,$60.44 ,$52.71 ,$55.47 , N/A ,$43.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023757,N/A,ESU-LOOP,270,1 ,$67.15 ,$43.65 ,$43.65 ,$60.47 ,$53.72 , N/A ,$53.21 ,$60.47 ,$60.47 , N/A ,$57.08 ,$49.69 , N/A , N/A , N/A ,$56.00 , N/A ,$55.47 ,$53.72 ,$60.44 , N/A ,$57.08 , N/A ,$57.08 ,$57.08 ,$60.44 ,$60.44 ,$52.71 ,$55.47 , N/A ,$43.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023758,N/A,ESU-EXTENDED BLADE,270,1 ,$32.35 ,$21.03 ,$21.03 ,$29.13 ,$25.88 , N/A ,$25.63 ,$29.13 ,$29.13 , N/A ,$27.50 ,$23.94 , N/A , N/A , N/A ,$26.98 , N/A ,$26.72 ,$25.88 ,$29.12 , N/A ,$27.50 , N/A ,$27.50 ,$27.50 ,$29.12 ,$29.12 ,$25.39 ,$26.72 , N/A ,$21.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023800,N/A,FILIFORM 4FR SPIRAL TIP,270,1 ,$149.50 ,$97.18 ,$97.18 ,$134.62 ,$119.60 , N/A ,$118.46 ,$134.62 ,$134.62 , N/A ,$127.08 ,$110.63 , N/A , N/A , N/A ,$124.68 , N/A ,$123.49 ,$119.60 ,$134.55 , N/A ,$127.08 , N/A ,$127.08 ,$127.08 ,$134.55 ,$134.55 ,$117.36 ,$123.49 , N/A ,$97.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023826,N/A,RUTNER BAL STONE EXT,270,1 ,$253.90 ,$165.04 ,$165.04 ,$228.64 ,$203.12 , N/A ,$201.19 ,$228.64 ,$228.64 , N/A ,$215.82 ,$187.89 , N/A , N/A , N/A ,$211.75 , N/A ,$209.72 ,$203.12 ,$228.51 , N/A ,$215.82 , N/A ,$215.82 ,$215.82 ,$228.51 ,$228.51 ,$199.31 ,$209.72 , N/A ,$165.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023834,N/A,CONE TIP UR CATH,270,1 ,$14.85 ,$9.65 ,$9.65 ,$13.37 ,$11.88 , N/A ,$11.77 ,$13.37 ,$13.37 , N/A ,$12.62 ,$10.99 , N/A , N/A , N/A ,$12.38 , N/A ,$12.27 ,$11.88 ,$13.37 , N/A ,$12.62 , N/A ,$12.62 ,$12.62 ,$13.37 ,$13.37 ,$11.66 ,$12.27 , N/A ,$9.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023842,N/A,FLEX TIP UR CATH,270,1 ,$14.85 ,$9.65 ,$9.65 ,$13.37 ,$11.88 , N/A ,$11.77 ,$13.37 ,$13.37 , N/A ,$12.62 ,$10.99 , N/A , N/A , N/A ,$12.38 , N/A ,$12.27 ,$11.88 ,$13.37 , N/A ,$12.62 , N/A ,$12.62 ,$12.62 ,$13.37 ,$13.37 ,$11.66 ,$12.27 , N/A ,$9.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023850,N/A,FLEX UCATH 4FR,270,1 ,$46.90 ,$30.49 ,$30.49 ,$42.23 ,$37.52 , N/A ,$37.16 ,$42.23 ,$42.23 , N/A ,$39.87 ,$34.71 , N/A , N/A , N/A ,$39.11 , N/A ,$38.74 ,$37.52 ,$42.21 , N/A ,$39.87 , N/A ,$39.87 ,$39.87 ,$42.21 ,$42.21 ,$36.82 ,$38.74 , N/A ,$30.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023852,N/A,FLEX UCATH 5FR,270,1 ,$46.90 ,$30.49 ,$30.49 ,$42.23 ,$37.52 , N/A ,$37.16 ,$42.23 ,$42.23 , N/A ,$39.87 ,$34.71 , N/A , N/A , N/A ,$39.11 , N/A ,$38.74 ,$37.52 ,$42.21 , N/A ,$39.87 , N/A ,$39.87 ,$39.87 ,$42.21 ,$42.21 ,$36.82 ,$38.74 , N/A ,$30.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023909,N/A,CATH CUTDOWN 16,270,1 ,$17.05 ,$11.08 ,$11.08 ,$15.35 ,$13.64 , N/A ,$13.51 ,$15.35 ,$15.35 , N/A ,$14.49 ,$12.62 , N/A , N/A , N/A ,$14.22 , N/A ,$14.08 ,$13.64 ,$15.35 , N/A ,$14.49 , N/A ,$14.49 ,$14.49 ,$15.35 ,$15.35 ,$13.38 ,$14.08 , N/A ,$11.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023917,N/A,CATH CUTDOWN 18,270,1 ,$17.05 ,$11.08 ,$11.08 ,$15.35 ,$13.64 , N/A ,$13.51 ,$15.35 ,$15.35 , N/A ,$14.49 ,$12.62 , N/A , N/A , N/A ,$14.22 , N/A ,$14.08 ,$13.64 ,$15.35 , N/A ,$14.49 , N/A ,$14.49 ,$14.49 ,$15.35 ,$15.35 ,$13.38 ,$14.08 , N/A ,$11.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023925,N/A,CATH CUTDOWN 22,270,1 ,$17.05 ,$11.08 ,$11.08 ,$15.35 ,$13.64 , N/A ,$13.51 ,$15.35 ,$15.35 , N/A ,$14.49 ,$12.62 , N/A , N/A , N/A ,$14.22 , N/A ,$14.08 ,$13.64 ,$15.35 , N/A ,$14.49 , N/A ,$14.49 ,$14.49 ,$15.35 ,$15.35 ,$13.38 ,$14.08 , N/A ,$11.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60023990,N/A,HOT INSTANT PACK,270,1 ,$6.95 ,$4.52 ,$4.52 ,$6.26 ,$5.56 , N/A ,$5.51 ,$6.26 ,$6.26 , N/A ,$5.91 ,$5.14 , N/A , N/A , N/A ,$5.80 , N/A ,$5.74 ,$5.56 ,$6.26 , N/A ,$5.91 , N/A ,$5.91 ,$5.91 ,$6.26 ,$6.26 ,$5.46 ,$5.74 , N/A ,$4.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60024006,N/A,COLD INSTANT PACK,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60024014,N/A,CONSTANT ICE PACKS,270,1 ,$12.50 ,$8.13 ,$8.13 ,$11.26 ,$10.00 , N/A ,$9.91 ,$11.26 ,$11.26 , N/A ,$10.63 ,$9.25 , N/A , N/A , N/A ,$10.43 , N/A ,$10.33 ,$10.00 ,$11.25 , N/A ,$10.63 , N/A ,$10.63 ,$10.63 ,$11.25 ,$11.25 ,$9.81 ,$10.33 , N/A ,$8.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60024018,N/A,CONTACT CASE-LENS,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60024030,N/A,CATHETER/14FR STR RD,270,1 ,$13.20 ,$8.58 ,$8.58 ,$11.89 ,$10.56 , N/A ,$10.46 ,$11.89 ,$11.89 , N/A ,$11.22 ,$9.77 , N/A , N/A , N/A ,$11.01 , N/A ,$10.90 ,$10.56 ,$11.88 , N/A ,$11.22 , N/A ,$11.22 ,$11.22 ,$11.88 ,$11.88 ,$10.36 ,$10.90 , N/A ,$8.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),60024105,N/A,CATH STRAP,270,1 ,$23.75 ,$15.44 ,$15.44 ,$21.39 ,$19.00 , N/A ,$18.82 ,$21.39 ,$21.39 , N/A ,$20.19 ,$17.58 , N/A , N/A , N/A ,$19.81 , N/A ,$19.62 ,$19.00 ,$21.38 , N/A ,$20.19 , N/A ,$20.19 ,$20.19 ,$21.38 ,$21.38 ,$18.64 ,$19.62 , N/A ,$15.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60024113,N/A,60CC CATH SYRINGE,270,1 ,$4.65 ,$3.02 ,$3.02 ,$4.19 ,$3.72 , N/A ,$3.68 ,$4.19 ,$4.19 , N/A ,$3.95 ,$3.44 , N/A , N/A , N/A ,$3.88 , N/A ,$3.84 ,$3.72 ,$4.19 , N/A ,$3.95 , N/A ,$3.95 ,$3.95 ,$4.19 ,$4.19 ,$3.65 ,$3.84 , N/A ,$3.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60025000,N/A,CONNECTOR-5 IN 1,270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),600290,N/A,SWABSTICK-BENZOIN TINCTURE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6003,N/A,BROTHER MFC FAX TONER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600300,N/A,MASK-YELLOW DISPOSABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600301,N/A,LEG PUMP SLEEVE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600302,N/A,SLIPPERS FALL RISK SM,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),600303,N/A,SLIPPERS FALL RISK MED,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),600304,N/A,SLIPPERS FALL RISK LG,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),600305,N/A,SLIPPERS FALL RISK XLG,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),600306,N/A,SLIPPERS FALL RISK XXLG,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),600307,N/A,READYPREP SYSTEM KIT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600308,N/A,PULMONARY FUNCTION FILTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600309,N/A,"BLOOD ADMIN SET, Y-TYPE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60031294,N/A,URINE METER/TUBING,270,1 ,$17.60 ,$11.44 ,$11.44 ,$15.85 ,$14.08 , N/A ,$13.95 ,$15.85 ,$15.85 , N/A ,$14.96 ,$13.02 , N/A , N/A , N/A ,$14.68 , N/A ,$14.54 ,$14.08 ,$15.84 , N/A ,$14.96 , N/A ,$14.96 ,$14.96 ,$15.84 ,$15.84 ,$13.82 ,$14.54 , N/A ,$11.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031300,N/A,DEFIB PAD-LITTMAN,270,1 ,$23.65 ,$15.37 ,$15.37 ,$21.30 ,$18.92 , N/A ,$18.74 ,$21.30 ,$21.30 , N/A ,$20.10 ,$17.50 , N/A , N/A , N/A ,$19.72 , N/A ,$19.53 ,$18.92 ,$21.29 , N/A ,$20.10 , N/A ,$20.10 ,$20.10 ,$21.29 ,$21.29 ,$18.57 ,$19.53 , N/A ,$15.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031309,N/A,TRAUMA SHOE/MENS XL **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031310,N/A,TRAUMA SHOE/MENS MED **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031311,N/A,TRAUMA SHOE/MEMS LG **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031312,N/A,TRAUMA SHOE/WOMAN MD **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031313,N/A,TRAUMA SHOE/WOMAN LG **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031314,N/A,TRAUMA SHOE/MEN SM **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031315,N/A,TRAUMA SHOE/WOMAN SM **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031328,N/A,BIOPSY NEEDL TRUCUT,270,1 ,$77.90 ,$50.64 ,$50.64 ,$70.15 ,$62.32 , N/A ,$61.73 ,$70.15 ,$70.15 , N/A ,$66.22 ,$57.65 , N/A , N/A , N/A ,$64.97 , N/A ,$64.35 ,$62.32 ,$70.11 , N/A ,$66.22 , N/A ,$66.22 ,$66.22 ,$70.11 ,$70.11 ,$61.15 ,$64.35 , N/A ,$50.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031336,N/A,CHEST DRAIN,270,1 ,$249.85 ,$162.40 ,$162.40 ,$224.99 ,$199.88 , N/A ,$197.98 ,$224.99 ,$224.99 , N/A ,$212.37 ,$184.89 , N/A , N/A , N/A ,$208.37 , N/A ,$206.38 ,$199.88 ,$224.87 , N/A ,$212.37 , N/A ,$212.37 ,$212.37 ,$224.87 ,$224.87 ,$196.13 ,$206.38 , N/A ,$162.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031337,N/A,CHEST TUBE 32F-TROCAR CATHETER,270,1 ,$76.85 ,$49.95 ,$49.95 ,$69.20 ,$61.48 , N/A ,$60.90 ,$69.20 ,$69.20 , N/A ,$65.32 ,$56.87 , N/A , N/A , N/A ,$64.09 , N/A ,$63.48 ,$61.48 ,$69.17 , N/A ,$65.32 , N/A ,$65.32 ,$65.32 ,$69.17 ,$69.17 ,$60.33 ,$63.48 , N/A ,$49.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031344,N/A,BETADINE SPONGE,270,1 ,$3.55 ,$2.31 ,$2.31 ,$3.20 ,$2.84 , N/A ,$2.81 ,$3.20 ,$3.20 , N/A ,$3.02 ,$2.63 , N/A , N/A , N/A ,$2.96 , N/A ,$2.93 ,$2.84 ,$3.20 , N/A ,$3.02 , N/A ,$3.02 ,$3.02 ,$3.20 ,$3.20 ,$2.79 ,$2.93 , N/A ,$2.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031350,N/A,CHEST DRAIN-AUTOTRAN,270,1 ,$202.30 ,$131.50 ,$131.50 ,$182.17 ,$161.84 , N/A ,$160.30 ,$182.17 ,$182.17 , N/A ,$171.96 ,$149.70 , N/A , N/A , N/A ,$168.72 , N/A ,$167.10 ,$161.84 ,$182.07 , N/A ,$171.96 , N/A ,$171.96 ,$171.96 ,$182.07 ,$182.07 ,$158.81 ,$167.10 , N/A ,$131.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031407,N/A,DIAPERS SMALL,270,1 ,$18.40 ,$11.96 ,$11.96 ,$16.57 ,$14.72 , N/A ,$14.58 ,$16.57 ,$16.57 , N/A ,$15.64 ,$13.62 , N/A , N/A , N/A ,$15.35 , N/A ,$15.20 ,$14.72 ,$16.56 , N/A ,$15.64 , N/A ,$15.64 ,$15.64 ,$16.56 ,$16.56 ,$14.44 ,$15.20 , N/A ,$11.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031415,N/A,DIAPERS MEDIUM,270,1 ,$18.40 ,$11.96 ,$11.96 ,$16.57 ,$14.72 , N/A ,$14.58 ,$16.57 ,$16.57 , N/A ,$15.64 ,$13.62 , N/A , N/A , N/A ,$15.35 , N/A ,$15.20 ,$14.72 ,$16.56 , N/A ,$15.64 , N/A ,$15.64 ,$15.64 ,$16.56 ,$16.56 ,$14.44 ,$15.20 , N/A ,$11.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031423,N/A,DIAPERS LARGE,270,1 ,$18.40 ,$11.96 ,$11.96 ,$16.57 ,$14.72 , N/A ,$14.58 ,$16.57 ,$16.57 , N/A ,$15.64 ,$13.62 , N/A , N/A , N/A ,$15.35 , N/A ,$15.20 ,$14.72 ,$16.56 , N/A ,$15.64 , N/A ,$15.64 ,$15.64 ,$16.56 ,$16.56 ,$14.44 ,$15.20 , N/A ,$11.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031605,N/A,DRAINAGE UNIT UR,270,1 ,$24.20 ,$15.73 ,$15.73 ,$21.79 ,$19.36 , N/A ,$19.18 ,$21.79 ,$21.79 , N/A ,$20.57 ,$17.91 , N/A , N/A , N/A ,$20.18 , N/A ,$19.99 ,$19.36 ,$21.78 , N/A ,$20.57 , N/A ,$20.57 ,$20.57 ,$21.78 ,$21.78 ,$19.00 ,$19.99 , N/A ,$15.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031621,N/A,DRAINAGE W/UROMETER,270,1 ,$42.65 ,$27.72 ,$27.72 ,$38.41 ,$34.12 , N/A ,$33.80 ,$38.41 ,$38.41 , N/A ,$36.25 ,$31.56 , N/A , N/A , N/A ,$35.57 , N/A ,$35.23 ,$34.12 ,$38.39 , N/A ,$36.25 , N/A ,$36.25 ,$36.25 ,$38.39 ,$38.39 ,$33.48 ,$35.23 , N/A ,$27.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031803,N/A,K-THERM PAD 12X17 **,270,1 ,$44.70 ,$29.06 ,$29.06 ,$40.25 ,$35.76 , N/A ,$35.42 ,$40.25 ,$40.25 , N/A ,$38.00 ,$33.08 , N/A , N/A , N/A ,$37.28 , N/A ,$36.92 ,$35.76 ,$40.23 , N/A ,$38.00 , N/A ,$38.00 ,$38.00 ,$40.23 ,$40.23 ,$35.09 ,$36.92 , N/A ,$29.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031811,N/A,K-THERM PAD 18X24 **,270,1 ,$55.05 ,$35.78 ,$35.78 ,$49.57 ,$44.04 , N/A ,$43.62 ,$49.57 ,$49.57 , N/A ,$46.79 ,$40.74 , N/A , N/A , N/A ,$45.91 , N/A ,$45.47 ,$44.04 ,$49.55 , N/A ,$46.79 , N/A ,$46.79 ,$46.79 ,$49.55 ,$49.55 ,$43.21 ,$45.47 , N/A ,$35.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031829,N/A,HYPOTHERM PAD SMALL,270,1 ,$75.00 ,$48.75 ,$48.75 ,$67.54 ,$60.00 , N/A ,$59.43 ,$67.54 ,$67.54 , N/A ,$63.75 ,$55.50 , N/A , N/A , N/A ,$62.55 , N/A ,$61.95 ,$60.00 ,$67.50 , N/A ,$63.75 , N/A ,$63.75 ,$63.75 ,$67.50 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031837,N/A,HYPOTHERM PAD LARGE,270,1 ,$123.30 ,$80.15 ,$80.15 ,$111.03 ,$98.64 , N/A ,$97.70 ,$111.03 ,$111.03 , N/A ,$104.81 ,$91.24 , N/A , N/A , N/A ,$102.83 , N/A ,$101.85 ,$98.64 ,$110.97 , N/A ,$104.81 , N/A ,$104.81 ,$104.81 ,$110.97 ,$110.97 ,$96.79 ,$101.85 , N/A ,$80.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031900,N/A,DURAPREP-26ML-LG,270,1 ,$33.25 ,$21.61 ,$21.61 ,$29.94 ,$26.60 , N/A ,$26.35 ,$29.94 ,$29.94 , N/A ,$28.26 ,$24.61 , N/A , N/A , N/A ,$27.73 , N/A ,$27.46 ,$26.60 ,$29.93 , N/A ,$28.26 , N/A ,$28.26 ,$28.26 ,$29.93 ,$29.93 ,$26.10 ,$27.46 , N/A ,$21.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031902,N/A,DISPOZ A BAG,270,1 ,$20.60 ,$13.39 ,$13.39 ,$18.55 ,$16.48 , N/A ,$16.32 ,$18.55 ,$18.55 , N/A ,$17.51 ,$15.24 , N/A , N/A , N/A ,$17.18 , N/A ,$17.02 ,$16.48 ,$18.54 , N/A ,$17.51 , N/A ,$17.51 ,$17.51 ,$18.54 ,$18.54 ,$16.17 ,$17.02 , N/A ,$13.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60031910,N/A,DURAPREP-6ML-SM,270,1 ,$17.45 ,$11.34 ,$11.34 ,$15.71 ,$13.96 , N/A ,$13.83 ,$15.71 ,$15.71 , N/A ,$14.83 ,$12.91 , N/A , N/A , N/A ,$14.55 , N/A ,$14.41 ,$13.96 ,$15.71 , N/A ,$14.83 , N/A ,$14.83 ,$14.83 ,$15.71 ,$15.71 ,$13.70 ,$14.41 , N/A ,$11.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60032041,N/A,DRESSING TRAY,270,1 ,$22.35 ,$14.53 ,$14.53 ,$20.13 ,$17.88 , N/A ,$17.71 ,$20.13 ,$20.13 , N/A ,$19.00 ,$16.54 , N/A , N/A , N/A ,$18.64 , N/A ,$18.46 ,$17.88 ,$20.12 , N/A ,$19.00 , N/A ,$19.00 ,$19.00 ,$20.12 ,$20.12 ,$17.54 ,$18.46 , N/A ,$14.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),600325,N/A,OB/GYN SWAB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600335,N/A,GLOVES-ALOE ICE LARGE (LAB),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600336,N/A,HUB W NEEDLE PROTECTOR-LAB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600337,N/A,ANGELWING BUTTERFLY 23G-LAB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600338,N/A,LUER-LOK ACCESS DEVICE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60033999,N/A,DRESSING-POLYMEM SILVER**,270,1 ,$43.90 ,$28.54 ,$28.54 ,$39.53 ,$35.12 , N/A ,$34.79 ,$39.53 ,$39.53 , N/A ,$37.32 ,$32.49 , N/A , N/A , N/A ,$36.61 , N/A ,$36.26 ,$35.12 ,$39.51 , N/A ,$37.32 , N/A ,$37.32 ,$37.32 ,$39.51 ,$39.51 ,$34.46 ,$36.26 , N/A ,$28.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034000,N/A,DRESSING-POLYMEM **,270,1 ,$35.00 ,$22.75 ,$22.75 ,$31.52 ,$28.00 , N/A ,$27.73 ,$31.52 ,$31.52 , N/A ,$29.75 ,$25.90 , N/A , N/A , N/A ,$29.19 , N/A ,$28.91 ,$28.00 ,$31.50 , N/A ,$29.75 , N/A ,$29.75 ,$29.75 ,$31.50 ,$31.50 ,$27.48 ,$28.91 , N/A ,$22.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034001,N/A,DRESSING-DUODERM(ULTEC) **,270,1 ,$14.65 ,$9.52 ,$9.52 ,$13.19 ,$11.72 , N/A ,$11.61 ,$13.19 ,$13.19 , N/A ,$12.45 ,$10.84 , N/A , N/A , N/A ,$12.22 , N/A ,$12.10 ,$11.72 ,$13.19 , N/A ,$12.45 , N/A ,$12.45 ,$12.45 ,$13.19 ,$13.19 ,$11.50 ,$12.10 , N/A ,$9.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034002,N/A,DRESSING-SILVASORB GEL **,270,1 ,$114.60 ,$74.49 ,$74.49 ,$103.20 ,$91.68 , N/A ,$90.81 ,$103.20 ,$103.20 , N/A ,$97.41 ,$84.80 , N/A , N/A , N/A ,$95.58 , N/A ,$94.66 ,$91.68 ,$103.14 , N/A ,$97.41 , N/A ,$97.41 ,$97.41 ,$103.14 ,$103.14 ,$89.96 ,$94.66 , N/A ,$74.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034003,N/A,DRESSING-SILVERLON **,270,1 ,$72.50 ,$47.13 ,$47.13 ,$65.29 ,$58.00 , N/A ,$57.45 ,$65.29 ,$65.29 , N/A ,$61.63 ,$53.65 , N/A , N/A , N/A ,$60.47 , N/A ,$59.89 ,$58.00 ,$65.25 , N/A ,$61.63 , N/A ,$61.63 ,$61.63 ,$65.25 ,$65.25 ,$56.91 ,$59.89 , N/A ,$47.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034004,N/A,DRESSING-ACTICOAT **,270,1 ,$65.10 ,$42.32 ,$42.32 ,$58.62 ,$52.08 , N/A ,$51.59 ,$58.62 ,$58.62 , N/A ,$55.34 ,$48.17 , N/A , N/A , N/A ,$54.29 , N/A ,$53.77 ,$52.08 ,$58.59 , N/A ,$55.34 , N/A ,$55.34 ,$55.34 ,$58.59 ,$58.59 ,$51.10 ,$53.77 , N/A ,$42.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034005,N/A,DRESSING-ALLEVYN **,270,1 ,$27.00 ,$17.55 ,$17.55 ,$24.31 ,$21.60 , N/A ,$21.39 ,$24.31 ,$24.31 , N/A ,$22.95 ,$19.98 , N/A , N/A , N/A ,$22.52 , N/A ,$22.30 ,$21.60 ,$24.30 , N/A ,$22.95 , N/A ,$22.95 ,$22.95 ,$24.30 ,$24.30 ,$21.20 ,$22.30 , N/A ,$17.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034006,N/A,SECURA MOIST LOTION,270,1 ,$21.50 ,$13.98 ,$13.98 ,$19.36 ,$17.20 , N/A ,$17.04 ,$19.36 ,$19.36 , N/A ,$18.28 ,$15.91 , N/A , N/A , N/A ,$17.93 , N/A ,$17.76 ,$17.20 ,$19.35 , N/A ,$18.28 , N/A ,$18.28 ,$18.28 ,$19.35 ,$19.35 ,$16.88 ,$17.76 , N/A ,$13.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034007,N/A,LANTI-SKIN PROTECT 4.5oz**,270,1 ,$19.90 ,$12.94 ,$12.94 ,$17.92 ,$15.92 , N/A ,$15.77 ,$17.92 ,$17.92 , N/A ,$16.92 ,$14.73 , N/A , N/A , N/A ,$16.60 , N/A ,$16.44 ,$15.92 ,$17.91 , N/A ,$16.92 , N/A ,$16.92 ,$16.92 ,$17.91 ,$17.91 ,$15.62 ,$16.44 , N/A ,$12.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034008,N/A,LANTI-THERACREAM 0.5oz**,270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034009,N/A,PERINEUM WASH,270,1 ,$21.50 ,$13.98 ,$13.98 ,$19.36 ,$17.20 , N/A ,$17.04 ,$19.36 ,$19.36 , N/A ,$18.28 ,$15.91 , N/A , N/A , N/A ,$17.93 , N/A ,$17.76 ,$17.20 ,$19.35 , N/A ,$18.28 , N/A ,$18.28 ,$18.28 ,$19.35 ,$19.35 ,$16.88 ,$17.76 , N/A ,$13.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034010,N/A,"MEDIPORE TAPE 2"" **",270,1 ,$23.15 ,$15.05 ,$15.05 ,$20.85 ,$18.52 , N/A ,$18.34 ,$20.85 ,$20.85 , N/A ,$19.68 ,$17.13 , N/A , N/A , N/A ,$19.31 , N/A ,$19.12 ,$18.52 ,$20.84 , N/A ,$19.68 , N/A ,$19.68 ,$19.68 ,$20.84 ,$20.84 ,$18.17 ,$19.12 , N/A ,$15.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034011,N/A,"MEDIPORE TAPE 3"" **",270,1 ,$34.60 ,$22.49 ,$22.49 ,$31.16 ,$27.68 , N/A ,$27.42 ,$31.16 ,$31.16 , N/A ,$29.41 ,$25.60 , N/A , N/A , N/A ,$28.86 , N/A ,$28.58 ,$27.68 ,$31.14 , N/A ,$29.41 , N/A ,$29.41 ,$29.41 ,$31.14 ,$31.14 ,$27.16 ,$28.58 , N/A ,$22.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034012,N/A,DRESSING-AQUAFLO HYDROGEL **,270,1 ,$15.95 ,$10.37 ,$10.37 ,$14.36 ,$12.76 , N/A ,$12.64 ,$14.36 ,$14.36 , N/A ,$13.56 ,$11.80 , N/A , N/A , N/A ,$13.30 , N/A ,$13.17 ,$12.76 ,$14.36 , N/A ,$13.56 , N/A ,$13.56 ,$13.56 ,$14.36 ,$14.36 ,$12.52 ,$13.17 , N/A ,$10.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034013,N/A,DRESSING-DUODERM X-THIN **,270,1 ,$12.18 ,$7.92 ,$7.92 ,$10.97 ,$9.74 , N/A ,$9.65 ,$10.97 ,$10.97 , N/A ,$10.35 ,$9.01 , N/A , N/A , N/A ,$10.16 , N/A ,$10.06 ,$9.74 ,$10.96 , N/A ,$10.35 , N/A ,$10.35 ,$10.35 ,$10.96 ,$10.96 ,$9.56 ,$10.06 , N/A ,$7.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034014,N/A,SECURA ANTIFUNGAL **,270,1 ,$21.50 ,$13.98 ,$13.98 ,$19.36 ,$17.20 , N/A ,$17.04 ,$19.36 ,$19.36 , N/A ,$18.28 ,$15.91 , N/A , N/A , N/A ,$17.93 , N/A ,$17.76 ,$17.20 ,$19.35 , N/A ,$18.28 , N/A ,$18.28 ,$18.28 ,$19.35 ,$19.35 ,$16.88 ,$17.76 , N/A ,$13.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034015,N/A,DRESSING-AQUACEL **,270,1 ,$60.00 ,$39.00 ,$39.00 ,$54.03 ,$48.00 , N/A ,$47.54 ,$54.03 ,$54.03 , N/A ,$51.00 ,$44.40 , N/A , N/A , N/A ,$50.04 , N/A ,$49.56 ,$48.00 ,$54.00 , N/A ,$51.00 , N/A ,$51.00 ,$51.00 ,$54.00 ,$54.00 ,$47.10 ,$49.56 , N/A ,$39.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034016,N/A,LANTI-SKIN PROTECT 0.5oz**,270,1 ,$3.00 ,$1.95 ,$1.95 ,$2.70 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 , N/A ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034017,N/A,LANTI-SKIN PROTECT 0.18oz**,270,1 ,$3.00 ,$1.95 ,$1.95 ,$2.70 ,$2.40 , N/A ,$2.38 ,$2.70 ,$2.70 , N/A ,$2.55 ,$2.22 , N/A , N/A , N/A ,$2.50 , N/A ,$2.48 ,$2.40 ,$2.70 , N/A ,$2.55 , N/A ,$2.55 ,$2.55 ,$2.70 ,$2.70 ,$2.36 ,$2.48 , N/A ,$1.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034018,N/A,DRESSING-FIBRACOL **,270,1 ,$49.35 ,$32.08 ,$32.08 ,$44.44 ,$39.48 , N/A ,$39.10 ,$44.44 ,$44.44 , N/A ,$41.95 ,$36.52 , N/A , N/A , N/A ,$41.16 , N/A ,$40.76 ,$39.48 ,$44.42 , N/A ,$41.95 , N/A ,$41.95 ,$41.95 ,$44.42 ,$44.42 ,$38.74 ,$40.76 , N/A ,$32.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034019,N/A,DRESSING-PROFORE **,270,1 ,$63.75 ,$41.44 ,$41.44 ,$57.41 ,$51.00 , N/A ,$50.52 ,$57.41 ,$57.41 , N/A ,$54.19 ,$47.18 , N/A , N/A , N/A ,$53.17 , N/A ,$52.66 ,$51.00 ,$57.38 , N/A ,$54.19 , N/A ,$54.19 ,$54.19 ,$57.38 ,$57.38 ,$50.04 ,$52.66 , N/A ,$41.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034020,N/A,WOUND CLEANSER **,270,1 ,$29.28 ,$19.03 ,$19.03 ,$26.37 ,$23.42 , N/A ,$23.20 ,$26.37 ,$26.37 , N/A ,$24.89 ,$21.67 , N/A , N/A , N/A ,$24.42 , N/A ,$24.19 ,$23.42 ,$26.35 , N/A ,$24.89 , N/A ,$24.89 ,$24.89 ,$26.35 ,$26.35 ,$22.98 ,$24.19 , N/A ,$19.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034021,N/A,DRESSING- TEGADERM CHG I.V. 4 X 6 1/8**,270,1 ,$68.34 ,$44.42 ,$44.42 ,$61.54 ,$54.67 , N/A ,$54.15 ,$61.54 ,$61.54 , N/A ,$58.09 ,$50.57 , N/A , N/A , N/A ,$57.00 , N/A ,$56.45 ,$54.67 ,$61.51 , N/A ,$58.09 , N/A ,$58.09 ,$58.09 ,$61.51 ,$61.51 ,$53.65 ,$56.45 , N/A ,$44.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60034030,N/A,"MEDIPORE TAPE 6"" **",270,1 ,$56.00 ,$36.40 ,$36.40 ,$50.43 ,$44.80 , N/A ,$44.37 ,$50.43 ,$50.43 , N/A ,$47.60 ,$41.44 , N/A , N/A , N/A ,$46.70 , N/A ,$46.26 ,$44.80 ,$50.40 , N/A ,$47.60 , N/A ,$47.60 ,$47.60 ,$50.40 ,$50.40 ,$43.96 ,$46.26 , N/A ,$36.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60035000,N/A,"COFLEX 3""",270,1 ,$9.70 ,$6.31 ,$6.31 ,$8.73 ,$7.76 , N/A ,$7.69 ,$8.73 ,$8.73 , N/A ,$8.25 ,$7.18 , N/A , N/A , N/A ,$8.09 , N/A ,$8.01 ,$7.76 ,$8.73 , N/A ,$8.25 , N/A ,$8.25 ,$8.25 ,$8.73 ,$8.73 ,$7.61 ,$8.01 , N/A ,$6.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60035102,N/A,ELASTOPLAST 1,270,1 ,$8.70 ,$5.66 ,$5.66 ,$7.83 ,$6.96 , N/A ,$6.89 ,$7.83 ,$7.83 , N/A ,$7.40 ,$6.44 , N/A , N/A , N/A ,$7.26 , N/A ,$7.19 ,$6.96 ,$7.83 , N/A ,$7.40 , N/A ,$7.40 ,$7.40 ,$7.83 ,$7.83 ,$6.83 ,$7.19 , N/A ,$5.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60035103,N/A,ELASTOPLAST 3,270,1 ,$23.35 ,$15.18 ,$15.18 ,$21.03 ,$18.68 , N/A ,$18.50 ,$21.03 ,$21.03 , N/A ,$19.85 ,$17.28 , N/A , N/A , N/A ,$19.47 , N/A ,$19.29 ,$18.68 ,$21.02 , N/A ,$19.85 , N/A ,$19.85 ,$19.85 ,$21.02 ,$21.02 ,$18.33 ,$19.29 , N/A ,$15.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),600380,N/A,CHEMO GOWNS-REGULAR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600381,N/A,CHEMO GOWNS-XLARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600382,N/A,CHEMO GLOVES-SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600383,N/A,CHEMO GLOVES-MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600384,N/A,CHEMO GLOVES-LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600385,N/A,CHEMO BAGS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600390,N/A,EMG-GROUND (GREEN),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600391,N/A,EMG-REUSE.ELECTRODE (RED),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60039997,N/A,FORCEPS-FINE (BIONIX),270,1 ,$19.80 ,$12.87 ,$12.87 ,$17.83 ,$15.84 , N/A ,$15.69 ,$17.83 ,$17.83 , N/A ,$16.83 ,$14.65 , N/A , N/A , N/A ,$16.51 , N/A ,$16.35 ,$15.84 ,$17.82 , N/A ,$16.83 , N/A ,$16.83 ,$16.83 ,$17.82 ,$17.82 ,$15.54 ,$16.35 , N/A ,$12.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60039998,N/A,FORCEPS-PEDIATRICS (BIONIX),270,1 ,$19.80 ,$12.87 ,$12.87 ,$17.83 ,$15.84 , N/A ,$15.69 ,$17.83 ,$17.83 , N/A ,$16.83 ,$14.65 , N/A , N/A , N/A ,$16.51 , N/A ,$16.35 ,$15.84 ,$17.82 , N/A ,$16.83 , N/A ,$16.83 ,$16.83 ,$17.82 ,$17.82 ,$15.54 ,$16.35 , N/A ,$12.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60039999,N/A,FORCEPS-UNIVERSAL (BIONIX),270,1 ,$19.80 ,$12.87 ,$12.87 ,$17.83 ,$15.84 , N/A ,$15.69 ,$17.83 ,$17.83 , N/A ,$16.83 ,$14.65 , N/A , N/A , N/A ,$16.51 , N/A ,$16.35 ,$15.84 ,$17.82 , N/A ,$16.83 , N/A ,$16.83 ,$16.83 ,$17.82 ,$17.82 ,$15.54 ,$16.35 , N/A ,$12.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),6004,N/A,BROTHER MFC FAX DRUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600400,N/A,OTOSCOPE SPECULA-ADULT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60040048,N/A,SUTURES,270,1 ,$17.90 ,$11.64 ,$11.64 ,$16.12 ,$14.32 , N/A ,$14.18 ,$16.12 ,$16.12 , N/A ,$15.22 ,$13.25 , N/A , N/A , N/A ,$14.93 , N/A ,$14.79 ,$14.32 ,$16.11 , N/A ,$15.22 , N/A ,$15.22 ,$15.22 ,$16.11 ,$16.11 ,$14.05 ,$14.79 , N/A ,$11.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),600401,N/A,OTOSCOPE SPECULA-PEDIATRIC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60040360,L1830,IMMOBILIZER-KNEE **,274,1 ,$97.35 ,$63.28 ,$63.28 ,$190.76 ,$77.88 ,$76.30 ,$77.14 ,$87.66 ,$87.66 ,$144.97 ,$82.75 ,$72.04 ,$190.76 ,$76.30 , N/A ,$81.19 ,$76.30 ,$80.41 ,$77.88 ,$87.62 ,$97.35 ,$82.75 ,$81.72 ,$82.75 ,$82.75 ,$87.62 ,$87.62 ,$76.42 ,$80.41 ,$81.72 ,$63.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040370,N/A,OXYSENSORS II ADULT,270,1 ,$73.20 ,$47.58 ,$47.58 ,$65.92 ,$58.56 , N/A ,$58.00 ,$65.92 ,$65.92 , N/A ,$62.22 ,$54.17 , N/A , N/A , N/A ,$61.05 , N/A ,$60.46 ,$58.56 ,$65.88 , N/A ,$62.22 , N/A ,$62.22 ,$62.22 ,$65.88 ,$65.88 ,$57.46 ,$60.46 , N/A ,$47.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040372,N/A,OXYSENSORS II PED,270,1 ,$66.55 ,$43.26 ,$43.26 ,$59.93 ,$53.24 , N/A ,$52.73 ,$59.93 ,$59.93 , N/A ,$56.57 ,$49.25 , N/A , N/A , N/A ,$55.50 , N/A ,$54.97 ,$53.24 ,$59.90 , N/A ,$56.57 , N/A ,$56.57 ,$56.57 ,$59.90 ,$59.90 ,$52.24 ,$54.97 , N/A ,$43.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040386,N/A,"SPLINT FENCE 2"" **",270,1 ,$14.50 ,$9.43 ,$9.43 ,$13.06 ,$11.60 , N/A ,$11.49 ,$13.06 ,$13.06 , N/A ,$12.33 ,$10.73 , N/A , N/A , N/A ,$12.09 , N/A ,$11.98 ,$11.60 ,$13.05 , N/A ,$12.33 , N/A ,$12.33 ,$12.33 ,$13.05 ,$13.05 ,$11.38 ,$11.98 , N/A ,$9.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040392,N/A,SPLINT-S/M SPICA THUMB **,270,1 ,$20.00 ,$13.00 ,$13.00 ,$18.01 ,$16.00 , N/A ,$15.85 ,$18.01 ,$18.01 , N/A ,$17.00 ,$14.80 , N/A , N/A , N/A ,$16.68 , N/A ,$16.52 ,$16.00 ,$18.00 , N/A ,$17.00 , N/A ,$17.00 ,$17.00 ,$18.00 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040393,N/A,SPLINT-L/XL SPICA THUMB **,270,1 ,$20.00 ,$13.00 ,$13.00 ,$18.01 ,$16.00 , N/A ,$15.85 ,$18.01 ,$18.01 , N/A ,$17.00 ,$14.80 , N/A , N/A , N/A ,$16.68 , N/A ,$16.52 ,$16.00 ,$18.00 , N/A ,$17.00 , N/A ,$17.00 ,$17.00 ,$18.00 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040394,N/A,SPLINT TIB ADT **,270,1 ,$135.00 ,$87.75 ,$87.75 ,$121.57 ,$108.00 , N/A ,$106.97 ,$121.57 ,$121.57 , N/A ,$114.75 ,$99.90 , N/A , N/A , N/A ,$112.59 , N/A ,$111.51 ,$108.00 ,$121.50 , N/A ,$114.75 , N/A ,$114.75 ,$114.75 ,$121.50 ,$121.50 ,$105.98 ,$111.51 , N/A ,$87.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040395,N/A,SPLINT TIB AD HIP LG **,270,1 ,$134.00 ,$87.10 ,$87.10 ,$120.67 ,$107.20 , N/A ,$106.18 ,$120.67 ,$120.67 , N/A ,$113.90 ,$99.16 , N/A , N/A , N/A ,$111.76 , N/A ,$110.68 ,$107.20 ,$120.60 , N/A ,$113.90 , N/A ,$113.90 ,$113.90 ,$120.60 ,$120.60 ,$105.19 ,$110.68 , N/A ,$87.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040410,N/A,SPLINT POST KNEE YTH **,270,1 ,$63.85 ,$41.50 ,$41.50 ,$57.50 ,$51.08 , N/A ,$50.59 ,$57.50 ,$57.50 , N/A ,$54.27 ,$47.25 , N/A , N/A , N/A ,$53.25 , N/A ,$52.74 ,$51.08 ,$57.47 , N/A ,$54.27 , N/A ,$54.27 ,$54.27 ,$57.47 ,$57.47 ,$50.12 ,$52.74 , N/A ,$41.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040428,N/A,SPLINT POST KNEE ADL **,270,1 ,$82.80 ,$53.82 ,$53.82 ,$74.56 ,$66.24 , N/A ,$65.61 ,$74.56 ,$74.56 , N/A ,$70.38 ,$61.27 , N/A , N/A , N/A ,$69.06 , N/A ,$68.39 ,$66.24 ,$74.52 , N/A ,$70.38 , N/A ,$70.38 ,$70.38 ,$74.52 ,$74.52 ,$65.00 ,$68.39 , N/A ,$53.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040444,N/A,SPLINT FINGER **,270,1 ,$6.50 ,$4.23 ,$4.23 ,$5.85 ,$5.20 , N/A ,$5.15 ,$5.85 ,$5.85 , N/A ,$5.53 ,$4.81 , N/A , N/A , N/A ,$5.42 , N/A ,$5.37 ,$5.20 ,$5.85 , N/A ,$5.53 , N/A ,$5.53 ,$5.53 ,$5.85 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040450,N/A,SPLINT(S)BASEBALL **,270,1 ,$11.55 ,$7.51 ,$7.51 ,$10.40 ,$9.24 , N/A ,$9.15 ,$10.40 ,$10.40 , N/A ,$9.82 ,$8.55 , N/A , N/A , N/A ,$9.63 , N/A ,$9.54 ,$9.24 ,$10.40 , N/A ,$9.82 , N/A ,$9.82 ,$9.82 ,$10.40 ,$10.40 ,$9.07 ,$9.54 , N/A ,$7.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040451,N/A,SPLINT(M)BASEBALL **,270,1 ,$11.55 ,$7.51 ,$7.51 ,$10.40 ,$9.24 , N/A ,$9.15 ,$10.40 ,$10.40 , N/A ,$9.82 ,$8.55 , N/A , N/A , N/A ,$9.63 , N/A ,$9.54 ,$9.24 ,$10.40 , N/A ,$9.82 , N/A ,$9.82 ,$9.82 ,$10.40 ,$10.40 ,$9.07 ,$9.54 , N/A ,$7.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040452,N/A,SPLINT(L)BASEBALL **,270,1 ,$11.55 ,$7.51 ,$7.51 ,$10.40 ,$9.24 , N/A ,$9.15 ,$10.40 ,$10.40 , N/A ,$9.82 ,$8.55 , N/A , N/A , N/A ,$9.63 , N/A ,$9.54 ,$9.24 ,$10.40 , N/A ,$9.82 , N/A ,$9.82 ,$9.82 ,$10.40 ,$10.40 ,$9.07 ,$9.54 , N/A ,$7.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040477,N/A,SPLINT FINGER PROT-C **,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040500,N/A,SPLINT STACK FINGER1 **,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040501,N/A,SPLINT STACK FINGER2 **,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040502,N/A,SPLINT STACK FINGER 3 **,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040503,N/A,SPLINT STACK FINGER 4 **,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040504,N/A,SPLINT STACK FINGER5 **,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040505,N/A,SPLINT STACK FINGER 6 **,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040550,N/A,"SPLINT FENCE 3"" **",270,1 ,$16.60 ,$10.79 ,$10.79 ,$14.95 ,$13.28 , N/A ,$13.15 ,$14.95 ,$14.95 , N/A ,$14.11 ,$12.28 , N/A , N/A , N/A ,$13.84 , N/A ,$13.71 ,$13.28 ,$14.94 , N/A ,$14.11 , N/A ,$14.11 ,$14.11 ,$14.94 ,$14.94 ,$13.03 ,$13.71 , N/A ,$10.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040568,N/A,SPLINT TIBIA YTH **,270,1 ,$135.00 ,$87.75 ,$87.75 ,$121.57 ,$108.00 , N/A ,$106.97 ,$121.57 ,$121.57 , N/A ,$114.75 ,$99.90 , N/A , N/A , N/A ,$112.59 , N/A ,$111.51 ,$108.00 ,$121.50 , N/A ,$114.75 , N/A ,$114.75 ,$114.75 ,$121.50 ,$121.50 ,$105.98 ,$111.51 , N/A ,$87.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040600,N/A,SPLINT NASAL **,270,1 ,$19.50 ,$12.68 ,$12.68 ,$17.56 ,$15.60 , N/A ,$15.45 ,$17.56 ,$17.56 , N/A ,$16.58 ,$14.43 , N/A , N/A , N/A ,$16.26 , N/A ,$16.11 ,$15.60 ,$17.55 , N/A ,$16.58 , N/A ,$16.58 ,$16.58 ,$17.55 ,$17.55 ,$15.31 ,$16.11 , N/A ,$12.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040667,N/A,"SPLINT FENCE 4"" **",270,1 ,$17.50 ,$11.38 ,$11.38 ,$15.76 ,$14.00 , N/A ,$13.87 ,$15.76 ,$15.76 , N/A ,$14.88 ,$12.95 , N/A , N/A , N/A ,$14.60 , N/A ,$14.46 ,$14.00 ,$15.75 , N/A ,$14.88 , N/A ,$14.88 ,$14.88 ,$15.75 ,$15.75 ,$13.74 ,$14.46 , N/A ,$11.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040668,N/A,SPLT-LTCOLLES YOUTH**,270,1 ,$35.95 ,$23.37 ,$23.37 ,$32.37 ,$28.76 , N/A ,$28.49 ,$32.37 ,$32.37 , N/A ,$30.56 ,$26.60 , N/A , N/A , N/A ,$29.98 , N/A ,$29.69 ,$28.76 ,$32.36 , N/A ,$30.56 , N/A ,$30.56 ,$30.56 ,$32.36 ,$32.36 ,$28.22 ,$29.69 , N/A ,$23.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040669,N/A,SPLT-RTCOLLES YOUTH**,270,1 ,$35.95 ,$23.37 ,$23.37 ,$32.37 ,$28.76 , N/A ,$28.49 ,$32.37 ,$32.37 , N/A ,$30.56 ,$26.60 , N/A , N/A , N/A ,$29.98 , N/A ,$29.69 ,$28.76 ,$32.36 , N/A ,$30.56 , N/A ,$30.56 ,$30.56 ,$32.36 ,$32.36 ,$28.22 ,$29.69 , N/A ,$23.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040670,N/A,SPLT-LTCOLLES ADULT**,270,1 ,$35.95 ,$23.37 ,$23.37 ,$32.37 ,$28.76 , N/A ,$28.49 ,$32.37 ,$32.37 , N/A ,$30.56 ,$26.60 , N/A , N/A , N/A ,$29.98 , N/A ,$29.69 ,$28.76 ,$32.36 , N/A ,$30.56 , N/A ,$30.56 ,$30.56 ,$32.36 ,$32.36 ,$28.22 ,$29.69 , N/A ,$23.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040671,N/A,SPLT-RTCOLLES ADULT**,270,1 ,$35.95 ,$23.37 ,$23.37 ,$32.37 ,$28.76 , N/A ,$28.49 ,$32.37 ,$32.37 , N/A ,$30.56 ,$26.60 , N/A , N/A , N/A ,$29.98 , N/A ,$29.69 ,$28.76 ,$32.36 , N/A ,$30.56 , N/A ,$30.56 ,$30.56 ,$32.36 ,$32.36 ,$28.22 ,$29.69 , N/A ,$23.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040717,N/A,ABDOMINAL SUPPORT **,270,1 ,$54.65 ,$35.52 ,$35.52 ,$49.21 ,$43.72 , N/A ,$43.30 ,$49.21 ,$49.21 , N/A ,$46.45 ,$40.44 , N/A , N/A , N/A ,$45.58 , N/A ,$45.14 ,$43.72 ,$49.19 , N/A ,$46.45 , N/A ,$46.45 ,$46.45 ,$49.19 ,$49.19 ,$42.90 ,$45.14 , N/A ,$35.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040741,N/A,SKIN STAPLES SM12,270,1 ,$81.70 ,$53.11 ,$53.11 ,$73.57 ,$65.36 , N/A ,$64.74 ,$73.57 ,$73.57 , N/A ,$69.45 ,$60.46 , N/A , N/A , N/A ,$68.14 , N/A ,$67.48 ,$65.36 ,$73.53 , N/A ,$69.45 , N/A ,$69.45 ,$69.45 ,$73.53 ,$73.53 ,$64.13 ,$67.48 , N/A ,$53.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040824,N/A,CONVERTORS,270,1 ,$3.76 ,$2.44 ,$2.44 ,$3.39 ,$3.01 , N/A ,$2.98 ,$3.39 ,$3.39 , N/A ,$3.20 ,$2.78 , N/A , N/A , N/A ,$3.14 , N/A ,$3.11 ,$3.01 ,$3.38 , N/A ,$3.20 , N/A ,$3.20 ,$3.20 ,$3.38 ,$3.38 ,$2.95 ,$3.11 , N/A ,$2.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040873,N/A,PODIATRY TOURN/HOSE-18,270,1 ,$51.10 ,$33.22 ,$33.22 ,$46.02 ,$40.88 , N/A ,$40.49 ,$46.02 ,$46.02 , N/A ,$43.44 ,$37.81 , N/A , N/A , N/A ,$42.62 , N/A ,$42.21 ,$40.88 ,$45.99 , N/A ,$43.44 , N/A ,$43.44 ,$43.44 ,$45.99 ,$45.99 ,$40.11 ,$42.21 , N/A ,$33.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),60040874,N/A,PODIATRY TOURN /HOSE-42,270,1 ,$92.90 ,$60.39 ,$60.39 ,$83.66 ,$74.32 , N/A ,$73.61 ,$83.66 ,$83.66 , N/A ,$78.97 ,$68.75 , N/A , N/A , N/A ,$77.48 , N/A ,$76.74 ,$74.32 ,$83.61 , N/A ,$78.97 , N/A ,$78.97 ,$78.97 ,$83.61 ,$83.61 ,$72.93 ,$76.74 , N/A ,$60.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),600410,N/A,W/A PROTOCOL 3 ECG LEAD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600411,N/A,W/A PROTOCOL 5 ECG LEAD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60041250,N/A,ELECTRODE-PADPRO ADULT,270,1 ,$108.15 ,$70.30 ,$70.30 ,$97.39 ,$86.52 , N/A ,$85.70 ,$97.39 ,$97.39 , N/A ,$91.93 ,$80.03 , N/A , N/A , N/A ,$90.20 , N/A ,$89.33 ,$86.52 ,$97.34 , N/A ,$91.93 , N/A ,$91.93 ,$91.93 ,$97.34 ,$97.34 ,$84.90 ,$89.33 , N/A ,$70.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041251,N/A,IRRIJET IRRIGATION,270,1 ,$61.80 ,$40.17 ,$40.17 ,$55.65 ,$49.44 , N/A ,$48.97 ,$55.65 ,$55.65 , N/A ,$52.53 ,$45.73 , N/A , N/A , N/A ,$51.54 , N/A ,$51.05 ,$49.44 ,$55.62 , N/A ,$52.53 , N/A ,$52.53 ,$52.53 ,$55.62 ,$55.62 ,$48.51 ,$51.05 , N/A ,$40.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041254,N/A,MAGNIGLIDE,270,1 ,$17.45 ,$11.34 ,$11.34 ,$15.71 ,$13.96 , N/A ,$13.83 ,$15.71 ,$15.71 , N/A ,$14.83 ,$12.91 , N/A , N/A , N/A ,$14.55 , N/A ,$14.41 ,$13.96 ,$15.71 , N/A ,$14.83 , N/A ,$14.83 ,$14.83 ,$15.71 ,$15.71 ,$13.70 ,$14.41 , N/A ,$11.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041275,N/A,ELECTRODE-PADPRO PEDIATRIC,270,1 ,$108.15 ,$70.30 ,$70.30 ,$97.39 ,$86.52 , N/A ,$85.70 ,$97.39 ,$97.39 , N/A ,$91.93 ,$80.03 , N/A , N/A , N/A ,$90.20 , N/A ,$89.33 ,$86.52 ,$97.34 , N/A ,$91.93 , N/A ,$91.93 ,$91.93 ,$97.34 ,$97.34 ,$84.90 ,$89.33 , N/A ,$70.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041491,L0140,RIGID-C COLLAR (SHORT) **,274,1 ,$77.55 ,$50.41 ,$50.41 ,$158.96 ,$62.04 ,$63.58 ,$61.45 ,$69.83 ,$69.83 ,$120.81 ,$65.92 ,$57.39 ,$158.96 ,$63.58 , N/A ,$64.68 ,$63.58 ,$64.06 ,$62.04 ,$69.80 ,$77.55 ,$65.92 ,$68.10 ,$65.92 ,$65.92 ,$69.80 ,$69.80 ,$60.88 ,$64.06 ,$68.10 ,$50.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041492,L0140,RIGID C COLLAR/PEDI **,274,1 ,$77.55 ,$50.41 ,$50.41 ,$158.96 ,$62.04 ,$63.58 ,$61.45 ,$69.83 ,$69.83 ,$120.81 ,$65.92 ,$57.39 ,$158.96 ,$63.58 , N/A ,$64.68 ,$63.58 ,$64.06 ,$62.04 ,$69.80 ,$77.55 ,$65.92 ,$68.10 ,$65.92 ,$65.92 ,$69.80 ,$69.80 ,$60.88 ,$64.06 ,$68.10 ,$50.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041493,L0140,RIGID C COLLAR REG **,274,1 ,$77.55 ,$50.41 ,$50.41 ,$158.96 ,$62.04 ,$63.58 ,$61.45 ,$69.83 ,$69.83 ,$120.81 ,$65.92 ,$57.39 ,$158.96 ,$63.58 , N/A ,$64.68 ,$63.58 ,$64.06 ,$62.04 ,$69.80 ,$77.55 ,$65.92 ,$68.10 ,$65.92 ,$65.92 ,$69.80 ,$69.80 ,$60.88 ,$64.06 ,$68.10 ,$50.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041494,L0140,RIGID C COLLAR/TALL **,274,1 ,$77.55 ,$50.41 ,$50.41 ,$158.96 ,$62.04 ,$63.58 ,$61.45 ,$69.83 ,$69.83 ,$120.81 ,$65.92 ,$57.39 ,$158.96 ,$63.58 , N/A ,$64.68 ,$63.58 ,$64.06 ,$62.04 ,$69.80 ,$77.55 ,$65.92 ,$68.10 ,$65.92 ,$65.92 ,$69.80 ,$69.80 ,$60.88 ,$64.06 ,$68.10 ,$50.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041495,L0140,RIGID C COLLAR XS **,274,1 ,$77.55 ,$50.41 ,$50.41 ,$158.96 ,$62.04 ,$63.58 ,$61.45 ,$69.83 ,$69.83 ,$120.81 ,$65.92 ,$57.39 ,$158.96 ,$63.58 , N/A ,$64.68 ,$63.58 ,$64.06 ,$62.04 ,$69.80 ,$77.55 ,$65.92 ,$68.10 ,$65.92 ,$65.92 ,$69.80 ,$69.80 ,$60.88 ,$64.06 ,$68.10 ,$50.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),600415,N/A,"COFLEX 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60041500,N/A,AIRWAY /EOA KIT **,270,1 ,$177.40 ,$115.31 ,$115.31 ,$159.75 ,$141.92 , N/A ,$140.57 ,$159.75 ,$159.75 , N/A ,$150.79 ,$131.28 , N/A , N/A , N/A ,$147.95 , N/A ,$146.53 ,$141.92 ,$159.66 , N/A ,$150.79 , N/A ,$150.79 ,$150.79 ,$159.66 ,$159.66 ,$139.26 ,$146.53 , N/A ,$115.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041509,N/A,EGTA,270,1 ,$121.15 ,$78.75 ,$78.75 ,$109.10 ,$96.92 , N/A ,$96.00 ,$109.10 ,$109.10 , N/A ,$102.98 ,$89.65 , N/A , N/A , N/A ,$101.04 , N/A ,$100.07 ,$96.92 ,$109.04 , N/A ,$102.98 , N/A ,$102.98 ,$102.98 ,$109.04 ,$109.04 ,$95.10 ,$100.07 , N/A ,$78.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041530,N/A,EMESIS BAG,270,1 ,$9.25 ,$6.01 ,$6.01 ,$8.33 ,$7.40 , N/A ,$7.33 ,$8.33 ,$8.33 , N/A ,$7.86 ,$6.85 , N/A , N/A , N/A ,$7.71 , N/A ,$7.64 ,$7.40 ,$8.33 , N/A ,$7.86 , N/A ,$7.86 ,$7.86 ,$8.33 ,$8.33 ,$7.26 ,$7.64 , N/A ,$6.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041550,N/A,ENDO TUBEHOLD-LG,270,1 ,$22.70 ,$14.76 ,$14.76 ,$20.44 ,$18.16 , N/A ,$17.99 ,$20.44 ,$20.44 , N/A ,$19.30 ,$16.80 , N/A , N/A , N/A ,$18.93 , N/A ,$18.75 ,$18.16 ,$20.43 , N/A ,$19.30 , N/A ,$19.30 ,$19.30 ,$20.43 ,$20.43 ,$17.82 ,$18.75 , N/A ,$14.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041555,N/A,ENDO TUBEHOLD-SM.,270,1 ,$22.70 ,$14.76 ,$14.76 ,$20.44 ,$18.16 , N/A ,$17.99 ,$20.44 ,$20.44 , N/A ,$19.30 ,$16.80 , N/A , N/A , N/A ,$18.93 , N/A ,$18.75 ,$18.16 ,$20.43 , N/A ,$19.30 , N/A ,$19.30 ,$19.30 ,$20.43 ,$20.43 ,$17.82 ,$18.75 , N/A ,$14.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041604,N/A,ENEMA OIL,270,1 ,$6.50 ,$4.23 ,$4.23 ,$5.85 ,$5.20 , N/A ,$5.15 ,$5.85 ,$5.85 , N/A ,$5.53 ,$4.81 , N/A , N/A , N/A ,$5.42 , N/A ,$5.37 ,$5.20 ,$5.85 , N/A ,$5.53 , N/A ,$5.53 ,$5.53 ,$5.85 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041612,N/A,ENEMA PHOS,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041620,N/A,ENEMA SET,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041703,N/A,ENEMA SOAP PACKETS,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041715,N/A,SKIN STAPLER DISP,270,1 ,$74.05 ,$48.13 ,$48.13 ,$66.68 ,$59.24 , N/A ,$58.68 ,$66.68 ,$66.68 , N/A ,$62.94 ,$54.80 , N/A , N/A , N/A ,$61.76 , N/A ,$61.17 ,$59.24 ,$66.65 , N/A ,$62.94 , N/A ,$62.94 ,$62.94 ,$66.65 ,$66.65 ,$58.13 ,$61.17 , N/A ,$48.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041745,N/A,MORGAN LENS,270,1 ,$32.25 ,$20.96 ,$20.96 ,$29.04 ,$25.80 , N/A ,$25.55 ,$29.04 ,$29.04 , N/A ,$27.41 ,$23.87 , N/A , N/A , N/A ,$26.90 , N/A ,$26.64 ,$25.80 ,$29.03 , N/A ,$27.41 , N/A ,$27.41 ,$27.41 ,$29.03 ,$29.03 ,$25.32 ,$26.64 , N/A ,$20.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041750,N/A,MEDIDUCT,270,1 ,$48.60 ,$31.59 ,$31.59 ,$43.76 ,$38.88 , N/A ,$38.51 ,$43.76 ,$43.76 , N/A ,$41.31 ,$35.96 , N/A , N/A , N/A ,$40.53 , N/A ,$40.14 ,$38.88 ,$43.74 , N/A ,$41.31 , N/A ,$41.31 ,$41.31 ,$43.74 ,$43.74 ,$38.15 ,$40.14 , N/A ,$31.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041802,N/A,EYEPATCH,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041810,N/A,EYE PATCH METAL,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60041900,N/A,ESMARK BANDAGE-ASPEN,270,1 ,$63.55 ,$41.31 ,$41.31 ,$57.23 ,$50.84 , N/A ,$50.36 ,$57.23 ,$57.23 , N/A ,$54.02 ,$47.03 , N/A , N/A , N/A ,$53.00 , N/A ,$52.49 ,$50.84 ,$57.20 , N/A ,$54.02 , N/A ,$54.02 ,$54.02 ,$57.20 ,$57.20 ,$49.89 ,$52.49 , N/A ,$41.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042002,N/A,TISSUE PATCH 5X10X2,270,1 ,$411.00 ,$267.15 ,$267.15 ,$370.11 ,$328.80 , N/A ,$325.68 ,$370.11 ,$370.11 , N/A ,$349.35 ,$304.14 , N/A , N/A , N/A ,$342.77 , N/A ,$339.49 ,$328.80 ,$369.90 , N/A ,$349.35 , N/A ,$349.35 ,$349.35 ,$369.90 ,$369.90 ,$322.64 ,$339.49 , N/A ,$267.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042010,N/A,TISSUE PATCH 10X15X2,270,1 ,"$1,254.65 ",$815.52 ,$815.52 ,"$1,129.81 ","$1,003.72 ", N/A ,$994.18 ,"$1,129.81 ","$1,129.81 ", N/A ,"$1,066.45 ",$928.44 , N/A , N/A , N/A ,"$1,046.38 ", N/A ,"$1,036.34 ","$1,003.72 ","$1,129.19 ", N/A ,"$1,066.45 ", N/A ,"$1,066.45 ","$1,066.45 ","$1,129.19 ","$1,129.19 ",$984.90 ,"$1,036.34 ", N/A ,$815.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042028,N/A,OWENS CLOTH 3X3,270,1 ,$8.70 ,$5.66 ,$5.66 ,$7.83 ,$6.96 , N/A ,$6.89 ,$7.83 ,$7.83 , N/A ,$7.40 ,$6.44 , N/A , N/A , N/A ,$7.26 , N/A ,$7.19 ,$6.96 ,$7.83 , N/A ,$7.40 , N/A ,$7.40 ,$7.40 ,$7.83 ,$7.83 ,$6.83 ,$7.19 , N/A ,$5.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042036,N/A,OWENS CLOTH 3X8,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042069,N/A,ELECTRODE-CUT STERIL,270,1 ,$118.10 ,$76.77 ,$76.77 ,$106.35 ,$94.48 , N/A ,$93.58 ,$106.35 ,$106.35 , N/A ,$100.39 ,$87.39 , N/A , N/A , N/A ,$98.50 , N/A ,$97.55 ,$94.48 ,$106.29 , N/A ,$100.39 , N/A ,$100.39 ,$100.39 ,$106.29 ,$106.29 ,$92.71 ,$97.55 , N/A ,$76.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042077,N/A,SAW BLADE STERILE,270,1 ,$36.50 ,$23.73 ,$23.73 ,$32.87 ,$29.20 , N/A ,$28.92 ,$32.87 ,$32.87 , N/A ,$31.03 ,$27.01 , N/A , N/A , N/A ,$30.44 , N/A ,$30.15 ,$29.20 ,$32.85 , N/A ,$31.03 , N/A ,$31.03 ,$31.03 ,$32.85 ,$32.85 ,$28.65 ,$30.15 , N/A ,$23.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042085,N/A,SPLIT VENT EAR TUBE **,270,1 ,$37.15 ,$24.15 ,$24.15 ,$33.45 ,$29.72 , N/A ,$29.44 ,$33.45 ,$33.45 , N/A ,$31.58 ,$27.49 , N/A , N/A , N/A ,$30.98 , N/A ,$30.69 ,$29.72 ,$33.44 , N/A ,$31.58 , N/A ,$31.58 ,$31.58 ,$33.44 ,$33.44 ,$29.16 ,$30.69 , N/A ,$24.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042115,N/A,GAUZE-2.25 KERLIX ROLL,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042119,N/A,GAUZE-4 1/2 KERLIX ROLL,270,1 ,$10.25 ,$6.66 ,$6.66 ,$9.23 ,$8.20 , N/A ,$8.12 ,$9.23 ,$9.23 , N/A ,$8.71 ,$7.59 , N/A , N/A , N/A ,$8.55 , N/A ,$8.47 ,$8.20 ,$9.23 , N/A ,$8.71 , N/A ,$8.71 ,$8.71 ,$9.23 ,$9.23 ,$8.05 ,$8.47 , N/A ,$6.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042309,N/A,UR CUTTING LOOP YELO,270,1 ,$192.00 ,$124.80 ,$124.80 ,$172.90 ,$153.60 , N/A ,$152.14 ,$172.90 ,$172.90 , N/A ,$163.20 ,$142.08 , N/A , N/A , N/A ,$160.13 , N/A ,$158.59 ,$153.60 ,$172.80 , N/A ,$163.20 , N/A ,$163.20 ,$163.20 ,$172.80 ,$172.80 ,$150.72 ,$158.59 , N/A ,$124.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042317,N/A,UR COAG POINT ELECTR,270,1 ,$64.90 ,$42.19 ,$42.19 ,$58.44 ,$51.92 , N/A ,$51.43 ,$58.44 ,$58.44 , N/A ,$55.17 ,$48.03 , N/A , N/A , N/A ,$54.13 , N/A ,$53.61 ,$51.92 ,$58.41 , N/A ,$55.17 , N/A ,$55.17 ,$55.17 ,$58.41 ,$58.41 ,$50.95 ,$53.61 , N/A ,$42.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042325,N/A,PHILLIPS BOUGIE 14FR,270,1 ,$136.30 ,$88.60 ,$88.60 ,$122.74 ,$109.04 , N/A ,$108.00 ,$122.74 ,$122.74 , N/A ,$115.86 ,$100.86 , N/A , N/A , N/A ,$113.67 , N/A ,$112.58 ,$109.04 ,$122.67 , N/A ,$115.86 , N/A ,$115.86 ,$115.86 ,$122.67 ,$122.67 ,$107.00 ,$112.58 , N/A ,$88.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042333,N/A,PHILLIPS BOUGIE 16FR,270,1 ,$136.30 ,$88.60 ,$88.60 ,$122.74 ,$109.04 , N/A ,$108.00 ,$122.74 ,$122.74 , N/A ,$115.86 ,$100.86 , N/A , N/A , N/A ,$113.67 , N/A ,$112.58 ,$109.04 ,$122.67 , N/A ,$115.86 , N/A ,$115.86 ,$115.86 ,$122.67 ,$122.67 ,$107.00 ,$112.58 , N/A ,$88.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042341,N/A,ST FILIFORM TIP 5FR **,270,1 ,$92.50 ,$60.13 ,$60.13 ,$83.30 ,$74.00 , N/A ,$73.30 ,$83.30 ,$83.30 , N/A ,$78.63 ,$68.45 , N/A , N/A , N/A ,$77.15 , N/A ,$76.41 ,$74.00 ,$83.25 , N/A ,$78.63 , N/A ,$78.63 ,$78.63 ,$83.25 ,$83.25 ,$72.61 ,$76.41 , N/A ,$60.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042358,N/A,GROMMET,270,1 ,$227.15 ,$147.65 ,$147.65 ,$204.55 ,$181.72 , N/A ,$179.99 ,$204.55 ,$204.55 , N/A ,$193.08 ,$168.09 , N/A , N/A , N/A ,$189.44 , N/A ,$187.63 ,$181.72 ,$204.44 , N/A ,$193.08 , N/A ,$193.08 ,$193.08 ,$204.44 ,$204.44 ,$178.31 ,$187.63 , N/A ,$147.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60042499,N/A,TEGADERM DRESSING,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),600450,N/A,MASK NON REBREATH INFANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6005,N/A,RED INTERDEPT ENVELOPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600500,N/A,BETADINE SURGICAL SCRUB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60050000,N/A,RASP-SMALL TEAR CROSS-CUT,270,1 ,$247.50 ,$160.88 ,$160.88 ,$222.87 ,$198.00 , N/A ,$196.12 ,$222.87 ,$222.87 , N/A ,$210.38 ,$183.15 , N/A , N/A , N/A ,$206.42 , N/A ,$204.44 ,$198.00 ,$222.75 , N/A ,$210.38 , N/A ,$210.38 ,$210.38 ,$222.75 ,$222.75 ,$194.29 ,$204.44 , N/A ,$160.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050035,N/A,BLADE-EGG BUR,270,1 ,$211.30 ,$137.35 ,$137.35 ,$190.28 ,$169.04 , N/A ,$167.43 ,$190.28 ,$190.28 , N/A ,$179.61 ,$156.36 , N/A , N/A , N/A ,$176.22 , N/A ,$174.53 ,$169.04 ,$190.17 , N/A ,$179.61 , N/A ,$179.61 ,$179.61 ,$190.17 ,$190.17 ,$165.87 ,$174.53 , N/A ,$137.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050040,N/A,DRILL BIT-ATM-093,270,1 ,$172.50 ,$112.13 ,$112.13 ,$155.34 ,$138.00 , N/A ,$136.69 ,$155.34 ,$155.34 , N/A ,$146.63 ,$127.65 , N/A , N/A , N/A ,$143.87 , N/A ,$142.49 ,$138.00 ,$155.25 , N/A ,$146.63 , N/A ,$146.63 ,$146.63 ,$155.25 ,$155.25 ,$135.41 ,$142.49 , N/A ,$112.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050050,N/A,DRILL BIT-1.5,270,1 ,$172.50 ,$112.13 ,$112.13 ,$155.34 ,$138.00 , N/A ,$136.69 ,$155.34 ,$155.34 , N/A ,$146.63 ,$127.65 , N/A , N/A , N/A ,$143.87 , N/A ,$142.49 ,$138.00 ,$155.25 , N/A ,$146.63 , N/A ,$146.63 ,$146.63 ,$155.25 ,$155.25 ,$135.41 ,$142.49 , N/A ,$112.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050051,N/A,DRILL BIT-2.0,270,1 ,$172.50 ,$112.13 ,$112.13 ,$155.34 ,$138.00 , N/A ,$136.69 ,$155.34 ,$155.34 , N/A ,$146.63 ,$127.65 , N/A , N/A , N/A ,$143.87 , N/A ,$142.49 ,$138.00 ,$155.25 , N/A ,$146.63 , N/A ,$146.63 ,$146.63 ,$155.25 ,$155.25 ,$135.41 ,$142.49 , N/A ,$112.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050052,N/A,DRILL BIT-2.5,270,1 ,$172.50 ,$112.13 ,$112.13 ,$155.34 ,$138.00 , N/A ,$136.69 ,$155.34 ,$155.34 , N/A ,$146.63 ,$127.65 , N/A , N/A , N/A ,$143.87 , N/A ,$142.49 ,$138.00 ,$155.25 , N/A ,$146.63 , N/A ,$146.63 ,$146.63 ,$155.25 ,$155.25 ,$135.41 ,$142.49 , N/A ,$112.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050059,N/A,DRILL-WIRE PASS-1.5MM,270,1 ,$226.35 ,$147.13 ,$147.13 ,$203.83 ,$181.08 , N/A ,$179.36 ,$203.83 ,$203.83 , N/A ,$192.40 ,$167.50 , N/A , N/A , N/A ,$188.78 , N/A ,$186.97 ,$181.08 ,$203.72 , N/A ,$192.40 , N/A ,$192.40 ,$192.40 ,$203.72 ,$203.72 ,$177.68 ,$186.97 , N/A ,$147.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050061,N/A,DRILL-WIRE PASS-2.0MM,270,1 ,$226.35 ,$147.13 ,$147.13 ,$203.83 ,$181.08 , N/A ,$179.36 ,$203.83 ,$203.83 , N/A ,$192.40 ,$167.50 , N/A , N/A , N/A ,$188.78 , N/A ,$186.97 ,$181.08 ,$203.72 , N/A ,$192.40 , N/A ,$192.40 ,$192.40 ,$203.72 ,$203.72 ,$177.68 ,$186.97 , N/A ,$147.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),600501,N/A,POVIDONE SCRUB BRUSHES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60050105,N/A,BLADE-MEDIUM MED.,270,1 ,$169.00 ,$109.85 ,$109.85 ,$152.18 ,$135.20 , N/A ,$133.92 ,$152.18 ,$152.18 , N/A ,$143.65 ,$125.06 , N/A , N/A , N/A ,$140.95 , N/A ,$139.59 ,$135.20 ,$152.10 , N/A ,$143.65 , N/A ,$143.65 ,$143.65 ,$152.10 ,$152.10 ,$132.67 ,$139.59 , N/A ,$109.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050111,N/A,BLADE-LONG MED.,270,1 ,$169.00 ,$109.85 ,$109.85 ,$152.18 ,$135.20 , N/A ,$133.92 ,$152.18 ,$152.18 , N/A ,$143.65 ,$125.06 , N/A , N/A , N/A ,$140.95 , N/A ,$139.59 ,$135.20 ,$152.10 , N/A ,$143.65 , N/A ,$143.65 ,$143.65 ,$152.10 ,$152.10 ,$132.67 ,$139.59 , N/A ,$109.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050112,N/A,BLADE-LONG WIDE,270,1 ,$169.60 ,$110.24 ,$110.24 ,$152.72 ,$135.68 , N/A ,$134.39 ,$152.72 ,$152.72 , N/A ,$144.16 ,$125.50 , N/A , N/A , N/A ,$141.45 , N/A ,$140.09 ,$135.68 ,$152.64 , N/A ,$144.16 , N/A ,$144.16 ,$144.16 ,$152.64 ,$152.64 ,$133.14 ,$140.09 , N/A ,$110.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050114,N/A,BLADE-NAR MED,270,1 ,$169.00 ,$109.85 ,$109.85 ,$152.18 ,$135.20 , N/A ,$133.92 ,$152.18 ,$152.18 , N/A ,$143.65 ,$125.06 , N/A , N/A , N/A ,$140.95 , N/A ,$139.59 ,$135.20 ,$152.10 , N/A ,$143.65 , N/A ,$143.65 ,$143.65 ,$152.10 ,$152.10 ,$132.67 ,$139.59 , N/A ,$109.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050133,N/A,BLADE-TPRD RECP TN,270,1 ,$178.05 ,$115.73 ,$115.73 ,$160.33 ,$142.44 , N/A ,$141.09 ,$160.33 ,$160.33 , N/A ,$151.34 ,$131.76 , N/A , N/A , N/A ,$148.49 , N/A ,$147.07 ,$142.44 ,$160.25 , N/A ,$151.34 , N/A ,$151.34 ,$151.34 ,$160.25 ,$160.25 ,$139.77 ,$147.07 , N/A ,$115.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050137,N/A,BUR-RND FAST CUT-4.MM,270,1 ,$190.15 ,$123.60 ,$123.60 ,$171.23 ,$152.12 , N/A ,$150.67 ,$171.23 ,$171.23 , N/A ,$161.63 ,$140.71 , N/A , N/A , N/A ,$158.59 , N/A ,$157.06 ,$152.12 ,$171.14 , N/A ,$161.63 , N/A ,$161.63 ,$161.63 ,$171.14 ,$171.14 ,$149.27 ,$157.06 , N/A ,$123.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050147,N/A,BUR-RND FAST CUT-2.4MM,270,1 ,$190.15 ,$123.60 ,$123.60 ,$171.23 ,$152.12 , N/A ,$150.67 ,$171.23 ,$171.23 , N/A ,$161.63 ,$140.71 , N/A , N/A , N/A ,$158.59 , N/A ,$157.06 ,$152.12 ,$171.14 , N/A ,$161.63 , N/A ,$161.63 ,$161.63 ,$171.14 ,$171.14 ,$149.27 ,$157.06 , N/A ,$123.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050149,N/A,BUR-RND FAST CUT-3.2MM,270,1 ,$189.80 ,$123.37 ,$123.37 ,$170.91 ,$151.84 , N/A ,$150.40 ,$170.91 ,$170.91 , N/A ,$161.33 ,$140.45 , N/A , N/A , N/A ,$158.29 , N/A ,$156.77 ,$151.84 ,$170.82 , N/A ,$161.33 , N/A ,$161.33 ,$161.33 ,$170.82 ,$170.82 ,$148.99 ,$156.77 , N/A ,$123.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050150,N/A,BURR-0.5MM ALGERBRUSH,270,1 ,$42.00 ,$27.30 ,$27.30 ,$37.82 ,$33.60 , N/A ,$33.28 ,$37.82 ,$37.82 , N/A ,$35.70 ,$31.08 , N/A , N/A , N/A ,$35.03 , N/A ,$34.69 ,$33.60 ,$37.80 , N/A ,$35.70 , N/A ,$35.70 ,$35.70 ,$37.80 ,$37.80 ,$32.97 ,$34.69 , N/A ,$27.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),600502,N/A,BACTOSHIELD (JAR),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60050206,N/A,BLADE-AGGR WOOD X-LG,270,1 ,$169.00 ,$109.85 ,$109.85 ,$152.18 ,$135.20 , N/A ,$133.92 ,$152.18 ,$152.18 , N/A ,$143.65 ,$125.06 , N/A , N/A , N/A ,$140.95 , N/A ,$139.59 ,$135.20 ,$152.10 , N/A ,$143.65 , N/A ,$143.65 ,$143.65 ,$152.10 ,$152.10 ,$132.67 ,$139.59 , N/A ,$109.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050225,N/A,BLADE-AGGR LG MED,270,1 ,$169.00 ,$109.85 ,$109.85 ,$152.18 ,$135.20 , N/A ,$133.92 ,$152.18 ,$152.18 , N/A ,$143.65 ,$125.06 , N/A , N/A , N/A ,$140.95 , N/A ,$139.59 ,$135.20 ,$152.10 , N/A ,$143.65 , N/A ,$143.65 ,$143.65 ,$152.10 ,$152.10 ,$132.67 ,$139.59 , N/A ,$109.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60050414,N/A,BLADE-LONG NAR,270,1 ,$169.00 ,$109.85 ,$109.85 ,$152.18 ,$135.20 , N/A ,$133.92 ,$152.18 ,$152.18 , N/A ,$143.65 ,$125.06 , N/A , N/A , N/A ,$140.95 , N/A ,$139.59 ,$135.20 ,$152.10 , N/A ,$143.65 , N/A ,$143.65 ,$143.65 ,$152.10 ,$152.10 ,$132.67 ,$139.59 , N/A ,$109.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60051000,N/A,STETH-ESOPH 18FR W/TEMP SEN,270,1 ,$43.35 ,$28.18 ,$28.18 ,$39.04 ,$34.68 , N/A ,$34.35 ,$39.04 ,$39.04 , N/A ,$36.85 ,$32.08 , N/A , N/A , N/A ,$36.15 , N/A ,$35.81 ,$34.68 ,$39.02 , N/A ,$36.85 , N/A ,$36.85 ,$36.85 ,$39.02 ,$39.02 ,$34.03 ,$35.81 , N/A ,$28.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60051100,N/A,SKIN SENSOR-MONATHERM,270,1 ,$27.90 ,$18.14 ,$18.14 ,$25.12 ,$22.32 , N/A ,$22.11 ,$25.12 ,$25.12 , N/A ,$23.72 ,$20.65 , N/A , N/A , N/A ,$23.27 , N/A ,$23.05 ,$22.32 ,$25.11 , N/A ,$23.72 , N/A ,$23.72 ,$23.72 ,$25.11 ,$25.11 ,$21.90 ,$23.05 , N/A ,$18.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60051800,N/A,FLOT MATT/HI DENSE **,270,1 ,$43.25 ,$28.11 ,$28.11 ,$38.95 ,$34.60 , N/A ,$34.27 ,$38.95 ,$38.95 , N/A ,$36.76 ,$32.01 , N/A , N/A , N/A ,$36.07 , N/A ,$35.72 ,$34.60 ,$38.93 , N/A ,$36.76 , N/A ,$36.76 ,$36.76 ,$38.93 ,$38.93 ,$33.95 ,$35.72 , N/A ,$28.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),6006,N/A,BANKER BOX 701,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600600,N/A,CUFF ONLY-DISPOS. CHILD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600601,N/A,CUFF ONLY-DISPOS. SM. ADULT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60060160,N/A,PARACENTESIS TRAY,270,1 ,$56.80 ,$36.92 ,$36.92 ,$51.15 ,$45.44 , N/A ,$45.01 ,$51.15 ,$51.15 , N/A ,$48.28 ,$42.03 , N/A , N/A , N/A ,$47.37 , N/A ,$46.92 ,$45.44 ,$51.12 , N/A ,$48.28 , N/A ,$48.28 ,$48.28 ,$51.12 ,$51.12 ,$44.59 ,$46.92 , N/A ,$36.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060178,N/A,THORACENTESIS TRAY,270,1 ,$85.17 ,$55.36 ,$55.36 ,$76.70 ,$68.14 , N/A ,$67.49 ,$76.70 ,$76.70 , N/A ,$72.39 ,$63.03 , N/A , N/A , N/A ,$71.03 , N/A ,$70.35 ,$68.14 ,$76.65 , N/A ,$72.39 , N/A ,$72.39 ,$72.39 ,$76.65 ,$76.65 ,$66.86 ,$70.35 , N/A ,$55.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),600602,N/A,CUFF ONLY-DISPOS. ADULT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60060202,N/A,COMPRESSION SCREW **,270,1 ,$39.80 ,$25.87 ,$25.87 ,$35.84 ,$31.84 , N/A ,$31.54 ,$35.84 ,$35.84 , N/A ,$33.83 ,$29.45 , N/A , N/A , N/A ,$33.19 , N/A ,$32.87 ,$31.84 ,$35.82 , N/A ,$33.83 , N/A ,$33.83 ,$33.83 ,$35.82 ,$35.82 ,$31.24 ,$32.87 , N/A ,$25.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060210,N/A,BONE PLATE **,270,1 ,$481.30 ,$312.85 ,$312.85 ,$433.41 ,$385.04 , N/A ,$381.38 ,$433.41 ,$433.41 , N/A ,$409.11 ,$356.16 , N/A , N/A , N/A ,$401.40 , N/A ,$397.55 ,$385.04 ,$433.17 , N/A ,$409.11 , N/A ,$409.11 ,$409.11 ,$433.17 ,$433.17 ,$377.82 ,$397.55 , N/A ,$312.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060228,C1713,LAG SCREW **,272,1 ,$323.70 ,$210.41 ,$210.41 ,$291.49 ,$258.96 , N/A ,$256.50 ,$291.49 ,$291.49 , N/A ,$275.15 ,$239.54 , N/A , N/A , N/A ,$269.97 , N/A ,$267.38 ,$258.96 ,$291.33 , N/A ,$275.15 , N/A ,$275.15 ,$275.15 ,$291.33 ,$291.33 ,$254.10 ,$267.38 , N/A ,$210.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060236,N/A,STEINEMAN PINS,270,1 ,$27.35 ,$17.78 ,$17.78 ,$24.63 ,$21.88 , N/A ,$21.67 ,$24.63 ,$24.63 , N/A ,$23.25 ,$20.24 , N/A , N/A , N/A ,$22.81 , N/A ,$22.59 ,$21.88 ,$24.62 , N/A ,$23.25 , N/A ,$23.25 ,$23.25 ,$24.62 ,$24.62 ,$21.47 ,$22.59 , N/A ,$17.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060244,N/A,GUIDE PIN,270,1 ,$39.80 ,$25.87 ,$25.87 ,$35.84 ,$31.84 , N/A ,$31.54 ,$35.84 ,$35.84 , N/A ,$33.83 ,$29.45 , N/A , N/A , N/A ,$33.19 , N/A ,$32.87 ,$31.84 ,$35.82 , N/A ,$33.83 , N/A ,$33.83 ,$33.83 ,$35.82 ,$35.82 ,$31.24 ,$32.87 , N/A ,$25.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060252,C1771,GYNECARE-TVT-O **,272,1 ,"$1,990.00 ","$1,293.50 ","$1,293.50 ","$1,792.00 ","$1,592.00 ", N/A ,"$1,576.88 ","$1,792.00 ","$1,792.00 ", N/A ,"$1,691.50 ","$1,472.60 ", N/A , N/A , N/A ,"$1,659.66 ", N/A ,"$1,643.74 ","$1,592.00 ","$1,791.00 ", N/A ,"$1,691.50 ", N/A ,"$1,691.50 ","$1,691.50 ","$1,791.00 ","$1,791.00 ","$1,562.15 ","$1,643.74 ", N/A ,"$1,293.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),600603,N/A,CUFF ONLY-DISPOS. LG. ADULT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60060335,N/A,SKIN STAPLES SW 12W,270,1 ,$81.70 ,$53.11 ,$53.11 ,$73.57 ,$65.36 , N/A ,$64.74 ,$73.57 ,$73.57 , N/A ,$69.45 ,$60.46 , N/A , N/A , N/A ,$68.14 , N/A ,$67.48 ,$65.36 ,$73.53 , N/A ,$69.45 , N/A ,$69.45 ,$69.45 ,$73.53 ,$73.53 ,$64.13 ,$67.48 , N/A ,$53.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060343,N/A,VEIN STRIP DISP **,270,1 ,$31.95 ,$20.77 ,$20.77 ,$28.77 ,$25.56 , N/A ,$25.32 ,$28.77 ,$28.77 , N/A ,$27.16 ,$23.64 , N/A , N/A , N/A ,$26.65 , N/A ,$26.39 ,$25.56 ,$28.76 , N/A ,$27.16 , N/A ,$27.16 ,$27.16 ,$28.76 ,$28.76 ,$25.08 ,$26.39 , N/A ,$20.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060350,C1781,MESH-GORETEX MYCROMESH **,278,1 ,$227.15 ,$147.65 ,$147.65 ,$204.55 ,$181.72 , N/A ,$179.99 ,$204.55 ,$204.55 , N/A ,$193.08 ,$168.09 , N/A , N/A , N/A ,$189.44 , N/A ,$187.63 ,$181.72 ,$204.44 , N/A ,$193.08 , N/A ,$193.08 ,$193.08 ,$204.44 ,$204.44 ,$178.31 ,$187.63 , N/A ,$147.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060376,N/A,SKIN STAPLE REMOVER,270,1 ,$23.80 ,$15.47 ,$15.47 ,$21.43 ,$19.04 , N/A ,$18.86 ,$21.43 ,$21.43 , N/A ,$20.23 ,$17.61 , N/A , N/A , N/A ,$19.85 , N/A ,$19.66 ,$19.04 ,$21.42 , N/A ,$20.23 , N/A ,$20.23 ,$20.23 ,$21.42 ,$21.42 ,$18.68 ,$19.66 , N/A ,$15.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060384,N/A,SKIN STAPLES SW 25W,270,1 ,$88.70 ,$57.66 ,$57.66 ,$79.87 ,$70.96 , N/A ,$70.29 ,$79.87 ,$79.87 , N/A ,$75.40 ,$65.64 , N/A , N/A , N/A ,$73.98 , N/A ,$73.27 ,$70.96 ,$79.83 , N/A ,$75.40 , N/A ,$75.40 ,$75.40 ,$79.83 ,$79.83 ,$69.63 ,$73.27 , N/A ,$57.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),600604,N/A,CUFF ONLY-DISPOS. THIGH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60060418,N/A,HEMO CLIPS-LARGE,270,1 ,$7.05 ,$4.58 ,$4.58 ,$6.35 ,$5.64 , N/A ,$5.59 ,$6.35 ,$6.35 , N/A ,$5.99 ,$5.22 , N/A , N/A , N/A ,$5.88 , N/A ,$5.82 ,$5.64 ,$6.35 , N/A ,$5.99 , N/A ,$5.99 ,$5.99 ,$6.35 ,$6.35 ,$5.53 ,$5.82 , N/A ,$4.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060421,N/A,"ZIM-STEM, LDFX **",272,1 ,"$2,000.00 ","$1,300.00 ","$1,300.00 ","$1,801.00 ","$1,600.00 ", N/A ,"$1,584.80 ","$1,801.00 ","$1,801.00 ", N/A ,"$1,700.00 ","$1,480.00 ", N/A , N/A , N/A ,"$1,668.00 ", N/A ,"$1,652.00 ","$1,600.00 ","$1,800.00 ", N/A ,"$1,700.00 ", N/A ,"$1,700.00 ","$1,700.00 ","$1,800.00 ","$1,800.00 ","$1,570.00 ","$1,652.00 ", N/A ,"$1,300.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60060422,N/A,"ZIM-LINER,BI-POLAR **",272,1 ,$400.00 ,$260.00 ,$260.00 ,$360.20 ,$320.00 , N/A ,$316.96 ,$360.20 ,$360.20 , N/A ,$340.00 ,$296.00 , N/A , N/A , N/A ,$333.60 , N/A ,$330.40 ,$320.00 ,$360.00 , N/A ,$340.00 , N/A ,$340.00 ,$340.00 ,$360.00 ,$360.00 ,$314.00 ,$330.40 , N/A ,$260.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060423,N/A,"ZIM-STEM,LM **",272,1 ,"$4,150.00 ","$2,697.50 ","$2,697.50 ","$3,737.08 ","$3,320.00 ", N/A ,"$3,288.46 ","$3,737.08 ","$3,737.08 ", N/A ,"$3,527.50 ","$3,071.00 ", N/A , N/A , N/A ,"$3,461.10 ", N/A ,"$3,427.90 ","$3,320.00 ","$3,735.00 ", N/A ,"$3,527.50 ", N/A ,"$3,527.50 ","$3,527.50 ","$3,735.00 ","$3,735.00 ","$3,257.75 ","$3,427.90 ", N/A ,"$2,697.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60060424,N/A,"ZIM-HEAD,FEMORAL **",272,1 ,$700.00 ,$455.00 ,$455.00 ,$630.35 ,$560.00 , N/A ,$554.68 ,$630.35 ,$630.35 , N/A ,$595.00 ,$518.00 , N/A , N/A , N/A ,$583.80 , N/A ,$578.20 ,$560.00 ,$630.00 , N/A ,$595.00 , N/A ,$595.00 ,$595.00 ,$630.00 ,$630.00 ,$549.50 ,$578.20 , N/A ,$455.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060425,N/A,"ZIM-SHELL,BI-POLAR **",272,1 ,$600.00 ,$390.00 ,$390.00 ,$540.30 ,$480.00 , N/A ,$475.44 ,$540.30 ,$540.30 , N/A ,$510.00 ,$444.00 , N/A , N/A , N/A ,$500.40 , N/A ,$495.60 ,$480.00 ,$540.00 , N/A ,$510.00 , N/A ,$510.00 ,$510.00 ,$540.00 ,$540.00 ,$471.00 ,$495.60 , N/A ,$390.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060426,N/A,ZIM-HEMO/SURGIVAC,270,1 ,$70.60 ,$45.89 ,$45.89 ,$63.58 ,$56.48 , N/A ,$55.94 ,$63.58 ,$63.58 , N/A ,$60.01 ,$52.24 , N/A , N/A , N/A ,$58.88 , N/A ,$58.32 ,$56.48 ,$63.54 , N/A ,$60.01 , N/A ,$60.01 ,$60.01 ,$63.54 ,$63.54 ,$55.42 ,$58.32 , N/A ,$45.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060430,N/A,ARTHRO-BOVIE,270,1 ,$178.00 ,$115.70 ,$115.70 ,$160.29 ,$142.40 , N/A ,$141.05 ,$160.29 ,$160.29 , N/A ,$151.30 ,$131.72 , N/A , N/A , N/A ,$148.45 , N/A ,$147.03 ,$142.40 ,$160.20 , N/A ,$151.30 , N/A ,$151.30 ,$151.30 ,$160.20 ,$160.20 ,$139.73 ,$147.03 , N/A ,$115.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060450,N/A,ZIM-1/2DRAIN W/TRO **,272,1 ,$82.50 ,$53.63 ,$53.63 ,$74.29 ,$66.00 , N/A ,$65.37 ,$74.29 ,$74.29 , N/A ,$70.13 ,$61.05 , N/A , N/A , N/A ,$68.81 , N/A ,$68.15 ,$66.00 ,$74.25 , N/A ,$70.13 , N/A ,$70.13 ,$70.13 ,$74.25 ,$74.25 ,$64.76 ,$68.15 , N/A ,$53.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060475,N/A,KNOWLES PIN,270,1 ,$79.50 ,$51.68 ,$51.68 ,$71.59 ,$63.60 , N/A ,$63.00 ,$71.59 ,$71.59 , N/A ,$67.58 ,$58.83 , N/A , N/A , N/A ,$66.30 , N/A ,$65.67 ,$63.60 ,$71.55 , N/A ,$67.58 , N/A ,$67.58 ,$67.58 ,$71.55 ,$71.55 ,$62.41 ,$65.67 , N/A ,$51.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060480,N/A,ZIM-BONE PLATE **,272,1 ,"$1,090.00 ",$708.50 ,$708.50 ,$981.55 ,$872.00 , N/A ,$863.72 ,$981.55 ,$981.55 , N/A ,$926.50 ,$806.60 , N/A , N/A , N/A ,$909.06 , N/A ,$900.34 ,$872.00 ,$981.00 , N/A ,$926.50 , N/A ,$926.50 ,$926.50 ,$981.00 ,$981.00 ,$855.65 ,$900.34 , N/A ,$708.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060483,N/A,SCREW-SELFTAP CORTIC **,270,1 ,$27.35 ,$17.78 ,$17.78 ,$24.63 ,$21.88 , N/A ,$21.67 ,$24.63 ,$24.63 , N/A ,$23.25 ,$20.24 , N/A , N/A , N/A ,$22.81 , N/A ,$22.59 ,$21.88 ,$24.62 , N/A ,$23.25 , N/A ,$23.25 ,$23.25 ,$24.62 ,$24.62 ,$21.47 ,$22.59 , N/A ,$17.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060525,N/A,NEEDLE BORE - DISP,270,1 ,$66.55 ,$43.26 ,$43.26 ,$59.93 ,$53.24 , N/A ,$52.73 ,$59.93 ,$59.93 , N/A ,$56.57 ,$49.25 , N/A , N/A , N/A ,$55.50 , N/A ,$54.97 ,$53.24 ,$59.90 , N/A ,$56.57 , N/A ,$56.57 ,$56.57 ,$59.90 ,$59.90 ,$52.24 ,$54.97 , N/A ,$43.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060541,N/A,TRO-CAR CATH KIT-ARG **,270,1 ,$62.50 ,$40.63 ,$40.63 ,$56.28 ,$50.00 , N/A ,$49.53 ,$56.28 ,$56.28 , N/A ,$53.13 ,$46.25 , N/A , N/A , N/A ,$52.13 , N/A ,$51.63 ,$50.00 ,$56.25 , N/A ,$53.13 , N/A ,$53.13 ,$53.13 ,$56.25 ,$56.25 ,$49.06 ,$51.63 , N/A ,$40.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060545,N/A,TROCAR CATHETER LOT #20 **,270,1 ,$115.40 ,$75.01 ,$75.01 ,$103.92 ,$92.32 , N/A ,$91.44 ,$103.92 ,$103.92 , N/A ,$98.09 ,$85.40 , N/A , N/A , N/A ,$96.24 , N/A ,$95.32 ,$92.32 ,$103.86 , N/A ,$98.09 , N/A ,$98.09 ,$98.09 ,$103.86 ,$103.86 ,$90.59 ,$95.32 , N/A ,$75.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060555,N/A,CAP SNARE 10mm Rounded Stiff * *,270,1 ,$145.00 ,$94.25 ,$94.25 ,$130.57 ,$116.00 , N/A ,$114.90 ,$130.57 ,$130.57 , N/A ,$123.25 ,$107.30 , N/A , N/A , N/A ,$120.93 , N/A ,$119.77 ,$116.00 ,$130.50 , N/A ,$123.25 , N/A ,$123.25 ,$123.25 ,$130.50 ,$130.50 ,$113.83 ,$119.77 , N/A ,$94.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060556,N/A,B SCI- CAPTIVATOR II 10MM**,270,1 ,$75.00 ,$48.75 ,$48.75 ,$67.54 ,$60.00 , N/A ,$59.43 ,$67.54 ,$67.54 , N/A ,$63.75 ,$55.50 , N/A , N/A , N/A ,$62.55 , N/A ,$61.95 ,$60.00 ,$67.50 , N/A ,$63.75 , N/A ,$63.75 ,$63.75 ,$67.50 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060557,N/A,OLY-SNARE 15mm PLIABLE * *,270,1 ,$60.00 ,$39.00 ,$39.00 ,$54.03 ,$48.00 , N/A ,$47.54 ,$54.03 ,$54.03 , N/A ,$51.00 ,$44.40 , N/A , N/A , N/A ,$50.04 , N/A ,$49.56 ,$48.00 ,$54.00 , N/A ,$51.00 , N/A ,$51.00 ,$51.00 ,$54.00 ,$54.00 ,$47.10 ,$49.56 , N/A ,$39.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060558,N/A,B SCI-CAPTIVATOR II 15MM * *,270,1 ,$75.00 ,$48.75 ,$48.75 ,$67.54 ,$60.00 , N/A ,$59.43 ,$67.54 ,$67.54 , N/A ,$63.75 ,$55.50 , N/A , N/A , N/A ,$62.55 , N/A ,$61.95 ,$60.00 ,$67.50 , N/A ,$63.75 , N/A ,$63.75 ,$63.75 ,$67.50 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060559,N/A,B SCI- CAPTIVATOR II 25MM**,270,1 ,$75.00 ,$48.75 ,$48.75 ,$67.54 ,$60.00 , N/A ,$59.43 ,$67.54 ,$67.54 , N/A ,$63.75 ,$55.50 , N/A , N/A , N/A ,$62.55 , N/A ,$61.95 ,$60.00 ,$67.50 , N/A ,$63.75 , N/A ,$63.75 ,$63.75 ,$67.50 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060560,N/A,OLY-BX FORCEP/NO NEEDLE,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60060561,N/A,R53 BIOPSY MAX FORC 3.8REG.,270,1 ,$108.15 ,$70.30 ,$70.30 ,$97.39 ,$86.52 , N/A ,$85.70 ,$97.39 ,$97.39 , N/A ,$91.93 ,$80.03 , N/A , N/A , N/A ,$90.20 , N/A ,$89.33 ,$86.52 ,$97.34 , N/A ,$91.93 , N/A ,$91.93 ,$91.93 ,$97.34 ,$97.34 ,$84.90 ,$89.33 , N/A ,$70.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060562,N/A,R53 HOT BIOPSY FORC,270,1 ,$389.40 ,$253.11 ,$253.11 ,$350.65 ,$311.52 , N/A ,$308.56 ,$350.65 ,$350.65 , N/A ,$330.99 ,$288.16 , N/A , N/A , N/A ,$324.76 , N/A ,$321.64 ,$311.52 ,$350.46 , N/A ,$330.99 , N/A ,$330.99 ,$330.99 ,$350.46 ,$350.46 ,$305.68 ,$321.64 , N/A ,$253.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060563,N/A,VARIJECT NEEDLE **,270,1 ,$164.40 ,$106.86 ,$106.86 ,$148.04 ,$131.52 , N/A ,$130.27 ,$148.04 ,$148.04 , N/A ,$139.74 ,$121.66 , N/A , N/A , N/A ,$137.11 , N/A ,$135.79 ,$131.52 ,$147.96 , N/A ,$139.74 , N/A ,$139.74 ,$139.74 ,$147.96 ,$147.96 ,$129.05 ,$135.79 , N/A ,$106.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060574,N/A,PY/COL 10MM DILATOR,270,1 ,$364.00 ,$236.60 ,$236.60 ,$327.78 ,$291.20 , N/A ,$288.43 ,$327.78 ,$327.78 , N/A ,$309.40 ,$269.36 , N/A , N/A , N/A ,$303.58 , N/A ,$300.66 ,$291.20 ,$327.60 , N/A ,$309.40 , N/A ,$309.40 ,$309.40 ,$327.60 ,$327.60 ,$285.74 ,$300.66 , N/A ,$236.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060575,N/A,PY/COL 12MM DILATOR,270,1 ,$364.00 ,$236.60 ,$236.60 ,$327.78 ,$291.20 , N/A ,$288.43 ,$327.78 ,$327.78 , N/A ,$309.40 ,$269.36 , N/A , N/A , N/A ,$303.58 , N/A ,$300.66 ,$291.20 ,$327.60 , N/A ,$309.40 , N/A ,$309.40 ,$309.40 ,$327.60 ,$327.60 ,$285.74 ,$300.66 , N/A ,$236.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060576,N/A,PY/COL 15MM DILATOR,270,1 ,$364.00 ,$236.60 ,$236.60 ,$327.78 ,$291.20 , N/A ,$288.43 ,$327.78 ,$327.78 , N/A ,$309.40 ,$269.36 , N/A , N/A , N/A ,$303.58 , N/A ,$300.66 ,$291.20 ,$327.60 , N/A ,$309.40 , N/A ,$309.40 ,$309.40 ,$327.60 ,$327.60 ,$285.74 ,$300.66 , N/A ,$236.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060577,N/A,PY/COL 18MM DILATOR,270,1 ,$364.00 ,$236.60 ,$236.60 ,$327.78 ,$291.20 , N/A ,$288.43 ,$327.78 ,$327.78 , N/A ,$309.40 ,$269.36 , N/A , N/A , N/A ,$303.58 , N/A ,$300.66 ,$291.20 ,$327.60 , N/A ,$309.40 , N/A ,$309.40 ,$309.40 ,$327.60 ,$327.60 ,$285.74 ,$300.66 , N/A ,$236.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060578,C1726,CRE BALL12-15MM **,272,1 ,$405.60 ,$263.64 ,$263.64 ,$365.24 ,$324.48 , N/A ,$321.40 ,$365.24 ,$365.24 , N/A ,$344.76 ,$300.14 , N/A , N/A , N/A ,$338.27 , N/A ,$335.03 ,$324.48 ,$365.04 , N/A ,$344.76 , N/A ,$344.76 ,$344.76 ,$365.04 ,$365.04 ,$318.40 ,$335.03 , N/A ,$263.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060579,C1726,CRE BALL15-18MM **,272,1 ,$405.60 ,$263.64 ,$263.64 ,$365.24 ,$324.48 , N/A ,$321.40 ,$365.24 ,$365.24 , N/A ,$344.76 ,$300.14 , N/A , N/A , N/A ,$338.27 , N/A ,$335.03 ,$324.48 ,$365.04 , N/A ,$344.76 , N/A ,$344.76 ,$344.76 ,$365.04 ,$365.04 ,$318.40 ,$335.03 , N/A ,$263.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060580,N/A,VECTOR ESOPH BALL-15 **,270,1 ,$216.30 ,$140.60 ,$140.60 ,$194.78 ,$173.04 , N/A ,$171.40 ,$194.78 ,$194.78 , N/A ,$183.86 ,$160.06 , N/A , N/A , N/A ,$180.39 , N/A ,$178.66 ,$173.04 ,$194.67 , N/A ,$183.86 , N/A ,$183.86 ,$183.86 ,$194.67 ,$194.67 ,$169.80 ,$178.66 , N/A ,$140.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060581,N/A,VECTOR ESOPH BALL-18 **,270,1 ,$216.30 ,$140.60 ,$140.60 ,$194.78 ,$173.04 , N/A ,$171.40 ,$194.78 ,$194.78 , N/A ,$183.86 ,$160.06 , N/A , N/A , N/A ,$180.39 , N/A ,$178.66 ,$173.04 ,$194.67 , N/A ,$183.86 , N/A ,$183.86 ,$183.86 ,$194.67 ,$194.67 ,$169.80 ,$178.66 , N/A ,$140.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060582,N/A,SENSATION SNARES 67 **,270,1 ,$97.35 ,$63.28 ,$63.28 ,$87.66 ,$77.88 , N/A ,$77.14 ,$87.66 ,$87.66 , N/A ,$82.75 ,$72.04 , N/A , N/A , N/A ,$81.19 , N/A ,$80.41 ,$77.88 ,$87.62 , N/A ,$82.75 , N/A ,$82.75 ,$82.75 ,$87.62 ,$87.62 ,$76.42 ,$80.41 , N/A ,$63.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060583,N/A,SENSATION SNARES 69 **,270,1 ,$97.35 ,$63.28 ,$63.28 ,$87.66 ,$77.88 , N/A ,$77.14 ,$87.66 ,$87.66 , N/A ,$82.75 ,$72.04 , N/A , N/A , N/A ,$81.19 , N/A ,$80.41 ,$77.88 ,$87.62 , N/A ,$82.75 , N/A ,$82.75 ,$82.75 ,$87.62 ,$87.62 ,$76.42 ,$80.41 , N/A ,$63.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060584,N/A,GOLD PROBE 7FR **,270,1 ,$638.55 ,$415.06 ,$415.06 ,$575.01 ,$510.84 , N/A ,$505.99 ,$575.01 ,$575.01 , N/A ,$542.77 ,$472.53 , N/A , N/A , N/A ,$532.55 , N/A ,$527.44 ,$510.84 ,$574.70 , N/A ,$542.77 , N/A ,$542.77 ,$542.77 ,$574.70 ,$574.70 ,$501.26 ,$527.44 , N/A ,$415.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060586,N/A,INFLATION SYRINGE-ALLIANCE,270,1 ,$129.80 ,$84.37 ,$84.37 ,$116.88 ,$103.84 , N/A ,$102.85 ,$116.88 ,$116.88 , N/A ,$110.33 ,$96.05 , N/A , N/A , N/A ,$108.25 , N/A ,$107.21 ,$103.84 ,$116.82 , N/A ,$110.33 , N/A ,$110.33 ,$110.33 ,$116.82 ,$116.82 ,$101.89 ,$107.21 , N/A ,$84.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060587,N/A,ACHIEVER 15MM **,270,1 ,$279.10 ,$181.42 ,$181.42 ,$251.33 ,$223.28 , N/A ,$221.16 ,$251.33 ,$251.33 , N/A ,$237.24 ,$206.53 , N/A , N/A , N/A ,$232.77 , N/A ,$230.54 ,$223.28 ,$251.19 , N/A ,$237.24 , N/A ,$237.24 ,$237.24 ,$251.19 ,$251.19 ,$219.09 ,$230.54 , N/A ,$181.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060588,N/A,ACHIEVER 18MM **,270,1 ,$279.10 ,$181.42 ,$181.42 ,$251.33 ,$223.28 , N/A ,$221.16 ,$251.33 ,$251.33 , N/A ,$237.24 ,$206.53 , N/A , N/A , N/A ,$232.77 , N/A ,$230.54 ,$223.28 ,$251.19 , N/A ,$237.24 , N/A ,$237.24 ,$237.24 ,$251.19 ,$251.19 ,$219.09 ,$230.54 , N/A ,$181.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060624,N/A,BREATH---DON'T USE,270,1 ,$34.55 ,$22.46 ,$22.46 ,$31.11 ,$27.64 , N/A ,$27.38 ,$31.11 ,$31.11 , N/A ,$29.37 ,$25.57 , N/A , N/A , N/A ,$28.81 , N/A ,$28.54 ,$27.64 ,$31.10 , N/A ,$29.37 , N/A ,$29.37 ,$29.37 ,$31.10 ,$31.10 ,$27.12 ,$28.54 , N/A ,$22.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060680,C1726,CRE BALL18-20MM **,272,1 ,$405.60 ,$263.64 ,$263.64 ,$365.24 ,$324.48 , N/A ,$321.40 ,$365.24 ,$365.24 , N/A ,$344.76 ,$300.14 , N/A , N/A , N/A ,$338.27 , N/A ,$335.03 ,$324.48 ,$365.04 , N/A ,$344.76 , N/A ,$344.76 ,$344.76 ,$365.04 ,$365.04 ,$318.40 ,$335.03 , N/A ,$263.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060681,N/A,111111,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60060700,N/A,HI-PLATE **,272,1 ,"$1,390.00 ",$903.50 ,$903.50 ,"$1,251.70 ","$1,112.00 ", N/A ,"$1,101.44 ","$1,251.70 ","$1,251.70 ", N/A ,"$1,181.50 ","$1,028.60 ", N/A , N/A , N/A ,"$1,159.26 ", N/A ,"$1,148.14 ","$1,112.00 ","$1,251.00 ", N/A ,"$1,181.50 ", N/A ,"$1,181.50 ","$1,181.50 ","$1,251.00 ","$1,251.00 ","$1,091.15 ","$1,148.14 ", N/A ,$903.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060701,N/A,HI-PEG 16 **,272,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060702,N/A,HI-PEG 22 **,272,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060703,N/A,HI-SCREW 12mm **,272,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060704,N/A,HI-PEG 2.5 **,272,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060822,N/A,EDSLAB CHOLANG CATH,270,1 ,$96.55 ,$62.76 ,$62.76 ,$86.94 ,$77.24 , N/A ,$76.51 ,$86.94 ,$86.94 , N/A ,$82.07 ,$71.45 , N/A , N/A , N/A ,$80.52 , N/A ,$79.75 ,$77.24 ,$86.90 , N/A ,$82.07 , N/A ,$82.07 ,$82.07 ,$86.90 ,$86.90 ,$75.79 ,$79.75 , N/A ,$62.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060889,N/A,CHOLANG CATH **,270,1 ,$137.20 ,$89.18 ,$89.18 ,$123.55 ,$109.76 , N/A ,$108.72 ,$123.55 ,$123.55 , N/A ,$116.62 ,$101.53 , N/A , N/A , N/A ,$114.42 , N/A ,$113.33 ,$109.76 ,$123.48 , N/A ,$116.62 , N/A ,$116.62 ,$116.62 ,$123.48 ,$123.48 ,$107.70 ,$113.33 , N/A ,$89.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060890,N/A,CHOLANG-OLSEN CLMP W CATH **,270,1 ,"$2,650.00 ","$1,722.50 ","$1,722.50 ","$2,386.33 ","$2,120.00 ", N/A ,"$2,099.86 ","$2,386.33 ","$2,386.33 ", N/A ,"$2,252.50 ","$1,961.00 ", N/A , N/A , N/A ,"$2,210.10 ", N/A ,"$2,188.90 ","$2,120.00 ","$2,385.00 ", N/A ,"$2,252.50 ", N/A ,"$2,252.50 ","$2,252.50 ","$2,385.00 ","$2,385.00 ","$2,080.25 ","$2,188.90 ", N/A ,"$1,722.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60060902,N/A,SURGNEED 150MM,270,1 ,$158.10 ,$102.77 ,$102.77 ,$142.37 ,$126.48 , N/A ,$125.28 ,$142.37 ,$142.37 , N/A ,$134.39 ,$116.99 , N/A , N/A , N/A ,$131.86 , N/A ,$130.59 ,$126.48 ,$142.29 , N/A ,$134.39 , N/A ,$134.39 ,$134.39 ,$142.29 ,$142.29 ,$124.11 ,$130.59 , N/A ,$102.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060903,N/A,SURGNEED 120MM,270,1 ,$158.10 ,$102.77 ,$102.77 ,$142.37 ,$126.48 , N/A ,$125.28 ,$142.37 ,$142.37 , N/A ,$134.39 ,$116.99 , N/A , N/A , N/A ,$131.86 , N/A ,$130.59 ,$126.48 ,$142.29 , N/A ,$134.39 , N/A ,$134.39 ,$134.39 ,$142.29 ,$142.29 ,$124.11 ,$130.59 , N/A ,$102.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060904,N/A,USSC-ENDOCLIP **,270,1 ,$661.28 ,$429.83 ,$429.83 ,$595.48 ,$529.02 , N/A ,$524.00 ,$595.48 ,$595.48 , N/A ,$562.09 ,$489.35 , N/A , N/A , N/A ,$551.51 , N/A ,$546.22 ,$529.02 ,$595.15 , N/A ,$562.09 , N/A ,$562.09 ,$562.09 ,$595.15 ,$595.15 ,$519.10 ,$546.22 , N/A ,$429.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060905,N/A,HEMO CLIPS-MEDIUM,270,1 ,$33.85 ,$22.00 ,$22.00 ,$30.48 ,$27.08 , N/A ,$26.82 ,$30.48 ,$30.48 , N/A ,$28.77 ,$25.05 , N/A , N/A , N/A ,$28.23 , N/A ,$27.96 ,$27.08 ,$30.47 , N/A ,$28.77 , N/A ,$28.77 ,$28.77 ,$30.47 ,$30.47 ,$26.57 ,$27.96 , N/A ,$22.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060906,N/A,HEMO CLIPS-SMALL,270,1 ,$106.05 ,$68.93 ,$68.93 ,$95.50 ,$84.84 , N/A ,$84.03 ,$95.50 ,$95.50 , N/A ,$90.14 ,$78.48 , N/A , N/A , N/A ,$88.45 , N/A ,$87.60 ,$84.84 ,$95.45 , N/A ,$90.14 , N/A ,$90.14 ,$90.14 ,$95.45 ,$95.45 ,$83.25 ,$87.60 , N/A ,$68.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060970,N/A,JACK-PRATT DRAIN,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060971,N/A,JACK-PRATT RESERVOIR,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060988,N/A,GIA 50,270,1 ,"$1,001.85 ",$651.20 ,$651.20 ,$902.17 ,$801.48 , N/A ,$793.87 ,$902.17 ,$902.17 , N/A ,$851.57 ,$741.37 , N/A , N/A , N/A ,$835.54 , N/A ,$827.53 ,$801.48 ,$901.67 , N/A ,$851.57 , N/A ,$851.57 ,$851.57 ,$901.67 ,$901.67 ,$786.45 ,$827.53 , N/A ,$651.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60060996,N/A,LDS 15W,270,1 ,$352.10 ,$228.87 ,$228.87 ,$317.07 ,$281.68 , N/A ,$279.00 ,$317.07 ,$317.07 , N/A ,$299.29 ,$260.55 , N/A , N/A , N/A ,$293.65 , N/A ,$290.83 ,$281.68 ,$316.89 , N/A ,$299.29 , N/A ,$299.29 ,$299.29 ,$316.89 ,$316.89 ,$276.40 ,$290.83 , N/A ,$228.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061021,N/A,"GAUZE NU 1/4""",270,1 ,$20.25 ,$13.16 ,$13.16 ,$18.24 ,$16.20 , N/A ,$16.05 ,$18.24 ,$18.24 , N/A ,$17.21 ,$14.99 , N/A , N/A , N/A ,$16.89 , N/A ,$16.73 ,$16.20 ,$18.23 , N/A ,$17.21 , N/A ,$17.21 ,$17.21 ,$18.23 ,$18.23 ,$15.90 ,$16.73 , N/A ,$13.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061024,N/A,"GAUZE NU 1/2""",270,1 ,$20.25 ,$13.16 ,$13.16 ,$18.24 ,$16.20 , N/A ,$16.05 ,$18.24 ,$18.24 , N/A ,$17.21 ,$14.99 , N/A , N/A , N/A ,$16.89 , N/A ,$16.73 ,$16.20 ,$18.23 , N/A ,$17.21 , N/A ,$17.21 ,$17.21 ,$18.23 ,$18.23 ,$15.90 ,$16.73 , N/A ,$13.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061105,N/A,GAUZE IODOFORM 1/4 IN,270,1 ,$31.65 ,$20.57 ,$20.57 ,$28.50 ,$25.32 , N/A ,$25.08 ,$28.50 ,$28.50 , N/A ,$26.90 ,$23.42 , N/A , N/A , N/A ,$26.40 , N/A ,$26.14 ,$25.32 ,$28.49 , N/A ,$26.90 , N/A ,$26.90 ,$26.90 ,$28.49 ,$28.49 ,$24.85 ,$26.14 , N/A ,$20.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061107,N/A,GAUZE IODOFORM 1/2 IN,270,1 ,$31.65 ,$20.57 ,$20.57 ,$28.50 ,$25.32 , N/A ,$25.08 ,$28.50 ,$28.50 , N/A ,$26.90 ,$23.42 , N/A , N/A , N/A ,$26.40 , N/A ,$26.14 ,$25.32 ,$28.49 , N/A ,$26.90 , N/A ,$26.90 ,$26.90 ,$28.49 ,$28.49 ,$24.85 ,$26.14 , N/A ,$20.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061115,N/A,GAUZE IODOFORM 1 IN,270,1 ,$38.60 ,$25.09 ,$25.09 ,$34.76 ,$30.88 , N/A ,$30.59 ,$34.76 ,$34.76 , N/A ,$32.81 ,$28.56 , N/A , N/A , N/A ,$32.19 , N/A ,$31.88 ,$30.88 ,$34.74 , N/A ,$32.81 , N/A ,$32.81 ,$32.81 ,$34.74 ,$34.74 ,$30.30 ,$31.88 , N/A ,$25.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061305,N/A,"GAUZE-CONFORM 2""",270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061313,N/A,"GAUZE-CONFORM 3""",270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061321,N/A,"GAUZE-CONFORM 4""",270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061339,N/A,"GAUZE-STATITE 6""",270,1 ,$11.90 ,$7.74 ,$7.74 ,$10.72 ,$9.52 , N/A ,$9.43 ,$10.72 ,$10.72 , N/A ,$10.12 ,$8.81 , N/A , N/A , N/A ,$9.92 , N/A ,$9.83 ,$9.52 ,$10.71 , N/A ,$10.12 , N/A ,$10.12 ,$10.12 ,$10.71 ,$10.71 ,$9.34 ,$9.83 , N/A ,$7.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061347,N/A,GAUZE STA TITE 1 IN,270,1 ,$9.20 ,$5.98 ,$5.98 ,$8.28 ,$7.36 , N/A ,$7.29 ,$8.28 ,$8.28 , N/A ,$7.82 ,$6.81 , N/A , N/A , N/A ,$7.67 , N/A ,$7.60 ,$7.36 ,$8.28 , N/A ,$7.82 , N/A ,$7.82 ,$7.82 ,$8.28 ,$8.28 ,$7.22 ,$7.60 , N/A ,$5.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061602,N/A,GAUZE VASELN 1/2X72,270,1 ,$6.90 ,$4.49 ,$4.49 ,$6.21 ,$5.52 , N/A ,$5.47 ,$6.21 ,$6.21 , N/A ,$5.87 ,$5.11 , N/A , N/A , N/A ,$5.75 , N/A ,$5.70 ,$5.52 ,$6.21 , N/A ,$5.87 , N/A ,$5.87 ,$5.87 ,$6.21 ,$6.21 ,$5.42 ,$5.70 , N/A ,$4.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061610,N/A,GAUZE VASELINE 3X9,270,1 ,$7.05 ,$4.58 ,$4.58 ,$6.35 ,$5.64 , N/A ,$5.59 ,$6.35 ,$6.35 , N/A ,$5.99 ,$5.22 , N/A , N/A , N/A ,$5.88 , N/A ,$5.82 ,$5.64 ,$6.35 , N/A ,$5.99 , N/A ,$5.99 ,$5.99 ,$6.35 ,$6.35 ,$5.53 ,$5.82 , N/A ,$4.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061628,N/A,GAUZE VASELINE 3X18,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061644,N/A,GAUZE-VASELINE 6X36,270,1 ,$7.20 ,$4.68 ,$4.68 ,$6.48 ,$5.76 , N/A ,$5.71 ,$6.48 ,$6.48 , N/A ,$6.12 ,$5.33 , N/A , N/A , N/A ,$6.00 , N/A ,$5.95 ,$5.76 ,$6.48 , N/A ,$6.12 , N/A ,$6.12 ,$6.12 ,$6.48 ,$6.48 ,$5.65 ,$5.95 , N/A ,$4.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061675,N/A,INFU-SURG,270,1 ,$61.25 ,$39.81 ,$39.81 ,$55.16 ,$49.00 , N/A ,$48.53 ,$55.16 ,$55.16 , N/A ,$52.06 ,$45.33 , N/A , N/A , N/A ,$51.08 , N/A ,$50.59 ,$49.00 ,$55.13 , N/A ,$52.06 , N/A ,$52.06 ,$52.06 ,$55.13 ,$55.13 ,$48.08 ,$50.59 , N/A ,$39.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061692,N/A,SURG GLOVE 5.5,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061693,N/A,SURG GLOVE 6,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061701,N/A,SURG GLOVE 6.5,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061715,N/A,GLOVES-MAXXUS 7.5,270,1 ,$11.35 ,$7.38 ,$7.38 ,$10.22 ,$9.08 , N/A ,$8.99 ,$10.22 ,$10.22 , N/A ,$9.65 ,$8.40 , N/A , N/A , N/A ,$9.47 , N/A ,$9.38 ,$9.08 ,$10.22 , N/A ,$9.65 , N/A ,$9.65 ,$9.65 ,$10.22 ,$10.22 ,$8.91 ,$9.38 , N/A ,$7.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061719,N/A,SURG GLOVE 7,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061727,N/A,SURG GLOVE 7.5,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061735,N/A,SURG GLOVE 8,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60061743,N/A,SURG GLOVE 8.5,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),6007,N/A,BANKER BOX 703,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600700,N/A,SAF-T-INTIMA Y ADAPTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070010,L1810,KNEE BRACE-HINGED X SMALL **,274,1 , N/A , N/A ,$82.67 ,$206.68 , N/A ,$82.67 , N/A , N/A , N/A ,$157.08 , N/A , N/A ,$206.68 ,$82.67 , N/A , N/A ,$82.67 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070110,L1810,KNEE BRACE-HINGED XSMALL **,274,1 , N/A , N/A ,$82.67 ,$206.68 , N/A ,$82.67 , N/A , N/A , N/A ,$157.08 , N/A , N/A ,$206.68 ,$82.67 , N/A , N/A ,$82.67 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070120,L1810,KNEE BRACE-HINGED MEDIUM **,274,1 , N/A , N/A ,$82.67 ,$206.68 , N/A ,$82.67 , N/A , N/A , N/A ,$157.08 , N/A , N/A ,$206.68 ,$82.67 , N/A , N/A ,$82.67 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070130,L1810,KNEE BRACE-HINGED LARGE **,274,1 , N/A , N/A ,$82.67 ,$206.68 , N/A ,$82.67 , N/A , N/A , N/A ,$157.08 , N/A , N/A ,$206.68 ,$82.67 , N/A , N/A ,$82.67 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070140,L1810,KNEE BRACE-HINGED XLARGE **,274,1 , N/A , N/A ,$82.67 ,$206.68 , N/A ,$82.67 , N/A , N/A , N/A ,$157.08 , N/A , N/A ,$206.68 ,$82.67 , N/A , N/A ,$82.67 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070150,L1810,KNEE BRACE-HINGED XXLG **,274,1 , N/A , N/A ,$82.67 ,$206.68 , N/A ,$82.67 , N/A , N/A , N/A ,$157.08 , N/A , N/A ,$206.68 ,$82.67 , N/A , N/A ,$82.67 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070160,L1810,KNEE BRACE-HINGED SMALL **,274,1 , N/A , N/A ,$82.67 ,$206.68 , N/A ,$82.67 , N/A , N/A , N/A ,$157.08 , N/A , N/A ,$206.68 ,$82.67 , N/A , N/A ,$82.67 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070165,L1810,KNEE BRACE-HINGED XXXL **,274,1 , N/A , N/A ,$82.67 ,$206.68 , N/A ,$82.67 , N/A , N/A , N/A ,$157.08 , N/A , N/A ,$206.68 ,$82.67 , N/A , N/A ,$82.67 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070170,N/A,ARCH SUP.(SPENC0)XSM **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070171,L3030,ARCH SUPPORT (PAL) **,294,1 ,$248.98 ,$161.84 ,$111.07 ,$277.67 ,$199.18 ,$111.07 ,$197.29 ,$224.21 ,$224.21 ,$211.03 ,$211.63 ,$184.25 ,$277.67 ,$111.07 , N/A ,$207.65 ,$111.07 ,$205.66 ,$199.18 ,$224.08 ,$248.98 ,$211.63 ,$118.95 ,$211.63 ,$211.63 ,$224.08 ,$224.08 ,$195.45 ,$205.66 ,$118.95 ,$161.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070175,L1810,KNEE BRACE-HINGED XXXXL **,274,1 ,$181.75 ,$118.14 ,$118.14 ,$297.56 ,$145.40 ,$119.02 ,$144.02 ,$163.67 ,$163.67 ,$226.14 ,$154.49 ,$134.50 ,$297.56 ,$119.02 , N/A ,$151.58 ,$119.02 ,$150.13 ,$145.40 ,$163.58 ,$181.75 ,$154.49 ,$127.47 ,$154.49 ,$154.49 ,$163.58 ,$163.58 ,$142.67 ,$150.13 ,$127.47 ,$118.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070300,L0500,LUM/SAC.SUP.-SM ELAST **,274,1 ,$41.40 ,$26.91 ,$26.91 ,$37.28 ,$33.12 , N/A ,$32.81 ,$37.28 ,$37.28 , N/A ,$35.19 ,$30.64 , N/A , N/A , N/A ,$34.53 , N/A ,$34.20 ,$33.12 ,$37.26 , N/A ,$35.19 , N/A ,$35.19 ,$35.19 ,$37.26 ,$37.26 ,$32.50 ,$34.20 , N/A ,$26.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070301,L0500,LUM/SAC.SUP.-MED ELAS **,274,1 ,$41.40 ,$26.91 ,$26.91 ,$37.28 ,$33.12 , N/A ,$32.81 ,$37.28 ,$37.28 , N/A ,$35.19 ,$30.64 , N/A , N/A , N/A ,$34.53 , N/A ,$34.20 ,$33.12 ,$37.26 , N/A ,$35.19 , N/A ,$35.19 ,$35.19 ,$37.26 ,$37.26 ,$32.50 ,$34.20 , N/A ,$26.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070302,L0500,LUM/SAC.SUP.-LG ELAS **,274,1 ,$41.40 ,$26.91 ,$26.91 ,$37.28 ,$33.12 , N/A ,$32.81 ,$37.28 ,$37.28 , N/A ,$35.19 ,$30.64 , N/A , N/A , N/A ,$34.53 , N/A ,$34.20 ,$33.12 ,$37.26 , N/A ,$35.19 , N/A ,$35.19 ,$35.19 ,$37.26 ,$37.26 ,$32.50 ,$34.20 , N/A ,$26.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070303,L0500,LUM/SAC.SUP.-XLG ELAS **,274,1 ,$41.40 ,$26.91 ,$26.91 ,$37.28 ,$33.12 , N/A ,$32.81 ,$37.28 ,$37.28 , N/A ,$35.19 ,$30.64 , N/A , N/A , N/A ,$34.53 , N/A ,$34.20 ,$33.12 ,$37.26 , N/A ,$35.19 , N/A ,$35.19 ,$35.19 ,$37.26 ,$37.26 ,$32.50 ,$34.20 , N/A ,$26.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070306,L0500,LUM/SAC.SUP.-SM NEO **,274,1 ,$41.40 ,$26.91 ,$26.91 ,$37.28 ,$33.12 , N/A ,$32.81 ,$37.28 ,$37.28 , N/A ,$35.19 ,$30.64 , N/A , N/A , N/A ,$34.53 , N/A ,$34.20 ,$33.12 ,$37.26 , N/A ,$35.19 , N/A ,$35.19 ,$35.19 ,$37.26 ,$37.26 ,$32.50 ,$34.20 , N/A ,$26.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070308,L0500,LUM/SAC.SUP.-XXLG ELAS. **,274,1 ,$41.40 ,$26.91 ,$26.91 ,$37.28 ,$33.12 , N/A ,$32.81 ,$37.28 ,$37.28 , N/A ,$35.19 ,$30.64 , N/A , N/A , N/A ,$34.53 , N/A ,$34.20 ,$33.12 ,$37.26 , N/A ,$35.19 , N/A ,$35.19 ,$35.19 ,$37.26 ,$37.26 ,$32.50 ,$34.20 , N/A ,$26.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070334,L0500,LUM/SAC.SUP.-MED NEO **,274,1 ,$56.75 ,$36.89 ,$36.89 ,$51.10 ,$45.40 , N/A ,$44.97 ,$51.10 ,$51.10 , N/A ,$48.24 ,$42.00 , N/A , N/A , N/A ,$47.33 , N/A ,$46.88 ,$45.40 ,$51.08 , N/A ,$48.24 , N/A ,$48.24 ,$48.24 ,$51.08 ,$51.08 ,$44.55 ,$46.88 , N/A ,$36.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070335,L0500,LUM/SAC SUP.-LG NEO **,274,1 ,$56.75 ,$36.89 ,$36.89 ,$51.10 ,$45.40 , N/A ,$44.97 ,$51.10 ,$51.10 , N/A ,$48.24 ,$42.00 , N/A , N/A , N/A ,$47.33 , N/A ,$46.88 ,$45.40 ,$51.08 , N/A ,$48.24 , N/A ,$48.24 ,$48.24 ,$51.08 ,$51.08 ,$44.55 ,$46.88 , N/A ,$36.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070336,L0500,LUM/SAC.SUP.-XLG NEO **,274,1 ,$56.75 ,$36.89 ,$36.89 ,$51.10 ,$45.40 , N/A ,$44.97 ,$51.10 ,$51.10 , N/A ,$48.24 ,$42.00 , N/A , N/A , N/A ,$47.33 , N/A ,$46.88 ,$45.40 ,$51.08 , N/A ,$48.24 , N/A ,$48.24 ,$48.24 ,$51.08 ,$51.08 ,$44.55 ,$46.88 , N/A ,$36.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070337,L0500,LUM/SAC.SUP.-XXLG NEO **,274,1 ,$94.55 ,$61.46 ,$61.46 ,$85.14 ,$75.64 , N/A ,$74.92 ,$85.14 ,$85.14 , N/A ,$80.37 ,$69.97 , N/A , N/A , N/A ,$78.85 , N/A ,$78.10 ,$75.64 ,$85.10 , N/A ,$80.37 , N/A ,$80.37 ,$80.37 ,$85.10 ,$85.10 ,$74.22 ,$78.10 , N/A ,$61.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070340,L0500,LUM/SAC SUP.-UNIVERSAL **,274,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070375,N/A,PELVIC BELT **,270,1 ,$73.10 ,$47.52 ,$47.52 ,$65.83 ,$58.48 , N/A ,$57.92 ,$65.83 ,$65.83 , N/A ,$62.14 ,$54.09 , N/A , N/A , N/A ,$60.97 , N/A ,$60.38 ,$58.48 ,$65.79 , N/A ,$62.14 , N/A ,$62.14 ,$62.14 ,$65.79 ,$65.79 ,$57.38 ,$60.38 , N/A ,$47.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070400,N/A,KNEE SLEEVE-NEO/PAT-SM **,270,1 ,$26.05 ,$16.93 ,$16.93 ,$23.46 ,$20.84 , N/A ,$20.64 ,$23.46 ,$23.46 , N/A ,$22.14 ,$19.28 , N/A , N/A , N/A ,$21.73 , N/A ,$21.52 ,$20.84 ,$23.45 , N/A ,$22.14 , N/A ,$22.14 ,$22.14 ,$23.45 ,$23.45 ,$20.45 ,$21.52 , N/A ,$16.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070410,N/A,KNEE SLEEVE-NEO/PAT MED **,270,1 ,$26.05 ,$16.93 ,$16.93 ,$23.46 ,$20.84 , N/A ,$20.64 ,$23.46 ,$23.46 , N/A ,$22.14 ,$19.28 , N/A , N/A , N/A ,$21.73 , N/A ,$21.52 ,$20.84 ,$23.45 , N/A ,$22.14 , N/A ,$22.14 ,$22.14 ,$23.45 ,$23.45 ,$20.45 ,$21.52 , N/A ,$16.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070420,N/A,KNEE SLEEVE-NEO/PAT LG **,270,1 ,$26.05 ,$16.93 ,$16.93 ,$23.46 ,$20.84 , N/A ,$20.64 ,$23.46 ,$23.46 , N/A ,$22.14 ,$19.28 , N/A , N/A , N/A ,$21.73 , N/A ,$21.52 ,$20.84 ,$23.45 , N/A ,$22.14 , N/A ,$22.14 ,$22.14 ,$23.45 ,$23.45 ,$20.45 ,$21.52 , N/A ,$16.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070430,N/A,KNEE SLEEVE-NEO/PAT XLG **,270,1 ,$26.05 ,$16.93 ,$16.93 ,$23.46 ,$20.84 , N/A ,$20.64 ,$23.46 ,$23.46 , N/A ,$22.14 ,$19.28 , N/A , N/A , N/A ,$21.73 , N/A ,$21.52 ,$20.84 ,$23.45 , N/A ,$22.14 , N/A ,$22.14 ,$22.14 ,$23.45 ,$23.45 ,$20.45 ,$21.52 , N/A ,$16.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070440,N/A,KNEE SLEEVE-NEO/PAT XXLG **,270,1 ,$26.05 ,$16.93 ,$16.93 ,$23.46 ,$20.84 , N/A ,$20.64 ,$23.46 ,$23.46 , N/A ,$22.14 ,$19.28 , N/A , N/A , N/A ,$21.73 , N/A ,$21.52 ,$20.84 ,$23.45 , N/A ,$22.14 , N/A ,$22.14 ,$22.14 ,$23.45 ,$23.45 ,$20.45 ,$21.52 , N/A ,$16.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070500,L1815,KNEE BRACE-PALUMBO XSM **,274,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070510,L1815,KNEE BRACE-PALUMBO SM **,274,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070520,L1815,KNEE BRACE-PALUMBO MSM **,274,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070530,L1815,KNEE BRACE-PALUMBO MLG **,274,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070540,L1815,KNEE BRACE-PALUMBO LG **,274,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070550,L1815,KNEE BRACE-PALUMBO XLG **,274,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070560,L1815,KNEE BRACE-PALUMBO XXLG **,274,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070800,N/A,HEEL CUSHION-SMALL **,270,1 ,$20.70 ,$13.46 ,$13.46 ,$18.64 ,$16.56 , N/A ,$16.40 ,$18.64 ,$18.64 , N/A ,$17.60 ,$15.32 , N/A , N/A , N/A ,$17.26 , N/A ,$17.10 ,$16.56 ,$18.63 , N/A ,$17.60 , N/A ,$17.60 ,$17.60 ,$18.63 ,$18.63 ,$16.25 ,$17.10 , N/A ,$13.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070810,N/A,HEEL CUSHION-MEDIUM **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60070905,N/A,HEEL LIFT-LARGE **,270,1 ,$8.15 ,$5.30 ,$5.30 ,$7.34 ,$6.52 , N/A ,$6.46 ,$7.34 ,$7.34 , N/A ,$6.93 ,$6.03 , N/A , N/A , N/A ,$6.80 , N/A ,$6.73 ,$6.52 ,$7.34 , N/A ,$6.93 , N/A ,$6.93 ,$6.93 ,$7.34 ,$7.34 ,$6.40 ,$6.73 , N/A ,$5.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070910,N/A,HEEL LIFT-SMALL **,270,1 ,$8.15 ,$5.30 ,$5.30 ,$7.34 ,$6.52 , N/A ,$6.46 ,$7.34 ,$7.34 , N/A ,$6.93 ,$6.03 , N/A , N/A , N/A ,$6.80 , N/A ,$6.73 ,$6.52 ,$7.34 , N/A ,$6.93 , N/A ,$6.93 ,$6.93 ,$7.34 ,$7.34 ,$6.40 ,$6.73 , N/A ,$5.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60070915,N/A,HEEL LIFT-MEDIUM **,270,1 ,$8.15 ,$5.30 ,$5.30 ,$7.34 ,$6.52 , N/A ,$6.46 ,$7.34 ,$7.34 , N/A ,$6.93 ,$6.03 , N/A , N/A , N/A ,$6.80 , N/A ,$6.73 ,$6.52 ,$7.34 , N/A ,$6.93 , N/A ,$6.93 ,$6.93 ,$7.34 ,$7.34 ,$6.40 ,$6.73 , N/A ,$5.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60071027,N/A,PELVIC BELT-UNIVERSAL **,270,1 ,$73.10 ,$47.52 ,$47.52 ,$65.83 ,$58.48 , N/A ,$57.92 ,$65.83 ,$65.83 , N/A ,$62.14 ,$54.09 , N/A , N/A , N/A ,$60.97 , N/A ,$60.38 ,$58.48 ,$65.79 , N/A ,$62.14 , N/A ,$62.14 ,$62.14 ,$65.79 ,$65.79 ,$57.38 ,$60.38 , N/A ,$47.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60072005,N/A,PAD-HEELBO,270,1 ,$34.10 ,$22.17 ,$22.17 ,$30.71 ,$27.28 , N/A ,$27.02 ,$30.71 ,$30.71 , N/A ,$28.99 ,$25.23 , N/A , N/A , N/A ,$28.44 , N/A ,$28.17 ,$27.28 ,$30.69 , N/A ,$28.99 , N/A ,$28.99 ,$28.99 ,$30.69 ,$30.69 ,$26.77 ,$28.17 , N/A ,$22.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60072013,N/A,HALF SHEETS,270,1 ,$7.60 ,$4.94 ,$4.94 ,$6.84 ,$6.08 , N/A ,$6.02 ,$6.84 ,$6.84 , N/A ,$6.46 ,$5.62 , N/A , N/A , N/A ,$6.34 , N/A ,$6.28 ,$6.08 ,$6.84 , N/A ,$6.46 , N/A ,$6.46 ,$6.46 ,$6.84 ,$6.84 ,$5.97 ,$6.28 , N/A ,$4.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),60072989,N/A,SPLINT HAND RT **,270,1 ,$58.75 ,$38.19 ,$38.19 ,$52.90 ,$47.00 , N/A ,$46.55 ,$52.90 ,$52.90 , N/A ,$49.94 ,$43.48 , N/A , N/A , N/A ,$49.00 , N/A ,$48.53 ,$47.00 ,$52.88 , N/A ,$49.94 , N/A ,$49.94 ,$49.94 ,$52.88 ,$52.88 ,$46.12 ,$48.53 , N/A ,$38.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),60072997,N/A,SPLINT HAND LT **,270,1 ,$58.75 ,$38.19 ,$38.19 ,$52.90 ,$47.00 , N/A ,$46.55 ,$52.90 ,$52.90 , N/A ,$49.94 ,$43.48 , N/A , N/A , N/A ,$49.00 , N/A ,$48.53 ,$47.00 ,$52.88 , N/A ,$49.94 , N/A ,$49.94 ,$49.94 ,$52.88 ,$52.88 ,$46.12 ,$48.53 , N/A ,$38.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),6008,N/A,XEROX COPIER DRUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),600800,N/A,SIMS CONNECTOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60080200,N/A,LTA 360 KIT,270,1 ,$66.55 ,$43.26 ,$43.26 ,$59.93 ,$53.24 , N/A ,$52.73 ,$59.93 ,$59.93 , N/A ,$56.57 ,$49.25 , N/A , N/A , N/A ,$55.50 , N/A ,$54.97 ,$53.24 ,$59.90 , N/A ,$56.57 , N/A ,$56.57 ,$56.57 ,$59.90 ,$59.90 ,$52.24 ,$54.97 , N/A ,$43.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080218,N/A,CRUTCHES-YTH **,270,1 ,$35.55 ,$23.11 ,$23.11 ,$32.01 ,$28.44 , N/A ,$28.17 ,$32.01 ,$32.01 , N/A ,$30.22 ,$26.31 , N/A , N/A , N/A ,$29.65 , N/A ,$29.36 ,$28.44 ,$32.00 , N/A ,$30.22 , N/A ,$30.22 ,$30.22 ,$32.00 ,$32.00 ,$27.91 ,$29.36 , N/A ,$23.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080219,N/A,CRUTCHES-MED.AD. **,270,1 ,$35.55 ,$23.11 ,$23.11 ,$32.01 ,$28.44 , N/A ,$28.17 ,$32.01 ,$32.01 , N/A ,$30.22 ,$26.31 , N/A , N/A , N/A ,$29.65 , N/A ,$29.36 ,$28.44 ,$32.00 , N/A ,$30.22 , N/A ,$30.22 ,$30.22 ,$32.00 ,$32.00 ,$27.91 ,$29.36 , N/A ,$23.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080220,N/A,CRUTCHES-TALL ADULT **,270,1 ,$35.55 ,$23.11 ,$23.11 ,$32.01 ,$28.44 , N/A ,$28.17 ,$32.01 ,$32.01 , N/A ,$30.22 ,$26.31 , N/A , N/A , N/A ,$29.65 , N/A ,$29.36 ,$28.44 ,$32.00 , N/A ,$30.22 , N/A ,$30.22 ,$30.22 ,$32.00 ,$32.00 ,$27.91 ,$29.36 , N/A ,$23.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080235,N/A,AIRWAY INFANT 0 **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080240,N/A,AIRWAY CHILD 1 **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080245,N/A,AIRWAY 40MM **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080250,N/A,AIRWAY 60MM **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080253,N/A,AIRWAY 70MM **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080255,N/A,AIRWAY 80MM **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080260,N/A,AIRWAY 90MM **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080265,N/A,AIRWAY 100MM **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080270,N/A,AIRWAY 120MM **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080291,N/A,PENROSE DRAIN **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60080300,N/A,TRACTION BOOT **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60080400,N/A,HALTER-PROHEAD,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60080499,N/A,NASAL PACK (NOZ STOP),270,1 ,$40.05 ,$26.03 ,$26.03 ,$36.07 ,$32.04 , N/A ,$31.74 ,$36.07 ,$36.07 , N/A ,$34.04 ,$29.64 , N/A , N/A , N/A ,$33.40 , N/A ,$33.08 ,$32.04 ,$36.05 , N/A ,$34.04 , N/A ,$34.04 ,$34.04 ,$36.05 ,$36.05 ,$31.44 ,$33.08 , N/A ,$26.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081000,N/A,CRUTCH TIPS,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60081303,N/A,IRRIGATION SET,270,1 ,$10.90 ,$7.09 ,$7.09 ,$9.82 ,$8.72 , N/A ,$8.64 ,$9.82 ,$9.82 , N/A ,$9.27 ,$8.07 , N/A , N/A , N/A ,$9.09 , N/A ,$9.00 ,$8.72 ,$9.81 , N/A ,$9.27 , N/A ,$9.27 ,$9.27 ,$9.81 ,$9.81 ,$8.56 ,$9.00 , N/A ,$7.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081311,N/A,IMMOBIL SHOULDER SM **,270,1 ,$50.80 ,$33.02 ,$33.02 ,$45.75 ,$40.64 , N/A ,$40.25 ,$45.75 ,$45.75 , N/A ,$43.18 ,$37.59 , N/A , N/A , N/A ,$42.37 , N/A ,$41.96 ,$40.64 ,$45.72 , N/A ,$43.18 , N/A ,$43.18 ,$43.18 ,$45.72 ,$45.72 ,$39.88 ,$41.96 , N/A ,$33.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081329,N/A,IMMOBIL SHOULDER MED **,270,1 ,$50.80 ,$33.02 ,$33.02 ,$45.75 ,$40.64 , N/A ,$40.25 ,$45.75 ,$45.75 , N/A ,$43.18 ,$37.59 , N/A , N/A , N/A ,$42.37 , N/A ,$41.96 ,$40.64 ,$45.72 , N/A ,$43.18 , N/A ,$43.18 ,$43.18 ,$45.72 ,$45.72 ,$39.88 ,$41.96 , N/A ,$33.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081337,N/A,IMMOBIL SHOULDER LG **,270,1 ,$50.80 ,$33.02 ,$33.02 ,$45.75 ,$40.64 , N/A ,$40.25 ,$45.75 ,$45.75 , N/A ,$43.18 ,$37.59 , N/A , N/A , N/A ,$42.37 , N/A ,$41.96 ,$40.64 ,$45.72 , N/A ,$43.18 , N/A ,$43.18 ,$43.18 ,$45.72 ,$45.72 ,$39.88 ,$41.96 , N/A ,$33.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081345,N/A,IMMOBIL SHOULDER XLG **,270,1 ,$50.80 ,$33.02 ,$33.02 ,$45.75 ,$40.64 , N/A ,$40.25 ,$45.75 ,$45.75 , N/A ,$43.18 ,$37.59 , N/A , N/A , N/A ,$42.37 , N/A ,$41.96 ,$40.64 ,$45.72 , N/A ,$43.18 , N/A ,$43.18 ,$43.18 ,$45.72 ,$45.72 ,$39.88 ,$41.96 , N/A ,$33.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081346,N/A,IMMOB SHOULD W/DRESS **,270,1 ,$22.60 ,$14.69 ,$14.69 ,$20.35 ,$18.08 , N/A ,$17.91 ,$20.35 ,$20.35 , N/A ,$19.21 ,$16.72 , N/A , N/A , N/A ,$18.85 , N/A ,$18.67 ,$18.08 ,$20.34 , N/A ,$19.21 , N/A ,$19.21 ,$19.21 ,$20.34 ,$20.34 ,$17.74 ,$18.67 , N/A ,$14.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081380,N/A,INFUSER BAG,270,1 ,$89.95 ,$58.47 ,$58.47 ,$81.00 ,$71.96 , N/A ,$71.28 ,$81.00 ,$81.00 , N/A ,$76.46 ,$66.56 , N/A , N/A , N/A ,$75.02 , N/A ,$74.30 ,$71.96 ,$80.96 , N/A ,$76.46 , N/A ,$76.46 ,$76.46 ,$80.96 ,$80.96 ,$70.61 ,$74.30 , N/A ,$58.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081500,N/A,INTUBATION STYLET-PED,270,1 ,$17.10 ,$11.12 ,$11.12 ,$15.40 ,$13.68 , N/A ,$13.55 ,$15.40 ,$15.40 , N/A ,$14.54 ,$12.65 , N/A , N/A , N/A ,$14.26 , N/A ,$14.12 ,$13.68 ,$15.39 , N/A ,$14.54 , N/A ,$14.54 ,$14.54 ,$15.39 ,$15.39 ,$13.42 ,$14.12 , N/A ,$11.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081501,N/A,INTUBATION STYLET-ADULT,270,1 ,$19.35 ,$12.58 ,$12.58 ,$17.42 ,$15.48 , N/A ,$15.33 ,$17.42 ,$17.42 , N/A ,$16.45 ,$14.32 , N/A , N/A , N/A ,$16.14 , N/A ,$15.98 ,$15.48 ,$17.42 , N/A ,$16.45 , N/A ,$16.45 ,$16.45 ,$17.42 ,$17.42 ,$15.19 ,$15.98 , N/A ,$12.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),60081600,N/A,IV START SET,270,1 ,$9.80 ,$6.37 ,$6.37 ,$8.82 ,$7.84 , N/A ,$7.77 ,$8.82 ,$8.82 , N/A ,$8.33 ,$7.25 , N/A , N/A , N/A ,$8.17 , N/A ,$8.09 ,$7.84 ,$8.82 , N/A ,$8.33 , N/A ,$8.33 ,$8.33 ,$8.82 ,$8.82 ,$7.69 ,$8.09 , N/A ,$6.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),6009,N/A,COFLEX 1 INCH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090010,N/A,ELBOW SPLINT-LAT (SMALL) **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090015,N/A,ARMBAND-TENNIS ELBOW **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090020,N/A,ELBOW SPLINT-LAT XLG **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090030,N/A,ELBOW SPLINT-MED MED **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090040,N/A,ELBOW SPLINT MED-LG **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090100,N/A,HAND PUTTY-XX SOFT **DO NOT ORDER,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090110,N/A,HAND PUTTY-X SOFT YELLOW **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090115,N/A,HAND PUTTY-XX SOFT TAN **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090120,N/A,HAND PUTTY-SOFT RED **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090130,N/A,HAND PUTTY-MEDIUM GREEN **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090140,N/A,HAND PUTTY-FIRM BLUE **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090210,N/A,ELBOW-TENNIS ARM BAND **,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090282,L4350,AIR CAST-LEFT **,274,1 ,$57.90 ,$37.64 ,$37.64 ,$223.21 ,$46.32 ,$89.28 ,$45.88 ,$52.14 ,$52.14 ,$169.64 ,$49.22 ,$42.85 ,$223.21 ,$89.28 , N/A ,$48.29 ,$89.28 ,$47.83 ,$46.32 ,$52.11 ,$57.90 ,$49.22 ,$57.90 ,$49.22 ,$49.22 ,$52.11 ,$52.11 ,$45.45 ,$47.83 ,$57.90 ,$37.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090283,L4350,AIR CAST-RIGHT **,274,1 ,$57.90 ,$37.64 ,$37.64 ,$223.21 ,$46.32 ,$89.28 ,$45.88 ,$52.14 ,$52.14 ,$169.64 ,$49.22 ,$42.85 ,$223.21 ,$89.28 , N/A ,$48.29 ,$89.28 ,$47.83 ,$46.32 ,$52.11 ,$57.90 ,$49.22 ,$57.90 ,$49.22 ,$49.22 ,$52.11 ,$52.11 ,$45.45 ,$47.83 ,$57.90 ,$37.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090800,N/A,WALKBOOT-XSMALL **,270,1 ,$60.65 ,$39.42 ,$39.42 ,$54.62 ,$48.52 , N/A ,$48.06 ,$54.62 ,$54.62 , N/A ,$51.55 ,$44.88 , N/A , N/A , N/A ,$50.58 , N/A ,$50.10 ,$48.52 ,$54.59 , N/A ,$51.55 , N/A ,$51.55 ,$51.55 ,$54.59 ,$54.59 ,$47.61 ,$50.10 , N/A ,$39.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090801,N/A,WALKBOOT-SMALL **,270,1 ,$47.85 ,$31.10 ,$31.10 ,$43.09 ,$38.28 , N/A ,$37.92 ,$43.09 ,$43.09 , N/A ,$40.67 ,$35.41 , N/A , N/A , N/A ,$39.91 , N/A ,$39.52 ,$38.28 ,$43.07 , N/A ,$40.67 , N/A ,$40.67 ,$40.67 ,$43.07 ,$43.07 ,$37.56 ,$39.52 , N/A ,$31.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090802,N/A,WALKBOOT-MEDIUM **,270,1 ,$47.85 ,$31.10 ,$31.10 ,$43.09 ,$38.28 , N/A ,$37.92 ,$43.09 ,$43.09 , N/A ,$40.67 ,$35.41 , N/A , N/A , N/A ,$39.91 , N/A ,$39.52 ,$38.28 ,$43.07 , N/A ,$40.67 , N/A ,$40.67 ,$40.67 ,$43.07 ,$43.07 ,$37.56 ,$39.52 , N/A ,$31.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090803,N/A,WALKBOOT-LARGE **,270,1 ,$47.85 ,$31.10 ,$31.10 ,$43.09 ,$38.28 , N/A ,$37.92 ,$43.09 ,$43.09 , N/A ,$40.67 ,$35.41 , N/A , N/A , N/A ,$39.91 , N/A ,$39.52 ,$38.28 ,$43.07 , N/A ,$40.67 , N/A ,$40.67 ,$40.67 ,$43.07 ,$43.07 ,$37.56 ,$39.52 , N/A ,$31.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090804,N/A,WALKBOOT-XLARGE **,270,1 ,$47.85 ,$31.10 ,$31.10 ,$43.09 ,$38.28 , N/A ,$37.92 ,$43.09 ,$43.09 , N/A ,$40.67 ,$35.41 , N/A , N/A , N/A ,$39.91 , N/A ,$39.52 ,$38.28 ,$43.07 , N/A ,$40.67 , N/A ,$40.67 ,$40.67 ,$43.07 ,$43.07 ,$37.56 ,$39.52 , N/A ,$31.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090878,N/A,CASH ORTHOSIS,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60090880,N/A,WRIST SUPPORT-RIGHT SMALL **,270,1 ,$18.45 ,$11.99 ,$11.99 ,$16.61 ,$14.76 , N/A ,$14.62 ,$16.61 ,$16.61 , N/A ,$15.68 ,$13.65 , N/A , N/A , N/A ,$15.39 , N/A ,$15.24 ,$14.76 ,$16.61 , N/A ,$15.68 , N/A ,$15.68 ,$15.68 ,$16.61 ,$16.61 ,$14.48 ,$15.24 , N/A ,$11.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090881,N/A,WRIST SUPPORT-RIGHT MEDIUM **,270,1 ,$18.45 ,$11.99 ,$11.99 ,$16.61 ,$14.76 , N/A ,$14.62 ,$16.61 ,$16.61 , N/A ,$15.68 ,$13.65 , N/A , N/A , N/A ,$15.39 , N/A ,$15.24 ,$14.76 ,$16.61 , N/A ,$15.68 , N/A ,$15.68 ,$15.68 ,$16.61 ,$16.61 ,$14.48 ,$15.24 , N/A ,$11.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090882,N/A,WRIST SUPPORT-RIGHT LARGE **,270,1 ,$18.45 ,$11.99 ,$11.99 ,$16.61 ,$14.76 , N/A ,$14.62 ,$16.61 ,$16.61 , N/A ,$15.68 ,$13.65 , N/A , N/A , N/A ,$15.39 , N/A ,$15.24 ,$14.76 ,$16.61 , N/A ,$15.68 , N/A ,$15.68 ,$15.68 ,$16.61 ,$16.61 ,$14.48 ,$15.24 , N/A ,$11.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090886,N/A,WRIST SUPPORT-LEFT SMALL **,270,1 ,$18.45 ,$11.99 ,$11.99 ,$16.61 ,$14.76 , N/A ,$14.62 ,$16.61 ,$16.61 , N/A ,$15.68 ,$13.65 , N/A , N/A , N/A ,$15.39 , N/A ,$15.24 ,$14.76 ,$16.61 , N/A ,$15.68 , N/A ,$15.68 ,$15.68 ,$16.61 ,$16.61 ,$14.48 ,$15.24 , N/A ,$11.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090887,N/A,WRIST SUPPORT-LEFT MEDIUM **,270,1 ,$18.45 ,$11.99 ,$11.99 ,$16.61 ,$14.76 , N/A ,$14.62 ,$16.61 ,$16.61 , N/A ,$15.68 ,$13.65 , N/A , N/A , N/A ,$15.39 , N/A ,$15.24 ,$14.76 ,$16.61 , N/A ,$15.68 , N/A ,$15.68 ,$15.68 ,$16.61 ,$16.61 ,$14.48 ,$15.24 , N/A ,$11.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60090888,N/A,WRIST SUPPORT-LEFT LARGE **,270,1 ,$18.45 ,$11.99 ,$11.99 ,$16.61 ,$14.76 , N/A ,$14.62 ,$16.61 ,$16.61 , N/A ,$15.68 ,$13.65 , N/A , N/A , N/A ,$15.39 , N/A ,$15.24 ,$14.76 ,$16.61 , N/A ,$15.68 , N/A ,$15.68 ,$15.68 ,$16.61 ,$16.61 ,$14.48 ,$15.24 , N/A ,$11.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60091005,N/A,KERCHIEFS,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60091200,N/A,SUTURE REMOVAL KIT,270,1 ,$7.70 ,$5.01 ,$5.01 ,$6.93 ,$6.16 , N/A ,$6.10 ,$6.93 ,$6.93 , N/A ,$6.55 ,$5.70 , N/A , N/A , N/A ,$6.42 , N/A ,$6.36 ,$6.16 ,$6.93 , N/A ,$6.55 , N/A ,$6.55 ,$6.55 ,$6.93 ,$6.93 ,$6.04 ,$6.36 , N/A ,$5.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),60091201,N/A,DEBRIDEMENT KIT **,270,1 ,$11.05 ,$7.18 ,$7.18 ,$9.95 ,$8.84 , N/A ,$8.76 ,$9.95 ,$9.95 , N/A ,$9.39 ,$8.18 , N/A , N/A , N/A ,$9.22 , N/A ,$9.13 ,$8.84 ,$9.95 , N/A ,$9.39 , N/A ,$9.39 ,$9.39 ,$9.95 ,$9.95 ,$8.67 ,$9.13 , N/A ,$7.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60099908,N/A,HENNING CAST SPREADER,270,1 ,$177.20 ,$115.18 ,$115.18 ,$159.57 ,$141.76 , N/A ,$140.41 ,$159.57 ,$159.57 , N/A ,$150.62 ,$131.13 , N/A , N/A , N/A ,$147.78 , N/A ,$146.37 ,$141.76 ,$159.48 , N/A ,$150.62 , N/A ,$150.62 ,$150.62 ,$159.48 ,$159.48 ,$139.10 ,$146.37 , N/A ,$115.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60099925,N/A,CASH ORTHOSIS **,270,1 ,$190.55 ,$123.86 ,$123.86 ,$171.59 ,$152.44 , N/A ,$150.99 ,$171.59 ,$171.59 , N/A ,$161.97 ,$141.01 , N/A , N/A , N/A ,$158.92 , N/A ,$157.39 ,$152.44 ,$171.50 , N/A ,$161.97 , N/A ,$161.97 ,$161.97 ,$171.50 ,$171.50 ,$149.58 ,$157.39 , N/A ,$123.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),6010,N/A,PRINT CART HP2015,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601000,N/A,RAPID RHINO ROCKET 5.5 CM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601001,N/A,RAPID RHINO ROCKET 7.5 CM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60101200,N/A,LAVAGE SET ADULT,270,1 ,$41.85 ,$27.20 ,$27.20 ,$37.69 ,$33.48 , N/A ,$33.16 ,$37.69 ,$37.69 , N/A ,$35.57 ,$30.97 , N/A , N/A , N/A ,$34.90 , N/A ,$34.57 ,$33.48 ,$37.67 , N/A ,$35.57 , N/A ,$35.57 ,$35.57 ,$37.67 ,$37.67 ,$32.85 ,$34.57 , N/A ,$27.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101215,N/A,LAVAGE-TUM E VAC COM,270,1 ,$150.10 ,$97.57 ,$97.57 ,$135.17 ,$120.08 , N/A ,$118.94 ,$135.17 ,$135.17 , N/A ,$127.59 ,$111.07 , N/A , N/A , N/A ,$125.18 , N/A ,$123.98 ,$120.08 ,$135.09 , N/A ,$127.59 , N/A ,$127.59 ,$127.59 ,$135.09 ,$135.09 ,$117.83 ,$123.98 , N/A ,$97.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101218,N/A,LAVAGE SET PED,270,1 ,$42.85 ,$27.85 ,$27.85 ,$38.59 ,$34.28 , N/A ,$33.95 ,$38.59 ,$38.59 , N/A ,$36.42 ,$31.71 , N/A , N/A , N/A ,$35.74 , N/A ,$35.39 ,$34.28 ,$38.57 , N/A ,$36.42 , N/A ,$36.42 ,$36.42 ,$38.57 ,$38.57 ,$33.64 ,$35.39 , N/A ,$27.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101325,N/A,LITE BLADE-ADC MAC 2,270,1 ,$32.15 ,$20.90 ,$20.90 ,$28.95 ,$25.72 , N/A ,$25.48 ,$28.95 ,$28.95 , N/A ,$27.33 ,$23.79 , N/A , N/A , N/A ,$26.81 , N/A ,$26.56 ,$25.72 ,$28.94 , N/A ,$27.33 , N/A ,$27.33 ,$27.33 ,$28.94 ,$28.94 ,$25.24 ,$26.56 , N/A ,$20.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101350,N/A,LITE BLADE-ADC MAC 3,270,1 ,$32.15 ,$20.90 ,$20.90 ,$28.95 ,$25.72 , N/A ,$25.48 ,$28.95 ,$28.95 , N/A ,$27.33 ,$23.79 , N/A , N/A , N/A ,$26.81 , N/A ,$26.56 ,$25.72 ,$28.94 , N/A ,$27.33 , N/A ,$27.33 ,$27.33 ,$28.94 ,$28.94 ,$25.24 ,$26.56 , N/A ,$20.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101375,N/A,LITE BLADE-ADC MAC,270,1 ,$32.15 ,$20.90 ,$20.90 ,$28.95 ,$25.72 , N/A ,$25.48 ,$28.95 ,$28.95 , N/A ,$27.33 ,$23.79 , N/A , N/A , N/A ,$26.81 , N/A ,$26.56 ,$25.72 ,$28.94 , N/A ,$27.33 , N/A ,$27.33 ,$27.33 ,$28.94 ,$28.94 ,$25.24 ,$26.56 , N/A ,$20.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101515,N/A,LOTION-4.0 OZ,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101523,N/A,LOTION 8OZ,270,1 ,$12.20 ,$7.93 ,$7.93 ,$10.99 ,$9.76 , N/A ,$9.67 ,$10.99 ,$10.99 , N/A ,$10.37 ,$9.03 , N/A , N/A , N/A ,$10.17 , N/A ,$10.08 ,$9.76 ,$10.98 , N/A ,$10.37 , N/A ,$10.37 ,$10.37 ,$10.98 ,$10.98 ,$9.58 ,$10.08 , N/A ,$7.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101606,N/A,LUMBAR PUNCTURE KIT,270,1 ,$98.65 ,$64.12 ,$64.12 ,$88.83 ,$78.92 , N/A ,$78.17 ,$88.83 ,$88.83 , N/A ,$83.85 ,$73.00 , N/A , N/A , N/A ,$82.27 , N/A ,$81.48 ,$78.92 ,$88.79 , N/A ,$83.85 , N/A ,$83.85 ,$83.85 ,$88.79 ,$88.79 ,$77.44 ,$81.48 , N/A ,$64.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),60101648,N/A,ATTENDS,270,1 ,$10.00 ,$6.50 ,$6.50 ,$9.01 ,$8.00 , N/A ,$7.92 ,$9.01 ,$9.01 , N/A ,$8.50 ,$7.40 , N/A , N/A , N/A ,$8.34 , N/A ,$8.26 ,$8.00 ,$9.00 , N/A ,$8.50 , N/A ,$8.50 ,$8.50 ,$9.00 ,$9.00 ,$7.85 ,$8.26 , N/A ,$6.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),601036,N/A,GOWN-STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601050,N/A,"NURSE CAP 21""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601051,N/A,TROCAR CATH 24FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601052,N/A,TROCAR CATH 20FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601053,N/A,TROCAR CATH 28F,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601054,N/A,"SET ANESTHESIA SM BORE 72""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601055,N/A,HIBICLENS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601070,N/A,EAR PROTECTOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601071,N/A,CATH PUREWICK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60111000,N/A,MASK-MED.ADULT (SURGERY),270,1 ,$16.50 ,$10.73 ,$10.73 ,$14.86 ,$13.20 , N/A ,$13.07 ,$14.86 ,$14.86 , N/A ,$14.03 ,$12.21 , N/A , N/A , N/A ,$13.76 , N/A ,$13.63 ,$13.20 ,$14.85 , N/A ,$14.03 , N/A ,$14.03 ,$14.03 ,$14.85 ,$14.85 ,$12.95 ,$13.63 , N/A ,$10.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111001,N/A,MASK-SM.ADULT (SURGERY),270,1 ,$16.50 ,$10.73 ,$10.73 ,$14.86 ,$13.20 , N/A ,$13.07 ,$14.86 ,$14.86 , N/A ,$14.03 ,$12.21 , N/A , N/A , N/A ,$13.76 , N/A ,$13.63 ,$13.20 ,$14.85 , N/A ,$14.03 , N/A ,$14.03 ,$14.03 ,$14.85 ,$14.85 ,$12.95 ,$13.63 , N/A ,$10.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111002,N/A,MASK-LG.ADULT (SURGERY),270,1 ,$11.80 ,$7.67 ,$7.67 ,$10.63 ,$9.44 , N/A ,$9.35 ,$10.63 ,$10.63 , N/A ,$10.03 ,$8.73 , N/A , N/A , N/A ,$9.84 , N/A ,$9.75 ,$9.44 ,$10.62 , N/A ,$10.03 , N/A ,$10.03 ,$10.03 ,$10.62 ,$10.62 ,$9.26 ,$9.75 , N/A ,$7.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111500,N/A,MOD-YELLOW INTUBATION,270,1 ,$116.40 ,$75.66 ,$75.66 ,$104.82 ,$93.12 , N/A ,$92.24 ,$104.82 ,$104.82 , N/A ,$98.94 ,$86.14 , N/A , N/A , N/A ,$97.08 , N/A ,$96.15 ,$93.12 ,$104.76 , N/A ,$98.94 , N/A ,$98.94 ,$98.94 ,$104.76 ,$104.76 ,$91.37 ,$96.15 , N/A ,$75.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111501,N/A,MOD-YELLOW O2 DELIVERY,270,1 ,$53.90 ,$35.04 ,$35.04 ,$48.54 ,$43.12 , N/A ,$42.71 ,$48.54 ,$48.54 , N/A ,$45.82 ,$39.89 , N/A , N/A , N/A ,$44.95 , N/A ,$44.52 ,$43.12 ,$48.51 , N/A ,$45.82 , N/A ,$45.82 ,$45.82 ,$48.51 ,$48.51 ,$42.31 ,$44.52 , N/A ,$35.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111502,N/A,MOD-BLUE IV DELIVERY,270,1 ,$89.85 ,$58.40 ,$58.40 ,$80.91 ,$71.88 , N/A ,$71.20 ,$80.91 ,$80.91 , N/A ,$76.37 ,$66.49 , N/A , N/A , N/A ,$74.93 , N/A ,$74.22 ,$71.88 ,$80.87 , N/A ,$76.37 , N/A ,$76.37 ,$76.37 ,$80.87 ,$80.87 ,$70.53 ,$74.22 , N/A ,$58.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111503,N/A,MOD-ORANGE IV DELIVERY,270,1 ,$89.85 ,$58.40 ,$58.40 ,$80.91 ,$71.88 , N/A ,$71.20 ,$80.91 ,$80.91 , N/A ,$76.37 ,$66.49 , N/A , N/A , N/A ,$74.93 , N/A ,$74.22 ,$71.88 ,$80.87 , N/A ,$76.37 , N/A ,$76.37 ,$76.37 ,$80.87 ,$80.87 ,$70.53 ,$74.22 , N/A ,$58.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111504,N/A,MOD-WHITE INTRAOSSEUS,270,1 ,$155.90 ,$101.34 ,$101.34 ,$140.39 ,$124.72 , N/A ,$123.54 ,$140.39 ,$140.39 , N/A ,$132.52 ,$115.37 , N/A , N/A , N/A ,$130.02 , N/A ,$128.77 ,$124.72 ,$140.31 , N/A ,$132.52 , N/A ,$132.52 ,$132.52 ,$140.31 ,$140.31 ,$122.38 ,$128.77 , N/A ,$101.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111505,N/A,MOD-ORANGE INTUBATION,270,1 ,$116.40 ,$75.66 ,$75.66 ,$104.82 ,$93.12 , N/A ,$92.24 ,$104.82 ,$104.82 , N/A ,$98.94 ,$86.14 , N/A , N/A , N/A ,$97.08 , N/A ,$96.15 ,$93.12 ,$104.76 , N/A ,$98.94 , N/A ,$98.94 ,$98.94 ,$104.76 ,$104.76 ,$91.37 ,$96.15 , N/A ,$75.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111506,N/A,MOD-BLUE INTRAOSSEUS,270,1 ,$155.90 ,$101.34 ,$101.34 ,$140.39 ,$124.72 , N/A ,$123.54 ,$140.39 ,$140.39 , N/A ,$132.52 ,$115.37 , N/A , N/A , N/A ,$130.02 , N/A ,$128.77 ,$124.72 ,$140.31 , N/A ,$132.52 , N/A ,$132.52 ,$132.52 ,$140.31 ,$140.31 ,$122.38 ,$128.77 , N/A ,$101.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111507,N/A,MOD-RED/PINK INTRAOSSEUS,270,1 ,$155.90 ,$101.34 ,$101.34 ,$140.39 ,$124.72 , N/A ,$123.54 ,$140.39 ,$140.39 , N/A ,$132.52 ,$115.37 , N/A , N/A , N/A ,$130.02 , N/A ,$128.77 ,$124.72 ,$140.31 , N/A ,$132.52 , N/A ,$132.52 ,$132.52 ,$140.31 ,$140.31 ,$122.38 ,$128.77 , N/A ,$101.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111508,N/A,MOD-WHITE IV DELIVERY,270,1 ,$89.85 ,$58.40 ,$58.40 ,$80.91 ,$71.88 , N/A ,$71.20 ,$80.91 ,$80.91 , N/A ,$76.37 ,$66.49 , N/A , N/A , N/A ,$74.93 , N/A ,$74.22 ,$71.88 ,$80.87 , N/A ,$76.37 , N/A ,$76.37 ,$76.37 ,$80.87 ,$80.87 ,$70.53 ,$74.22 , N/A ,$58.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111509,N/A,MOD-BLUE INTUBATION,270,1 ,$116.40 ,$75.66 ,$75.66 ,$104.82 ,$93.12 , N/A ,$92.24 ,$104.82 ,$104.82 , N/A ,$98.94 ,$86.14 , N/A , N/A , N/A ,$97.08 , N/A ,$96.15 ,$93.12 ,$104.76 , N/A ,$98.94 , N/A ,$98.94 ,$98.94 ,$104.76 ,$104.76 ,$91.37 ,$96.15 , N/A ,$75.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111510,N/A,MOD-GREEN INTUBATION,270,1 ,$116.40 ,$75.66 ,$75.66 ,$104.82 ,$93.12 , N/A ,$92.24 ,$104.82 ,$104.82 , N/A ,$98.94 ,$86.14 , N/A , N/A , N/A ,$97.08 , N/A ,$96.15 ,$93.12 ,$104.76 , N/A ,$98.94 , N/A ,$98.94 ,$98.94 ,$104.76 ,$104.76 ,$91.37 ,$96.15 , N/A ,$75.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111511,N/A,MOD-ORANGE O2 DELIVERY,270,1 ,$53.90 ,$35.04 ,$35.04 ,$48.54 ,$43.12 , N/A ,$42.71 ,$48.54 ,$48.54 , N/A ,$45.82 ,$39.89 , N/A , N/A , N/A ,$44.95 , N/A ,$44.52 ,$43.12 ,$48.51 , N/A ,$45.82 , N/A ,$45.82 ,$45.82 ,$48.51 ,$48.51 ,$42.31 ,$44.52 , N/A ,$35.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111512,N/A,MOD-RED/PINK IV DELIVERY,270,1 ,$89.85 ,$58.40 ,$58.40 ,$80.91 ,$71.88 , N/A ,$71.20 ,$80.91 ,$80.91 , N/A ,$76.37 ,$66.49 , N/A , N/A , N/A ,$74.93 , N/A ,$74.22 ,$71.88 ,$80.87 , N/A ,$76.37 , N/A ,$76.37 ,$76.37 ,$80.87 ,$80.87 ,$70.53 ,$74.22 , N/A ,$58.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111513,N/A,MOD-RED O2 DELIVERY,270,1 ,$53.90 ,$35.04 ,$35.04 ,$48.54 ,$43.12 , N/A ,$42.71 ,$48.54 ,$48.54 , N/A ,$45.82 ,$39.89 , N/A , N/A , N/A ,$44.95 , N/A ,$44.52 ,$43.12 ,$48.51 , N/A ,$45.82 , N/A ,$45.82 ,$45.82 ,$48.51 ,$48.51 ,$42.31 ,$44.52 , N/A ,$35.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111514,N/A,MOD-WHITE O2 DELIVERY,270,1 ,$53.90 ,$35.04 ,$35.04 ,$48.54 ,$43.12 , N/A ,$42.71 ,$48.54 ,$48.54 , N/A ,$45.82 ,$39.89 , N/A , N/A , N/A ,$44.95 , N/A ,$44.52 ,$43.12 ,$48.51 , N/A ,$45.82 , N/A ,$45.82 ,$45.82 ,$48.51 ,$48.51 ,$42.31 ,$44.52 , N/A ,$35.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111515,N/A,MOD-PURPLE 02 DELIVERY,270,1 ,$62.20 ,$40.43 ,$40.43 ,$56.01 ,$49.76 , N/A ,$49.29 ,$56.01 ,$56.01 , N/A ,$52.87 ,$46.03 , N/A , N/A , N/A ,$51.87 , N/A ,$51.38 ,$49.76 ,$55.98 , N/A ,$52.87 , N/A ,$52.87 ,$52.87 ,$55.98 ,$55.98 ,$48.83 ,$51.38 , N/A ,$40.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111516,N/A,MOD-PURPLE INTUBATION,270,1 ,$100.70 ,$65.46 ,$65.46 ,$90.68 ,$80.56 , N/A ,$79.79 ,$90.68 ,$90.68 , N/A ,$85.60 ,$74.52 , N/A , N/A , N/A ,$83.98 , N/A ,$83.18 ,$80.56 ,$90.63 , N/A ,$85.60 , N/A ,$85.60 ,$85.60 ,$90.63 ,$90.63 ,$79.05 ,$83.18 , N/A ,$65.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111517,N/A,MOD-PURPLE IV DELIVERY,270,1 ,$89.85 ,$58.40 ,$58.40 ,$80.91 ,$71.88 , N/A ,$71.20 ,$80.91 ,$80.91 , N/A ,$76.37 ,$66.49 , N/A , N/A , N/A ,$74.93 , N/A ,$74.22 ,$71.88 ,$80.87 , N/A ,$76.37 , N/A ,$76.37 ,$76.37 ,$80.87 ,$80.87 ,$70.53 ,$74.22 , N/A ,$58.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111518,N/A,MOD-PURPLE INTRAOSSEUS,270,1 ,$155.90 ,$101.34 ,$101.34 ,$140.39 ,$124.72 , N/A ,$123.54 ,$140.39 ,$140.39 , N/A ,$132.52 ,$115.37 , N/A , N/A , N/A ,$130.02 , N/A ,$128.77 ,$124.72 ,$140.31 , N/A ,$132.52 , N/A ,$132.52 ,$132.52 ,$140.31 ,$140.31 ,$122.38 ,$128.77 , N/A ,$101.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111519,N/A,MOD-GREEN O2 DELIVERY,270,1 ,$53.90 ,$35.04 ,$35.04 ,$48.54 ,$43.12 , N/A ,$42.71 ,$48.54 ,$48.54 , N/A ,$45.82 ,$39.89 , N/A , N/A , N/A ,$44.95 , N/A ,$44.52 ,$43.12 ,$48.51 , N/A ,$45.82 , N/A ,$45.82 ,$45.82 ,$48.51 ,$48.51 ,$42.31 ,$44.52 , N/A ,$35.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111520,N/A,MOD-RED/PINK INTUBATION,270,1 ,$116.40 ,$75.66 ,$75.66 ,$104.82 ,$93.12 , N/A ,$92.24 ,$104.82 ,$104.82 , N/A ,$98.94 ,$86.14 , N/A , N/A , N/A ,$97.08 , N/A ,$96.15 ,$93.12 ,$104.76 , N/A ,$98.94 , N/A ,$98.94 ,$98.94 ,$104.76 ,$104.76 ,$91.37 ,$96.15 , N/A ,$75.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111521,N/A,MOD-WHITE INTUBATION,270,1 ,$116.40 ,$75.66 ,$75.66 ,$104.82 ,$93.12 , N/A ,$92.24 ,$104.82 ,$104.82 , N/A ,$98.94 ,$86.14 , N/A , N/A , N/A ,$97.08 , N/A ,$96.15 ,$93.12 ,$104.76 , N/A ,$98.94 , N/A ,$98.94 ,$98.94 ,$104.76 ,$104.76 ,$91.37 ,$96.15 , N/A ,$75.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111522,N/A,MOD-YELLOW IV DELIVERY,270,1 ,$89.85 ,$58.40 ,$58.40 ,$80.91 ,$71.88 , N/A ,$71.20 ,$80.91 ,$80.91 , N/A ,$76.37 ,$66.49 , N/A , N/A , N/A ,$74.93 , N/A ,$74.22 ,$71.88 ,$80.87 , N/A ,$76.37 , N/A ,$76.37 ,$76.37 ,$80.87 ,$80.87 ,$70.53 ,$74.22 , N/A ,$58.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111523,N/A,MOD-GREEN IV DELIVERY,270,1 ,$89.85 ,$58.40 ,$58.40 ,$80.91 ,$71.88 , N/A ,$71.20 ,$80.91 ,$80.91 , N/A ,$76.37 ,$66.49 , N/A , N/A , N/A ,$74.93 , N/A ,$74.22 ,$71.88 ,$80.87 , N/A ,$76.37 , N/A ,$76.37 ,$76.37 ,$80.87 ,$80.87 ,$70.53 ,$74.22 , N/A ,$58.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111524,N/A,MOD-BLUE O2 DELIVERY,270,1 ,$53.90 ,$35.04 ,$35.04 ,$48.54 ,$43.12 , N/A ,$42.71 ,$48.54 ,$48.54 , N/A ,$45.82 ,$39.89 , N/A , N/A , N/A ,$44.95 , N/A ,$44.52 ,$43.12 ,$48.51 , N/A ,$45.82 , N/A ,$45.82 ,$45.82 ,$48.51 ,$48.51 ,$42.31 ,$44.52 , N/A ,$35.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111525,N/A,MOD-YELLOW INTRAOSSEUS,270,1 ,$155.90 ,$101.34 ,$101.34 ,$140.39 ,$124.72 , N/A ,$123.54 ,$140.39 ,$140.39 , N/A ,$132.52 ,$115.37 , N/A , N/A , N/A ,$130.02 , N/A ,$128.77 ,$124.72 ,$140.31 , N/A ,$132.52 , N/A ,$132.52 ,$132.52 ,$140.31 ,$140.31 ,$122.38 ,$128.77 , N/A ,$101.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111605,N/A,MOUTHWASH,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60111613,N/A,MOUTH CARE KITS,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121100,N/A,NASAL BALLOON-SLIM,270,1 ,$38.95 ,$25.32 ,$25.32 ,$35.07 ,$31.16 , N/A ,$30.86 ,$35.07 ,$35.07 , N/A ,$33.11 ,$28.82 , N/A , N/A , N/A ,$32.48 , N/A ,$32.17 ,$31.16 ,$35.06 , N/A ,$33.11 , N/A ,$33.11 ,$33.11 ,$35.06 ,$35.06 ,$30.58 ,$32.17 , N/A ,$25.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121120,N/A,NASAL BALLOON-REG,270,1 ,$38.95 ,$25.32 ,$25.32 ,$35.07 ,$31.16 , N/A ,$30.86 ,$35.07 ,$35.07 , N/A ,$33.11 ,$28.82 , N/A , N/A , N/A ,$32.48 , N/A ,$32.17 ,$31.16 ,$35.06 , N/A ,$33.11 , N/A ,$33.11 ,$33.11 ,$35.06 ,$35.06 ,$30.58 ,$32.17 , N/A ,$25.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121200,N/A,NASOPHARAN TUBE 6. 0M,270,1 ,$22.40 ,$14.56 ,$14.56 ,$20.17 ,$17.92 , N/A ,$17.75 ,$20.17 ,$20.17 , N/A ,$19.04 ,$16.58 , N/A , N/A , N/A ,$18.68 , N/A ,$18.50 ,$17.92 ,$20.16 , N/A ,$19.04 , N/A ,$19.04 ,$19.04 ,$20.16 ,$20.16 ,$17.58 ,$18.50 , N/A ,$14.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121210,N/A,NASOPHARYNGEAL AIRWAY 7. O M 28FR,270,1 ,$22.40 ,$14.56 ,$14.56 ,$20.17 ,$17.92 , N/A ,$17.75 ,$20.17 ,$20.17 , N/A ,$19.04 ,$16.58 , N/A , N/A , N/A ,$18.68 , N/A ,$18.50 ,$17.92 ,$20.16 , N/A ,$19.04 , N/A ,$19.04 ,$19.04 ,$20.16 ,$20.16 ,$17.58 ,$18.50 , N/A ,$14.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121220,N/A,NASOPHARYNGEAL AIRWAY 8. OMM 32FR,270,1 ,$22.40 ,$14.56 ,$14.56 ,$20.17 ,$17.92 , N/A ,$17.75 ,$20.17 ,$20.17 , N/A ,$19.04 ,$16.58 , N/A , N/A , N/A ,$18.68 , N/A ,$18.50 ,$17.92 ,$20.16 , N/A ,$19.04 , N/A ,$19.04 ,$19.04 ,$20.16 ,$20.16 ,$17.58 ,$18.50 , N/A ,$14.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121315,N/A,NEEDLE-HUBER 20X3/4,278,1 ,$20.60 ,$13.39 ,$13.39 ,$18.55 ,$16.48 , N/A ,$16.32 ,$18.55 ,$18.55 , N/A ,$17.51 ,$15.24 , N/A , N/A , N/A ,$17.18 , N/A ,$17.02 ,$16.48 ,$18.54 , N/A ,$17.51 , N/A ,$17.51 ,$17.51 ,$18.54 ,$18.54 ,$16.17 ,$17.02 , N/A ,$13.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121319,N/A,NEEDLE-HUBER 20X1,270,1 ,$20.60 ,$13.39 ,$13.39 ,$18.55 ,$16.48 , N/A ,$16.32 ,$18.55 ,$18.55 , N/A ,$17.51 ,$15.24 , N/A , N/A , N/A ,$17.18 , N/A ,$17.02 ,$16.48 ,$18.54 , N/A ,$17.51 , N/A ,$17.51 ,$17.51 ,$18.54 ,$18.54 ,$16.17 ,$17.02 , N/A ,$13.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121500,N/A,NEEDLE-WHIT 25X3 1/2,270,1 ,$32.95 ,$21.42 ,$21.42 ,$29.67 ,$26.36 , N/A ,$26.11 ,$29.67 ,$29.67 , N/A ,$28.01 ,$24.38 , N/A , N/A , N/A ,$27.48 , N/A ,$27.22 ,$26.36 ,$29.66 , N/A ,$28.01 , N/A ,$28.01 ,$28.01 ,$29.66 ,$29.66 ,$25.87 ,$27.22 , N/A ,$21.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121800,N/A,NUTRAKE-ADULT EMERGENCY CRICOTHYROIDOTOM,270,1 ,$302.70 ,$196.76 ,$196.76 ,$272.58 ,$242.16 , N/A ,$239.86 ,$272.58 ,$272.58 , N/A ,$257.30 ,$224.00 , N/A , N/A , N/A ,$252.45 , N/A ,$250.03 ,$242.16 ,$272.43 , N/A ,$257.30 , N/A ,$257.30 ,$257.30 ,$272.43 ,$272.43 ,$237.62 ,$250.03 , N/A ,$196.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60121801,N/A,PEDIA-TRAKE,270,1 ,$340.00 ,$221.00 ,$221.00 ,$306.17 ,$272.00 , N/A ,$269.42 ,$306.17 ,$306.17 , N/A ,$289.00 ,$251.60 , N/A , N/A , N/A ,$283.56 , N/A ,$280.84 ,$272.00 ,$306.00 , N/A ,$289.00 , N/A ,$289.00 ,$289.00 ,$306.00 ,$306.00 ,$266.90 ,$280.84 , N/A ,$221.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),601300,N/A,RHINO ROCKET-SM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601301,N/A,RHINO ROCKET-LG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),601302,N/A,RHINO ROCKET-MED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60131074,N/A,COLOSTOMY BAG,270,1 ,$15.20 ,$9.88 ,$9.88 ,$13.69 ,$12.16 , N/A ,$12.04 ,$13.69 ,$13.69 , N/A ,$12.92 ,$11.25 , N/A , N/A , N/A ,$12.68 , N/A ,$12.56 ,$12.16 ,$13.68 , N/A ,$12.92 , N/A ,$12.92 ,$12.92 ,$13.68 ,$13.68 ,$11.93 ,$12.56 , N/A ,$9.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),60131140,N/A,TEGADERM 2X3,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),601350,N/A,DERMA+FLEX TISSUE ADHESIVE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60135000,N/A,OPUS-MAG.IMPLANT **,272,1 ,$450.00 ,$292.50 ,$292.50 ,$405.23 ,$360.00 , N/A ,$356.58 ,$405.23 ,$405.23 , N/A ,$382.50 ,$333.00 , N/A , N/A , N/A ,$375.30 , N/A ,$371.70 ,$360.00 ,$405.00 , N/A ,$382.50 , N/A ,$382.50 ,$382.50 ,$405.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60135001,N/A,OPUS-M CONNECTOR **,272,1 ,$250.00 ,$162.50 ,$162.50 ,$225.13 ,$200.00 , N/A ,$198.10 ,$225.13 ,$225.13 , N/A ,$212.50 ,$185.00 , N/A , N/A , N/A ,$208.50 , N/A ,$206.50 ,$200.00 ,$225.00 , N/A ,$212.50 , N/A ,$212.50 ,$212.50 ,$225.00 ,$225.00 ,$196.25 ,$206.50 , N/A ,$162.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60135002,N/A,OPUS-SUT.CARTRIDGE **,272,1 ,$320.00 ,$208.00 ,$208.00 ,$288.16 ,$256.00 , N/A ,$253.57 ,$288.16 ,$288.16 , N/A ,$272.00 ,$236.80 , N/A , N/A , N/A ,$266.88 , N/A ,$264.32 ,$256.00 ,$288.00 , N/A ,$272.00 , N/A ,$272.00 ,$272.00 ,$288.00 ,$288.00 ,$251.20 ,$264.32 , N/A ,$208.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141000,N/A,PELVIC EXAM DEVICE,270,1 ,$20.50 ,$13.33 ,$13.33 ,$18.46 ,$16.40 , N/A ,$16.24 ,$18.46 ,$18.46 , N/A ,$17.43 ,$15.17 , N/A , N/A , N/A ,$17.10 , N/A ,$16.93 ,$16.40 ,$18.45 , N/A ,$17.43 , N/A ,$17.43 ,$17.43 ,$18.45 ,$18.45 ,$16.09 ,$16.93 , N/A ,$13.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141004,N/A,SPECULUM LIGHTED SMALL,270,1 ,$20.50 ,$13.33 ,$13.33 ,$18.46 ,$16.40 , N/A ,$16.24 ,$18.46 ,$18.46 , N/A ,$17.43 ,$15.17 , N/A , N/A , N/A ,$17.10 , N/A ,$16.93 ,$16.40 ,$18.45 , N/A ,$17.43 , N/A ,$17.43 ,$17.43 ,$18.45 ,$18.45 ,$16.09 ,$16.93 , N/A ,$13.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141005,N/A,SPECULUM LIGHTED MEDIUM,270,1 ,$20.50 ,$13.33 ,$13.33 ,$18.46 ,$16.40 , N/A ,$16.24 ,$18.46 ,$18.46 , N/A ,$17.43 ,$15.17 , N/A , N/A , N/A ,$17.10 , N/A ,$16.93 ,$16.40 ,$18.45 , N/A ,$17.43 , N/A ,$17.43 ,$17.43 ,$18.45 ,$18.45 ,$16.09 ,$16.93 , N/A ,$13.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141006,N/A,SPECULUM LIGHTED LARGE,270,1 ,$20.50 ,$13.33 ,$13.33 ,$18.46 ,$16.40 , N/A ,$16.24 ,$18.46 ,$18.46 , N/A ,$17.43 ,$15.17 , N/A , N/A , N/A ,$17.10 , N/A ,$16.93 ,$16.40 ,$18.45 , N/A ,$17.43 , N/A ,$17.43 ,$17.43 ,$18.45 ,$18.45 ,$16.09 ,$16.93 , N/A ,$13.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141008,N/A,PACK-BASIC,270,1 ,$34.35 ,$22.33 ,$22.33 ,$30.93 ,$27.48 , N/A ,$27.22 ,$30.93 ,$30.93 , N/A ,$29.20 ,$25.42 , N/A , N/A , N/A ,$28.65 , N/A ,$28.37 ,$27.48 ,$30.92 , N/A ,$29.20 , N/A ,$29.20 ,$29.20 ,$30.92 ,$30.92 ,$26.96 ,$28.37 , N/A ,$22.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141015,N/A,PACK-EXTREMITY,270,1 ,$125.05 ,$81.28 ,$81.28 ,$112.61 ,$100.04 , N/A ,$99.09 ,$112.61 ,$112.61 , N/A ,$106.29 ,$92.54 , N/A , N/A , N/A ,$104.29 , N/A ,$103.29 ,$100.04 ,$112.55 , N/A ,$106.29 , N/A ,$106.29 ,$106.29 ,$112.55 ,$112.55 ,$98.16 ,$103.29 , N/A ,$81.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141024,N/A,HVY DRSG PACK CURITY,270,1 ,$13.00 ,$8.45 ,$8.45 ,$11.71 ,$10.40 , N/A ,$10.30 ,$11.71 ,$11.71 , N/A ,$11.05 ,$9.62 , N/A , N/A , N/A ,$10.84 , N/A ,$10.74 ,$10.40 ,$11.70 , N/A ,$11.05 , N/A ,$11.05 ,$11.05 ,$11.70 ,$11.70 ,$10.21 ,$10.74 , N/A ,$8.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141065,N/A,PACK-LAP,270,1 ,$58.00 ,$37.70 ,$37.70 ,$52.23 ,$46.40 , N/A ,$45.96 ,$52.23 ,$52.23 , N/A ,$49.30 ,$42.92 , N/A , N/A , N/A ,$48.37 , N/A ,$47.91 ,$46.40 ,$52.20 , N/A ,$49.30 , N/A ,$49.30 ,$49.30 ,$52.20 ,$52.20 ,$45.53 ,$47.91 , N/A ,$37.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141070,N/A,PACK-ORTHO 1,270,1 ,$88.10 ,$57.27 ,$57.27 ,$79.33 ,$70.48 , N/A ,$69.81 ,$79.33 ,$79.33 , N/A ,$74.89 ,$65.19 , N/A , N/A , N/A ,$73.48 , N/A ,$72.77 ,$70.48 ,$79.29 , N/A ,$74.89 , N/A ,$74.89 ,$74.89 ,$79.29 ,$79.29 ,$69.16 ,$72.77 , N/A ,$57.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141100,N/A,PACK-CYSTO,270,1 ,$52.05 ,$33.83 ,$33.83 ,$46.87 ,$41.64 , N/A ,$41.24 ,$46.87 ,$46.87 , N/A ,$44.24 ,$38.52 , N/A , N/A , N/A ,$43.41 , N/A ,$42.99 ,$41.64 ,$46.85 , N/A ,$44.24 , N/A ,$44.24 ,$44.24 ,$46.85 ,$46.85 ,$40.86 ,$42.99 , N/A ,$33.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141200,N/A,PENROSE TUBING **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141300,N/A,PEG KIT-20FR,270,1 ,$252.70 ,$164.26 ,$164.26 ,$227.56 ,$202.16 , N/A ,$200.24 ,$227.56 ,$227.56 , N/A ,$214.80 ,$187.00 , N/A , N/A , N/A ,$210.75 , N/A ,$208.73 ,$202.16 ,$227.43 , N/A ,$214.80 , N/A ,$214.80 ,$214.80 ,$227.43 ,$227.43 ,$198.37 ,$208.73 , N/A ,$164.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141305,N/A,PERI BOTTLE,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141404,N/A,PERI PADS,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141501,N/A,PFLEX TRAINER,270,1 ,$42.05 ,$27.33 ,$27.33 ,$37.87 ,$33.64 , N/A ,$33.32 ,$37.87 ,$37.87 , N/A ,$35.74 ,$31.12 , N/A , N/A , N/A ,$35.07 , N/A ,$34.73 ,$33.64 ,$37.85 , N/A ,$35.74 , N/A ,$35.74 ,$35.74 ,$37.85 ,$37.85 ,$33.01 ,$34.73 , N/A ,$27.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141502,N/A,PICC LINE 3.0 FR,270,1 ,$189.30 ,$123.05 ,$123.05 ,$170.46 ,$151.44 , N/A ,$150.00 ,$170.46 ,$170.46 , N/A ,$160.91 ,$140.08 , N/A , N/A , N/A ,$157.88 , N/A ,$156.36 ,$151.44 ,$170.37 , N/A ,$160.91 , N/A ,$160.91 ,$160.91 ,$170.37 ,$170.37 ,$148.60 ,$156.36 , N/A ,$123.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141503,N/A,PICC LINE 4.0 FR,270,1 ,$189.30 ,$123.05 ,$123.05 ,$170.46 ,$151.44 , N/A ,$150.00 ,$170.46 ,$170.46 , N/A ,$160.91 ,$140.08 , N/A , N/A , N/A ,$157.88 , N/A ,$156.36 ,$151.44 ,$170.37 , N/A ,$160.91 , N/A ,$160.91 ,$160.91 ,$170.37 ,$170.37 ,$148.60 ,$156.36 , N/A ,$123.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141504,N/A,PICC INTRODUCER 3.0,270,1 ,$54.10 ,$35.17 ,$35.17 ,$48.72 ,$43.28 , N/A ,$42.87 ,$48.72 ,$48.72 , N/A ,$45.99 ,$40.03 , N/A , N/A , N/A ,$45.12 , N/A ,$44.69 ,$43.28 ,$48.69 , N/A ,$45.99 , N/A ,$45.99 ,$45.99 ,$48.69 ,$48.69 ,$42.47 ,$44.69 , N/A ,$35.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141505,N/A,PICC INTRODUCER 4.0,270,1 ,$54.10 ,$35.17 ,$35.17 ,$48.72 ,$43.28 , N/A ,$42.87 ,$48.72 ,$48.72 , N/A ,$45.99 ,$40.03 , N/A , N/A , N/A ,$45.12 , N/A ,$44.69 ,$43.28 ,$48.69 , N/A ,$45.99 , N/A ,$45.99 ,$45.99 ,$48.69 ,$48.69 ,$42.47 ,$44.69 , N/A ,$35.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141506,N/A,PICC INSERTION TRAY,270,1 ,$37.85 ,$24.60 ,$24.60 ,$34.08 ,$30.28 , N/A ,$29.99 ,$34.08 ,$34.08 , N/A ,$32.17 ,$28.01 , N/A , N/A , N/A ,$31.57 , N/A ,$31.26 ,$30.28 ,$34.07 , N/A ,$32.17 , N/A ,$32.17 ,$32.17 ,$34.07 ,$34.07 ,$29.71 ,$31.26 , N/A ,$24.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141507,N/A,PICC DRESSING TRAY,270,1 ,$16.20 ,$10.53 ,$10.53 ,$14.59 ,$12.96 , N/A ,$12.84 ,$14.59 ,$14.59 , N/A ,$13.77 ,$11.99 , N/A , N/A , N/A ,$13.51 , N/A ,$13.38 ,$12.96 ,$14.58 , N/A ,$13.77 , N/A ,$13.77 ,$13.77 ,$14.58 ,$14.58 ,$12.72 ,$13.38 , N/A ,$10.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141508,N/A,PICC REPAIR KIT,270,1 ,$37.85 ,$24.60 ,$24.60 ,$34.08 ,$30.28 , N/A ,$29.99 ,$34.08 ,$34.08 , N/A ,$32.17 ,$28.01 , N/A , N/A , N/A ,$31.57 , N/A ,$31.26 ,$30.28 ,$34.07 , N/A ,$32.17 , N/A ,$32.17 ,$32.17 ,$34.07 ,$34.07 ,$29.71 ,$31.26 , N/A ,$24.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60141917,N/A,POWDER,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60142000,C1788,PORT-BARD TITANIUM **,272,1 ,$962.60 ,$625.69 ,$625.69 ,$866.82 ,$770.08 , N/A ,$762.76 ,$866.82 ,$866.82 , N/A ,$818.21 ,$712.32 , N/A , N/A , N/A ,$802.81 , N/A ,$795.11 ,$770.08 ,$866.34 , N/A ,$818.21 , N/A ,$818.21 ,$818.21 ,$866.34 ,$866.34 ,$755.64 ,$795.11 , N/A ,$625.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60142006,N/A,PREP TRAY,270,1 ,$7.60 ,$4.94 ,$4.94 ,$6.84 ,$6.08 , N/A ,$6.02 ,$6.84 ,$6.84 , N/A ,$6.46 ,$5.62 , N/A , N/A , N/A ,$6.34 , N/A ,$6.28 ,$6.08 ,$6.84 , N/A ,$6.46 , N/A ,$6.46 ,$6.46 ,$6.84 ,$6.84 ,$5.97 ,$6.28 , N/A ,$4.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),60142402,N/A,PACK - O B,270,1 ,$41.65 ,$27.07 ,$27.07 ,$37.51 ,$33.32 , N/A ,$33.00 ,$37.51 ,$37.51 , N/A ,$35.40 ,$30.82 , N/A , N/A , N/A ,$34.74 , N/A ,$34.40 ,$33.32 ,$37.49 , N/A ,$35.40 , N/A ,$35.40 ,$35.40 ,$37.49 ,$37.49 ,$32.70 ,$34.40 , N/A ,$27.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143000,N/A,"PLASTIC-PADDING 2""",270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143001,N/A,RESTRAINT/ USE,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60143010,N/A,"PLASTIC-PADDING 3""",270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143020,N/A,"PLASTIC-PADDING 4""",270,1 ,$7.80 ,$5.07 ,$5.07 ,$7.02 ,$6.24 , N/A ,$6.18 ,$7.02 ,$7.02 , N/A ,$6.63 ,$5.77 , N/A , N/A , N/A ,$6.51 , N/A ,$6.44 ,$6.24 ,$7.02 , N/A ,$6.63 , N/A ,$6.63 ,$6.63 ,$7.02 ,$7.02 ,$6.12 ,$6.44 , N/A ,$5.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143030,N/A,"PLASTIC-PADDING 6""",270,1 ,$23.50 ,$15.28 ,$15.28 ,$21.16 ,$18.80 , N/A ,$18.62 ,$21.16 ,$21.16 , N/A ,$19.98 ,$17.39 , N/A , N/A , N/A ,$19.60 , N/A ,$19.41 ,$18.80 ,$21.15 , N/A ,$19.98 , N/A ,$19.98 ,$19.98 ,$21.15 ,$21.15 ,$18.45 ,$19.41 , N/A ,$15.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143100,N/A,"PLASTER-SPLINT 3""",270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143110,N/A,"PLASTER-SPLINT 4""",270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143120,N/A,"PLASTER-SPLINTS 5""",270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143200,N/A,PLASTER SPLINT 3 IN,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143210,N/A,PLASTER SPLINT 4 IN,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60143220,N/A,PLASTER SPLINT 5 IN,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60144000,N/A,PREP-SKINWIPES,270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60144001,N/A,SHUR-CLENS.WOUND CLEANSER,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60144003,N/A,WOUND WASH-SALINE,270,1 ,$19.75 ,$12.84 ,$12.84 ,$17.78 ,$15.80 , N/A ,$15.65 ,$17.78 ,$17.78 , N/A ,$16.79 ,$14.62 , N/A , N/A , N/A ,$16.47 , N/A ,$16.31 ,$15.80 ,$17.78 , N/A ,$16.79 , N/A ,$16.79 ,$16.79 ,$17.78 ,$17.78 ,$15.50 ,$16.31 , N/A ,$12.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),601500,N/A,WHIRLPOOL DISINFECTANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60151007,N/A,RAZOR DISP,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60151010,N/A,RAZORS-SURGICAL,270,1 ,$27.40 ,$17.81 ,$17.81 ,$24.67 ,$21.92 , N/A ,$21.71 ,$24.67 ,$24.67 , N/A ,$23.29 ,$20.28 , N/A , N/A , N/A ,$22.85 , N/A ,$22.63 ,$21.92 ,$24.66 , N/A ,$23.29 , N/A ,$23.29 ,$23.29 ,$24.66 ,$24.66 ,$21.51 ,$22.63 , N/A ,$17.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60151101,L0220,RIBELT-M UNIVERSAL **,274,1 ,$19.30 ,$12.55 ,$12.55 ,$269.01 ,$15.44 ,$107.60 ,$15.29 ,$17.38 ,$17.38 ,$204.45 ,$16.41 ,$14.28 ,$269.01 ,$107.60 , N/A ,$16.10 ,$107.60 ,$15.94 ,$15.44 ,$17.37 ,$19.30 ,$16.41 ,$19.30 ,$16.41 ,$16.41 ,$17.37 ,$17.37 ,$15.15 ,$15.94 ,$19.30 ,$12.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),60151102,L0220,RIBELT-F UNIVERSAL **,274,1 ,$19.30 ,$12.55 ,$12.55 ,$269.01 ,$15.44 ,$107.60 ,$15.29 ,$17.38 ,$17.38 ,$204.45 ,$16.41 ,$14.28 ,$269.01 ,$107.60 , N/A ,$16.10 ,$107.60 ,$15.94 ,$15.44 ,$17.37 ,$19.30 ,$16.41 ,$19.30 ,$16.41 ,$16.41 ,$17.37 ,$17.37 ,$15.15 ,$15.94 ,$19.30 ,$12.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),60151106,L0220,RIBELT-M XL **,274,1 ,$27.40 ,$17.81 ,$17.81 ,$273.06 ,$21.92 ,$109.22 ,$21.71 ,$24.67 ,$24.67 ,$207.53 ,$23.29 ,$20.28 ,$273.06 ,$109.22 , N/A ,$22.85 ,$109.22 ,$22.63 ,$21.92 ,$24.66 ,$27.40 ,$23.29 ,$27.40 ,$23.29 ,$23.29 ,$24.66 ,$24.66 ,$21.51 ,$22.63 ,$27.40 ,$17.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60151114,L0220,RIBELT-F XXL **,274,1 ,$27.40 ,$17.81 ,$17.81 ,$273.06 ,$21.92 ,$109.22 ,$21.71 ,$24.67 ,$24.67 ,$207.53 ,$23.29 ,$20.28 ,$273.06 ,$109.22 , N/A ,$22.85 ,$109.22 ,$22.63 ,$21.92 ,$24.66 ,$27.40 ,$23.29 ,$27.40 ,$23.29 ,$23.29 ,$24.66 ,$24.66 ,$21.51 ,$22.63 ,$27.40 ,$17.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60151205,N/A,RESTRAINT DISP,270,1 ,$14.55 ,$9.46 ,$9.46 ,$13.10 ,$11.64 , N/A ,$11.53 ,$13.10 ,$13.10 , N/A ,$12.37 ,$10.77 , N/A , N/A , N/A ,$12.13 , N/A ,$12.02 ,$11.64 ,$13.10 , N/A ,$12.37 , N/A ,$12.37 ,$12.37 ,$13.10 ,$13.10 ,$11.42 ,$12.02 , N/A ,$9.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),60160002,N/A,"SCOTCHCAST 2""SPLINTING",270,1 ,$33.70 ,$21.91 ,$21.91 ,$30.35 ,$26.96 , N/A ,$26.70 ,$30.35 ,$30.35 , N/A ,$28.65 ,$24.94 , N/A , N/A , N/A ,$28.11 , N/A ,$27.84 ,$26.96 ,$30.33 , N/A ,$28.65 , N/A ,$28.65 ,$28.65 ,$30.33 ,$30.33 ,$26.45 ,$27.84 , N/A ,$21.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60160003,N/A,"SCOTCHCAST 3""SPLINTING",270,1 ,$40.60 ,$26.39 ,$26.39 ,$36.56 ,$32.48 , N/A ,$32.17 ,$36.56 ,$36.56 , N/A ,$34.51 ,$30.04 , N/A , N/A , N/A ,$33.86 , N/A ,$33.54 ,$32.48 ,$36.54 , N/A ,$34.51 , N/A ,$34.51 ,$34.51 ,$36.54 ,$36.54 ,$31.87 ,$33.54 , N/A ,$26.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60160004,N/A,"SCOTCHCAST 4""SPLINTING",270,1 ,$47.90 ,$31.14 ,$31.14 ,$43.13 ,$38.32 , N/A ,$37.96 ,$43.13 ,$43.13 , N/A ,$40.72 ,$35.45 , N/A , N/A , N/A ,$39.95 , N/A ,$39.57 ,$38.32 ,$43.11 , N/A ,$40.72 , N/A ,$40.72 ,$40.72 ,$43.11 ,$43.11 ,$37.60 ,$39.57 , N/A ,$31.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60160005,N/A,"SCOTCHCAST 5""SPLINTING",270,1 ,$96.20 ,$62.53 ,$62.53 ,$86.63 ,$76.96 , N/A ,$76.23 ,$86.63 ,$86.63 , N/A ,$81.77 ,$71.19 , N/A , N/A , N/A ,$80.23 , N/A ,$79.46 ,$76.96 ,$86.58 , N/A ,$81.77 , N/A ,$81.77 ,$81.77 ,$86.58 ,$86.58 ,$75.52 ,$79.46 , N/A ,$62.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161006,N/A,SHAMPOO,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161105,N/A,SANI BELT,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161200,N/A,SCRUB TRAY,270,1 ,$21.25 ,$13.81 ,$13.81 ,$19.14 ,$17.00 , N/A ,$16.84 ,$19.14 ,$19.14 , N/A ,$18.06 ,$15.73 , N/A , N/A , N/A ,$17.72 , N/A ,$17.55 ,$17.00 ,$19.13 , N/A ,$18.06 , N/A ,$18.06 ,$18.06 ,$19.13 ,$19.13 ,$16.68 ,$17.55 , N/A ,$13.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161605,N/A,SLING-ARM XSM PED **,270,1 ,$20.90 ,$13.59 ,$13.59 ,$18.82 ,$16.72 , N/A ,$16.56 ,$18.82 ,$18.82 , N/A ,$17.77 ,$15.47 , N/A , N/A , N/A ,$17.43 , N/A ,$17.26 ,$16.72 ,$18.81 , N/A ,$17.77 , N/A ,$17.77 ,$17.77 ,$18.81 ,$18.81 ,$16.41 ,$17.26 , N/A ,$13.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161608,N/A,SLING ARM SMALL **,270,1 ,$20.90 ,$13.59 ,$13.59 ,$18.82 ,$16.72 , N/A ,$16.56 ,$18.82 ,$18.82 , N/A ,$17.77 ,$15.47 , N/A , N/A , N/A ,$17.43 , N/A ,$17.26 ,$16.72 ,$18.81 , N/A ,$17.77 , N/A ,$17.77 ,$17.77 ,$18.81 ,$18.81 ,$16.41 ,$17.26 , N/A ,$13.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161618,N/A,SLING ARM MEDIUM **,270,1 ,$20.90 ,$13.59 ,$13.59 ,$18.82 ,$16.72 , N/A ,$16.56 ,$18.82 ,$18.82 , N/A ,$17.77 ,$15.47 , N/A , N/A , N/A ,$17.43 , N/A ,$17.26 ,$16.72 ,$18.81 , N/A ,$17.77 , N/A ,$17.77 ,$17.77 ,$18.81 ,$18.81 ,$16.41 ,$17.26 , N/A ,$13.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161626,N/A,SLING ARM LARGE **,270,1 ,$20.90 ,$13.59 ,$13.59 ,$18.82 ,$16.72 , N/A ,$16.56 ,$18.82 ,$18.82 , N/A ,$17.77 ,$15.47 , N/A , N/A , N/A ,$17.43 , N/A ,$17.26 ,$16.72 ,$18.81 , N/A ,$17.77 , N/A ,$17.77 ,$17.77 ,$18.81 ,$18.81 ,$16.41 ,$17.26 , N/A ,$13.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161634,N/A,SLING ARM XLARGE **,270,1 ,$20.90 ,$13.59 ,$13.59 ,$18.82 ,$16.72 , N/A ,$16.56 ,$18.82 ,$18.82 , N/A ,$17.77 ,$15.47 , N/A , N/A , N/A ,$17.43 , N/A ,$17.26 ,$16.72 ,$18.81 , N/A ,$17.77 , N/A ,$17.77 ,$17.77 ,$18.81 ,$18.81 ,$16.41 ,$17.26 , N/A ,$13.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161650,N/A,SLING/SWATHE-SMALL **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161651,N/A,SLING/SWATHE-MEDIUM **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161652,N/A,SLING/SWATHE-LARGE **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161653,N/A,SLING/SWATHE--X-LARGE **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161808,N/A,SITZ BATH KIT **,270,1 ,$40.50 ,$26.33 ,$26.33 ,$36.47 ,$32.40 , N/A ,$32.09 ,$36.47 ,$36.47 , N/A ,$34.43 ,$29.97 , N/A , N/A , N/A ,$33.78 , N/A ,$33.45 ,$32.40 ,$36.45 , N/A ,$34.43 , N/A ,$34.43 ,$34.43 ,$36.45 ,$36.45 ,$31.79 ,$33.45 , N/A ,$26.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161901,N/A,SLIPPERS SMALL,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161907,N/A,SLIPPERS MED,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),60161915,N/A,SLIPPERS LG,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),60162814,N/A,SPAD 4X4,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60162850,N/A,SPECIMEN CONTAINER-SURG. ONLY,270,1 ,$28.70 ,$18.66 ,$18.66 ,$25.84 ,$22.96 , N/A ,$22.74 ,$25.84 ,$25.84 , N/A ,$24.40 ,$21.24 , N/A , N/A , N/A ,$23.94 , N/A ,$23.71 ,$22.96 ,$25.83 , N/A ,$24.40 , N/A ,$24.40 ,$24.40 ,$25.83 ,$25.83 ,$22.53 ,$23.71 , N/A ,$18.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60162905,N/A,SPONGE RAYTEC 4X4(VISTEC),270,1 ,$5.70 ,$3.71 ,$3.71 ,$5.13 ,$4.56 , N/A ,$4.52 ,$5.13 ,$5.13 , N/A ,$4.85 ,$4.22 , N/A , N/A , N/A ,$4.75 , N/A ,$4.71 ,$4.56 ,$5.13 , N/A ,$4.85 , N/A ,$4.85 ,$4.85 ,$5.13 ,$5.13 ,$4.47 ,$4.71 , N/A ,$3.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),60162920,N/A,SPONGE-KERLIX SUPER STERILE,270,1 ,$20.50 ,$13.33 ,$13.33 ,$18.46 ,$16.40 , N/A ,$16.24 ,$18.46 ,$18.46 , N/A ,$17.43 ,$15.17 , N/A , N/A , N/A ,$17.10 , N/A ,$16.93 ,$16.40 ,$18.45 , N/A ,$17.43 , N/A ,$17.43 ,$17.43 ,$18.45 ,$18.45 ,$16.09 ,$16.93 , N/A ,$13.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163000,N/A,STAXI-STAT,270,1 ,$24.60 ,$15.99 ,$15.99 ,$22.15 ,$19.68 , N/A ,$19.49 ,$22.15 ,$22.15 , N/A ,$20.91 ,$18.20 , N/A , N/A , N/A ,$20.52 , N/A ,$20.32 ,$19.68 ,$22.14 , N/A ,$20.91 , N/A ,$20.91 ,$20.91 ,$22.14 ,$22.14 ,$19.31 ,$20.32 , N/A ,$15.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163101,N/A,STERI STRIP 1/8 INCH,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163119,N/A,STERI STRIP 1/4 INCH,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163127,N/A,STERI STRIP 1/2 INCH,270,1 ,$1.35 ,$0.88 ,$0.88 ,$1.22 ,$1.08 , N/A ,$1.07 ,$1.22 ,$1.22 , N/A ,$1.15 ,$1.00 , N/A , N/A , N/A ,$1.13 , N/A ,$1.12 ,$1.08 ,$1.22 , N/A ,$1.15 , N/A ,$1.15 ,$1.15 ,$1.22 ,$1.22 ,$1.06 ,$1.12 , N/A ,$0.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163200,N/A,STERIS 20 STERILANT-WRONG ONE,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60163250,N/A,STOPCOCK 3WAY (HI-FLOW),270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163395,N/A,POLYTRAP-SUCTION,270,1 ,$48.60 ,$31.59 ,$31.59 ,$43.76 ,$38.88 , N/A ,$38.51 ,$43.76 ,$43.76 , N/A ,$41.31 ,$35.96 , N/A , N/A , N/A ,$40.53 , N/A ,$40.14 ,$38.88 ,$43.74 , N/A ,$41.31 , N/A ,$41.31 ,$41.31 ,$43.74 ,$43.74 ,$38.15 ,$40.14 , N/A ,$31.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163400,N/A,SUCTION CANISTERS-LARGE(2000cc),270,1 ,$10.80 ,$7.02 ,$7.02 ,$9.73 ,$8.64 , N/A ,$8.56 ,$9.73 ,$9.73 , N/A ,$9.18 ,$7.99 , N/A , N/A , N/A ,$9.01 , N/A ,$8.92 ,$8.64 ,$9.72 , N/A ,$9.18 , N/A ,$9.18 ,$9.18 ,$9.72 ,$9.72 ,$8.48 ,$8.92 , N/A ,$7.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163401,N/A,SUCTION CANISTERS-SMALL(1200cc),270,1 ,$10.80 ,$7.02 ,$7.02 ,$9.73 ,$8.64 , N/A ,$8.56 ,$9.73 ,$9.73 , N/A ,$9.18 ,$7.99 , N/A , N/A , N/A ,$9.01 , N/A ,$8.92 ,$8.64 ,$9.72 , N/A ,$9.18 , N/A ,$9.18 ,$9.18 ,$9.72 ,$9.72 ,$8.48 ,$8.92 , N/A ,$7.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163410,N/A,SUCTION TIP-YANKAUER,270,1 ,$2.95 ,$1.92 ,$1.92 ,$2.66 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 , N/A ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163415,N/A,SUCTION-TUBING **,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163420,N/A,SUCTION-POOLE **,270,1 ,$13.05 ,$8.48 ,$8.48 ,$11.75 ,$10.44 , N/A ,$10.34 ,$11.75 ,$11.75 , N/A ,$11.09 ,$9.66 , N/A , N/A , N/A ,$10.88 , N/A ,$10.78 ,$10.44 ,$11.75 , N/A ,$11.09 , N/A ,$11.09 ,$11.09 ,$11.75 ,$11.75 ,$10.24 ,$10.78 , N/A ,$8.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163804,N/A,SURGICEL 1/2 INCH,270,1 ,$39.15 ,$25.45 ,$25.45 ,$35.25 ,$31.32 , N/A ,$31.02 ,$35.25 ,$35.25 , N/A ,$33.28 ,$28.97 , N/A , N/A , N/A ,$32.65 , N/A ,$32.34 ,$31.32 ,$35.24 , N/A ,$33.28 , N/A ,$33.28 ,$33.28 ,$35.24 ,$35.24 ,$30.73 ,$32.34 , N/A ,$25.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163812,N/A,ETHICON SURGICEL 2X3,270,1 ,$95.33 ,$61.96 ,$61.96 ,$85.84 ,$76.26 , N/A ,$75.54 ,$85.84 ,$85.84 , N/A ,$81.03 ,$70.54 , N/A , N/A , N/A ,$79.51 , N/A ,$78.74 ,$76.26 ,$85.80 , N/A ,$81.03 , N/A ,$81.03 ,$81.03 ,$85.80 ,$85.80 ,$74.83 ,$78.74 , N/A ,$61.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163813,N/A,SURGICEL 4X8 ORDER BY EACH pg 5,270,1 ,$91.30 ,$59.35 ,$59.35 ,$82.22 ,$73.04 , N/A ,$72.35 ,$82.22 ,$82.22 , N/A ,$77.61 ,$67.56 , N/A , N/A , N/A ,$76.14 , N/A ,$75.41 ,$73.04 ,$82.17 , N/A ,$77.61 , N/A ,$77.61 ,$77.61 ,$82.17 ,$82.17 ,$71.67 ,$75.41 , N/A ,$59.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163903,N/A,SWAB ACUDYNE,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163904,N/A,SWABSTICK-ALCOHOL,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163929,N/A,SWAB LEMON GLYCERINE,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60163994,N/A,SWEEN CREAM 2oz,270,1 ,$32.45 ,$21.09 ,$21.09 ,$29.22 ,$25.96 , N/A ,$25.71 ,$29.22 ,$29.22 , N/A ,$27.58 ,$24.01 , N/A , N/A , N/A ,$27.06 , N/A ,$26.80 ,$25.96 ,$29.21 , N/A ,$27.58 , N/A ,$27.58 ,$27.58 ,$29.21 ,$29.21 ,$25.47 ,$26.80 , N/A ,$21.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164109,N/A,SPLINT WRIST SM LF **,270,1 ,$49.90 ,$32.44 ,$32.44 ,$44.94 ,$39.92 , N/A ,$39.54 ,$44.94 ,$44.94 , N/A ,$42.42 ,$36.93 , N/A , N/A , N/A ,$41.62 , N/A ,$41.22 ,$39.92 ,$44.91 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 ,$44.91 ,$44.91 ,$39.17 ,$41.22 , N/A ,$32.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164117,N/A,SPLINT WRIST MD RT **,270,1 ,$49.90 ,$32.44 ,$32.44 ,$44.94 ,$39.92 , N/A ,$39.54 ,$44.94 ,$44.94 , N/A ,$42.42 ,$36.93 , N/A , N/A , N/A ,$41.62 , N/A ,$41.22 ,$39.92 ,$44.91 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 ,$44.91 ,$44.91 ,$39.17 ,$41.22 , N/A ,$32.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164125,N/A,SPLINT WRIST MD LF **,270,1 ,$49.90 ,$32.44 ,$32.44 ,$44.94 ,$39.92 , N/A ,$39.54 ,$44.94 ,$44.94 , N/A ,$42.42 ,$36.93 , N/A , N/A , N/A ,$41.62 , N/A ,$41.22 ,$39.92 ,$44.91 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 ,$44.91 ,$44.91 ,$39.17 ,$41.22 , N/A ,$32.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164133,N/A,SPLINT WRIST LG RT **,270,1 ,$49.90 ,$32.44 ,$32.44 ,$44.94 ,$39.92 , N/A ,$39.54 ,$44.94 ,$44.94 , N/A ,$42.42 ,$36.93 , N/A , N/A , N/A ,$41.62 , N/A ,$41.22 ,$39.92 ,$44.91 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 ,$44.91 ,$44.91 ,$39.17 ,$41.22 , N/A ,$32.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164141,N/A,SPLINT WRIST LG LF **,270,1 ,$49.90 ,$32.44 ,$32.44 ,$44.94 ,$39.92 , N/A ,$39.54 ,$44.94 ,$44.94 , N/A ,$42.42 ,$36.93 , N/A , N/A , N/A ,$41.62 , N/A ,$41.22 ,$39.92 ,$44.91 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 ,$44.91 ,$44.91 ,$39.17 ,$41.22 , N/A ,$32.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164158,N/A,SPLINT WRIST XLG RT **,270,1 ,$49.90 ,$32.44 ,$32.44 ,$44.94 ,$39.92 , N/A ,$39.54 ,$44.94 ,$44.94 , N/A ,$42.42 ,$36.93 , N/A , N/A , N/A ,$41.62 , N/A ,$41.22 ,$39.92 ,$44.91 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 ,$44.91 ,$44.91 ,$39.17 ,$41.22 , N/A ,$32.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164166,N/A,SPLINT WRIST XLG LF **,270,1 ,$49.90 ,$32.44 ,$32.44 ,$44.94 ,$39.92 , N/A ,$39.54 ,$44.94 ,$44.94 , N/A ,$42.42 ,$36.93 , N/A , N/A , N/A ,$41.62 , N/A ,$41.22 ,$39.92 ,$44.91 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 ,$44.91 ,$44.91 ,$39.17 ,$41.22 , N/A ,$32.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164802,N/A,SHAVE CREAM,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164901,N/A,SPLINT WRIST SM RT **,270,1 ,$52.89 ,$34.38 ,$34.38 ,$47.63 ,$42.31 , N/A ,$41.91 ,$47.63 ,$47.63 , N/A ,$44.96 ,$39.14 , N/A , N/A , N/A ,$44.11 , N/A ,$43.69 ,$42.31 ,$47.60 , N/A ,$44.96 , N/A ,$44.96 ,$44.96 ,$47.60 ,$47.60 ,$41.52 ,$43.69 , N/A ,$34.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),60164945,N/A,WRIST BRACE-MED. LEFT **,270,1 ,$33.10 ,$21.52 ,$21.52 ,$29.81 ,$26.48 , N/A ,$26.23 ,$29.81 ,$29.81 , N/A ,$28.14 ,$24.49 , N/A , N/A , N/A ,$27.61 , N/A ,$27.34 ,$26.48 ,$29.79 , N/A ,$28.14 , N/A ,$28.14 ,$28.14 ,$29.79 ,$29.79 ,$25.98 ,$27.34 , N/A ,$21.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165001,N/A,N/A,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60165106,N/A,SALEM SUMP TUBE 14FR,270,1 ,$10.40 ,$6.76 ,$6.76 ,$9.37 ,$8.32 , N/A ,$8.24 ,$9.37 ,$9.37 , N/A ,$8.84 ,$7.70 , N/A , N/A , N/A ,$8.67 , N/A ,$8.59 ,$8.32 ,$9.36 , N/A ,$8.84 , N/A ,$8.84 ,$8.84 ,$9.36 ,$9.36 ,$8.16 ,$8.59 , N/A ,$6.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165114,N/A,SALEM SUMP TUBE 16FR,270,1 ,$8.90 ,$5.79 ,$5.79 ,$8.01 ,$7.12 , N/A ,$7.05 ,$8.01 ,$8.01 , N/A ,$7.57 ,$6.59 , N/A , N/A , N/A ,$7.42 , N/A ,$7.35 ,$7.12 ,$8.01 , N/A ,$7.57 , N/A ,$7.57 ,$7.57 ,$8.01 ,$8.01 ,$6.99 ,$7.35 , N/A ,$5.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165120,N/A,TUBING STERILE N710,270,1 ,$10.10 ,$6.57 ,$6.57 ,$9.10 ,$8.08 , N/A ,$8.00 ,$9.10 ,$9.10 , N/A ,$8.59 ,$7.47 , N/A , N/A , N/A ,$8.42 , N/A ,$8.34 ,$8.08 ,$9.09 , N/A ,$8.59 , N/A ,$8.59 ,$8.59 ,$9.09 ,$9.09 ,$7.93 ,$8.34 , N/A ,$6.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165122,N/A,SALEM SUMP TUBE 18FR,270,1 ,$8.85 ,$5.75 ,$5.75 ,$7.97 ,$7.08 , N/A ,$7.01 ,$7.97 ,$7.97 , N/A ,$7.52 ,$6.55 , N/A , N/A , N/A ,$7.38 , N/A ,$7.31 ,$7.08 ,$7.97 , N/A ,$7.52 , N/A ,$7.52 ,$7.52 ,$7.97 ,$7.97 ,$6.95 ,$7.31 , N/A ,$5.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165213,N/A,URINAL FEMALE HAT,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165221,N/A,CLEAN CATCH KIT,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165239,N/A,URINAL-MALE,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165400,N/A,SPONGE-LAP,270,1 ,$51.95 ,$33.77 ,$33.77 ,$46.78 ,$41.56 , N/A ,$41.17 ,$46.78 ,$46.78 , N/A ,$44.16 ,$38.44 , N/A , N/A , N/A ,$43.33 , N/A ,$42.91 ,$41.56 ,$46.76 , N/A ,$44.16 , N/A ,$44.16 ,$44.16 ,$46.76 ,$46.76 ,$40.78 ,$42.91 , N/A ,$33.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),60165505,N/A,"STOCKINETTE 6"" STERILE",270,1 ,$20.00 ,$13.00 ,$13.00 ,$18.01 ,$16.00 , N/A ,$15.85 ,$18.01 ,$18.01 , N/A ,$17.00 ,$14.80 , N/A , N/A , N/A ,$16.68 , N/A ,$16.52 ,$16.00 ,$18.00 , N/A ,$17.00 , N/A ,$17.00 ,$17.00 ,$18.00 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60170000,N/A,TRACH CUFFED 6.0 BLUE LINE**,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60170001,N/A,TRACH CUFFED 7.0 BLUE LINE**,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60170002,N/A,TRACH CUFFED 8.0 BLUE LINE**,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171100,N/A,TRACH TUBE 5.0,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171105,N/A,TRACH TUBE 5.5,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171110,N/A,TRACH TUBE 6.0,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171111,N/A,TRACH TUBE 6.0--UNCUFFED,270,1 ,$7.70 ,$5.01 ,$5.01 ,$6.93 ,$6.16 , N/A ,$6.10 ,$6.93 ,$6.93 , N/A ,$6.55 ,$5.70 , N/A , N/A , N/A ,$6.42 , N/A ,$6.36 ,$6.16 ,$6.93 , N/A ,$6.55 , N/A ,$6.55 ,$6.55 ,$6.93 ,$6.93 ,$6.04 ,$6.36 , N/A ,$5.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171115,N/A,TRACH TUBE 6.5,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171120,N/A,TRACH TUBE 7.0,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171125,N/A,TRACH TUBE 8.5,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171130,N/A,TRACH TUBE 9.0,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171200,N/A,TRACH TUBE PED#00,270,1 ,$149.30 ,$97.05 ,$97.05 ,$134.44 ,$119.44 , N/A ,$118.31 ,$134.44 ,$134.44 , N/A ,$126.91 ,$110.48 , N/A , N/A , N/A ,$124.52 , N/A ,$123.32 ,$119.44 ,$134.37 , N/A ,$126.91 , N/A ,$126.91 ,$126.91 ,$134.37 ,$134.37 ,$117.20 ,$123.32 , N/A ,$97.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171203,N/A,TRACH TUBE PED #0,270,1 ,$149.30 ,$97.05 ,$97.05 ,$134.44 ,$119.44 , N/A ,$118.31 ,$134.44 ,$134.44 , N/A ,$126.91 ,$110.48 , N/A , N/A , N/A ,$124.52 , N/A ,$123.32 ,$119.44 ,$134.37 , N/A ,$126.91 , N/A ,$126.91 ,$126.91 ,$134.37 ,$134.37 ,$117.20 ,$123.32 , N/A ,$97.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171211,N/A,TRACH TUBE PED #1,270,1 ,$149.30 ,$97.05 ,$97.05 ,$134.44 ,$119.44 , N/A ,$118.31 ,$134.44 ,$134.44 , N/A ,$126.91 ,$110.48 , N/A , N/A , N/A ,$124.52 , N/A ,$123.32 ,$119.44 ,$134.37 , N/A ,$126.91 , N/A ,$126.91 ,$126.91 ,$134.37 ,$134.37 ,$117.20 ,$123.32 , N/A ,$97.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171229,N/A,TRACH TUBE PED #2,270,1 ,$149.30 ,$97.05 ,$97.05 ,$134.44 ,$119.44 , N/A ,$118.31 ,$134.44 ,$134.44 , N/A ,$126.91 ,$110.48 , N/A , N/A , N/A ,$124.52 , N/A ,$123.32 ,$119.44 ,$134.37 , N/A ,$126.91 , N/A ,$126.91 ,$126.91 ,$134.37 ,$134.37 ,$117.20 ,$123.32 , N/A ,$97.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171237,N/A,TRACH TUBE PED #3,270,1 ,$149.30 ,$97.05 ,$97.05 ,$134.44 ,$119.44 , N/A ,$118.31 ,$134.44 ,$134.44 , N/A ,$126.91 ,$110.48 , N/A , N/A , N/A ,$124.52 , N/A ,$123.32 ,$119.44 ,$134.37 , N/A ,$126.91 , N/A ,$126.91 ,$126.91 ,$134.37 ,$134.37 ,$117.20 ,$123.32 , N/A ,$97.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171245,N/A,TRACH CANNULA 4,270,1 ,$182.85 ,$118.85 ,$118.85 ,$164.66 ,$146.28 , N/A ,$144.89 ,$164.66 ,$164.66 , N/A ,$155.42 ,$135.31 , N/A , N/A , N/A ,$152.50 , N/A ,$151.03 ,$146.28 ,$164.57 , N/A ,$155.42 , N/A ,$155.42 ,$155.42 ,$164.57 ,$164.57 ,$143.54 ,$151.03 , N/A ,$118.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171250,N/A,TRACH TUBE 8.0,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171251,N/A,TRACH TUBE 4.5,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171252,N/A,TRACH CANNULA 6,270,1 ,$182.85 ,$118.85 ,$118.85 ,$164.66 ,$146.28 , N/A ,$144.89 ,$164.66 ,$164.66 , N/A ,$155.42 ,$135.31 , N/A , N/A , N/A ,$152.50 , N/A ,$151.03 ,$146.28 ,$164.57 , N/A ,$155.42 , N/A ,$155.42 ,$155.42 ,$164.57 ,$164.57 ,$143.54 ,$151.03 , N/A ,$118.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171255,N/A,TRACH TUBE 7.5,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171260,N/A,TRACH CANNULA 8,270,1 ,$182.85 ,$118.85 ,$118.85 ,$164.66 ,$146.28 , N/A ,$144.89 ,$164.66 ,$164.66 , N/A ,$155.42 ,$135.31 , N/A , N/A , N/A ,$152.50 , N/A ,$151.03 ,$146.28 ,$164.57 , N/A ,$155.42 , N/A ,$155.42 ,$155.42 ,$164.57 ,$164.57 ,$143.54 ,$151.03 , N/A ,$118.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171500,N/A,TRACH TUBE 3.0,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171505,N/A,TRACH TUBE 3.5,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171510,N/A,TRACH TUBE 4.0,270,1 ,$23.05 ,$14.98 ,$14.98 ,$20.76 ,$18.44 , N/A ,$18.26 ,$20.76 ,$20.76 , N/A ,$19.59 ,$17.06 , N/A , N/A , N/A ,$19.22 , N/A ,$19.04 ,$18.44 ,$20.75 , N/A ,$19.59 , N/A ,$19.59 ,$19.59 ,$20.75 ,$20.75 ,$18.09 ,$19.04 , N/A ,$14.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171609,N/A,TELFA--do not use,270,1 ,$4.65 ,$3.02 ,$3.02 ,$4.19 ,$3.72 , N/A ,$3.68 ,$4.19 ,$4.19 , N/A ,$3.95 ,$3.44 , N/A , N/A , N/A ,$3.88 , N/A ,$3.84 ,$3.72 ,$4.19 , N/A ,$3.95 , N/A ,$3.95 ,$3.95 ,$4.19 ,$4.19 ,$3.65 ,$3.84 , N/A ,$3.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171708,N/A,TELEMETRY POUCH,270,1 ,$6.85 ,$4.45 ,$4.45 ,$6.17 ,$5.48 , N/A ,$5.43 ,$6.17 ,$6.17 , N/A ,$5.82 ,$5.07 , N/A , N/A , N/A ,$5.71 , N/A ,$5.66 ,$5.48 ,$6.17 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 ,$6.17 ,$6.17 ,$5.38 ,$5.66 , N/A ,$4.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171800,N/A,TUBING-ARTHROFLOW,270,1 ,$169.40 ,$110.11 ,$110.11 ,$152.54 ,$135.52 , N/A ,$134.23 ,$152.54 ,$152.54 , N/A ,$143.99 ,$125.36 , N/A , N/A , N/A ,$141.28 , N/A ,$139.92 ,$135.52 ,$152.46 , N/A ,$143.99 , N/A ,$143.99 ,$143.99 ,$152.46 ,$152.46 ,$132.98 ,$139.92 , N/A ,$110.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171807,N/A,THERM ORAL,270,1 ,$6.80 ,$4.42 ,$4.42 ,$6.12 ,$5.44 , N/A ,$5.39 ,$6.12 ,$6.12 , N/A ,$5.78 ,$5.03 , N/A , N/A , N/A ,$5.67 , N/A ,$5.62 ,$5.44 ,$6.12 , N/A ,$5.78 , N/A ,$5.78 ,$5.78 ,$6.12 ,$6.12 ,$5.34 ,$5.62 , N/A ,$4.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171810,N/A,TUBING-OUTFLOW,270,1 ,$45.45 ,$29.54 ,$29.54 ,$40.93 ,$36.36 , N/A ,$36.01 ,$40.93 ,$40.93 , N/A ,$38.63 ,$33.63 , N/A , N/A , N/A ,$37.91 , N/A ,$37.54 ,$36.36 ,$40.91 , N/A ,$38.63 , N/A ,$38.63 ,$38.63 ,$40.91 ,$40.91 ,$35.68 ,$37.54 , N/A ,$29.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171815,N/A,THERM RECTAL,270,1 ,$6.80 ,$4.42 ,$4.42 ,$6.12 ,$5.44 , N/A ,$5.39 ,$6.12 ,$6.12 , N/A ,$5.78 ,$5.03 , N/A , N/A , N/A ,$5.67 , N/A ,$5.62 ,$5.44 ,$6.12 , N/A ,$5.78 , N/A ,$5.78 ,$5.78 ,$6.12 ,$6.12 ,$5.34 ,$5.62 , N/A ,$4.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171900,N/A,G-TUBE 18FR (REPLACEMENT),270,1 ,$119.75 ,$77.84 ,$77.84 ,$107.83 ,$95.80 , N/A ,$94.89 ,$107.83 ,$107.83 , N/A ,$101.79 ,$88.62 , N/A , N/A , N/A ,$99.87 , N/A ,$98.91 ,$95.80 ,$107.78 , N/A ,$101.79 , N/A ,$101.79 ,$101.79 ,$107.78 ,$107.78 ,$94.00 ,$98.91 , N/A ,$77.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171901,N/A,G-TUBE 20FR (REPLACEMENT),270,1 ,$119.75 ,$77.84 ,$77.84 ,$107.83 ,$95.80 , N/A ,$94.89 ,$107.83 ,$107.83 , N/A ,$101.79 ,$88.62 , N/A , N/A , N/A ,$99.87 , N/A ,$98.91 ,$95.80 ,$107.78 , N/A ,$101.79 , N/A ,$101.79 ,$101.79 ,$107.78 ,$107.78 ,$94.00 ,$98.91 , N/A ,$77.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171902,N/A,G-TUBE 22FR (REPLACEMENT),270,1 ,$119.75 ,$77.84 ,$77.84 ,$107.83 ,$95.80 , N/A ,$94.89 ,$107.83 ,$107.83 , N/A ,$101.79 ,$88.62 , N/A , N/A , N/A ,$99.87 , N/A ,$98.91 ,$95.80 ,$107.78 , N/A ,$101.79 , N/A ,$101.79 ,$101.79 ,$107.78 ,$107.78 ,$94.00 ,$98.91 , N/A ,$77.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171903,N/A,G-TUBE 24FR (REPLACEMENT),270,1 ,$119.75 ,$77.84 ,$77.84 ,$107.83 ,$95.80 , N/A ,$94.89 ,$107.83 ,$107.83 , N/A ,$101.79 ,$88.62 , N/A , N/A , N/A ,$99.87 , N/A ,$98.91 ,$95.80 ,$107.78 , N/A ,$101.79 , N/A ,$101.79 ,$101.79 ,$107.78 ,$107.78 ,$94.00 ,$98.91 , N/A ,$77.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60171910,N/A,J-TUBE 20FR **,272,1 ,$250.00 ,$162.50 ,$162.50 ,$225.13 ,$200.00 , N/A ,$198.10 ,$225.13 ,$225.13 , N/A ,$212.50 ,$185.00 , N/A , N/A , N/A ,$208.50 , N/A ,$206.50 ,$200.00 ,$225.00 , N/A ,$212.50 , N/A ,$212.50 ,$212.50 ,$225.00 ,$225.00 ,$196.25 ,$206.50 , N/A ,$162.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60172102,N/A,TUBE RECTAL,270,1 ,$31.95 ,$20.77 ,$20.77 ,$28.77 ,$25.56 , N/A ,$25.32 ,$28.77 ,$28.77 , N/A ,$27.16 ,$23.64 , N/A , N/A , N/A ,$26.65 , N/A ,$26.39 ,$25.56 ,$28.76 , N/A ,$27.16 , N/A ,$27.16 ,$27.16 ,$28.76 ,$28.76 ,$25.08 ,$26.39 , N/A ,$20.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),60172110,N/A,TUBE RECTAL--OR/SURGERY,270,1 ,$51.70 ,$33.61 ,$33.61 ,$46.56 ,$41.36 , N/A ,$40.97 ,$46.56 ,$46.56 , N/A ,$43.95 ,$38.26 , N/A , N/A , N/A ,$43.12 , N/A ,$42.70 ,$41.36 ,$46.53 , N/A ,$43.95 , N/A ,$43.95 ,$43.95 ,$46.53 ,$46.53 ,$40.58 ,$42.70 , N/A ,$33.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),60172201,N/A,TRACH CLEAN TRAY,270,1 ,$14.60 ,$9.49 ,$9.49 ,$13.15 ,$11.68 , N/A ,$11.57 ,$13.15 ,$13.15 , N/A ,$12.41 ,$10.80 , N/A , N/A , N/A ,$12.18 , N/A ,$12.06 ,$11.68 ,$13.14 , N/A ,$12.41 , N/A ,$12.41 ,$12.41 ,$13.14 ,$13.14 ,$11.46 ,$12.06 , N/A ,$9.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),60172292,N/A,TOOTHBRUSH,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60172300,N/A,TOOTHPASTE,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60181004,N/A,UNDERPAD,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60181005,N/A,ADHESIVE TAPE REMOVER PADS,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60181122,N/A,DRAPE-SPLIT,270,1 ,$22.45 ,$14.59 ,$14.59 ,$20.22 ,$17.96 , N/A ,$17.79 ,$20.22 ,$20.22 , N/A ,$19.08 ,$16.61 , N/A , N/A , N/A ,$18.72 , N/A ,$18.54 ,$17.96 ,$20.21 , N/A ,$19.08 , N/A ,$19.08 ,$19.08 ,$20.21 ,$20.21 ,$17.62 ,$18.54 , N/A ,$14.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60181200,N/A,UNICATH,270,1 ,$13.00 ,$8.45 ,$8.45 ,$11.71 ,$10.40 , N/A ,$10.30 ,$11.71 ,$11.71 , N/A ,$11.05 ,$9.62 , N/A , N/A , N/A ,$10.84 , N/A ,$10.74 ,$10.40 ,$11.70 , N/A ,$11.05 , N/A ,$11.05 ,$11.05 ,$11.70 ,$11.70 ,$10.21 ,$10.74 , N/A ,$8.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60181300,N/A,URINE METER FOLEY TRAY,270,1 ,$72.00 ,$46.80 ,$46.80 ,$64.84 ,$57.60 , N/A ,$57.05 ,$64.84 ,$64.84 , N/A ,$61.20 ,$53.28 , N/A , N/A , N/A ,$60.05 , N/A ,$59.47 ,$57.60 ,$64.80 , N/A ,$61.20 , N/A ,$61.20 ,$61.20 ,$64.80 ,$64.80 ,$56.52 ,$59.47 , N/A ,$46.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),601900,N/A,CONTAMINATION BOX-8GAL.(LAB),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60191003,N/A,VAGINAL DOUCHE SET,270,1 ,$13.60 ,$8.84 ,$8.84 ,$12.25 ,$10.88 , N/A ,$10.78 ,$12.25 ,$12.25 , N/A ,$11.56 ,$10.06 , N/A , N/A , N/A ,$11.34 , N/A ,$11.23 ,$10.88 ,$12.24 , N/A ,$11.56 , N/A ,$11.56 ,$11.56 ,$12.24 ,$12.24 ,$10.68 ,$11.23 , N/A ,$8.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60191102,N/A,VAGINAL SPEC DISP,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60191110,N/A,VASELINE TUBE,270,1 ,$2.75 ,$1.79 ,$1.79 ,$2.48 ,$2.20 , N/A ,$2.18 ,$2.48 ,$2.48 , N/A ,$2.34 ,$2.04 , N/A , N/A , N/A ,$2.29 , N/A ,$2.27 ,$2.20 ,$2.48 , N/A ,$2.34 , N/A ,$2.34 ,$2.34 ,$2.48 ,$2.48 ,$2.16 ,$2.27 , N/A ,$1.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),602000,N/A,FILTER-RECTANGLE (PAN),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602001,N/A,ENDO CLEANING BRUSH-DISP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602002,N/A,AVAGUARD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602010,N/A,BRUSH-NYLON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60201018,N/A,WALK HEEL DUAL LG **,270,1 ,$7.90 ,$5.14 ,$5.14 ,$7.11 ,$6.32 , N/A ,$6.26 ,$7.11 ,$7.11 , N/A ,$6.72 ,$5.85 , N/A , N/A , N/A ,$6.59 , N/A ,$6.53 ,$6.32 ,$7.11 , N/A ,$6.72 , N/A ,$6.72 ,$6.72 ,$7.11 ,$7.11 ,$6.20 ,$6.53 , N/A ,$5.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60201026,N/A,WALK HEEL DUAL MED **,270,1 ,$7.90 ,$5.14 ,$5.14 ,$7.11 ,$6.32 , N/A ,$6.26 ,$7.11 ,$7.11 , N/A ,$6.72 ,$5.85 , N/A , N/A , N/A ,$6.59 , N/A ,$6.53 ,$6.32 ,$7.11 , N/A ,$6.72 , N/A ,$6.72 ,$6.72 ,$7.11 ,$7.11 ,$6.20 ,$6.53 , N/A ,$5.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60201034,N/A,WALK HEEL ARCH SM **,270,1 ,$13.60 ,$8.84 ,$8.84 ,$12.25 ,$10.88 , N/A ,$10.78 ,$12.25 ,$12.25 , N/A ,$11.56 ,$10.06 , N/A , N/A , N/A ,$11.34 , N/A ,$11.23 ,$10.88 ,$12.24 , N/A ,$11.56 , N/A ,$11.56 ,$11.56 ,$12.24 ,$12.24 ,$10.68 ,$11.23 , N/A ,$8.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60201042,N/A,WALK HEEL ARCH MED **,270,1 ,$13.60 ,$8.84 ,$8.84 ,$12.25 ,$10.88 , N/A ,$10.78 ,$12.25 ,$12.25 , N/A ,$11.56 ,$10.06 , N/A , N/A , N/A ,$11.34 , N/A ,$11.23 ,$10.88 ,$12.24 , N/A ,$11.56 , N/A ,$11.56 ,$11.56 ,$12.24 ,$12.24 ,$10.68 ,$11.23 , N/A ,$8.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60201059,N/A,WALK HEEL CHILD DUAL **,270,1 ,$7.90 ,$5.14 ,$5.14 ,$7.11 ,$6.32 , N/A ,$6.26 ,$7.11 ,$7.11 , N/A ,$6.72 ,$5.85 , N/A , N/A , N/A ,$6.59 , N/A ,$6.53 ,$6.32 ,$7.11 , N/A ,$6.72 , N/A ,$6.72 ,$6.72 ,$7.11 ,$7.11 ,$6.20 ,$6.53 , N/A ,$5.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60201060,N/A,B,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602011,N/A,BRUSH-STEEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602012,N/A,BRUSH-HAND,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602028,N/A,CASTLE-PRINTER PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602029,N/A,CASTLE-CORE(PRINTER PAPER),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602030,N/A,CASTLE-CHAMBER CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602031,N/A,CASTLE-NEUTRAWASH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602032,N/A,CASTLE-RENUZYME,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602033,N/A,CASTLE-INSTR.LUBRICANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602048,N/A,BIOLOGICAL MONITORING KIT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602049,N/A,RECORD CARDS (SURG),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602050,N/A,SMART PACK INDICATORS (BOWIE DICK TEST),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602051,N/A,ENVIRONMENTAL MONITORS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602055,N/A,POUCH-PEEL 8x16,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602056,N/A,POUCH-PEEL 4x22,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602070,N/A,SCALPEL BLADE #20,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602075,N/A,RED CONTAINER-LARGE(SURGERY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602080,N/A,PACK-BACKTABLE COVERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602081,N/A,PACK-XL MAYO,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602082,N/A,GOWN-STERILE NON-REINFORCED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602083,N/A,GOWN-STERILE LARGE,999,1 ,$531.00 ,$345.15 ,$345.15 ,$478.17 ,$424.80 , N/A ,$420.76 ,$478.17 ,$478.17 , N/A ,$451.35 ,$392.94 , N/A , N/A , N/A ,$442.85 , N/A ,$438.61 ,$424.80 ,$477.90 , N/A ,$451.35 , N/A ,$451.35 ,$451.35 ,$477.90 ,$477.90 ,$416.84 ,$438.61 , N/A ,$345.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),602090,N/A,NEEDLE COUNTER (SURGERY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602091,N/A,SCOPE WARMER-DISP.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602092,N/A,RETAINER-VISCERA MED.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602093,N/A,RUHOF-FACTS (DO NOT USE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602094,N/A,RUHOF-PREPZYME XF,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602300,N/A,ELECTRODES-3M (CARDIAC REHAB),270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),6026,N/A,LAMINATING POUCHES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6027,N/A,PERSONNEL CHANGE FORMS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602700,N/A,ULTRASOUND TRANS.GEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602701,N/A,GEL-ULTRASOUND (5 LITER),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6028,N/A,EMPLOYMENT APPLICATIONS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6029,N/A,PLEASE SIGN HERE STICKER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602903,N/A,LMA #3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602904,N/A,LMA #4,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602905,N/A,LMA #5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),602990,N/A,ESU PENCIL W/O TUBING,270,1 ,$74.20 ,$48.23 ,$48.23 ,$66.82 ,$59.36 , N/A ,$58.80 ,$66.82 ,$66.82 , N/A ,$63.07 ,$54.91 , N/A , N/A , N/A ,$61.88 , N/A ,$61.29 ,$59.36 ,$66.78 , N/A ,$63.07 , N/A ,$63.07 ,$63.07 ,$66.78 ,$66.78 ,$58.25 ,$61.29 , N/A ,$48.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),602999,N/A,GROUNDPAD-3M,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6030,N/A,CD-RW's,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603000,N/A,GROUNDPAD-CONMED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603001,N/A,WRAP-48X48,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603002,N/A,PITCHERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603003,N/A,ELECTRODE-SURGERY 3M,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603004,N/A,"TAPE-ZONAS 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603005,N/A,PACK-KNEE ARTHROSCOPY**,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603006,N/A,STOCKINETTE-IMPERVIOUS(OR),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603007,N/A,PACK-HIP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603008,N/A,DRAPE-ISOLATION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603009,N/A,SURG GLOVE 9,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603010,N/A,RAZOR-SURG/RESP.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603011,N/A,ETH-UNIV.REDUCER CAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603030,N/A,NEEDLE-PAJUNK SPINAL(SPROTTE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603050,N/A,BLADE-ACL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603051,N/A,BLADE-RECIP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603052,N/A,BLADE-OSCIL 25.4,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603053,N/A,BLADE-OSCIL 19.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6031,N/A,FOLDERS TAB TOP CLASSIFICATION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603200,N/A,ZIM-CERCLAGE CABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603201,N/A,ZIM-CABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603400,N/A,SUT-1 VICRYL CT J353H,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603401,N/A,SUT-3-0 VICRYL CT J356H,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603402,N/A,SUT-3-0 VICRYL CT2 J332H,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603403,N/A,SUT-1 VICRYL CT2 J335H,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603404,N/A,SUT-0 VICRYL CT2 J334H,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603405,N/A,SUT-3-0 VICRYL PS-1 683G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603406,N/A,SUT-2 ETHIBOND V-37 MX69G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603407,N/A,SUT-2-0 VICRYL CT3 J328H,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603408,N/A,SUT-3-0 VICRYL FS-1 J442H,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603409,N/A,SUT-ANCHOR GUT 824-4D,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603410,N/A,SUT-MONO PS-2 Y495G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603411,N/A,SUT-J958H,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603412,N/A,SUT-0 CTX PBS Z990G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603413,N/A,"SUT-8411H,2.0 PROLENE CT-2",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603414,N/A,SUT-2-0 VICRYL CT J259H,270,1 ,$19.20 ,$12.48 ,$12.48 ,$17.29 ,$15.36 , N/A ,$15.21 ,$17.29 ,$17.29 , N/A ,$16.32 ,$14.21 , N/A , N/A , N/A ,$16.01 , N/A ,$15.86 ,$15.36 ,$17.28 , N/A ,$16.32 , N/A ,$16.32 ,$16.32 ,$17.28 ,$17.28 ,$15.07 ,$15.86 , N/A ,$12.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),603415,N/A,SUT-0 ETHIBOND MO-6 CX45D,270,1 ,$19.20 ,$12.48 ,$12.48 ,$17.29 ,$15.36 , N/A ,$15.21 ,$17.29 ,$17.29 , N/A ,$16.32 ,$14.21 , N/A , N/A , N/A ,$16.01 , N/A ,$15.86 ,$15.36 ,$17.28 , N/A ,$16.32 , N/A ,$16.32 ,$16.32 ,$17.28 ,$17.28 ,$15.07 ,$15.86 , N/A ,$12.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),603416,N/A,SUT-5-0 VICRYL RB-1 J303H,270,1 ,$19.20 ,$12.48 ,$12.48 ,$17.29 ,$15.36 , N/A ,$15.21 ,$17.29 ,$17.29 , N/A ,$16.32 ,$14.21 , N/A , N/A , N/A ,$16.01 , N/A ,$15.86 ,$15.36 ,$17.28 , N/A ,$16.32 , N/A ,$16.32 ,$16.32 ,$17.28 ,$17.28 ,$15.07 ,$15.86 , N/A ,$12.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),603417,N/A,SUT-4-0 ETHILON PS-2 G667G,270,1 ,$19.20 ,$12.48 ,$12.48 ,$17.29 ,$15.36 , N/A ,$15.21 ,$17.29 ,$17.29 , N/A ,$16.32 ,$14.21 , N/A , N/A , N/A ,$16.01 , N/A ,$15.86 ,$15.36 ,$17.28 , N/A ,$16.32 , N/A ,$16.32 ,$16.32 ,$17.28 ,$17.28 ,$15.07 ,$15.86 , N/A ,$12.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),603603,N/A,DME-MISCELLANEOUS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603800,N/A,GLOVES RESTORE SENSE NITRILE SM.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603801,N/A,GLOVES RESTORE SENSE NITRILE MD.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603802,N/A,GLOVES RESTORE SENSE NITRILE LG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603803,N/A,GLOVES RESTORE SENSE NITRILE XLG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603850,N/A,PITCHERS (B),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603900,N/A,SANI-CLOTH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603901,N/A,SANI-CLOTH _AF,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603902,N/A,BLEACH WIPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603903,N/A,PEROXIDE WIPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603904,N/A,PEROXIDE SPRAY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603905,N/A,SANI CLOTH PKT BLEACH- home health only,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603906,N/A,SANI CLOTH PKT SUPER- home health only,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603907,N/A,SANI CLOTH PKT AF3- home health only,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),603999,N/A,PILLOWS DISPOSABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604000,N/A,SAFETY NEEDLE 18G BLUNT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604001,N/A,SAFETY NEEDLE 21Gx1,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6040016,N/A,LJ;LJKPOKP,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604002,N/A,SAFETY NEEDLE 21Gx1 1/2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604003,N/A,SAFETY NEEDLE 23Gx1,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604004,N/A,SAFETY NEEDLE 25Gx5/8,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604005,N/A,SAFETY NEEDLE 25Gx1,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604006,N/A,SAFETY NEEDLE-TB 1cc 26Gx3/8,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604007,N/A,SAFETY NEEDLE-INSULIN 1cc 29Gx1/2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604009,N/A,SAFETY NEEDLE 18G BLUNT - CLEAR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604010,N/A,SYRINGE 1cc (NEW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604011,N/A,SYRINGE 3cc (NEW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604012,N/A,SYRINGE 5cc (NEW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604013,N/A,SYRINGE 10cc (NEW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604014,N/A,SYRINGE 20cc (NEW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604015,N/A,SYRINGE 30cc (NEW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604016,N/A,SYRINGE 60cc (NEW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604017,N/A,SYRINGE 60cc CATH TIP 2 OZ.(NEW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60404125,N/A,ELECTRODE QUIK ADULT,270,1 ,$124.50 ,$80.93 ,$80.93 ,$112.11 ,$99.60 , N/A ,$98.65 ,$112.11 ,$112.11 , N/A ,$105.83 ,$92.13 , N/A , N/A , N/A ,$103.83 , N/A ,$102.84 ,$99.60 ,$112.05 , N/A ,$105.83 , N/A ,$105.83 ,$105.83 ,$112.05 ,$112.05 ,$97.73 ,$102.84 , N/A ,$80.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60404127,N/A,ELECTRODE QUICK PEDIATRIC,270,1 ,$124.50 ,$80.93 ,$80.93 ,$112.11 ,$99.60 , N/A ,$98.65 ,$112.11 ,$112.11 , N/A ,$105.83 ,$92.13 , N/A , N/A , N/A ,$103.83 , N/A ,$102.84 ,$99.60 ,$112.05 , N/A ,$105.83 , N/A ,$105.83 ,$105.83 ,$112.05 ,$112.05 ,$97.73 ,$102.84 , N/A ,$80.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60411000,N/A,STAPLE REMOVER-DISP.,270,1 ,$16.70 ,$10.86 ,$10.86 ,$15.04 ,$13.36 , N/A ,$13.23 ,$15.04 ,$15.04 , N/A ,$14.20 ,$12.36 , N/A , N/A , N/A ,$13.93 , N/A ,$13.79 ,$13.36 ,$15.03 , N/A ,$14.20 , N/A ,$14.20 ,$14.20 ,$15.03 ,$15.03 ,$13.11 ,$13.79 , N/A ,$10.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),60413000,N/A,ETH-PPH HEMORROID **,270,1 ,$730.00 ,$474.50 ,$474.50 ,$657.37 ,$584.00 , N/A ,$578.45 ,$657.37 ,$657.37 , N/A ,$620.50 ,$540.20 , N/A , N/A , N/A ,$608.82 , N/A ,$602.98 ,$584.00 ,$657.00 , N/A ,$620.50 , N/A ,$620.50 ,$620.50 ,$657.00 ,$657.00 ,$573.05 ,$602.98 , N/A ,$474.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414100,N/A,SUT 5-0 J-493G,270,1 ,$28.45 ,$18.49 ,$18.49 ,$25.62 ,$22.76 , N/A ,$22.54 ,$25.62 ,$25.62 , N/A ,$24.18 ,$21.05 , N/A , N/A , N/A ,$23.73 , N/A ,$23.50 ,$22.76 ,$25.61 , N/A ,$24.18 , N/A ,$24.18 ,$24.18 ,$25.61 ,$25.61 ,$22.33 ,$23.50 , N/A ,$18.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414101,N/A,SUT 5-0 698H,270,1 ,$25.25 ,$16.41 ,$16.41 ,$22.74 ,$20.20 , N/A ,$20.01 ,$22.74 ,$22.74 , N/A ,$21.46 ,$18.69 , N/A , N/A , N/A ,$21.06 , N/A ,$20.86 ,$20.20 ,$22.73 , N/A ,$21.46 , N/A ,$21.46 ,$21.46 ,$22.73 ,$22.73 ,$19.82 ,$20.86 , N/A ,$16.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414102,N/A,SUT 622H,270,1 ,$9.60 ,$6.24 ,$6.24 ,$8.64 ,$7.68 , N/A ,$7.61 ,$8.64 ,$8.64 , N/A ,$8.16 ,$7.10 , N/A , N/A , N/A ,$8.01 , N/A ,$7.93 ,$7.68 ,$8.64 , N/A ,$8.16 , N/A ,$8.16 ,$8.16 ,$8.64 ,$8.64 ,$7.54 ,$7.93 , N/A ,$6.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414103,N/A,SUT 3-846T,270,1 ,$62.95 ,$40.92 ,$40.92 ,$56.69 ,$50.36 , N/A ,$49.88 ,$56.69 ,$56.69 , N/A ,$53.51 ,$46.58 , N/A , N/A , N/A ,$52.50 , N/A ,$52.00 ,$50.36 ,$56.66 , N/A ,$53.51 , N/A ,$53.51 ,$53.51 ,$56.66 ,$56.66 ,$49.42 ,$52.00 , N/A ,$40.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414104,N/A,SUT 697G,270,1 ,$25.30 ,$16.45 ,$16.45 ,$22.78 ,$20.24 , N/A ,$20.05 ,$22.78 ,$22.78 , N/A ,$21.51 ,$18.72 , N/A , N/A , N/A ,$21.10 , N/A ,$20.90 ,$20.24 ,$22.77 , N/A ,$21.51 , N/A ,$21.51 ,$21.51 ,$22.77 ,$22.77 ,$19.86 ,$20.90 , N/A ,$16.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414105,N/A,SUT 47T,270,1 ,$45.45 ,$29.54 ,$29.54 ,$40.93 ,$36.36 , N/A ,$36.01 ,$40.93 ,$40.93 , N/A ,$38.63 ,$33.63 , N/A , N/A , N/A ,$37.91 , N/A ,$37.54 ,$36.36 ,$40.91 , N/A ,$38.63 , N/A ,$38.63 ,$38.63 ,$40.91 ,$40.91 ,$35.68 ,$37.54 , N/A ,$29.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414106,N/A,SUT G 123H,270,1 ,$12.40 ,$8.06 ,$8.06 ,$11.17 ,$9.92 , N/A ,$9.83 ,$11.17 ,$11.17 , N/A ,$10.54 ,$9.18 , N/A , N/A , N/A ,$10.34 , N/A ,$10.24 ,$9.92 ,$11.16 , N/A ,$10.54 , N/A ,$10.54 ,$10.54 ,$11.16 ,$11.16 ,$9.73 ,$10.24 , N/A ,$8.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414107,N/A,SUT U203H,270,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414108,N/A,SUT J-422H,270,1 ,$13.30 ,$8.65 ,$8.65 ,$11.98 ,$10.64 , N/A ,$10.54 ,$11.98 ,$11.98 , N/A ,$11.31 ,$9.84 , N/A , N/A , N/A ,$11.09 , N/A ,$10.99 ,$10.64 ,$11.97 , N/A ,$11.31 , N/A ,$11.31 ,$11.31 ,$11.97 ,$11.97 ,$10.44 ,$10.99 , N/A ,$8.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414109,N/A,SUT CX26T,270,1 ,$63.95 ,$41.57 ,$41.57 ,$57.59 ,$51.16 , N/A ,$50.67 ,$57.59 ,$57.59 , N/A ,$54.36 ,$47.32 , N/A , N/A , N/A ,$53.33 , N/A ,$52.82 ,$51.16 ,$57.56 , N/A ,$54.36 , N/A ,$54.36 ,$54.36 ,$57.56 ,$57.56 ,$50.20 ,$52.82 , N/A ,$41.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414110,N/A,SUT L102G,270,1 ,$14.05 ,$9.13 ,$9.13 ,$12.65 ,$11.24 , N/A ,$11.13 ,$12.65 ,$12.65 , N/A ,$11.94 ,$10.40 , N/A , N/A , N/A ,$11.72 , N/A ,$11.61 ,$11.24 ,$12.65 , N/A ,$11.94 , N/A ,$11.94 ,$11.94 ,$12.65 ,$12.65 ,$11.03 ,$11.61 , N/A ,$9.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414111,N/A,SUT L113G,270,1 ,$14.00 ,$9.10 ,$9.10 ,$12.61 ,$11.20 , N/A ,$11.09 ,$12.61 ,$12.61 , N/A ,$11.90 ,$10.36 , N/A , N/A , N/A ,$11.68 , N/A ,$11.56 ,$11.20 ,$12.60 , N/A ,$11.90 , N/A ,$11.90 ,$11.90 ,$12.60 ,$12.60 ,$10.99 ,$11.56 , N/A ,$9.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414112,N/A,SUT 810H,270,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414113,N/A,SUT L112G,270,1 ,$14.05 ,$9.13 ,$9.13 ,$12.65 ,$11.24 , N/A ,$11.13 ,$12.65 ,$12.65 , N/A ,$11.94 ,$10.40 , N/A , N/A , N/A ,$11.72 , N/A ,$11.61 ,$11.24 ,$12.65 , N/A ,$11.94 , N/A ,$11.94 ,$11.94 ,$12.65 ,$12.65 ,$11.03 ,$11.61 , N/A ,$9.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414114,N/A,SUT 699G,270,1 ,$25.30 ,$16.45 ,$16.45 ,$22.78 ,$20.24 , N/A ,$20.05 ,$22.78 ,$22.78 , N/A ,$21.51 ,$18.72 , N/A , N/A , N/A ,$21.10 , N/A ,$20.90 ,$20.24 ,$22.77 , N/A ,$21.51 , N/A ,$21.51 ,$21.51 ,$22.77 ,$22.77 ,$19.86 ,$20.90 , N/A ,$16.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414115,N/A,SUT 662 G,270,1 ,$10.10 ,$6.57 ,$6.57 ,$9.10 ,$8.08 , N/A ,$8.00 ,$9.10 ,$9.10 , N/A ,$8.59 ,$7.47 , N/A , N/A , N/A ,$8.42 , N/A ,$8.34 ,$8.08 ,$9.09 , N/A ,$8.59 , N/A ,$8.59 ,$8.59 ,$9.09 ,$9.09 ,$7.93 ,$8.34 , N/A ,$6.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414116,N/A,SUT J-285G,270,1 ,$15.60 ,$10.14 ,$10.14 ,$14.05 ,$12.48 , N/A ,$12.36 ,$14.05 ,$14.05 , N/A ,$13.26 ,$11.54 , N/A , N/A , N/A ,$13.01 , N/A ,$12.89 ,$12.48 ,$14.04 , N/A ,$13.26 , N/A ,$13.26 ,$13.26 ,$14.04 ,$14.04 ,$12.25 ,$12.89 , N/A ,$10.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414117,N/A,SUT K-833H,270,1 ,$10.55 ,$6.86 ,$6.86 ,$9.50 ,$8.44 , N/A ,$8.36 ,$9.50 ,$9.50 , N/A ,$8.97 ,$7.81 , N/A , N/A , N/A ,$8.80 , N/A ,$8.71 ,$8.44 ,$9.50 , N/A ,$8.97 , N/A ,$8.97 ,$8.97 ,$9.50 ,$9.50 ,$8.28 ,$8.71 , N/A ,$6.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414118,N/A,SUT K-832H,270,1 ,$10.55 ,$6.86 ,$6.86 ,$9.50 ,$8.44 , N/A ,$8.36 ,$9.50 ,$9.50 , N/A ,$8.97 ,$7.81 , N/A , N/A , N/A ,$8.80 , N/A ,$8.71 ,$8.44 ,$9.50 , N/A ,$8.97 , N/A ,$8.97 ,$8.97 ,$9.50 ,$9.50 ,$8.28 ,$8.71 , N/A ,$6.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414119,N/A,SUT SA-64 H,270,1 ,$11.50 ,$7.48 ,$7.48 ,$10.36 ,$9.20 , N/A ,$9.11 ,$10.36 ,$10.36 , N/A ,$9.78 ,$8.51 , N/A , N/A , N/A ,$9.59 , N/A ,$9.50 ,$9.20 ,$10.35 , N/A ,$9.78 , N/A ,$9.78 ,$9.78 ,$10.35 ,$10.35 ,$9.03 ,$9.50 , N/A ,$7.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414120,N/A,SUT 6-0 SILK 769G,270,1 ,$56.85 ,$36.95 ,$36.95 ,$51.19 ,$45.48 , N/A ,$45.05 ,$51.19 ,$51.19 , N/A ,$48.32 ,$42.07 , N/A , N/A , N/A ,$47.41 , N/A ,$46.96 ,$45.48 ,$51.17 , N/A ,$48.32 , N/A ,$48.32 ,$48.32 ,$51.17 ,$51.17 ,$44.63 ,$46.96 , N/A ,$36.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414121,N/A,SUT 7-0 CHRIOMIC1745G,270,1 ,$84.30 ,$54.80 ,$54.80 ,$75.91 ,$67.44 , N/A ,$66.80 ,$75.91 ,$75.91 , N/A ,$71.66 ,$62.38 , N/A , N/A , N/A ,$70.31 , N/A ,$69.63 ,$67.44 ,$75.87 , N/A ,$71.66 , N/A ,$71.66 ,$71.66 ,$75.87 ,$75.87 ,$66.18 ,$69.63 , N/A ,$54.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414122,N/A,SUT 8-0 VICRYL J574G,270,1 ,$90.25 ,$58.66 ,$58.66 ,$81.27 ,$72.20 , N/A ,$71.51 ,$81.27 ,$81.27 , N/A ,$76.71 ,$66.79 , N/A , N/A , N/A ,$75.27 , N/A ,$74.55 ,$72.20 ,$81.23 , N/A ,$76.71 , N/A ,$76.71 ,$76.71 ,$81.23 ,$81.23 ,$70.85 ,$74.55 , N/A ,$58.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414123,N/A,SUT 5-0 VICRYL J571G,270,1 ,$68.05 ,$44.23 ,$44.23 ,$61.28 ,$54.44 , N/A ,$53.92 ,$61.28 ,$61.28 , N/A ,$57.84 ,$50.36 , N/A , N/A , N/A ,$56.75 , N/A ,$56.21 ,$54.44 ,$61.25 , N/A ,$57.84 , N/A ,$57.84 ,$57.84 ,$61.25 ,$61.25 ,$53.42 ,$56.21 , N/A ,$44.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414124,N/A,SUT 6-0 VICRYL J551G,270,1 ,$68.05 ,$44.23 ,$44.23 ,$61.28 ,$54.44 , N/A ,$53.92 ,$61.28 ,$61.28 , N/A ,$57.84 ,$50.36 , N/A , N/A , N/A ,$56.75 , N/A ,$56.21 ,$54.44 ,$61.25 , N/A ,$57.84 , N/A ,$57.84 ,$57.84 ,$61.25 ,$61.25 ,$53.42 ,$56.21 , N/A ,$44.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414125,N/A,SUT 10-0 OPHTH 7721G,270,1 ,$118.20 ,$76.83 ,$76.83 ,$106.44 ,$94.56 , N/A ,$93.66 ,$106.44 ,$106.44 , N/A ,$100.47 ,$87.47 , N/A , N/A , N/A ,$98.58 , N/A ,$97.63 ,$94.56 ,$106.38 , N/A ,$100.47 , N/A ,$100.47 ,$100.47 ,$106.38 ,$106.38 ,$92.79 ,$97.63 , N/A ,$76.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414126,N/A,SUT J494G OP,270,1 ,$28.15 ,$18.30 ,$18.30 ,$25.35 ,$22.52 , N/A ,$22.31 ,$25.35 ,$25.35 , N/A ,$23.93 ,$20.83 , N/A , N/A , N/A ,$23.48 , N/A ,$23.25 ,$22.52 ,$25.34 , N/A ,$23.93 , N/A ,$23.93 ,$23.93 ,$25.34 ,$25.34 ,$22.10 ,$23.25 , N/A ,$18.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414127,N/A,SUT Z463G OPTH,270,1 ,$32.90 ,$21.39 ,$21.39 ,$29.63 ,$26.32 , N/A ,$26.07 ,$29.63 ,$29.63 , N/A ,$27.97 ,$24.35 , N/A , N/A , N/A ,$27.44 , N/A ,$27.18 ,$26.32 ,$29.61 , N/A ,$27.97 , N/A ,$27.97 ,$27.97 ,$29.61 ,$29.61 ,$25.83 ,$27.18 , N/A ,$21.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414128,N/A,SUT 50 OP 661H,270,1 ,$11.10 ,$7.22 ,$7.22 ,$10.00 ,$8.88 , N/A ,$8.80 ,$10.00 ,$10.00 , N/A ,$9.44 ,$8.21 , N/A , N/A , N/A ,$9.26 , N/A ,$9.17 ,$8.88 ,$9.99 , N/A ,$9.44 , N/A ,$9.44 ,$9.44 ,$9.99 ,$9.99 ,$8.71 ,$9.17 , N/A ,$7.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414129,N/A,SUT 884H,270,1 ,$29.20 ,$18.98 ,$18.98 ,$26.29 ,$23.36 , N/A ,$23.14 ,$26.29 ,$26.29 , N/A ,$24.82 ,$21.61 , N/A , N/A , N/A ,$24.35 , N/A ,$24.12 ,$23.36 ,$26.28 , N/A ,$24.82 , N/A ,$24.82 ,$24.82 ,$26.28 ,$26.28 ,$22.92 ,$24.12 , N/A ,$18.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414130,N/A,SUT J-753G,270,1 ,$72.35 ,$47.03 ,$47.03 ,$65.15 ,$57.88 , N/A ,$57.33 ,$65.15 ,$65.15 , N/A ,$61.50 ,$53.54 , N/A , N/A , N/A ,$60.34 , N/A ,$59.76 ,$57.88 ,$65.12 , N/A ,$61.50 , N/A ,$61.50 ,$61.50 ,$65.12 ,$65.12 ,$56.79 ,$59.76 , N/A ,$47.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414131,N/A,SUT 1671H,270,1 ,$11.20 ,$7.28 ,$7.28 ,$10.09 ,$8.96 , N/A ,$8.87 ,$10.09 ,$10.09 , N/A ,$9.52 ,$8.29 , N/A , N/A , N/A ,$9.34 , N/A ,$9.25 ,$8.96 ,$10.08 , N/A ,$9.52 , N/A ,$9.52 ,$9.52 ,$10.08 ,$10.08 ,$8.79 ,$9.25 , N/A ,$7.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414132,N/A,SUT J-352H,270,1 ,$14.00 ,$9.10 ,$9.10 ,$12.61 ,$11.20 , N/A ,$11.09 ,$12.61 ,$12.61 , N/A ,$11.90 ,$10.36 , N/A , N/A , N/A ,$11.68 , N/A ,$11.56 ,$11.20 ,$12.60 , N/A ,$11.90 , N/A ,$11.90 ,$11.90 ,$12.60 ,$12.60 ,$10.99 ,$11.56 , N/A ,$9.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414133,N/A,SUT 1993-62,270,1 ,$50.35 ,$32.73 ,$32.73 ,$45.34 ,$40.28 , N/A ,$39.90 ,$45.34 ,$45.34 , N/A ,$42.80 ,$37.26 , N/A , N/A , N/A ,$41.99 , N/A ,$41.59 ,$40.28 ,$45.32 , N/A ,$42.80 , N/A ,$42.80 ,$42.80 ,$45.32 ,$45.32 ,$39.52 ,$41.59 , N/A ,$32.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414134,N/A,SUT 1956-62,270,1 ,$54.90 ,$35.69 ,$35.69 ,$49.44 ,$43.92 , N/A ,$43.50 ,$49.44 ,$49.44 , N/A ,$46.67 ,$40.63 , N/A , N/A , N/A ,$45.79 , N/A ,$45.35 ,$43.92 ,$49.41 , N/A ,$46.67 , N/A ,$46.67 ,$46.67 ,$49.41 ,$49.41 ,$43.10 ,$45.35 , N/A ,$35.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414135,N/A,SUT H-822H,270,1 ,$12.40 ,$8.06 ,$8.06 ,$11.17 ,$9.92 , N/A ,$9.83 ,$11.17 ,$11.17 , N/A ,$10.54 ,$9.18 , N/A , N/A , N/A ,$10.34 , N/A ,$10.24 ,$9.92 ,$11.16 , N/A ,$10.54 , N/A ,$10.54 ,$10.54 ,$11.16 ,$11.16 ,$9.73 ,$10.24 , N/A ,$8.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414136,N/A,SUT 899H,270,1 ,$13.80 ,$8.97 ,$8.97 ,$12.43 ,$11.04 , N/A ,$10.94 ,$12.43 ,$12.43 , N/A ,$11.73 ,$10.21 , N/A , N/A , N/A ,$11.51 , N/A ,$11.40 ,$11.04 ,$12.42 , N/A ,$11.73 , N/A ,$11.73 ,$11.73 ,$12.42 ,$12.42 ,$10.83 ,$11.40 , N/A ,$8.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414137,N/A,SUT G-126H,270,1 ,$12.90 ,$8.39 ,$8.39 ,$11.62 ,$10.32 , N/A ,$10.22 ,$11.62 ,$11.62 , N/A ,$10.97 ,$9.55 , N/A , N/A , N/A ,$10.76 , N/A ,$10.66 ,$10.32 ,$11.61 , N/A ,$10.97 , N/A ,$10.97 ,$10.97 ,$11.61 ,$11.61 ,$10.13 ,$10.66 , N/A ,$8.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414138,N/A,SUT G-122H,270,1 ,$12.40 ,$8.06 ,$8.06 ,$11.17 ,$9.92 , N/A ,$9.83 ,$11.17 ,$11.17 , N/A ,$10.54 ,$9.18 , N/A , N/A , N/A ,$10.34 , N/A ,$10.24 ,$9.92 ,$11.16 , N/A ,$10.54 , N/A ,$10.54 ,$10.54 ,$11.16 ,$11.16 ,$9.73 ,$10.24 , N/A ,$8.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414139,N/A,SUT J-340H,270,1 ,$13.80 ,$8.97 ,$8.97 ,$12.43 ,$11.04 , N/A ,$10.94 ,$12.43 ,$12.43 , N/A ,$11.73 ,$10.21 , N/A , N/A , N/A ,$11.51 , N/A ,$11.40 ,$11.04 ,$12.42 , N/A ,$11.73 , N/A ,$11.73 ,$11.73 ,$12.42 ,$12.42 ,$10.83 ,$11.40 , N/A ,$8.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414140,N/A,SUT J-335H,270,1 ,$13.90 ,$9.04 ,$9.04 ,$12.52 ,$11.12 , N/A ,$11.01 ,$12.52 ,$12.52 , N/A ,$11.82 ,$10.29 , N/A , N/A , N/A ,$11.59 , N/A ,$11.48 ,$11.12 ,$12.51 , N/A ,$11.82 , N/A ,$11.82 ,$11.82 ,$12.51 ,$12.51 ,$10.91 ,$11.48 , N/A ,$9.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414141,N/A,SUT J-351H,270,1 ,$13.90 ,$9.04 ,$9.04 ,$12.52 ,$11.12 , N/A ,$11.01 ,$12.52 ,$12.52 , N/A ,$11.82 ,$10.29 , N/A , N/A , N/A ,$11.59 , N/A ,$11.48 ,$11.12 ,$12.51 , N/A ,$11.82 , N/A ,$11.82 ,$11.82 ,$12.51 ,$12.51 ,$10.91 ,$11.48 , N/A ,$9.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414142,N/A,SUT J-328H,270,1 ,$13.90 ,$9.04 ,$9.04 ,$12.52 ,$11.12 , N/A ,$11.01 ,$12.52 ,$12.52 , N/A ,$11.82 ,$10.29 , N/A , N/A , N/A ,$11.59 , N/A ,$11.48 ,$11.12 ,$12.51 , N/A ,$11.82 , N/A ,$11.82 ,$11.82 ,$12.51 ,$12.51 ,$10.91 ,$11.48 , N/A ,$9.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414143,N/A,SUT J-327H,270,1 ,$13.90 ,$9.04 ,$9.04 ,$12.52 ,$11.12 , N/A ,$11.01 ,$12.52 ,$12.52 , N/A ,$11.82 ,$10.29 , N/A , N/A , N/A ,$11.59 , N/A ,$11.48 ,$11.12 ,$12.51 , N/A ,$11.82 , N/A ,$11.82 ,$11.82 ,$12.51 ,$12.51 ,$10.91 ,$11.48 , N/A ,$9.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414144,N/A,SUT J-304H,270,1 ,$13.90 ,$9.04 ,$9.04 ,$12.52 ,$11.12 , N/A ,$11.01 ,$12.52 ,$12.52 , N/A ,$11.82 ,$10.29 , N/A , N/A , N/A ,$11.59 , N/A ,$11.48 ,$11.12 ,$12.51 , N/A ,$11.82 , N/A ,$11.82 ,$11.82 ,$12.51 ,$12.51 ,$10.91 ,$11.48 , N/A ,$9.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414145,N/A,SUT J-492H,270,1 ,$29.20 ,$18.98 ,$18.98 ,$26.29 ,$23.36 , N/A ,$23.14 ,$26.29 ,$26.29 , N/A ,$24.82 ,$21.61 , N/A , N/A , N/A ,$24.35 , N/A ,$24.12 ,$23.36 ,$26.28 , N/A ,$24.82 , N/A ,$24.82 ,$24.82 ,$26.28 ,$26.28 ,$22.92 ,$24.12 , N/A ,$18.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414146,N/A,SUT J-286G,270,1 ,$16.10 ,$10.47 ,$10.47 ,$14.50 ,$12.88 , N/A ,$12.76 ,$14.50 ,$14.50 , N/A ,$13.69 ,$11.91 , N/A , N/A , N/A ,$13.43 , N/A ,$13.30 ,$12.88 ,$14.49 , N/A ,$13.69 , N/A ,$13.69 ,$13.69 ,$14.49 ,$14.49 ,$12.64 ,$13.30 , N/A ,$10.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414147,N/A,SUT J-284G,270,1 ,$16.10 ,$10.47 ,$10.47 ,$14.50 ,$12.88 , N/A ,$12.76 ,$14.50 ,$14.50 , N/A ,$13.69 ,$11.91 , N/A , N/A , N/A ,$13.43 , N/A ,$13.30 ,$12.88 ,$14.49 , N/A ,$13.69 , N/A ,$13.69 ,$13.69 ,$14.49 ,$14.49 ,$12.64 ,$13.30 , N/A ,$10.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414148,N/A,SUT J-283G,270,1 ,$18.20 ,$11.83 ,$11.83 ,$16.39 ,$14.56 , N/A ,$14.42 ,$16.39 ,$16.39 , N/A ,$15.47 ,$13.47 , N/A , N/A , N/A ,$15.18 , N/A ,$15.03 ,$14.56 ,$16.38 , N/A ,$15.47 , N/A ,$15.47 ,$15.47 ,$16.38 ,$16.38 ,$14.29 ,$15.03 , N/A ,$11.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414149,N/A,SUT 1958-42,270,1 ,$49.45 ,$32.14 ,$32.14 ,$44.53 ,$39.56 , N/A ,$39.18 ,$44.53 ,$44.53 , N/A ,$42.03 ,$36.59 , N/A , N/A , N/A ,$41.24 , N/A ,$40.85 ,$39.56 ,$44.51 , N/A ,$42.03 , N/A ,$42.03 ,$42.03 ,$44.51 ,$44.51 ,$38.82 ,$40.85 , N/A ,$32.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414150,N/A,SUT J 423H,270,1 ,$14.20 ,$9.23 ,$9.23 ,$12.79 ,$11.36 , N/A ,$11.25 ,$12.79 ,$12.79 , N/A ,$12.07 ,$10.51 , N/A , N/A , N/A ,$11.84 , N/A ,$11.73 ,$11.36 ,$12.78 , N/A ,$12.07 , N/A ,$12.07 ,$12.07 ,$12.78 ,$12.78 ,$11.15 ,$11.73 , N/A ,$9.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414151,N/A,SUT J-740G,270,1 ,$70.30 ,$45.70 ,$45.70 ,$63.31 ,$56.24 , N/A ,$55.71 ,$63.31 ,$63.31 , N/A ,$59.76 ,$52.02 , N/A , N/A , N/A ,$58.63 , N/A ,$58.07 ,$56.24 ,$63.27 , N/A ,$59.76 , N/A ,$59.76 ,$59.76 ,$63.27 ,$63.27 ,$55.19 ,$58.07 , N/A ,$45.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414152,N/A,SUT J207G,270,1 ,$16.15 ,$10.50 ,$10.50 ,$14.54 ,$12.92 , N/A ,$12.80 ,$14.54 ,$14.54 , N/A ,$13.73 ,$11.95 , N/A , N/A , N/A ,$13.47 , N/A ,$13.34 ,$12.92 ,$14.54 , N/A ,$13.73 , N/A ,$13.73 ,$13.73 ,$14.54 ,$14.54 ,$12.68 ,$13.34 , N/A ,$10.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414153,N/A,SUT J350H,270,1 ,$13.95 ,$9.07 ,$9.07 ,$12.56 ,$11.16 , N/A ,$11.05 ,$12.56 ,$12.56 , N/A ,$11.86 ,$10.32 , N/A , N/A , N/A ,$11.63 , N/A ,$11.52 ,$11.16 ,$12.56 , N/A ,$11.86 , N/A ,$11.86 ,$11.86 ,$12.56 ,$12.56 ,$10.95 ,$11.52 , N/A ,$9.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414154,N/A,SUT 1757G,270,1 ,$104.10 ,$67.67 ,$67.67 ,$93.74 ,$83.28 , N/A ,$82.49 ,$93.74 ,$93.74 , N/A ,$88.49 ,$77.03 , N/A , N/A , N/A ,$86.82 , N/A ,$85.99 ,$83.28 ,$93.69 , N/A ,$88.49 , N/A ,$88.49 ,$88.49 ,$93.69 ,$93.69 ,$81.72 ,$85.99 , N/A ,$67.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414155,N/A,SUT 307601AL,270,1 ,$102.75 ,$66.79 ,$66.79 ,$92.53 ,$82.20 , N/A ,$81.42 ,$92.53 ,$92.53 , N/A ,$87.34 ,$76.04 , N/A , N/A , N/A ,$85.69 , N/A ,$84.87 ,$82.20 ,$92.48 , N/A ,$87.34 , N/A ,$87.34 ,$87.34 ,$92.48 ,$92.48 ,$80.66 ,$84.87 , N/A ,$66.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414156,N/A,SUT 424H,999,1 ,$11.30 ,$7.35 ,$7.35 ,$10.18 ,$9.04 , N/A ,$8.95 ,$10.18 ,$10.18 , N/A ,$9.61 ,$8.36 , N/A , N/A , N/A ,$9.42 , N/A ,$9.33 ,$9.04 ,$10.17 , N/A ,$9.61 , N/A ,$9.61 ,$9.61 ,$10.17 ,$10.17 ,$8.87 ,$9.33 , N/A ,$7.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414157,N/A,SUT SA-86G,270,1 ,$12.95 ,$8.42 ,$8.42 ,$11.66 ,$10.36 , N/A ,$10.26 ,$11.66 ,$11.66 , N/A ,$11.01 ,$9.58 , N/A , N/A , N/A ,$10.80 , N/A ,$10.70 ,$10.36 ,$11.66 , N/A ,$11.01 , N/A ,$11.01 ,$11.01 ,$11.66 ,$11.66 ,$10.17 ,$10.70 , N/A ,$8.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414158,N/A,SUT 635G,270,1 ,$11.85 ,$7.70 ,$7.70 ,$10.67 ,$9.48 , N/A ,$9.39 ,$10.67 ,$10.67 , N/A ,$10.07 ,$8.77 , N/A , N/A , N/A ,$9.88 , N/A ,$9.79 ,$9.48 ,$10.67 , N/A ,$10.07 , N/A ,$10.07 ,$10.07 ,$10.67 ,$10.67 ,$9.30 ,$9.79 , N/A ,$7.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414159,N/A,SUT J421H,270,1 ,$14.70 ,$9.56 ,$9.56 ,$13.24 ,$11.76 , N/A ,$11.65 ,$13.24 ,$13.24 , N/A ,$12.50 ,$10.88 , N/A , N/A , N/A ,$12.26 , N/A ,$12.14 ,$11.76 ,$13.23 , N/A ,$12.50 , N/A ,$12.50 ,$12.50 ,$13.23 ,$13.23 ,$11.54 ,$12.14 , N/A ,$9.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414160,N/A,SUT J463G,270,1 ,$30.45 ,$19.79 ,$19.79 ,$27.42 ,$24.36 , N/A ,$24.13 ,$27.42 ,$27.42 , N/A ,$25.88 ,$22.53 , N/A , N/A , N/A ,$25.40 , N/A ,$25.15 ,$24.36 ,$27.41 , N/A ,$25.88 , N/A ,$25.88 ,$25.88 ,$27.41 ,$27.41 ,$23.90 ,$25.15 , N/A ,$19.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414161,N/A,SUT C827G,270,1 ,$83.75 ,$54.44 ,$54.44 ,$75.42 ,$67.00 , N/A ,$66.36 ,$75.42 ,$75.42 , N/A ,$71.19 ,$61.98 , N/A , N/A , N/A ,$69.85 , N/A ,$69.18 ,$67.00 ,$75.38 , N/A ,$71.19 , N/A ,$71.19 ,$71.19 ,$75.38 ,$75.38 ,$65.74 ,$69.18 , N/A ,$54.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414162,N/A,SUT 1629H,270,1 ,$11.80 ,$7.67 ,$7.67 ,$10.63 ,$9.44 , N/A ,$9.35 ,$10.63 ,$10.63 , N/A ,$10.03 ,$8.73 , N/A , N/A , N/A ,$9.84 , N/A ,$9.75 ,$9.44 ,$10.62 , N/A ,$10.03 , N/A ,$10.03 ,$10.03 ,$10.62 ,$10.62 ,$9.26 ,$9.75 , N/A ,$7.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414163,N/A,SUT 883H,270,1 ,$12.90 ,$8.39 ,$8.39 ,$11.62 ,$10.32 , N/A ,$10.22 ,$11.62 ,$11.62 , N/A ,$10.97 ,$9.55 , N/A , N/A , N/A ,$10.76 , N/A ,$10.66 ,$10.32 ,$11.61 , N/A ,$10.97 , N/A ,$10.97 ,$10.97 ,$11.61 ,$11.61 ,$10.13 ,$10.66 , N/A ,$8.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414164,N/A,SUT C826G,270,1 ,$85.40 ,$55.51 ,$55.51 ,$76.90 ,$68.32 , N/A ,$67.67 ,$76.90 ,$76.90 , N/A ,$72.59 ,$63.20 , N/A , N/A , N/A ,$71.22 , N/A ,$70.54 ,$68.32 ,$76.86 , N/A ,$72.59 , N/A ,$72.59 ,$72.59 ,$76.86 ,$76.86 ,$67.04 ,$70.54 , N/A ,$55.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414165,N/A,SUT G121H,270,1 ,$13.00 ,$8.45 ,$8.45 ,$11.71 ,$10.40 , N/A ,$10.30 ,$11.71 ,$11.71 , N/A ,$11.05 ,$9.62 , N/A , N/A , N/A ,$10.84 , N/A ,$10.74 ,$10.40 ,$11.70 , N/A ,$11.05 , N/A ,$11.05 ,$11.05 ,$11.70 ,$11.70 ,$10.21 ,$10.74 , N/A ,$8.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414166,N/A,SUT 1671G,270,1 ,$11.80 ,$7.67 ,$7.67 ,$10.63 ,$9.44 , N/A ,$9.35 ,$10.63 ,$10.63 , N/A ,$10.03 ,$8.73 , N/A , N/A , N/A ,$9.84 , N/A ,$9.75 ,$9.44 ,$10.62 , N/A ,$10.03 , N/A ,$10.03 ,$10.03 ,$10.62 ,$10.62 ,$9.26 ,$9.75 , N/A ,$7.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414167,N/A,SUT 8683-H PROLENE,270,1 ,$16.00 ,$10.40 ,$10.40 ,$14.41 ,$12.80 , N/A ,$12.68 ,$14.41 ,$14.41 , N/A ,$13.60 ,$11.84 , N/A , N/A , N/A ,$13.34 , N/A ,$13.22 ,$12.80 ,$14.40 , N/A ,$13.60 , N/A ,$13.60 ,$13.60 ,$14.40 ,$14.40 ,$12.56 ,$13.22 , N/A ,$10.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414168,N/A,SUT 8697-G PROLENE,270,1 ,$34.20 ,$22.23 ,$22.23 ,$30.80 ,$27.36 , N/A ,$27.10 ,$30.80 ,$30.80 , N/A ,$29.07 ,$25.31 , N/A , N/A , N/A ,$28.52 , N/A ,$28.25 ,$27.36 ,$30.78 , N/A ,$29.07 , N/A ,$29.07 ,$29.07 ,$30.78 ,$30.78 ,$26.85 ,$28.25 , N/A ,$22.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414170,N/A,SUT J-494G,270,1 ,$30.30 ,$19.70 ,$19.70 ,$27.29 ,$24.24 , N/A ,$24.01 ,$27.29 ,$27.29 , N/A ,$25.76 ,$22.42 , N/A , N/A , N/A ,$25.27 , N/A ,$25.03 ,$24.24 ,$27.27 , N/A ,$25.76 , N/A ,$25.76 ,$25.76 ,$27.27 ,$27.27 ,$23.79 ,$25.03 , N/A ,$19.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414171,N/A,SUT J-506G,270,1 ,$30.40 ,$19.76 ,$19.76 ,$27.38 ,$24.32 , N/A ,$24.09 ,$27.38 ,$27.38 , N/A ,$25.84 ,$22.50 , N/A , N/A , N/A ,$25.35 , N/A ,$25.11 ,$24.32 ,$27.36 , N/A ,$25.84 , N/A ,$25.84 ,$25.84 ,$27.36 ,$27.36 ,$23.86 ,$25.11 , N/A ,$19.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414172,N/A,SUT X424H,270,1 ,$16.70 ,$10.86 ,$10.86 ,$15.04 ,$13.36 , N/A ,$13.23 ,$15.04 ,$15.04 , N/A ,$14.20 ,$12.36 , N/A , N/A , N/A ,$13.93 , N/A ,$13.79 ,$13.36 ,$15.03 , N/A ,$14.20 , N/A ,$14.20 ,$14.20 ,$15.03 ,$15.03 ,$13.11 ,$13.79 , N/A ,$10.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414173,N/A,SUT X425H,270,1 ,$16.70 ,$10.86 ,$10.86 ,$15.04 ,$13.36 , N/A ,$13.23 ,$15.04 ,$15.04 , N/A ,$14.20 ,$12.36 , N/A , N/A , N/A ,$13.93 , N/A ,$13.79 ,$13.36 ,$15.03 , N/A ,$14.20 , N/A ,$14.20 ,$14.20 ,$15.03 ,$15.03 ,$13.11 ,$13.79 , N/A ,$10.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414174,N/A,SUT X518H,270,1 ,$24.60 ,$15.99 ,$15.99 ,$22.15 ,$19.68 , N/A ,$19.49 ,$22.15 ,$22.15 , N/A ,$20.91 ,$18.20 , N/A , N/A , N/A ,$20.52 , N/A ,$20.32 ,$19.68 ,$22.14 , N/A ,$20.91 , N/A ,$20.91 ,$20.91 ,$22.14 ,$22.14 ,$19.31 ,$20.32 , N/A ,$15.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414175,N/A,SUT 2NO5A,270,1 ,$66.25 ,$43.06 ,$43.06 ,$59.66 ,$53.00 , N/A ,$52.50 ,$59.66 ,$59.66 , N/A ,$56.31 ,$49.03 , N/A , N/A , N/A ,$55.25 , N/A ,$54.72 ,$53.00 ,$59.63 , N/A ,$56.31 , N/A ,$56.31 ,$56.31 ,$59.63 ,$59.63 ,$52.01 ,$54.72 , N/A ,$43.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414176,N/A,SUT 84124,270,1 ,$18.95 ,$12.32 ,$12.32 ,$17.06 ,$15.16 , N/A ,$15.02 ,$17.06 ,$17.06 , N/A ,$16.11 ,$14.02 , N/A , N/A , N/A ,$15.80 , N/A ,$15.65 ,$15.16 ,$17.06 , N/A ,$16.11 , N/A ,$16.11 ,$16.11 ,$17.06 ,$17.06 ,$14.88 ,$15.65 , N/A ,$12.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414177,N/A,SUT J415H,270,1 ,$16.05 ,$10.43 ,$10.43 ,$14.45 ,$12.84 , N/A ,$12.72 ,$14.45 ,$14.45 , N/A ,$13.64 ,$11.88 , N/A , N/A , N/A ,$13.39 , N/A ,$13.26 ,$12.84 ,$14.45 , N/A ,$13.64 , N/A ,$13.64 ,$13.64 ,$14.45 ,$14.45 ,$12.60 ,$13.26 , N/A ,$10.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414178,N/A,SUT J603H VICRYL,270,1 ,$20.60 ,$13.39 ,$13.39 ,$18.55 ,$16.48 , N/A ,$16.32 ,$18.55 ,$18.55 , N/A ,$17.51 ,$15.24 , N/A , N/A , N/A ,$17.18 , N/A ,$17.02 ,$16.48 ,$18.54 , N/A ,$17.51 , N/A ,$17.51 ,$17.51 ,$18.54 ,$18.54 ,$16.17 ,$17.02 , N/A ,$13.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414179,N/A,SUT 687G CHROMIC 5.0 P-3,270,1 ,$35.05 ,$22.78 ,$22.78 ,$31.56 ,$28.04 , N/A ,$27.77 ,$31.56 ,$31.56 , N/A ,$29.79 ,$25.94 , N/A , N/A , N/A ,$29.23 , N/A ,$28.95 ,$28.04 ,$31.55 , N/A ,$29.79 , N/A ,$29.79 ,$29.79 ,$31.55 ,$31.55 ,$27.51 ,$28.95 , N/A ,$22.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414180,N/A,SUT DERMABOND,272,1 ,$122.45 ,$79.59 ,$79.59 ,$110.27 ,$97.96 , N/A ,$97.03 ,$110.27 ,$110.27 , N/A ,$104.08 ,$90.61 , N/A , N/A , N/A ,$102.12 , N/A ,$101.14 ,$97.96 ,$110.21 , N/A ,$104.08 , N/A ,$104.08 ,$104.08 ,$110.21 ,$110.21 ,$96.12 ,$101.14 , N/A ,$79.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414181,N/A,SUT SA85H,270,1 ,$9.05 ,$5.88 ,$5.88 ,$8.15 ,$7.24 , N/A ,$7.17 ,$8.15 ,$8.15 , N/A ,$7.69 ,$6.70 , N/A , N/A , N/A ,$7.55 , N/A ,$7.48 ,$7.24 ,$8.15 , N/A ,$7.69 , N/A ,$7.69 ,$7.69 ,$8.15 ,$8.15 ,$7.10 ,$7.48 , N/A ,$5.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414182,N/A,SUT JTNOG,270,1 ,$113.05 ,$73.48 ,$73.48 ,$101.80 ,$90.44 , N/A ,$89.58 ,$101.80 ,$101.80 , N/A ,$96.09 ,$83.66 , N/A , N/A , N/A ,$94.28 , N/A ,$93.38 ,$90.44 ,$101.75 , N/A ,$96.09 , N/A ,$96.09 ,$96.09 ,$101.75 ,$101.75 ,$88.74 ,$93.38 , N/A ,$73.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414198,N/A,EYE GARTER,270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414199,N/A,FOX METAL SHIELD,270,1 ,$5.40 ,$3.51 ,$3.51 ,$4.86 ,$4.32 , N/A ,$4.28 ,$4.86 ,$4.86 , N/A ,$4.59 ,$4.00 , N/A , N/A , N/A ,$4.50 , N/A ,$4.46 ,$4.32 ,$4.86 , N/A ,$4.59 , N/A ,$4.59 ,$4.59 ,$4.86 ,$4.86 ,$4.24 ,$4.46 , N/A ,$3.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414210,N/A,SUT J493H 5-0,270,1 ,$32.90 ,$21.39 ,$21.39 ,$29.63 ,$26.32 , N/A ,$26.07 ,$29.63 ,$29.63 , N/A ,$27.97 ,$24.35 , N/A , N/A , N/A ,$27.44 , N/A ,$27.18 ,$26.32 ,$29.61 , N/A ,$27.97 , N/A ,$27.97 ,$27.97 ,$29.61 ,$29.61 ,$25.83 ,$27.18 , N/A ,$21.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414211,N/A,SUT-3-0 VICRYL CT J956H,270,1 ,$20.35 ,$13.23 ,$13.23 ,$18.33 ,$16.28 , N/A ,$16.13 ,$18.33 ,$18.33 , N/A ,$17.30 ,$15.06 , N/A , N/A , N/A ,$16.97 , N/A ,$16.81 ,$16.28 ,$18.32 , N/A ,$17.30 , N/A ,$17.30 ,$17.30 ,$18.32 ,$18.32 ,$15.97 ,$16.81 , N/A ,$13.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414225,N/A,KNIFE-SLIT 3.2 ANGLE,270,1 ,$106.35 ,$69.13 ,$69.13 ,$95.77 ,$85.08 , N/A ,$84.27 ,$95.77 ,$95.77 , N/A ,$90.40 ,$78.70 , N/A , N/A , N/A ,$88.70 , N/A ,$87.85 ,$85.08 ,$95.72 , N/A ,$90.40 , N/A ,$90.40 ,$90.40 ,$95.72 ,$95.72 ,$83.48 ,$87.85 , N/A ,$69.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414230,N/A,KNIFE-SLIT 3.2 MM,270,1 ,$103.20 ,$67.08 ,$67.08 ,$92.93 ,$82.56 , N/A ,$81.78 ,$92.93 ,$92.93 , N/A ,$87.72 ,$76.37 , N/A , N/A , N/A ,$86.07 , N/A ,$85.24 ,$82.56 ,$92.88 , N/A ,$87.72 , N/A ,$87.72 ,$87.72 ,$92.88 ,$92.88 ,$81.01 ,$85.24 , N/A ,$67.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414234,N/A,NASOPHARYNGEAL TUBE 8.OMM 32 FR,270,1 ,$22.40 ,$14.56 ,$14.56 ,$20.17 ,$17.92 , N/A ,$17.75 ,$20.17 ,$20.17 , N/A ,$19.04 ,$16.58 , N/A , N/A , N/A ,$18.68 , N/A ,$18.50 ,$17.92 ,$20.16 , N/A ,$19.04 , N/A ,$19.04 ,$19.04 ,$20.16 ,$20.16 ,$17.58 ,$18.50 , N/A ,$14.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414235,N/A,VISI-WIPE,270,1 ,$6.75 ,$4.39 ,$4.39 ,$6.08 ,$5.40 , N/A ,$5.35 ,$6.08 ,$6.08 , N/A ,$5.74 ,$5.00 , N/A , N/A , N/A ,$5.63 , N/A ,$5.58 ,$5.40 ,$6.08 , N/A ,$5.74 , N/A ,$5.74 ,$5.74 ,$6.08 ,$6.08 ,$5.30 ,$5.58 , N/A ,$4.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414236,N/A,CROUCH CORNEAL PROT,270,1 ,$34.10 ,$22.17 ,$22.17 ,$30.71 ,$27.28 , N/A ,$27.02 ,$30.71 ,$30.71 , N/A ,$28.99 ,$25.23 , N/A , N/A , N/A ,$28.44 , N/A ,$28.17 ,$27.28 ,$30.69 , N/A ,$28.99 , N/A ,$28.99 ,$28.99 ,$30.69 ,$30.69 ,$26.77 ,$28.17 , N/A ,$22.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414237,N/A,EYE SPONGE,270,1 ,$8.70 ,$5.66 ,$5.66 ,$7.83 ,$6.96 , N/A ,$6.89 ,$7.83 ,$7.83 , N/A ,$7.40 ,$6.44 , N/A , N/A , N/A ,$7.26 , N/A ,$7.19 ,$6.96 ,$7.83 , N/A ,$7.40 , N/A ,$7.40 ,$7.40 ,$7.83 ,$7.83 ,$6.83 ,$7.19 , N/A ,$5.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414238,N/A,WETFIELD CAUTERY STR,270,1 ,$44.15 ,$28.70 ,$28.70 ,$39.76 ,$35.32 , N/A ,$34.98 ,$39.76 ,$39.76 , N/A ,$37.53 ,$32.67 , N/A , N/A , N/A ,$36.82 , N/A ,$36.47 ,$35.32 ,$39.74 , N/A ,$37.53 , N/A ,$37.53 ,$37.53 ,$39.74 ,$39.74 ,$34.66 ,$36.47 , N/A ,$28.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414239,N/A,STORZ SLIT KNIFE 3.2,270,1 ,$66.00 ,$42.90 ,$42.90 ,$59.43 ,$52.80 , N/A ,$52.30 ,$59.43 ,$59.43 , N/A ,$56.10 ,$48.84 , N/A , N/A , N/A ,$55.04 , N/A ,$54.52 ,$52.80 ,$59.40 , N/A ,$56.10 , N/A ,$56.10 ,$56.10 ,$59.40 ,$59.40 ,$51.81 ,$54.52 , N/A ,$42.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414240,N/A,GELFOAM 7MM---DO NOT USE,270,1 ,$32.05 ,$20.83 ,$20.83 ,$28.86 ,$25.64 , N/A ,$25.40 ,$28.86 ,$28.86 , N/A ,$27.24 ,$23.72 , N/A , N/A , N/A ,$26.73 , N/A ,$26.47 ,$25.64 ,$28.85 , N/A ,$27.24 , N/A ,$27.24 ,$27.24 ,$28.85 ,$28.85 ,$25.16 ,$26.47 , N/A ,$20.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414241,N/A,C-LINE CAUTERY(HIGH TEMP)FINE TIP,270,1 ,$55.85 ,$36.30 ,$36.30 ,$50.29 ,$44.68 , N/A ,$44.26 ,$50.29 ,$50.29 , N/A ,$47.47 ,$41.33 , N/A , N/A , N/A ,$46.58 , N/A ,$46.13 ,$44.68 ,$50.27 , N/A ,$47.47 , N/A ,$47.47 ,$47.47 ,$50.27 ,$50.27 ,$43.84 ,$46.13 , N/A ,$36.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414242,N/A,OPHTH CRESANT KNIFE,270,1 ,$112.70 ,$73.26 ,$73.26 ,$101.49 ,$90.16 , N/A ,$89.30 ,$101.49 ,$101.49 , N/A ,$95.80 ,$83.40 , N/A , N/A , N/A ,$93.99 , N/A ,$93.09 ,$90.16 ,$101.43 , N/A ,$95.80 , N/A ,$95.80 ,$95.80 ,$101.43 ,$101.43 ,$88.47 ,$93.09 , N/A ,$73.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414243,N/A,OPHTH 30 KNIFE,270,1 ,$53.55 ,$34.81 ,$34.81 ,$48.22 ,$42.84 , N/A ,$42.43 ,$48.22 ,$48.22 , N/A ,$45.52 ,$39.63 , N/A , N/A , N/A ,$44.66 , N/A ,$44.23 ,$42.84 ,$48.20 , N/A ,$45.52 , N/A ,$45.52 ,$45.52 ,$48.20 ,$48.20 ,$42.04 ,$44.23 , N/A ,$34.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414244,N/A,45 AMO KNIFE,270,1 ,$68.95 ,$44.82 ,$44.82 ,$62.09 ,$55.16 , N/A ,$54.64 ,$62.09 ,$62.09 , N/A ,$58.61 ,$51.02 , N/A , N/A , N/A ,$57.50 , N/A ,$56.95 ,$55.16 ,$62.06 , N/A ,$58.61 , N/A ,$58.61 ,$58.61 ,$62.06 ,$62.06 ,$54.13 ,$56.95 , N/A ,$44.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414245,N/A,SHORT STOP KNIFE 5.1,270,1 ,$89.95 ,$58.47 ,$58.47 ,$81.00 ,$71.96 , N/A ,$71.28 ,$81.00 ,$81.00 , N/A ,$76.46 ,$66.56 , N/A , N/A , N/A ,$75.02 , N/A ,$74.30 ,$71.96 ,$80.96 , N/A ,$76.46 , N/A ,$76.46 ,$76.46 ,$80.96 ,$80.96 ,$70.61 ,$74.30 , N/A ,$58.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414246,N/A,OPHTH FLUID CATCHBAG,270,1 ,$24.00 ,$15.60 ,$15.60 ,$21.61 ,$19.20 , N/A ,$19.02 ,$21.61 ,$21.61 , N/A ,$20.40 ,$17.76 , N/A , N/A , N/A ,$20.02 , N/A ,$19.82 ,$19.20 ,$21.60 , N/A ,$20.40 , N/A ,$20.40 ,$20.40 ,$21.60 ,$21.60 ,$18.84 ,$19.82 , N/A ,$15.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414247,N/A,OPHTH EYE DRAPE,270,1 ,$57.75 ,$37.54 ,$37.54 ,$52.00 ,$46.20 , N/A ,$45.76 ,$52.00 ,$52.00 , N/A ,$49.09 ,$42.74 , N/A , N/A , N/A ,$48.16 , N/A ,$47.70 ,$46.20 ,$51.98 , N/A ,$49.09 , N/A ,$49.09 ,$49.09 ,$51.98 ,$51.98 ,$45.33 ,$47.70 , N/A ,$37.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414248,N/A,OCCUCOAT,270,1 ,$162.25 ,$105.46 ,$105.46 ,$146.11 ,$129.80 , N/A ,$128.57 ,$146.11 ,$146.11 , N/A ,$137.91 ,$120.07 , N/A , N/A , N/A ,$135.32 , N/A ,$134.02 ,$129.80 ,$146.03 , N/A ,$137.91 , N/A ,$137.91 ,$137.91 ,$146.03 ,$146.03 ,$127.37 ,$134.02 , N/A ,$105.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414249,N/A,ANT VITRECTOMY PACK,270,1 ,$251.70 ,$163.61 ,$163.61 ,$226.66 ,$201.36 , N/A ,$199.45 ,$226.66 ,$226.66 , N/A ,$213.95 ,$186.26 , N/A , N/A , N/A ,$209.92 , N/A ,$207.90 ,$201.36 ,$226.53 , N/A ,$213.95 , N/A ,$213.95 ,$213.95 ,$226.53 ,$226.53 ,$197.58 ,$207.90 , N/A ,$163.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414250,N/A,VISCOAT,270,1 ,$321.25 ,$208.81 ,$208.81 ,$289.29 ,$257.00 , N/A ,$254.56 ,$289.29 ,$289.29 , N/A ,$273.06 ,$237.73 , N/A , N/A , N/A ,$267.92 , N/A ,$265.35 ,$257.00 ,$289.13 , N/A ,$273.06 , N/A ,$273.06 ,$273.06 ,$289.13 ,$289.13 ,$252.18 ,$265.35 , N/A ,$208.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414251,N/A,AMO VITRAX,270,1 ,$190.35 ,$123.73 ,$123.73 ,$171.41 ,$152.28 , N/A ,$150.83 ,$171.41 ,$171.41 , N/A ,$161.80 ,$140.86 , N/A , N/A , N/A ,$158.75 , N/A ,$157.23 ,$152.28 ,$171.32 , N/A ,$161.80 , N/A ,$161.80 ,$161.80 ,$171.32 ,$171.32 ,$149.42 ,$157.23 , N/A ,$123.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414252,N/A,RETROBULAR NEEDLE,270,1 ,$26.00 ,$16.90 ,$16.90 ,$23.41 ,$20.80 , N/A ,$20.60 ,$23.41 ,$23.41 , N/A ,$22.10 ,$19.24 , N/A , N/A , N/A ,$21.68 , N/A ,$21.48 ,$20.80 ,$23.40 , N/A ,$22.10 , N/A ,$22.10 ,$22.10 ,$23.40 ,$23.40 ,$20.41 ,$21.48 , N/A ,$16.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414253,N/A,IRRIG VECTIS 25GA,270,1 ,$81.10 ,$52.72 ,$52.72 ,$73.03 ,$64.88 , N/A ,$64.26 ,$73.03 ,$73.03 , N/A ,$68.94 ,$60.01 , N/A , N/A , N/A ,$67.64 , N/A ,$66.99 ,$64.88 ,$72.99 , N/A ,$68.94 , N/A ,$68.94 ,$68.94 ,$72.99 ,$72.99 ,$63.66 ,$66.99 , N/A ,$52.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414254,N/A,ANT CHAMBER CANNULA,270,1 ,$20.10 ,$13.07 ,$13.07 ,$18.10 ,$16.08 , N/A ,$15.93 ,$18.10 ,$18.10 , N/A ,$17.09 ,$14.87 , N/A , N/A , N/A ,$16.76 , N/A ,$16.60 ,$16.08 ,$18.09 , N/A ,$17.09 , N/A ,$17.09 ,$17.09 ,$18.09 ,$18.09 ,$15.78 ,$16.60 , N/A ,$13.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414255,N/A,IRRIGATING CYSTOTOME,270,1 ,$16.50 ,$10.73 ,$10.73 ,$14.86 ,$13.20 , N/A ,$13.07 ,$14.86 ,$14.86 , N/A ,$14.03 ,$12.21 , N/A , N/A , N/A ,$13.76 , N/A ,$13.63 ,$13.20 ,$14.85 , N/A ,$14.03 , N/A ,$14.03 ,$14.03 ,$14.85 ,$14.85 ,$12.95 ,$13.63 , N/A ,$10.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414257,N/A,WETFIELD CAUTERY CVD,270,1 ,$49.35 ,$32.08 ,$32.08 ,$44.44 ,$39.48 , N/A ,$39.10 ,$44.44 ,$44.44 , N/A ,$41.95 ,$36.52 , N/A , N/A , N/A ,$41.16 , N/A ,$40.76 ,$39.48 ,$44.42 , N/A ,$41.95 , N/A ,$41.95 ,$41.95 ,$44.42 ,$44.42 ,$38.74 ,$40.76 , N/A ,$32.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414258,N/A,PHACO PACK,270,1 ,$265.60 ,$172.64 ,$172.64 ,$239.17 ,$212.48 , N/A ,$210.46 ,$239.17 ,$239.17 , N/A ,$225.76 ,$196.54 , N/A , N/A , N/A ,$221.51 , N/A ,$219.39 ,$212.48 ,$239.04 , N/A ,$225.76 , N/A ,$225.76 ,$225.76 ,$239.04 ,$239.04 ,$208.50 ,$219.39 , N/A ,$172.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414260,N/A,ANT CHAMBER CAN 23GA,270,1 ,$35.15 ,$22.85 ,$22.85 ,$31.65 ,$28.12 , N/A ,$27.85 ,$31.65 ,$31.65 , N/A ,$29.88 ,$26.01 , N/A , N/A , N/A ,$29.32 , N/A ,$29.03 ,$28.12 ,$31.64 , N/A ,$29.88 , N/A ,$29.88 ,$29.88 ,$31.64 ,$31.64 ,$27.59 ,$29.03 , N/A ,$22.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414300,N/A,SUT 669H,270,1 ,$13.50 ,$8.78 ,$8.78 ,$12.16 ,$10.80 , N/A ,$10.70 ,$12.16 ,$12.16 , N/A ,$11.48 ,$9.99 , N/A , N/A , N/A ,$11.26 , N/A ,$11.15 ,$10.80 ,$12.15 , N/A ,$11.48 , N/A ,$11.48 ,$11.48 ,$12.15 ,$12.15 ,$10.60 ,$11.15 , N/A ,$8.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414301,N/A,SUT 684H,270,1 ,$13.50 ,$8.78 ,$8.78 ,$12.16 ,$10.80 , N/A ,$10.70 ,$12.16 ,$12.16 , N/A ,$11.48 ,$9.99 , N/A , N/A , N/A ,$11.26 , N/A ,$11.15 ,$10.80 ,$12.15 , N/A ,$11.48 , N/A ,$11.48 ,$11.48 ,$12.15 ,$12.15 ,$10.60 ,$11.15 , N/A ,$8.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414302,N/A,SUT 682G,270,1 ,$12.75 ,$8.29 ,$8.29 ,$11.48 ,$10.20 , N/A ,$10.10 ,$11.48 ,$11.48 , N/A ,$10.84 ,$9.44 , N/A , N/A , N/A ,$10.63 , N/A ,$10.53 ,$10.20 ,$11.48 , N/A ,$10.84 , N/A ,$10.84 ,$10.84 ,$11.48 ,$11.48 ,$10.01 ,$10.53 , N/A ,$8.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414303,N/A,SUT K889H,270,1 ,$22.95 ,$14.92 ,$14.92 ,$20.67 ,$18.36 , N/A ,$18.19 ,$20.67 ,$20.67 , N/A ,$19.51 ,$16.98 , N/A , N/A , N/A ,$19.14 , N/A ,$18.96 ,$18.36 ,$20.66 , N/A ,$19.51 , N/A ,$19.51 ,$19.51 ,$20.66 ,$20.66 ,$18.02 ,$18.96 , N/A ,$14.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414304,N/A,SUT 8695G PROLENE,270,1 ,$37.15 ,$24.15 ,$24.15 ,$33.45 ,$29.72 , N/A ,$29.44 ,$33.45 ,$33.45 , N/A ,$31.58 ,$27.49 , N/A , N/A , N/A ,$30.98 , N/A ,$30.69 ,$29.72 ,$33.44 , N/A ,$31.58 , N/A ,$31.58 ,$31.58 ,$33.44 ,$33.44 ,$29.16 ,$30.69 , N/A ,$24.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414305,N/A,SUT 8454H PROLENE,270,1 ,$18.40 ,$11.96 ,$11.96 ,$16.57 ,$14.72 , N/A ,$14.58 ,$16.57 ,$16.57 , N/A ,$15.64 ,$13.62 , N/A , N/A , N/A ,$15.35 , N/A ,$15.20 ,$14.72 ,$16.56 , N/A ,$15.64 , N/A ,$15.64 ,$15.64 ,$16.56 ,$16.56 ,$14.44 ,$15.20 , N/A ,$11.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414306,N/A,SUT CT-2..X412H,270,1 ,$80.05 ,$52.03 ,$52.03 ,$72.09 ,$64.04 , N/A ,$63.43 ,$72.09 ,$72.09 , N/A ,$68.04 ,$59.24 , N/A , N/A , N/A ,$66.76 , N/A ,$66.12 ,$64.04 ,$72.05 , N/A ,$68.04 , N/A ,$68.04 ,$68.04 ,$72.05 ,$72.05 ,$62.84 ,$66.12 , N/A ,$52.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414307,N/A,SUT 783G ETHICON,270,1 ,$59.80 ,$38.87 ,$38.87 ,$53.85 ,$47.84 , N/A ,$47.39 ,$53.85 ,$53.85 , N/A ,$50.83 ,$44.25 , N/A , N/A , N/A ,$49.87 , N/A ,$49.39 ,$47.84 ,$53.82 , N/A ,$50.83 , N/A ,$50.83 ,$50.83 ,$53.82 ,$53.82 ,$46.94 ,$49.39 , N/A ,$38.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414308,N/A,SUT 7322-81 DEXON,270,1 ,$33.65 ,$21.87 ,$21.87 ,$30.30 ,$26.92 , N/A ,$26.66 ,$30.30 ,$30.30 , N/A ,$28.60 ,$24.90 , N/A , N/A , N/A ,$28.06 , N/A ,$27.79 ,$26.92 ,$30.29 , N/A ,$28.60 , N/A ,$28.60 ,$28.60 ,$30.29 ,$30.29 ,$26.42 ,$27.79 , N/A ,$21.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414309,N/A,SUT H-810H 3-0 PLAIN GUT,270,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414310,N/A,SUT J416H,270,1 ,$15.90 ,$10.34 ,$10.34 ,$14.32 ,$12.72 , N/A ,$12.60 ,$14.32 ,$14.32 , N/A ,$13.52 ,$11.77 , N/A , N/A , N/A ,$13.26 , N/A ,$13.13 ,$12.72 ,$14.31 , N/A ,$13.52 , N/A ,$13.52 ,$13.52 ,$14.31 ,$14.31 ,$12.48 ,$13.13 , N/A ,$10.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414311,N/A,SUT 832H 3-0 CHROMIC GUT,270,1 ,$10.55 ,$6.86 ,$6.86 ,$9.50 ,$8.44 , N/A ,$8.36 ,$9.50 ,$9.50 , N/A ,$8.97 ,$7.81 , N/A , N/A , N/A ,$8.80 , N/A ,$8.71 ,$8.44 ,$9.50 , N/A ,$8.97 , N/A ,$8.97 ,$8.97 ,$9.50 ,$9.50 ,$8.28 ,$8.71 , N/A ,$6.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414312,N/A,SUT 661H 5-0 ETHILON,270,1 ,$25.30 ,$16.45 ,$16.45 ,$22.78 ,$20.24 , N/A ,$20.05 ,$22.78 ,$22.78 , N/A ,$21.51 ,$18.72 , N/A , N/A , N/A ,$21.10 , N/A ,$20.90 ,$20.24 ,$22.77 , N/A ,$21.51 , N/A ,$21.51 ,$21.51 ,$22.77 ,$22.77 ,$19.86 ,$20.90 , N/A ,$16.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414313,N/A,SUT CT-1..X424H,270,1 ,$80.05 ,$52.03 ,$52.03 ,$72.09 ,$64.04 , N/A ,$63.43 ,$72.09 ,$72.09 , N/A ,$68.04 ,$59.24 , N/A , N/A , N/A ,$66.76 , N/A ,$66.12 ,$64.04 ,$72.05 , N/A ,$68.04 , N/A ,$68.04 ,$68.04 ,$72.05 ,$72.05 ,$62.84 ,$66.12 , N/A ,$52.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414314,N/A,SUT J417H,270,1 ,$15.90 ,$10.34 ,$10.34 ,$14.32 ,$12.72 , N/A ,$12.60 ,$14.32 ,$14.32 , N/A ,$13.52 ,$11.77 , N/A , N/A , N/A ,$13.26 , N/A ,$13.13 ,$12.72 ,$14.31 , N/A ,$13.52 , N/A ,$13.52 ,$13.52 ,$14.31 ,$14.31 ,$12.48 ,$13.13 , N/A ,$10.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414315,N/A,SUT J443H,270,1 ,$17.40 ,$11.31 ,$11.31 ,$15.67 ,$13.92 , N/A ,$13.79 ,$15.67 ,$15.67 , N/A ,$14.79 ,$12.88 , N/A , N/A , N/A ,$14.51 , N/A ,$14.37 ,$13.92 ,$15.66 , N/A ,$14.79 , N/A ,$14.79 ,$14.79 ,$15.66 ,$15.66 ,$13.66 ,$14.37 , N/A ,$11.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414316,N/A,SUT 683G,270,1 ,$13.80 ,$8.97 ,$8.97 ,$12.43 ,$11.04 , N/A ,$10.94 ,$12.43 ,$12.43 , N/A ,$11.73 ,$10.21 , N/A , N/A , N/A ,$11.51 , N/A ,$11.40 ,$11.04 ,$12.42 , N/A ,$11.73 , N/A ,$11.73 ,$11.73 ,$12.42 ,$12.42 ,$10.83 ,$11.40 , N/A ,$8.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414318,N/A,SUT 691G 4-0 ETHILON,270,1 ,$13.80 ,$8.97 ,$8.97 ,$12.43 ,$11.04 , N/A ,$10.94 ,$12.43 ,$12.43 , N/A ,$11.73 ,$10.21 , N/A , N/A , N/A ,$11.51 , N/A ,$11.40 ,$11.04 ,$12.42 , N/A ,$11.73 , N/A ,$11.73 ,$11.73 ,$12.42 ,$12.42 ,$10.83 ,$11.40 , N/A ,$8.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414319,N/A,SUT-8832H 3-0 PROLENE,270,1 ,$21.95 ,$14.27 ,$14.27 ,$19.77 ,$17.56 , N/A ,$17.39 ,$19.77 ,$19.77 , N/A ,$18.66 ,$16.24 , N/A , N/A , N/A ,$18.31 , N/A ,$18.13 ,$17.56 ,$19.76 , N/A ,$18.66 , N/A ,$18.66 ,$18.66 ,$19.76 ,$19.76 ,$17.23 ,$18.13 , N/A ,$14.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414320,N/A,"SUT 640G SILK 5-0 P-3 18""",270,1 ,$35.25 ,$22.91 ,$22.91 ,$31.74 ,$28.20 , N/A ,$27.93 ,$31.74 ,$31.74 , N/A ,$29.96 ,$26.09 , N/A , N/A , N/A ,$29.40 , N/A ,$29.12 ,$28.20 ,$31.73 , N/A ,$29.96 , N/A ,$29.96 ,$29.96 ,$31.73 ,$31.73 ,$27.67 ,$29.12 , N/A ,$22.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414325,N/A,SUT J215H 3-OVIC-RBI,270,1 ,$17.40 ,$11.31 ,$11.31 ,$15.67 ,$13.92 , N/A ,$13.79 ,$15.67 ,$15.67 , N/A ,$14.79 ,$12.88 , N/A , N/A , N/A ,$14.51 , N/A ,$14.37 ,$13.92 ,$15.66 , N/A ,$14.79 , N/A ,$14.79 ,$14.79 ,$15.66 ,$15.66 ,$13.66 ,$14.37 , N/A ,$11.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414330,N/A,SUT J214H 4-OVIC-RBI,270,1 ,$17.40 ,$11.31 ,$11.31 ,$15.67 ,$13.92 , N/A ,$13.79 ,$15.67 ,$15.67 , N/A ,$14.79 ,$12.88 , N/A , N/A , N/A ,$14.51 , N/A ,$14.37 ,$13.92 ,$15.66 , N/A ,$14.79 , N/A ,$14.79 ,$14.79 ,$15.66 ,$15.66 ,$13.66 ,$14.37 , N/A ,$11.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414340,N/A,SUT SA-73H,270,1 ,$11.50 ,$7.48 ,$7.48 ,$10.36 ,$9.20 , N/A ,$9.11 ,$10.36 ,$10.36 , N/A ,$9.78 ,$8.51 , N/A , N/A , N/A ,$9.59 , N/A ,$9.50 ,$9.20 ,$10.35 , N/A ,$9.78 , N/A ,$9.78 ,$9.78 ,$10.35 ,$10.35 ,$9.03 ,$9.50 , N/A ,$7.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414341,N/A,SUT O VICRYL CT-1 J418H,270,1 ,$17.45 ,$11.34 ,$11.34 ,$15.71 ,$13.96 , N/A ,$13.83 ,$15.71 ,$15.71 , N/A ,$14.83 ,$12.91 , N/A , N/A , N/A ,$14.55 , N/A ,$14.41 ,$13.96 ,$15.71 , N/A ,$14.83 , N/A ,$14.83 ,$14.83 ,$15.71 ,$15.71 ,$13.70 ,$14.41 , N/A ,$11.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414342,N/A,SUT O VICRYL NO NEEDLE J106T,270,1 ,$47.65 ,$30.97 ,$30.97 ,$42.91 ,$38.12 , N/A ,$37.76 ,$42.91 ,$42.91 , N/A ,$40.50 ,$35.26 , N/A , N/A , N/A ,$39.74 , N/A ,$39.36 ,$38.12 ,$42.89 , N/A ,$40.50 , N/A ,$40.50 ,$40.50 ,$42.89 ,$42.89 ,$37.41 ,$39.36 , N/A ,$30.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414343,N/A,SUT 3-0 VICRYL NO NEEDLE J110T,270,1 ,$65.35 ,$42.48 ,$42.48 ,$58.85 ,$52.28 , N/A ,$51.78 ,$58.85 ,$58.85 , N/A ,$55.55 ,$48.36 , N/A , N/A , N/A ,$54.50 , N/A ,$53.98 ,$52.28 ,$58.82 , N/A ,$55.55 , N/A ,$55.55 ,$55.55 ,$58.82 ,$58.82 ,$51.30 ,$53.98 , N/A ,$42.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414344,N/A,SUT 4-0 MONOCRYL P3 Y494G,270,1 ,$41.00 ,$26.65 ,$26.65 ,$36.92 ,$32.80 , N/A ,$32.49 ,$36.92 ,$36.92 , N/A ,$34.85 ,$30.34 , N/A , N/A , N/A ,$34.19 , N/A ,$33.87 ,$32.80 ,$36.90 , N/A ,$34.85 , N/A ,$34.85 ,$34.85 ,$36.90 ,$36.90 ,$32.19 ,$33.87 , N/A ,$26.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414345,N/A,SUT 5-0 MONOCRYL Y493G,270,1 ,$41.00 ,$26.65 ,$26.65 ,$36.92 ,$32.80 , N/A ,$32.49 ,$36.92 ,$36.92 , N/A ,$34.85 ,$30.34 , N/A , N/A , N/A ,$34.19 , N/A ,$33.87 ,$32.80 ,$36.90 , N/A ,$34.85 , N/A ,$34.85 ,$34.85 ,$36.90 ,$36.90 ,$32.19 ,$33.87 , N/A ,$26.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414346,N/A,SUT O PANACRYL T958H,270,1 ,$25.10 ,$16.32 ,$16.32 ,$22.60 ,$20.08 , N/A ,$19.89 ,$22.60 ,$22.60 , N/A ,$21.34 ,$18.57 , N/A , N/A , N/A ,$20.93 , N/A ,$20.73 ,$20.08 ,$22.59 , N/A ,$21.34 , N/A ,$21.34 ,$21.34 ,$22.59 ,$22.59 ,$19.70 ,$20.73 , N/A ,$16.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414347,N/A,SUT J260H O VICRYL CT-1,270,1 ,$16.90 ,$10.99 ,$10.99 ,$15.22 ,$13.52 , N/A ,$13.39 ,$15.22 ,$15.22 , N/A ,$14.37 ,$12.51 , N/A , N/A , N/A ,$14.09 , N/A ,$13.96 ,$13.52 ,$15.21 , N/A ,$14.37 , N/A ,$14.37 ,$14.37 ,$15.21 ,$15.21 ,$13.27 ,$13.96 , N/A ,$10.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414348,N/A,SUT Y513G 4-0 MONOCRYL PS2,270,1 ,$41.10 ,$26.72 ,$26.72 ,$37.01 ,$32.88 , N/A ,$32.57 ,$37.01 ,$37.01 , N/A ,$34.94 ,$30.41 , N/A , N/A , N/A ,$34.28 , N/A ,$33.95 ,$32.88 ,$36.99 , N/A ,$34.94 , N/A ,$34.94 ,$34.94 ,$36.99 ,$36.99 ,$32.26 ,$33.95 , N/A ,$26.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414349,N/A,SUT O VICRYL CT-1 JJ41G,270,1 ,$95.65 ,$62.17 ,$62.17 ,$86.13 ,$76.52 , N/A ,$75.79 ,$86.13 ,$86.13 , N/A ,$81.30 ,$70.78 , N/A , N/A , N/A ,$79.77 , N/A ,$79.01 ,$76.52 ,$86.09 , N/A ,$81.30 , N/A ,$81.30 ,$81.30 ,$86.09 ,$86.09 ,$75.09 ,$79.01 , N/A ,$62.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414350,N/A,"SUT 2-0SILK 18""CUTTING FS 685G",270,1 ,$14.65 ,$9.52 ,$9.52 ,$13.19 ,$11.72 , N/A ,$11.61 ,$13.19 ,$13.19 , N/A ,$12.45 ,$10.84 , N/A , N/A , N/A ,$12.22 , N/A ,$12.10 ,$11.72 ,$13.19 , N/A ,$12.45 , N/A ,$12.45 ,$12.45 ,$13.19 ,$13.19 ,$11.50 ,$12.10 , N/A ,$9.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414351,N/A,SUT MONOCRYL 4-0(ON SH) Y415H,270,1 ,$19.20 ,$12.48 ,$12.48 ,$17.29 ,$15.36 , N/A ,$15.21 ,$17.29 ,$17.29 , N/A ,$16.32 ,$14.21 , N/A , N/A , N/A ,$16.01 , N/A ,$15.86 ,$15.36 ,$17.28 , N/A ,$16.32 , N/A ,$16.32 ,$16.32 ,$17.28 ,$17.28 ,$15.07 ,$15.86 , N/A ,$12.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60414424,N/A,KNIFE-45* SL KERA TOME,270,1 ,$66.30 ,$43.10 ,$43.10 ,$59.70 ,$53.04 , N/A ,$52.54 ,$59.70 ,$59.70 , N/A ,$56.36 ,$49.06 , N/A , N/A , N/A ,$55.29 , N/A ,$54.76 ,$53.04 ,$59.67 , N/A ,$56.36 , N/A ,$56.36 ,$56.36 ,$59.67 ,$59.67 ,$52.05 ,$54.76 , N/A ,$43.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60415100,N/A,STAPLER-DISP 15W LDS,270,1 ,$389.30 ,$253.05 ,$253.05 ,$350.56 ,$311.44 , N/A ,$308.48 ,$350.56 ,$350.56 , N/A ,$330.91 ,$288.08 , N/A , N/A , N/A ,$324.68 , N/A ,$321.56 ,$311.44 ,$350.37 , N/A ,$330.91 , N/A ,$330.91 ,$330.91 ,$350.37 ,$350.37 ,$305.60 ,$321.56 , N/A ,$253.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60415101,N/A,STAPLER-DISP 55-3.5,270,1 ,$331.90 ,$215.74 ,$215.74 ,$298.88 ,$265.52 , N/A ,$263.00 ,$298.88 ,$298.88 , N/A ,$282.12 ,$245.61 , N/A , N/A , N/A ,$276.80 , N/A ,$274.15 ,$265.52 ,$298.71 , N/A ,$282.12 , N/A ,$282.12 ,$282.12 ,$298.71 ,$298.71 ,$260.54 ,$274.15 , N/A ,$215.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),60415102,N/A,STAPLER-DISP 55-4.8,270,1 ,$331.90 ,$215.74 ,$215.74 ,$298.88 ,$265.52 , N/A ,$263.00 ,$298.88 ,$298.88 , N/A ,$282.12 ,$245.61 , N/A , N/A , N/A ,$276.80 , N/A ,$274.15 ,$265.52 ,$298.71 , N/A ,$282.12 , N/A ,$282.12 ,$282.12 ,$298.71 ,$298.71 ,$260.54 ,$274.15 , N/A ,$215.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),60415103,N/A,STAPLER-DISP 60-3.8,270,1 ,$366.25 ,$238.06 ,$238.06 ,$329.81 ,$293.00 , N/A ,$290.22 ,$329.81 ,$329.81 , N/A ,$311.31 ,$271.03 , N/A , N/A , N/A ,$305.45 , N/A ,$302.52 ,$293.00 ,$329.63 , N/A ,$311.31 , N/A ,$311.31 ,$311.31 ,$329.63 ,$329.63 ,$287.51 ,$302.52 , N/A ,$238.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),60415108,N/A,"ETH-SURGICLIP MD 9.75"" **",270,1 ,$189.45 ,$123.14 ,$123.14 ,$170.60 ,$151.56 , N/A ,$150.12 ,$170.60 ,$170.60 , N/A ,$161.03 ,$140.19 , N/A , N/A , N/A ,$158.00 , N/A ,$156.49 ,$151.56 ,$170.51 , N/A ,$161.03 , N/A ,$161.03 ,$161.03 ,$170.51 ,$170.51 ,$148.72 ,$156.49 , N/A ,$123.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60415109,N/A,ETH-SURGICLIP SM**,270,1 ,$189.45 ,$123.14 ,$123.14 ,$170.60 ,$151.56 , N/A ,$150.12 ,$170.60 ,$170.60 , N/A ,$161.03 ,$140.19 , N/A , N/A , N/A ,$158.00 , N/A ,$156.49 ,$151.56 ,$170.51 , N/A ,$161.03 , N/A ,$161.03 ,$161.03 ,$170.51 ,$170.51 ,$148.72 ,$156.49 , N/A ,$123.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60415110,N/A,"USSC-SURGICLIP MD 11""**",270,1 ,$272.30 ,$177.00 ,$177.00 ,$245.21 ,$217.84 , N/A ,$215.77 ,$245.21 ,$245.21 , N/A ,$231.46 ,$201.50 , N/A , N/A , N/A ,$227.10 , N/A ,$224.92 ,$217.84 ,$245.07 , N/A ,$231.46 , N/A ,$231.46 ,$231.46 ,$245.07 ,$245.07 ,$213.76 ,$224.92 , N/A ,$177.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60415111,N/A,ETH-SURGICLIP LG**,270,1 ,$189.45 ,$123.14 ,$123.14 ,$170.60 ,$151.56 , N/A ,$150.12 ,$170.60 ,$170.60 , N/A ,$161.03 ,$140.19 , N/A , N/A , N/A ,$158.00 , N/A ,$156.49 ,$151.56 ,$170.51 , N/A ,$161.03 , N/A ,$161.03 ,$161.03 ,$170.51 ,$170.51 ,$148.72 ,$156.49 , N/A ,$123.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),604200,N/A,MONTGOMERY STRAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604205,N/A,IV START KIT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604300,N/A,APNEALINK CANNULA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604301,N/A,OXYGEN BLEED-IN ADAPTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604302,N/A,IN-LINE NEB T W/VALVE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604310,N/A,ELECTRODE-ECG TAB (RESP.),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604320,N/A,OXYGEN TUBING CONNECTOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604350,N/A,MASK- INFANT AEROSOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604351,N/A,MASK- PED. AEROSOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604500,N/A,LABEL-24HR URINE COLLECTION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60450000,N/A,XEROFORM 5X9,270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),604501,N/A,LABEL-CHART (WHITE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604520,N/A,LABELS-BARCODE(PHARMACY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604521,N/A,RIBBON-PHARMACY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604600,N/A,LACERATION TRAY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604700,N/A,PORTEX INNER CANNULA 7.0 BLUE LINE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604701,N/A,PORTEX INNER CANNULA 8.0 BLUE LINE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604720,N/A,AIRWAY PED-NASAL 12FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604721,N/A,AIRWAY PED-NASAL 14FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604722,N/A,AIRWAY PED-NASAL 16FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604723,N/A,AIRWAY PED-NASAL 18FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604800,N/A,NK BED-MONITOR PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604801,N/A,SpO2 SENSOR-ADULT NK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604802,N/A,SpO2 SENSOR-PED NK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604803,N/A,SpO2 SENSOR-NEONATAL NK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604810,N/A,OXIMAX SENSOR- INFANT (NELLCOR),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604811,N/A,OXIMAX SENSOR- PED. (NELLCOR),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604812,N/A,OXIMAX SENSOR- ADULT (NELLCOR),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604825,N/A,ZOLL PRINTER PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604826,N/A,STAT-PADZ,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),604850,N/A,SWAB CAPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605000,N/A,AIR DUSTER/CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60500000,N/A,DRAPE-BUTTOCKS,270,1 ,$20.80 ,$13.52 ,$13.52 ,$18.73 ,$16.64 , N/A ,$16.48 ,$18.73 ,$18.73 , N/A ,$17.68 ,$15.39 , N/A , N/A , N/A ,$17.35 , N/A ,$17.18 ,$16.64 ,$18.72 , N/A ,$17.68 , N/A ,$17.68 ,$17.68 ,$18.72 ,$18.72 ,$16.33 ,$17.18 , N/A ,$13.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),605001,N/A,ADDING MACHINE-TAPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605002,N/A,BATTERIES-AA ALKALINE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605003,N/A,BATTERIES-AAA 1.5V,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605004,N/A,BATTERIES-9 VOLT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605005,N/A,BATTERIES-8.4 VOLT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605006,N/A,BATTERY-3V ENERGIZER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605007,N/A,BATTERIES-C,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605008,N/A,BATTERIES-D,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605009,N/A,BATTERIES-J,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60500900,N/A,FOOTCOVER-REGULAR **,270,1 ,$236.95 ,$154.02 ,$154.02 ,$213.37 ,$189.56 , N/A ,$187.76 ,$213.37 ,$213.37 , N/A ,$201.41 ,$175.34 , N/A , N/A , N/A ,$197.62 , N/A ,$195.72 ,$189.56 ,$213.26 , N/A ,$201.41 , N/A ,$201.41 ,$201.41 ,$213.26 ,$213.26 ,$186.01 ,$195.72 , N/A ,$154.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),60500901,N/A,FOOTCOVER-LARGE **,270,1 ,$236.95 ,$154.02 ,$154.02 ,$213.37 ,$189.56 , N/A ,$187.76 ,$213.37 ,$213.37 , N/A ,$201.41 ,$175.34 , N/A , N/A , N/A ,$197.62 , N/A ,$195.72 ,$189.56 ,$213.26 , N/A ,$201.41 , N/A ,$201.41 ,$201.41 ,$213.26 ,$213.26 ,$186.01 ,$195.72 , N/A ,$154.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),605010,N/A,CALCULATOR RIBBON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60501000,N/A,INFLATION BULB **,270,1 ,$314.10 ,$204.17 ,$204.17 ,$282.85 ,$251.28 , N/A ,$248.89 ,$282.85 ,$282.85 , N/A ,$266.99 ,$232.43 , N/A , N/A , N/A ,$261.96 , N/A ,$259.45 ,$251.28 ,$282.69 , N/A ,$266.99 , N/A ,$266.99 ,$266.99 ,$282.69 ,$282.69 ,$246.57 ,$259.45 , N/A ,$204.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501001,C1781,MESH-ATRIUM **,270,1 ,$249.60 ,$162.24 ,$162.24 ,$224.76 ,$199.68 , N/A ,$197.78 ,$224.76 ,$224.76 , N/A ,$212.16 ,$184.70 , N/A , N/A , N/A ,$208.17 , N/A ,$206.17 ,$199.68 ,$224.64 , N/A ,$212.16 , N/A ,$212.16 ,$212.16 ,$224.64 ,$224.64 ,$195.94 ,$206.17 , N/A ,$162.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501002,N/A,TACKER-ORIGIN TISSUE,270,1 ,$540.80 ,$351.52 ,$351.52 ,$486.99 ,$432.64 , N/A ,$428.53 ,$486.99 ,$486.99 , N/A ,$459.68 ,$400.19 , N/A , N/A , N/A ,$451.03 , N/A ,$446.70 ,$432.64 ,$486.72 , N/A ,$459.68 , N/A ,$459.68 ,$459.68 ,$486.72 ,$486.72 ,$424.53 ,$446.70 , N/A ,$351.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501003,N/A,TROCAR-STRUC BALLOON,270,1 ,$270.40 ,$175.76 ,$175.76 ,$243.50 ,$216.32 , N/A ,$214.27 ,$243.50 ,$243.50 , N/A ,$229.84 ,$200.10 , N/A , N/A , N/A ,$225.51 , N/A ,$223.35 ,$216.32 ,$243.36 , N/A ,$229.84 , N/A ,$229.84 ,$229.84 ,$243.36 ,$243.36 ,$212.26 ,$223.35 , N/A ,$175.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501004,N/A,CATHETER TROCAR STERILE 32FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60501010,N/A,LAP CHOLE KIT-TROCAR,270,1 ,$234.00 ,$152.10 ,$152.10 ,$210.72 ,$187.20 , N/A ,$185.42 ,$210.72 ,$210.72 , N/A ,$198.90 ,$173.16 , N/A , N/A , N/A ,$195.16 , N/A ,$193.28 ,$187.20 ,$210.60 , N/A ,$198.90 , N/A ,$198.90 ,$198.90 ,$210.60 ,$210.60 ,$183.69 ,$193.28 , N/A ,$152.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501013,C1781,MESH-PLUG LG**,278,1 ,$443.00 ,$287.95 ,$287.95 ,$398.92 ,$354.40 , N/A ,$351.03 ,$398.92 ,$398.92 , N/A ,$376.55 ,$327.82 , N/A , N/A , N/A ,$369.46 , N/A ,$365.92 ,$354.40 ,$398.70 , N/A ,$376.55 , N/A ,$376.55 ,$376.55 ,$398.70 ,$398.70 ,$347.76 ,$365.92 , N/A ,$287.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501014,C1781,MESH-PLUG XLG**,278,1 ,$516.60 ,$335.79 ,$335.79 ,$465.20 ,$413.28 , N/A ,$409.35 ,$465.20 ,$465.20 , N/A ,$439.11 ,$382.28 , N/A , N/A , N/A ,$430.84 , N/A ,$426.71 ,$413.28 ,$464.94 , N/A ,$439.11 , N/A ,$439.11 ,$439.11 ,$464.94 ,$464.94 ,$405.53 ,$426.71 , N/A ,$335.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501015,C1781,MESH-PLUG MED**,278,1 ,$403.00 ,$261.95 ,$261.95 ,$362.90 ,$322.40 , N/A ,$319.34 ,$362.90 ,$362.90 , N/A ,$342.55 ,$298.22 , N/A , N/A , N/A ,$336.10 , N/A ,$332.88 ,$322.40 ,$362.70 , N/A ,$342.55 , N/A ,$342.55 ,$342.55 ,$362.70 ,$362.70 ,$316.36 ,$332.88 , N/A ,$261.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501016,C1781,MESH-KUGOL **,278,1 ,$488.00 ,$317.20 ,$317.20 ,$439.44 ,$390.40 , N/A ,$386.69 ,$439.44 ,$439.44 , N/A ,$414.80 ,$361.12 , N/A , N/A , N/A ,$406.99 , N/A ,$403.09 ,$390.40 ,$439.20 , N/A ,$414.80 , N/A ,$414.80 ,$414.80 ,$439.20 ,$439.20 ,$383.08 ,$403.09 , N/A ,$317.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501020,N/A,IRRIGATOR-TRUMPIT(NEZHAT-DORSEY),270,1 ,$124.80 ,$81.12 ,$81.12 ,$112.38 ,$99.84 , N/A ,$98.89 ,$112.38 ,$112.38 , N/A ,$106.08 ,$92.35 , N/A , N/A , N/A ,$104.08 , N/A ,$103.08 ,$99.84 ,$112.32 , N/A ,$106.08 , N/A ,$106.08 ,$106.08 ,$112.32 ,$112.32 ,$97.97 ,$103.08 , N/A ,$81.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501021,N/A,TUBING-LAP STERILE,270,1 ,$49.90 ,$32.44 ,$32.44 ,$44.94 ,$39.92 , N/A ,$39.54 ,$44.94 ,$44.94 , N/A ,$42.42 ,$36.93 , N/A , N/A , N/A ,$41.62 , N/A ,$41.22 ,$39.92 ,$44.91 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 ,$44.91 ,$44.91 ,$39.17 ,$41.22 , N/A ,$32.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501022,C1781,MESH-PROLENE 6X6 **,278,1 ,$241.50 ,$156.98 ,$156.98 ,$217.47 ,$193.20 , N/A ,$191.36 ,$217.47 ,$217.47 , N/A ,$205.28 ,$178.71 , N/A , N/A , N/A ,$201.41 , N/A ,$199.48 ,$193.20 ,$217.35 , N/A ,$205.28 , N/A ,$205.28 ,$205.28 ,$217.35 ,$217.35 ,$189.58 ,$199.48 , N/A ,$156.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501023,C1751,TRIPLE LUMEN CATHETER,272,1 ,$101.20 ,$65.78 ,$65.78 ,$91.13 ,$80.96 , N/A ,$80.19 ,$91.13 ,$91.13 , N/A ,$86.02 ,$74.89 , N/A , N/A , N/A ,$84.40 , N/A ,$83.59 ,$80.96 ,$91.08 , N/A ,$86.02 , N/A ,$86.02 ,$86.02 ,$91.08 ,$91.08 ,$79.44 ,$83.59 , N/A ,$65.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501025,N/A,INTRODUCER KIT 8.5 FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60501030,N/A,USSC-ENDO CATCH GOLD**,270,1 ,$447.60 ,$290.94 ,$290.94 ,$403.06 ,$358.08 , N/A ,$354.68 ,$403.06 ,$403.06 , N/A ,$380.46 ,$331.22 , N/A , N/A , N/A ,$373.30 , N/A ,$369.72 ,$358.08 ,$402.84 , N/A ,$380.46 , N/A ,$380.46 ,$380.46 ,$402.84 ,$402.84 ,$351.37 ,$369.72 , N/A ,$290.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501038,C1781,MESH-PROCEED 4x6 **,278,1 ,"$1,261.70 ",$820.11 ,$820.11 ,"$1,136.16 ","$1,009.36 ", N/A ,$999.77 ,"$1,136.16 ","$1,136.16 ", N/A ,"$1,072.45 ",$933.66 , N/A , N/A , N/A ,"$1,052.26 ", N/A ,"$1,042.16 ","$1,009.36 ","$1,135.53 ", N/A ,"$1,072.45 ", N/A ,"$1,072.45 ","$1,072.45 ","$1,135.53 ","$1,135.53 ",$990.43 ,"$1,042.16 ", N/A ,$820.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501039,C1781,MESH-PROCEED 6x8 **,278,1 ,"$2,283.60 ","$1,484.34 ","$1,484.34 ","$2,056.38 ","$1,826.88 ", N/A ,"$1,809.52 ","$2,056.38 ","$2,056.38 ", N/A ,"$1,941.06 ","$1,689.86 ", N/A , N/A , N/A ,"$1,904.52 ", N/A ,"$1,886.25 ","$1,826.88 ","$2,055.24 ", N/A ,"$1,941.06 ", N/A ,"$1,941.06 ","$1,941.06 ","$2,055.24 ","$2,055.24 ","$1,792.63 ","$1,886.25 ", N/A ,"$1,484.34 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60501040,C1781,MESH-IMPLANTABLE **,278,1 ,"$2,000.00 ","$1,300.00 ","$1,300.00 ","$1,801.00 ","$1,600.00 ", N/A ,"$1,584.80 ","$1,801.00 ","$1,801.00 ", N/A ,"$1,700.00 ","$1,480.00 ", N/A , N/A , N/A ,"$1,668.00 ", N/A ,"$1,652.00 ","$1,600.00 ","$1,800.00 ", N/A ,"$1,700.00 ", N/A ,"$1,700.00 ","$1,700.00 ","$1,800.00 ","$1,800.00 ","$1,570.00 ","$1,652.00 ", N/A ,"$1,300.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60501041,N/A,MESH- 3D MAX MESH MED.RT.**,270,1 ,$470.00 ,$305.50 ,$305.50 ,$423.24 ,$376.00 , N/A ,$372.43 ,$423.24 ,$423.24 , N/A ,$399.50 ,$347.80 , N/A , N/A , N/A ,$391.98 , N/A ,$388.22 ,$376.00 ,$423.00 , N/A ,$399.50 , N/A ,$399.50 ,$399.50 ,$423.00 ,$423.00 ,$368.95 ,$388.22 , N/A ,$305.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501042,N/A,MESH- 3D MAX MESH LG.RT.**,270,1 ,$500.00 ,$325.00 ,$325.00 ,$450.25 ,$400.00 , N/A ,$396.20 ,$450.25 ,$450.25 , N/A ,$425.00 ,$370.00 , N/A , N/A , N/A ,$417.00 , N/A ,$413.00 ,$400.00 ,$450.00 , N/A ,$425.00 , N/A ,$425.00 ,$425.00 ,$450.00 ,$450.00 ,$392.50 ,$413.00 , N/A ,$325.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501043,N/A,MESH- 3D MAX MESH XL.RT.**,270,1 ,$550.00 ,$357.50 ,$357.50 ,$495.28 ,$440.00 , N/A ,$435.82 ,$495.28 ,$495.28 , N/A ,$467.50 ,$407.00 , N/A , N/A , N/A ,$458.70 , N/A ,$454.30 ,$440.00 ,$495.00 , N/A ,$467.50 , N/A ,$467.50 ,$467.50 ,$495.00 ,$495.00 ,$431.75 ,$454.30 , N/A ,$357.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501044,N/A,MESH-SURGIMESH WN**,270,1 ,$460.00 ,$299.00 ,$299.00 ,$414.23 ,$368.00 , N/A ,$364.50 ,$414.23 ,$414.23 , N/A ,$391.00 ,$340.40 , N/A , N/A , N/A ,$383.64 , N/A ,$379.96 ,$368.00 ,$414.00 , N/A ,$391.00 , N/A ,$391.00 ,$391.00 ,$414.00 ,$414.00 ,$361.10 ,$379.96 , N/A ,$299.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501045,N/A,MESH-SURGIMESH EASYPLUG**,270,1 ,$700.00 ,$455.00 ,$455.00 ,$630.35 ,$560.00 , N/A ,$554.68 ,$630.35 ,$630.35 , N/A ,$595.00 ,$518.00 , N/A , N/A , N/A ,$583.80 , N/A ,$578.20 ,$560.00 ,$630.00 , N/A ,$595.00 , N/A ,$595.00 ,$595.00 ,$630.00 ,$630.00 ,$549.50 ,$578.20 , N/A ,$455.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501046,C1781,MESH-VENTROLUX PATCH (SM)**,278,1 ,$881.00 ,$572.65 ,$572.65 ,$793.34 ,$704.80 , N/A ,$698.10 ,$793.34 ,$793.34 , N/A ,$748.85 ,$651.94 , N/A , N/A , N/A ,$734.75 , N/A ,$727.71 ,$704.80 ,$792.90 , N/A ,$748.85 , N/A ,$748.85 ,$748.85 ,$792.90 ,$792.90 ,$691.59 ,$727.71 , N/A ,$572.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501047,C1781,MESH-VENTROLUX PATCH (MED)**,278,1 ,"$1,053.00 ",$684.45 ,$684.45 ,$948.23 ,$842.40 , N/A ,$834.40 ,$948.23 ,$948.23 , N/A ,$895.05 ,$779.22 , N/A , N/A , N/A ,$878.20 , N/A ,$869.78 ,$842.40 ,$947.70 , N/A ,$895.05 , N/A ,$895.05 ,$895.05 ,$947.70 ,$947.70 ,$826.61 ,$869.78 , N/A ,$684.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501048,C1781,MESH-VENTROLUX PATCH (LG)**,278,1 ,"$1,280.00 ",$832.00 ,$832.00 ,"$1,152.64 ","$1,024.00 ", N/A ,"$1,014.27 ","$1,152.64 ","$1,152.64 ", N/A ,"$1,088.00 ",$947.20 , N/A , N/A , N/A ,"$1,067.52 ", N/A ,"$1,057.28 ","$1,024.00 ","$1,152.00 ", N/A ,"$1,088.00 ", N/A ,"$1,088.00 ","$1,088.00 ","$1,152.00 ","$1,152.00 ","$1,004.80 ","$1,057.28 ", N/A ,$832.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501050,N/A,RETRIEVAL FORCEPS-ENDO **,272,1 ,$252.00 ,$163.80 ,$163.80 ,$226.93 ,$201.60 , N/A ,$199.68 ,$226.93 ,$226.93 , N/A ,$214.20 ,$186.48 , N/A , N/A , N/A ,$210.17 , N/A ,$208.15 ,$201.60 ,$226.80 , N/A ,$214.20 , N/A ,$214.20 ,$214.20 ,$226.80 ,$226.80 ,$197.82 ,$208.15 , N/A ,$163.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501060,C1781,MESH-SMALL OVAL 3.1x4.7 **,278,1 ,"$1,440.00 ",$936.00 ,$936.00 ,"$1,296.72 ","$1,152.00 ", N/A ,"$1,141.06 ","$1,296.72 ","$1,296.72 ", N/A ,"$1,224.00 ","$1,065.60 ", N/A , N/A , N/A ,"$1,200.96 ", N/A ,"$1,189.44 ","$1,152.00 ","$1,296.00 ", N/A ,"$1,224.00 ", N/A ,"$1,224.00 ","$1,224.00 ","$1,296.00 ","$1,296.00 ","$1,130.40 ","$1,189.44 ", N/A ,$936.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501061,C1781,MESH-SORBAFIX * *,278,1 ,"$1,440.00 ",$936.00 ,$936.00 ,"$1,296.72 ","$1,152.00 ", N/A ,"$1,141.06 ","$1,296.72 ","$1,296.72 ", N/A ,"$1,224.00 ","$1,065.60 ", N/A , N/A , N/A ,"$1,200.96 ", N/A ,"$1,189.44 ","$1,152.00 ","$1,296.00 ", N/A ,"$1,224.00 ", N/A ,"$1,224.00 ","$1,224.00 ","$1,296.00 ","$1,296.00 ","$1,130.40 ","$1,189.44 ", N/A ,$936.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501062,C1781,MESH-VENTRALIGHT * *,278,1 ,"$1,450.00 ",$942.50 ,$942.50 ,"$1,305.73 ","$1,160.00 ", N/A ,"$1,148.98 ","$1,305.73 ","$1,305.73 ", N/A ,"$1,232.50 ","$1,073.00 ", N/A , N/A , N/A ,"$1,209.30 ", N/A ,"$1,197.70 ","$1,160.00 ","$1,305.00 ", N/A ,"$1,232.50 ", N/A ,"$1,232.50 ","$1,232.50 ","$1,305.00 ","$1,305.00 ","$1,138.25 ","$1,197.70 ", N/A ,$942.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60501063,N/A,MESH-SURGIMESH ROUND 15cm **,270,1 ,"$2,900.00 ","$1,885.00 ","$1,885.00 ","$2,611.45 ","$2,320.00 ", N/A ,"$2,297.96 ","$2,611.45 ","$2,611.45 ", N/A ,"$2,465.00 ","$2,146.00 ", N/A , N/A , N/A ,"$2,418.60 ", N/A ,"$2,395.40 ","$2,320.00 ","$2,610.00 ", N/A ,"$2,465.00 ", N/A ,"$2,465.00 ","$2,465.00 ","$2,610.00 ","$2,610.00 ","$2,276.50 ","$2,395.40 ", N/A ,"$1,885.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60501064,N/A,MESH-SURGIMESH ROUND 10cm **,270,1 ,"$1,690.70 ","$1,098.96 ","$1,098.96 ","$1,522.48 ","$1,352.56 ", N/A ,"$1,339.71 ","$1,522.48 ","$1,522.48 ", N/A ,"$1,437.10 ","$1,251.12 ", N/A , N/A , N/A ,"$1,410.04 ", N/A ,"$1,396.52 ","$1,352.56 ","$1,521.63 ", N/A ,"$1,437.10 ", N/A ,"$1,437.10 ","$1,437.10 ","$1,521.63 ","$1,521.63 ","$1,327.20 ","$1,396.52 ", N/A ,"$1,098.96 " HSHS GOOD SHEPHERD HOSPITAL (ACU),605011,N/A,CHECKS-ACCOUNTS PAYABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605012,N/A,CHECKS-PAY.STUB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605013,N/A,COPY PAPER-WHITE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605014,N/A,COPY PAPER-WHITE LONG 8.5X14,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605015,N/A,COPY PAPER-GREEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605016,N/A,COPY PAPER-BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605017,N/A,COPY PAPER-PINK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605019,N/A,COPY PAPER-CHERRY RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605020,N/A,COPY PAPER-YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605021,N/A,COPY PAPER-2 PT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605022,N/A,COPY PAPER-3 PT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605023,N/A,COPY PAPER-GOLDENROD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605024,N/A,COPY PAPER-GREEN INDEX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605025,N/A,COPY PAPER-WHITE INDEX 8.5X14,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605026,N/A,e-SCRIBE PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605027,N/A,COPY TONER-MR do not order-contract item,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605028,N/A,DO NOT USE - - DELETED ITEM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605029,N/A,CHARGE-MICROBIO. 1100,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605030,N/A,CHARGE-BLOOD ADM. 1010,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605031,N/A,CHARGE-BLOOD BANK 1020,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605032,N/A,CHARGE-CT SCAN 1030,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605033,N/A,CHARGE-COAGUL 1060,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605034,N/A,CHARGE-CHEM I-1040,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605035,N/A,CHARGE-CHEM III 1050,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605036,N/A,CHARGE-DIS/TRANS 1080,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605037,N/A,CHARGE-HEMA. 1090,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605038,N/A,CHARGE-MISC. 1110,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605039,N/A,CHARGE-MISC. LAB 1120,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605040,N/A,LAB REPORT MOUNT SHEETS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605041,N/A,CHARGE-URIN. 1190,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605042,N/A,CHARGE-X CARD PATIENT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605043,N/A,CHARGE-BASIC PROF. 1000,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605044,N/A,CHARGE SLIP-RT #1140,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605045,N/A,CHARGE-R.T.SUPP. 1155,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605046,N/A,CHARGE SLIP-RT DIAG. #1150,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605047,N/A,CHARGE-SPEC. PROF. 1170,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605048,N/A,CHARGE-X RAY I 1200,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605049,N/A,CHARGE-X RAY II 1210,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605050,N/A,CHARGE-ULTRASOUND 1180,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605051,N/A,CHARGE-P.T. 1130,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605052,N/A,CARD-CREDIT RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605053,N/A,CARD-GREEN CHARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605054,N/A,DATA CARTRIDGE 250MB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605055,N/A,DATA CARTRIDGE 1.2GB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605056,N/A,DATA CARTRIDGE 525MB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605057,N/A,DISKETTE-3.5 DS-HD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605058,N/A,EMERGENCY ROOM RECORD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605059,N/A,7 DAY MAR (RECORD),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605060,N/A,NURS.DISCHARGE/SPECIAL INSTR.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605061,N/A,ENVELOPE-#10 WINDOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605062,N/A,ENVELOPES--DO NOT USE THIS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605063,N/A,ENVELOPE -#10 REG.FLAT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605064,N/A,ENVELOPE-9 X 12 BROWN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605065,N/A,ENVELOPE-INTERDEPARTMENTAL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605066,N/A,ERASERS-PENTEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605067,N/A,FOLDERS-FILE 1/3 CUT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605068,N/A,FOLDERS-EXPANSION POCKET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605069,N/A,FOLDERS-EXPANSION LEGAL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605070,N/A,GLUE STICK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605071,N/A,HCFA(HICA 1500) PAPER do not use,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605072,N/A,INDEX CARDS-4 X 6 RULED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605073,N/A,INDEX CARDS-4 X 6 PLAIN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605074,N/A,INK ROLLER-IMPRINTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605075,N/A,LABELS-PRESURE SENSITIVE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605076,N/A,LABELS-1 X 3/4 INCH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605077,N/A,LEGAL PADS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605078,N/A,LETTERHEAD STATIONARY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605079,N/A,LIQUID PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605080,N/A,MARKER-BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605081,N/A,MARKER-RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605082,N/A,MARKER-FLAIR BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605083,N/A,MARKER-FLAIR RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605084,N/A,MARKER-FLAIR GREEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605085,N/A,MARKER-HILITE YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605086,N/A,MARKER-HILITE PINK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605087,N/A,MARKER-SHARPIE BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605088,N/A,MARKER-POCKET FLUOR. YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605089,N/A,MESSAGE BOOKS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605090,N/A,PAPER CLIP-LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605091,N/A,PAPER CLIP-SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605092,N/A,PENCILS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605093,N/A,PENS-RED MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605094,N/A,PENS-GREEN MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605095,N/A,PENS-BLACK MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605096,N/A,PENS-BLACK FINE POINT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605097,N/A,PHYSICIAN'S ORDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605098,N/A,POST IT NOTES 3 X 5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605099,N/A,POST IT NOTES 3 X 3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6051,N/A,OPTIMARK 15ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605100,N/A,POST IT NOTE 2X3 DO NOT USE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605101,N/A,POST IT NOTE 1.5X2,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605102,N/A,PRINT CARTRIDGE-FAX PC91,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605103,N/A,PRINT CARTRIDGE-FAX PC101,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605104,N/A,PURCHASE ORDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605105,N/A,RECEIPT BOOKS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605106,N/A,JOURNALS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605107,N/A,RIBBONS-IBM 1040990,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605108,N/A,REINFORCEMENT HOLES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605109,N/A,RIBBONS-IBM 6845100,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605110,N/A,RIBBON-IBM 1040580,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605111,N/A,RUBBERBANDS-ASST.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605112,N/A,SHEET PROTECTORS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605113,N/A,SORTKWIK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605114,N/A,"STAPLES-HEAVY DUTY 1/2""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605115,N/A,"STAPLES-HEAVY DUTY 1/2""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605116,N/A,STAPLES-REGULAR FLAT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605117,N/A,STAPLES-REGULAR HUMP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605118,N/A,STAPLES-ELECTRIC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605119,N/A,STATEMENTS MAILERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605120,N/A,STOCK PAPER-1471X (GREENBAR),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605121,N/A,STOCK PAPER-2PT 2COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605122,N/A,STOCK PAPER-1901CJ 3PT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605123,N/A,STOCK PAPER-1901CJ 2PT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605124,N/A,STOCK PAPER-1901SJ,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605125,N/A,STOCK PAPER-1901OK 1PT.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605126,N/A,STENO NOTEBOOK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605127,N/A,SPIRAL NOTEBOOKS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605128,N/A,TAB INDEX DIVIDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605129,N/A,TAPE-SCOTCH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605130,N/A,TAPE LABEL BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605131,N/A,THUMBTACKS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605132,N/A,TYPEWRITER RIBBON-IBM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605133,N/A,TYPEWRITER RIBBON-IBM 210,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605134,N/A,TYPEWRITER CORRECT-IBM,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605135,N/A,TYPEWRITER RIB.SMITH CARONA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605136,N/A,TYPEWRITER-COR.SMITH CARONA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605137,N/A,TYPEWRITER-CORRECT SMITH CORONA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605138,N/A,TYPEWRITER RIB. WHEELWRITER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605139,N/A,TYPEWRITER COR. WHEELWRITER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605140,N/A,STOCK PAPER UB04,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605141,N/A,X-RAY FLASH CARDS #3050,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605142,N/A,RICOH INK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605143,N/A,RICOH MASTERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605144,N/A,COPY PAPER-BLUE 8 1/2X14,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605145,N/A,BINDER CLIPS-SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605146,N/A,BINDER CLIPS-MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605147,N/A,BINDER CLIPS-LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605148,N/A,UB04 LASER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605149,N/A,HCFA 1500 LASER DO NOT USE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605150,N/A,RIBBON-OKI 320,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605151,N/A,RIBBON-OKI 395,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605152,N/A,RIBBON-TALLY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605153,N/A,RIBBON-ZEB3.27,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605154,N/A,RIBBON-ZEB4.33,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605155,N/A,PRINT CART-LEX 1855,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605156,N/A,BINDER-DATA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605157,N/A,CARD-THERMAL ROLL (RADIOLOGY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605158,N/A,LABELS-LAB 3.5x15/16,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605159,N/A,TONER-HP LASER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605160,N/A,FIRST TIME STATEMENTS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605161,N/A,LONG TERM STATEMENT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605162,N/A,CPSI RECEIPTS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605163,N/A,LABELS-BARCODE ZEBRA 2-UP (YELLOW),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605164,N/A,PATIENT INSTRUCTIONS (ER),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605165,N/A,LABELS-DIETARY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605166,N/A,TONER-BLACK XEROX PHASER 6180,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605167,N/A,TONER-CYAN XEROX PHASER 6180,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605168,N/A,TONER-MAGENTA XEROX PHASER 6180,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605169,N/A,TONER-YELLOW XEROX PHASER 6180,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605170,N/A,DRUM-FOR CFO HP4500N,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605171,N/A,"COPY TONER-PT,NH,2N,DR.O.",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605172,N/A,DATA CARTRIDGE-QG54M,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605173,N/A,PRINT CART-LEX T612/610,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605174,N/A,DIRECT DEPOSIT SLIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605175,N/A,STAPLES-BUS.OFF.COPIER(XEROX55),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605176,N/A,COPY PAPER-WHITE INDEX 8.5X11,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605177,N/A,PRINTER PAPER-DEFIB(LIFEPAK 11),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605178,N/A,MONITOR PAPER-W/A PROTOCOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605179,N/A,MARKER-HILITE BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605180,N/A,PRINT CARTRIDGE-FAX PC201,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605181,N/A,PRINT CART-FAX 2820,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605182,N/A,PRINT CART-LEX E320,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605183,N/A,PRINT CART-LEX T622,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605184,N/A,PRINT CART-LEX T632 HI YIELD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605185,N/A,PRINT CART-LEX T640/T642 EX HI YIELD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605186,N/A,PRINT CART-HP1300,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605188,N/A,PRINTER PACK-SONY UPC55 (SURGERY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605189,N/A,PRINTER PAPER-STERIS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605190,N/A,LABELS-W/ARMBANDS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605191,N/A,"LABELS-EXTRA,NO ARMBANDS",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605192,N/A,CD-R (MEDIA),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605193,N/A,PAPER-MITSUBISHI CK800L (XRAY),270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605194,N/A,C-ARM TRANSPARENT FILM (SURGERY),270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605195,N/A,OPTICAL CARTRIDGE (X-RAY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605196,N/A,CARTRIDGE-BACKUP(ACCT'G),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605197,N/A,ULTRASOUND PROBE COVER- - Do not use!!!!,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605198,N/A,PENS-STIK BLACK FINE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605199,N/A,PENS-STIK BLACK MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6052,N/A,OPTIRAY 300,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605200,N/A,LABELS-ZEBRA PINK 2-UP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605201,N/A,LABELS-BARCODE (WHITE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605202,N/A,1500 CMS CLAIM FORM (2014),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605204,N/A,ENVELOPE-BUSINESS REPLY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605205,N/A,"TAPE-CASTING 3"" GLOW",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605206,N/A,"TAPE-CASTING 3"" RED",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605207,N/A,"TAPE-CASTING 3"" BLUE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605208,N/A,"TAPE-CASTING 3"" PURPLE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605209,N/A,CLEAR POCKET COMMUNICATION BOARD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605220,N/A,PENS-COMFORT GRIP MED.BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605221,N/A,PENS-COMFORT GRIP FINE.BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605235,N/A,BIC WITE OUT TAPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605280,N/A,PRINT CART-HP4250,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605281,N/A,PRINT CART-HP2015,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605282,N/A,PRINT CART-HP P3005N,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605283,N/A,PRINT CART-LEX T652,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605284,N/A,PRINT CART-LEX T652/T650 (High Yield),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605285,N/A,PRINT CART-LEX E250dn,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605286,N/A,PRINT CART-LEX E260dn,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605287,N/A,PRINT CART BLACK LEX C544dn,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605288,N/A,PRINT CART CYAN LEX C544dn,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605289,N/A,PRINT CART MAGENTA LEX C544dn,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605290,N/A,PRINT CART YELLOW LEX C544dn,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605291,N/A,WASTE TONER- LEX C544dn,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605298,N/A,DRUM-XEROX FAX (MR),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605299,N/A,TONER-XEROX FAX (MR),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6053,N/A,OPTIRAY 350,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605300,N/A,TONER-XEROX (FAX-575),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605301,N/A,FAX CARTRIDGE- XEROX PHASER 3300,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605350,N/A,PRINT CART- FAX 4100 AND 4750,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605351,N/A,DRUM- FAX 4100 AND 4750,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605352,N/A,DRUM-FAX 2820,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605360,N/A,PRINT CART-LEX C746 BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605361,N/A,PRINT CART-LEX C746 CYAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605362,N/A,PRINT CART-LEX C746 MAGENTA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605363,N/A,PRINT CART-LEX C746 YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605366,N/A,PRINT CART-LEX CS310 BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605367,N/A,PRINT CART-LEX CS310 CYAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605368,N/A,PRINT CART-LEX CS310 MAGENTA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605369,N/A,PRINT CART-LEX CS310 YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605370,N/A,PRINT CART-LEX MS710,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605371,N/A,PRINT CART-LEX MS310,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605372,N/A,PRINT- FAX BROTHER 2840,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605373,N/A,PRINT- FAX DRUM BROTHER 2840,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605374,N/A,DRUM DEVELP LEX C544 BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605375,N/A,DRUM DEVELP LEX C544 CYAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605376,N/A,DRUM DEVELP LEX C544 MAGENTA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605377,N/A,DRUM DEVELP LEX C544 YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605378,N/A,IMAGING UNIT- MS710 / MS810,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6054,N/A,OPTIMARK 20ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605400,N/A,TONER-BLACK FOR CNE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605401,N/A,TONER-CYAN FOR CNE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605402,N/A,TONER-MAGENTA FOR CNE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605403,N/A,TONER-YELLOW FOR CNE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605404,N/A,DRUM-FOR CNE HP2550N,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605405,N/A,TONER-BLACK FOR ER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605406,N/A,TONER-CYAN FOR ER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605407,N/A,TONER-MAGENTA FOR ER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605408,N/A,TONER-YELLOW FOR ER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605410,N/A,MARKER DRY ERASE BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605411,N/A,ERASER WHITEBOARD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605412,N/A,WHITEBOARD CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6055,N/A,CD/DVD ENVELOPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605500,N/A,CD-RW (MEDIA)- POCKET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6056,N/A,ZIP DISKS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6057,N/A,DVD-R MEMOREX 4.7 GB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6058,N/A,CD-R BLACK TEXT ON LACQUER W/SLEEVE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605800,N/A,KLEENSPEC SM. VAGINAL (LEVINE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605801,N/A,KLEENSPEC MED.VAGINAL (LEVINE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605850,N/A,W/A BULB # 03100-U,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605851,N/A,W/A BULB # 04800-U,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605852,N/A,W/A BULB # 04900-U,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605853,N/A,W/A BULB # 07800-U,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),605854,N/A,W/A BULB # 04700-U,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6059,N/A,FILE FOLDERS END TAB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6060,N/A,PACKING TAPE CLEAR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606000,N/A,LF NIOSH DUST AND MIST RESP.MASK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60600000,N/A,LF CATHETER 18F,270,1 ,$11.20 ,$7.28 ,$7.28 ,$10.09 ,$8.96 , N/A ,$8.87 ,$10.09 ,$10.09 , N/A ,$9.52 ,$8.29 , N/A , N/A , N/A ,$9.34 , N/A ,$9.25 ,$8.96 ,$10.08 , N/A ,$9.52 , N/A ,$9.52 ,$9.52 ,$10.08 ,$10.08 ,$8.79 ,$9.25 , N/A ,$7.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60600025,N/A,LF ANESTHESIA KIT,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60600090,N/A,LF SURG GLOVES SENSICARE 6.5,270,1 ,$19.80 ,$12.87 ,$12.87 ,$17.83 ,$15.84 , N/A ,$15.69 ,$17.83 ,$17.83 , N/A ,$16.83 ,$14.65 , N/A , N/A , N/A ,$16.51 , N/A ,$16.35 ,$15.84 ,$17.82 , N/A ,$16.83 , N/A ,$16.83 ,$16.83 ,$17.82 ,$17.82 ,$15.54 ,$16.35 , N/A ,$12.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60600091,N/A,LF SURG GLOVES SENSICARE 7,270,1 ,$19.80 ,$12.87 ,$12.87 ,$17.83 ,$15.84 , N/A ,$15.69 ,$17.83 ,$17.83 , N/A ,$16.83 ,$14.65 , N/A , N/A , N/A ,$16.51 , N/A ,$16.35 ,$15.84 ,$17.82 , N/A ,$16.83 , N/A ,$16.83 ,$16.83 ,$17.82 ,$17.82 ,$15.54 ,$16.35 , N/A ,$12.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),60600092,N/A,LF SURG GLOVES SENSICARE 7.5,270,1 ,$19.80 ,$12.87 ,$12.87 ,$17.83 ,$15.84 , N/A ,$15.69 ,$17.83 ,$17.83 , N/A ,$16.83 ,$14.65 , N/A , N/A , N/A ,$16.51 , N/A ,$16.35 ,$15.84 ,$17.82 , N/A ,$16.83 , N/A ,$16.83 ,$16.83 ,$17.82 ,$17.82 ,$15.54 ,$16.35 , N/A ,$12.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),606001,N/A,LF EXAM GLOVES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606002,N/A,LF TOURNIQUET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6061,N/A,DEXASCAN PRINT CART COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6062,N/A,DEXASCAN PRINT CART BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606297,N/A,IONTOPATCH XTRA STRENGTH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606298,N/A,IONTOPATCH 80,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606299,N/A,HYBRESIS ELECTRODE(PT),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6063,N/A,TEGADERM DRESSING 6CMX7CM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606300,N/A,IONTOPHORESIS ELECTRODE(PT),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606301,N/A,ULTRASOUND PROBE COVERS (XRAY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606302,N/A,ELECTRODES-ULTRASOUND,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606303,N/A,ELECTRODES-CT HEARTSCORE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606320,N/A,EARPLUGS (XRAY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6064,N/A,MARKER SILVER METALLIC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606444,N/A,ISOLATION GOWNS-SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6065,N/A,OMNIPAQUE 300mg CT PLUS PAK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606500,N/A,EKG GRAPH PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60650000,N/A,PCE PACEMAKER **,275,1 ,"$6,750.00 ","$4,387.50 ","$4,387.50 ","$6,078.38 ","$5,400.00 ", N/A ,"$5,348.70 ","$6,078.38 ","$6,078.38 ", N/A ,"$5,737.50 ","$4,995.00 ", N/A , N/A , N/A ,"$5,629.50 ", N/A ,"$5,575.50 ","$5,400.00 ","$6,075.00 ", N/A ,"$5,737.50 ", N/A ,"$5,737.50 ","$5,737.50 ","$6,075.00 ","$6,075.00 ","$5,298.75 ","$5,575.50 ", N/A ,"$4,387.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60650001,N/A,PCE F11 WIRE,275,1 ,$150.00 ,$97.50 ,$97.50 ,$135.08 ,$120.00 , N/A ,$118.86 ,$135.08 ,$135.08 , N/A ,$127.50 ,$111.00 , N/A , N/A , N/A ,$125.10 , N/A ,$123.90 ,$120.00 ,$135.00 , N/A ,$127.50 , N/A ,$127.50 ,$127.50 ,$135.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60650002,N/A,PCE F11 WIRE,275,1 ,"$1,100.00 ",$715.00 ,$715.00 ,$990.55 ,$880.00 , N/A ,$871.64 ,$990.55 ,$990.55 , N/A ,$935.00 ,$814.00 , N/A , N/A , N/A ,$917.40 , N/A ,$908.60 ,$880.00 ,$990.00 , N/A ,$935.00 , N/A ,$935.00 ,$935.00 ,$990.00 ,$990.00 ,$863.50 ,$908.60 , N/A ,$715.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60650003,C1786,PCE PACING CABLE,275,1 ,$100.00 ,$65.00 ,$65.00 ,$90.05 ,$80.00 , N/A ,$79.24 ,$90.05 ,$90.05 , N/A ,$85.00 ,$74.00 , N/A , N/A , N/A ,$83.40 , N/A ,$82.60 ,$80.00 ,$90.00 , N/A ,$85.00 , N/A ,$85.00 ,$85.00 ,$90.00 ,$90.00 ,$78.50 ,$82.60 , N/A ,$65.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60650004,N/A,PCE 7FR INTRODUCER,275,1 ,$150.00 ,$97.50 ,$97.50 ,$135.08 ,$120.00 , N/A ,$118.86 ,$135.08 ,$135.08 , N/A ,$127.50 ,$111.00 , N/A , N/A , N/A ,$125.10 , N/A ,$123.90 ,$120.00 ,$135.00 , N/A ,$127.50 , N/A ,$127.50 ,$127.50 ,$135.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60650005,N/A,PCE PACEMAKER(SINGLE CBR)**,275,1 ,"$6,750.00 ","$4,387.50 ","$4,387.50 ","$6,078.38 ","$5,400.00 ", N/A ,"$5,348.70 ","$6,078.38 ","$6,078.38 ", N/A ,"$5,737.50 ","$4,995.00 ", N/A , N/A , N/A ,"$5,629.50 ", N/A ,"$5,575.50 ","$5,400.00 ","$6,075.00 ", N/A ,"$5,737.50 ", N/A ,"$5,737.50 ","$5,737.50 ","$6,075.00 ","$6,075.00 ","$5,298.75 ","$5,575.50 ", N/A ,"$4,387.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60650006,N/A,PCE PACEMAKER(DUAL CBR)**,275,1 ,"$6,750.00 ","$4,387.50 ","$4,387.50 ","$6,078.38 ","$5,400.00 ", N/A ,"$5,348.70 ","$6,078.38 ","$6,078.38 ", N/A ,"$5,737.50 ","$4,995.00 ", N/A , N/A , N/A ,"$5,629.50 ", N/A ,"$5,575.50 ","$5,400.00 ","$6,075.00 ", N/A ,"$5,737.50 ", N/A ,"$5,737.50 ","$5,737.50 ","$6,075.00 ","$6,075.00 ","$5,298.75 ","$5,575.50 ", N/A ,"$4,387.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),6066,N/A,OMNIPAQUE 350mg CT PLUS PAK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606600,N/A,SCRUB TRAY (CHL),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606650,N/A,C-ARM DRAPE (SURGERY),270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6067,N/A,OMNISCAN 15ml MRI PREFILLS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6068,N/A,OMNISCAN 20ml MRI PREFILLS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),606800,N/A,HI-DRILL BIT DRW 323R0,999,1 ,$283.20 ,$184.08 ,$184.08 ,$255.02 ,$226.56 , N/A ,$224.41 ,$255.02 ,$255.02 , N/A ,$240.72 ,$209.57 , N/A , N/A , N/A ,$236.19 , N/A ,$233.92 ,$226.56 ,$254.88 , N/A ,$240.72 , N/A ,$240.72 ,$240.72 ,$254.88 ,$254.88 ,$222.31 ,$233.92 , N/A ,$184.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),606801,N/A,HI-DRILL BIT DRW 154R05,999,1 ,$283.20 ,$184.08 ,$184.08 ,$255.02 ,$226.56 , N/A ,$224.41 ,$255.02 ,$255.02 , N/A ,$240.72 ,$209.57 , N/A , N/A , N/A ,$236.19 , N/A ,$233.92 ,$226.56 ,$254.88 , N/A ,$240.72 , N/A ,$240.72 ,$240.72 ,$254.88 ,$254.88 ,$222.31 ,$233.92 , N/A ,$184.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),6069,N/A,MARKER MOLE SPEE D RING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607,N/A,GGGGGGGGGG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6070,N/A,MARKER SCAR SPEE D LINE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607000,N/A,ELECTRODE-SNAP FOAM (X-RAY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607001,N/A,ECHO PAPER (X-RAY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607005,N/A,E-STIM ELECTODE (PT),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607010,N/A,EXT.TUBING-COILED (X-RAY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6071,N/A,JACKET ADHESIVE FASTENERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607100,N/A,ELECTRODE-HYPOALLERGENIC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6072,N/A,ECHO CONTRAST DEFINITY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607250,N/A,MONOJECT 60cc SYRINGE (PHARM),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607251,N/A,MONOJECT 20cc SYRINGE (PHARM),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607252,N/A,MONOJECT 12cc SYRINGE(PHARM)),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607253,N/A,MONOJECT 3cc SYRINGE (PHARM)),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607254,N/A,3cc SYRINGE LUER LOCK(PHARM)),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607255,N/A,SYRINGE TIP CAPS (PHARM),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607256,N/A,10cc PHARM TRAY (PHARM),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607257,N/A,HUB HYPODERMIC NDL GREEN (PHARM),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607258,N/A,SAFETY NEEDLE 28GAx1/2 (PHARM),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607259,N/A,CHEMO DISPENSING PIN (PHARM),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607260,N/A,ALCOHOL SWABS (PHARM),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6073,N/A,MARKER SHARPIE ULTRA FINE PT BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607399,N/A,BITE BLOCK-SURGERY ONLY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6074,N/A,FINGER CONDOM SIZE 12,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607400,N/A,BITE BLOCK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607401,N/A,PELVIC EXAM DEVICE-SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607402,N/A,ABD-SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6075,N/A,OMNIPAQUE 240-50ML CT PLUS PAK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607500,N/A,"TAPE-SILK 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607580,N/A,DEODORANT,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),607600,N/A,TOURNIQUET NON-LATEX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),607699,N/A,COFLEX BANDAGE SYSTEM,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),607700,N/A,OPTIFOAM DRESSING,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),607701,N/A,MEPILEX DRESSING,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),608000,N/A,BAGS-LARGE 23X17X46,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608001,N/A,BAGS-BEDSIDE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608002,N/A,BAGS-BLACK SMALL 22.5X24.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608003,N/A,BAGS-WHITE 26X42,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608004,N/A,BAGS-BLACK LG 46x50,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608005,N/A,BAGS-LAUNDRY BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608006,N/A,BATHMATS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608007,N/A,DENTURE CUPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608008,N/A,BLEACH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608009,N/A,BAGS-RED 33X39(LARGE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608010,N/A,BAGS-RED 24X23(SMALL),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608011,N/A,BEDPAN COVER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608012,N/A,PILLOWCOVERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608013,N/A,SOAP-BAR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608014,N/A,TOILET PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608015,N/A,TOILET PAPER LARGE ROLL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608016,N/A,TOWELS - PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608017,N/A,TOWELS-LARGE ROLL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608018,N/A,BAGS-PATIENT BELONGING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608019,N/A,CIDA RINSE GEL-FOR DISPENSER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608020,N/A,BACTISTAT-FOR DISPENSER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608021,N/A,LOTION(ACCENT)-FOR DISP --do not reorder,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608022,N/A,TOWELS - FOLD TOWEL for DISPENSER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608023,N/A,SOAP-FOAM HANDSOAP for DISPENSER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608024,N/A,HAND SANITIZER (FOAM) for DISPENSER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608025,N/A,SOAP-FOAm ORANGE for DISPENSER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608026,N/A,AUTO HAND SANITIZER (FOAM) for DISPENSER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608040,N/A,BAGS-BLACK MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608041,N/A,BAGS-BLACK 30 GALLON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608060,N/A,HAND SANITIZER FOR I.C. STATIONS (PURELL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608200,N/A,"do not use:TAPE-MEDIPORE 2""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608201,N/A,"TAPE-MEDIPORE 6""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608250,N/A,LABELS-HEPARIN (SURG),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608251,N/A,LABELS-LIDOCAINE (SURG),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608300,N/A,MESH PANTIES-UNISIZE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608301,N/A,MESH PANTIES-XLARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608305,N/A,USENDO INJECT NEEDLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608306,N/A,USENDO BIOPSY VALVE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608307,N/A,USENDO DH CLEAN BRUSH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608308,N/A,USENDO BITE BLK W/STRAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608340,N/A,T-tube 8FR.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608341,N/A,T-tube 12FR.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608342,N/A,T-tube 16FR.,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608350,N/A,BOWLS -STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608500,N/A,HEMORRHOID BAND,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60850131,N/A,K-WIRE 1.6MMX152MM **,270,1 ,$39.00 ,$25.35 ,$25.35 ,$35.12 ,$31.20 , N/A ,$30.90 ,$35.12 ,$35.12 , N/A ,$33.15 ,$28.86 , N/A , N/A , N/A ,$32.53 , N/A ,$32.21 ,$31.20 ,$35.10 , N/A ,$33.15 , N/A ,$33.15 ,$33.15 ,$35.10 ,$35.10 ,$30.62 ,$32.21 , N/A ,$25.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850132,N/A,K-WIRE 1.1MM X 152MM **,270,1 ,$39.00 ,$25.35 ,$25.35 ,$35.12 ,$31.20 , N/A ,$30.90 ,$35.12 ,$35.12 , N/A ,$33.15 ,$28.86 , N/A , N/A , N/A ,$32.53 , N/A ,$32.21 ,$31.20 ,$35.10 , N/A ,$33.15 , N/A ,$33.15 ,$33.15 ,$35.10 ,$35.10 ,$30.62 ,$32.21 , N/A ,$25.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850136,N/A,K-WIRE 127mm **,270,1 ,$28.00 ,$18.20 ,$18.20 ,$25.21 ,$22.40 , N/A ,$22.19 ,$25.21 ,$25.21 , N/A ,$23.80 ,$20.72 , N/A , N/A , N/A ,$23.35 , N/A ,$23.13 ,$22.40 ,$25.20 , N/A ,$23.80 , N/A ,$23.80 ,$23.80 ,$25.20 ,$25.20 ,$21.98 ,$23.13 , N/A ,$18.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850140,N/A,SCREW-2.0 CORT 14mm **,270,1 ,$55.60 ,$36.14 ,$36.14 ,$50.07 ,$44.48 , N/A ,$44.06 ,$50.07 ,$50.07 , N/A ,$47.26 ,$41.14 , N/A , N/A , N/A ,$46.37 , N/A ,$45.93 ,$44.48 ,$50.04 , N/A ,$47.26 , N/A ,$47.26 ,$47.26 ,$50.04 ,$50.04 ,$43.65 ,$45.93 , N/A ,$36.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850149,C1713,SCREW-4.0 CANC 12mm **,278,1 ,$50.00 ,$32.50 ,$32.50 ,$45.03 ,$40.00 , N/A ,$39.62 ,$45.03 ,$45.03 , N/A ,$42.50 ,$37.00 , N/A , N/A , N/A ,$41.70 , N/A ,$41.30 ,$40.00 ,$45.00 , N/A ,$42.50 , N/A ,$42.50 ,$42.50 ,$45.00 ,$45.00 ,$39.25 ,$41.30 , N/A ,$32.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850150,C1713,SCREW-4.0 CANC 14mm **,278,1 ,$50.00 ,$32.50 ,$32.50 ,$45.03 ,$40.00 , N/A ,$39.62 ,$45.03 ,$45.03 , N/A ,$42.50 ,$37.00 , N/A , N/A , N/A ,$41.70 , N/A ,$41.30 ,$40.00 ,$45.00 , N/A ,$42.50 , N/A ,$42.50 ,$42.50 ,$45.00 ,$45.00 ,$39.25 ,$41.30 , N/A ,$32.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850151,N/A,SCREW-4.0 CANC 24mm **,270,1 ,$55.60 ,$36.14 ,$36.14 ,$50.07 ,$44.48 , N/A ,$44.06 ,$50.07 ,$50.07 , N/A ,$47.26 ,$41.14 , N/A , N/A , N/A ,$46.37 , N/A ,$45.93 ,$44.48 ,$50.04 , N/A ,$47.26 , N/A ,$47.26 ,$47.26 ,$50.04 ,$50.04 ,$43.65 ,$45.93 , N/A ,$36.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850152,N/A,SCREW-4.0 CANC 40mm **,270,1 ,$55.60 ,$36.14 ,$36.14 ,$50.07 ,$44.48 , N/A ,$44.06 ,$50.07 ,$50.07 , N/A ,$47.26 ,$41.14 , N/A , N/A , N/A ,$46.37 , N/A ,$45.93 ,$44.48 ,$50.04 , N/A ,$47.26 , N/A ,$47.26 ,$47.26 ,$50.04 ,$50.04 ,$43.65 ,$45.93 , N/A ,$36.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850161,C1713,SCREW-3.5 CORT 10mm **,278,1 ,$60.00 ,$39.00 ,$39.00 ,$54.03 ,$48.00 , N/A ,$47.54 ,$54.03 ,$54.03 , N/A ,$51.00 ,$44.40 , N/A , N/A , N/A ,$50.04 , N/A ,$49.56 ,$48.00 ,$54.00 , N/A ,$51.00 , N/A ,$51.00 ,$51.00 ,$54.00 ,$54.00 ,$47.10 ,$49.56 , N/A ,$39.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850162,C1713,SCREW-3.5 CORT 12mm **,278,1 ,$60.00 ,$39.00 ,$39.00 ,$54.03 ,$48.00 , N/A ,$47.54 ,$54.03 ,$54.03 , N/A ,$51.00 ,$44.40 , N/A , N/A , N/A ,$50.04 , N/A ,$49.56 ,$48.00 ,$54.00 , N/A ,$51.00 , N/A ,$51.00 ,$51.00 ,$54.00 ,$54.00 ,$47.10 ,$49.56 , N/A ,$39.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850163,C1713,SCREW-3.5 CORT 18mm **,278,1 ,$60.00 ,$39.00 ,$39.00 ,$54.03 ,$48.00 , N/A ,$47.54 ,$54.03 ,$54.03 , N/A ,$51.00 ,$44.40 , N/A , N/A , N/A ,$50.04 , N/A ,$49.56 ,$48.00 ,$54.00 , N/A ,$51.00 , N/A ,$51.00 ,$51.00 ,$54.00 ,$54.00 ,$47.10 ,$49.56 , N/A ,$39.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850164,C1713,SCREW-3.5 CORT 20mm **,278,1 ,$60.00 ,$39.00 ,$39.00 ,$54.03 ,$48.00 , N/A ,$47.54 ,$54.03 ,$54.03 , N/A ,$51.00 ,$44.40 , N/A , N/A , N/A ,$50.04 , N/A ,$49.56 ,$48.00 ,$54.00 , N/A ,$51.00 , N/A ,$51.00 ,$51.00 ,$54.00 ,$54.00 ,$47.10 ,$49.56 , N/A ,$39.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850165,C1713,SCREW-3.5 CORT 16mm **,278,1 ,$60.00 ,$39.00 ,$39.00 ,$54.03 ,$48.00 , N/A ,$47.54 ,$54.03 ,$54.03 , N/A ,$51.00 ,$44.40 , N/A , N/A , N/A ,$50.04 , N/A ,$49.56 ,$48.00 ,$54.00 , N/A ,$51.00 , N/A ,$51.00 ,$51.00 ,$54.00 ,$54.00 ,$47.10 ,$49.56 , N/A ,$39.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850166,N/A,SCREW-3.5 CORT 14mm **,270,1 ,$55.60 ,$36.14 ,$36.14 ,$50.07 ,$44.48 , N/A ,$44.06 ,$50.07 ,$50.07 , N/A ,$47.26 ,$41.14 , N/A , N/A , N/A ,$46.37 , N/A ,$45.93 ,$44.48 ,$50.04 , N/A ,$47.26 , N/A ,$47.26 ,$47.26 ,$50.04 ,$50.04 ,$43.65 ,$45.93 , N/A ,$36.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850190,N/A,"PLATE-TUBE,6 HOLE **",270,1 ,$132.00 ,$85.80 ,$85.80 ,$118.87 ,$105.60 , N/A ,$104.60 ,$118.87 ,$118.87 , N/A ,$112.20 ,$97.68 , N/A , N/A , N/A ,$110.09 , N/A ,$109.03 ,$105.60 ,$118.80 , N/A ,$112.20 , N/A ,$112.20 ,$112.20 ,$118.80 ,$118.80 ,$103.62 ,$109.03 , N/A ,$85.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60850191,N/A,"PLATE-TUBE,5 HOLE **",270,1 ,$132.00 ,$85.80 ,$85.80 ,$118.87 ,$105.60 , N/A ,$104.60 ,$118.87 ,$118.87 , N/A ,$112.20 ,$97.68 , N/A , N/A , N/A ,$110.09 , N/A ,$109.03 ,$105.60 ,$118.80 , N/A ,$112.20 , N/A ,$112.20 ,$112.20 ,$118.80 ,$118.80 ,$103.62 ,$109.03 , N/A ,$85.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60854331,N/A,TOE IMPLANT,270,1 ,$340.70 ,$221.46 ,$221.46 ,$306.80 ,$272.56 , N/A ,$269.97 ,$306.80 ,$306.80 , N/A ,$289.60 ,$252.12 , N/A , N/A , N/A ,$284.14 , N/A ,$281.42 ,$272.56 ,$306.63 , N/A ,$289.60 , N/A ,$289.60 ,$289.60 ,$306.63 ,$306.63 ,$267.45 ,$281.42 , N/A ,$221.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),60854399,C1713,SCREW-ACU 14.0 **,278,1 ,$500.00 ,$325.00 ,$325.00 ,$450.25 ,$400.00 , N/A ,$396.20 ,$450.25 ,$450.25 , N/A ,$425.00 ,$370.00 , N/A , N/A , N/A ,$417.00 , N/A ,$413.00 ,$400.00 ,$450.00 , N/A ,$425.00 , N/A ,$425.00 ,$425.00 ,$450.00 ,$450.00 ,$392.50 ,$413.00 , N/A ,$325.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60854400,C1713,SCREW-ACU 16.0 **,278,1 ,$500.00 ,$325.00 ,$325.00 ,$450.25 ,$400.00 , N/A ,$396.20 ,$450.25 ,$450.25 , N/A ,$425.00 ,$370.00 , N/A , N/A , N/A ,$417.00 , N/A ,$413.00 ,$400.00 ,$450.00 , N/A ,$425.00 , N/A ,$425.00 ,$425.00 ,$450.00 ,$450.00 ,$392.50 ,$413.00 , N/A ,$325.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60854401,C1713,SCREW-ACU 18.0 **,278,1 ,$500.00 ,$325.00 ,$325.00 ,$450.25 ,$400.00 , N/A ,$396.20 ,$450.25 ,$450.25 , N/A ,$425.00 ,$370.00 , N/A , N/A , N/A ,$417.00 , N/A ,$413.00 ,$400.00 ,$450.00 , N/A ,$425.00 , N/A ,$425.00 ,$425.00 ,$450.00 ,$450.00 ,$392.50 ,$413.00 , N/A ,$325.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),608550,N/A,BIS QUATRO SENSOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608600,N/A,FORCEPS.COLD-2.8mm OLYMPUS,270,1 ,$185.24 ,$120.41 ,$120.41 ,$166.81 ,$148.19 , N/A ,$146.78 ,$166.81 ,$166.81 , N/A ,$157.45 ,$137.08 , N/A , N/A , N/A ,$154.49 , N/A ,$153.01 ,$148.19 ,$166.72 , N/A ,$157.45 , N/A ,$157.45 ,$157.45 ,$166.72 ,$166.72 ,$145.41 ,$153.01 , N/A ,$120.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),608744,N/A,REUSABLE PULMONARY FUNCTION MTHPC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),608800,N/A,ETH-TROCAR 5MM PORT,270,1 ,$185.24 ,$120.41 ,$120.41 ,$166.81 ,$148.19 , N/A ,$146.78 ,$166.81 ,$166.81 , N/A ,$157.45 ,$137.08 , N/A , N/A , N/A ,$154.49 , N/A ,$153.01 ,$148.19 ,$166.72 , N/A ,$157.45 , N/A ,$157.45 ,$157.45 ,$166.72 ,$166.72 ,$145.41 ,$153.01 , N/A ,$120.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880000,N/A,ENDOCELL,270,1 ,$17.00 ,$11.05 ,$11.05 ,$15.31 ,$13.60 , N/A ,$13.47 ,$15.31 ,$15.31 , N/A ,$14.45 ,$12.58 , N/A , N/A , N/A ,$14.18 , N/A ,$14.04 ,$13.60 ,$15.30 , N/A ,$14.45 , N/A ,$14.45 ,$14.45 ,$15.30 ,$15.30 ,$13.35 ,$14.04 , N/A ,$11.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880001,N/A,RED CATH 16FR,270,1 ,$6.50 ,$4.23 ,$4.23 ,$5.85 ,$5.20 , N/A ,$5.15 ,$5.85 ,$5.85 , N/A ,$5.53 ,$4.81 , N/A , N/A , N/A ,$5.42 , N/A ,$5.37 ,$5.20 ,$5.85 , N/A ,$5.53 , N/A ,$5.53 ,$5.53 ,$5.85 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880002,N/A,RED CATH 18FR,270,1 ,$6.50 ,$4.23 ,$4.23 ,$5.85 ,$5.20 , N/A ,$5.15 ,$5.85 ,$5.85 , N/A ,$5.53 ,$4.81 , N/A , N/A , N/A ,$5.42 , N/A ,$5.37 ,$5.20 ,$5.85 , N/A ,$5.53 , N/A ,$5.53 ,$5.53 ,$5.85 ,$5.85 ,$5.10 ,$5.37 , N/A ,$4.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880003,N/A,PERCUTANEOUS INTRODUCER 6FR **,270,1 ,$116.60 ,$75.79 ,$75.79 ,$105.00 ,$93.28 , N/A ,$92.39 ,$105.00 ,$105.00 , N/A ,$99.11 ,$86.28 , N/A , N/A , N/A ,$97.24 , N/A ,$96.31 ,$93.28 ,$104.94 , N/A ,$99.11 , N/A ,$99.11 ,$99.11 ,$104.94 ,$104.94 ,$91.53 ,$96.31 , N/A ,$75.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880004,N/A,CHOLANGIO KIT **,270,1 ,$185.70 ,$120.71 ,$120.71 ,$167.22 ,$148.56 , N/A ,$147.15 ,$167.22 ,$167.22 , N/A ,$157.85 ,$137.42 , N/A , N/A , N/A ,$154.87 , N/A ,$153.39 ,$148.56 ,$167.13 , N/A ,$157.85 , N/A ,$157.85 ,$157.85 ,$167.13 ,$167.13 ,$145.77 ,$153.39 , N/A ,$120.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880005,N/A,PNEUMOTHORAX KIT,270,1 ,$207.00 ,$134.55 ,$134.55 ,$186.40 ,$165.60 , N/A ,$164.03 ,$186.40 ,$186.40 , N/A ,$175.95 ,$153.18 , N/A , N/A , N/A ,$172.64 , N/A ,$170.98 ,$165.60 ,$186.30 , N/A ,$175.95 , N/A ,$175.95 ,$175.95 ,$186.30 ,$186.30 ,$162.50 ,$170.98 , N/A ,$134.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880006,N/A,LAZARUS-NELSON PERITONEAL TRAY,270,1 ,$169.90 ,$110.44 ,$110.44 ,$153.00 ,$135.92 , N/A ,$134.63 ,$153.00 ,$153.00 , N/A ,$144.42 ,$125.73 , N/A , N/A , N/A ,$141.70 , N/A ,$140.34 ,$135.92 ,$152.91 , N/A ,$144.42 , N/A ,$144.42 ,$144.42 ,$152.91 ,$152.91 ,$133.37 ,$140.34 , N/A ,$110.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880007,N/A,POOLE SUCTION W/TUBING,270,1 ,$25.85 ,$16.80 ,$16.80 ,$23.28 ,$20.68 , N/A ,$20.48 ,$23.28 ,$23.28 , N/A ,$21.97 ,$19.13 , N/A , N/A , N/A ,$21.56 , N/A ,$21.35 ,$20.68 ,$23.27 , N/A ,$21.97 , N/A ,$21.97 ,$21.97 ,$23.27 ,$23.27 ,$20.29 ,$21.35 , N/A ,$16.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880008,N/A,ANTI-FOG,270,1 ,$46.45 ,$30.19 ,$30.19 ,$41.83 ,$37.16 , N/A ,$36.81 ,$41.83 ,$41.83 , N/A ,$39.48 ,$34.37 , N/A , N/A , N/A ,$38.74 , N/A ,$38.37 ,$37.16 ,$41.81 , N/A ,$39.48 , N/A ,$39.48 ,$39.48 ,$41.81 ,$41.81 ,$36.46 ,$38.37 , N/A ,$30.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880009,N/A,SURGIBRA (M) **,270,1 ,$181.20 ,$117.78 ,$117.78 ,$163.17 ,$144.96 , N/A ,$143.58 ,$163.17 ,$163.17 , N/A ,$154.02 ,$134.09 , N/A , N/A , N/A ,$151.12 , N/A ,$149.67 ,$144.96 ,$163.08 , N/A ,$154.02 , N/A ,$154.02 ,$154.02 ,$163.08 ,$163.08 ,$142.24 ,$149.67 , N/A ,$117.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880010,N/A,SURGIBRA (L) **,270,1 ,$181.20 ,$117.78 ,$117.78 ,$163.17 ,$144.96 , N/A ,$143.58 ,$163.17 ,$163.17 , N/A ,$154.02 ,$134.09 , N/A , N/A , N/A ,$151.12 , N/A ,$149.67 ,$144.96 ,$163.08 , N/A ,$154.02 , N/A ,$154.02 ,$154.02 ,$163.08 ,$163.08 ,$142.24 ,$149.67 , N/A ,$117.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880011,N/A,SURGIBRA (X-LARGE) **,270,1 ,$181.20 ,$117.78 ,$117.78 ,$163.17 ,$144.96 , N/A ,$143.58 ,$163.17 ,$163.17 , N/A ,$154.02 ,$134.09 , N/A , N/A , N/A ,$151.12 , N/A ,$149.67 ,$144.96 ,$163.08 , N/A ,$154.02 , N/A ,$154.02 ,$154.02 ,$163.08 ,$163.08 ,$142.24 ,$149.67 , N/A ,$117.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880012,N/A,SURGIBRA (2XL) **,270,1 ,$181.20 ,$117.78 ,$117.78 ,$163.17 ,$144.96 , N/A ,$143.58 ,$163.17 ,$163.17 , N/A ,$154.02 ,$134.09 , N/A , N/A , N/A ,$151.12 , N/A ,$149.67 ,$144.96 ,$163.08 , N/A ,$154.02 , N/A ,$154.02 ,$154.02 ,$163.08 ,$163.08 ,$142.24 ,$149.67 , N/A ,$117.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880013,N/A,ENDO SPONGE (KITNER) 5MM,270,1 ,$55.15 ,$35.85 ,$35.85 ,$49.66 ,$44.12 , N/A ,$43.70 ,$49.66 ,$49.66 , N/A ,$46.88 ,$40.81 , N/A , N/A , N/A ,$46.00 , N/A ,$45.55 ,$44.12 ,$49.64 , N/A ,$46.88 , N/A ,$46.88 ,$46.88 ,$49.64 ,$49.64 ,$43.29 ,$45.55 , N/A ,$35.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880014,N/A,GELFOAM 7MM,270,1 ,$34.00 ,$22.10 ,$22.10 ,$30.62 ,$27.20 , N/A ,$26.94 ,$30.62 ,$30.62 , N/A ,$28.90 ,$25.16 , N/A , N/A , N/A ,$28.36 , N/A ,$28.08 ,$27.20 ,$30.60 , N/A ,$28.90 , N/A ,$28.90 ,$28.90 ,$30.60 ,$30.60 ,$26.69 ,$28.08 , N/A ,$22.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880015,N/A,GELFOAM 12.5CM **,270,1 ,$110.70 ,$71.96 ,$71.96 ,$99.69 ,$88.56 , N/A ,$87.72 ,$99.69 ,$99.69 , N/A ,$94.10 ,$81.92 , N/A , N/A , N/A ,$92.32 , N/A ,$91.44 ,$88.56 ,$99.63 , N/A ,$94.10 , N/A ,$94.10 ,$94.10 ,$99.63 ,$99.63 ,$86.90 ,$91.44 , N/A ,$71.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880016,N/A,USSC ACCESS NEEDLE,270,1 ,$110.00 ,$71.50 ,$71.50 ,$99.06 ,$88.00 , N/A ,$87.16 ,$99.06 ,$99.06 , N/A ,$93.50 ,$81.40 , N/A , N/A , N/A ,$91.74 , N/A ,$90.86 ,$88.00 ,$99.00 , N/A ,$93.50 , N/A ,$93.50 ,$93.50 ,$99.00 ,$99.00 ,$86.35 ,$90.86 , N/A ,$71.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880017,N/A,ETH-5mm NON-SHIELDED PORT**,270,1 ,$199.50 ,$129.68 ,$129.68 ,$179.65 ,$159.60 , N/A ,$158.08 ,$179.65 ,$179.65 , N/A ,$169.58 ,$147.63 , N/A , N/A , N/A ,$166.38 , N/A ,$164.79 ,$159.60 ,$179.55 , N/A ,$169.58 , N/A ,$169.58 ,$169.58 ,$179.55 ,$179.55 ,$156.61 ,$164.79 , N/A ,$129.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880018,N/A,ETH-11mm PORT**,270,1 ,$219.00 ,$142.35 ,$142.35 ,$197.21 ,$175.20 , N/A ,$173.54 ,$197.21 ,$197.21 , N/A ,$186.15 ,$162.06 , N/A , N/A , N/A ,$182.65 , N/A ,$180.89 ,$175.20 ,$197.10 , N/A ,$186.15 , N/A ,$186.15 ,$186.15 ,$197.10 ,$197.10 ,$171.92 ,$180.89 , N/A ,$142.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880019,N/A,ETH-12mm PORT**,270,1 ,$240.00 ,$156.00 ,$156.00 ,$216.12 ,$192.00 , N/A ,$190.18 ,$216.12 ,$216.12 , N/A ,$204.00 ,$177.60 , N/A , N/A , N/A ,$200.16 , N/A ,$198.24 ,$192.00 ,$216.00 , N/A ,$204.00 , N/A ,$204.00 ,$204.00 ,$216.00 ,$216.00 ,$188.40 ,$198.24 , N/A ,$156.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880020,N/A,USSC 5-10 LONG BLADED PORT,270,1 ,$166.89 ,$108.48 ,$108.48 ,$150.28 ,$133.51 , N/A ,$132.24 ,$150.28 ,$150.28 , N/A ,$141.86 ,$123.50 , N/A , N/A , N/A ,$139.19 , N/A ,$137.85 ,$133.51 ,$150.20 , N/A ,$141.86 , N/A ,$141.86 ,$141.86 ,$150.20 ,$150.20 ,$131.01 ,$137.85 , N/A ,$108.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880021,N/A,USSC 5MM SHEARS-SHORT **,270,1 ,$227.95 ,$148.17 ,$148.17 ,$205.27 ,$182.36 , N/A ,$180.63 ,$205.27 ,$205.27 , N/A ,$193.76 ,$168.68 , N/A , N/A , N/A ,$190.11 , N/A ,$188.29 ,$182.36 ,$205.16 , N/A ,$193.76 , N/A ,$193.76 ,$193.76 ,$205.16 ,$205.16 ,$178.94 ,$188.29 , N/A ,$148.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880022,N/A,USSC 12MM UNIV. GIA **,270,1 ,$238.90 ,$155.29 ,$155.29 ,$215.13 ,$191.12 , N/A ,$189.30 ,$215.13 ,$215.13 , N/A ,$203.07 ,$176.79 , N/A , N/A , N/A ,$199.24 , N/A ,$197.33 ,$191.12 ,$215.01 , N/A ,$203.07 , N/A ,$203.07 ,$203.07 ,$215.01 ,$215.01 ,$187.54 ,$197.33 , N/A ,$155.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880023,N/A,ETH-ENDO ETS FLEX RELD 2.5MM **,270,1 ,$249.54 ,$162.20 ,$162.20 ,$224.71 ,$199.63 , N/A ,$197.74 ,$224.71 ,$224.71 , N/A ,$212.11 ,$184.66 , N/A , N/A , N/A ,$208.12 , N/A ,$206.12 ,$199.63 ,$224.59 , N/A ,$212.11 , N/A ,$212.11 ,$212.11 ,$224.59 ,$224.59 ,$195.89 ,$206.12 , N/A ,$162.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880024,N/A,ETH-ENDO ETS FLEX RELD 3.5MM **,270,1 ,$249.54 ,$162.20 ,$162.20 ,$224.71 ,$199.63 , N/A ,$197.74 ,$224.71 ,$224.71 , N/A ,$212.11 ,$184.66 , N/A , N/A , N/A ,$208.12 , N/A ,$206.12 ,$199.63 ,$224.59 , N/A ,$212.11 , N/A ,$212.11 ,$212.11 ,$224.59 ,$224.59 ,$195.89 ,$206.12 , N/A ,$162.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880025,N/A,USSC RELOAD ROTIC 3.5 **,270,1 ,$354.25 ,$230.26 ,$230.26 ,$319.00 ,$283.40 , N/A ,$280.71 ,$319.00 ,$319.00 , N/A ,$301.11 ,$262.15 , N/A , N/A , N/A ,$295.44 , N/A ,$292.61 ,$283.40 ,$318.83 , N/A ,$301.11 , N/A ,$301.11 ,$301.11 ,$318.83 ,$318.83 ,$278.09 ,$292.61 , N/A ,$230.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880026,N/A,USSC LDS 15W STAPLER **,270,1 ,$301.20 ,$195.78 ,$195.78 ,$271.23 ,$240.96 , N/A ,$238.67 ,$271.23 ,$271.23 , N/A ,$256.02 ,$222.89 , N/A , N/A , N/A ,$251.20 , N/A ,$248.79 ,$240.96 ,$271.08 , N/A ,$256.02 , N/A ,$256.02 ,$256.02 ,$271.08 ,$271.08 ,$236.44 ,$248.79 , N/A ,$195.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880027,N/A,ETH-EEA33**,270,1 ,$657.75 ,$427.54 ,$427.54 ,$592.30 ,$526.20 , N/A ,$521.20 ,$592.30 ,$592.30 , N/A ,$559.09 ,$486.74 , N/A , N/A , N/A ,$548.56 , N/A ,$543.30 ,$526.20 ,$591.98 , N/A ,$559.09 , N/A ,$559.09 ,$559.09 ,$591.98 ,$591.98 ,$516.33 ,$543.30 , N/A ,$427.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880028,N/A,ETH-TA60**,270,1 ,$225.85 ,$146.80 ,$146.80 ,$203.38 ,$180.68 , N/A ,$178.96 ,$203.38 ,$203.38 , N/A ,$191.97 ,$167.13 , N/A , N/A , N/A ,$188.36 , N/A ,$186.55 ,$180.68 ,$203.27 , N/A ,$191.97 , N/A ,$191.97 ,$191.97 ,$203.27 ,$203.27 ,$177.29 ,$186.55 , N/A ,$146.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880029,N/A,ETH-RELOAD TA**,270,1 ,$161.80 ,$105.17 ,$105.17 ,$145.70 ,$129.44 , N/A ,$128.21 ,$145.70 ,$145.70 , N/A ,$137.53 ,$119.73 , N/A , N/A , N/A ,$134.94 , N/A ,$133.65 ,$129.44 ,$145.62 , N/A ,$137.53 , N/A ,$137.53 ,$137.53 ,$145.62 ,$145.62 ,$127.01 ,$133.65 , N/A ,$105.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880030,N/A,ETH-GIA 55**,270,1 ,$211.60 ,$137.54 ,$137.54 ,$190.55 ,$169.28 , N/A ,$167.67 ,$190.55 ,$190.55 , N/A ,$179.86 ,$156.58 , N/A , N/A , N/A ,$176.47 , N/A ,$174.78 ,$169.28 ,$190.44 , N/A ,$179.86 , N/A ,$179.86 ,$179.86 ,$190.44 ,$190.44 ,$166.11 ,$174.78 , N/A ,$137.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880031,N/A,USSC RELOAD 60-3.8 GIA **,270,1 ,$171.60 ,$111.54 ,$111.54 ,$154.53 ,$137.28 , N/A ,$135.98 ,$154.53 ,$154.53 , N/A ,$145.86 ,$126.98 , N/A , N/A , N/A ,$143.11 , N/A ,$141.74 ,$137.28 ,$154.44 , N/A ,$145.86 , N/A ,$145.86 ,$145.86 ,$154.44 ,$154.44 ,$134.71 ,$141.74 , N/A ,$111.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880032,N/A,USSC BALLOON PORT **,270,1 ,$276.00 ,$179.40 ,$179.40 ,$248.54 ,$220.80 , N/A ,$218.70 ,$248.54 ,$248.54 , N/A ,$234.60 ,$204.24 , N/A , N/A , N/A ,$230.18 , N/A ,$227.98 ,$220.80 ,$248.40 , N/A ,$234.60 , N/A ,$234.60 ,$234.60 ,$248.40 ,$248.40 ,$216.66 ,$227.98 , N/A ,$179.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880033,N/A,USSC 5MM SHEARS-LONG **,270,1 ,$272.73 ,$177.27 ,$177.27 ,$245.59 ,$218.18 , N/A ,$216.11 ,$245.59 ,$245.59 , N/A ,$231.82 ,$201.82 , N/A , N/A , N/A ,$227.46 , N/A ,$225.28 ,$218.18 ,$245.46 , N/A ,$231.82 , N/A ,$231.82 ,$231.82 ,$245.46 ,$245.46 ,$214.09 ,$225.28 , N/A ,$177.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880034,N/A,ETH-EEA-29**,270,1 ,$657.75 ,$427.54 ,$427.54 ,$592.30 ,$526.20 , N/A ,$521.20 ,$592.30 ,$592.30 , N/A ,$559.09 ,$486.74 , N/A , N/A , N/A ,$548.56 , N/A ,$543.30 ,$526.20 ,$591.98 , N/A ,$559.09 , N/A ,$559.09 ,$559.09 ,$591.98 ,$591.98 ,$516.33 ,$543.30 , N/A ,$427.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880035,N/A,USSC 5mm SPIKE-WOODFORD,270,1 ,$118.45 ,$76.99 ,$76.99 ,$106.66 ,$94.76 , N/A ,$93.86 ,$106.66 ,$106.66 , N/A ,$100.68 ,$87.65 , N/A , N/A , N/A ,$98.79 , N/A ,$97.84 ,$94.76 ,$106.61 , N/A ,$100.68 , N/A ,$100.68 ,$100.68 ,$106.61 ,$106.61 ,$92.98 ,$97.84 , N/A ,$76.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880036,N/A,ETH-5mm PORT**,270,1 ,$185.24 ,$120.41 ,$120.41 ,$166.81 ,$148.19 , N/A ,$146.78 ,$166.81 ,$166.81 , N/A ,$157.45 ,$137.08 , N/A , N/A , N/A ,$154.49 , N/A ,$153.01 ,$148.19 ,$166.72 , N/A ,$157.45 , N/A ,$157.45 ,$157.45 ,$166.72 ,$166.72 ,$145.41 ,$153.01 , N/A ,$120.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880037,N/A,ETH-RELOAD GIA55**,270,1 ,$174.00 ,$113.10 ,$113.10 ,$156.69 ,$139.20 , N/A ,$137.88 ,$156.69 ,$156.69 , N/A ,$147.90 ,$128.76 , N/A , N/A , N/A ,$145.12 , N/A ,$143.72 ,$139.20 ,$156.60 , N/A ,$147.90 , N/A ,$147.90 ,$147.90 ,$156.60 ,$156.60 ,$136.59 ,$143.72 , N/A ,$113.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880038,N/A,ETH-RELOAD ENDO GIA**,270,1 ,$267.00 ,$173.55 ,$173.55 ,$240.43 ,$213.60 , N/A ,$211.57 ,$240.43 ,$240.43 , N/A ,$226.95 ,$197.58 , N/A , N/A , N/A ,$222.68 , N/A ,$220.54 ,$213.60 ,$240.30 , N/A ,$226.95 , N/A ,$226.95 ,$226.95 ,$240.30 ,$240.30 ,$209.60 ,$220.54 , N/A ,$173.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880039,C1713,ETH-CURVED STPLR **,278,1 ,$748.00 ,$486.20 ,$486.20 ,$673.57 ,$598.40 , N/A ,$592.72 ,$673.57 ,$673.57 , N/A ,$635.80 ,$553.52 , N/A , N/A , N/A ,$623.83 , N/A ,$617.85 ,$598.40 ,$673.20 , N/A ,$635.80 , N/A ,$635.80 ,$635.80 ,$673.20 ,$673.20 ,$587.18 ,$617.85 , N/A ,$486.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880040,C1713,POWERPORT-REG **,278,1 ,$990.00 ,$643.50 ,$643.50 ,$891.50 ,$792.00 , N/A ,$784.48 ,$891.50 ,$891.50 , N/A ,$841.50 ,$732.60 , N/A , N/A , N/A ,$825.66 , N/A ,$817.74 ,$792.00 ,$891.00 , N/A ,$841.50 , N/A ,$841.50 ,$841.50 ,$891.00 ,$891.00 ,$777.15 ,$817.74 , N/A ,$643.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880041,C1713,POWERPORT-SMALL **,278,1 ,$990.00 ,$643.50 ,$643.50 ,$891.50 ,$792.00 , N/A ,$784.48 ,$891.50 ,$891.50 , N/A ,$841.50 ,$732.60 , N/A , N/A , N/A ,$825.66 , N/A ,$817.74 ,$792.00 ,$891.00 , N/A ,$841.50 , N/A ,$841.50 ,$841.50 ,$891.00 ,$891.00 ,$777.15 ,$817.74 , N/A ,$643.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880042,N/A,ETH-TROCAR 5MM PORT **,270,1 ,$185.24 ,$120.41 ,$120.41 ,$166.81 ,$148.19 , N/A ,$146.78 ,$166.81 ,$166.81 , N/A ,$157.45 ,$137.08 , N/A , N/A , N/A ,$154.49 , N/A ,$153.01 ,$148.19 ,$166.72 , N/A ,$157.45 , N/A ,$157.45 ,$157.45 ,$166.72 ,$166.72 ,$145.41 ,$153.01 , N/A ,$120.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880043,N/A,ETH-TROCAR 12MM PORT **,270,1 ,$193.61 ,$125.85 ,$125.85 ,$174.35 ,$154.89 , N/A ,$153.42 ,$174.35 ,$174.35 , N/A ,$164.57 ,$143.27 , N/A , N/A , N/A ,$161.47 , N/A ,$159.92 ,$154.89 ,$174.25 , N/A ,$164.57 , N/A ,$164.57 ,$164.57 ,$174.25 ,$174.25 ,$151.98 ,$159.92 , N/A ,$125.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880044,N/A,ETH-ENDO ETS FLEX 45MM **,270,1 ,$498.57 ,$324.07 ,$324.07 ,$448.96 ,$398.86 , N/A ,$395.07 ,$448.96 ,$448.96 , N/A ,$423.78 ,$368.94 , N/A , N/A , N/A ,$415.81 , N/A ,$411.82 ,$398.86 ,$448.71 , N/A ,$423.78 , N/A ,$423.78 ,$423.78 ,$448.71 ,$448.71 ,$391.38 ,$411.82 , N/A ,$324.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880045,N/A,ETH-LINEAR CUTTER 75MM **,270,1 ,$343.49 ,$223.27 ,$223.27 ,$309.31 ,$274.79 , N/A ,$272.18 ,$309.31 ,$309.31 , N/A ,$291.97 ,$254.18 , N/A , N/A , N/A ,$286.47 , N/A ,$283.72 ,$274.79 ,$309.14 , N/A ,$291.97 , N/A ,$291.97 ,$291.97 ,$309.14 ,$309.14 ,$269.64 ,$283.72 , N/A ,$223.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880046,N/A,ETH-LIN CUT 75MM GRN RELD THICK **,270,1 ,$280.14 ,$182.09 ,$182.09 ,$252.27 ,$224.11 , N/A ,$221.98 ,$252.27 ,$252.27 , N/A ,$238.12 ,$207.30 , N/A , N/A , N/A ,$233.64 , N/A ,$231.40 ,$224.11 ,$252.13 , N/A ,$238.12 , N/A ,$238.12 ,$238.12 ,$252.13 ,$252.13 ,$219.91 ,$231.40 , N/A ,$182.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880047,N/A,ETH-LIN CUT 75MM BLU RELD STAND. **,270,1 ,$274.76 ,$178.59 ,$178.59 ,$247.42 ,$219.81 , N/A ,$217.72 ,$247.42 ,$247.42 , N/A ,$233.55 ,$203.32 , N/A , N/A , N/A ,$229.15 , N/A ,$226.95 ,$219.81 ,$247.28 , N/A ,$233.55 , N/A ,$233.55 ,$233.55 ,$247.28 ,$247.28 ,$215.69 ,$226.95 , N/A ,$178.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880049,N/A,ETH-ENDO HOOK **,270,1 ,$225.25 ,$146.41 ,$146.41 ,$202.84 ,$180.20 , N/A ,$178.49 ,$202.84 ,$202.84 , N/A ,$191.46 ,$166.69 , N/A , N/A , N/A ,$187.86 , N/A ,$186.06 ,$180.20 ,$202.73 , N/A ,$191.46 , N/A ,$191.46 ,$191.46 ,$202.73 ,$202.73 ,$176.82 ,$186.06 , N/A ,$146.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880050,N/A,ETH-ENDO PENCIL **,270,1 ,$309.86 ,$201.41 ,$201.41 ,$279.03 ,$247.89 , N/A ,$245.53 ,$279.03 ,$279.03 , N/A ,$263.38 ,$229.30 , N/A , N/A , N/A ,$258.42 , N/A ,$255.94 ,$247.89 ,$278.87 , N/A ,$263.38 , N/A ,$263.38 ,$263.38 ,$278.87 ,$278.87 ,$243.24 ,$255.94 , N/A ,$201.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880051,N/A,USSC-STAPLER PROTACK 5MM**,270,1 ,"$1,040.56 ",$676.36 ,$676.36 ,$937.02 ,$832.45 , N/A ,$824.54 ,$937.02 ,$937.02 , N/A ,$884.48 ,$770.01 , N/A , N/A , N/A ,$867.83 , N/A ,$859.50 ,$832.45 ,$936.50 , N/A ,$884.48 , N/A ,$884.48 ,$884.48 ,$936.50 ,$936.50 ,$816.84 ,$859.50 , N/A ,$676.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880060,N/A,USSC 5MM SHEARS-REG **,270,1 ,$510.08 ,$331.55 ,$331.55 ,$459.33 ,$408.06 , N/A ,$404.19 ,$459.33 ,$459.33 , N/A ,$433.57 ,$377.46 , N/A , N/A , N/A ,$425.41 , N/A ,$421.33 ,$408.06 ,$459.07 , N/A ,$433.57 , N/A ,$433.57 ,$433.57 ,$459.07 ,$459.07 ,$400.41 ,$421.33 , N/A ,$331.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880075,N/A,URETERAL CATH ADAPTER,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880076,N/A,URETERAL CATHETER-OPEN ENDED,272,1 ,$54.85 ,$35.65 ,$35.65 ,$49.39 ,$43.88 , N/A ,$43.46 ,$49.39 ,$49.39 , N/A ,$46.62 ,$40.59 , N/A , N/A , N/A ,$45.74 , N/A ,$45.31 ,$43.88 ,$49.37 , N/A ,$46.62 , N/A ,$46.62 ,$46.62 ,$49.37 ,$49.37 ,$43.06 ,$45.31 , N/A ,$35.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880080,N/A,IRRIGATOR NON-POWER,270,1 ,$109.90 ,$71.44 ,$71.44 ,$98.97 ,$87.92 , N/A ,$87.08 ,$98.97 ,$98.97 , N/A ,$93.42 ,$81.33 , N/A , N/A , N/A ,$91.66 , N/A ,$90.78 ,$87.92 ,$98.91 , N/A ,$93.42 , N/A ,$93.42 ,$93.42 ,$98.91 ,$98.91 ,$86.27 ,$90.78 , N/A ,$71.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880090,N/A,GLIDEWIRE .035-150CM **,270,1 ,$168.00 ,$109.20 ,$109.20 ,$151.28 ,$134.40 , N/A ,$133.12 ,$151.28 ,$151.28 , N/A ,$142.80 ,$124.32 , N/A , N/A , N/A ,$140.11 , N/A ,$138.77 ,$134.40 ,$151.20 , N/A ,$142.80 , N/A ,$142.80 ,$142.80 ,$151.20 ,$151.20 ,$131.88 ,$138.77 , N/A ,$109.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880091,N/A,URETERAL STENT 4.8FR **,270,1 ,$280.00 ,$182.00 ,$182.00 ,$252.14 ,$224.00 , N/A ,$221.87 ,$252.14 ,$252.14 , N/A ,$238.00 ,$207.20 , N/A , N/A , N/A ,$233.52 , N/A ,$231.28 ,$224.00 ,$252.00 , N/A ,$238.00 , N/A ,$238.00 ,$238.00 ,$252.00 ,$252.00 ,$219.80 ,$231.28 , N/A ,$182.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880092,N/A,URETERAL STENT 6FR **,270,1 ,$280.00 ,$182.00 ,$182.00 ,$252.14 ,$224.00 , N/A ,$221.87 ,$252.14 ,$252.14 , N/A ,$238.00 ,$207.20 , N/A , N/A , N/A ,$233.52 , N/A ,$231.28 ,$224.00 ,$252.00 , N/A ,$238.00 , N/A ,$238.00 ,$238.00 ,$252.00 ,$252.00 ,$219.80 ,$231.28 , N/A ,$182.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880097,N/A,CHLORAPREP-AMPULE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60880098,N/A,CHLORAPREP-LARGE,270,1 ,$22.15 ,$14.40 ,$14.40 ,$19.95 ,$17.72 , N/A ,$17.55 ,$19.95 ,$19.95 , N/A ,$18.83 ,$16.39 , N/A , N/A , N/A ,$18.47 , N/A ,$18.30 ,$17.72 ,$19.94 , N/A ,$18.83 , N/A ,$18.83 ,$18.83 ,$19.94 ,$19.94 ,$17.39 ,$18.30 , N/A ,$14.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880099,N/A,CHLORAPREP-SMALL,270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),608801,N/A,ETH-TROCAR 12MM PORT,270,1 ,$185.24 ,$120.41 ,$120.41 ,$166.81 ,$148.19 , N/A ,$146.78 ,$166.81 ,$166.81 , N/A ,$157.45 ,$137.08 , N/A , N/A , N/A ,$154.49 , N/A ,$153.01 ,$148.19 ,$166.72 , N/A ,$157.45 , N/A ,$157.45 ,$157.45 ,$166.72 ,$166.72 ,$145.41 ,$153.01 , N/A ,$120.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880100,N/A,ASEPTO-BULB SYRINGE GREEN,270,1 ,$2.60 ,$1.69 ,$1.69 ,$2.34 ,$2.08 , N/A ,$2.06 ,$2.34 ,$2.34 , N/A ,$2.21 ,$1.92 , N/A , N/A , N/A ,$2.17 , N/A ,$2.15 ,$2.08 ,$2.34 , N/A ,$2.21 , N/A ,$2.21 ,$2.21 ,$2.34 ,$2.34 ,$2.04 ,$2.15 , N/A ,$1.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880101,N/A,Y-CONNECTOR,270,1 ,$10.35 ,$6.73 ,$6.73 ,$9.32 ,$8.28 , N/A ,$8.20 ,$9.32 ,$9.32 , N/A ,$8.80 ,$7.66 , N/A , N/A , N/A ,$8.63 , N/A ,$8.55 ,$8.28 ,$9.32 , N/A ,$8.80 , N/A ,$8.80 ,$8.80 ,$9.32 ,$9.32 ,$8.12 ,$8.55 , N/A ,$6.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880102,N/A,PACK-LAP W/LEGGINGS,270,1 ,$58.05 ,$37.73 ,$37.73 ,$52.27 ,$46.44 , N/A ,$46.00 ,$52.27 ,$52.27 , N/A ,$49.34 ,$42.96 , N/A , N/A , N/A ,$48.41 , N/A ,$47.95 ,$46.44 ,$52.25 , N/A ,$49.34 , N/A ,$49.34 ,$49.34 ,$52.25 ,$52.25 ,$45.57 ,$47.95 , N/A ,$37.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880103,N/A,EYE WICK,270,1 ,$25.74 ,$16.73 ,$16.73 ,$23.18 ,$20.59 , N/A ,$20.40 ,$23.18 ,$23.18 , N/A ,$21.88 ,$19.05 , N/A , N/A , N/A ,$21.47 , N/A ,$21.26 ,$20.59 ,$23.17 , N/A ,$21.88 , N/A ,$21.88 ,$21.88 ,$23.17 ,$23.17 ,$20.21 ,$21.26 , N/A ,$16.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880110,N/A,FACEMASK-CHILD(SURG),270,1 ,$19.50 ,$12.68 ,$12.68 ,$17.56 ,$15.60 , N/A ,$15.45 ,$17.56 ,$17.56 , N/A ,$16.58 ,$14.43 , N/A , N/A , N/A ,$16.26 , N/A ,$16.11 ,$15.60 ,$17.55 , N/A ,$16.58 , N/A ,$16.58 ,$16.58 ,$17.55 ,$17.55 ,$15.31 ,$16.11 , N/A ,$12.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880111,N/A,FACEMASK-PED(SURG),270,1 ,$19.50 ,$12.68 ,$12.68 ,$17.56 ,$15.60 , N/A ,$15.45 ,$17.56 ,$17.56 , N/A ,$16.58 ,$14.43 , N/A , N/A , N/A ,$16.26 , N/A ,$16.11 ,$15.60 ,$17.55 , N/A ,$16.58 , N/A ,$16.58 ,$16.58 ,$17.55 ,$17.55 ,$15.31 ,$16.11 , N/A ,$12.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880112,N/A,ORAL AIRWAY 50mm-0**,270,1 ,$2.70 ,$1.76 ,$1.76 ,$2.43 ,$2.16 , N/A ,$2.14 ,$2.43 ,$2.43 , N/A ,$2.30 ,$2.00 , N/A , N/A , N/A ,$2.25 , N/A ,$2.23 ,$2.16 ,$2.43 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.43 ,$2.43 ,$2.12 ,$2.23 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880113,N/A,STYLETTE-CHILD 6FR **,270,1 ,$19.65 ,$12.77 ,$12.77 ,$17.69 ,$15.72 , N/A ,$15.57 ,$17.69 ,$17.69 , N/A ,$16.70 ,$14.54 , N/A , N/A , N/A ,$16.39 , N/A ,$16.23 ,$15.72 ,$17.69 , N/A ,$16.70 , N/A ,$16.70 ,$16.70 ,$17.69 ,$17.69 ,$15.43 ,$16.23 , N/A ,$12.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880200,C1713,LIN-SMART PIN IMPLANT**,278,1 ,$300.00 ,$195.00 ,$195.00 ,$270.15 ,$240.00 , N/A ,$237.72 ,$270.15 ,$270.15 , N/A ,$255.00 ,$222.00 , N/A , N/A , N/A ,$250.20 , N/A ,$247.80 ,$240.00 ,$270.00 , N/A ,$255.00 , N/A ,$255.00 ,$255.00 ,$270.00 ,$270.00 ,$235.50 ,$247.80 , N/A ,$195.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880250,N/A,NOVACEPT BALLOON **,272,1 ,"$1,700.00 ","$1,105.00 ","$1,105.00 ","$1,530.85 ","$1,360.00 ", N/A ,"$1,347.08 ","$1,530.85 ","$1,530.85 ", N/A ,"$1,445.00 ","$1,258.00 ", N/A , N/A , N/A ,"$1,417.80 ", N/A ,"$1,404.20 ","$1,360.00 ","$1,530.00 ", N/A ,"$1,445.00 ", N/A ,"$1,445.00 ","$1,445.00 ","$1,530.00 ","$1,530.00 ","$1,334.50 ","$1,404.20 ", N/A ,"$1,105.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60880260,N/A,APPLE 5mm TROCAR,270,1 ,$104.00 ,$67.60 ,$67.60 ,$93.65 ,$83.20 , N/A ,$82.41 ,$93.65 ,$93.65 , N/A ,$88.40 ,$76.96 , N/A , N/A , N/A ,$86.74 , N/A ,$85.90 ,$83.20 ,$93.60 , N/A ,$88.40 , N/A ,$88.40 ,$88.40 ,$93.60 ,$93.60 ,$81.64 ,$85.90 , N/A ,$67.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880261,N/A,APPLE 5mm (2)TROCAR,270,1 ,$168.00 ,$109.20 ,$109.20 ,$151.28 ,$134.40 , N/A ,$133.12 ,$151.28 ,$151.28 , N/A ,$142.80 ,$124.32 , N/A , N/A , N/A ,$140.11 , N/A ,$138.77 ,$134.40 ,$151.20 , N/A ,$142.80 , N/A ,$142.80 ,$142.80 ,$151.20 ,$151.20 ,$131.88 ,$138.77 , N/A ,$109.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880262,N/A,APPLE 12mm TROCAR,270,1 ,$144.00 ,$93.60 ,$93.60 ,$129.67 ,$115.20 , N/A ,$114.11 ,$129.67 ,$129.67 , N/A ,$122.40 ,$106.56 , N/A , N/A , N/A ,$120.10 , N/A ,$118.94 ,$115.20 ,$129.60 , N/A ,$122.40 , N/A ,$122.40 ,$122.40 ,$129.60 ,$129.60 ,$113.04 ,$118.94 , N/A ,$93.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880263,N/A,APPLE 10mm TROCAR,270,1 ,$144.00 ,$93.60 ,$93.60 ,$129.67 ,$115.20 , N/A ,$114.11 ,$129.67 ,$129.67 , N/A ,$122.40 ,$106.56 , N/A , N/A , N/A ,$120.10 , N/A ,$118.94 ,$115.20 ,$129.60 , N/A ,$122.40 , N/A ,$122.40 ,$122.40 ,$129.60 ,$129.60 ,$113.04 ,$118.94 , N/A ,$93.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880500,N/A,GROSHONG CATHETER 8.0 **,270,1 ,$618.00 ,$401.70 ,$401.70 ,$556.51 ,$494.40 , N/A ,$489.70 ,$556.51 ,$556.51 , N/A ,$525.30 ,$457.32 , N/A , N/A , N/A ,$515.41 , N/A ,$510.47 ,$494.40 ,$556.20 , N/A ,$525.30 , N/A ,$525.30 ,$525.30 ,$556.20 ,$556.20 ,$485.13 ,$510.47 , N/A ,$401.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60880520,C1819,B SCI- RESCUE NET **,278,1 ,$225.00 ,$146.25 ,$146.25 ,$202.61 ,$180.00 , N/A ,$178.29 ,$202.61 ,$202.61 , N/A ,$191.25 ,$166.50 , N/A , N/A , N/A ,$187.65 , N/A ,$185.85 ,$180.00 ,$202.50 , N/A ,$191.25 , N/A ,$191.25 ,$191.25 ,$202.50 ,$202.50 ,$176.63 ,$185.85 , N/A ,$146.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),608810,N/A,ETH-DO NOT USE,270,1 ,$185.24 ,$120.41 ,$120.41 ,$166.81 ,$148.19 , N/A ,$146.78 ,$166.81 ,$166.81 , N/A ,$157.45 ,$137.08 , N/A , N/A , N/A ,$154.49 , N/A ,$153.01 ,$148.19 ,$166.72 , N/A ,$157.45 , N/A ,$157.45 ,$157.45 ,$166.72 ,$166.72 ,$145.41 ,$153.01 , N/A ,$120.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),60881000,N/A,"CAST PADDING 6"" WEBRIL",270,1 ,$18.50 ,$12.03 ,$12.03 ,$16.66 ,$14.80 , N/A ,$14.66 ,$16.66 ,$16.66 , N/A ,$15.73 ,$13.69 , N/A , N/A , N/A ,$15.43 , N/A ,$15.28 ,$14.80 ,$16.65 , N/A ,$15.73 , N/A ,$15.73 ,$15.73 ,$16.65 ,$16.65 ,$14.52 ,$15.28 , N/A ,$12.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),60881020,N/A,ZUMI-4.5 **,270,1 ,$99.55 ,$64.71 ,$64.71 ,$89.64 ,$79.64 , N/A ,$78.88 ,$89.64 ,$89.64 , N/A ,$84.62 ,$73.67 , N/A , N/A , N/A ,$83.02 , N/A ,$82.23 ,$79.64 ,$89.60 , N/A ,$84.62 , N/A ,$84.62 ,$84.62 ,$89.60 ,$89.60 ,$78.15 ,$82.23 , N/A ,$64.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),60881021,N/A,ROTICULATOR 55,270,1 ,$858.00 ,$557.70 ,$557.70 ,$772.63 ,$686.40 , N/A ,$679.88 ,$772.63 ,$772.63 , N/A ,$729.30 ,$634.92 , N/A , N/A , N/A ,$715.57 , N/A ,$708.71 ,$686.40 ,$772.20 , N/A ,$729.30 , N/A ,$729.30 ,$729.30 ,$772.20 ,$772.20 ,$673.53 ,$708.71 , N/A ,$557.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60881025,N/A,CEEA 31 **,270,1 ,"$1,144.00 ",$743.60 ,$743.60 ,"$1,030.17 ",$915.20 , N/A ,$906.51 ,"$1,030.17 ","$1,030.17 ", N/A ,$972.40 ,$846.56 , N/A , N/A , N/A ,$954.10 , N/A ,$944.94 ,$915.20 ,"$1,029.60 ", N/A ,$972.40 , N/A ,$972.40 ,$972.40 ,"$1,029.60 ","$1,029.60 ",$898.04 ,$944.94 , N/A ,$743.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60881030,N/A,OR BASIN,270,1 ,$29.10 ,$18.92 ,$18.92 ,$26.20 ,$23.28 , N/A ,$23.06 ,$26.20 ,$26.20 , N/A ,$24.74 ,$21.53 , N/A , N/A , N/A ,$24.27 , N/A ,$24.04 ,$23.28 ,$26.19 , N/A ,$24.74 , N/A ,$24.74 ,$24.74 ,$26.19 ,$26.19 ,$22.84 ,$24.04 , N/A ,$18.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60881100,N/A,USSC PURSTRING 65 **,270,1 ,$205.06 ,$133.29 ,$133.29 ,$184.66 ,$164.05 , N/A ,$162.49 ,$184.66 ,$184.66 , N/A ,$174.30 ,$151.74 , N/A , N/A , N/A ,$171.02 , N/A ,$169.38 ,$164.05 ,$184.55 , N/A ,$174.30 , N/A ,$174.30 ,$174.30 ,$184.55 ,$184.55 ,$160.97 ,$169.38 , N/A ,$133.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),60881101,N/A,USSC PURSTRING 45 **,270,1 ,$281.13 ,$182.73 ,$182.73 ,$253.16 ,$224.90 , N/A ,$222.77 ,$253.16 ,$253.16 , N/A ,$238.96 ,$208.04 , N/A , N/A , N/A ,$234.46 , N/A ,$232.21 ,$224.90 ,$253.02 , N/A ,$238.96 , N/A ,$238.96 ,$238.96 ,$253.02 ,$253.02 ,$220.69 ,$232.21 , N/A ,$182.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),60881110,N/A,SPARC SLING **,278,1 ,"$1,390.00 ",$903.50 ,$903.50 ,"$1,251.70 ","$1,112.00 ", N/A ,"$1,101.44 ","$1,251.70 ","$1,251.70 ", N/A ,"$1,181.50 ","$1,028.60 ", N/A , N/A , N/A ,"$1,159.26 ", N/A ,"$1,148.14 ","$1,112.00 ","$1,251.00 ", N/A ,"$1,181.50 ", N/A ,"$1,181.50 ","$1,181.50 ","$1,251.00 ","$1,251.00 ","$1,091.15 ","$1,148.14 ", N/A ,$903.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),609000,N/A,SONY PAPR/ RIBBN PACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60902000,N/A,"FW,BPB#2SUTR,BLUw/NDL **",270,1 ,$110.00 ,$71.50 ,$71.50 ,$99.06 ,$88.00 , N/A ,$87.16 ,$99.06 ,$99.06 , N/A ,$93.50 ,$81.40 , N/A , N/A , N/A ,$91.74 , N/A ,$90.86 ,$88.00 ,$99.00 , N/A ,$93.50 , N/A ,$93.50 ,$93.50 ,$99.00 ,$99.00 ,$86.35 ,$90.86 , N/A ,$71.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902001,N/A,FIBERLOOP #2 BLUE**,270,1 ,$150.00 ,$97.50 ,$97.50 ,$135.08 ,$120.00 , N/A ,$118.86 ,$135.08 ,$135.08 , N/A ,$127.50 ,$111.00 , N/A , N/A , N/A ,$125.10 , N/A ,$123.90 ,$120.00 ,$135.00 , N/A ,$127.50 , N/A ,$127.50 ,$127.50 ,$135.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902002,N/A,THE SUCTIONER 36x56 **,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902003,N/A,REAMER PILOT HEAD 7MM**,270,1 ,$410.00 ,$266.50 ,$266.50 ,$369.21 ,$328.00 , N/A ,$324.88 ,$369.21 ,$369.21 , N/A ,$348.50 ,$303.40 , N/A , N/A , N/A ,$341.94 , N/A ,$338.66 ,$328.00 ,$369.00 , N/A ,$348.50 , N/A ,$348.50 ,$348.50 ,$369.00 ,$369.00 ,$321.85 ,$338.66 , N/A ,$266.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902004,N/A,REAMER PILOT HEAD 7.5MM **,270,1 ,$410.00 ,$266.50 ,$266.50 ,$369.21 ,$328.00 , N/A ,$324.88 ,$369.21 ,$369.21 , N/A ,$348.50 ,$303.40 , N/A , N/A , N/A ,$341.94 , N/A ,$338.66 ,$328.00 ,$369.00 , N/A ,$348.50 , N/A ,$348.50 ,$348.50 ,$369.00 ,$369.00 ,$321.85 ,$338.66 , N/A ,$266.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902005,N/A,45 DEG CURV LF QPASS LASSO **,270,1 ,$320.00 ,$208.00 ,$208.00 ,$288.16 ,$256.00 , N/A ,$253.57 ,$288.16 ,$288.16 , N/A ,$272.00 ,$236.80 , N/A , N/A , N/A ,$266.88 , N/A ,$264.32 ,$256.00 ,$288.00 , N/A ,$272.00 , N/A ,$272.00 ,$272.00 ,$288.00 ,$288.00 ,$251.20 ,$264.32 , N/A ,$208.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902006,N/A,AR PASSPT BUTTON CANNULA **,270,1 ,$128.00 ,$83.20 ,$83.20 ,$115.26 ,$102.40 , N/A ,$101.43 ,$115.26 ,$115.26 , N/A ,$108.80 ,$94.72 , N/A , N/A , N/A ,$106.75 , N/A ,$105.73 ,$102.40 ,$115.20 , N/A ,$108.80 , N/A ,$108.80 ,$108.80 ,$115.20 ,$115.20 ,$100.48 ,$105.73 , N/A ,$83.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902007,N/A,AR PASSPT BUTT CANNULA30 **,270,1 ,$128.00 ,$83.20 ,$83.20 ,$115.26 ,$102.40 , N/A ,$101.43 ,$115.26 ,$115.26 , N/A ,$108.80 ,$94.72 , N/A , N/A , N/A ,$106.75 , N/A ,$105.73 ,$102.40 ,$115.20 , N/A ,$108.80 , N/A ,$108.80 ,$108.80 ,$115.20 ,$115.20 ,$100.48 ,$105.73 , N/A ,$83.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902008,N/A,SWVLK TENO BIO 7x19.5 **,270,1 ,$870.00 ,$565.50 ,$565.50 ,$783.44 ,$696.00 , N/A ,$689.39 ,$783.44 ,$783.44 , N/A ,$739.50 ,$643.80 , N/A , N/A , N/A ,$725.58 , N/A ,$718.62 ,$696.00 ,$783.00 , N/A ,$739.50 , N/A ,$739.50 ,$739.50 ,$783.00 ,$783.00 ,$682.95 ,$718.62 , N/A ,$565.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902009,N/A,TIGERSTICK #2 TIGRWARE **,270,1 ,$150.00 ,$97.50 ,$97.50 ,$135.08 ,$120.00 , N/A ,$118.86 ,$135.08 ,$135.08 , N/A ,$127.50 ,$111.00 , N/A , N/A , N/A ,$125.10 , N/A ,$123.90 ,$120.00 ,$135.00 , N/A ,$127.50 , N/A ,$127.50 ,$127.50 ,$135.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902010,N/A,MULTIFIRE SCORTPION NDL **,270,1 ,$340.00 ,$221.00 ,$221.00 ,$306.17 ,$272.00 , N/A ,$269.42 ,$306.17 ,$306.17 , N/A ,$289.00 ,$251.60 , N/A , N/A , N/A ,$283.56 , N/A ,$280.84 ,$272.00 ,$306.00 , N/A ,$289.00 , N/A ,$289.00 ,$289.00 ,$306.00 ,$306.00 ,$266.90 ,$280.84 , N/A ,$221.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902011,N/A,45DEG CURV RT FASPAS LASSO**,270,1 ,$320.00 ,$208.00 ,$208.00 ,$288.16 ,$256.00 , N/A ,$253.57 ,$288.16 ,$288.16 , N/A ,$272.00 ,$236.80 , N/A , N/A , N/A ,$266.88 , N/A ,$264.32 ,$256.00 ,$288.00 , N/A ,$272.00 , N/A ,$272.00 ,$272.00 ,$288.00 ,$288.00 ,$251.20 ,$264.32 , N/A ,$208.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902012,N/A,SUTURE LASSO CRESCENT**,270,1 ,$280.00 ,$182.00 ,$182.00 ,$252.14 ,$224.00 , N/A ,$221.87 ,$252.14 ,$252.14 , N/A ,$238.00 ,$207.20 , N/A , N/A , N/A ,$233.52 , N/A ,$231.28 ,$224.00 ,$252.00 , N/A ,$238.00 , N/A ,$238.00 ,$238.00 ,$252.00 ,$252.00 ,$219.80 ,$231.28 , N/A ,$182.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902013,N/A,BIOCOMP SWVLKC CLD 4.75 **,270,1 ,$800.00 ,$520.00 ,$520.00 ,$720.40 ,$640.00 , N/A ,$633.92 ,$720.40 ,$720.40 , N/A ,$680.00 ,$592.00 , N/A , N/A , N/A ,$667.20 , N/A ,$660.80 ,$640.00 ,$720.00 , N/A ,$680.00 , N/A ,$680.00 ,$680.00 ,$720.00 ,$720.00 ,$628.00 ,$660.80 , N/A ,$520.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902014,N/A,BIOCOMP SWVLK C 4.75 **,270,1 ,$940.00 ,$611.00 ,$611.00 ,$846.47 ,$752.00 , N/A ,$744.86 ,$846.47 ,$846.47 , N/A ,$799.00 ,$695.60 , N/A , N/A , N/A ,$783.96 , N/A ,$776.44 ,$752.00 ,$846.00 , N/A ,$799.00 , N/A ,$799.00 ,$799.00 ,$846.00 ,$846.00 ,$737.90 ,$776.44 , N/A ,$611.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902015,N/A,SUT ANCH.BIOCOMP SWVLKC 4.75**,270,1 ,$940.00 ,$611.00 ,$611.00 ,$846.47 ,$752.00 , N/A ,$744.86 ,$846.47 ,$846.47 , N/A ,$799.00 ,$695.60 , N/A , N/A , N/A ,$783.96 , N/A ,$776.44 ,$752.00 ,$846.00 , N/A ,$799.00 , N/A ,$799.00 ,$799.00 ,$846.00 ,$846.00 ,$737.90 ,$776.44 , N/A ,$611.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902016,N/A,MAIN PUMP TUBING **,270,1 ,$162.00 ,$105.30 ,$105.30 ,$145.88 ,$129.60 , N/A ,$128.37 ,$145.88 ,$145.88 , N/A ,$137.70 ,$119.88 , N/A , N/A , N/A ,$135.11 , N/A ,$133.81 ,$129.60 ,$145.80 , N/A ,$137.70 , N/A ,$137.70 ,$137.70 ,$145.80 ,$145.80 ,$127.17 ,$133.81 , N/A ,$105.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902017,N/A,TORPEDO 5.0x13**,270,1 ,$243.00 ,$157.95 ,$157.95 ,$218.82 ,$194.40 , N/A ,$192.55 ,$218.82 ,$218.82 , N/A ,$206.55 ,$179.82 , N/A , N/A , N/A ,$202.66 , N/A ,$200.72 ,$194.40 ,$218.70 , N/A ,$206.55 , N/A ,$206.55 ,$206.55 ,$218.70 ,$218.70 ,$190.76 ,$200.72 , N/A ,$157.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902018,N/A,EXCALIBUR 5.5x13**,270,1 ,$177.00 ,$115.05 ,$115.05 ,$159.39 ,$141.60 , N/A ,$140.25 ,$159.39 ,$159.39 , N/A ,$150.45 ,$130.98 , N/A , N/A , N/A ,$147.62 , N/A ,$146.20 ,$141.60 ,$159.30 , N/A ,$150.45 , N/A ,$150.45 ,$150.45 ,$159.30 ,$159.30 ,$138.95 ,$146.20 , N/A ,$115.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902019,N/A,EXCALIBUR 4.0x13**,270,1 ,$177.00 ,$115.05 ,$115.05 ,$159.39 ,$141.60 , N/A ,$140.25 ,$159.39 ,$159.39 , N/A ,$150.45 ,$130.98 , N/A , N/A , N/A ,$147.62 , N/A ,$146.20 ,$141.60 ,$159.30 , N/A ,$150.45 , N/A ,$150.45 ,$150.45 ,$159.30 ,$159.30 ,$138.95 ,$146.20 , N/A ,$115.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902020,N/A,APOLLO RF 90 MULTIPORT**,270,1 ,$330.00 ,$214.50 ,$214.50 ,$297.17 ,$264.00 , N/A ,$261.49 ,$297.17 ,$297.17 , N/A ,$280.50 ,$244.20 , N/A , N/A , N/A ,$275.22 , N/A ,$272.58 ,$264.00 ,$297.00 , N/A ,$280.50 , N/A ,$280.50 ,$280.50 ,$297.00 ,$297.00 ,$259.05 ,$272.58 , N/A ,$214.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902021,N/A,BUR RND 8 FLUTE 5.5x13**,270,1 ,$177.00 ,$115.05 ,$115.05 ,$159.39 ,$141.60 , N/A ,$140.25 ,$159.39 ,$159.39 , N/A ,$150.45 ,$130.98 , N/A , N/A , N/A ,$147.62 , N/A ,$146.20 ,$141.60 ,$159.30 , N/A ,$150.45 , N/A ,$150.45 ,$150.45 ,$159.30 ,$159.30 ,$138.95 ,$146.20 , N/A ,$115.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902022,N/A,BUR OVAL 8 FLUTE 5.0x13**,270,1 ,$177.00 ,$115.05 ,$115.05 ,$159.39 ,$141.60 , N/A ,$140.25 ,$159.39 ,$159.39 , N/A ,$150.45 ,$130.98 , N/A , N/A , N/A ,$147.62 , N/A ,$146.20 ,$141.60 ,$159.30 , N/A ,$150.45 , N/A ,$150.45 ,$150.45 ,$159.30 ,$159.30 ,$138.95 ,$146.20 , N/A ,$115.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902023,N/A,BUR OVAL 12 FLUTE 5.5x13**,270,1 ,$177.00 ,$115.05 ,$115.05 ,$159.39 ,$141.60 , N/A ,$140.25 ,$159.39 ,$159.39 , N/A ,$150.45 ,$130.98 , N/A , N/A , N/A ,$147.62 , N/A ,$146.20 ,$141.60 ,$159.30 , N/A ,$150.45 , N/A ,$150.45 ,$150.45 ,$159.30 ,$159.30 ,$138.95 ,$146.20 , N/A ,$115.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902024,N/A,UNV.HEAD POSITIONER **,270,1 ,$99.95 ,$64.97 ,$64.97 ,$90.01 ,$79.96 , N/A ,$79.20 ,$90.01 ,$90.01 , N/A ,$84.96 ,$73.96 , N/A , N/A , N/A ,$83.36 , N/A ,$82.56 ,$79.96 ,$89.96 , N/A ,$84.96 , N/A ,$84.96 ,$84.96 ,$89.96 ,$89.96 ,$78.46 ,$82.56 , N/A ,$64.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902025,N/A,CANNULA TWIST-IN **,270,1 ,$100.00 ,$65.00 ,$65.00 ,$90.05 ,$80.00 , N/A ,$79.24 ,$90.05 ,$90.05 , N/A ,$85.00 ,$74.00 , N/A , N/A , N/A ,$83.40 , N/A ,$82.60 ,$80.00 ,$90.00 , N/A ,$85.00 , N/A ,$85.00 ,$85.00 ,$90.00 ,$90.00 ,$78.50 ,$82.60 , N/A ,$65.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902026,N/A,SWVLK TENO BIO 7x19.1 **,270,1 ,$870.00 ,$565.50 ,$565.50 ,$783.44 ,$696.00 , N/A ,$689.39 ,$783.44 ,$783.44 , N/A ,$739.50 ,$643.80 , N/A , N/A , N/A ,$725.58 , N/A ,$718.62 ,$696.00 ,$783.00 , N/A ,$739.50 , N/A ,$739.50 ,$739.50 ,$783.00 ,$783.00 ,$682.95 ,$718.62 , N/A ,$565.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902027,N/A,BIO-COMP 5.5x19.1 **,270,1 ,$800.00 ,$520.00 ,$520.00 ,$720.40 ,$640.00 , N/A ,$633.92 ,$720.40 ,$720.40 , N/A ,$680.00 ,$592.00 , N/A , N/A , N/A ,$667.20 , N/A ,$660.80 ,$640.00 ,$720.00 , N/A ,$680.00 , N/A ,$680.00 ,$680.00 ,$720.00 ,$720.00 ,$628.00 ,$660.80 , N/A ,$520.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902028,N/A,ANKLE DISTRACT STRAP**,270,1 ,$180.00 ,$117.00 ,$117.00 ,$162.09 ,$144.00 , N/A ,$142.63 ,$162.09 ,$162.09 , N/A ,$153.00 ,$133.20 , N/A , N/A , N/A ,$150.12 , N/A ,$148.68 ,$144.00 ,$162.00 , N/A ,$153.00 , N/A ,$153.00 ,$153.00 ,$162.00 ,$162.00 ,$141.30 ,$148.68 , N/A ,$117.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902029,N/A,POWERPICK PP 45 DEG**,270,1 ,$202.00 ,$131.30 ,$131.30 ,$181.90 ,$161.60 , N/A ,$160.06 ,$181.90 ,$181.90 , N/A ,$171.70 ,$149.48 , N/A , N/A , N/A ,$168.47 , N/A ,$166.85 ,$161.60 ,$181.80 , N/A ,$171.70 , N/A ,$171.70 ,$171.70 ,$181.80 ,$181.80 ,$158.57 ,$166.85 , N/A ,$131.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902030,N/A,FLUID DIAMOND **,270,1 ,$90.00 ,$58.50 ,$58.50 ,$81.05 ,$72.00 , N/A ,$71.32 ,$81.05 ,$81.05 , N/A ,$76.50 ,$66.60 , N/A , N/A , N/A ,$75.06 , N/A ,$74.34 ,$72.00 ,$81.00 , N/A ,$76.50 , N/A ,$76.50 ,$76.50 ,$81.00 ,$81.00 ,$70.65 ,$74.34 , N/A ,$58.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902031,N/A,BIO-COMP SWVLK SP**,270,1 ,$840.00 ,$546.00 ,$546.00 ,$756.42 ,$672.00 , N/A ,$665.62 ,$756.42 ,$756.42 , N/A ,$714.00 ,$621.60 , N/A , N/A , N/A ,$700.56 , N/A ,$693.84 ,$672.00 ,$756.00 , N/A ,$714.00 , N/A ,$714.00 ,$714.00 ,$756.00 ,$756.00 ,$659.40 ,$693.84 , N/A ,$546.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902032,N/A,POWERPICK PX 45 DEG**,270,1 ,$202.00 ,$131.30 ,$131.30 ,$181.90 ,$161.60 , N/A ,$160.06 ,$181.90 ,$181.90 , N/A ,$171.70 ,$149.48 , N/A , N/A , N/A ,$168.47 , N/A ,$166.85 ,$161.60 ,$181.80 , N/A ,$171.70 , N/A ,$171.70 ,$171.70 ,$181.80 ,$181.80 ,$158.57 ,$166.85 , N/A ,$131.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902033,N/A,BUTTON INSERTER**,270,1 ,$280.00 ,$182.00 ,$182.00 ,$252.14 ,$224.00 , N/A ,$221.87 ,$252.14 ,$252.14 , N/A ,$238.00 ,$207.20 , N/A , N/A , N/A ,$233.52 , N/A ,$231.28 ,$224.00 ,$252.00 , N/A ,$238.00 , N/A ,$238.00 ,$238.00 ,$252.00 ,$252.00 ,$219.80 ,$231.28 , N/A ,$182.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902034,N/A,DRILL PIN 3.2 BICEP**,270,1 ,$230.00 ,$149.50 ,$149.50 ,$207.12 ,$184.00 , N/A ,$182.25 ,$207.12 ,$207.12 , N/A ,$195.50 ,$170.20 , N/A , N/A , N/A ,$191.82 , N/A ,$189.98 ,$184.00 ,$207.00 , N/A ,$195.50 , N/A ,$195.50 ,$195.50 ,$207.00 ,$207.00 ,$180.55 ,$189.98 , N/A ,$149.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902035,N/A,BUTTON PEC REPAIR**,270,1 ,$590.00 ,$383.50 ,$383.50 ,$531.30 ,$472.00 , N/A ,$467.52 ,$531.30 ,$531.30 , N/A ,$501.50 ,$436.60 , N/A , N/A , N/A ,$492.06 , N/A ,$487.34 ,$472.00 ,$531.00 , N/A ,$501.50 , N/A ,$501.50 ,$501.50 ,$531.00 ,$531.00 ,$463.15 ,$487.34 , N/A ,$383.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902036,N/A,"CRYSTAL CANNULA, PART THREADED**",270,1 ,$100.00 ,$65.00 ,$65.00 ,$90.05 ,$80.00 , N/A ,$79.24 ,$90.05 ,$90.05 , N/A ,$85.00 ,$74.00 , N/A , N/A , N/A ,$83.40 , N/A ,$82.60 ,$80.00 ,$90.00 , N/A ,$85.00 , N/A ,$85.00 ,$85.00 ,$90.00 ,$90.00 ,$78.50 ,$82.60 , N/A ,$65.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902501,N/A,PARIETEX PLUG/PATCH 6CM**,270,1 ,$350.00 ,$227.50 ,$227.50 ,$315.18 ,$280.00 , N/A ,$277.34 ,$315.18 ,$315.18 , N/A ,$297.50 ,$259.00 , N/A , N/A , N/A ,$291.90 , N/A ,$289.10 ,$280.00 ,$315.00 , N/A ,$297.50 , N/A ,$297.50 ,$297.50 ,$315.00 ,$315.00 ,$274.75 ,$289.10 , N/A ,$227.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902502,N/A,PARIETEX PLUG/PATCH 8CM**,270,1 ,$365.00 ,$237.25 ,$237.25 ,$328.68 ,$292.00 , N/A ,$289.23 ,$328.68 ,$328.68 , N/A ,$310.25 ,$270.10 , N/A , N/A , N/A ,$304.41 , N/A ,$301.49 ,$292.00 ,$328.50 , N/A ,$310.25 , N/A ,$310.25 ,$310.25 ,$328.50 ,$328.50 ,$286.53 ,$301.49 , N/A ,$237.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60902503,N/A,KUMAR CATHETER 19GA.**,270,1 ,$135.00 ,$87.75 ,$87.75 ,$121.57 ,$108.00 , N/A ,$106.97 ,$121.57 ,$121.57 , N/A ,$114.75 ,$99.90 , N/A , N/A , N/A ,$112.59 , N/A ,$111.51 ,$108.00 ,$121.50 , N/A ,$114.75 , N/A ,$114.75 ,$114.75 ,$121.50 ,$121.50 ,$105.98 ,$111.51 , N/A ,$87.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903000,N/A,STIMUPLEX A NDL 22Gx2**,270,1 ,$52.50 ,$34.13 ,$34.13 ,$47.28 ,$42.00 , N/A ,$41.60 ,$47.28 ,$47.28 , N/A ,$44.63 ,$38.85 , N/A , N/A , N/A ,$43.79 , N/A ,$43.37 ,$42.00 ,$47.25 , N/A ,$44.63 , N/A ,$44.63 ,$44.63 ,$47.25 ,$47.25 ,$41.21 ,$43.37 , N/A ,$34.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903001,N/A,STIMUPLEX A NDL 21Gx4**,270,1 ,$55.97 ,$36.38 ,$36.38 ,$50.40 ,$44.78 , N/A ,$44.35 ,$50.40 ,$50.40 , N/A ,$47.57 ,$41.42 , N/A , N/A , N/A ,$46.68 , N/A ,$46.23 ,$44.78 ,$50.37 , N/A ,$47.57 , N/A ,$47.57 ,$47.57 ,$50.37 ,$50.37 ,$43.94 ,$46.23 , N/A ,$36.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903100,N/A,OPTI-GARD EYE PROTECT**,270,1 ,$30.90 ,$20.09 ,$20.09 ,$27.83 ,$24.72 , N/A ,$24.49 ,$27.83 ,$27.83 , N/A ,$26.27 ,$22.87 , N/A , N/A , N/A ,$25.77 , N/A ,$25.52 ,$24.72 ,$27.81 , N/A ,$26.27 , N/A ,$26.27 ,$26.27 ,$27.81 ,$27.81 ,$24.26 ,$25.52 , N/A ,$20.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903500,N/A,DRILL BIT 1.8**,270,1 ,$342.00 ,$222.30 ,$222.30 ,$307.97 ,$273.60 , N/A ,$271.00 ,$307.97 ,$307.97 , N/A ,$290.70 ,$253.08 , N/A , N/A , N/A ,$285.23 , N/A ,$282.49 ,$273.60 ,$307.80 , N/A ,$290.70 , N/A ,$290.70 ,$290.70 ,$307.80 ,$307.80 ,$268.47 ,$282.49 , N/A ,$222.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903501,N/A,DRILL BIT 2.4**,270,1 ,$287.00 ,$186.55 ,$186.55 ,$258.44 ,$229.60 , N/A ,$227.42 ,$258.44 ,$258.44 , N/A ,$243.95 ,$212.38 , N/A , N/A , N/A ,$239.36 , N/A ,$237.06 ,$229.60 ,$258.30 , N/A ,$243.95 , N/A ,$243.95 ,$243.95 ,$258.30 ,$258.30 ,$225.30 ,$237.06 , N/A ,$186.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903502,N/A,"CORTEX SCREW 2.4, 18MM**",270,1 ,$193.35 ,$125.68 ,$125.68 ,$174.11 ,$154.68 , N/A ,$153.21 ,$174.11 ,$174.11 , N/A ,$164.35 ,$143.08 , N/A , N/A , N/A ,$161.25 , N/A ,$159.71 ,$154.68 ,$174.02 , N/A ,$164.35 , N/A ,$164.35 ,$164.35 ,$174.02 ,$174.02 ,$151.78 ,$159.71 , N/A ,$125.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903503,N/A,"CORTEX SCREW 2.4,16MM**",270,1 ,$193.35 ,$125.68 ,$125.68 ,$174.11 ,$154.68 , N/A ,$153.21 ,$174.11 ,$174.11 , N/A ,$164.35 ,$143.08 , N/A , N/A , N/A ,$161.25 , N/A ,$159.71 ,$154.68 ,$174.02 , N/A ,$164.35 , N/A ,$164.35 ,$164.35 ,$174.02 ,$174.02 ,$151.78 ,$159.71 , N/A ,$125.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903504,N/A,DRILL BIT 2.0**,270,1 ,$255.25 ,$165.91 ,$165.91 ,$229.85 ,$204.20 , N/A ,$202.26 ,$229.85 ,$229.85 , N/A ,$216.96 ,$188.89 , N/A , N/A , N/A ,$212.88 , N/A ,$210.84 ,$204.20 ,$229.73 , N/A ,$216.96 , N/A ,$216.96 ,$216.96 ,$229.73 ,$229.73 ,$200.37 ,$210.84 , N/A ,$165.91 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903505,N/A,DRILL BIT 1.5**,270,1 ,$342.00 ,$222.30 ,$222.30 ,$307.97 ,$273.60 , N/A ,$271.00 ,$307.97 ,$307.97 , N/A ,$290.70 ,$253.08 , N/A , N/A , N/A ,$285.23 , N/A ,$282.49 ,$273.60 ,$307.80 , N/A ,$290.70 , N/A ,$290.70 ,$290.70 ,$307.80 ,$307.80 ,$268.47 ,$282.49 , N/A ,$222.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903506,N/A,"CORTEX SCREW 2.0, 13MM**",270,1 ,$162.40 ,$105.56 ,$105.56 ,$146.24 ,$129.92 , N/A ,$128.69 ,$146.24 ,$146.24 , N/A ,$138.04 ,$120.18 , N/A , N/A , N/A ,$135.44 , N/A ,$134.14 ,$129.92 ,$146.16 , N/A ,$138.04 , N/A ,$138.04 ,$138.04 ,$146.16 ,$146.16 ,$127.48 ,$134.14 , N/A ,$105.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903507,N/A,"CORTEX SCREW 2.0, 16MM**",270,1 ,$162.40 ,$105.56 ,$105.56 ,$146.24 ,$129.92 , N/A ,$128.69 ,$146.24 ,$146.24 , N/A ,$138.04 ,$120.18 , N/A , N/A , N/A ,$135.44 , N/A ,$134.14 ,$129.92 ,$146.16 , N/A ,$138.04 , N/A ,$138.04 ,$138.04 ,$146.16 ,$146.16 ,$127.48 ,$134.14 , N/A ,$105.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903508,N/A,BLADE SAGITAL MEDIUM 25MMX9MM**,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903509,N/A,BLADE PRECISION MEDIUM 18.55MMX7.0MM**,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903510,N/A,BLADE THIN OFFSET MICRO 25MMX9MM**,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903511,N/A,BLADE 4.0MM OVAL CARBIDE BUR**,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903512,N/A,BLADE PRECISION 34.5MMX12MM,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903513,N/A,BLADE MEDIUM 18.5MMX9MM,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903514,N/A,BLADE PRECISION 31MMX9MM,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903515,N/A,BLADE PRECISION OFFSET 31MMX9MM**,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903516,N/A,BLADE MICRO SAGITTAL AGRSSV 39MMX9.2MM,270,1 ,$237.00 ,$154.05 ,$154.05 ,$213.42 ,$189.60 , N/A ,$187.80 ,$213.42 ,$213.42 , N/A ,$201.45 ,$175.38 , N/A , N/A , N/A ,$197.66 , N/A ,$195.76 ,$189.60 ,$213.30 , N/A ,$201.45 , N/A ,$201.45 ,$201.45 ,$213.30 ,$213.30 ,$186.05 ,$195.76 , N/A ,$154.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903517,N/A,INTERJECT INJECTION NEEDLE 25G**,270,1 ,$116.00 ,$75.40 ,$75.40 ,$104.46 ,$92.80 , N/A ,$91.92 ,$104.46 ,$104.46 , N/A ,$98.60 ,$85.84 , N/A , N/A , N/A ,$96.74 , N/A ,$95.82 ,$92.80 ,$104.40 , N/A ,$98.60 , N/A ,$98.60 ,$98.60 ,$104.40 ,$104.40 ,$91.06 ,$95.82 , N/A ,$75.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903518,N/A,RESOLUTION 360 CLIPS**,270,1 ,$398.00 ,$258.70 ,$258.70 ,$358.40 ,$318.40 , N/A ,$315.38 ,$358.40 ,$358.40 , N/A ,$338.30 ,$294.52 , N/A , N/A , N/A ,$331.93 , N/A ,$328.75 ,$318.40 ,$358.20 , N/A ,$338.30 , N/A ,$338.30 ,$338.30 ,$358.20 ,$358.20 ,$312.43 ,$328.75 , N/A ,$258.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903519,N/A,BIO-COMP SWVLK 5.5 X 24.5 MM**,270,1 ,$840.00 ,$546.00 ,$546.00 ,$756.42 ,$672.00 , N/A ,$665.62 ,$756.42 ,$756.42 , N/A ,$714.00 ,$621.60 , N/A , N/A , N/A ,$700.56 , N/A ,$693.84 ,$672.00 ,$756.00 , N/A ,$714.00 , N/A ,$714.00 ,$714.00 ,$756.00 ,$756.00 ,$659.40 ,$693.84 , N/A ,$546.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903520,N/A,RADIAL JAW 4 W/NEEDLE**,270,1 ,$43.00 ,$27.95 ,$27.95 ,$38.72 ,$34.40 , N/A ,$34.07 ,$38.72 ,$38.72 , N/A ,$36.55 ,$31.82 , N/A , N/A , N/A ,$35.86 , N/A ,$35.52 ,$34.40 ,$38.70 , N/A ,$36.55 , N/A ,$36.55 ,$36.55 ,$38.70 ,$38.70 ,$33.76 ,$35.52 , N/A ,$27.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903521,N/A,HAT TRICK MTP BILATERAL**,270,1 ,"$3,200.00 ","$2,080.00 ","$2,080.00 ","$2,881.60 ","$2,560.00 ", N/A ,"$2,535.68 ","$2,881.60 ","$2,881.60 ", N/A ,"$2,720.00 ","$2,368.00 ", N/A , N/A , N/A ,"$2,668.80 ", N/A ,"$2,643.20 ","$2,560.00 ","$2,880.00 ", N/A ,"$2,720.00 ", N/A ,"$2,720.00 ","$2,720.00 ","$2,880.00 ","$2,880.00 ","$2,512.00 ","$2,643.20 ", N/A ,"$2,080.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60903522,N/A,"CORTEX SCREW 2.4, 20MM **",270,1 ,$193.35 ,$125.68 ,$125.68 ,$174.11 ,$154.68 , N/A ,$153.21 ,$174.11 ,$174.11 , N/A ,$164.35 ,$143.08 , N/A , N/A , N/A ,$161.25 , N/A ,$159.71 ,$154.68 ,$174.02 , N/A ,$164.35 , N/A ,$164.35 ,$164.35 ,$174.02 ,$174.02 ,$151.78 ,$159.71 , N/A ,$125.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903523,N/A,"CORTEX SCREW 2.0, 10MM **",270,1 ,$162.40 ,$105.56 ,$105.56 ,$146.24 ,$129.92 , N/A ,$128.69 ,$146.24 ,$146.24 , N/A ,$138.04 ,$120.18 , N/A , N/A , N/A ,$135.44 , N/A ,$134.14 ,$129.92 ,$146.16 , N/A ,$138.04 , N/A ,$138.04 ,$138.04 ,$146.16 ,$146.16 ,$127.48 ,$134.14 , N/A ,$105.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903524,N/A,"CORTEX SCREW 2.0, 10MM **",270,1 ,$162.40 ,$105.56 ,$105.56 ,$146.24 ,$129.92 , N/A ,$128.69 ,$146.24 ,$146.24 , N/A ,$138.04 ,$120.18 , N/A , N/A , N/A ,$135.44 , N/A ,$134.14 ,$129.92 ,$146.16 , N/A ,$138.04 , N/A ,$138.04 ,$138.04 ,$146.16 ,$146.16 ,$127.48 ,$134.14 , N/A ,$105.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903525,N/A,"CORTEX SCREW 2.0, 12MM **",270,1 ,$162.40 ,$105.56 ,$105.56 ,$146.24 ,$129.92 , N/A ,$128.69 ,$146.24 ,$146.24 , N/A ,$138.04 ,$120.18 , N/A , N/A , N/A ,$135.44 , N/A ,$134.14 ,$129.92 ,$146.16 , N/A ,$138.04 , N/A ,$138.04 ,$138.04 ,$146.16 ,$146.16 ,$127.48 ,$134.14 , N/A ,$105.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903526,N/A,"LOCKING SCREW 2.0, 14MM **",270,1 ,$262.96 ,$170.92 ,$170.92 ,$236.80 ,$210.37 , N/A ,$208.37 ,$236.80 ,$236.80 , N/A ,$223.52 ,$194.59 , N/A , N/A , N/A ,$219.31 , N/A ,$217.21 ,$210.37 ,$236.66 , N/A ,$223.52 , N/A ,$223.52 ,$223.52 ,$236.66 ,$236.66 ,$206.42 ,$217.21 , N/A ,$170.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903527,N/A,"KIRSCHNER WIRE 1.6MM, TROC 150MM **",270,1 ,$381.54 ,$248.00 ,$248.00 ,$343.58 ,$305.23 , N/A ,$302.33 ,$343.58 ,$343.58 , N/A ,$324.31 ,$282.34 , N/A , N/A , N/A ,$318.20 , N/A ,$315.15 ,$305.23 ,$343.39 , N/A ,$324.31 , N/A ,$324.31 ,$324.31 ,$343.39 ,$343.39 ,$299.51 ,$315.15 , N/A ,$248.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903528,N/A,"KIRSCHNER WIRE 1.25MM, TROC 150MM **",270,1 ,$202.80 ,$131.82 ,$131.82 ,$182.62 ,$162.24 , N/A ,$160.70 ,$182.62 ,$182.62 , N/A ,$172.38 ,$150.07 , N/A , N/A , N/A ,$169.14 , N/A ,$167.51 ,$162.24 ,$182.52 , N/A ,$172.38 , N/A ,$172.38 ,$172.38 ,$182.52 ,$182.52 ,$159.20 ,$167.51 , N/A ,$131.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),60903529,N/A,"KIRSCHNER WIRE 1.0MM, TROC 150MM **",270,1 ,$202.80 ,$131.82 ,$131.82 ,$182.62 ,$162.24 , N/A ,$160.70 ,$182.62 ,$182.62 , N/A ,$172.38 ,$150.07 , N/A , N/A , N/A ,$169.14 , N/A ,$167.51 ,$162.24 ,$182.52 , N/A ,$172.38 , N/A ,$172.38 ,$172.38 ,$182.52 ,$182.52 ,$159.20 ,$167.51 , N/A ,$131.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904000,N/A,2.0MM DRILL 130MM**,270,1 ,$330.00 ,$214.50 ,$214.50 ,$297.17 ,$264.00 , N/A ,$261.49 ,$297.17 ,$297.17 , N/A ,$280.50 ,$244.20 , N/A , N/A , N/A ,$275.22 , N/A ,$272.58 ,$264.00 ,$297.00 , N/A ,$280.50 , N/A ,$280.50 ,$280.50 ,$297.00 ,$297.00 ,$259.05 ,$272.58 , N/A ,$214.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904001,N/A,2.70 MM T-PLATE STER**,270,1 ,"$2,120.00 ","$1,378.00 ","$1,378.00 ","$1,909.06 ","$1,696.00 ", N/A ,"$1,679.89 ","$1,909.06 ","$1,909.06 ", N/A ,"$1,802.00 ","$1,568.80 ", N/A , N/A , N/A ,"$1,768.08 ", N/A ,"$1,751.12 ","$1,696.00 ","$1,908.00 ", N/A ,"$1,802.00 ", N/A ,"$1,802.00 ","$1,802.00 ","$1,908.00 ","$1,908.00 ","$1,664.20 ","$1,751.12 ", N/A ,"$1,378.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904002,N/A,VLP 2.7MM QT TUB PLATE 4-HOLE**,270,1 ,$814.00 ,$529.10 ,$529.10 ,$733.01 ,$651.20 , N/A ,$645.01 ,$733.01 ,$733.01 , N/A ,$691.90 ,$602.36 , N/A , N/A , N/A ,$678.88 , N/A ,$672.36 ,$651.20 ,$732.60 , N/A ,$691.90 , N/A ,$691.90 ,$691.90 ,$732.60 ,$732.60 ,$638.99 ,$672.36 , N/A ,$529.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904003,N/A,VLP 2.7MM S-T LOCK CORT SCR 12MM**,270,1 ,$480.00 ,$312.00 ,$312.00 ,$432.24 ,$384.00 , N/A ,$380.35 ,$432.24 ,$432.24 , N/A ,$408.00 ,$355.20 , N/A , N/A , N/A ,$400.32 , N/A ,$396.48 ,$384.00 ,$432.00 , N/A ,$408.00 , N/A ,$408.00 ,$408.00 ,$432.00 ,$432.00 ,$376.80 ,$396.48 , N/A ,$312.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904004,N/A,VLP 2.7MM S-T LOCK CORT SCR 14MM**,270,1 ,$480.00 ,$312.00 ,$312.00 ,$432.24 ,$384.00 , N/A ,$380.35 ,$432.24 ,$432.24 , N/A ,$408.00 ,$355.20 , N/A , N/A , N/A ,$400.32 , N/A ,$396.48 ,$384.00 ,$432.00 , N/A ,$408.00 , N/A ,$408.00 ,$408.00 ,$432.00 ,$432.00 ,$376.80 ,$396.48 , N/A ,$312.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904005,N/A,VLP 2.7MM S-T LOCK CORT SCR 16MM**,270,1 ,$480.00 ,$312.00 ,$312.00 ,$432.24 ,$384.00 , N/A ,$380.35 ,$432.24 ,$432.24 , N/A ,$408.00 ,$355.20 , N/A , N/A , N/A ,$400.32 , N/A ,$396.48 ,$384.00 ,$432.00 , N/A ,$408.00 , N/A ,$408.00 ,$408.00 ,$432.00 ,$432.00 ,$376.80 ,$396.48 , N/A ,$312.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904006,N/A,VLP 2.7MM S-T LOCK CORT SCR 20MM**,270,1 ,$480.00 ,$312.00 ,$312.00 ,$432.24 ,$384.00 , N/A ,$380.35 ,$432.24 ,$432.24 , N/A ,$408.00 ,$355.20 , N/A , N/A , N/A ,$400.32 , N/A ,$396.48 ,$384.00 ,$432.00 , N/A ,$408.00 , N/A ,$408.00 ,$408.00 ,$432.00 ,$432.00 ,$376.80 ,$396.48 , N/A ,$312.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904007,N/A,1.8 MM DRILL LONG W/AO QC**,270,1 ,$404.00 ,$262.60 ,$262.60 ,$363.80 ,$323.20 , N/A ,$320.13 ,$363.80 ,$363.80 , N/A ,$343.40 ,$298.96 , N/A , N/A , N/A ,$336.94 , N/A ,$333.70 ,$323.20 ,$363.60 , N/A ,$343.40 , N/A ,$343.40 ,$343.40 ,$363.60 ,$363.60 ,$317.14 ,$333.70 , N/A ,$262.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904008,N/A,EVOS 2.4MM STRENGTH PLATE 6-HOLE**,270,1 ,"$2,460.00 ","$1,599.00 ","$1,599.00 ","$2,215.23 ","$1,968.00 ", N/A ,"$1,949.30 ","$2,215.23 ","$2,215.23 ", N/A ,"$2,091.00 ","$1,820.40 ", N/A , N/A , N/A ,"$2,051.64 ", N/A ,"$2,031.96 ","$1,968.00 ","$2,214.00 ", N/A ,"$2,091.00 ", N/A ,"$2,091.00 ","$2,091.00 ","$2,214.00 ","$2,214.00 ","$1,931.10 ","$2,031.96 ", N/A ,"$1,599.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904009,N/A,EVOS 2.4MM X 14MM CTX SCR T7 S-T**,270,1 ,$179.40 ,$116.61 ,$116.61 ,$161.55 ,$143.52 , N/A ,$142.16 ,$161.55 ,$161.55 , N/A ,$152.49 ,$132.76 , N/A , N/A , N/A ,$149.62 , N/A ,$148.18 ,$143.52 ,$161.46 , N/A ,$152.49 , N/A ,$152.49 ,$152.49 ,$161.46 ,$161.46 ,$140.83 ,$148.18 , N/A ,$116.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904010,N/A,EVOS 2.4MM X 14MM LCK SCR T7 S-T**,270,1 ,$388.00 ,$252.20 ,$252.20 ,$349.39 ,$310.40 , N/A ,$307.45 ,$349.39 ,$349.39 , N/A ,$329.80 ,$287.12 , N/A , N/A , N/A ,$323.59 , N/A ,$320.49 ,$310.40 ,$349.20 , N/A ,$329.80 , N/A ,$329.80 ,$329.80 ,$349.20 ,$349.20 ,$304.58 ,$320.49 , N/A ,$252.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904011,N/A,EVOS 2.4MM X 18MM LCK SCR T7 S-T**,270,1 ,$388.00 ,$252.20 ,$252.20 ,$349.39 ,$310.40 , N/A ,$307.45 ,$349.39 ,$349.39 , N/A ,$329.80 ,$287.12 , N/A , N/A , N/A ,$323.59 , N/A ,$320.49 ,$310.40 ,$349.20 , N/A ,$329.80 , N/A ,$329.80 ,$329.80 ,$349.20 ,$349.20 ,$304.58 ,$320.49 , N/A ,$252.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904012,N/A,1.5MM DRILL LONG WITH AO QC**,270,1 ,$328.00 ,$213.20 ,$213.20 ,$295.36 ,$262.40 , N/A ,$259.91 ,$295.36 ,$295.36 , N/A ,$278.80 ,$242.72 , N/A , N/A , N/A ,$273.55 , N/A ,$270.93 ,$262.40 ,$295.20 , N/A ,$278.80 , N/A ,$278.80 ,$278.80 ,$295.20 ,$295.20 ,$257.48 ,$270.93 , N/A ,$213.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904013,N/A,EVOS 2.0MM X 14MM CTX SCR T6 S-T**,270,1 ,$169.95 ,$110.47 ,$110.47 ,$153.04 ,$135.96 , N/A ,$134.67 ,$153.04 ,$153.04 , N/A ,$144.46 ,$125.76 , N/A , N/A , N/A ,$141.74 , N/A ,$140.38 ,$135.96 ,$152.96 , N/A ,$144.46 , N/A ,$144.46 ,$144.46 ,$152.96 ,$152.96 ,$133.41 ,$140.38 , N/A ,$110.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904014,N/A,EVOS 2.0MM X 12MM CTX SCR T6 S-T**,270,1 ,$169.95 ,$110.47 ,$110.47 ,$153.04 ,$135.96 , N/A ,$134.67 ,$153.04 ,$153.04 , N/A ,$144.46 ,$125.76 , N/A , N/A , N/A ,$141.74 , N/A ,$140.38 ,$135.96 ,$152.96 , N/A ,$144.46 , N/A ,$144.46 ,$144.46 ,$152.96 ,$152.96 ,$133.41 ,$140.38 , N/A ,$110.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904015,N/A,EVOS 2.0MM X 17MM CTX SCR T6 S-T**,270,1 ,$169.95 ,$110.47 ,$110.47 ,$153.04 ,$135.96 , N/A ,$134.67 ,$153.04 ,$153.04 , N/A ,$144.46 ,$125.76 , N/A , N/A , N/A ,$141.74 , N/A ,$140.38 ,$135.96 ,$152.96 , N/A ,$144.46 , N/A ,$144.46 ,$144.46 ,$152.96 ,$152.96 ,$133.41 ,$140.38 , N/A ,$110.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904016,N/A,"CORTEX SCREW 2.0, 12MM **",270,1 ,$112.44 ,$73.09 ,$73.09 ,$101.25 ,$89.95 , N/A ,$89.10 ,$101.25 ,$101.25 , N/A ,$95.57 ,$83.21 , N/A , N/A , N/A ,$93.78 , N/A ,$92.88 ,$89.95 ,$101.20 , N/A ,$95.57 , N/A ,$95.57 ,$95.57 ,$101.20 ,$101.20 ,$88.27 ,$92.88 , N/A ,$73.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904017,N/A,"CORTEX SCREW 2.0, 14MM **",270,1 ,$112.44 ,$73.09 ,$73.09 ,$101.25 ,$89.95 , N/A ,$89.10 ,$101.25 ,$101.25 , N/A ,$95.57 ,$83.21 , N/A , N/A , N/A ,$93.78 , N/A ,$92.88 ,$89.95 ,$101.20 , N/A ,$95.57 , N/A ,$95.57 ,$95.57 ,$101.20 ,$101.20 ,$88.27 ,$92.88 , N/A ,$73.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904018,N/A,DRILL BIT 1.5MM/QC/110MM**,270,1 ,$188.16 ,$122.30 ,$122.30 ,$169.44 ,$150.53 , N/A ,$149.10 ,$169.44 ,$169.44 , N/A ,$159.94 ,$139.24 , N/A , N/A , N/A ,$156.93 , N/A ,$155.42 ,$150.53 ,$169.34 , N/A ,$159.94 , N/A ,$159.94 ,$159.94 ,$169.34 ,$169.34 ,$147.71 ,$155.42 , N/A ,$122.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904019,N/A,DRILL BIT 2.0 MM/QC/125 MM**,270,1 ,$210.60 ,$136.89 ,$136.89 ,$189.65 ,$168.48 , N/A ,$166.88 ,$189.65 ,$189.65 , N/A ,$179.01 ,$155.84 , N/A , N/A , N/A ,$175.64 , N/A ,$173.96 ,$168.48 ,$189.54 , N/A ,$179.01 , N/A ,$179.01 ,$179.01 ,$189.54 ,$189.54 ,$165.32 ,$173.96 , N/A ,$136.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904020,N/A,"REAMER, LOW PROFILE**",270,1 ,$390.00 ,$253.50 ,$253.50 ,$351.20 ,$312.00 , N/A ,$309.04 ,$351.20 ,$351.20 , N/A ,$331.50 ,$288.60 , N/A , N/A , N/A ,$325.26 , N/A ,$322.14 ,$312.00 ,$351.00 , N/A ,$331.50 , N/A ,$331.50 ,$331.50 ,$351.00 ,$351.00 ,$306.15 ,$322.14 , N/A ,$253.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904021,N/A,FIBERTAPE**,270,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904022,N/A,SPEEDGRAFT 9.0 X 229MM**,270,1 ,"$4,650.00 ","$3,022.50 ","$3,022.50 ","$4,187.33 ","$3,720.00 ", N/A ,"$3,684.66 ","$4,187.33 ","$4,187.33 ", N/A ,"$3,952.50 ","$3,441.00 ", N/A , N/A , N/A ,"$3,878.10 ", N/A ,"$3,840.90 ","$3,720.00 ","$4,185.00 ", N/A ,"$3,952.50 ", N/A ,"$3,952.50 ","$3,952.50 ","$4,185.00 ","$4,185.00 ","$3,650.25 ","$3,840.90 ", N/A ,"$3,022.50 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904023,N/A,TROCAR LAP 100MM KII ABD**,270,1 ,$180.00 ,$117.00 ,$117.00 ,$162.09 ,$144.00 , N/A ,$142.63 ,$162.09 ,$162.09 , N/A ,$153.00 ,$133.20 , N/A , N/A , N/A ,$150.12 , N/A ,$148.68 ,$144.00 ,$162.00 , N/A ,$153.00 , N/A ,$153.00 ,$153.00 ,$162.00 ,$162.00 ,$141.30 ,$148.68 , N/A ,$117.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904024,N/A,INSUFFLATION NEEDLE**,270,1 ,$65.00 ,$42.25 ,$42.25 ,$58.53 ,$52.00 , N/A ,$51.51 ,$58.53 ,$58.53 , N/A ,$55.25 ,$48.10 , N/A , N/A , N/A ,$54.21 , N/A ,$53.69 ,$52.00 ,$58.50 , N/A ,$55.25 , N/A ,$55.25 ,$55.25 ,$58.50 ,$58.50 ,$51.03 ,$53.69 , N/A ,$42.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904025,N/A,SLEEVE LAP 5MM KII ABD**,270,1 ,$48.00 ,$31.20 ,$31.20 ,$43.22 ,$38.40 , N/A ,$38.04 ,$43.22 ,$43.22 , N/A ,$40.80 ,$35.52 , N/A , N/A , N/A ,$40.03 , N/A ,$39.65 ,$38.40 ,$43.20 , N/A ,$40.80 , N/A ,$40.80 ,$40.80 ,$43.20 ,$43.20 ,$37.68 ,$39.65 , N/A ,$31.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904026,N/A,TROCAR LAP 100MM KII FOS**,270,1 ,$75.00 ,$48.75 ,$48.75 ,$67.54 ,$60.00 , N/A ,$59.43 ,$67.54 ,$67.54 , N/A ,$63.75 ,$55.50 , N/A , N/A , N/A ,$62.55 , N/A ,$61.95 ,$60.00 ,$67.50 , N/A ,$63.75 , N/A ,$63.75 ,$63.75 ,$67.50 ,$67.50 ,$58.88 ,$61.95 , N/A ,$48.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904027,N/A,KII BALLOON BLNT TIP SYSTEM**,270,1 ,$110.00 ,$71.50 ,$71.50 ,$99.06 ,$88.00 , N/A ,$87.16 ,$99.06 ,$99.06 , N/A ,$93.50 ,$81.40 , N/A , N/A , N/A ,$91.74 , N/A ,$90.86 ,$88.00 ,$99.00 , N/A ,$93.50 , N/A ,$93.50 ,$93.50 ,$99.00 ,$99.00 ,$86.35 ,$90.86 , N/A ,$71.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904028,N/A,APPLICATOR SURG 38CM FLEX TIP**,270,1 ,$124.50 ,$80.93 ,$80.93 ,$112.11 ,$99.60 , N/A ,$98.65 ,$112.11 ,$112.11 , N/A ,$105.83 ,$92.13 , N/A , N/A , N/A ,$103.83 , N/A ,$102.84 ,$99.60 ,$112.05 , N/A ,$105.83 , N/A ,$105.83 ,$105.83 ,$112.05 ,$112.05 ,$97.73 ,$102.84 , N/A ,$80.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904029,N/A,ABSORB HEMO PARTICLES**,270,1 ,$330.00 ,$214.50 ,$214.50 ,$297.17 ,$264.00 , N/A ,$261.49 ,$297.17 ,$297.17 , N/A ,$280.50 ,$244.20 , N/A , N/A , N/A ,$275.22 , N/A ,$272.58 ,$264.00 ,$297.00 , N/A ,$280.50 , N/A ,$280.50 ,$280.50 ,$297.00 ,$297.00 ,$259.05 ,$272.58 , N/A ,$214.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904030,N/A,BARD MESH PERFIX PLUG LG**,270,1 ,$299.20 ,$194.48 ,$194.48 ,$269.43 ,$239.36 , N/A ,$237.09 ,$269.43 ,$269.43 , N/A ,$254.32 ,$221.41 , N/A , N/A , N/A ,$249.53 , N/A ,$247.14 ,$239.36 ,$269.28 , N/A ,$254.32 , N/A ,$254.32 ,$254.32 ,$269.28 ,$269.28 ,$234.87 ,$247.14 , N/A ,$194.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904031,N/A,BARD MESH PERFIX PLUG MED**,270,1 ,$299.20 ,$194.48 ,$194.48 ,$269.43 ,$239.36 , N/A ,$237.09 ,$269.43 ,$269.43 , N/A ,$254.32 ,$221.41 , N/A , N/A , N/A ,$249.53 , N/A ,$247.14 ,$239.36 ,$269.28 , N/A ,$254.32 , N/A ,$254.32 ,$254.32 ,$269.28 ,$269.28 ,$234.87 ,$247.14 , N/A ,$194.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904032,N/A,BARD MESH PERFIX PLUG SM**,270,1 ,$299.20 ,$194.48 ,$194.48 ,$269.43 ,$239.36 , N/A ,$237.09 ,$269.43 ,$269.43 , N/A ,$254.32 ,$221.41 , N/A , N/A , N/A ,$249.53 , N/A ,$247.14 ,$239.36 ,$269.28 , N/A ,$254.32 , N/A ,$254.32 ,$254.32 ,$269.28 ,$269.28 ,$234.87 ,$247.14 , N/A ,$194.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904033,N/A,3D MAXLT MESH RGT XLG**,270,1 ,$445.20 ,$289.38 ,$289.38 ,$400.90 ,$356.16 , N/A ,$352.78 ,$400.90 ,$400.90 , N/A ,$378.42 ,$329.45 , N/A , N/A , N/A ,$371.30 , N/A ,$367.74 ,$356.16 ,$400.68 , N/A ,$378.42 , N/A ,$378.42 ,$378.42 ,$400.68 ,$400.68 ,$349.48 ,$367.74 , N/A ,$289.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904034,N/A,3D MAXLT MESH RGT LG**,270,1 ,$650.00 ,$422.50 ,$422.50 ,$585.33 ,$520.00 , N/A ,$515.06 ,$585.33 ,$585.33 , N/A ,$552.50 ,$481.00 , N/A , N/A , N/A ,$542.10 , N/A ,$536.90 ,$520.00 ,$585.00 , N/A ,$552.50 , N/A ,$552.50 ,$552.50 ,$585.00 ,$585.00 ,$510.25 ,$536.90 , N/A ,$422.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904035,N/A,3D MAXLT MESH RGT MED**,270,1 ,$610.00 ,$396.50 ,$396.50 ,$549.31 ,$488.00 , N/A ,$483.36 ,$549.31 ,$549.31 , N/A ,$518.50 ,$451.40 , N/A , N/A , N/A ,$508.74 , N/A ,$503.86 ,$488.00 ,$549.00 , N/A ,$518.50 , N/A ,$518.50 ,$518.50 ,$549.00 ,$549.00 ,$478.85 ,$503.86 , N/A ,$396.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904036,N/A,3D MAXLT MESH LEFT XLG**,270,1 ,$720.00 ,$468.00 ,$468.00 ,$648.36 ,$576.00 , N/A ,$570.53 ,$648.36 ,$648.36 , N/A ,$612.00 ,$532.80 , N/A , N/A , N/A ,$600.48 , N/A ,$594.72 ,$576.00 ,$648.00 , N/A ,$612.00 , N/A ,$612.00 ,$612.00 ,$648.00 ,$648.00 ,$565.20 ,$594.72 , N/A ,$468.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904037,N/A,3D MAXLT MESH LEFT LG**,270,1 ,$644.00 ,$418.60 ,$418.60 ,$579.92 ,$515.20 , N/A ,$510.31 ,$579.92 ,$579.92 , N/A ,$547.40 ,$476.56 , N/A , N/A , N/A ,$537.10 , N/A ,$531.94 ,$515.20 ,$579.60 , N/A ,$547.40 , N/A ,$547.40 ,$547.40 ,$579.60 ,$579.60 ,$505.54 ,$531.94 , N/A ,$418.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904038,N/A,3D MAXLT MESH LEFT MED**,270,1 ,$610.00 ,$396.50 ,$396.50 ,$549.31 ,$488.00 , N/A ,$483.36 ,$549.31 ,$549.31 , N/A ,$518.50 ,$451.40 , N/A , N/A , N/A ,$508.74 , N/A ,$503.86 ,$488.00 ,$549.00 , N/A ,$518.50 , N/A ,$518.50 ,$518.50 ,$549.00 ,$549.00 ,$478.85 ,$503.86 , N/A ,$396.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904039,N/A,SYMBOTEX MESH 9CM**,270,1 ,$770.85 ,$501.05 ,$501.05 ,$694.15 ,$616.68 , N/A ,$610.82 ,$694.15 ,$694.15 , N/A ,$655.22 ,$570.43 , N/A , N/A , N/A ,$642.89 , N/A ,$636.72 ,$616.68 ,$693.77 , N/A ,$655.22 , N/A ,$655.22 ,$655.22 ,$693.77 ,$693.77 ,$605.12 ,$636.72 , N/A ,$501.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904040,N/A,RELIATACK RELD FIX DEVICE**,270,1 ,"$1,395.36 ",$906.98 ,$906.98 ,"$1,256.52 ","$1,116.29 ", N/A ,"$1,105.68 ","$1,256.52 ","$1,256.52 ", N/A ,"$1,186.06 ","$1,032.57 ", N/A , N/A , N/A ,"$1,163.73 ", N/A ,"$1,152.57 ","$1,116.29 ","$1,255.82 ", N/A ,"$1,186.06 ", N/A ,"$1,186.06 ","$1,186.06 ","$1,255.82 ","$1,255.82 ","$1,095.36 ","$1,152.57 ", N/A ,$906.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904041,N/A,RELIATACK 5TK RELOAD**,270,1 ,$227.44 ,$147.84 ,$147.84 ,$204.81 ,$181.95 , N/A ,$180.22 ,$204.81 ,$204.81 , N/A ,$193.32 ,$168.31 , N/A , N/A , N/A ,$189.69 , N/A ,$187.87 ,$181.95 ,$204.70 , N/A ,$193.32 , N/A ,$193.32 ,$193.32 ,$204.70 ,$204.70 ,$178.54 ,$187.87 , N/A ,$147.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904042,N/A,RELIATACK 10TK RELOAD**,270,1 ,$397.06 ,$258.09 ,$258.09 ,$357.55 ,$317.65 , N/A ,$314.63 ,$357.55 ,$357.55 , N/A ,$337.50 ,$293.82 , N/A , N/A , N/A ,$331.15 , N/A ,$327.97 ,$317.65 ,$357.35 , N/A ,$337.50 , N/A ,$337.50 ,$337.50 ,$357.35 ,$357.35 ,$311.69 ,$327.97 , N/A ,$258.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904043,N/A,ENDOCLOSE AUTO SUTURE**,270,1 ,$284.62 ,$185.00 ,$185.00 ,$256.30 ,$227.70 , N/A ,$225.53 ,$256.30 ,$256.30 , N/A ,$241.93 ,$210.62 , N/A , N/A , N/A ,$237.37 , N/A ,$235.10 ,$227.70 ,$256.16 , N/A ,$241.93 , N/A ,$241.93 ,$241.93 ,$256.16 ,$256.16 ,$223.43 ,$235.10 , N/A ,$185.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904044,N/A,CONVERTORS DRAPE TOWEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60904045,N/A,LAPAROTOMY TOWEL**,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60904046,N/A,PARIETEX COMP VENTRAL PATCH 4.6CM**,270,1 ,$859.08 ,$558.40 ,$558.40 ,$773.60 ,$687.26 , N/A ,$680.74 ,$773.60 ,$773.60 , N/A ,$730.22 ,$635.72 , N/A , N/A , N/A ,$716.47 , N/A ,$709.60 ,$687.26 ,$773.17 , N/A ,$730.22 , N/A ,$730.22 ,$730.22 ,$773.17 ,$773.17 ,$674.38 ,$709.60 , N/A ,$558.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904047,N/A,PARIETEX COMP VENTRAL PATCH 6.6CM**,270,1 ,"$1,029.46 ",$669.15 ,$669.15 ,$927.03 ,$823.57 , N/A ,$815.74 ,$927.03 ,$927.03 , N/A ,$875.04 ,$761.80 , N/A , N/A , N/A ,$858.57 , N/A ,$850.33 ,$823.57 ,$926.51 , N/A ,$875.04 , N/A ,$875.04 ,$875.04 ,$926.51 ,$926.51 ,$808.13 ,$850.33 , N/A ,$669.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904048,N/A,ENDOPOUCH RETRIEVER**,270,1 ,$298.16 ,$193.80 ,$193.80 ,$268.49 ,$238.53 , N/A ,$236.26 ,$268.49 ,$268.49 , N/A ,$253.44 ,$220.64 , N/A , N/A , N/A ,$248.67 , N/A ,$246.28 ,$238.53 ,$268.34 , N/A ,$253.44 , N/A ,$253.44 ,$253.44 ,$268.34 ,$268.34 ,$234.06 ,$246.28 , N/A ,$193.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904049,N/A,LAPRO SHARK FASCIAL CLOSURE**,270,1 ,$170.97 ,$111.13 ,$111.13 ,$153.96 ,$136.78 , N/A ,$135.48 ,$153.96 ,$153.96 , N/A ,$145.32 ,$126.52 , N/A , N/A , N/A ,$142.59 , N/A ,$141.22 ,$136.78 ,$153.87 , N/A ,$145.32 , N/A ,$145.32 ,$145.32 ,$153.87 ,$153.87 ,$134.21 ,$141.22 , N/A ,$111.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904050,N/A,STRYKE FLOW**,270,1 ,$148.53 ,$96.54 ,$96.54 ,$133.75 ,$118.82 , N/A ,$117.70 ,$133.75 ,$133.75 , N/A ,$126.25 ,$109.91 , N/A , N/A , N/A ,$123.87 , N/A ,$122.69 ,$118.82 ,$133.68 , N/A ,$126.25 , N/A ,$126.25 ,$126.25 ,$133.68 ,$133.68 ,$116.60 ,$122.69 , N/A ,$96.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904051,N/A,ABDOMINAL PACKS**,270,1 ,$270.17 ,$175.61 ,$175.61 ,$243.29 ,$216.14 , N/A ,$214.08 ,$243.29 ,$243.29 , N/A ,$229.64 ,$199.93 , N/A , N/A , N/A ,$225.32 , N/A ,$223.16 ,$216.14 ,$243.15 , N/A ,$229.64 , N/A ,$229.64 ,$229.64 ,$243.15 ,$243.15 ,$212.08 ,$223.16 , N/A ,$175.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904052,N/A,STERILE BASIC PACK**,270,1 ,$104.10 ,$67.67 ,$67.67 ,$93.74 ,$83.28 , N/A ,$82.49 ,$93.74 ,$93.74 , N/A ,$88.49 ,$77.03 , N/A , N/A , N/A ,$86.82 , N/A ,$85.99 ,$83.28 ,$93.69 , N/A ,$88.49 , N/A ,$88.49 ,$88.49 ,$93.69 ,$93.69 ,$81.72 ,$85.99 , N/A ,$67.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904053,N/A,ATHLETIC SUPPORTER MALE MED**,270,1 ,$47.94 ,$31.16 ,$31.16 ,$43.17 ,$38.35 , N/A ,$37.99 ,$43.17 ,$43.17 , N/A ,$40.75 ,$35.48 , N/A , N/A , N/A ,$39.98 , N/A ,$39.60 ,$38.35 ,$43.15 , N/A ,$40.75 , N/A ,$40.75 ,$40.75 ,$43.15 ,$43.15 ,$37.63 ,$39.60 , N/A ,$31.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904054,N/A,ATHLETIC SUPPORTER MALE LG**,270,1 ,$47.94 ,$31.16 ,$31.16 ,$43.17 ,$38.35 , N/A ,$37.99 ,$43.17 ,$43.17 , N/A ,$40.75 ,$35.48 , N/A , N/A , N/A ,$39.98 , N/A ,$39.60 ,$38.35 ,$43.15 , N/A ,$40.75 , N/A ,$40.75 ,$40.75 ,$43.15 ,$43.15 ,$37.63 ,$39.60 , N/A ,$31.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904055,N/A,ATHLETIC SUPPORTER MALE XLG**,270,1 ,$47.94 ,$31.16 ,$31.16 ,$43.17 ,$38.35 , N/A ,$37.99 ,$43.17 ,$43.17 , N/A ,$40.75 ,$35.48 , N/A , N/A , N/A ,$39.98 , N/A ,$39.60 ,$38.35 ,$43.15 , N/A ,$40.75 , N/A ,$40.75 ,$40.75 ,$43.15 ,$43.15 ,$37.63 ,$39.60 , N/A ,$31.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904056,N/A,SUT ANCHOR BIO-COMP**,270,1 ,$640.00 ,$416.00 ,$416.00 ,$576.32 ,$512.00 , N/A ,$507.14 ,$576.32 ,$576.32 , N/A ,$544.00 ,$473.60 , N/A , N/A , N/A ,$533.76 , N/A ,$528.64 ,$512.00 ,$576.00 , N/A ,$544.00 , N/A ,$544.00 ,$544.00 ,$576.00 ,$576.00 ,$502.40 ,$528.64 , N/A ,$416.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904057,N/A,PERC INSERT KIT 3.0MM S-TAK**,270,1 ,$390.00 ,$253.50 ,$253.50 ,$351.20 ,$312.00 , N/A ,$309.04 ,$351.20 ,$351.20 , N/A ,$331.50 ,$288.60 , N/A , N/A , N/A ,$325.26 , N/A ,$322.14 ,$312.00 ,$351.00 , N/A ,$331.50 , N/A ,$331.50 ,$331.50 ,$351.00 ,$351.00 ,$306.15 ,$322.14 , N/A ,$253.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904058,N/A,ENDO MULTI CLIP 5ML**,270,1 ,$774.14 ,$503.19 ,$503.19 ,$697.11 ,$619.31 , N/A ,$613.43 ,$697.11 ,$697.11 , N/A ,$658.02 ,$572.86 , N/A , N/A , N/A ,$645.63 , N/A ,$639.44 ,$619.31 ,$696.73 , N/A ,$658.02 , N/A ,$658.02 ,$658.02 ,$696.73 ,$696.73 ,$607.70 ,$639.44 , N/A ,$503.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904059,N/A,IMPLANT SYSTEM BIOCOMPOSITE**,270,1 ,"$2,974.00 ","$1,933.10 ","$1,933.10 ","$2,678.09 ","$2,379.20 ", N/A ,"$2,356.60 ","$2,678.09 ","$2,678.09 ", N/A ,"$2,527.90 ","$2,200.76 ", N/A , N/A , N/A ,"$2,480.32 ", N/A ,"$2,456.52 ","$2,379.20 ","$2,676.60 ", N/A ,"$2,527.90 ", N/A ,"$2,527.90 ","$2,527.90 ","$2,676.60 ","$2,676.60 ","$2,334.59 ","$2,456.52 ", N/A ,"$1,933.10 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904060,N/A,SUTURETAPE FIBERLOOP W/NDL**,270,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904061,N/A,SUTURETAPE TIGERLOOP W/NDL**,270,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904062,N/A,ALLOGRAFT**,270,1 ,"$3,358.00 ","$2,182.70 ","$2,182.70 ","$3,023.88 ","$2,686.40 ", N/A ,"$2,660.88 ","$3,023.88 ","$3,023.88 ", N/A ,"$2,854.30 ","$2,484.92 ", N/A , N/A , N/A ,"$2,800.57 ", N/A ,"$2,773.71 ","$2,686.40 ","$3,022.20 ", N/A ,"$2,854.30 ", N/A ,"$2,854.30 ","$2,854.30 ","$3,022.20 ","$3,022.20 ","$2,636.03 ","$2,773.71 ", N/A ,"$2,182.70 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904063,N/A,PARA/THORANCENTISIS TRAY 5F**,270,1 ,$186.75 ,$121.39 ,$121.39 ,$168.17 ,$149.40 , N/A ,$147.98 ,$168.17 ,$168.17 , N/A ,$158.74 ,$138.20 , N/A , N/A , N/A ,$155.75 , N/A ,$154.26 ,$149.40 ,$168.08 , N/A ,$158.74 , N/A ,$158.74 ,$158.74 ,$168.08 ,$168.08 ,$146.60 ,$154.26 , N/A ,$121.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904064,N/A,EVACUATED CONTAINER**,270,1 ,$52.92 ,$34.40 ,$34.40 ,$47.65 ,$42.34 , N/A ,$41.93 ,$47.65 ,$47.65 , N/A ,$44.98 ,$39.16 , N/A , N/A , N/A ,$44.14 , N/A ,$43.71 ,$42.34 ,$47.63 , N/A ,$44.98 , N/A ,$44.98 ,$44.98 ,$47.63 ,$47.63 ,$41.54 ,$43.71 , N/A ,$34.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904065,N/A,PROBE COVER PARACENTISIS **,270,1 ,$78.82 ,$51.23 ,$51.23 ,$70.98 ,$63.06 , N/A ,$62.46 ,$70.98 ,$70.98 , N/A ,$67.00 ,$58.33 , N/A , N/A , N/A ,$65.74 , N/A ,$65.11 ,$63.06 ,$70.94 , N/A ,$67.00 , N/A ,$67.00 ,$67.00 ,$70.94 ,$70.94 ,$61.87 ,$65.11 , N/A ,$51.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904066,N/A,BIOPSY TRAY **,270,1 ,$44.21 ,$28.74 ,$28.74 ,$39.81 ,$35.37 , N/A ,$35.03 ,$39.81 ,$39.81 , N/A ,$37.58 ,$32.72 , N/A , N/A , N/A ,$36.87 , N/A ,$36.52 ,$35.37 ,$39.79 , N/A ,$37.58 , N/A ,$37.58 ,$37.58 ,$39.79 ,$39.79 ,$34.70 ,$36.52 , N/A ,$28.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904067,N/A,RADIAL JAW 4 JUMBO FORCEPS **,270,1 ,$128.00 ,$83.20 ,$83.20 ,$115.26 ,$102.40 , N/A ,$101.43 ,$115.26 ,$115.26 , N/A ,$108.80 ,$94.72 , N/A , N/A , N/A ,$106.75 , N/A ,$105.73 ,$102.40 ,$115.20 , N/A ,$108.80 , N/A ,$108.80 ,$108.80 ,$115.20 ,$115.20 ,$100.48 ,$105.73 , N/A ,$83.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904068,N/A,SPEEDBRG IMP SYS **,270,1 ,"$3,480.00 ","$2,262.00 ","$2,262.00 ","$3,133.74 ","$2,784.00 ", N/A ,"$2,757.55 ","$3,133.74 ","$3,133.74 ", N/A ,"$2,958.00 ","$2,575.20 ", N/A , N/A , N/A ,"$2,902.32 ", N/A ,"$2,874.48 ","$2,784.00 ","$3,132.00 ", N/A ,"$2,958.00 ", N/A ,"$2,958.00 ","$2,958.00 ","$3,132.00 ","$3,132.00 ","$2,731.80 ","$2,874.48 ", N/A ,"$2,262.00 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904069,N/A,PASSPORT BUTTON CANNULA **,270,1 ,$160.00 ,$104.00 ,$104.00 ,$144.08 ,$128.00 , N/A ,$126.78 ,$144.08 ,$144.08 , N/A ,$136.00 ,$118.40 , N/A , N/A , N/A ,$133.44 , N/A ,$132.16 ,$128.00 ,$144.00 , N/A ,$136.00 , N/A ,$136.00 ,$136.00 ,$144.00 ,$144.00 ,$125.60 ,$132.16 , N/A ,$104.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904070,N/A,VAPO DISP PT CIRCUIT HI-FLOW**,270,1 ,$261.00 ,$169.65 ,$169.65 ,$235.03 ,$208.80 , N/A ,$206.82 ,$235.03 ,$235.03 , N/A ,$221.85 ,$193.14 , N/A , N/A , N/A ,$217.67 , N/A ,$215.59 ,$208.80 ,$234.90 , N/A ,$221.85 , N/A ,$221.85 ,$221.85 ,$234.90 ,$234.90 ,$204.89 ,$215.59 , N/A ,$169.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904071,N/A,VAPO CANNULA ADULT**,270,1 ,$19.20 ,$12.48 ,$12.48 ,$17.29 ,$15.36 , N/A ,$15.21 ,$17.29 ,$17.29 , N/A ,$16.32 ,$14.21 , N/A , N/A , N/A ,$16.01 , N/A ,$15.86 ,$15.36 ,$17.28 , N/A ,$16.32 , N/A ,$16.32 ,$16.32 ,$17.28 ,$17.28 ,$15.07 ,$15.86 , N/A ,$12.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904072,N/A,FLEXIGRAFT**,270,1 ,"$2,876.00 ","$1,869.40 ","$1,869.40 ","$2,589.84 ","$2,300.80 ", N/A ,"$2,278.94 ","$2,589.84 ","$2,589.84 ", N/A ,"$2,444.60 ","$2,128.24 ", N/A , N/A , N/A ,"$2,398.58 ", N/A ,"$2,375.58 ","$2,300.80 ","$2,588.40 ", N/A ,"$2,444.60 ", N/A ,"$2,444.60 ","$2,444.60 ","$2,588.40 ","$2,588.40 ","$2,257.66 ","$2,375.58 ", N/A ,"$1,869.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904073,N/A,ARTHROFLEX**,270,1 ,"$7,894.00 ","$5,131.10 ","$5,131.10 ","$7,108.55 ","$6,315.20 ", N/A ,"$6,255.21 ","$7,108.55 ","$7,108.55 ", N/A ,"$6,709.90 ","$5,841.56 ", N/A , N/A , N/A ,"$6,583.60 ", N/A ,"$6,520.44 ","$6,315.20 ","$7,104.60 ", N/A ,"$6,709.90 ", N/A ,"$6,709.90 ","$6,709.90 ","$7,104.60 ","$7,104.60 ","$6,196.79 ","$6,520.44 ", N/A ,"$5,131.10 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904074,N/A,ARTHROFLEX**,270,1 ,"$3,825.00 ","$2,486.25 ","$2,486.25 ","$3,444.41 ","$3,060.00 ", N/A ,"$3,030.93 ","$3,444.41 ","$3,444.41 ", N/A ,"$3,251.25 ","$2,830.50 ", N/A , N/A , N/A ,"$3,190.05 ", N/A ,"$3,159.45 ","$3,060.00 ","$3,442.50 ", N/A ,"$3,251.25 ", N/A ,"$3,251.25 ","$3,251.25 ","$3,442.50 ","$3,442.50 ","$3,002.63 ","$3,159.45 ", N/A ,"$2,486.25 " HSHS GOOD SHEPHERD HOSPITAL (ACU),60904075,N/A,PACK LAPAROTOMY **,270,1 ,$134.80 ,$87.62 ,$87.62 ,$121.39 ,$107.84 , N/A ,$106.82 ,$121.39 ,$121.39 , N/A ,$114.58 ,$99.75 , N/A , N/A , N/A ,$112.42 , N/A ,$111.34 ,$107.84 ,$121.32 , N/A ,$114.58 , N/A ,$114.58 ,$114.58 ,$121.32 ,$121.32 ,$105.82 ,$111.34 , N/A ,$87.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904076,N/A,PACK ORTHO MINOR **,270,1 ,$179.16 ,$116.45 ,$116.45 ,$161.33 ,$143.33 , N/A ,$141.97 ,$161.33 ,$161.33 , N/A ,$152.29 ,$132.58 , N/A , N/A , N/A ,$149.42 , N/A ,$147.99 ,$143.33 ,$161.24 , N/A ,$152.29 , N/A ,$152.29 ,$152.29 ,$161.24 ,$161.24 ,$140.64 ,$147.99 , N/A ,$116.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904077,N/A,PACK ORTHO MAJOR **,270,1 ,$211.08 ,$137.20 ,$137.20 ,$190.08 ,$168.86 , N/A ,$167.26 ,$190.08 ,$190.08 , N/A ,$179.42 ,$156.20 , N/A , N/A , N/A ,$176.04 , N/A ,$174.35 ,$168.86 ,$189.97 , N/A ,$179.42 , N/A ,$179.42 ,$179.42 ,$189.97 ,$189.97 ,$165.70 ,$174.35 , N/A ,$137.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904078,N/A,PACK ARTHROSCOPY **,270,1 ,$289.71 ,$188.31 ,$188.31 ,$260.88 ,$231.77 , N/A ,$229.57 ,$260.88 ,$260.88 , N/A ,$246.25 ,$214.39 , N/A , N/A , N/A ,$241.62 , N/A ,$239.30 ,$231.77 ,$260.74 , N/A ,$246.25 , N/A ,$246.25 ,$246.25 ,$260.74 ,$260.74 ,$227.42 ,$239.30 , N/A ,$188.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904079,N/A,BIOCOMP SUTURETAK ANCH 3MMX12.7MM **,270,1 ,$850.00 ,$552.50 ,$552.50 ,$765.43 ,$680.00 , N/A ,$673.54 ,$765.43 ,$765.43 , N/A ,$722.50 ,$629.00 , N/A , N/A , N/A ,$708.90 , N/A ,$702.10 ,$680.00 ,$765.00 , N/A ,$722.50 , N/A ,$722.50 ,$722.50 ,$765.00 ,$765.00 ,$667.25 ,$702.10 , N/A ,$552.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904080,N/A,SUTURETAK PERC INSERTION KIT **,270,1 ,$710.00 ,$461.50 ,$461.50 ,$639.36 ,$568.00 , N/A ,$562.60 ,$639.36 ,$639.36 , N/A ,$603.50 ,$525.40 , N/A , N/A , N/A ,$592.14 , N/A ,$586.46 ,$568.00 ,$639.00 , N/A ,$603.50 , N/A ,$603.50 ,$603.50 ,$639.00 ,$639.00 ,$557.35 ,$586.46 , N/A ,$461.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904081,N/A,LEG PUMP SLEEVE **,270,1 ,$57.59 ,$37.43 ,$37.43 ,$51.86 ,$46.07 , N/A ,$45.63 ,$51.86 ,$51.86 , N/A ,$48.95 ,$42.62 , N/A , N/A , N/A ,$48.03 , N/A ,$47.57 ,$46.07 ,$51.83 , N/A ,$48.95 , N/A ,$48.95 ,$48.95 ,$51.83 ,$51.83 ,$45.21 ,$47.57 , N/A ,$37.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904082,N/A,PROBE ELEC SPATULA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),60904083,N/A,PACK ENDO **,270,1 ,$97.00 ,$63.05 ,$63.05 ,$87.35 ,$77.60 , N/A ,$76.86 ,$87.35 ,$87.35 , N/A ,$82.45 ,$71.78 , N/A , N/A , N/A ,$80.90 , N/A ,$80.12 ,$77.60 ,$87.30 , N/A ,$82.45 , N/A ,$82.45 ,$82.45 ,$87.30 ,$87.30 ,$76.15 ,$80.12 , N/A ,$63.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904084,N/A,NANOSCOPE HANDPIECE **,270,1 ,"$1,318.00 ",$856.70 ,$856.70 ,"$1,186.86 ","$1,054.40 ", N/A ,"$1,044.38 ","$1,186.86 ","$1,186.86 ", N/A ,"$1,120.30 ",$975.32 , N/A , N/A , N/A ,"$1,099.21 ", N/A ,"$1,088.67 ","$1,054.40 ","$1,186.20 ", N/A ,"$1,120.30 ", N/A ,"$1,120.30 ","$1,120.30 ","$1,186.20 ","$1,186.20 ","$1,034.63 ","$1,088.67 ", N/A ,$856.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904085,N/A,DISSECTOR SJ 3.0M X 7CM**,270,1 ,$198.00 ,$128.70 ,$128.70 ,$178.30 ,$158.40 , N/A ,$156.90 ,$178.30 ,$178.30 , N/A ,$168.30 ,$146.52 , N/A , N/A , N/A ,$165.13 , N/A ,$163.55 ,$158.40 ,$178.20 , N/A ,$168.30 , N/A ,$168.30 ,$168.30 ,$178.20 ,$178.20 ,$155.43 ,$163.55 , N/A ,$128.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904086,N/A,TORPEDO 3.5MM X 7CM STD HUB**,270,1 ,$202.00 ,$131.30 ,$131.30 ,$181.90 ,$161.60 , N/A ,$160.06 ,$181.90 ,$181.90 , N/A ,$171.70 ,$149.48 , N/A , N/A , N/A ,$168.47 , N/A ,$166.85 ,$161.60 ,$181.80 , N/A ,$171.70 , N/A ,$171.70 ,$171.70 ,$181.80 ,$181.80 ,$158.57 ,$166.85 , N/A ,$131.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904087,N/A,COOLCUT 45 ABLATOR**,270,1 ,$230.00 ,$149.50 ,$149.50 ,$207.12 ,$184.00 , N/A ,$182.25 ,$207.12 ,$207.12 , N/A ,$195.50 ,$170.20 , N/A , N/A , N/A ,$191.82 , N/A ,$189.98 ,$184.00 ,$207.00 , N/A ,$195.50 , N/A ,$195.50 ,$195.50 ,$207.00 ,$207.00 ,$180.55 ,$189.98 , N/A ,$149.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904088,N/A,ENDOCUT TIP**,270,1 ,$150.00 ,$97.50 ,$97.50 ,$135.08 ,$120.00 , N/A ,$118.86 ,$135.08 ,$135.08 , N/A ,$127.50 ,$111.00 , N/A , N/A , N/A ,$125.10 , N/A ,$123.90 ,$120.00 ,$135.00 , N/A ,$127.50 , N/A ,$127.50 ,$127.50 ,$135.00 ,$135.00 ,$117.75 ,$123.90 , N/A ,$97.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904089,N/A,TRADITIONAL MARYLAND TIP**,270,1 ,$169.50 ,$110.18 ,$110.18 ,$152.63 ,$135.60 , N/A ,$134.31 ,$152.63 ,$152.63 , N/A ,$144.08 ,$125.43 , N/A , N/A , N/A ,$141.36 , N/A ,$140.01 ,$135.60 ,$152.55 , N/A ,$144.08 , N/A ,$144.08 ,$144.08 ,$152.55 ,$152.55 ,$133.06 ,$140.01 , N/A ,$110.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904090,N/A,MODIFIED RAPTOR TIP**,270,1 ,$169.50 ,$110.18 ,$110.18 ,$152.63 ,$135.60 , N/A ,$134.31 ,$152.63 ,$152.63 , N/A ,$144.08 ,$125.43 , N/A , N/A , N/A ,$141.36 , N/A ,$140.01 ,$135.60 ,$152.55 , N/A ,$144.08 , N/A ,$144.08 ,$144.08 ,$152.55 ,$152.55 ,$133.06 ,$140.01 , N/A ,$110.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904091,N/A,FENESTRATED TIP**,270,1 ,$169.50 ,$110.18 ,$110.18 ,$152.63 ,$135.60 , N/A ,$134.31 ,$152.63 ,$152.63 , N/A ,$144.08 ,$125.43 , N/A , N/A , N/A ,$141.36 , N/A ,$140.01 ,$135.60 ,$152.55 , N/A ,$144.08 , N/A ,$144.08 ,$144.08 ,$152.55 ,$152.55 ,$133.06 ,$140.01 , N/A ,$110.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904092,N/A,FLIPCUTTER II SHORT 10MM**,270,1 ,$650.00 ,$422.50 ,$422.50 ,$585.33 ,$520.00 , N/A ,$515.06 ,$585.33 ,$585.33 , N/A ,$552.50 ,$481.00 , N/A , N/A , N/A ,$542.10 , N/A ,$536.90 ,$520.00 ,$585.00 , N/A ,$552.50 , N/A ,$552.50 ,$552.50 ,$585.00 ,$585.00 ,$510.25 ,$536.90 , N/A ,$422.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904093,N/A,BTB TIGHTROPE**,270,1 ,$890.00 ,$578.50 ,$578.50 ,$801.45 ,$712.00 , N/A ,$705.24 ,$801.45 ,$801.45 , N/A ,$756.50 ,$658.60 , N/A , N/A , N/A ,$742.26 , N/A ,$735.14 ,$712.00 ,$801.00 , N/A ,$756.50 , N/A ,$756.50 ,$756.50 ,$801.00 ,$801.00 ,$698.65 ,$735.14 , N/A ,$578.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904094,N/A,SECONDARY FIXATION KIT ACL/PCL**,270,1 ,"$1,200.00 ",$780.00 ,$780.00 ,"$1,080.60 ",$960.00 , N/A ,$950.88 ,"$1,080.60 ","$1,080.60 ", N/A ,"$1,020.00 ",$888.00 , N/A , N/A , N/A ,"$1,000.80 ", N/A ,$991.20 ,$960.00 ,"$1,080.00 ", N/A ,"$1,020.00 ", N/A ,"$1,020.00 ","$1,020.00 ","$1,080.00 ","$1,080.00 ",$942.00 ,$991.20 , N/A ,$780.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904095,N/A,DISP KIT TRANS TIB**,270,1 ,$450.00 ,$292.50 ,$292.50 ,$405.23 ,$360.00 , N/A ,$356.58 ,$405.23 ,$405.23 , N/A ,$382.50 ,$333.00 , N/A , N/A , N/A ,$375.30 , N/A ,$371.70 ,$360.00 ,$405.00 , N/A ,$382.50 , N/A ,$382.50 ,$382.50 ,$405.00 ,$405.00 ,$353.25 ,$371.70 , N/A ,$292.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904096,N/A,9X12 MM BX IF SCREW**,270,1 ,$590.00 ,$383.50 ,$383.50 ,$531.30 ,$472.00 , N/A ,$467.52 ,$531.30 ,$531.30 , N/A ,$501.50 ,$436.60 , N/A , N/A , N/A ,$492.06 , N/A ,$487.34 ,$472.00 ,$531.00 , N/A ,$501.50 , N/A ,$501.50 ,$501.50 ,$531.00 ,$531.00 ,$463.15 ,$487.34 , N/A ,$383.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904097,N/A,#2 FIBERSNARE #2 FIBERWIRE**,270,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904098,N/A,FIBERTAPE**,270,1 ,$210.00 ,$136.50 ,$136.50 ,$189.11 ,$168.00 , N/A ,$166.40 ,$189.11 ,$189.11 , N/A ,$178.50 ,$155.40 , N/A , N/A , N/A ,$175.14 , N/A ,$173.46 ,$168.00 ,$189.00 , N/A ,$178.50 , N/A ,$178.50 ,$178.50 ,$189.00 ,$189.00 ,$164.85 ,$173.46 , N/A ,$136.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904099,N/A,SHOULDER PACK**,270,1 ,$216.42 ,$140.67 ,$140.67 ,$194.89 ,$173.14 , N/A ,$171.49 ,$194.89 ,$194.89 , N/A ,$183.96 ,$160.15 , N/A , N/A , N/A ,$180.49 , N/A ,$178.76 ,$173.14 ,$194.78 , N/A ,$183.96 , N/A ,$183.96 ,$183.96 ,$194.78 ,$194.78 ,$169.89 ,$178.76 , N/A ,$140.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904100,N/A,VARIAX STRAIGHT PLATE 6 HOLE**,270,1 ,"$1,050.00 ",$682.50 ,$682.50 ,$945.53 ,$840.00 , N/A ,$832.02 ,$945.53 ,$945.53 , N/A ,$892.50 ,$777.00 , N/A , N/A , N/A ,$875.70 , N/A ,$867.30 ,$840.00 ,$945.00 , N/A ,$892.50 , N/A ,$892.50 ,$892.50 ,$945.00 ,$945.00 ,$824.25 ,$867.30 , N/A ,$682.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904102,N/A,BONE SCREW **,270,1 ,$244.80 ,$159.12 ,$159.12 ,$220.44 ,$195.84 , N/A ,$193.98 ,$220.44 ,$220.44 , N/A ,$208.08 ,$181.15 , N/A , N/A , N/A ,$204.16 , N/A ,$202.20 ,$195.84 ,$220.32 , N/A ,$208.08 , N/A ,$208.08 ,$208.08 ,$220.32 ,$220.32 ,$192.17 ,$202.20 , N/A ,$159.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904103,N/A,BONE SCREW **,270,1 ,$244.80 ,$159.12 ,$159.12 ,$220.44 ,$195.84 , N/A ,$193.98 ,$220.44 ,$220.44 , N/A ,$208.08 ,$181.15 , N/A , N/A , N/A ,$204.16 , N/A ,$202.20 ,$195.84 ,$220.32 , N/A ,$208.08 , N/A ,$208.08 ,$208.08 ,$220.32 ,$220.32 ,$192.17 ,$202.20 , N/A ,$159.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904104,N/A,DRILL 2.6MM **,270,1 ,$296.98 ,$193.04 ,$193.04 ,$267.43 ,$237.58 , N/A ,$235.33 ,$267.43 ,$267.43 , N/A ,$252.43 ,$219.77 , N/A , N/A , N/A ,$247.68 , N/A ,$245.31 ,$237.58 ,$267.28 , N/A ,$252.43 , N/A ,$252.43 ,$252.43 ,$267.28 ,$267.28 ,$233.13 ,$245.31 , N/A ,$193.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904105,N/A,LOCKING SCREW **,270,1 ,$322.32 ,$209.51 ,$209.51 ,$290.25 ,$257.86 , N/A ,$255.41 ,$290.25 ,$290.25 , N/A ,$273.97 ,$238.52 , N/A , N/A , N/A ,$268.81 , N/A ,$266.24 ,$257.86 ,$290.09 , N/A ,$273.97 , N/A ,$273.97 ,$273.97 ,$290.09 ,$290.09 ,$253.02 ,$266.24 , N/A ,$209.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904106,N/A,LOCKING SCREW 3.5X 14MM **,270,1 ,$322.32 ,$209.51 ,$209.51 ,$290.25 ,$257.86 , N/A ,$255.41 ,$290.25 ,$290.25 , N/A ,$273.97 ,$238.52 , N/A , N/A , N/A ,$268.81 , N/A ,$266.24 ,$257.86 ,$290.09 , N/A ,$273.97 , N/A ,$273.97 ,$273.97 ,$290.09 ,$290.09 ,$253.02 ,$266.24 , N/A ,$209.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904107,N/A,LOCKING SCREW 3.5X 16MM **,270,1 ,$322.32 ,$209.51 ,$209.51 ,$290.25 ,$257.86 , N/A ,$255.41 ,$290.25 ,$290.25 , N/A ,$273.97 ,$238.52 , N/A , N/A , N/A ,$268.81 , N/A ,$266.24 ,$257.86 ,$290.09 , N/A ,$273.97 , N/A ,$273.97 ,$273.97 ,$290.09 ,$290.09 ,$253.02 ,$266.24 , N/A ,$209.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904108,N/A,BONE SCREW 2.3X8MM **,270,1 ,$255.51 ,$166.08 ,$166.08 ,$230.09 ,$204.41 , N/A ,$202.47 ,$230.09 ,$230.09 , N/A ,$217.18 ,$189.08 , N/A , N/A , N/A ,$213.10 , N/A ,$211.05 ,$204.41 ,$229.96 , N/A ,$217.18 , N/A ,$217.18 ,$217.18 ,$229.96 ,$229.96 ,$200.58 ,$211.05 , N/A ,$166.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904109,N/A,LOCKING SCREW 1.7X12MM **,270,1 ,$205.02 ,$133.26 ,$133.26 ,$184.62 ,$164.02 , N/A ,$162.46 ,$184.62 ,$184.62 , N/A ,$174.27 ,$151.71 , N/A , N/A , N/A ,$170.99 , N/A ,$169.35 ,$164.02 ,$184.52 , N/A ,$174.27 , N/A ,$174.27 ,$174.27 ,$184.52 ,$184.52 ,$160.94 ,$169.35 , N/A ,$133.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904110,N/A,LOCKING SCREW 1.7X13MM **,270,1 ,$205.02 ,$133.26 ,$133.26 ,$184.62 ,$164.02 , N/A ,$162.46 ,$184.62 ,$184.62 , N/A ,$174.27 ,$151.71 , N/A , N/A , N/A ,$170.99 , N/A ,$169.35 ,$164.02 ,$184.52 , N/A ,$174.27 , N/A ,$174.27 ,$174.27 ,$184.52 ,$184.52 ,$160.94 ,$169.35 , N/A ,$133.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904111,N/A,LOCKING SCREW 2.8X8MM**,270,1 ,$206.04 ,$133.93 ,$133.93 ,$185.54 ,$164.83 , N/A ,$163.27 ,$185.54 ,$185.54 , N/A ,$175.13 ,$152.47 , N/A , N/A , N/A ,$171.84 , N/A ,$170.19 ,$164.83 ,$185.44 , N/A ,$175.13 , N/A ,$175.13 ,$175.13 ,$185.44 ,$185.44 ,$161.74 ,$170.19 , N/A ,$133.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904112,N/A,LOCKING SCREW 2.3X12MM**,270,1 ,$206.04 ,$133.93 ,$133.93 ,$185.54 ,$164.83 , N/A ,$163.27 ,$185.54 ,$185.54 , N/A ,$175.13 ,$152.47 , N/A , N/A , N/A ,$171.84 , N/A ,$170.19 ,$164.83 ,$185.44 , N/A ,$175.13 , N/A ,$175.13 ,$175.13 ,$185.44 ,$185.44 ,$161.74 ,$170.19 , N/A ,$133.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904113,N/A,LOCKING SCREW 2.3X13MM**,270,1 ,$206.04 ,$133.93 ,$133.93 ,$185.54 ,$164.83 , N/A ,$163.27 ,$185.54 ,$185.54 , N/A ,$175.13 ,$152.47 , N/A , N/A , N/A ,$171.84 , N/A ,$170.19 ,$164.83 ,$185.44 , N/A ,$175.13 , N/A ,$175.13 ,$175.13 ,$185.44 ,$185.44 ,$161.74 ,$170.19 , N/A ,$133.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904114,N/A,TWIST DRILL 1.4MM**,270,1 ,$234.28 ,$152.28 ,$152.28 ,$210.97 ,$187.42 , N/A ,$185.64 ,$210.97 ,$210.97 , N/A ,$199.14 ,$173.37 , N/A , N/A , N/A ,$195.39 , N/A ,$193.52 ,$187.42 ,$210.85 , N/A ,$199.14 , N/A ,$199.14 ,$199.14 ,$210.85 ,$210.85 ,$183.91 ,$193.52 , N/A ,$152.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904115,N/A,TWIST DRILL 1.9MM**,270,1 ,$234.28 ,$152.28 ,$152.28 ,$210.97 ,$187.42 , N/A ,$185.64 ,$210.97 ,$210.97 , N/A ,$199.14 ,$173.37 , N/A , N/A , N/A ,$195.39 , N/A ,$193.52 ,$187.42 ,$210.85 , N/A ,$199.14 , N/A ,$199.14 ,$199.14 ,$210.85 ,$210.85 ,$183.91 ,$193.52 , N/A ,$152.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904116,N/A,PROFYLE HAND LOCK 2.3MM**,270,1 ,$976.14 ,$634.49 ,$634.49 ,$879.01 ,$780.91 , N/A ,$773.49 ,$879.01 ,$879.01 , N/A ,$829.72 ,$722.34 , N/A , N/A , N/A ,$814.10 , N/A ,$806.29 ,$780.91 ,$878.53 , N/A ,$829.72 , N/A ,$829.72 ,$829.72 ,$878.53 ,$878.53 ,$766.27 ,$806.29 , N/A ,$634.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),60904117,N/A,RADIAL JAW 4 HOT FORCEPS **,270,1 ,$140.00 ,$91.00 ,$91.00 ,$126.07 ,$112.00 , N/A ,$110.94 ,$126.07 ,$126.07 , N/A ,$119.00 ,$103.60 , N/A , N/A , N/A ,$116.76 , N/A ,$115.64 ,$112.00 ,$126.00 , N/A ,$119.00 , N/A ,$119.00 ,$119.00 ,$126.00 ,$126.00 ,$109.90 ,$115.64 , N/A ,$91.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),61,N/A,NF-LACTULOSE ORAL SYRUP 10GM/15ML,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6101,N/A,TABLE PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6102,N/A,SURGILUBE SURGICAL LUBRICANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6104,N/A,URISTIX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6105,N/A,STAPLES SWINGLINE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6106,N/A,"TABLE PAPER 125'X 18""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6107,N/A,HAND SANITIZER KIOSK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6108,N/A,STATLOCK STAB DEVICE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6115,N/A,SUTURE 6-0 NON ABSORB 3/8 BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6116,N/A,SUTURE 5-0 VICRYL UNDYED BRAIDED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6117,N/A,ISOLATION GOWN XLG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6118,N/A,SURGICAL GOWN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6119,N/A,SUTURE 5-0 PS2 BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6120,N/A,SUTURE 4-0 PS-2 BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6122,N/A,SUTURE 2-0 VICRYL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6125,N/A,GLOVE BIOGEL ULTRATOUCH 7.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6126,N/A,JIFFYLITE BUBBLE MAILERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6127,N/A,WHITE OUT STRIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6128,N/A,RECEIPT BOOK ACCOUNTING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6129,N/A,BANKERS BOX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6130,N/A,W-2 LASER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6131,N/A,W-2 LASER ENVELOPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6132,N/A,1099 LASER 4PT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6133,N/A,1099 LASER ENVELOPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6134,N/A,2-PLY ADD MACHINE TAPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6135,N/A,CHECKS ACCOUNTS PAYABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6136,N/A,CHECKS PAYROLL VOUCHERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6137,N/A,PACKING TAPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6138,N/A,LEGAL PADS JR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6151,N/A,SIGN HERE TAGS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6152,N/A,PRINT CART LEX OPTRA E312,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6166,N/A,INDEX TAB DIVIDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6176,N/A,BROTHER HL1440,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),62,N/A,NF-ACETYLCYSTEINE SOLUTION 10,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6211,N/A,PITTNEY BOWES EASY SEAL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6212,N/A,PITNEY BOWES METER TAPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6213,N/A,PITNEY BOWES RED INK CARTRIDGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6214,N/A,TYPEWRITER RIBBON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6215,N/A,TYPEWRITER CORRECTION RIBBON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6216,N/A,CREDIT CARD MACHINE PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6261,N/A,HP DESKJET 710C,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6262,N/A,APPOINTMENT CARDS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6263,N/A,FASTENER FOLDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6265,N/A,ELECTRODES RECTANGLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6266,N/A,CHLORAZINE HYDROSOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6267,N/A,THERABAND RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6268,N/A,THERABAND GREEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6269,N/A,THERABAND BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6270,N/A,THERABAND BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6271,N/A,WHIRLPOOL DISINFECTANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6272,N/A,HEEL LIFT SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6273,N/A,HEEL LIFT MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6274,N/A,HEEL LIFT LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6275,N/A,SHOULDER PULLEYS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6276,N/A,COMPRESSION GRIP #5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6277,N/A,COMPRESSION GRIP #6,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6278,N/A,FASTENERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6279,N/A,THERABAND YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6280,N/A,HAND HELPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6281,N/A,YEAR ADHES LABELS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6282,N/A,COMPERM SIZE F,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6286,N/A,C-FOLD TOWELS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6287,N/A,"LASER LABELS 2 5/8X1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6288,N/A,LASER LABELS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6289,N/A,PRINT CART LEX E250dn,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6290,N/A,SMH HOME HEALTH FOLDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6291,N/A,CLASSIFICATION FOLDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6292,N/A,POLY-GUARD DELUXE TOWELS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6293,N/A,"MESALT DRESSING .75""X39""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6294,N/A,BANKER BOXES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6295,N/A,PURACOL DRESSING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6296,N/A,PROMOGRAN DRESSING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6297,N/A,UNNA BOOT FLEX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6298,N/A,COFLEX LF,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6299,N/A,ECONO PASTE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),63,N/A,NF-BETAMETHASONE DIPROPIONATE OINT 0.05,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6301,N/A,LABELS- YEAR 2008,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6302,N/A,LABELS- DO NOT DESTROY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6303,N/A,LABELS- RED EXPIRED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6304,N/A,LABELS- SIGN HERE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6305,N/A,LABEL- LASER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630546,N/A,TELEPHONE,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630576,N/A,SUPPLIES SOLD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630577,N/A,SUPPLIES SOLD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6306,N/A,PRINT CART LEX Z2300 BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630602,N/A,DIETARY CONSULTS,942,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630644,N/A,******INACTIVATE******,940,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6307,N/A,LABELS- YEAR 2009,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630713,N/A,LIFELINE INSTALL,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630721,N/A,LIFELINE RENTAL,291,1 ,$45.50 ,$29.58 ,$29.58 ,$40.97 ,$36.40 , N/A ,$36.05 ,$40.97 ,$40.97 , N/A ,$38.68 ,$33.67 , N/A , N/A , N/A ,$37.95 , N/A ,$37.58 ,$36.40 ,$40.95 , N/A ,$38.68 , N/A ,$38.68 ,$38.68 ,$40.95 ,$40.95 ,$35.72 ,$37.58 , N/A ,$29.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),630750,N/A,RENT - MEDICAL CENTER,N/A,1 ,$691.20 , N/A ,$547.71 ,$622.43 ,$552.96 , N/A ,$547.71 ,$622.43 ,$622.43 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$552.96 ,$622.08 , N/A ,$587.52 , N/A ,$587.52 , N/A , N/A ,$622.08 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630753,N/A,STORAGE SPACE RENT,N/A,1 ,$54.00 , N/A ,$42.79 ,$48.63 ,$43.20 , N/A ,$42.79 ,$48.63 ,$48.63 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$43.20 ,$48.60 , N/A ,$45.90 , N/A ,$45.90 , N/A , N/A ,$48.60 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630754,N/A,STEVENS CLINIC RENT,N/A,1 ,$494.41 , N/A ,$391.77 ,$445.22 ,$395.53 , N/A ,$391.77 ,$445.22 ,$445.22 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$395.53 ,$444.97 , N/A ,$420.25 , N/A ,$420.25 , N/A , N/A ,$444.97 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630755,N/A,RENT-CLINIC ROOM,N/A,1 ,$50.00 , N/A ,$39.62 ,$45.03 ,$40.00 , N/A ,$39.62 ,$45.03 ,$45.03 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$40.00 ,$45.00 , N/A ,$42.50 , N/A ,$42.50 , N/A , N/A ,$45.00 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630756,N/A,MD CREDENTIAL FEE,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630757,N/A,STRIGLOS MONTHLY FEE,N/A,1 ,$32.40 , N/A ,$25.67 ,$29.18 ,$25.92 , N/A ,$25.67 ,$29.18 ,$29.18 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$25.92 ,$29.16 , N/A ,$27.54 , N/A ,$27.54 , N/A , N/A ,$29.16 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630758,N/A,RENT-CLINIC ROOM,N/A,1 ,$300.00 , N/A ,$237.72 ,$270.15 ,$240.00 , N/A ,$237.72 ,$270.15 ,$270.15 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$240.00 ,$270.00 , N/A ,$255.00 , N/A ,$255.00 , N/A , N/A ,$270.00 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630759,N/A,RENT-CLINIC ROOM,N/A,1 ,$433.33 , N/A ,$343.37 ,$390.21 ,$346.66 , N/A ,$343.37 ,$390.21 ,$390.21 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$346.66 ,$390.00 , N/A ,$368.33 , N/A ,$368.33 , N/A , N/A ,$390.00 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630760,N/A,SHELBY HOME MEDICAL RENT,N/A,1 ,"$2,611.75 ", N/A ,"$2,069.55 ","$2,351.88 ","$2,089.40 ", N/A ,"$2,069.55 ","$2,351.88 ","$2,351.88 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$2,089.40 ","$2,350.58 ", N/A ,"$2,219.99 ", N/A ,"$2,219.99 ", N/A , N/A ,"$2,350.58 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630761,N/A,RENT-CLINIC ROOM - PRABHU,N/A,1 ,$143.37 , N/A ,$113.61 ,$129.10 ,$114.70 , N/A ,$113.61 ,$129.10 ,$129.10 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$114.70 ,$129.03 , N/A ,$121.86 , N/A ,$121.86 , N/A , N/A ,$129.03 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630762,N/A,RENT-STORAGE SPACE-2 CABINETS - DR. PFEI,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630763,N/A,STAFFING - CLINIC RECEPTIONIST,N/A,1 ,$48.84 , N/A ,$38.70 ,$43.98 ,$39.07 , N/A ,$38.70 ,$43.98 ,$43.98 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$39.07 ,$43.96 , N/A ,$41.51 , N/A ,$41.51 , N/A , N/A ,$43.96 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630764,N/A,STAFFING - REGISTERED NURSE,N/A,1 ,$188.24 , N/A ,$149.16 ,$169.51 ,$150.59 , N/A ,$149.16 ,$169.51 ,$169.51 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$150.59 ,$169.42 , N/A ,$160.00 , N/A ,$160.00 , N/A , N/A ,$169.42 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630765,N/A,RENT - STORAGE SPACE - 2 CABINETS - FOOT,N/A,1 ,$9.30 , N/A ,$7.37 ,$8.37 ,$7.44 , N/A ,$7.37 ,$8.37 ,$8.37 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$7.44 ,$8.37 , N/A ,$7.91 , N/A ,$7.91 , N/A , N/A ,$8.37 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630766,N/A,STAFFING - CLINIC RECEPTIONIST,N/A,1 ,$390.72 , N/A ,$309.61 ,$351.84 ,$312.58 , N/A ,$309.61 ,$351.84 ,$351.84 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$312.58 ,$351.65 , N/A ,$332.11 , N/A ,$332.11 , N/A , N/A ,$351.65 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630768,N/A,RENT - PHARMACY,N/A,1 ,$511.62 , N/A ,$405.41 ,$460.71 ,$409.30 , N/A ,$405.41 ,$460.71 ,$460.71 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$409.30 ,$460.46 , N/A ,$434.88 , N/A ,$434.88 , N/A , N/A ,$460.46 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630769,N/A,CLINIC RENT PODIATRY FOOT/ANKLE CENTER,N/A,1 ,$400.00 , N/A ,$316.96 ,$360.20 ,$320.00 , N/A ,$316.96 ,$360.20 ,$360.20 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$320.00 ,$360.00 , N/A ,$340.00 , N/A ,$340.00 , N/A , N/A ,$360.00 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630770,N/A,RENT - DR OLIG,N/A,1 ,"$1,700.00 ", N/A ,"$1,347.08 ","$1,530.85 ","$1,360.00 ", N/A ,"$1,347.08 ","$1,530.85 ","$1,530.85 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$1,360.00 ","$1,530.00 ", N/A ,"$1,445.00 ", N/A ,"$1,445.00 ", N/A , N/A ,"$1,530.00 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630771,N/A,215 S OAK HOUSE RENTAL,N/A,1 ,$113.40 , N/A ,$89.86 ,$102.12 ,$90.72 , N/A ,$89.86 ,$102.12 ,$102.12 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$90.72 ,$102.06 , N/A ,$96.39 , N/A ,$96.39 , N/A , N/A ,$102.06 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630772,N/A,1316 W MAIN RENT,N/A,1 ,$793.80 , N/A ,$629.01 ,$714.82 ,$635.04 , N/A ,$629.01 ,$714.82 ,$714.82 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$635.04 ,$714.42 , N/A ,$674.73 , N/A ,$674.73 , N/A , N/A ,$714.42 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630773,N/A,RENT - DR BOWERS,N/A,1 ,"$3,564.00 ", N/A ,"$2,824.11 ","$3,209.38 ","$2,851.20 ", N/A ,"$2,824.11 ","$3,209.38 ","$3,209.38 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$2,851.20 ","$3,207.60 ", N/A ,"$3,029.40 ", N/A ,"$3,029.40 ", N/A , N/A ,"$3,207.60 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630774,N/A,RENT - PRAIRIE CARDIO,N/A,1 ,"$2,454.78 ", N/A ,"$1,945.17 ","$2,210.53 ","$1,963.82 ", N/A ,"$1,945.17 ","$2,210.53 ","$2,210.53 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$1,963.82 ","$2,209.30 ", N/A ,"$2,086.56 ", N/A ,"$2,086.56 ", N/A , N/A ,"$2,209.30 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630775,N/A,RECEPTIONIST - PRAIRIE CARDIO,N/A,1 ,$504.68 , N/A ,$399.91 ,$454.46 ,$403.74 , N/A ,$399.91 ,$454.46 ,$454.46 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$403.74 ,$454.21 , N/A ,$428.98 , N/A ,$428.98 , N/A , N/A ,$454.21 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630776,N/A,RENT-PHARM QTR ADJ,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630777,N/A,RN - PRAIRIE CARDIO,N/A,1 ,"$1,505.92 ", N/A ,"$1,193.29 ","$1,356.08 ","$1,204.74 ", N/A ,"$1,193.29 ","$1,356.08 ","$1,356.08 ", N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,"$1,204.74 ","$1,355.33 ", N/A ,"$1,280.03 ", N/A ,"$1,280.03 ", N/A , N/A ,"$1,355.33 ", N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630778,N/A,RECEPTIONIST,N/A,1 ,$60.08 , N/A ,$47.61 ,$54.10 ,$48.06 , N/A ,$47.61 ,$54.10 ,$54.10 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$48.06 ,$54.07 , N/A ,$51.07 , N/A ,$51.07 , N/A , N/A ,$54.07 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630779,N/A,RN CLINIC -RAHMAN,N/A,1 ,$141.18 , N/A ,$111.87 ,$127.13 ,$112.94 , N/A ,$111.87 ,$127.13 ,$127.13 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$112.94 ,$127.06 , N/A ,$120.00 , N/A ,$120.00 , N/A , N/A ,$127.06 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630780,N/A,RN CLINIC -LONG,N/A,1 ,$847.08 , N/A ,$671.23 ,$762.80 ,$677.66 , N/A ,$671.23 ,$762.80 ,$762.80 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$677.66 ,$762.37 , N/A ,$720.02 , N/A ,$720.02 , N/A , N/A ,$762.37 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630781,N/A,RECEPTIONIST -LONG,N/A,1 ,$256.41 , N/A ,$203.18 ,$230.90 ,$205.13 , N/A ,$203.18 ,$230.90 ,$230.90 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$205.13 ,$230.77 , N/A ,$217.95 , N/A ,$217.95 , N/A , N/A ,$230.77 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630782,N/A,DJO LLC-OFFICE CARE RENT,N/A,1 ,$16.88 , N/A ,$13.38 ,$15.20 ,$13.50 , N/A ,$13.38 ,$15.20 ,$15.20 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$13.50 ,$15.19 , N/A ,$14.35 , N/A ,$14.35 , N/A , N/A ,$15.19 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630783,N/A,DJO LLC-OFFICE CARE RENT,N/A,1 ,$18.23 , N/A ,$14.45 ,$16.42 ,$14.58 , N/A ,$14.45 ,$16.42 ,$16.42 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$14.58 ,$16.41 , N/A ,$15.50 , N/A ,$15.50 , N/A , N/A ,$16.41 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630784,N/A,TELEPHONE/INTERCOM,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630785,N/A,MEDICAL DIRECTOR-RESERVOIR MANOR-DR AGA,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630786,N/A,MEDICAL DIRECTOR-SHELBYVILLE MANOR,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630787,N/A,RENT - STORAGE SPACE - DR GUAGLIANONE,N/A,1 ,$5.63 , N/A ,$4.46 ,$5.07 ,$4.50 , N/A ,$4.46 ,$5.07 ,$5.07 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$4.50 ,$5.07 , N/A ,$4.79 , N/A ,$4.79 , N/A , N/A ,$5.07 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630788,N/A,STAFFING - DR GUAGLIONONE JEN,N/A,1 ,$47.06 , N/A ,$37.29 ,$42.38 ,$37.65 , N/A ,$37.29 ,$42.38 ,$42.38 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$37.65 ,$42.35 , N/A ,$40.00 , N/A ,$40.00 , N/A , N/A ,$42.35 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630789,N/A,STAFFING - DR GUAGLIONONE CAROLYN,N/A,1 ,$16.28 , N/A ,$12.90 ,$14.66 ,$13.02 , N/A ,$12.90 ,$14.66 ,$14.66 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$13.02 ,$14.65 , N/A ,$13.84 , N/A ,$13.84 , N/A , N/A ,$14.65 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630790,N/A,STAFFING - DJO,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6308,N/A,PRINT CART LEX Z2300 COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630800,N/A,COPY MACHINE,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630818,N/A,SUPPLIES SOLD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6309,N/A,LABELS SIGN/RETURN YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630900,N/A,******INACTIVATE******,940,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630909,N/A,SCHOOL NURSE PROGRAM,940,1 ,$31.75 ,$20.64 ,$20.64 ,$28.59 ,$25.40 , N/A ,$25.16 ,$28.59 ,$28.59 , N/A ,$26.99 ,$23.50 , N/A , N/A , N/A ,$26.48 , N/A ,$26.23 ,$25.40 ,$28.58 , N/A ,$26.99 , N/A ,$26.99 ,$26.99 ,$28.58 ,$28.58 ,$24.92 ,$26.23 , N/A ,$20.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),630910,N/A,NURSE FOR HSHS SURGEONS,940,1 ,$22.68 ,$14.74 ,$14.74 ,$20.42 ,$18.14 , N/A ,$17.97 ,$20.42 ,$20.42 , N/A ,$19.28 ,$16.78 , N/A , N/A , N/A ,$18.92 , N/A ,$18.73 ,$18.14 ,$20.41 , N/A ,$19.28 , N/A ,$19.28 ,$19.28 ,$20.41 ,$20.41 ,$17.80 ,$18.73 , N/A ,$14.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),630911,N/A,RECEPTIONIST FOR HSHS SURGEONS,940,1 ,$16.73 ,$10.87 ,$10.87 ,$15.07 ,$13.38 , N/A ,$13.26 ,$15.07 ,$15.07 , N/A ,$14.22 ,$12.38 , N/A , N/A , N/A ,$13.95 , N/A ,$13.82 ,$13.38 ,$15.06 , N/A ,$14.22 , N/A ,$14.22 ,$14.22 ,$15.06 ,$15.06 ,$13.13 ,$13.82 , N/A ,$10.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),630912,N/A,HSHS SURGEON,940,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630913,N/A,TRANSCRIPTION FOR HSHS - FREDERICK,940,1 ,$17.77 ,$11.55 ,$11.55 ,$16.00 ,$14.22 , N/A ,$14.08 ,$16.00 ,$16.00 , N/A ,$15.10 ,$13.15 , N/A , N/A , N/A ,$14.82 , N/A ,$14.68 ,$14.22 ,$15.99 , N/A ,$15.10 , N/A ,$15.10 ,$15.10 ,$15.99 ,$15.99 ,$13.95 ,$14.68 , N/A ,$11.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),630914,N/A,TRANSCRIPTION FOR HSHS - STREMMING,940,1 ,$18.25 ,$11.86 ,$11.86 ,$16.43 ,$14.60 , N/A ,$14.46 ,$16.43 ,$16.43 , N/A ,$15.51 ,$13.51 , N/A , N/A , N/A ,$15.22 , N/A ,$15.07 ,$14.60 ,$16.43 , N/A ,$15.51 , N/A ,$15.51 ,$15.51 ,$16.43 ,$16.43 ,$14.33 ,$15.07 , N/A ,$11.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),630915,N/A,RENT - DR SHERRY REID,N/A,1 ,$100.00 , N/A ,$79.24 ,$90.05 ,$80.00 , N/A ,$79.24 ,$90.05 ,$90.05 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$80.00 ,$90.00 , N/A ,$85.00 , N/A ,$85.00 , N/A , N/A ,$90.00 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630916,N/A,RN - DR SHERRY REID,N/A,1 ,$282.36 , N/A ,$223.74 ,$254.27 ,$225.89 , N/A ,$223.74 ,$254.27 ,$254.27 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$225.89 ,$254.12 , N/A ,$240.01 , N/A ,$240.01 , N/A , N/A ,$254.12 , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630917,N/A,VITA CENTER - STERILIZATIONS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630918,N/A,HSHS MED GROUP DAUZ AND DAUZ,999,1 ,$691.20 ,$449.28 ,$449.28 ,$622.43 ,$552.96 , N/A ,$547.71 ,$622.43 ,$622.43 , N/A ,$587.52 ,$511.49 , N/A , N/A , N/A ,$576.46 , N/A ,$570.93 ,$552.96 ,$622.08 , N/A ,$587.52 , N/A ,$587.52 ,$587.52 ,$622.08 ,$622.08 ,$542.59 ,$570.93 , N/A ,$449.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),630919,N/A,HSHS MED GROUP DAUZ AND DAUZ RENT STORAGE,999,1 ,$54.00 ,$35.10 ,$35.10 ,$48.63 ,$43.20 , N/A ,$42.79 ,$48.63 ,$48.63 , N/A ,$45.90 ,$39.96 , N/A , N/A , N/A ,$45.04 , N/A ,$44.60 ,$43.20 ,$48.60 , N/A ,$45.90 , N/A ,$45.90 ,$45.90 ,$48.60 ,$48.60 ,$42.39 ,$44.60 , N/A ,$35.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),630920,N/A,HSHS MED GROUP DAUZ AND DAUZ SUPPLIES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630921,N/A,DECATUR ORTHOPEDIC CENTER DR SAMS,999,1 ,$50.00 ,$32.50 ,$32.50 ,$45.03 ,$40.00 , N/A ,$39.62 ,$45.03 ,$45.03 , N/A ,$42.50 ,$37.00 , N/A , N/A , N/A ,$41.70 , N/A ,$41.30 ,$40.00 ,$45.00 , N/A ,$42.50 , N/A ,$42.50 ,$42.50 ,$45.00 ,$45.00 ,$39.25 ,$41.30 , N/A ,$32.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),630922,N/A,DECATUR ORTHOPEDIC CENTER DR SAMS RECEPT,999,1 ,$60.08 ,$39.05 ,$39.05 ,$54.10 ,$48.06 , N/A ,$47.61 ,$54.10 ,$54.10 , N/A ,$51.07 ,$44.46 , N/A , N/A , N/A ,$50.11 , N/A ,$49.63 ,$48.06 ,$54.07 , N/A ,$51.07 , N/A ,$51.07 ,$51.07 ,$54.07 ,$54.07 ,$47.16 ,$49.63 , N/A ,$39.05 HSHS GOOD SHEPHERD HOSPITAL (ACU),630923,N/A,HSHS ST FRANCIS PHARMACY SUPPLIES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630924,N/A,HSHS ST ANTHONY'S PHARMACY SUPPLIES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630925,N/A,POSTAGE,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630926,N/A,HSHS ST. JOHN'S,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630927,N/A,HSHS MED GROUP JOSLIN CLINIC RENT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630928,N/A,HSHS RECEPTIONIST,999,1 ,$168.23 ,$109.35 ,$109.35 ,$151.49 ,$134.58 , N/A ,$133.31 ,$151.49 ,$151.49 , N/A ,$143.00 ,$124.49 , N/A , N/A , N/A ,$140.30 , N/A ,$138.96 ,$134.58 ,$151.41 , N/A ,$143.00 , N/A ,$143.00 ,$143.00 ,$151.41 ,$151.41 ,$132.06 ,$138.96 , N/A ,$109.35 HSHS GOOD SHEPHERD HOSPITAL (ACU),630929,N/A,HSHS NURSE,999,1 ,$815.71 ,$530.21 ,$530.21 ,$734.55 ,$652.57 , N/A ,$646.37 ,$734.55 ,$734.55 , N/A ,$693.35 ,$603.63 , N/A , N/A , N/A ,$680.30 , N/A ,$673.78 ,$652.57 ,$734.14 , N/A ,$693.35 , N/A ,$693.35 ,$693.35 ,$734.14 ,$734.14 ,$640.33 ,$673.78 , N/A ,$530.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),630930,N/A,HSHS STORAGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630931,N/A,HSHS MED GROUP DR SHERRY REID RECEPTIONI,999,1 ,$97.68 ,$63.49 ,$63.49 ,$87.96 ,$78.14 , N/A ,$77.40 ,$87.96 ,$87.96 , N/A ,$83.03 ,$72.28 , N/A , N/A , N/A ,$81.47 , N/A ,$80.68 ,$78.14 ,$87.91 , N/A ,$83.03 , N/A ,$83.03 ,$83.03 ,$87.91 ,$87.91 ,$76.68 ,$80.68 , N/A ,$63.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),630932,N/A,SMD SHARED AFFILIATE HOURS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630933,N/A,RENT - DR. JONES,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630934,N/A,SMD SHARED MILEAGE,999,1 ,$176.58 ,$114.78 ,$114.78 ,$159.01 ,$141.26 , N/A ,$139.92 ,$159.01 ,$159.01 , N/A ,$150.09 ,$130.67 , N/A , N/A , N/A ,$147.27 , N/A ,$145.86 ,$141.26 ,$158.92 , N/A ,$150.09 , N/A ,$150.09 ,$150.09 ,$158.92 ,$158.92 ,$138.62 ,$145.86 , N/A ,$114.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),630935,N/A,HSHS MED GROUP JOSLIN CLINIC RECEPTIONIS,999,1 ,$169.58 ,$110.23 ,$110.23 ,$152.71 ,$135.66 , N/A ,$134.38 ,$152.71 ,$152.71 , N/A ,$144.14 ,$125.49 , N/A , N/A , N/A ,$141.43 , N/A ,$140.07 ,$135.66 ,$152.62 , N/A ,$144.14 , N/A ,$144.14 ,$144.14 ,$152.62 ,$152.62 ,$133.12 ,$140.07 , N/A ,$110.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),630936,N/A,HSHS MED GROUP JOSLIN CLINIC NURSE,999,1 ,$376.48 ,$244.71 ,$244.71 ,$339.02 ,$301.18 , N/A ,$298.32 ,$339.02 ,$339.02 , N/A ,$320.01 ,$278.60 , N/A , N/A , N/A ,$313.98 , N/A ,$310.97 ,$301.18 ,$338.83 , N/A ,$320.01 , N/A ,$320.01 ,$320.01 ,$338.83 ,$338.83 ,$295.54 ,$310.97 , N/A ,$244.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),630937,N/A,FAMILY DRUG PHARMACY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630938,N/A,SAE SHARED AFFILIATES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630939,N/A,HSHS MEDICAL GROUP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630940,N/A,HFG SHARED AFFILIATE HOURS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630941,N/A,SFL SHARED AFFILIATE HOURS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630942,N/A,SFL SHARED AFFILIATE MILEAGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630943,N/A,SJS HOME HEALTH SHARED COLLEAGUES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630944,N/A,SJS HOME HEALTH PURCHASED SERVICES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630945,N/A,HOME HEALTH LEASE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630946,N/A,SHELBY COUNTY JAIL CATERING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),630947,N/A,HOME HEALTH OT MILEAGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6310,N/A,LABELS- YEAR 2010,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6318,N/A,PERS ASEPTIC TECH TEST KIT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6319,N/A,EXTENDED IV CATH PLUG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6320,N/A,DIAL A FLO,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6325,N/A,SEALS BLUE LOCK NUMBERED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6326,N/A,PRINT CARTRIDGE HP LASERJET 1100,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6327,N/A,HIGH BARRIER LABEL WHITE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6328,N/A,HIGH BARRIER BLISTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6329,N/A,5 ML ORAL DISPENSER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6330,N/A,BAGS PRN RECLOSABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6331,N/A,2pt SECURE RX PADS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6332,N/A,NON SECURE RX PADS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6333,N/A,SEAL BOTTLES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6334,N/A,"35""EXTENSION SET",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6335,N/A,TIP CAPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6336,N/A,15 SURG SET W/ULTRASITES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6337,N/A,SAFETY CATH 14G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6338,N/A,SAFETY CATH 16G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6339,N/A,SAFETY CATH 18G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6340,N/A,SAFETY CATH 20G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6341,N/A,SAFETY CATH 22G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6342,N/A,SAFETY CATH 24G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6343,N/A,MICROBORE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6344,N/A,ULTRASITE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6345,N/A,"6"" EXTENSION SET",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6346,N/A,BLOOD SET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6347,N/A,15 DROP SET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6348,N/A,SECONDARY SET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6349,N/A,PUMP SET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6350,N/A,PED VOLUME SET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6351,N/A,DUI KITS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6352,N/A,GAUZE VASELINE 1/2X72,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6353,N/A,PH PAPER HYDRION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6354,N/A,EAR CURETTE PURPLE VERSALOOP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6355,N/A,EAR CURETTE WHITE FLEXLOOP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6356,N/A,EAR CURETTE BLUE INFANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6357,N/A,EAR CURETTE RED ANGLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6358,N/A,EAR CURETTE YELLOW CERASPOON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6359,N/A,EAR CURETTE OTOCLEAR LAVAGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6360,N/A,ER LOG BOOK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6364,N/A,SEXUAL ASSAULT KITS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6366,N/A,CATH FOLEY 26FR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6367,N/A,SCALPEL BLADE#11 W/HANDLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6368,N/A,TRAUMA SHOE XLG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6369,N/A,ANKLE BRACE XLG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6370,N/A,PEDI PADZ DEFIB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6371,N/A,PRINT CART HP#110 TRI COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6372,N/A,BATTERY 3V FOR CRV CAMERA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6373,N/A,CHLOROX WIPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6374,N/A,CHLOROX HYD SPRAY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6375,N/A,CONTINUOUS NEBULIZERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6376,N/A,PHONE MEMO CARBON,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6377,N/A,FAX 2820 DRUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6378,N/A,SUT ETHILON 3-0 663G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6379,N/A,VAGINAL SPECULUM MED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6380,N/A,SYRINGE 3CC W/NEEDLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6381,N/A,QUIDEL PREGNANCY TEST,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6382,N/A,URINE STICKS BAYER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6383,N/A,RECEIPT BK 2PT FORM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6384,N/A,HEMOGLOBIN LOW CONTROL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6385,N/A,HEMOGLOBIN HIGH CONTROL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6386,N/A,LABELS- YEAR 2008,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6387,N/A,QUIDEL HCG CONTROL SET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6388,N/A,RX REFILL FORMS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6389,N/A,LABELS- PHONE MESS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6390,N/A,RX PADS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6391,N/A,TABLE PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6392,N/A,SURGILUBE SURGICAL LUBRICANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6393,N/A,LABELS- YEAR 2009,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6394,N/A,SAGE SHARP BOX REFILL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6395,N/A,ENVELOPE RHC WINDOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6396,N/A,VERRUCCA FREEZE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6397,N/A,HP DESKJET 5550 COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6398,N/A,HP DESKJET 5550 BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6399,N/A,HP DESKJET 5150 COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),64,N/A,NF-PROPRANOLOL HCL CAP ER 160MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6400,N/A,HP DESKJET 5150 BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6401,N/A,SCALE LINERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6402,N/A,SAFETY NEEDLE 25GX1 COVIDIEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6403,N/A,SOFIA STREP KITS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6404,N/A,PAP SHEATHS FOR PAPLIGHT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6405,N/A,SLEEP PULSE OX PROBES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6406,N/A,FLOW SELECTORS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6407,N/A,NASAL CANNULA APNEALINK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6408,N/A,CHEST BELT LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6409,N/A,CHEST BELT MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6410,N/A,CHEST BELT SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6411,N/A,HP LASERJET 2300,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6412,N/A,HP DESKJET 6940 BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6413,N/A,HP DESKJET 6940 COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6414,N/A,O2 FLOWMETER W/ADAPTOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6415,N/A,LARGE BORE CONNECTORS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6416,N/A,100' PER ROLL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6417,N/A,02 NIPPLE AND NUT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6418,N/A,HOLTER KITS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6419,N/A,EEG PASTE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6420,N/A,EMG GEL (50Z),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6421,N/A,EKG GRAPH PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6422,N/A,LG STR TEST VEST,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6423,N/A,WHT CONCENTRATE R FILTERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6424,N/A,GROSS PARTICLE BLACK FILTERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6425,N/A,SET UP BAGS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6426,N/A,STRESS TEST THERMAL PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6427,N/A,NOSE CLIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6428,N/A,UNIVERSAL CUFF 22MM ID,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6429,N/A,MULTI ADAPTOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6430,N/A,VENT CIRCUITS RESPIRONICS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6431,N/A,HEAT MOISTURE EXCHANGER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6432,N/A,KID O2 AEROSOL/OXYGEN DELIV,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6433,N/A,REUSABLE PULMONARY FUNCT MTHPC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6434,N/A,DISPOSABLE RAZORS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6435,N/A,SCRATCH PADS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6436,N/A,DISH SOAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6437,N/A,PREP PAD ECG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6438,N/A,LABEL STERILE STICKER YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6439,N/A,RAPICIDE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6440,N/A,SURGICAL LUBE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6441,N/A,GETINGE VAC PRINTER PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6442,N/A,GETINGE TAKE UP REEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6443,N/A,CHEMICAL INDICATOR STERIS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6444,N/A,RUHOF AUTOCLAVE CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6445,N/A,LABELS MONARCH GUN 1115,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6446,N/A,GAUZE 3X3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6447,N/A,GLOVES NEOLON SURGICAL 6.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6448,N/A,GLOVES NEOLON SURGICAL 7,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6449,N/A,GLOVES NEOLON SURGICAL 7.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6450,N/A,GLOVES NEOLON SURGICAL 8,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6451,N/A,GLOVES NEOLON SURGICAL 8.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6452,N/A,JUMPSUIT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6453,N/A,WYPALL X60,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6454,N/A,BRUSH SCRUB PCMX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6455,N/A,BRUSH CLEANING OLYMPUS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6456,N/A,CHLORAPREP TINTED 10.5ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6457,N/A,MONSELS PASTE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6458,N/A,LUGOLS SOLUTION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6459,N/A,COMPLY COLD STERI LOG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6460,N/A,RECORD BOOK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6461,N/A,STICKER NPO,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6462,N/A,STICKER MEDICATION ADDED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6463,N/A,STICKER IV TUBING CHANGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6464,N/A,STICKER 24HR URINE COLLECTION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6465,N/A,STICKER ALLERGY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6466,N/A,CLEAR RECORD PROTECTORS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6467,N/A,COMMODE BUCKETS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6468,N/A,NK SpO2 REUSABLE PROBE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6469,N/A,NK 3 LEAD SNAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6471,N/A,TAPE MEASURE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6472,N/A,ENTERAL FEEDING TUBE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6473,N/A,ENTERAL NUTRITION BAG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6486,N/A,"COMB BINDING BLACK 3/4""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6487,N/A,DIGITAL FAN OUT PAD ADHES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6488,N/A,COPY PAPER 11X17,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6496,N/A,Q-TIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6497,N/A,BATTERIES AAA LITHIUM (CALL IN),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),65,N/A,NF-LEVAQUIN ORAL TABLET 750MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6500,N/A,ELECTRODE SMALL CLOTH (SLEEP STUDY),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6501,N/A,VENT CIRCUIT PORTABLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6502,N/A,VENT CIRCUIT VERSA MED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6503,N/A,DVD-RW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6504,N/A,GRAPH PAPER STRESS TEST,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6505,N/A,BD EZ SCRUB 4%,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6506,N/A,GLOVES ALOE ULTRA MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6507,N/A,GLOVES ALOE ULTRA LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6508,N/A,FILE FOLDERS BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6509,N/A,FILE FOLDERS YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6510,N/A,PUMP SET BURETTE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6511,N/A,BIOLOGICAL INDICATOR 3M,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6512,N/A,CHEMICAL INDICATOR 3M,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6513,N/A,STEAM INDICATOR TAPE 3M,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6514,N/A,BOWIE DICK PLUS 3M,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6515,N/A,SODASORB CANNISTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6516,N/A,GLOVES BIOGEL 7.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6517,N/A,GLOVES BIOGEL 7,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6518,N/A,GLOVES BIOGEL 8,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6519,N/A,GLOVES BIOGEL 8.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6520,N/A,PULL TITE SEAL NUMBERED GREEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6550,N/A,FILTER MEDIVATOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),66,N/A,NF-DEPAKOTE DELAYED-RELEASE TABLET 125MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6600,N/A,CHLORAPREP TINTED 26ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6601,N/A,PRINT CARTRIDGE BROTHER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6602,N/A,PRINT CART HP PSC COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6603,N/A,PRINT CART HP PSC BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6604,N/A,SIMPULSE SOLO SYSTEM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6605,N/A,BUSINESS CARDS INKJET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6606,N/A,"SCISSOR DISSECTING 6 3/4"" RD FLAT",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6607,N/A,"SCISSORS TENOTOMY 4 1/2"" CURVED",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6608,N/A,CLOUD 9 ABSORPTION MATS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6609,N/A,"NEEDLE SPROTTE PAJUNK 24G- 3 1/2""X90MM",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6610,N/A,"NEEDLE SPROTTE PAJUNK 24G- 4 3/4""X 120MM",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6611,N/A,CHLORAPREP CLEAR 26ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6612,N/A,GLOVES NEUTRALON SIZE 8,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6613,N/A,PRINT CART FAX XEROX PHASER 3300,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6614,N/A,SUTURE ETHILON 5-0 661G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6615,N/A,EAR CURETTES BIONIX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6616,N/A,SUT 4-0 ETHILON 1667G,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6617,N/A,"PRESSURE RELIEF PADDING 4""X36""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6619,N/A,OLY INSUFFLATION TUBING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6620,N/A,GLOVES ALOE ULTRA SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6621,N/A,"NEEDLE BD 27X 1 1/2""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6622,N/A,EAR CURETTE VARIETY PACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6623,N/A,OLY SUCTION TUBING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6624,N/A,STICKERS BLUE INSTRUMENT ID,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6625,N/A,STICKERS YELLOW INSTRUMENT ID,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6626,N/A,SACKS WHITE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6627,N/A,BATTERY 3 VOLT LITHIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6628,N/A,ELECTRODE ECG SILVER MACRODE PLUS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6629,N/A,NASAL CANNULA CO2 MONITOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6630,N/A,SWAB OB/GYN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6631,N/A,NASAL ADAPTOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6632,N/A,URINE COLLECTOR PEDIATRIC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6633,N/A,VISIPAQUE 10X 50ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6634,N/A,ASEPTIC TEST KITS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6635,N/A,N-95 RESPIRATOR MASK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6636,N/A,FIT TEST SOLUTION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6637,N/A,PFLEX INSP MUSCLE TRAINER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6639,N/A,SURGILAST #1,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6640,N/A,SURGILAST #4,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6641,N/A,SURGILAST #6,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6642,N/A,BITE BLOCK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6643,N/A,"NEEDLE 20G X 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6644,N/A,CIDEX TEST STRIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6645,N/A,CREDIT CARD MACHINE PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6646,N/A,PRINT CART HP6940,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6647,N/A,PRINT CART HP6940,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6649,N/A,WAX REFILL PARABATH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6650,N/A,CLEANING BRUSH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6651,N/A,PRINT CART LEX E360,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6652,N/A,LABEL YEAR 2012,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6653,N/A,BANDAID KNUCKLE COVERLET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6654,N/A,PRINT CART HP 1000,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6655,N/A,BIOPSY FORCEPS 2.8MM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6656,N/A,BACTERIA FILTER BIPAP/VENT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6657,N/A,AEROCHAMBER SPACER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6658,N/A,BELT ADAPTORS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6660,N/A,CHANNEL WATER TUBE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6662,N/A,CAUTERY TIP CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6663,N/A,CAUTERY TIP EXTENSION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6664,N/A,PENS PILOT V5 BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6665,N/A,NU PREP GEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6666,N/A,CASH REGISTER PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6667,N/A,RUBBER GLOVES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6668,N/A,NO CAFFEINE STICKERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6669,N/A,FOOD ALLERGY STICKERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6670,N/A,NO FLUID ON TRAY STICKERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6671,N/A,CHANGE OF SELECTION STICKERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6672,N/A,RED RAGS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6673,N/A,PRINT CART LEXMARK #28,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6674,N/A,PRINT CART LEXMARK #29,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6675,N/A,MENU PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6676,N/A,LABEL MAKER TAPE CARTRIDGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6677,N/A,"PARAFILM 2"" X 250'",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6678,N/A,PRINT CART HP DESKJET 1000 BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6679,N/A,PRINT CART HP DESKJET 1000 COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6680,N/A,PULL TITE NUMBERED SEAL BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6681,N/A,EYE LABEL STERILE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6682,N/A,DRESSING DRAWTEX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6683,N/A,MULTISTIX BAYER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6684,N/A,PRINT CART CANON IP BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6685,N/A,PRINT CART CANON IP MAG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6686,N/A,PRINT CART CANON IP YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6687,N/A,PRINT CART CANON IP CYAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6688,N/A,INK TANK CANON BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6689,N/A,TELFA 3X4 SELF ADHESIVE PADS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6690,N/A,FOLDERS GSS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6691,N/A,PELVIC EXAM LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6692,N/A,BIOPSY ASSORTED PUNCH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6693,N/A,TAPE MEASURE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6694,N/A,STERILE FENESTRATED DRAPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6695,N/A,URINALYSIS THERMAL PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6696,N/A,TAPE MEASURE WOUND,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6697,N/A,SACKS BROWN PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6698,N/A,HANGING FILE FOLDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6699,N/A,TAB INDEX DIVIDERS 8 TAB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),67,N/A,NF-DOXEPIN HCL CAPSULE 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6700,N/A,RED FOLDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6701,N/A,LAMINATING POUCHES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6702,N/A,PRESENTATION COVERS LINEN NAVY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6703,N/A,PRICEMAKER LABEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6704,N/A,BINDING COVERS CLEAR VIEW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6705,N/A,ENVELOPES WHITE REDI STRIP 10X13,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6706,N/A,"LABELS MAILING 1""X 2 5/8""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6707,N/A,BUSINESS CARDS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6708,N/A,MONTH TABS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6709,N/A,CPR MICROMASK CLEAR BAG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6710,N/A,LABEL SIGN HERE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6711,N/A,COVER MAYO STAND,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6712,N/A,TOWELETTE OB,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6713,N/A,PRINT CART HP-C5280 HP#74 BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6714,N/A,PRINT CART HP-C5280 HP#75 COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6715,N/A,PRINT CT HP DESKJET 1010 BLK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6716,N/A,PRINT CT HP DESKJET 1010 COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6717,N/A,PRINT CART XEROX PHASER 3250,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6718,N/A,SHIPPING LABELS SMH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6719,N/A,INK FOR STAMP RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6720,N/A,FILE FOLDERS GREEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6721,N/A,RAPICIDE TEST STRIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6722,N/A,BIONIX IRRIGATION TIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6723,N/A,CHART PAPER ABI MACHINE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6724,N/A,ULTRSITE 60 DROP SET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6725,N/A,BLOOD BANK PAPER 3PT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6726,N/A,SUT MONO 5-0 BL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6727,N/A,BUILDER PLUS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6728,N/A,OXYGEN DETERGENT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6729,N/A,SOUR AND RUST REMOVER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6730,N/A,BLUE BOWL CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6731,N/A,PROLINE SPRAY CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6732,N/A,VIREX TB CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6733,N/A,MULTI SPRAY CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6734,N/A,SOFTNER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6736,N/A,LG LOOP WET MOP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6737,N/A,BLUE MOP PADS W/BINDING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6738,N/A,QUICK CONNECT FRAME,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6739,N/A,QUICK CONNECT HANDLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6740,N/A,JFILL VIREX II,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6741,N/A,STRETCH N DUST,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6742,N/A,GLASS CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6743,N/A,GREEN SCRUB PADS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6744,N/A,PRINT CART HP- P2035,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6745,N/A,RENOWN HAND SOAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6746,N/A,STRIDE JFILL CLEANER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6747,N/A,DIVERSEY,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6748,N/A,STRETCH CLEANING CLOTH YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6749,N/A,SPOT ENDO MARKERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6750,N/A,O2 WATER FILTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6751,N/A,PRE-FILTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6752,N/A,SUT PROLENE CTX 3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6753,N/A,SUT 3/0 CHROMIC GUT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6754,N/A,SUT 4-0 MONCRYL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6755,N/A,GLIDESCOPE VID LARYN BLADE SZ 4,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6756,N/A,GLIDESCOPE VID LARYN BLADE SZ 3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6757,N/A,DRAPE IOBAN 23X17,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6758,N/A,DRAPE IOBAN 13X13,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6759,N/A,STEAM STERILIZATION LOCKS ORANGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6760,N/A,PRO-VENT ARTERIAL BLOOD SAMP KIT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6761,N/A,ENFAMIL INFANT FORMULA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6763,N/A,GATORADE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6764,N/A,SKIN MARKERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6765,N/A,LIGHT FLUORO DOT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6766,N/A,TAKE N TOSS SIPPY CUPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6767,N/A,INTRAOSSEOUS NEEDLE 15MM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6768,N/A,INTRAOSSEOUS NEEDLE 25MM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6769,N/A,INTRAOSSEOUS NEEDLE 45MM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6770,N/A,INTRAOSSEOUS NEEDLE STABILIZER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6771,N/A,ELECTRODES GOLD CUP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6772,N/A,SELF GRIPPING FASTENERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6773,N/A,WIRE TESTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6774,N/A,BUTTON SNAP LEAD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6775,N/A,ELECTRODE BLUE SENSOR STRESS TEST,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6776,N/A,SCHILLER RECORDING PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6777,N/A,PROBE COVER VITAL CARE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6778,N/A,MEDLINE OPA TEST STRIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6779,N/A,EMPTY GLASS IV BOTTLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6780,N/A,THORA/PARACENTISIS SET 5F,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6781,N/A,"QUINCKE SPINAL NEEDLE 20GX 3.5""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6782,N/A,Q-TIPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6783,N/A,BABY WIPES UNSCENTED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6784,N/A,PRINT CART CANON #245 BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6785,N/A,CANON #246 TRI-COLOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6786,N/A,ENVELOPES 10 X 13 BROWN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6787,N/A,INFANT HEEL WARMER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6788,N/A,ALLIGATOR CUP FORCEPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6789,N/A,GOWN SURGICAL LG,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6790,N/A,QUICK CLIP PRO,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6791,N/A,SINGLE USE INJECTOR,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6792,N/A,PULL TITE SEAL UN-NUMBERED BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6793,N/A,SCRUB DISPOSABLE SM PANTS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6794,N/A,SCRUB DISPOSABLE SM SHIRT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6795,N/A,SCRUB DISBOSABLE MED PANT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6796,N/A,SCRUB DISPOSABLE MED SHIRT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6797,N/A,SCRUB DISPOSABLE LG PANTS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6798,N/A,SCRUB DISPOSABLE LG SHIRT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6799,N/A,SCRUB DISPOSABLE XLG PANTS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),68,N/A,NF-LISINOPRIL ORAL TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6800,N/A,SCRUB DISPOSABLE XLG SHIRT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6801,N/A,SCRUB DISPOSABLE 2XLG PANTS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6802,N/A,SCRUB DISPOSABLE 2XL SHIRT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6850,N/A,BOTTLED WATER-CASE(24PK),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6851,N/A,DIET MT DEW-12PK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6852,N/A,CANDY BARS-ASSORTED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6853,N/A,"BINDER-1.5"" 3 RING",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6854,N/A,"BINDER- 2"" 3 RING",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6855,N/A,STEAM INDICATOR TAPE 24MM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6856,N/A,AIR Q LMA 4.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6857,N/A,AIR Q LMA 3.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6858,N/A,CHLORAPREP-ORANGE TINT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6859,N/A,"TEST, TOSI",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6860,N/A,NEPTUNE MANIFOLD,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6861,N/A,JUMPSUIT-XL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6862,N/A,TRIUMPH ORTHO GLOVES SZ 8,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6863,N/A,TOMO SPOT BEEKLEY MARKERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6864,N/A,INFLUENZA TEST KIT A AND B,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6865,N/A,GAUZE AVANT SPONGES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6866,N/A,DISTILLED WATER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6867,N/A,MEDFIX DRESSING,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6868,N/A,LAMINATING SHEETS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6869,N/A,BLUE FOLDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6870,N/A,BAGS-THANK YOU,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6871,N/A,ADDRESS LABELS AVE5160,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6872,N/A,PULL TITE NUMBERED SEAL PURPLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6873,N/A,"BINDER- 3"" 3 RING",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6874,N/A,VIAL2BAG DC 20MM BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6875,N/A,VIAL2BAG DC 13MM ORANGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6876,N/A,PATRAN SLIDER SHEETS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6877,N/A,10 OZ PAPER HOT CUP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6878,N/A,10 OZ HOT CUP LIDS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6879,N/A,12 OZ HOT/COLD BOWL (NO LID),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6880,N/A,8 OZ HOT BOWL (HAS LID AVAILABLE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6881,N/A,8 OZ HOT BOWL LID,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6882,N/A,TAKEOUT CONTAINER 9X9X3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6883,N/A,TAKEOUT CONTAINER 6X6X3,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6884,N/A,4 OZ PORTION CUP (HAS LID AVAILABLE),999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6885,N/A,4 OZ PORTION CUP LID,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6886,N/A,"6"" PLATE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6887,N/A,"9"" PLATE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6888,N/A,IMAGING PLATE COVERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6889,N/A,SECURITY BAG FOR CRASH CART,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6890,N/A,LABELS WHITE FOR BLOOD SAMPLES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6891,N/A,STERILE SHOULDER PACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6892,N/A,GLOVES BIOGEL SIZE 6,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6893,N/A,ISOVUE 250,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6894,N/A,ISOVUE 300,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6895,N/A,ISOVUE 300,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6896,N/A,ISOVUE 370,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6897,N/A,ISOVUE 300,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6898,N/A,PROHANCE PFS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),69,N/A,NF-LEVITRA TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6900,N/A,XEROX COPIER DRUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6901,N/A,SIPPY CUPS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6902,N/A,ENVELOPES 12 X 15 1/2-BROWN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6903,N/A,E-Z GAS II EFFERVESCENT GRANULES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6904,N/A,LIQUID POLIBAR PLUS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6905,N/A,LIQUID E-Z PAQUE SUSPENSION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6906,N/A,ENTERO VU SUSPENSION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6907,N/A,DISHCARGE FOLDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6908,N/A,CT FASTLOAD SYRINGE 200ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6909,N/A,TABLE OF CONTENTS DIVIDERS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6910,N/A,CLEAR FLAG LABEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6911,N/A,THREADED CAP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6912,N/A,PRESSURE SEAL VIALS-30ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6913,N/A,BOTTLE ADAPTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6914,N/A,DISPOSABLE THERMOMETER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6915,N/A,"BOOST BREEZE, WILD BERRY",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6916,N/A,"SURGICAL GOWN, XXL",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6917,N/A,COLOR CUFF DISP. TOURNIQUET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6918,N/A,SUCTION TUBING W/ STRAIGHT CONNECTORS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6919,N/A,EPIC LABELS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6920,N/A,PYXIS TONER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6921,N/A,SPEED-D-MARK BB30,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6922,N/A,HIBICLENS PACKETS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6923,N/A,E-Z DISK BARIUM TABLETS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6924,N/A,E-Z PASTE BARIUM CREAM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6925,N/A,E-Z HD BARIUM FOR SUSP BT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6926,N/A,FILTER EXTENSION SET,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6927,N/A,GASTROGRAFIN 24X30 ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6928,N/A,PRNIT CART CANON CLI 250PGBK-BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6929,N/A,LEG HOLDER PADS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6930,N/A,"QUINCKE SPINAL NEEDLE 18GX3.5""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6931,N/A,XEROX TONER-BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6932,N/A,XEROX DRUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6933,N/A,XEROX TONER-BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6934,N/A,XEROX DRUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6935,N/A,XEROX TONER-BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6936,N/A,XEROX TONER-YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6937,N/A,XEROX TONER-MAGENTA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6938,N/A,XEROX TONER-CYAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6939,N/A,XEROX-WASTE TONER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6940,N/A,XEROX TONER-CYAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6941,N/A,XEROX TONER-MAGENTA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6942,N/A,XEROX TONER-YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6943,N/A,XEROX TONER-BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6944,N/A,XEROX WASTE TONER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6945,N/A,XEROX DRUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6946,N/A,XEROX TONER-BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6947,N/A,XEROX TONER-YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6948,N/A,XEROX TONER-CYAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6949,N/A,XEROX TONER-MAGENTA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6950,N/A,XEROX TONER-BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6951,N/A,XEROX TONER-YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6952,N/A,XEROX TONER-MAGENTA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6953,N/A,XEROX TONER-CYAN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6954,N/A,XEROX WASTE TONER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6955,N/A,E-Z PAQUE BARIUM SUSPENSION,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6956,N/A,EVACUATED GLASS CONTNR 1000ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6957,N/A,"7"" IV EXTENSION SET",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6958,N/A,"8"" IV EXTENSION SET Y-TYPE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6959,N/A,PURELL BOTTLE 12 OZ,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6960,N/A,U-DRAPE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6961,N/A,UNDERCAST PADDING 6X12,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6962,N/A,UNDERCAST PADDING 3X4,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6963,N/A,RUBBERBANDS LG SZ 117,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6964,N/A,DEODORANT-SECRET AEROSOL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6965,N/A,"UMBILICAL TAPE, COTTON",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6966,N/A,PRECISION GLIDE NEEDLE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6967,N/A,BIOPSY TRAY CUSTOM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6968,N/A,GASTROGRAFIN 12X120 ML,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6969,N/A,STIRRUP MATES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6970,N/A,HIGH FLOW ADULT CANNULA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6971,N/A,PEDIATRIC/ADULT SMALL CANNULA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6972,N/A,PEDIATRIC SMALL CANNULA,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6973,N/A,VAPO HUMIDITY BAGS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6974,N/A,HEDGEHOG DOUBLE END BRUSH,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6975,N/A,CREDIT CARD MACHINE PAPER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6976,N/A,AQUASONIC GEL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6977,N/A,CAP INSTRUMENT TIP BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6978,N/A,CAP INSTRUMENT TIP RED,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6979,N/A,CAP INSTRUMENT TIP YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6980,N/A,CAP INSTRUMENT TIP BLACK,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6981,N/A,CAP INSTRUMENT TIP BROWN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6982,N/A,ADDRESS LABELS,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6983,N/A,SUT 1915 5-0 FAST ABSORB GUT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6984,N/A,"SUT Y494G 4-0 18"" P-3 ABSORBABLE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6985,N/A,LIGHTED EAR CURETTE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6986,N/A,SAM SPLINT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6987,N/A,AIRFIT F20 SLM-SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6988,N/A,AIRFIT F20 SLM-MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6989,N/A,AIRFIT F20 SLM-LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6990,N/A,AIRTOUCH F20 SLM-SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6991,N/A,AIRTOUCH F20 SLM-MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6992,N/A,AIRTOUCH F20 SLM-LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6993,N/A,"AIR TUBING, STANDARD-LIGHT GRAY",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6994,N/A,LABELS FOR MONARCH LABELER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6995,N/A,SAFETY NEEDLE 18G X 1.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6996,N/A,ECLIPSE NEEDLE 25 X 1.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6997,N/A,SKIN STAPLER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),6998,N/A,"MEDIGRIP BANDAGE 4""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),699999,N/A,SAMPLE,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7,N/A,NF-ATIVAN TABLET 2MG,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),70,N/A,NF-VYTORIN ORAL TABLET 10MG-40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7000,N/A,"PLASTER BANDAGE 4"" X 5'",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7001,N/A,"PLASTER BANDAGE 6"" X 5'",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7002,N/A,SAFETY NEEDLE 22G X 1.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7003,N/A,CAST PAD 3IN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7004,N/A,SPINAL NEEDLE 18G X 3.5,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7005,N/A,"COMPRESSION WRAP 3""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7006,N/A,"COMPRESSION WRAP 1""",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7007,N/A,"FIBERGLASS CAST 3""-PURPLE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7008,N/A,"DELTA FIBERGLASS CAST 4""-GREEN",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7009,N/A,"DELTA FIBERGLASS CAST 4""-PINK",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7010,N/A,"DELTA FIBERGLASS CAST 4""-PURPLE",999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7011,N/A,CAPS IV 2 FUNC,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7012,N/A,CAPS-TWIN ORANGE TINT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7013,N/A,RIP ABDOMEN PROCESSOR STD OUTPUT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7014,N/A,RIP THORAX PROCESSOR STD OUTPUT,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7015,N/A,XACT TRACE SNAP SENSOR CABLE THORAX,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7016,N/A,XACT TRACE SNAP SENSOR CABLE ABDOMEN,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7017,N/A,SINGLE USE XACT TRACE BELT LARGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7018,N/A,SINGLE USE XACT TRACE BELT MEDIUM,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7019,N/A,SINGLE USE XACT TRACE BELT SMALL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7020,N/A,TICKET TO RIDE-ORANGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7021,N/A,TICKET TO RIDE-YELLOW,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7022,N/A,TICKET TO RIDE-BLUE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7023,N/A,PROHANCE 20ML VIAL,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7024,N/A,SUCTION CLEANING ADAPTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7025,N/A,CHANNEL CLEANING ADAPTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7026,N/A,AUXILLARY WATER TUBE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7027,N/A,INJECTION TUBES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7028,N/A,LEAKAGE TESTER,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7029,N/A,SYRINGE 60 ML LUER SLIP,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7030,N/A,ELECTRODE-DISPOSABLE NEUROLINE 715,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7031,N/A,HBA1C TEST CARTRIDGE,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7032,N/A,DEODORANT REMOVAL WIPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),7033,N/A,DEODORANT WIPES,999,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),71,N/A,NF-ACIPHEX ENTERIC COATED TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),72,N/A,NF-BUSPIRONE HYDROCHLORIDE ORAL TABLET 1,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),73,N/A,NF-LEXAPRO ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),74,N/A,NF-CENESTIN TAB 1.25MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),75,N/A,NF-SONATA CAP 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),76,N/A,NF-SONATA CAP 5MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),77,N/A,NF-CELEXA TABLET 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),78,N/A,NF-TRILEPTAL ORAL TABLET 300MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),79,N/A,NF-HYDROMORPHONE HCL ORAL TABLET 2MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8,N/A,NF-SPRINTEC TABLET,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),80,N/A,NF-DUREZOL OPHTHALMIC EMULSION 0.05,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),80000017,N/A,NF-Lantus Solution 100U/ML,637,1 ,"$5,991,006.00 ","$3,894,153.90 ","$3,894,153.90 ","$5,991,006.00 ","$4,792,804.80 ", N/A ,"$4,747,273.15 ","$5,394,900.90 ","$5,394,900.90 ", N/A ,"$5,092,355.10 ","$4,433,344.44 ", N/A , N/A , N/A ,"$4,996,499.00 ", N/A ,"$4,948,570.96 ","$4,792,804.80 ","$5,391,905.40 ","$5,991,006.00 ","$5,092,355.10 ", N/A ,"$5,092,355.10 ","$5,092,355.10 ","$5,391,905.40 ","$5,391,905.40 ","$4,702,939.71 ","$4,948,570.96 ", N/A ,"$3,894,153.90 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8000033,N/A,COMPACT ACCUCHECK 51 TEST,291,1 ,$80.24 ,$52.16 ,$52.16 ,$72.26 ,$64.19 , N/A ,$63.58 ,$72.26 ,$72.26 , N/A ,$68.20 ,$59.38 , N/A , N/A , N/A ,$66.92 , N/A ,$66.28 ,$64.19 ,$72.22 , N/A ,$68.20 , N/A ,$68.20 ,$68.20 ,$72.22 ,$72.22 ,$62.99 ,$66.28 , N/A ,$52.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010100,L1902,ANKLE SUPPORT-SLIP ON,291,1 ,$12.97 ,$8.43 ,$8.43 ,$156.35 ,$10.38 ,$62.54 ,$10.28 ,$11.68 ,$11.68 ,$118.82 ,$11.02 ,$9.60 ,$156.35 ,$62.54 , N/A ,$10.82 ,$62.54 ,$10.71 ,$10.38 ,$11.67 ,$12.97 ,$11.02 ,$12.97 ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 ,$12.97 ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010101,L1901,ANKLE SUPPORT-NEO-SLIP ON,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010102,L1902,ANKLE SUPPORT-DOUBLE STRAP,291,1 ,$24.77 ,$16.10 ,$16.10 ,$162.25 ,$19.82 ,$64.90 ,$19.63 ,$22.31 ,$22.31 ,$123.31 ,$21.05 ,$18.33 ,$162.25 ,$64.90 , N/A ,$20.66 ,$64.90 ,$20.46 ,$19.82 ,$22.29 ,$24.77 ,$21.05 ,$24.77 ,$21.05 ,$21.05 ,$22.29 ,$22.29 ,$19.44 ,$20.46 ,$24.77 ,$16.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010103,N/A,ANKLE SUPPORT-ARTHRITIS,291,1 ,$29.50 ,$19.18 ,$19.18 ,$26.56 ,$23.60 , N/A ,$23.38 ,$26.56 ,$26.56 , N/A ,$25.08 ,$21.83 , N/A , N/A , N/A ,$24.60 , N/A ,$24.37 ,$23.60 ,$26.55 , N/A ,$25.08 , N/A ,$25.08 ,$25.08 ,$26.55 ,$26.55 ,$23.16 ,$24.37 , N/A ,$19.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010104,L4350,AIR STIR ANKLE BRACE-LG,291,1 ,$113.73 ,$73.92 ,$73.92 ,$251.13 ,$90.98 ,$100.45 ,$90.12 ,$102.41 ,$102.41 ,$190.86 ,$96.67 ,$84.16 ,$251.13 ,$100.45 , N/A ,$94.85 ,$100.45 ,$93.94 ,$90.98 ,$102.36 ,$113.73 ,$96.67 ,$107.58 ,$96.67 ,$96.67 ,$102.36 ,$102.36 ,$89.28 ,$93.94 ,$107.58 ,$73.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010105,L4350,AIR STIR ANKLE BRACE-MD,291,1 ,$113.73 ,$73.92 ,$73.92 ,$251.13 ,$90.98 ,$100.45 ,$90.12 ,$102.41 ,$102.41 ,$190.86 ,$96.67 ,$84.16 ,$251.13 ,$100.45 , N/A ,$94.85 ,$100.45 ,$93.94 ,$90.98 ,$102.36 ,$113.73 ,$96.67 ,$107.58 ,$96.67 ,$96.67 ,$102.36 ,$102.36 ,$89.28 ,$93.94 ,$107.58 ,$73.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010106,L4350,AIR STIR ANKLE BRACE-SM,291,1 ,$113.73 ,$73.92 ,$73.92 ,$251.13 ,$90.98 ,$100.45 ,$90.12 ,$102.41 ,$102.41 ,$190.86 ,$96.67 ,$84.16 ,$251.13 ,$100.45 , N/A ,$94.85 ,$100.45 ,$93.94 ,$90.98 ,$102.36 ,$113.73 ,$96.67 ,$107.58 ,$96.67 ,$96.67 ,$102.36 ,$102.36 ,$89.28 ,$93.94 ,$107.58 ,$73.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010107,A4460,"2"" ELASTIC BANDAGES",291,1 ,$5.04 ,$3.28 ,$3.28 ,$4.54 ,$4.03 , N/A ,$3.99 ,$4.54 ,$4.54 , N/A ,$4.28 ,$3.73 , N/A , N/A , N/A ,$4.20 , N/A ,$4.16 ,$4.03 ,$4.54 , N/A ,$4.28 , N/A ,$4.28 ,$4.28 ,$4.54 ,$4.54 ,$3.96 ,$4.16 , N/A ,$3.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010108,A4460,"3"" ELASTIC BANDAGES",291,1 ,$6.63 ,$4.31 ,$4.31 ,$5.97 ,$5.30 , N/A ,$5.25 ,$5.97 ,$5.97 , N/A ,$5.64 ,$4.91 , N/A , N/A , N/A ,$5.53 , N/A ,$5.48 ,$5.30 ,$5.97 , N/A ,$5.64 , N/A ,$5.64 ,$5.64 ,$5.97 ,$5.97 ,$5.20 ,$5.48 , N/A ,$4.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010109,N/A,"4"" ELASTIC BANDAGES",291,1 ,$7.87 ,$5.12 ,$5.12 ,$7.09 ,$6.30 , N/A ,$6.24 ,$7.09 ,$7.09 , N/A ,$6.69 ,$5.82 , N/A , N/A , N/A ,$6.56 , N/A ,$6.50 ,$6.30 ,$7.08 , N/A ,$6.69 , N/A ,$6.69 ,$6.69 ,$7.08 ,$7.08 ,$6.18 ,$6.50 , N/A ,$5.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010110,N/A,"6"" ELASTIC BANDAGES",291,1 ,$4.51 ,$2.93 ,$2.93 ,$4.06 ,$3.61 , N/A ,$3.57 ,$4.06 ,$4.06 , N/A ,$3.83 ,$3.34 , N/A , N/A , N/A ,$3.76 , N/A ,$3.73 ,$3.61 ,$4.06 , N/A ,$3.83 , N/A ,$3.83 ,$3.83 ,$4.06 ,$4.06 ,$3.54 ,$3.73 , N/A ,$2.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010111,L1930,ANKLE FOOT OTHOSIS,291,1 ,$245.24 ,$159.41 ,$159.41 ,$628.40 ,$196.19 ,$251.36 ,$194.33 ,$220.84 ,$220.84 ,$477.58 ,$208.45 ,$181.48 ,$628.40 ,$251.36 , N/A ,$204.53 ,$251.36 ,$202.57 ,$196.19 ,$220.72 ,$245.24 ,$208.45 ,$245.24 ,$208.45 ,$208.45 ,$220.72 ,$220.72 ,$192.51 ,$202.57 ,$245.24 ,$159.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8010112,L1902,SWEEDO-ANKLE W/STAYS,291,1 ,$107.38 ,$69.80 ,$69.80 ,$203.55 ,$85.90 ,$81.42 ,$85.09 ,$96.70 ,$96.70 ,$154.70 ,$91.27 ,$79.46 ,$203.55 ,$81.42 , N/A ,$89.55 ,$81.42 ,$88.70 ,$85.90 ,$96.64 ,$107.38 ,$91.27 ,$87.20 ,$91.27 ,$91.27 ,$96.64 ,$96.64 ,$84.29 ,$88.70 ,$87.20 ,$69.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020200,E0241,BATHTUB RAILS,291,1 ,$51.70 ,$33.61 ,$33.61 ,$46.56 ,$41.36 , N/A ,$40.97 ,$46.56 ,$46.56 , N/A ,$43.95 ,$38.26 , N/A , N/A , N/A ,$43.12 , N/A ,$42.70 ,$41.36 ,$46.53 , N/A ,$43.95 , N/A ,$43.95 ,$43.95 ,$46.53 ,$46.53 ,$40.58 ,$42.70 , N/A ,$33.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020201,N/A,GRAB BARS-16,291,1 ,$45.90 ,$29.84 ,$29.84 ,$41.33 ,$36.72 , N/A ,$36.37 ,$41.33 ,$41.33 , N/A ,$39.02 ,$33.97 , N/A , N/A , N/A ,$38.28 , N/A ,$37.91 ,$36.72 ,$41.31 , N/A ,$39.02 , N/A ,$39.02 ,$39.02 ,$41.31 ,$41.31 ,$36.03 ,$37.91 , N/A ,$29.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020202,E0241,GRAB BARS-18,291,1 ,$46.52 ,$30.24 ,$30.24 ,$41.89 ,$37.22 , N/A ,$36.86 ,$41.89 ,$41.89 , N/A ,$39.54 ,$34.42 , N/A , N/A , N/A ,$38.80 , N/A ,$38.43 ,$37.22 ,$41.87 , N/A ,$39.54 , N/A ,$39.54 ,$39.54 ,$41.87 ,$41.87 ,$36.52 ,$38.43 , N/A ,$30.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020203,E0241,GRAB BARS-24,291,1 ,$42.47 ,$27.61 ,$27.61 ,$38.24 ,$33.98 , N/A ,$33.65 ,$38.24 ,$38.24 , N/A ,$36.10 ,$31.43 , N/A , N/A , N/A ,$35.42 , N/A ,$35.08 ,$33.98 ,$38.22 , N/A ,$36.10 , N/A ,$36.10 ,$36.10 ,$38.22 ,$38.22 ,$33.34 ,$35.08 , N/A ,$27.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020204,E0241,BATH BENCH-W/O BACK,291,1 ,$58.74 ,$38.18 ,$38.18 ,$52.90 ,$46.99 , N/A ,$46.55 ,$52.90 ,$52.90 , N/A ,$49.93 ,$43.47 , N/A , N/A , N/A ,$48.99 , N/A ,$48.52 ,$46.99 ,$52.87 , N/A ,$49.93 , N/A ,$49.93 ,$49.93 ,$52.87 ,$52.87 ,$46.11 ,$48.52 , N/A ,$38.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020205,E0245,BATH BENCH-WITH BACK,291,1 ,$51.92 ,$33.75 ,$33.75 ,$46.75 ,$41.54 , N/A ,$41.14 ,$46.75 ,$46.75 , N/A ,$44.13 ,$38.42 , N/A , N/A , N/A ,$43.30 , N/A ,$42.89 ,$41.54 ,$46.73 , N/A ,$44.13 , N/A ,$44.13 ,$44.13 ,$46.73 ,$46.73 ,$40.76 ,$42.89 , N/A ,$33.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020206,E0245,BATH BENCH-WITH OUT BACK,291,1 ,$63.28 ,$41.13 ,$41.13 ,$56.98 ,$50.62 , N/A ,$50.14 ,$56.98 ,$56.98 , N/A ,$53.79 ,$46.83 , N/A , N/A , N/A ,$52.78 , N/A ,$52.27 ,$50.62 ,$56.95 , N/A ,$53.79 , N/A ,$53.79 ,$53.79 ,$56.95 ,$56.95 ,$49.67 ,$52.27 , N/A ,$41.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020207,E0245,TRANSFER BENCH PADDED-W/BACK,291,1 ,$119.46 ,$77.65 ,$77.65 ,$107.57 ,$95.57 , N/A ,$94.66 ,$107.57 ,$107.57 , N/A ,$101.54 ,$88.40 , N/A , N/A , N/A ,$99.63 , N/A ,$98.67 ,$95.57 ,$107.51 , N/A ,$101.54 , N/A ,$101.54 ,$101.54 ,$107.51 ,$107.51 ,$93.78 ,$98.67 , N/A ,$77.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020208,E0247,TRANSFER BENCH NON-PAD W/BACK,291,1 ,$98.65 ,$64.12 ,$64.12 ,$88.83 ,$78.92 , N/A ,$78.17 ,$88.83 ,$88.83 , N/A ,$83.85 ,$73.00 , N/A , N/A , N/A ,$82.27 , N/A ,$81.48 ,$78.92 ,$88.79 , N/A ,$83.85 , N/A ,$83.85 ,$83.85 ,$88.79 ,$88.79 ,$77.44 ,$81.48 , N/A ,$64.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020209,N/A,LOCKING RAISED TOILET SEAT,291,1 ,$68.26 ,$44.37 ,$44.37 ,$61.47 ,$54.61 , N/A ,$54.09 ,$61.47 ,$61.47 , N/A ,$58.02 ,$50.51 , N/A , N/A , N/A ,$56.93 , N/A ,$56.38 ,$54.61 ,$61.43 , N/A ,$58.02 , N/A ,$58.02 ,$58.02 ,$61.43 ,$61.43 ,$53.58 ,$56.38 , N/A ,$44.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020210,E0244,RAISED TOILET SEAT NON-LOCKING,291,1 ,$29.97 ,$19.48 ,$19.48 ,$26.99 ,$23.98 , N/A ,$23.75 ,$26.99 ,$26.99 , N/A ,$25.47 ,$22.18 , N/A , N/A , N/A ,$25.00 , N/A ,$24.76 ,$23.98 ,$26.97 , N/A ,$25.47 , N/A ,$25.47 ,$25.47 ,$26.97 ,$26.97 ,$23.53 ,$24.76 , N/A ,$19.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020211,E0244,LOCKING RAISED TOIL SEAT W/RAILS,291,1 ,$64.90 ,$42.19 ,$42.19 ,$58.44 ,$51.92 , N/A ,$51.43 ,$58.44 ,$58.44 , N/A ,$55.17 ,$48.03 , N/A , N/A , N/A ,$54.13 , N/A ,$53.61 ,$51.92 ,$58.41 , N/A ,$55.17 , N/A ,$55.17 ,$55.17 ,$58.41 ,$58.41 ,$50.95 ,$53.61 , N/A ,$42.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020212,E0244,LOCKING RAISED TOIL SEAT W/RAILS,291,1 ,$64.90 ,$42.19 ,$42.19 ,$58.44 ,$51.92 , N/A ,$51.43 ,$58.44 ,$58.44 , N/A ,$55.17 ,$48.03 , N/A , N/A , N/A ,$54.13 , N/A ,$53.61 ,$51.92 ,$58.41 , N/A ,$55.17 , N/A ,$55.17 ,$55.17 ,$58.41 ,$58.41 ,$50.95 ,$53.61 , N/A ,$42.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020213,E0243,TOILET RAILS,291,1 ,$40.14 ,$26.09 ,$26.09 ,$36.15 ,$32.11 , N/A ,$31.81 ,$36.15 ,$36.15 , N/A ,$34.12 ,$29.70 , N/A , N/A , N/A ,$33.48 , N/A ,$33.16 ,$32.11 ,$36.13 , N/A ,$34.12 , N/A ,$34.12 ,$34.12 ,$36.13 ,$36.13 ,$31.51 ,$33.16 , N/A ,$26.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020214,E0160,SITZ BATH,291,1 ,$44.91 ,$29.19 ,$29.19 ,$87.02 ,$35.93 ,$34.81 ,$35.59 ,$40.44 ,$40.44 ,$66.13 ,$38.17 ,$33.23 ,$87.02 ,$34.81 , N/A ,$37.45 ,$34.81 ,$37.10 ,$35.93 ,$40.42 ,$44.91 ,$38.17 ,$37.28 ,$38.17 ,$38.17 ,$40.42 ,$40.42 ,$35.25 ,$37.10 ,$37.28 ,$29.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8020215,E1399,SHOWER HOSE KIT,291,1 ,$34.41 ,$22.37 ,$6.88 ,$30.99 ,$27.53 ,$6.88 ,$27.27 ,$30.99 ,$30.99 ,$13.08 ,$29.25 ,$25.46 ,$17.21 ,$6.88 , N/A ,$28.70 ,$6.88 ,$28.42 ,$27.53 ,$30.97 ,$17.21 ,$29.25 ,$7.37 ,$29.25 ,$29.25 ,$30.97 ,$30.97 ,$27.01 ,$28.42 ,$7.37 ,$22.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030300,A4572,RIB BELT-MALE UNIVERSAL,291,1 ,$52.09 ,$33.86 ,$33.86 ,$46.91 ,$41.67 , N/A ,$41.28 ,$46.91 ,$46.91 , N/A ,$44.28 ,$38.55 , N/A , N/A , N/A ,$43.44 , N/A ,$43.03 ,$41.67 ,$46.88 , N/A ,$44.28 , N/A ,$44.28 ,$44.28 ,$46.88 ,$46.88 ,$40.89 ,$43.03 , N/A ,$33.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030301,A4572,RIB BELT-FEMALE-UNIVERSAL,291,1 ,$52.09 ,$33.86 ,$33.86 ,$46.91 ,$41.67 , N/A ,$41.28 ,$46.91 ,$46.91 , N/A ,$44.28 ,$38.55 , N/A , N/A , N/A ,$43.44 , N/A ,$43.03 ,$41.67 ,$46.88 , N/A ,$44.28 , N/A ,$44.28 ,$44.28 ,$46.88 ,$46.88 ,$40.89 ,$43.03 , N/A ,$33.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030302,N/A,"GAIT BELT-60""",291,1 ,$34.57 ,$22.47 ,$22.47 ,$31.13 ,$27.66 , N/A ,$27.39 ,$31.13 ,$31.13 , N/A ,$29.38 ,$25.58 , N/A , N/A , N/A ,$28.83 , N/A ,$28.55 ,$27.66 ,$31.11 , N/A ,$29.38 , N/A ,$29.38 ,$29.38 ,$31.11 ,$31.11 ,$27.14 ,$28.55 , N/A ,$22.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030303,N/A,SAFE-T-LIFT BELT-XSM,291,1 ,$55.32 ,$35.96 ,$35.96 ,$49.82 ,$44.26 , N/A ,$43.84 ,$49.82 ,$49.82 , N/A ,$47.02 ,$40.94 , N/A , N/A , N/A ,$46.14 , N/A ,$45.69 ,$44.26 ,$49.79 , N/A ,$47.02 , N/A ,$47.02 ,$47.02 ,$49.79 ,$49.79 ,$43.43 ,$45.69 , N/A ,$35.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030304,N/A,SAFE-T-LIFT BELT-MD,291,1 ,$55.32 ,$35.96 ,$35.96 ,$49.82 ,$44.26 , N/A ,$43.84 ,$49.82 ,$49.82 , N/A ,$47.02 ,$40.94 , N/A , N/A , N/A ,$46.14 , N/A ,$45.69 ,$44.26 ,$49.79 , N/A ,$47.02 , N/A ,$47.02 ,$47.02 ,$49.79 ,$49.79 ,$43.43 ,$45.69 , N/A ,$35.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030305,N/A,SAFE-T-LIFT BELT-XLG,291,1 ,$55.32 ,$35.96 ,$35.96 ,$49.82 ,$44.26 , N/A ,$43.84 ,$49.82 ,$49.82 , N/A ,$47.02 ,$40.94 , N/A , N/A , N/A ,$46.14 , N/A ,$45.69 ,$44.26 ,$49.79 , N/A ,$47.02 , N/A ,$47.02 ,$47.02 ,$49.79 ,$49.79 ,$43.43 ,$45.69 , N/A ,$35.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030306,N/A,SAFE-T-LIFT BELT-2XL,291,1 ,$55.32 ,$35.96 ,$35.96 ,$49.82 ,$44.26 , N/A ,$43.84 ,$49.82 ,$49.82 , N/A ,$47.02 ,$40.94 , N/A , N/A , N/A ,$46.14 , N/A ,$45.69 ,$44.26 ,$49.79 , N/A ,$47.02 , N/A ,$47.02 ,$47.02 ,$49.79 ,$49.79 ,$43.43 ,$45.69 , N/A ,$35.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030307,L0976,SACRO LUMBAR SUPPORT-CORSETT,291,1 ,$231.45 ,$150.44 ,$150.44 ,$415.91 ,$185.16 ,$166.36 ,$183.40 ,$208.42 ,$208.42 ,$316.09 ,$196.73 ,$171.27 ,$415.91 ,$166.36 , N/A ,$193.03 ,$166.36 ,$191.18 ,$185.16 ,$208.31 ,$231.45 ,$196.73 ,$178.17 ,$196.73 ,$196.73 ,$208.31 ,$208.31 ,$181.69 ,$191.18 ,$178.17 ,$150.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030308,L0500,"ABDOMINAL BINDER 9""-30-45""",291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030309,K0635,"ABDOMINAL BINDER 9""-45-62""",291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030310,N/A,"ABDOMINAL BINDER 12""-UNIVERSAL",291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030311,L0472,LUMBAR-THORASIC SUPPORT,291,1 ,$400.79 ,$260.51 ,$260.51 ,"$1,013.22 ",$320.63 ,$405.29 ,$317.59 ,$360.91 ,$360.91 ,$770.04 ,$340.67 ,$296.58 ,"$1,013.22 ",$405.29 , N/A ,$334.26 ,$405.29 ,$331.05 ,$320.63 ,$360.71 ,$400.79 ,$340.67 ,$400.79 ,$340.67 ,$340.67 ,$360.71 ,$360.71 ,$314.62 ,$331.05 ,$400.79 ,$260.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030312,N/A,LUMBAR CUSHION -CORD MULTICOLORS,291,1 ,$33.49 ,$21.77 ,$21.77 ,$30.16 ,$26.79 , N/A ,$26.54 ,$30.16 ,$30.16 , N/A ,$28.47 ,$24.78 , N/A , N/A , N/A ,$27.93 , N/A ,$27.66 ,$26.79 ,$30.14 , N/A ,$28.47 , N/A ,$28.47 ,$28.47 ,$30.14 ,$30.14 ,$26.29 ,$27.66 , N/A ,$21.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030313,L8300,SOFT FORM HERNIA BELT-SM,291,1 ,$173.46 ,$112.75 ,$102.17 ,$255.43 ,$138.77 ,$102.17 ,$137.45 ,$156.20 ,$156.20 ,$194.13 ,$147.44 ,$128.36 ,$255.43 ,$102.17 , N/A ,$144.67 ,$102.17 ,$143.28 ,$138.77 ,$156.11 ,$173.46 ,$147.44 ,$109.43 ,$147.44 ,$147.44 ,$156.11 ,$156.11 ,$136.17 ,$143.28 ,$109.43 ,$112.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030314,L8300,SOFT FORM HERNIA BELT-MD,291,1 ,$173.46 ,$112.75 ,$102.17 ,$255.43 ,$138.77 ,$102.17 ,$137.45 ,$156.20 ,$156.20 ,$194.13 ,$147.44 ,$128.36 ,$255.43 ,$102.17 , N/A ,$144.67 ,$102.17 ,$143.28 ,$138.77 ,$156.11 ,$173.46 ,$147.44 ,$109.43 ,$147.44 ,$147.44 ,$156.11 ,$156.11 ,$136.17 ,$143.28 ,$109.43 ,$112.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8030315,L8300,SOFT FORM HERNIA BELT-LG,291,1 ,$173.46 ,$112.75 ,$102.17 ,$255.43 ,$138.77 ,$102.17 ,$137.45 ,$156.20 ,$156.20 ,$194.13 ,$147.44 ,$128.36 ,$255.43 ,$102.17 , N/A ,$144.67 ,$102.17 ,$143.28 ,$138.77 ,$156.11 ,$173.46 ,$147.44 ,$109.43 ,$147.44 ,$147.44 ,$156.11 ,$156.11 ,$136.17 ,$143.28 ,$109.43 ,$112.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040400,E0100,"CANES,STD-LIGHT WOOD 7/8""",291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040401,E0100,"CANES,STD-DARK WOOD 1""",291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040402,E0100,"CANES,FOLDING BLACK ALUMINUM",291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040403,E0100,"CANES,STANDARD-BLACK",291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040404,E0100,"CANES,OFFSET-BLACK",291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040405,E0105,"CANES,QUAD SM BASE-BLACK",291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040406,E0105,"CANES,QUAD SM BASE-CHROME",291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040407,E0105,"CANES,QUAD SM BASE-BRONZE",291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040408,E0105,"CANES,LG BASE-BLACK",291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040409,E0105,"CANES,QUAD LG BASE-BLACK",291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8040410,E0105,"CANES,QUAD LG BASE-BRONZE",291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8050500,L3651,SHOULDER IMMOBILIZER-CHILD,291,1 ,$78.77 ,$51.20 ,$51.20 ,$70.93 ,$63.02 , N/A ,$62.42 ,$70.93 ,$70.93 , N/A ,$66.95 ,$58.29 , N/A , N/A , N/A ,$65.69 , N/A ,$65.06 ,$63.02 ,$70.89 , N/A ,$66.95 , N/A ,$66.95 ,$66.95 ,$70.89 ,$70.89 ,$61.83 ,$65.06 , N/A ,$51.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),8050501,L3651,SHOULDER IMMOBILIZER-ADULT,291,1 ,$78.77 ,$51.20 ,$51.20 ,$70.93 ,$63.02 , N/A ,$62.42 ,$70.93 ,$70.93 , N/A ,$66.95 ,$58.29 , N/A , N/A , N/A ,$65.69 , N/A ,$65.06 ,$63.02 ,$70.89 , N/A ,$66.95 , N/A ,$66.95 ,$66.95 ,$70.89 ,$70.89 ,$61.83 ,$65.06 , N/A ,$51.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),8050502,L3650,CLAVICLE SUPPORT FIGURE 8,291,1 ,$81.13 ,$52.73 ,$52.73 ,$172.23 ,$64.90 ,$68.89 ,$64.29 ,$73.06 ,$73.06 ,$130.89 ,$68.96 ,$60.04 ,$172.23 ,$68.89 , N/A ,$67.66 ,$68.89 ,$67.01 ,$64.90 ,$73.02 ,$81.13 ,$68.96 ,$73.78 ,$68.96 ,$68.96 ,$73.02 ,$73.02 ,$63.69 ,$67.01 ,$73.78 ,$52.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),8050503,A4565,ARM SLING-PEDIATRIC,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8050504,A4565,ARM SLING-CHILD-MD-SNOOPY,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8050505,A4565,ARM SLING-CHILD-MD-SNOOPY,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8050506,A4565,ARM SLING-ADULT,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8050507,L0472,CASH ORTHOSIS,291,1 ,$400.79 ,$260.51 ,$260.51 ,"$1,013.22 ",$320.63 ,$405.29 ,$317.59 ,$360.91 ,$360.91 ,$770.04 ,$340.67 ,$296.58 ,"$1,013.22 ",$405.29 , N/A ,$334.26 ,$405.29 ,$331.05 ,$320.63 ,$360.71 ,$400.79 ,$340.67 ,$400.79 ,$340.67 ,$340.67 ,$360.71 ,$360.71 ,$314.62 ,$331.05 ,$400.79 ,$260.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),8060600,L0120,"CERVICAL COLLAR-UNIVERSAL 2""",291,1 ,$31.34 ,$20.37 ,$20.37 ,$68.77 ,$25.07 ,$27.51 ,$24.83 ,$28.22 ,$28.22 ,$52.27 ,$26.64 ,$23.19 ,$68.77 ,$27.51 , N/A ,$26.14 ,$27.51 ,$25.89 ,$25.07 ,$28.21 ,$31.34 ,$26.64 ,$29.46 ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 ,$29.46 ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8060601,L0120,"CERVICAL COLLAR-UNIVERSAL 3""",291,1 ,$31.34 ,$20.37 ,$20.37 ,$68.77 ,$25.07 ,$27.51 ,$24.83 ,$28.22 ,$28.22 ,$52.27 ,$26.64 ,$23.19 ,$68.77 ,$27.51 , N/A ,$26.14 ,$27.51 ,$25.89 ,$25.07 ,$28.21 ,$31.34 ,$26.64 ,$29.46 ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 ,$29.46 ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8060602,L0120,"CERVICAL COLLAR-UNIVERSAL 4""",291,1 ,$31.34 ,$20.37 ,$20.37 ,$68.77 ,$25.07 ,$27.51 ,$24.83 ,$28.22 ,$28.22 ,$52.27 ,$26.64 ,$23.19 ,$68.77 ,$27.51 , N/A ,$26.14 ,$27.51 ,$25.89 ,$25.07 ,$28.21 ,$31.34 ,$26.64 ,$29.46 ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 ,$29.46 ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8060603,L0120,CERVICAL COLLAR-UNIV. FOAM-SM,291,1 ,$31.34 ,$20.37 ,$20.37 ,$68.77 ,$25.07 ,$27.51 ,$24.83 ,$28.22 ,$28.22 ,$52.27 ,$26.64 ,$23.19 ,$68.77 ,$27.51 , N/A ,$26.14 ,$27.51 ,$25.89 ,$25.07 ,$28.21 ,$31.34 ,$26.64 ,$29.46 ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 ,$29.46 ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8060604,N/A,"CERVICAL COLLAR-2 1/2""SPORTAID",291,1 ,$31.34 ,$20.37 ,$20.37 ,$28.22 ,$25.07 , N/A ,$24.83 ,$28.22 ,$28.22 , N/A ,$26.64 ,$23.19 , N/A , N/A , N/A ,$26.14 , N/A ,$25.89 ,$25.07 ,$28.21 , N/A ,$26.64 , N/A ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 , N/A ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8060605,L0120,CERVICAL PILLOW COVER,291,1 ,$31.34 ,$20.37 ,$20.37 ,$68.77 ,$25.07 ,$27.51 ,$24.83 ,$28.22 ,$28.22 ,$52.27 ,$26.64 ,$23.19 ,$68.77 ,$27.51 , N/A ,$26.14 ,$27.51 ,$25.89 ,$25.07 ,$28.21 ,$31.34 ,$26.64 ,$29.46 ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 ,$29.46 ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8070700,E0163,COMMODE-STANDARD,291,1 ,$155.85 ,$101.30 ,$88.75 ,$221.89 ,$124.68 ,$88.75 ,$123.50 ,$140.34 ,$140.34 ,$168.63 ,$132.47 ,$115.33 ,$221.89 ,$88.75 , N/A ,$129.98 ,$88.75 ,$128.73 ,$124.68 ,$140.27 ,$155.85 ,$132.47 ,$95.06 ,$132.47 ,$132.47 ,$140.27 ,$140.27 ,$122.34 ,$128.73 ,$95.06 ,$101.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8070701,E0165,COMMODE-DROP ARM,291,1 ,$267.42 ,$173.82 ,$53.48 ,$240.81 ,$213.94 ,$53.48 ,$211.90 ,$240.81 ,$240.81 ,$101.62 ,$227.31 ,$197.89 ,$133.71 ,$53.48 , N/A ,$223.03 ,$53.48 ,$220.89 ,$213.94 ,$240.68 ,$133.71 ,$227.31 ,$57.28 ,$227.31 ,$227.31 ,$240.68 ,$240.68 ,$209.92 ,$220.89 ,$57.28 ,$173.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),8070702,E0167,COMMODE-BUCKET,291,1 ,$19.47 ,$12.66 ,$12.66 ,$34.02 ,$15.58 ,$13.61 ,$15.43 ,$17.53 ,$17.53 ,$25.85 ,$16.55 ,$14.41 ,$34.02 ,$13.61 , N/A ,$16.24 ,$13.61 ,$16.08 ,$15.58 ,$17.52 ,$19.47 ,$16.55 ,$14.57 ,$16.55 ,$16.55 ,$17.52 ,$17.52 ,$15.28 ,$16.08 ,$14.57 ,$12.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080800,E0601,S7 LIGHTWEIGHT CPAP,291,1 ,"$1,327.50 ",$862.88 ,$265.50 ,"$1,195.41 ","$1,062.00 ",$265.50 ,"$1,051.91 ","$1,195.41 ","$1,195.41 ",$504.45 ,"$1,128.38 ",$982.35 ,$663.75 ,$265.50 , N/A ,"$1,107.14 ",$265.50 ,"$1,096.52 ","$1,062.00 ","$1,194.75 ",$663.75 ,"$1,128.38 ",$284.35 ,"$1,128.38 ","$1,128.38 ","$1,194.75 ","$1,194.75 ","$1,042.09 ","$1,096.52 ",$284.35 ,$862.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080801,E0562,HUMIDIFIER 2i-HEATED,291,1 ,$439.55 ,$285.71 ,$230.16 ,$575.40 ,$351.64 ,$230.16 ,$348.30 ,$395.81 ,$395.81 ,$437.30 ,$373.62 ,$325.27 ,$575.40 ,$230.16 , N/A ,$366.58 ,$230.16 ,$363.07 ,$351.64 ,$395.60 ,$439.55 ,$373.62 ,$246.50 ,$373.62 ,$373.62 ,$395.60 ,$395.60 ,$345.05 ,$363.07 ,$246.50 ,$285.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080802,E0561,HUMIDIFIER 2iC-COOL MIST,291,1 ,$203.55 ,$132.31 ,$108.29 ,$270.74 ,$162.84 ,$108.29 ,$161.29 ,$183.30 ,$183.30 ,$205.76 ,$173.02 ,$150.63 ,$270.74 ,$108.29 , N/A ,$169.76 ,$108.29 ,$168.13 ,$162.84 ,$183.20 ,$203.55 ,$173.02 ,$115.98 ,$173.02 ,$173.02 ,$183.20 ,$183.20 ,$159.79 ,$168.13 ,$115.98 ,$132.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080803,A7030,REUSABLE FULL FACE MASK-MD,291,1 ,$279.80 ,$181.87 ,$147.02 ,$367.56 ,$223.84 ,$147.02 ,$221.71 ,$251.96 ,$251.96 ,$279.35 ,$237.83 ,$207.05 ,$367.56 ,$147.02 , N/A ,$233.35 ,$147.02 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$157.46 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$157.46 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080804,N/A,MIRAGE MASK W/HEADGEAR,291,1 ,$279.80 ,$181.87 ,$181.87 ,$251.96 ,$223.84 , N/A ,$221.71 ,$251.96 ,$251.96 , N/A ,$237.83 ,$207.05 , N/A , N/A , N/A ,$233.35 , N/A ,$231.11 ,$223.84 ,$251.82 , N/A ,$237.83 , N/A ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 , N/A ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080805,N/A,FULL FACE,291,1 ,$279.80 ,$181.87 ,$181.87 ,$251.96 ,$223.84 , N/A ,$221.71 ,$251.96 ,$251.96 , N/A ,$237.83 ,$207.05 , N/A , N/A , N/A ,$233.35 , N/A ,$231.11 ,$223.84 ,$251.82 , N/A ,$237.83 , N/A ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 , N/A ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080806,A7034,ULTRA VISTA NASAL MASK,291,1 ,$269.04 ,$174.88 ,$111.10 ,$277.76 ,$215.23 ,$111.10 ,$213.19 ,$242.27 ,$242.27 ,$211.10 ,$228.68 ,$199.09 ,$277.76 ,$111.10 , N/A ,$224.38 ,$111.10 ,$222.23 ,$215.23 ,$242.14 ,$269.04 ,$228.68 ,$118.99 ,$228.68 ,$228.68 ,$242.14 ,$242.14 ,$211.20 ,$222.23 ,$118.99 ,$174.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080807,A7030,NASAL AIR,291,1 ,$189.74 ,$123.33 ,$123.33 ,$322.53 ,$151.79 ,$129.01 ,$150.35 ,$170.86 ,$170.86 ,$245.12 ,$161.28 ,$140.41 ,$322.53 ,$129.01 , N/A ,$158.24 ,$129.01 ,$156.73 ,$151.79 ,$170.77 ,$189.74 ,$161.28 ,$138.17 ,$161.28 ,$161.28 ,$170.77 ,$170.77 ,$148.95 ,$156.73 ,$138.17 ,$123.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080808,A7030,GEL MASK,291,1 ,$189.74 ,$123.33 ,$123.33 ,$322.53 ,$151.79 ,$129.01 ,$150.35 ,$170.86 ,$170.86 ,$245.12 ,$161.28 ,$140.41 ,$322.53 ,$129.01 , N/A ,$158.24 ,$129.01 ,$156.73 ,$151.79 ,$170.77 ,$189.74 ,$161.28 ,$138.17 ,$161.28 ,$161.28 ,$170.77 ,$170.77 ,$148.95 ,$156.73 ,$138.17 ,$123.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080809,A7035,MESH SOFTCAP-MD,291,1 ,$80.24 ,$52.16 ,$35.07 ,$87.68 ,$64.19 ,$35.07 ,$63.58 ,$72.26 ,$72.26 ,$66.64 ,$68.20 ,$59.38 ,$87.68 ,$35.07 , N/A ,$66.92 ,$35.07 ,$66.28 ,$64.19 ,$72.22 ,$80.24 ,$68.20 ,$37.56 ,$68.20 ,$68.20 ,$72.22 ,$72.22 ,$62.99 ,$66.28 ,$37.56 ,$52.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080810,A7035,MESH SOFTCAP-LG,291,1 ,$80.24 ,$52.16 ,$35.07 ,$87.68 ,$64.19 ,$35.07 ,$63.58 ,$72.26 ,$72.26 ,$66.64 ,$68.20 ,$59.38 ,$87.68 ,$35.07 , N/A ,$66.92 ,$35.07 ,$66.28 ,$64.19 ,$72.22 ,$80.24 ,$68.20 ,$37.56 ,$68.20 ,$68.20 ,$72.22 ,$72.22 ,$62.99 ,$66.28 ,$37.56 ,$52.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080811,A7035,MESH SOFTCAP-XLG,291,1 ,$56.51 ,$36.73 ,$30.33 ,$75.82 ,$45.21 ,$30.33 ,$44.78 ,$50.89 ,$50.89 ,$57.62 ,$48.03 ,$41.82 ,$75.82 ,$30.33 , N/A ,$47.13 ,$30.33 ,$46.68 ,$45.21 ,$50.86 ,$56.51 ,$48.03 ,$32.48 ,$48.03 ,$48.03 ,$50.86 ,$50.86 ,$44.36 ,$46.68 ,$32.48 ,$36.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080812,N/A,SHIELDED DC CORD,291,1 ,$47.37 ,$30.79 ,$30.79 ,$42.66 ,$37.90 , N/A ,$37.54 ,$42.66 ,$42.66 , N/A ,$40.26 ,$35.05 , N/A , N/A , N/A ,$39.51 , N/A ,$39.13 ,$37.90 ,$42.63 , N/A ,$40.26 , N/A ,$40.26 ,$40.26 ,$42.63 ,$42.63 ,$37.19 ,$39.13 , N/A ,$30.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080813,N/A,OXYGEN T-ADAPTER,291,1 ,$11.66 ,$7.58 ,$7.58 ,$10.50 ,$9.33 , N/A ,$9.24 ,$10.50 ,$10.50 , N/A ,$9.91 ,$8.63 , N/A , N/A , N/A ,$9.72 , N/A ,$9.63 ,$9.33 ,$10.49 , N/A ,$9.91 , N/A ,$9.91 ,$9.91 ,$10.49 ,$10.49 ,$9.15 ,$9.63 , N/A ,$7.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080814,A7038,RP-LX ULTRA FINE FILTERS,291,1 ,$8.13 ,$5.28 ,$3.79 ,$9.49 ,$6.50 ,$3.79 ,$6.44 ,$7.32 ,$7.32 ,$7.21 ,$6.91 ,$6.02 ,$9.49 ,$3.79 , N/A ,$6.78 ,$3.79 ,$6.72 ,$6.50 ,$7.32 ,$8.13 ,$6.91 ,$4.06 ,$6.91 ,$6.91 ,$7.32 ,$7.32 ,$6.38 ,$6.72 ,$4.06 ,$5.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080815,A7037,CPAP TUBING,291,1 ,$60.32 ,$39.21 ,$27.43 ,$68.58 ,$48.26 ,$27.43 ,$47.80 ,$54.32 ,$54.32 ,$52.12 ,$51.27 ,$44.64 ,$68.58 ,$27.43 , N/A ,$50.31 ,$27.43 ,$49.82 ,$48.26 ,$54.29 ,$60.32 ,$51.27 ,$29.38 ,$51.27 ,$51.27 ,$54.29 ,$54.29 ,$47.35 ,$49.82 ,$29.38 ,$39.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080816,E0562,CPAP HEATED HUMIDIFIER,291,1 ,$444.29 ,$288.79 ,$231.11 ,$577.77 ,$355.43 ,$231.11 ,$352.06 ,$400.08 ,$400.08 ,$439.10 ,$377.65 ,$328.77 ,$577.77 ,$231.11 , N/A ,$370.54 ,$231.11 ,$366.98 ,$355.43 ,$399.86 ,$444.29 ,$377.65 ,$247.51 ,$377.65 ,$377.65 ,$399.86 ,$399.86 ,$348.77 ,$366.98 ,$247.51 ,$288.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080817,E0561,CPAP COOL MIST,291,1 ,$218.77 ,$142.20 ,$111.34 ,$278.35 ,$175.02 ,$111.34 ,$173.35 ,$197.00 ,$197.00 ,$211.54 ,$185.95 ,$161.89 ,$278.35 ,$111.34 , N/A ,$182.45 ,$111.34 ,$180.70 ,$175.02 ,$196.89 ,$218.77 ,$185.95 ,$119.24 ,$185.95 ,$185.95 ,$196.89 ,$196.89 ,$171.73 ,$180.70 ,$119.24 ,$142.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),8080818,E0562,S8 HEATED HUMIDIFIER,291,1 ,$382.32 ,$248.51 ,$218.71 ,$546.78 ,$305.86 ,$218.71 ,$302.95 ,$344.28 ,$344.28 ,$415.55 ,$324.97 ,$282.92 ,$546.78 ,$218.71 , N/A ,$318.85 ,$218.71 ,$315.80 ,$305.86 ,$344.09 ,$382.32 ,$324.97 ,$234.24 ,$324.97 ,$324.97 ,$344.09 ,$344.09 ,$300.12 ,$315.80 ,$234.24 ,$248.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090900,E0114,"CRUTCHES,ALUMINUM",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090901,E0116,"CRUTCHES,ALUMINUM",291,1 ,$70.79 ,$46.01 ,$40.00 ,$100.00 ,$56.63 ,$40.00 ,$56.09 ,$63.75 ,$63.75 ,$76.00 ,$60.17 ,$52.38 ,$100.00 ,$40.00 , N/A ,$59.04 ,$40.00 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$42.84 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$42.84 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090902,E0114,"CRUTCHES-CHILD-4'0""-4'6""",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090903,E0114,"CRUTCHES-CHILD-4'6""-5'2""",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090904,E0114,"CRUTCHES-CHILD-5'2""-5'10""",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090905,E0114,"CRUTCHES-CHILD-5'10""-6'6""",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090906,E0110,"CRUTCHES,FOREARM",291,1 ,$105.80 ,$68.77 ,$68.77 ,$216.92 ,$84.64 ,$86.77 ,$83.84 ,$95.27 ,$95.27 ,$164.86 ,$89.93 ,$78.29 ,$216.92 ,$86.77 , N/A ,$88.24 ,$86.77 ,$87.39 ,$84.64 ,$95.22 ,$105.80 ,$89.93 ,$92.93 ,$89.93 ,$89.93 ,$95.22 ,$95.22 ,$83.05 ,$87.39 ,$92.93 ,$68.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090907,E0110,"CRUTCHES,FOREARM",291,1 ,$105.80 ,$68.77 ,$68.77 ,$216.92 ,$84.64 ,$86.77 ,$83.84 ,$95.27 ,$95.27 ,$164.86 ,$89.93 ,$78.29 ,$216.92 ,$86.77 , N/A ,$88.24 ,$86.77 ,$87.39 ,$84.64 ,$95.22 ,$105.80 ,$89.93 ,$92.93 ,$89.93 ,$89.93 ,$95.22 ,$95.22 ,$83.05 ,$87.39 ,$92.93 ,$68.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8090908,E0110,"CRUTCHES,FOREARM",291,1 ,$105.80 ,$68.77 ,$68.77 ,$216.92 ,$84.64 ,$86.77 ,$83.84 ,$95.27 ,$95.27 ,$164.86 ,$89.93 ,$78.29 ,$216.92 ,$86.77 , N/A ,$88.24 ,$86.77 ,$87.39 ,$84.64 ,$95.22 ,$105.80 ,$89.93 ,$92.93 ,$89.93 ,$89.93 ,$95.22 ,$95.22 ,$83.05 ,$87.39 ,$92.93 ,$68.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),81,N/A,NF-NICOTINE TRANSDERMAL PATCH ER 7MG/24H,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8101000,A4253,DEX 2/BREEZE-TEST STRIPS,291,1 ,$70.80 ,$46.02 ,$46.02 ,$63.76 ,$56.64 , N/A ,$56.10 ,$63.76 ,$63.76 , N/A ,$60.18 ,$52.39 , N/A , N/A , N/A ,$59.05 , N/A ,$58.48 ,$56.64 ,$63.72 , N/A ,$60.18 , N/A ,$60.18 ,$60.18 ,$63.72 ,$63.72 ,$55.58 ,$58.48 , N/A ,$46.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8101001,A4253,ASCENSIA-TEST STRIPS,291,1 ,$70.80 ,$46.02 ,$46.02 ,$63.76 ,$56.64 , N/A ,$56.10 ,$63.76 ,$63.76 , N/A ,$60.18 ,$52.39 , N/A , N/A , N/A ,$59.05 , N/A ,$58.48 ,$56.64 ,$63.72 , N/A ,$60.18 , N/A ,$60.18 ,$60.18 ,$63.72 ,$63.72 ,$55.58 ,$58.48 , N/A ,$46.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8101002,A4259,SUNMARK THIN LANCETS,291,1 ,$18.17 ,$11.81 ,$11.81 ,$16.36 ,$14.54 , N/A ,$14.40 ,$16.36 ,$16.36 , N/A ,$15.44 ,$13.45 , N/A , N/A , N/A ,$15.15 , N/A ,$15.01 ,$14.54 ,$16.35 , N/A ,$15.44 , N/A ,$15.44 ,$15.44 ,$16.35 ,$16.35 ,$14.26 ,$15.01 , N/A ,$11.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111100,A4465,PNUEMATIC ARMBAND,291,1 ,$27.59 ,$17.93 ,$17.93 ,$24.84 ,$22.07 , N/A ,$21.86 ,$24.84 ,$24.84 , N/A ,$23.45 ,$20.42 , N/A , N/A , N/A ,$23.01 , N/A ,$22.79 ,$22.07 ,$24.83 , N/A ,$23.45 , N/A ,$23.45 ,$23.45 ,$24.83 ,$24.83 ,$21.66 ,$22.79 , N/A ,$17.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111101,E0191,ELBOW PROTECTOR,291,1 ,$20.04 ,$13.03 ,$13.03 ,$33.28 ,$16.03 ,$13.31 ,$15.88 ,$18.05 ,$18.05 ,$25.29 ,$17.03 ,$14.83 ,$33.28 ,$13.31 , N/A ,$16.71 ,$13.31 ,$16.55 ,$16.03 ,$18.04 ,$20.04 ,$17.03 ,$14.26 ,$17.03 ,$17.03 ,$18.04 ,$18.04 ,$15.73 ,$16.55 ,$14.26 ,$13.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111102,L3701,ELBOW SUPPORT-ELASTIC SM,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111103,L3701,ELBOW SUPPORT-ELASTIC LG,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111104,L3701,ELBOW SUPPORT-ELASTIC SM,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111105,L3701,ELBOW SUPPORT-ELASTIC MD,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111106,L3701,ELBOW SUPPORT-ELASTIC LG,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111107,L3701,ELBOW SUPPORT-ELASTIC XLG,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111108,L3701,ELBOW SUPPORT-NEOPRENE LG/XLG,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111109,L3908,PROLITE WRIST-SPLINT DELUXE,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111110,L3908,PROLITE WRIST-SPLINT BRACE,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111111,L3908,PROLITE WRIST-COMPRESS,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111112,L3908,WRIST SPLINT-SUPPORT,291,1 ,$18.87 ,$12.27 ,$12.27 ,$143.40 ,$15.10 ,$57.36 ,$14.95 ,$16.99 ,$16.99 ,$108.98 ,$16.04 ,$13.96 ,$143.40 ,$57.36 , N/A ,$15.74 ,$57.36 ,$15.59 ,$15.10 ,$16.98 ,$18.87 ,$16.04 ,$18.87 ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 ,$18.87 ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111113,L3908,WRIST SPLINT-WRAP,291,1 ,$18.87 ,$12.27 ,$12.27 ,$143.40 ,$15.10 ,$57.36 ,$14.95 ,$16.99 ,$16.99 ,$108.98 ,$16.04 ,$13.96 ,$143.40 ,$57.36 , N/A ,$15.74 ,$57.36 ,$15.59 ,$15.10 ,$16.98 ,$18.87 ,$16.04 ,$18.87 ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 ,$18.87 ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111114,L3908,WRIST SPLINT-UNIVERSAL,291,1 ,$32.41 ,$21.07 ,$21.07 ,$150.17 ,$25.93 ,$60.07 ,$25.68 ,$29.19 ,$29.19 ,$114.13 ,$27.55 ,$23.98 ,$150.17 ,$60.07 , N/A ,$27.03 ,$60.07 ,$26.77 ,$25.93 ,$29.17 ,$32.41 ,$27.55 ,$32.41 ,$27.55 ,$27.55 ,$29.17 ,$29.17 ,$25.44 ,$26.77 ,$32.41 ,$21.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111115,L3923,THUMB SPICA-RIGHT,291,1 ,$41.72 ,$27.12 ,$27.12 ,$197.36 ,$33.38 ,$78.94 ,$33.06 ,$37.57 ,$37.57 ,$149.99 ,$35.46 ,$30.87 ,$197.36 ,$78.94 , N/A ,$34.79 ,$78.94 ,$34.46 ,$33.38 ,$37.55 ,$41.72 ,$35.46 ,$41.72 ,$35.46 ,$35.46 ,$37.55 ,$37.55 ,$32.75 ,$34.46 ,$41.72 ,$27.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8111116,L3923,THUMB SPICA-LEFT,291,1 ,$41.72 ,$27.12 ,$27.12 ,$197.36 ,$33.38 ,$78.94 ,$33.06 ,$37.57 ,$37.57 ,$149.99 ,$35.46 ,$30.87 ,$197.36 ,$78.94 , N/A ,$34.79 ,$78.94 ,$34.46 ,$33.38 ,$37.55 ,$41.72 ,$35.46 ,$41.72 ,$35.46 ,$35.46 ,$37.55 ,$37.55 ,$32.75 ,$34.46 ,$41.72 ,$27.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121200,E0265,HOSPITAL BED PACKAGE,291,1 ,"$2,589.84 ","$1,683.40 ",$517.97 ,"$2,332.15 ","$2,071.87 ",$517.97 ,"$2,052.19 ","$2,332.15 ","$2,332.15 ",$984.14 ,"$2,201.36 ","$1,916.48 ","$1,294.92 ",$517.97 , N/A ,"$2,159.93 ",$517.97 ,"$2,139.21 ","$2,071.87 ","$2,330.86 ","$1,294.92 ","$2,201.36 ",$554.74 ,"$2,201.36 ","$2,201.36 ","$2,330.86 ","$2,330.86 ","$2,033.02 ","$2,139.21 ",$554.74 ,"$1,683.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8121201,N/A,FITTED MATTRESS COVER,291,1 ,$8.40 ,$5.46 ,$5.46 ,$7.56 ,$6.72 , N/A ,$6.66 ,$7.56 ,$7.56 , N/A ,$7.14 ,$6.22 , N/A , N/A , N/A ,$7.01 , N/A ,$6.94 ,$6.72 ,$7.56 , N/A ,$7.14 , N/A ,$7.14 ,$7.14 ,$7.56 ,$7.56 ,$6.59 ,$6.94 , N/A ,$5.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121202,N/A,"HOSPITAL BED, FITTED SHEETS",291,1 ,$9.44 ,$6.14 ,$6.14 ,$8.50 ,$7.55 , N/A ,$7.48 ,$8.50 ,$8.50 , N/A ,$8.02 ,$6.99 , N/A , N/A , N/A ,$7.87 , N/A ,$7.80 ,$7.55 ,$8.50 , N/A ,$8.02 , N/A ,$8.02 ,$8.02 ,$8.50 ,$8.50 ,$7.41 ,$7.80 , N/A ,$6.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121203,E0310,"BED RAIL, TWIN SIZE",291,1 ,$103.84 ,$67.50 ,$67.50 ,$259.60 ,$83.07 ,$103.84 ,$82.28 ,$93.51 ,$93.51 ,$197.30 ,$88.26 ,$76.84 ,$259.60 ,$103.84 , N/A ,$86.60 ,$103.84 ,$85.77 ,$83.07 ,$93.46 ,$103.84 ,$88.26 ,$103.84 ,$88.26 ,$88.26 ,$93.46 ,$93.46 ,$81.51 ,$85.77 ,$103.84 ,$67.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121204,N/A,"BED RAIL,QUEEN SIZE, SPECIAL ORDER",291,1 ,$339.84 ,$220.90 ,$220.90 ,$306.03 ,$271.87 , N/A ,$269.29 ,$306.03 ,$306.03 , N/A ,$288.86 ,$251.48 , N/A , N/A , N/A ,$283.43 , N/A ,$280.71 ,$271.87 ,$305.86 , N/A ,$288.86 , N/A ,$288.86 ,$288.86 ,$305.86 ,$305.86 ,$266.77 ,$280.71 , N/A ,$220.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121205,E0180,ALTERNATIVE PRESSURE PAD,291,1 ,$252.82 ,$164.33 ,$164.33 ,$227.66 ,$202.26 , N/A ,$200.33 ,$227.66 ,$227.66 , N/A ,$214.90 ,$187.09 , N/A , N/A , N/A ,$210.85 , N/A ,$208.83 ,$202.26 ,$227.54 , N/A ,$214.90 , N/A ,$214.90 ,$214.90 ,$227.54 ,$227.54 ,$198.46 ,$208.83 , N/A ,$164.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121206,E0199,MATTRESS PAD-EGG CRATE FOAM,291,1 ,$45.18 ,$29.37 ,$29.37 ,$82.79 ,$36.14 ,$33.12 ,$35.80 ,$40.68 ,$40.68 ,$62.92 ,$38.40 ,$33.43 ,$82.79 ,$33.12 , N/A ,$37.68 ,$33.12 ,$37.32 ,$36.14 ,$40.66 ,$45.18 ,$38.40 ,$35.47 ,$38.40 ,$38.40 ,$40.66 ,$40.66 ,$35.47 ,$37.32 ,$35.47 ,$29.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121207,N/A,"WEDGE PILLOW-7""",291,1 ,$88.87 ,$57.77 ,$57.77 ,$80.03 ,$71.10 , N/A ,$70.42 ,$80.03 ,$80.03 , N/A ,$75.54 ,$65.76 , N/A , N/A , N/A ,$74.12 , N/A ,$73.41 ,$71.10 ,$79.98 , N/A ,$75.54 , N/A ,$75.54 ,$75.54 ,$79.98 ,$79.98 ,$69.76 ,$73.41 , N/A ,$57.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121208,N/A,"WEDGE PILLOW-10""",291,1 ,$93.39 ,$60.70 ,$60.70 ,$84.10 ,$74.71 , N/A ,$74.00 ,$84.10 ,$84.10 , N/A ,$79.38 ,$69.11 , N/A , N/A , N/A ,$77.89 , N/A ,$77.14 ,$74.71 ,$84.05 , N/A ,$79.38 , N/A ,$79.38 ,$79.38 ,$84.05 ,$84.05 ,$73.31 ,$77.14 , N/A ,$60.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121209,N/A,"WEDGE PILLOW-12""",291,1 ,$103.49 ,$67.27 ,$67.27 ,$93.19 ,$82.79 , N/A ,$82.01 ,$93.19 ,$93.19 , N/A ,$87.97 ,$76.58 , N/A , N/A , N/A ,$86.31 , N/A ,$85.48 ,$82.79 ,$93.14 , N/A ,$87.97 , N/A ,$87.97 ,$87.97 ,$93.14 ,$93.14 ,$81.24 ,$85.48 , N/A ,$67.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121210,E0940,OVERBED TRAPEZE BASE,291,1 ,$280.25 ,$182.16 ,$56.05 ,$252.37 ,$224.20 ,$56.05 ,$222.07 ,$252.37 ,$252.37 ,$106.50 ,$238.21 ,$207.39 ,$140.13 ,$56.05 , N/A ,$233.73 ,$56.05 ,$231.49 ,$224.20 ,$252.23 ,$140.13 ,$238.21 ,$60.03 ,$238.21 ,$238.21 ,$252.23 ,$252.23 ,$220.00 ,$231.49 ,$60.03 ,$182.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121211,N/A,OVERBED TABLE,291,1 ,$192.40 ,$125.06 ,$125.06 ,$173.26 ,$153.92 , N/A ,$152.46 ,$173.26 ,$173.26 , N/A ,$163.54 ,$142.38 , N/A , N/A , N/A ,$160.46 , N/A ,$158.92 ,$153.92 ,$173.16 , N/A ,$163.54 , N/A ,$163.54 ,$163.54 ,$173.16 ,$173.16 ,$151.03 ,$158.92 , N/A ,$125.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121212,E0630,PATIENT LIFTER W/SLING,291,1 ,"$2,124.00 ","$1,380.60 ",$424.80 ,"$1,912.66 ","$1,699.20 ",$424.80 ,"$1,683.06 ","$1,912.66 ","$1,912.66 ",$807.12 ,"$1,805.40 ","$1,571.76 ","$1,062.00 ",$424.80 , N/A ,"$1,771.42 ",$424.80 ,"$1,754.42 ","$1,699.20 ","$1,911.60 ","$1,062.00 ","$1,805.40 ",$454.96 ,"$1,805.40 ","$1,805.40 ","$1,911.60 ","$1,911.60 ","$1,667.34 ","$1,754.42 ",$454.96 ,"$1,380.60 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8121213,A9270,BED CANE-SPECIAL ORDER,291,1 ,$160.48 ,$104.31 ,$104.31 ,$144.51 ,$128.38 , N/A ,$127.16 ,$144.51 ,$144.51 , N/A ,$136.41 ,$118.76 , N/A , N/A , N/A ,$133.84 , N/A ,$132.56 ,$128.38 ,$144.43 , N/A ,$136.41 , N/A ,$136.41 ,$136.41 ,$144.43 ,$144.43 ,$125.98 ,$132.56 , N/A ,$104.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121214,N/A,ICU TELEMETER GOWN,291,1 ,$12.97 ,$8.43 ,$8.43 ,$11.68 ,$10.38 , N/A ,$10.28 ,$11.68 ,$11.68 , N/A ,$11.02 ,$9.60 , N/A , N/A , N/A ,$10.82 , N/A ,$10.71 ,$10.38 ,$11.67 , N/A ,$11.02 , N/A ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 , N/A ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8121215,N/A,"PATIENT GOWN, ANGLE BACK-GARNET",291,1 ,$12.37 ,$8.04 ,$8.04 ,$11.14 ,$9.90 , N/A ,$9.80 ,$11.14 ,$11.14 , N/A ,$10.51 ,$9.15 , N/A , N/A , N/A ,$10.32 , N/A ,$10.22 ,$9.90 ,$11.13 , N/A ,$10.51 , N/A ,$10.51 ,$10.51 ,$11.13 ,$11.13 ,$9.71 ,$10.22 , N/A ,$8.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131300,N/A,"BEDPAN, STANDARD",291,1 ,$3.71 ,$2.41 ,$2.41 ,$3.34 ,$2.97 , N/A ,$2.94 ,$3.34 ,$3.34 , N/A ,$3.15 ,$2.75 , N/A , N/A , N/A ,$3.09 , N/A ,$3.06 ,$2.97 ,$3.34 , N/A ,$3.15 , N/A ,$3.15 ,$3.15 ,$3.34 ,$3.34 ,$2.91 ,$3.06 , N/A ,$2.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131301,N/A,"BEDPAN,FRACTURE",291,1 ,$3.85 ,$2.50 ,$2.50 ,$3.47 ,$3.08 , N/A ,$3.05 ,$3.47 ,$3.47 , N/A ,$3.27 ,$2.85 , N/A , N/A , N/A ,$3.21 , N/A ,$3.18 ,$3.08 ,$3.47 , N/A ,$3.27 , N/A ,$3.27 ,$3.27 ,$3.47 ,$3.47 ,$3.02 ,$3.18 , N/A ,$2.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131302,E0325,"URINAL, MALE",291,1 ,$1.48 ,$0.96 ,$0.96 ,$3.70 ,$1.18 ,$1.48 ,$1.17 ,$1.33 ,$1.33 ,$2.81 ,$1.26 ,$1.10 ,$3.70 ,$1.48 , N/A ,$1.23 ,$1.48 ,$1.22 ,$1.18 ,$1.33 ,$1.48 ,$1.26 ,$1.48 ,$1.26 ,$1.26 ,$1.33 ,$1.33 ,$1.16 ,$1.22 ,$1.48 ,$0.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131303,E0326,"URINAL, FEMALE",291,1 ,$2.64 ,$1.72 ,$1.72 ,$6.60 ,$2.11 ,$2.64 ,$2.09 ,$2.38 ,$2.38 ,$5.02 ,$2.24 ,$1.95 ,$6.60 ,$2.64 , N/A ,$2.20 ,$2.64 ,$2.18 ,$2.11 ,$2.38 ,$2.64 ,$2.24 ,$2.64 ,$2.24 ,$2.24 ,$2.38 ,$2.38 ,$2.07 ,$2.18 ,$2.64 ,$1.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131304,N/A,UNDERPADS QUILTED-30x36,291,1 ,$12.27 ,$7.98 ,$7.98 ,$11.05 ,$9.82 , N/A ,$9.72 ,$11.05 ,$11.05 , N/A ,$10.43 ,$9.08 , N/A , N/A , N/A ,$10.23 , N/A ,$10.14 ,$9.82 ,$11.04 , N/A ,$10.43 , N/A ,$10.43 ,$10.43 ,$11.04 ,$11.04 ,$9.63 ,$10.14 , N/A ,$7.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131305,N/A,DISPOSABLE UNDERPADS-30x30,291,1 ,$9.32 ,$6.06 ,$6.06 ,$8.39 ,$7.46 , N/A ,$7.39 ,$8.39 ,$8.39 , N/A ,$7.92 ,$6.90 , N/A , N/A , N/A ,$7.77 , N/A ,$7.70 ,$7.46 ,$8.39 , N/A ,$7.92 , N/A ,$7.92 ,$7.92 ,$8.39 ,$8.39 ,$7.32 ,$7.70 , N/A ,$6.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131306,N/A,DISPOSABLE UNDERPADS-23x36,291,1 ,$16.23 ,$10.55 ,$10.55 ,$14.62 ,$12.98 , N/A ,$12.86 ,$14.62 ,$14.62 , N/A ,$13.80 ,$12.01 , N/A , N/A , N/A ,$13.54 , N/A ,$13.41 ,$12.98 ,$14.61 , N/A ,$13.80 , N/A ,$13.80 ,$13.80 ,$14.61 ,$14.61 ,$12.74 ,$13.41 , N/A ,$10.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131307,N/A,DISPOSABLE UNDERPADS-30x36,291,1 ,$17.97 ,$11.68 ,$11.68 ,$16.18 ,$14.38 , N/A ,$14.24 ,$16.18 ,$16.18 , N/A ,$15.27 ,$13.30 , N/A , N/A , N/A ,$14.99 , N/A ,$14.84 ,$14.38 ,$16.17 , N/A ,$15.27 , N/A ,$15.27 ,$15.27 ,$16.17 ,$16.17 ,$14.11 ,$14.84 , N/A ,$11.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131308,A4358,URINARY DRAINAGE BAG,291,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131309,A4358,"URINARY,LEG BAG",291,1 ,$10.33 ,$6.71 ,$6.71 ,$9.30 ,$8.26 , N/A ,$8.19 ,$9.30 ,$9.30 , N/A ,$8.78 ,$7.64 , N/A , N/A , N/A ,$8.62 , N/A ,$8.53 ,$8.26 ,$9.30 , N/A ,$8.78 , N/A ,$8.78 ,$8.78 ,$9.30 ,$9.30 ,$8.11 ,$8.53 , N/A ,$6.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131310,A4326,CATHETERS-SELF ADHERING-MED,291,1 ,$18.14 ,$11.79 ,$11.79 ,$16.34 ,$14.51 , N/A ,$14.37 ,$16.34 ,$16.34 , N/A ,$15.42 ,$13.42 , N/A , N/A , N/A ,$15.13 , N/A ,$14.98 ,$14.51 ,$16.33 , N/A ,$15.42 , N/A ,$15.42 ,$15.42 ,$16.33 ,$16.33 ,$14.24 ,$14.98 , N/A ,$11.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131311,A4326,CATHETERS-SELF ADHERING-INTERMEDIATE,291,1 ,$18.14 ,$11.79 ,$11.79 ,$16.34 ,$14.51 , N/A ,$14.37 ,$16.34 ,$16.34 , N/A ,$15.42 ,$13.42 , N/A , N/A , N/A ,$15.13 , N/A ,$14.98 ,$14.51 ,$16.33 , N/A ,$15.42 , N/A ,$15.42 ,$15.42 ,$16.33 ,$16.33 ,$14.24 ,$14.98 , N/A ,$11.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131312,A4334,CATHETERS-SELF ADHERING-LG,291,1 ,$18.14 ,$11.79 ,$11.79 ,$16.34 ,$14.51 , N/A ,$14.37 ,$16.34 ,$16.34 , N/A ,$15.42 ,$13.42 , N/A , N/A , N/A ,$15.13 , N/A ,$14.98 ,$14.51 ,$16.33 , N/A ,$15.42 , N/A ,$15.42 ,$15.42 ,$16.33 ,$16.33 ,$14.24 ,$14.98 , N/A ,$11.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131313,A4344,CATHETER STRAP-UNIVERSAL,291,1 ,$11.65 ,$7.57 ,$7.57 ,$10.49 ,$9.32 , N/A ,$9.23 ,$10.49 ,$10.49 , N/A ,$9.90 ,$8.62 , N/A , N/A , N/A ,$9.72 , N/A ,$9.62 ,$9.32 ,$10.49 , N/A ,$9.90 , N/A ,$9.90 ,$9.90 ,$10.49 ,$10.49 ,$9.15 ,$9.62 , N/A ,$7.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131314,A4351,8FR RED RUBBER STRAIGHT CATH,291,1 ,$3.89 ,$2.53 ,$2.53 ,$3.50 ,$3.11 , N/A ,$3.08 ,$3.50 ,$3.50 , N/A ,$3.31 ,$2.88 , N/A , N/A , N/A ,$3.24 , N/A ,$3.21 ,$3.11 ,$3.50 , N/A ,$3.31 , N/A ,$3.31 ,$3.31 ,$3.50 ,$3.50 ,$3.05 ,$3.21 , N/A ,$2.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131315,A4351,12FR STRAIGHT CATH,291,1 ,$2.12 ,$1.38 ,$1.38 ,$1.91 ,$1.70 , N/A ,$1.68 ,$1.91 ,$1.91 , N/A ,$1.80 ,$1.57 , N/A , N/A , N/A ,$1.77 , N/A ,$1.75 ,$1.70 ,$1.91 , N/A ,$1.80 , N/A ,$1.80 ,$1.80 ,$1.91 ,$1.91 ,$1.66 ,$1.75 , N/A ,$1.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131316,A4351,14FR W 5cc CATHETER,291,1 ,$4.32 ,$2.81 ,$2.81 ,$3.89 ,$3.46 , N/A ,$3.42 ,$3.89 ,$3.89 , N/A ,$3.67 ,$3.20 , N/A , N/A , N/A ,$3.60 , N/A ,$3.57 ,$3.46 ,$3.89 , N/A ,$3.67 , N/A ,$3.67 ,$3.67 ,$3.89 ,$3.89 ,$3.39 ,$3.57 , N/A ,$2.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131317,A4351,16FR W/5cc CATHETER,291,1 ,$8.04 ,$5.23 ,$5.23 ,$7.24 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 , N/A ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131318,A4352,16FR W/5cc W/COUDE TIP CATH,291,1 ,$13.83 ,$8.99 ,$8.99 ,$12.45 ,$11.06 , N/A ,$10.96 ,$12.45 ,$12.45 , N/A ,$11.76 ,$10.23 , N/A , N/A , N/A ,$11.53 , N/A ,$11.42 ,$11.06 ,$12.45 , N/A ,$11.76 , N/A ,$11.76 ,$11.76 ,$12.45 ,$12.45 ,$10.86 ,$11.42 , N/A ,$8.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131319,A4351,16FR W/30cc CATHETER,291,1 ,$8.04 ,$5.23 ,$5.23 ,$7.24 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 , N/A ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131320,A4351,18FR W/5cc CATHETER,291,1 ,$8.04 ,$5.23 ,$5.23 ,$7.24 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 , N/A ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131321,A4310,FOLEY CATH TRAY FOR 30cc CATH,291,1 ,$15.01 ,$9.76 ,$9.76 ,$13.52 ,$12.01 , N/A ,$11.89 ,$13.52 ,$13.52 , N/A ,$12.76 ,$11.11 , N/A , N/A , N/A ,$12.52 , N/A ,$12.40 ,$12.01 ,$13.51 , N/A ,$12.76 , N/A ,$12.76 ,$12.76 ,$13.51 ,$13.51 ,$11.78 ,$12.40 , N/A ,$9.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131322,A4310,FOLEY CATH TRAY FOR 30cc CATH,291,1 ,$11.20 ,$7.28 ,$7.28 ,$10.09 ,$8.96 , N/A ,$8.87 ,$10.09 ,$10.09 , N/A ,$9.52 ,$8.29 , N/A , N/A , N/A ,$9.34 , N/A ,$9.25 ,$8.96 ,$10.08 , N/A ,$9.52 , N/A ,$9.52 ,$9.52 ,$10.08 ,$10.08 ,$8.79 ,$9.25 , N/A ,$7.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131323,A4310,FOLEY CATH TRAY FOR 10cc CATH,291,1 ,$14.37 ,$9.34 ,$9.34 ,$12.94 ,$11.50 , N/A ,$11.39 ,$12.94 ,$12.94 , N/A ,$12.21 ,$10.63 , N/A , N/A , N/A ,$11.98 , N/A ,$11.87 ,$11.50 ,$12.93 , N/A ,$12.21 , N/A ,$12.21 ,$12.21 ,$12.93 ,$12.93 ,$11.28 ,$11.87 , N/A ,$9.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131324,A4352,14FR RED STRAIGHT CATH W COUDE TIP,291,1 ,$11.71 ,$7.61 ,$7.61 ,$10.54 ,$9.37 , N/A ,$9.28 ,$10.54 ,$10.54 , N/A ,$9.95 ,$8.67 , N/A , N/A , N/A ,$9.77 , N/A ,$9.67 ,$9.37 ,$10.54 , N/A ,$9.95 , N/A ,$9.95 ,$9.95 ,$10.54 ,$10.54 ,$9.19 ,$9.67 , N/A ,$7.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131325,A4351,14FR RED RUBBER STRAIGHT CATH,291,1 ,$8.04 ,$5.23 ,$5.23 ,$7.24 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 , N/A ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131326,N/A,DRAINAGE BAG HOLDER,291,1 ,$12.14 ,$7.89 ,$7.89 ,$10.93 ,$9.71 , N/A ,$9.62 ,$10.93 ,$10.93 , N/A ,$10.32 ,$8.98 , N/A , N/A , N/A ,$10.12 , N/A ,$10.03 ,$9.71 ,$10.93 , N/A ,$10.32 , N/A ,$10.32 ,$10.32 ,$10.93 ,$10.93 ,$9.53 ,$10.03 , N/A ,$7.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),8131327,A4326,CATHETER-SELF ADHERING-SM,291,1 ,$18.14 ,$11.79 ,$11.79 ,$16.34 ,$14.51 , N/A ,$14.37 ,$16.34 ,$16.34 , N/A ,$15.42 ,$13.42 , N/A , N/A , N/A ,$15.13 , N/A ,$14.98 ,$14.51 ,$16.33 , N/A ,$15.42 , N/A ,$15.42 ,$15.42 ,$16.33 ,$16.33 ,$14.24 ,$14.98 , N/A ,$11.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141400,N/A,LATELLA STRAP-GELBAND-UNIVERSAL,291,1 ,$28.46 ,$18.50 ,$18.50 ,$25.63 ,$22.77 , N/A ,$22.55 ,$25.63 ,$25.63 , N/A ,$24.19 ,$21.06 , N/A , N/A , N/A ,$23.74 , N/A ,$23.51 ,$22.77 ,$25.61 , N/A ,$24.19 , N/A ,$24.19 ,$24.19 ,$25.61 ,$25.61 ,$22.34 ,$23.51 , N/A ,$18.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141401,N/A,WORKABOUT KNEEMATES,291,1 ,$64.76 ,$42.09 ,$42.09 ,$58.32 ,$51.81 , N/A ,$51.32 ,$58.32 ,$58.32 , N/A ,$55.05 ,$47.92 , N/A , N/A , N/A ,$54.01 , N/A ,$53.49 ,$51.81 ,$58.28 , N/A ,$55.05 , N/A ,$55.05 ,$55.05 ,$58.28 ,$58.28 ,$50.84 ,$53.49 , N/A ,$42.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141402,L1820,HINGED KNEE BRACE-XS,291,1 ,$158.60 ,$103.09 ,$103.09 ,$364.62 ,$126.88 ,$145.85 ,$125.67 ,$142.82 ,$142.82 ,$277.11 ,$134.81 ,$117.36 ,$364.62 ,$145.85 , N/A ,$132.27 ,$145.85 ,$131.00 ,$126.88 ,$142.74 ,$158.60 ,$134.81 ,$156.20 ,$134.81 ,$134.81 ,$142.74 ,$142.74 ,$124.50 ,$131.00 ,$156.20 ,$103.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141403,L1820,HINGED KNEE BRACE-SM,291,1 ,$158.60 ,$103.09 ,$103.09 ,$364.62 ,$126.88 ,$145.85 ,$125.67 ,$142.82 ,$142.82 ,$277.11 ,$134.81 ,$117.36 ,$364.62 ,$145.85 , N/A ,$132.27 ,$145.85 ,$131.00 ,$126.88 ,$142.74 ,$158.60 ,$134.81 ,$156.20 ,$134.81 ,$134.81 ,$142.74 ,$142.74 ,$124.50 ,$131.00 ,$156.20 ,$103.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141404,L1800,KNEE SUPPORT W/STAYS-XS,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141405,L1800,KNEE SUPPORT W/STAYS-SM,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141406,L1800,KNEE SUPPORT W/STAYS-MD,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141407,L1800,KNEE SUPPORT W/STAYS-LG,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141408,L1800,KNEE SUPPORT W/STAYS-XLG,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141409,L1800,KNEE SUPPORT W/STAYS-2XL,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141410,L1825,KNEE SUPPORT W/OPEN PATELLA-XS,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141411,L1825,KNEE SUPPORT W/OPEN PATELLA-MD,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141412,L1825,KNEE SUPPORT W/OPEN PATELLA-LG,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141413,L1825,KNEE SUPPORT W/OPEN PATELLA-2XL,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141414,L1825,KNEE SLEEVE-OPEN PATELLA-XS,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141415,L1825,KNEE SLEEVE-OPEN PATELLA-LG,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141416,L1825,KNEE SLEEVE-OPEN PATELLA-SM,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141417,N/A,KNEE SUPPORT-ELASTIC-SM,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141418,N/A,KNEE SUPPORT-ELASTIC-MD,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141419,N/A,KNEE SUPPORT-ELASTIC-LG,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141420,N/A,KNEE SUPPORT-ELASTIC-XL,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141421,L1830,"KNEE IMMOBILIZER-TRIPANEL 14""",291,1 ,$94.80 ,$61.62 ,$61.62 ,$189.48 ,$75.84 ,$75.79 ,$75.12 ,$85.37 ,$85.37 ,$144.00 ,$80.58 ,$70.15 ,$189.48 ,$75.79 , N/A ,$79.06 ,$75.79 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$81.17 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$81.17 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141422,L1830,"KNEE IMMOBILIZER-TRIPANEL 16""",291,1 ,$94.80 ,$61.62 ,$61.62 ,$189.48 ,$75.84 ,$75.79 ,$75.12 ,$85.37 ,$85.37 ,$144.00 ,$80.58 ,$70.15 ,$189.48 ,$75.79 , N/A ,$79.06 ,$75.79 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$81.17 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$81.17 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141423,L1830,"KNEE IMMOBILIZER-TRIPANEL 18""",291,1 ,$94.80 ,$61.62 ,$61.62 ,$189.48 ,$75.84 ,$75.79 ,$75.12 ,$85.37 ,$85.37 ,$144.00 ,$80.58 ,$70.15 ,$189.48 ,$75.79 , N/A ,$79.06 ,$75.79 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$81.17 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$81.17 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141424,L1830,"KNEE IMMOBILIZER-TRIPANEL 20""",291,1 ,$94.80 ,$61.62 ,$61.62 ,$189.48 ,$75.84 ,$75.79 ,$75.12 ,$85.37 ,$85.37 ,$144.00 ,$80.58 ,$70.15 ,$189.48 ,$75.79 , N/A ,$79.06 ,$75.79 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$81.17 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$81.17 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8141425,L1830,"KNEE IMMOBILIZER-TRIPANEL 24""",291,1 ,$94.80 ,$61.62 ,$61.62 ,$189.48 ,$75.84 ,$75.79 ,$75.12 ,$85.37 ,$85.37 ,$144.00 ,$80.58 ,$70.15 ,$189.48 ,$75.79 , N/A ,$79.06 ,$75.79 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$81.17 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$81.17 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151500,N/A,BOTTLE OPENER-SAFETY CAP OPENER,291,1 ,$4.93 ,$3.20 ,$3.20 ,$4.44 ,$3.94 , N/A ,$3.91 ,$4.44 ,$4.44 , N/A ,$4.19 ,$3.65 , N/A , N/A , N/A ,$4.11 , N/A ,$4.07 ,$3.94 ,$4.44 , N/A ,$4.19 , N/A ,$4.19 ,$4.19 ,$4.44 ,$4.44 ,$3.87 ,$4.07 , N/A ,$3.20 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151501,N/A,COTTON GLOVES-LADIES REG.,291,1 ,$3.20 ,$2.08 ,$2.08 ,$2.88 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 , N/A ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151502,N/A,COTTON GLOVES-MENS LG,291,1 ,$3.20 ,$2.08 ,$2.08 ,$2.88 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 , N/A ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151503,N/A,REACHER,291,1 ,$25.96 ,$16.87 ,$16.87 ,$23.38 ,$20.77 , N/A ,$20.57 ,$23.38 ,$23.38 , N/A ,$22.07 ,$19.21 , N/A , N/A , N/A ,$21.65 , N/A ,$21.44 ,$20.77 ,$23.36 , N/A ,$22.07 , N/A ,$22.07 ,$22.07 ,$23.36 ,$23.36 ,$20.38 ,$21.44 , N/A ,$16.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151504,N/A,REACHER,291,1 ,$48.11 ,$31.27 ,$31.27 ,$43.32 ,$38.49 , N/A ,$38.12 ,$43.32 ,$43.32 , N/A ,$40.89 ,$35.60 , N/A , N/A , N/A ,$40.12 , N/A ,$39.74 ,$38.49 ,$43.30 , N/A ,$40.89 , N/A ,$40.89 ,$40.89 ,$43.30 ,$43.30 ,$37.77 ,$39.74 , N/A ,$31.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151505,N/A,SHOE HORN,291,1 ,$28.14 ,$18.29 ,$18.29 ,$25.34 ,$22.51 , N/A ,$22.30 ,$25.34 ,$25.34 , N/A ,$23.92 ,$20.82 , N/A , N/A , N/A ,$23.47 , N/A ,$23.24 ,$22.51 ,$25.33 , N/A ,$23.92 , N/A ,$23.92 ,$23.92 ,$25.33 ,$25.33 ,$22.09 ,$23.24 , N/A ,$18.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151506,N/A,MADACIDE(SHE CLEANING SOLUTION),291,1 ,$28.14 ,$18.29 ,$18.29 ,$25.34 ,$22.51 , N/A ,$22.30 ,$25.34 ,$25.34 , N/A ,$23.92 ,$20.82 , N/A , N/A , N/A ,$23.47 , N/A ,$23.24 ,$22.51 ,$25.33 , N/A ,$23.92 , N/A ,$23.92 ,$23.92 ,$25.33 ,$25.33 ,$22.09 ,$23.24 , N/A ,$18.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151507,N/A,AEARO SAFETY GLASSES,291,1 ,$5.22 ,$3.39 ,$3.39 ,$4.70 ,$4.18 , N/A ,$4.14 ,$4.70 ,$4.70 , N/A ,$4.44 ,$3.86 , N/A , N/A , N/A ,$4.35 , N/A ,$4.31 ,$4.18 ,$4.70 , N/A ,$4.44 , N/A ,$4.44 ,$4.44 ,$4.70 ,$4.70 ,$4.10 ,$4.31 , N/A ,$3.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151508,E0189,LAMBS WOOL-24x30,291,1 ,$79.20 ,$51.48 ,$51.48 ,$143.10 ,$63.36 ,$57.24 ,$62.76 ,$71.32 ,$71.32 ,$108.76 ,$67.32 ,$58.61 ,$143.10 ,$57.24 , N/A ,$66.05 ,$57.24 ,$65.42 ,$63.36 ,$71.28 ,$79.20 ,$67.32 ,$61.30 ,$67.32 ,$67.32 ,$71.28 ,$71.28 ,$62.17 ,$65.42 ,$61.30 ,$51.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151509,E0189,LAMBS WOOL-30x60,291,1 ,$79.20 ,$51.48 ,$51.48 ,$143.10 ,$63.36 ,$57.24 ,$62.76 ,$71.32 ,$71.32 ,$108.76 ,$67.32 ,$58.61 ,$143.10 ,$57.24 , N/A ,$66.05 ,$57.24 ,$65.42 ,$63.36 ,$71.28 ,$79.20 ,$67.32 ,$61.30 ,$67.32 ,$67.32 ,$71.28 ,$71.28 ,$62.17 ,$65.42 ,$61.30 ,$51.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151510,N/A,DONUT CUSHION,291,1 ,$31.85 ,$20.70 ,$20.70 ,$28.68 ,$25.48 , N/A ,$25.24 ,$28.68 ,$28.68 , N/A ,$27.07 ,$23.57 , N/A , N/A , N/A ,$26.56 , N/A ,$26.31 ,$25.48 ,$28.67 , N/A ,$27.07 , N/A ,$27.07 ,$27.07 ,$28.67 ,$28.67 ,$25.00 ,$26.31 , N/A ,$20.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151511,N/A,GUARDIAN PERINEAL CUSHION(DONUT),291,1 ,$20.00 ,$13.00 ,$13.00 ,$18.01 ,$16.00 , N/A ,$15.85 ,$18.01 ,$18.01 , N/A ,$17.00 ,$14.80 , N/A , N/A , N/A ,$16.68 , N/A ,$16.52 ,$16.00 ,$18.00 , N/A ,$17.00 , N/A ,$17.00 ,$17.00 ,$18.00 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151512,L3170,HEEL CUPS,291,1 ,$35.34 ,$22.97 ,$22.97 ,$119.79 ,$28.27 ,$47.92 ,$28.00 ,$31.82 ,$31.82 ,$91.04 ,$30.04 ,$26.15 ,$119.79 ,$47.92 , N/A ,$29.47 ,$47.92 ,$29.19 ,$28.27 ,$31.81 ,$35.34 ,$30.04 ,$35.34 ,$30.04 ,$30.04 ,$31.81 ,$31.81 ,$27.74 ,$29.19 ,$35.34 ,$22.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),8151513,A9270,DIABETIC SOCKS,291,1 ,$30.18 ,$19.62 ,$19.62 ,$27.18 ,$24.14 , N/A ,$23.91 ,$27.18 ,$27.18 , N/A ,$25.65 ,$22.33 , N/A , N/A , N/A ,$25.17 , N/A ,$24.93 ,$24.14 ,$27.16 , N/A ,$25.65 , N/A ,$25.65 ,$25.65 ,$27.16 ,$27.16 ,$23.69 ,$24.93 , N/A ,$19.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161600,E0570,"NEBULIZER,AEROSOL MACHINE",291,1 ,$116.53 ,$75.74 ,$23.31 ,$104.94 ,$93.22 ,$23.31 ,$92.34 ,$104.94 ,$104.94 ,$44.28 ,$99.05 ,$86.23 ,$58.27 ,$23.31 , N/A ,$97.19 ,$23.31 ,$96.25 ,$93.22 ,$104.88 ,$58.27 ,$99.05 ,$24.96 ,$99.05 ,$99.05 ,$104.88 ,$104.88 ,$91.48 ,$96.25 ,$24.96 ,$75.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161601,E0570,NEBULIZER,291,1 ,$116.53 ,$75.74 ,$23.31 ,$104.94 ,$93.22 ,$23.31 ,$92.34 ,$104.94 ,$104.94 ,$44.28 ,$99.05 ,$86.23 ,$58.27 ,$23.31 , N/A ,$97.19 ,$23.31 ,$96.25 ,$93.22 ,$104.88 ,$58.27 ,$99.05 ,$24.96 ,$99.05 ,$99.05 ,$104.88 ,$104.88 ,$91.48 ,$96.25 ,$24.96 ,$75.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161602,A7006,"NEB MOUTHPIECE AND TUBING,DISPOSABLE",291,1 ,$18.34 ,$11.92 ,$10.64 ,$26.59 ,$14.67 ,$10.64 ,$14.53 ,$16.52 ,$16.52 ,$20.21 ,$15.59 ,$13.57 ,$26.59 ,$10.64 , N/A ,$15.30 ,$10.64 ,$15.15 ,$14.67 ,$16.51 ,$18.34 ,$15.59 ,$11.39 ,$15.59 ,$15.59 ,$16.51 ,$16.51 ,$14.40 ,$15.15 ,$11.39 ,$11.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161603,A7005,"NEBULIZER,PED.AEROSOL MASK,7'",291,1 ,$42.28 ,$27.48 ,$23.34 ,$58.36 ,$33.82 ,$23.34 ,$33.50 ,$38.07 ,$38.07 ,$44.35 ,$35.94 ,$31.29 ,$58.36 ,$23.34 , N/A ,$35.26 ,$23.34 ,$34.92 ,$33.82 ,$38.05 ,$42.28 ,$35.94 ,$25.00 ,$35.94 ,$35.94 ,$38.05 ,$38.05 ,$33.19 ,$34.92 ,$25.00 ,$27.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161604,A7005,"MASK,PED.,AEROSOL-PULMICORT",291,1 ,$42.28 ,$27.48 ,$23.34 ,$58.36 ,$33.82 ,$23.34 ,$33.50 ,$38.07 ,$38.07 ,$44.35 ,$35.94 ,$31.29 ,$58.36 ,$23.34 , N/A ,$35.26 ,$23.34 ,$34.92 ,$33.82 ,$38.05 ,$42.28 ,$35.94 ,$25.00 ,$35.94 ,$35.94 ,$38.05 ,$38.05 ,$33.19 ,$34.92 ,$25.00 ,$27.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161605,A7005,"NEBULIZER,PED.MASK",291,1 ,$42.28 ,$27.48 ,$23.34 ,$58.36 ,$33.82 ,$23.34 ,$33.50 ,$38.07 ,$38.07 ,$44.35 ,$35.94 ,$31.29 ,$58.36 ,$23.34 , N/A ,$35.26 ,$23.34 ,$34.92 ,$33.82 ,$38.05 ,$42.28 ,$35.94 ,$25.00 ,$35.94 ,$35.94 ,$38.05 ,$38.05 ,$33.19 ,$34.92 ,$25.00 ,$27.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161606,A7005,"NEBULIZER,PED.MASK",291,1 ,$42.28 ,$27.48 ,$23.34 ,$58.36 ,$33.82 ,$23.34 ,$33.50 ,$38.07 ,$38.07 ,$44.35 ,$35.94 ,$31.29 ,$58.36 ,$23.34 , N/A ,$35.26 ,$23.34 ,$34.92 ,$33.82 ,$38.05 ,$42.28 ,$35.94 ,$25.00 ,$35.94 ,$35.94 ,$38.05 ,$38.05 ,$33.19 ,$34.92 ,$25.00 ,$27.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161607,A7005,NEBU TECH NEB. MOUTHPIECE,291,1 ,$22.13 ,$14.38 ,$14.38 ,$48.29 ,$17.70 ,$19.31 ,$17.54 ,$19.93 ,$19.93 ,$36.70 ,$18.81 ,$16.38 ,$48.29 ,$19.31 , N/A ,$18.46 ,$19.31 ,$18.28 ,$17.70 ,$19.92 ,$22.13 ,$18.81 ,$20.69 ,$18.81 ,$18.81 ,$19.92 ,$19.92 ,$17.37 ,$18.28 ,$20.69 ,$14.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161608,A7013,"NEB FILTER,5/BAG(PER FILTER PRICING)",291,1 ,$1.77 ,$1.15 ,$0.90 ,$2.25 ,$1.42 ,$0.90 ,$1.40 ,$1.59 ,$1.59 ,$1.71 ,$1.50 ,$1.31 ,$2.25 ,$0.90 , N/A ,$1.48 ,$0.90 ,$1.46 ,$1.42 ,$1.59 ,$1.77 ,$1.50 ,$0.96 ,$1.50 ,$1.50 ,$1.59 ,$1.59 ,$1.39 ,$1.46 ,$0.96 ,$1.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161609,E0484,FLUTTER DEVICE-SPECIAL ORDER,291,1 ,$93.15 ,$60.55 ,$53.03 ,$132.58 ,$74.52 ,$53.03 ,$73.81 ,$83.88 ,$83.88 ,$100.76 ,$79.18 ,$68.93 ,$132.58 ,$53.03 , N/A ,$77.69 ,$53.03 ,$76.94 ,$74.52 ,$83.84 ,$93.15 ,$79.18 ,$56.80 ,$79.18 ,$79.18 ,$83.84 ,$83.84 ,$73.12 ,$76.94 ,$56.80 ,$60.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),8161610,A7005,NEB.AEROSOL MASK,291,1 ,$42.28 ,$27.48 ,$23.34 ,$58.36 ,$33.82 ,$23.34 ,$33.50 ,$38.07 ,$38.07 ,$44.35 ,$35.94 ,$31.29 ,$58.36 ,$23.34 , N/A ,$35.26 ,$23.34 ,$34.92 ,$33.82 ,$38.05 ,$42.28 ,$35.94 ,$25.00 ,$35.94 ,$35.94 ,$38.05 ,$38.05 ,$33.19 ,$34.92 ,$25.00 ,$27.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8171700,B9002,ETERNAL FEEDING PUMP W/ALARM,291,1 ,"$1,170.27 ",$760.68 ,$760.68 ,"$2,176.70 ",$936.22 ,$870.68 ,$927.32 ,"$1,053.83 ","$1,053.83 ","$1,654.29 ",$994.73 ,$866.00 ,"$2,176.70 ",$870.68 , N/A ,$976.01 ,$870.68 ,$966.64 ,$936.22 ,"$1,053.24 ","$1,170.27 ",$994.73 ,$932.50 ,$994.73 ,$994.73 ,"$1,053.24 ","$1,053.24 ",$918.66 ,$966.64 ,$932.50 ,$760.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8171701,B4035,FEEDING PUMP BAGS,291,1 ,$16.28 ,$10.58 ,$3.26 ,$14.66 ,$13.02 ,$3.26 ,$12.90 ,$14.66 ,$14.66 ,$6.19 ,$13.84 ,$12.05 ,$8.14 ,$3.26 , N/A ,$13.58 ,$3.26 ,$13.45 ,$13.02 ,$14.65 ,$8.14 ,$13.84 ,$3.49 ,$13.84 ,$13.84 ,$14.65 ,$14.65 ,$12.78 ,$13.45 ,$3.49 ,$10.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8171702,E0776,I.V. POLE,291,1 ,$202.71 ,$131.76 ,$131.76 ,$405.50 ,$162.17 ,$162.20 ,$160.63 ,$182.54 ,$182.54 ,$308.18 ,$172.30 ,$150.01 ,$405.50 ,$162.20 , N/A ,$169.06 ,$162.20 ,$167.44 ,$162.17 ,$182.44 ,$202.71 ,$172.30 ,$173.71 ,$172.30 ,$172.30 ,$182.44 ,$182.44 ,$159.13 ,$167.44 ,$173.71 ,$131.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8181800,A4389,ACTIVE LIFE POUCHES,291,1 ,$79.30 ,$51.55 ,$51.55 ,$71.41 ,$63.44 , N/A ,$62.84 ,$71.41 ,$71.41 , N/A ,$67.41 ,$58.68 , N/A , N/A , N/A ,$66.14 , N/A ,$65.50 ,$63.44 ,$71.37 , N/A ,$67.41 , N/A ,$67.41 ,$67.41 ,$71.37 ,$71.37 ,$62.25 ,$65.50 , N/A ,$51.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),8181801,A4371,STOMAHESIVE POWDER,291,1 ,$14.60 ,$9.49 ,$9.49 ,$13.15 ,$11.68 , N/A ,$11.57 ,$13.15 ,$13.15 , N/A ,$12.41 ,$10.80 , N/A , N/A , N/A ,$12.18 , N/A ,$12.06 ,$11.68 ,$13.14 , N/A ,$12.41 , N/A ,$12.41 ,$12.41 ,$13.14 ,$13.14 ,$11.46 ,$12.06 , N/A ,$9.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),8181802,A4365,ALLKARE ADHESIVE REMOVER,291,1 ,$19.26 ,$12.52 ,$12.52 ,$17.34 ,$15.41 , N/A ,$15.26 ,$17.34 ,$17.34 , N/A ,$16.37 ,$14.25 , N/A , N/A , N/A ,$16.06 , N/A ,$15.91 ,$15.41 ,$17.33 , N/A ,$16.37 , N/A ,$16.37 ,$16.37 ,$17.33 ,$17.33 ,$15.12 ,$15.91 , N/A ,$12.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),8181803,A4385,NO STING BARRIER FILM,291,1 ,$23.36 ,$15.18 ,$15.18 ,$21.04 ,$18.69 , N/A ,$18.51 ,$21.04 ,$21.04 , N/A ,$19.86 ,$17.29 , N/A , N/A , N/A ,$19.48 , N/A ,$19.30 ,$18.69 ,$21.02 , N/A ,$19.86 , N/A ,$19.86 ,$19.86 ,$21.02 ,$21.02 ,$18.34 ,$19.30 , N/A ,$15.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8181804,A4406,STOMAHESIVE PASTE,291,1 ,$22.54 ,$14.65 ,$14.65 ,$20.30 ,$18.03 , N/A ,$17.86 ,$20.30 ,$20.30 , N/A ,$19.16 ,$16.68 , N/A , N/A , N/A ,$18.80 , N/A ,$18.62 ,$18.03 ,$20.29 , N/A ,$19.16 , N/A ,$19.16 ,$19.16 ,$20.29 ,$20.29 ,$17.69 ,$18.62 , N/A ,$14.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),8181805,A4361,CENTER POINT LOCK FLEX WEAR,291,1 ,$135.48 ,$88.06 ,$88.06 ,$122.00 ,$108.38 , N/A ,$107.35 ,$122.00 ,$122.00 , N/A ,$115.16 ,$100.26 , N/A , N/A , N/A ,$112.99 , N/A ,$111.91 ,$108.38 ,$121.93 , N/A ,$115.16 , N/A ,$115.16 ,$115.16 ,$121.93 ,$121.93 ,$106.35 ,$111.91 , N/A ,$88.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8181806,A4377,CENTER POINT LOCK DRAINABLE POUCH,291,1 ,$63.28 ,$41.13 ,$41.13 ,$56.98 ,$50.62 , N/A ,$50.14 ,$56.98 ,$56.98 , N/A ,$53.79 ,$46.83 , N/A , N/A , N/A ,$52.78 , N/A ,$52.27 ,$50.62 ,$56.95 , N/A ,$53.79 , N/A ,$53.79 ,$53.79 ,$56.95 ,$56.95 ,$49.67 ,$52.27 , N/A ,$41.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191900,E1390,OXYGEN CONCENTRATOR,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191901,N/A,PORTABLE CONCENTRATOR,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191902,E0431,"OXYGEN TANKS""B"" OR M6",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191903,E0431,"OXYGEN TANKS""C""",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191904,E0431,"OXYGEN TANKS""D""",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191905,E0431,"OXYGEN TANKS""E""",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191906,E0431,OXYGEN TANKS M60,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191907,N/A,M60 OXYGEN TANK STAND,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191908,N/A,"OXYGEN""E'CART",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191909,N/A,PNEUM DEMAND O2 CONSERVER W/CASE,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191910,N/A,"CONNECTOR,SWIVEL,FOR TUBING",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191911,N/A,"CONNECTOR,SWIVEL,W/CLIP,UNIVERSAL",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191912,N/A,CYLINDER WRENCHES,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191913,N/A,CYLINDER WRENCHES W/CHAINS,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191914,N/A,WATER TRAP,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191915,N/A,E-Z WRAPS,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191916,N/A,"CANNULA,ADULT,DEMAND W/4' TUBING",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191917,N/A,"CANNULA,ADULT W/7' TUBING",291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8191918,N/A,OXYGEN TUBING 7',291,1 ,$0.60 ,$0.39 ,$0.39 ,$0.54 ,$0.48 , N/A ,$0.48 ,$0.54 ,$0.54 , N/A ,$0.51 ,$0.44 , N/A , N/A , N/A ,$0.50 , N/A ,$0.50 ,$0.48 ,$0.54 , N/A ,$0.51 , N/A ,$0.51 ,$0.51 ,$0.54 ,$0.54 ,$0.47 ,$0.50 , N/A ,$0.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191919,N/A,OXYGEN TUBING 25' GREEN,291,1 ,$4.13 ,$2.68 ,$2.68 ,$3.72 ,$3.30 , N/A ,$3.27 ,$3.72 ,$3.72 , N/A ,$3.51 ,$3.06 , N/A , N/A , N/A ,$3.44 , N/A ,$3.41 ,$3.30 ,$3.72 , N/A ,$3.51 , N/A ,$3.51 ,$3.51 ,$3.72 ,$3.72 ,$3.24 ,$3.41 , N/A ,$2.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191920,N/A,OXYGEN TUBING 50' GREEN,291,1 ,$7.14 ,$4.64 ,$4.64 ,$6.43 ,$5.71 , N/A ,$5.66 ,$6.43 ,$6.43 , N/A ,$6.07 ,$5.28 , N/A , N/A , N/A ,$5.95 , N/A ,$5.90 ,$5.71 ,$6.43 , N/A ,$6.07 , N/A ,$6.07 ,$6.07 ,$6.43 ,$6.43 ,$5.60 ,$5.90 , N/A ,$4.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191921,N/A,OXYGEN REG. 0-8LPM(B-E TANKS),291,1 ,$106.20 ,$69.03 ,$69.03 ,$95.63 ,$84.96 , N/A ,$84.15 ,$95.63 ,$95.63 , N/A ,$90.27 ,$78.59 , N/A , N/A , N/A ,$88.57 , N/A ,$87.72 ,$84.96 ,$95.58 , N/A ,$90.27 , N/A ,$90.27 ,$90.27 ,$95.58 ,$95.58 ,$83.37 ,$87.72 , N/A ,$69.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191922,N/A,OXYGEN REG. 0-15LPM(M60 TANK),291,1 ,$106.20 ,$69.03 ,$69.03 ,$95.63 ,$84.96 , N/A ,$84.15 ,$95.63 ,$95.63 , N/A ,$90.27 ,$78.59 , N/A , N/A , N/A ,$88.57 , N/A ,$87.72 ,$84.96 ,$95.58 , N/A ,$90.27 , N/A ,$90.27 ,$90.27 ,$95.58 ,$95.58 ,$83.37 ,$87.72 , N/A ,$69.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191923,N/A,OXYGEN REG. 0-8LPM(M60 TANK),291,1 ,$137.18 ,$89.17 ,$89.17 ,$123.53 ,$109.74 , N/A ,$108.70 ,$123.53 ,$123.53 , N/A ,$116.60 ,$101.51 , N/A , N/A , N/A ,$114.41 , N/A ,$113.31 ,$109.74 ,$123.46 , N/A ,$116.60 , N/A ,$116.60 ,$116.60 ,$123.46 ,$123.46 ,$107.69 ,$113.31 , N/A ,$89.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191924,N/A,OXYGEN REG. 0-15LPM(M60 TANK),291,1 ,$137.18 ,$89.17 ,$89.17 ,$123.53 ,$109.74 , N/A ,$108.70 ,$123.53 ,$123.53 , N/A ,$116.60 ,$101.51 , N/A , N/A , N/A ,$114.41 , N/A ,$113.31 ,$109.74 ,$123.46 , N/A ,$116.60 , N/A ,$116.60 ,$116.60 ,$123.46 ,$123.46 ,$107.69 ,$113.31 , N/A ,$89.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191925,N/A,"""B"" OXYGEN TANK CARRYCASE-BLUE",291,1 ,$52.96 ,$34.42 ,$34.42 ,$47.69 ,$42.37 , N/A ,$41.97 ,$47.69 ,$47.69 , N/A ,$45.02 ,$39.19 , N/A , N/A , N/A ,$44.17 , N/A ,$43.75 ,$42.37 ,$47.66 , N/A ,$45.02 , N/A ,$45.02 ,$45.02 ,$47.66 ,$47.66 ,$41.57 ,$43.75 , N/A ,$34.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191926,N/A,"""D"" OXYGEN TANK CARRYCASE-BLUE",291,1 ,$52.96 ,$34.42 ,$34.42 ,$47.69 ,$42.37 , N/A ,$41.97 ,$47.69 ,$47.69 , N/A ,$45.02 ,$39.19 , N/A , N/A , N/A ,$44.17 , N/A ,$43.75 ,$42.37 ,$47.66 , N/A ,$45.02 , N/A ,$45.02 ,$45.02 ,$47.66 ,$47.66 ,$41.57 ,$43.75 , N/A ,$34.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191927,N/A,ADULT PERCENT OXYGEN LOCK MASK,291,1 ,$4.37 ,$2.84 ,$2.84 ,$3.94 ,$3.50 , N/A ,$3.46 ,$3.94 ,$3.94 , N/A ,$3.71 ,$3.23 , N/A , N/A , N/A ,$3.64 , N/A ,$3.61 ,$3.50 ,$3.93 , N/A ,$3.71 , N/A ,$3.71 ,$3.71 ,$3.93 ,$3.93 ,$3.43 ,$3.61 , N/A ,$2.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191928,N/A,BUBBLE HUMIDIFIER (HIGH FLOW),291,1 ,$7.69 ,$5.00 ,$5.00 ,$6.92 ,$6.15 , N/A ,$6.09 ,$6.92 ,$6.92 , N/A ,$6.54 ,$5.69 , N/A , N/A , N/A ,$6.41 , N/A ,$6.35 ,$6.15 ,$6.92 , N/A ,$6.54 , N/A ,$6.54 ,$6.54 ,$6.92 ,$6.92 ,$6.04 ,$6.35 , N/A ,$5.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191929,N/A,PED.DEMAND CANNULA W/4'TUBING,291,1 ,$8.71 ,$5.66 ,$5.66 ,$7.84 ,$6.97 , N/A ,$6.90 ,$7.84 ,$7.84 , N/A ,$7.40 ,$6.45 , N/A , N/A , N/A ,$7.26 , N/A ,$7.19 ,$6.97 ,$7.84 , N/A ,$7.40 , N/A ,$7.40 ,$7.40 ,$7.84 ,$7.84 ,$6.84 ,$7.19 , N/A ,$5.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191930,N/A,PED.DEMAND CANNULA W/7'TUBING,291,1 ,$9.00 ,$5.85 ,$5.85 ,$8.10 ,$7.20 , N/A ,$7.13 ,$8.10 ,$8.10 , N/A ,$7.65 ,$6.66 , N/A , N/A , N/A ,$7.51 , N/A ,$7.43 ,$7.20 ,$8.10 , N/A ,$7.65 , N/A ,$7.65 ,$7.65 ,$8.10 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8191931,N/A,ADULT CANNULA-NO TUBING,291,1 ,$1.16 ,$0.75 ,$0.75 ,$1.04 ,$0.93 , N/A ,$0.92 ,$1.04 ,$1.04 , N/A ,$0.99 ,$0.86 , N/A , N/A , N/A ,$0.97 , N/A ,$0.96 ,$0.93 ,$1.04 , N/A ,$0.99 , N/A ,$0.99 ,$0.99 ,$1.04 ,$1.04 ,$0.91 ,$0.96 , N/A ,$0.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),82,N/A,NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8202000,N/A,"ADULT CANNULA,HIGH FLOW",291,1 ,$6.64 ,$4.32 ,$4.32 ,$5.98 ,$5.31 , N/A ,$5.26 ,$5.98 ,$5.98 , N/A ,$5.64 ,$4.91 , N/A , N/A , N/A ,$5.54 , N/A ,$5.48 ,$5.31 ,$5.98 , N/A ,$5.64 , N/A ,$5.64 ,$5.64 ,$5.98 ,$5.98 ,$5.21 ,$5.48 , N/A ,$4.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202001,N/A,"ADULT CANNULA,W/7'TUBING",291,1 ,$7.67 ,$4.99 ,$4.99 ,$6.91 ,$6.14 , N/A ,$6.08 ,$6.91 ,$6.91 , N/A ,$6.52 ,$5.68 , N/A , N/A , N/A ,$6.40 , N/A ,$6.34 ,$6.14 ,$6.90 , N/A ,$6.52 , N/A ,$6.52 ,$6.52 ,$6.90 ,$6.90 ,$6.02 ,$6.34 , N/A ,$4.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202002,N/A,"CANNULA,ADULT W/7'TUBING",291,1 ,$1.18 ,$0.77 ,$0.77 ,$1.06 ,$0.94 , N/A ,$0.94 ,$1.06 ,$1.06 , N/A ,$1.00 ,$0.87 , N/A , N/A , N/A ,$0.98 , N/A ,$0.97 ,$0.94 ,$1.06 , N/A ,$1.00 , N/A ,$1.00 ,$1.00 ,$1.06 ,$1.06 ,$0.93 ,$0.97 , N/A ,$0.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202003,N/A,NIPPLE NUT HOSE BARB FITTING,291,1 ,$0.75 ,$0.49 ,$0.49 ,$0.68 ,$0.60 , N/A ,$0.59 ,$0.68 ,$0.68 , N/A ,$0.64 ,$0.56 , N/A , N/A , N/A ,$0.63 , N/A ,$0.62 ,$0.60 ,$0.68 , N/A ,$0.64 , N/A ,$0.64 ,$0.64 ,$0.68 ,$0.68 ,$0.59 ,$0.62 , N/A ,$0.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202004,N/A,"CANNULA,ADULT-MICRO W/7'TUBING",291,1 ,$7.08 ,$4.60 ,$4.60 ,$6.38 ,$5.66 , N/A ,$5.61 ,$6.38 ,$6.38 , N/A ,$6.02 ,$5.24 , N/A , N/A , N/A ,$5.90 , N/A ,$5.85 ,$5.66 ,$6.37 , N/A ,$6.02 , N/A ,$6.02 ,$6.02 ,$6.37 ,$6.37 ,$5.56 ,$5.85 , N/A ,$4.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202005,N/A,OXYGEN TUBING 40',291,1 ,$6.79 ,$4.41 ,$4.41 ,$6.11 ,$5.43 , N/A ,$5.38 ,$6.11 ,$6.11 , N/A ,$5.77 ,$5.02 , N/A , N/A , N/A ,$5.66 , N/A ,$5.61 ,$5.43 ,$6.11 , N/A ,$5.77 , N/A ,$5.77 ,$5.77 ,$6.11 ,$6.11 ,$5.33 ,$5.61 , N/A ,$4.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202006,N/A,"CANNULA,ADULT W/4'TUBING",291,1 ,$1.38 ,$0.90 ,$0.90 ,$1.24 ,$1.10 , N/A ,$1.09 ,$1.24 ,$1.24 , N/A ,$1.17 ,$1.02 , N/A , N/A , N/A ,$1.15 , N/A ,$1.14 ,$1.10 ,$1.24 , N/A ,$1.17 , N/A ,$1.17 ,$1.17 ,$1.24 ,$1.24 ,$1.08 ,$1.14 , N/A ,$0.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202007,N/A,PERCENT OXYGEN LOCK ASSEMBLY,291,1 ,$1.38 ,$0.90 ,$0.90 ,$1.24 ,$1.10 , N/A ,$1.09 ,$1.24 ,$1.24 , N/A ,$1.17 ,$1.02 , N/A , N/A , N/A ,$1.15 , N/A ,$1.14 ,$1.10 ,$1.24 , N/A ,$1.17 , N/A ,$1.17 ,$1.17 ,$1.24 ,$1.24 ,$1.08 ,$1.14 , N/A ,$0.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202008,N/A,"CANNULA,ADULT,LOWFLOW,MICRO W/7'TUBING",291,1 ,$1.42 ,$0.92 ,$0.92 ,$1.28 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 , N/A ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202009,N/A,"MASK,ADULT,OXYGEN,HIGH CONCENTRATION",291,1 ,$2.81 ,$1.83 ,$1.83 ,$2.53 ,$2.25 , N/A ,$2.23 ,$2.53 ,$2.53 , N/A ,$2.39 ,$2.08 , N/A , N/A , N/A ,$2.34 , N/A ,$2.32 ,$2.25 ,$2.53 , N/A ,$2.39 , N/A ,$2.39 ,$2.39 ,$2.53 ,$2.53 ,$2.21 ,$2.32 , N/A ,$1.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8202010,N/A,OXYGEN CONCENTRATOR FOAM FILTERS,291,1 ,$2.81 ,$1.83 ,$1.83 ,$2.53 ,$2.25 , N/A ,$2.23 ,$2.53 ,$2.53 , N/A ,$2.39 ,$2.08 , N/A , N/A , N/A ,$2.34 , N/A ,$2.32 ,$2.25 ,$2.53 , N/A ,$2.39 , N/A ,$2.39 ,$2.39 ,$2.53 ,$2.53 ,$2.21 ,$2.32 , N/A ,$1.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8212100,E1230,SUNDANCER-3 WHEEL (PRIDE),291,1 ,"$2,655.00 ","$1,725.75 ","$1,725.75 ","$5,934.84 ","$2,124.00 ","$2,373.94 ","$2,103.82 ","$2,390.83 ","$2,390.83 ","$4,510.48 ","$2,256.75 ","$1,964.70 ","$5,934.84 ","$2,373.94 ", N/A ,"$2,214.27 ","$2,373.94 ","$2,193.03 ","$2,124.00 ","$2,389.50 ","$2,655.00 ","$2,256.75 ","$2,542.49 ","$2,256.75 ","$2,256.75 ","$2,389.50 ","$2,389.50 ","$2,084.18 ","$2,193.03 ","$2,542.49 ","$1,725.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8212101,A4611,BATTERY-32 AMP,291,1 ,$315.26 ,$204.92 ,$204.92 ,$283.89 ,$252.21 , N/A ,$249.81 ,$283.89 ,$283.89 , N/A ,$267.97 ,$233.29 , N/A , N/A , N/A ,$262.93 , N/A ,$260.40 ,$252.21 ,$283.73 , N/A ,$267.97 , N/A ,$267.97 ,$267.97 ,$283.73 ,$283.73 ,$247.48 ,$260.40 , N/A ,$204.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8212102,N/A,CUP HOLDER (PRIDE),291,1 ,$19.47 ,$12.66 ,$12.66 ,$17.53 ,$15.58 , N/A ,$15.43 ,$17.53 ,$17.53 , N/A ,$16.55 ,$14.41 , N/A , N/A , N/A ,$16.24 , N/A ,$16.08 ,$15.58 ,$17.52 , N/A ,$16.55 , N/A ,$16.55 ,$16.55 ,$17.52 ,$17.52 ,$15.28 ,$16.08 , N/A ,$12.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8212103,E1230,LEGEND-3 WHEEL (PRIDE),291,1 ,"$2,227.37 ","$1,447.79 ","$1,447.79 ","$5,568.43 ","$1,781.90 ","$2,227.37 ","$1,764.97 ","$2,005.75 ","$2,005.75 ","$4,232.00 ","$1,893.26 ","$1,648.25 ","$5,568.43 ","$2,227.37 ", N/A ,"$1,857.63 ","$2,227.37 ","$1,839.81 ","$1,781.90 ","$2,004.63 ","$2,227.37 ","$1,893.26 ","$2,227.37 ","$1,893.26 ","$1,893.26 ","$2,004.63 ","$2,004.63 ","$1,748.49 ","$1,839.81 ","$2,227.37 ","$1,447.79 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8212104,E1230,VICTORY-3 WHEEL (PRIDE),291,1 ,"$2,655.00 ","$1,725.75 ","$1,725.75 ","$5,934.84 ","$2,124.00 ","$2,373.94 ","$2,103.82 ","$2,390.83 ","$2,390.83 ","$4,510.48 ","$2,256.75 ","$1,964.70 ","$5,934.84 ","$2,373.94 ", N/A ,"$2,214.27 ","$2,373.94 ","$2,193.03 ","$2,124.00 ","$2,389.50 ","$2,655.00 ","$2,256.75 ","$2,542.49 ","$2,256.75 ","$2,256.75 ","$2,389.50 ","$2,389.50 ","$2,084.18 ","$2,193.03 ","$2,542.49 ","$1,725.75 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8212105,E1230,SONIC-3 WHEEL (PRIDE),291,1 ,"$2,177.10 ","$1,415.12 ","$1,415.12 ","$5,442.75 ","$1,741.68 ","$2,177.10 ","$1,725.13 ","$1,960.48 ","$1,960.48 ","$4,136.49 ","$1,850.54 ","$1,611.05 ","$5,442.75 ","$2,177.10 ", N/A ,"$1,815.70 ","$2,177.10 ","$1,798.28 ","$1,741.68 ","$1,959.39 ","$2,177.10 ","$1,850.54 ","$2,177.10 ","$1,850.54 ","$1,850.54 ","$1,959.39 ","$1,959.39 ","$1,709.02 ","$1,798.28 ","$2,177.10 ","$1,415.12 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8212106,E1230,RALLY-3 WHEEL (PRIDE),291,1 ,"$2,227.39 ","$1,447.80 ","$1,447.80 ","$5,568.48 ","$1,781.91 ","$2,227.39 ","$1,764.98 ","$2,005.76 ","$2,005.76 ","$4,232.04 ","$1,893.28 ","$1,648.27 ","$5,568.48 ","$2,227.39 ", N/A ,"$1,857.64 ","$2,227.39 ","$1,839.82 ","$1,781.91 ","$2,004.65 ","$2,227.39 ","$1,893.28 ","$2,227.39 ","$1,893.28 ","$1,893.28 ","$2,004.65 ","$2,004.65 ","$1,748.50 ","$1,839.82 ","$2,227.39 ","$1,447.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8212107,E1230,REVO-3 WHEEL (PRIDE),291,1 ,"$2,227.39 ","$1,447.80 ","$1,447.80 ","$5,568.48 ","$1,781.91 ","$2,227.39 ","$1,764.98 ","$2,005.76 ","$2,005.76 ","$4,232.04 ","$1,893.28 ","$1,648.27 ","$5,568.48 ","$2,227.39 ", N/A ,"$1,857.64 ","$2,227.39 ","$1,839.82 ","$1,781.91 ","$2,004.65 ","$2,227.39 ","$1,893.28 ","$2,227.39 ","$1,893.28 ","$1,893.28 ","$2,004.65 ","$2,004.65 ","$1,748.50 ","$1,839.82 ","$2,227.39 ","$1,447.80 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8212108,K0104,OXYGEN TANK HOLDER,291,1 ,$174.77 ,$113.60 ,$113.60 ,$157.38 ,$139.82 , N/A ,$138.49 ,$157.38 ,$157.38 , N/A ,$148.55 ,$129.33 , N/A , N/A , N/A ,$145.76 , N/A ,$144.36 ,$139.82 ,$157.29 , N/A ,$148.55 , N/A ,$148.55 ,$148.55 ,$157.29 ,$157.29 ,$137.19 ,$144.36 , N/A ,$113.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8212109,N/A,FLAG KIT-PRIDE,291,1 ,$28.32 ,$18.41 ,$18.41 ,$25.50 ,$22.66 , N/A ,$22.44 ,$25.50 ,$25.50 , N/A ,$24.07 ,$20.96 , N/A , N/A , N/A ,$23.62 , N/A ,$23.39 ,$22.66 ,$25.49 , N/A ,$24.07 , N/A ,$24.07 ,$24.07 ,$25.49 ,$25.49 ,$22.23 ,$23.39 , N/A ,$18.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8222200,A4629,TRACH KITS,291,1 ,$6.82 ,$4.43 ,$4.43 ,$6.14 ,$5.46 , N/A ,$5.40 ,$6.14 ,$6.14 , N/A ,$5.80 ,$5.05 , N/A , N/A , N/A ,$5.69 , N/A ,$5.63 ,$5.46 ,$6.14 , N/A ,$5.80 , N/A ,$5.80 ,$5.80 ,$6.14 ,$6.14 ,$5.35 ,$5.63 , N/A ,$4.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8222201,E0600,SUCTION MACHINE-STANDARD,291,1 ,$611.81 ,$397.68 ,$122.36 ,$550.93 ,$489.45 ,$122.36 ,$484.80 ,$550.93 ,$550.93 ,$232.49 ,$520.04 ,$452.74 ,$305.91 ,$122.36 , N/A ,$510.25 ,$122.36 ,$505.36 ,$489.45 ,$550.63 ,$305.91 ,$520.04 ,$131.05 ,$520.04 ,$520.04 ,$550.63 ,$550.63 ,$480.27 ,$505.36 ,$131.05 ,$397.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8222202,A4624,"SUCTION CATHETER,YANKEUR",291,1 ,$5.89 ,$3.83 ,$3.83 ,$5.30 ,$4.71 , N/A ,$4.67 ,$5.30 ,$5.30 , N/A ,$5.01 ,$4.36 , N/A , N/A , N/A ,$4.91 , N/A ,$4.87 ,$4.71 ,$5.30 , N/A ,$5.01 , N/A ,$5.01 ,$5.01 ,$5.30 ,$5.30 ,$4.62 ,$4.87 , N/A ,$3.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8222203,N/A,RESPIRATORY MASKS,291,1 ,$2.45 ,$1.59 ,$1.59 ,$2.21 ,$1.96 , N/A ,$1.94 ,$2.21 ,$2.21 , N/A ,$2.08 ,$1.81 , N/A , N/A , N/A ,$2.04 , N/A ,$2.02 ,$1.96 ,$2.21 , N/A ,$2.08 , N/A ,$2.08 ,$2.08 ,$2.21 ,$2.21 ,$1.92 ,$2.02 , N/A ,$1.59 HSHS GOOD SHEPHERD HOSPITAL (ACU),8222204,N/A,AIR CLEAR MASK-LG,291,1 ,$29.49 ,$19.17 ,$19.17 ,$26.56 ,$23.59 , N/A ,$23.37 ,$26.56 ,$26.56 , N/A ,$25.07 ,$21.82 , N/A , N/A , N/A ,$24.59 , N/A ,$24.36 ,$23.59 ,$26.54 , N/A ,$25.07 , N/A ,$25.07 ,$25.07 ,$26.54 ,$26.54 ,$23.15 ,$24.36 , N/A ,$19.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),8222205,A4614,PEAK FLOW METER-ADULT,291,1 ,$37.32 ,$24.26 ,$24.26 ,$33.61 ,$29.86 , N/A ,$29.57 ,$33.61 ,$33.61 , N/A ,$31.72 ,$27.62 , N/A , N/A , N/A ,$31.12 , N/A ,$30.83 ,$29.86 ,$33.59 , N/A ,$31.72 , N/A ,$31.72 ,$31.72 ,$33.59 ,$33.59 ,$29.30 ,$30.83 , N/A ,$24.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8222206,A4614,PEAK FLOW METER-CHILD,291,1 ,$31.73 ,$20.62 ,$20.62 ,$28.57 ,$25.38 , N/A ,$25.14 ,$28.57 ,$28.57 , N/A ,$26.97 ,$23.48 , N/A , N/A , N/A ,$26.46 , N/A ,$26.21 ,$25.38 ,$28.56 , N/A ,$26.97 , N/A ,$26.97 ,$26.97 ,$28.56 ,$28.56 ,$24.91 ,$26.21 , N/A ,$20.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232300,L3260,POST OP SHOE-MALE-SM,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232301,L3260,POST OP SHOE-FEMALE-XS,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232302,L3260,POST OP SHOE-FEMALE-SM,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232303,L3260,CAST SHOE-SM,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232304,L3260,CAST SHOE-MD,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232305,L3260,CAST SHOE-LG,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232306,L3260,POST OP SHOE-XLG,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232307,L4386,SHORTIE WALKER BOOT-SM,291,1 ,$186.55 ,$121.26 ,$121.26 ,$411.60 ,$149.24 ,$164.64 ,$147.82 ,$167.99 ,$167.99 ,$312.81 ,$158.57 ,$138.05 ,$411.60 ,$164.64 , N/A ,$155.58 ,$164.64 ,$154.09 ,$149.24 ,$167.90 ,$186.55 ,$158.57 ,$176.33 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$176.33 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232308,L4386,SHORTIE WALKER BOOT-MD,291,1 ,$186.55 ,$121.26 ,$121.26 ,$411.60 ,$149.24 ,$164.64 ,$147.82 ,$167.99 ,$167.99 ,$312.81 ,$158.57 ,$138.05 ,$411.60 ,$164.64 , N/A ,$155.58 ,$164.64 ,$154.09 ,$149.24 ,$167.90 ,$186.55 ,$158.57 ,$176.33 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$176.33 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232309,L4386,SHORTIE WALKER BOOT-LG,291,1 ,$186.55 ,$121.26 ,$121.26 ,$411.60 ,$149.24 ,$164.64 ,$147.82 ,$167.99 ,$167.99 ,$312.81 ,$158.57 ,$138.05 ,$411.60 ,$164.64 , N/A ,$155.58 ,$164.64 ,$154.09 ,$149.24 ,$167.90 ,$186.55 ,$158.57 ,$176.33 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$176.33 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232310,L4396,NIGHT SPLINT-SM-RIGHT,291,1 ,$200.36 ,$130.23 ,$130.23 ,$437.10 ,$160.29 ,$174.84 ,$158.77 ,$180.42 ,$180.42 ,$332.20 ,$170.31 ,$148.27 ,$437.10 ,$174.84 , N/A ,$167.10 ,$174.84 ,$165.50 ,$160.29 ,$180.32 ,$200.36 ,$170.31 ,$187.25 ,$170.31 ,$170.31 ,$180.32 ,$180.32 ,$157.28 ,$165.50 ,$187.25 ,$130.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232311,L4396,HEALWELL CUB NIGHT SPLINT-LEFT,291,1 ,$200.36 ,$130.23 ,$130.23 ,$437.10 ,$160.29 ,$174.84 ,$158.77 ,$180.42 ,$180.42 ,$332.20 ,$170.31 ,$148.27 ,$437.10 ,$174.84 , N/A ,$167.10 ,$174.84 ,$165.50 ,$160.29 ,$180.32 ,$200.36 ,$170.31 ,$187.25 ,$170.31 ,$170.31 ,$180.32 ,$180.32 ,$157.28 ,$165.50 ,$187.25 ,$130.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232312,L4396,HEALWELL CUB NIGHT SPLINT-RIGHT,291,1 ,$200.36 ,$130.23 ,$130.23 ,$437.10 ,$160.29 ,$174.84 ,$158.77 ,$180.42 ,$180.42 ,$332.20 ,$170.31 ,$148.27 ,$437.10 ,$174.84 , N/A ,$167.10 ,$174.84 ,$165.50 ,$160.29 ,$180.32 ,$200.36 ,$170.31 ,$187.25 ,$170.31 ,$170.31 ,$180.32 ,$180.32 ,$157.28 ,$165.50 ,$187.25 ,$130.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8232313,E0191,BUNNY BOOT LINER,291,1 ,$200.36 ,$130.23 ,$49.38 ,$180.42 ,$160.29 ,$49.38 ,$158.77 ,$180.42 ,$180.42 ,$93.81 ,$170.31 ,$148.27 ,$123.44 ,$49.38 , N/A ,$167.10 ,$49.38 ,$165.50 ,$160.29 ,$180.32 ,$123.44 ,$170.31 ,$52.88 ,$170.31 ,$170.31 ,$180.32 ,$180.32 ,$157.28 ,$165.50 ,$52.88 ,$130.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242400,L8239,STOCKING-MD/SHORT,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242401,L8239,STOCKING-THIGH-MD,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242402,L8239,STOCKING-THIGH HI-SM/REG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242403,L8239,STOCKING-THIGH HI-LG/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242404,L8239,STOCKING-THIGH HI-MD/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242405,L8239,STOCKING-KNEE HI-MD/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242406,L8239,STOCKING-KNEE HI-SM/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242407,L8239,STOCKING-KNEE HI-LG/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242408,L8239,STOCKING-KNEE HI-XLG/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242409,L8239,STOCKING-KNEE HI-MD/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242410,L8239,TED HOSE-KNEE HI-SM/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242411,L8239,TED HOSE-KNEE HI-MD/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242412,L8239,TED HOSE-KNEE HI-LG/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242413,L8239,TED HOSE-KNEE HI-XLG/REGULAR,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242414,L8239,TED HOSE-KNEE HI-SM/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242415,L8239,TED HOSE-KNEE HI-MD/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242416,L8239,TED HOSE-KNEE HI-LG/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242417,L8239,TED HOSE-KNEE HI-SM/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242418,L8239,TED HOSE-THIGH HI-SM/SHORT,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242419,L8239,TED HOSE-THIGH HI-MD/SHORT,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242420,L8239,TED HOSE-THIGH HI-LG/SHORT,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242421,L8239,TED HOSE-THIGH HI-SM/REGULAR,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242422,L8239,TED HOSE-THIGH HI-MD/REGULAR,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242423,L8239,TED HOSE-THIGH HI-LG/REGULAR,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242424,L8239,TED HOSE-THIGH HI-SM/LONG,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242425,L8239,TED HOSE-THIGH HI-MD/LONG,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8242426,L8239,TED HOSE-THIGH HI-LG/LONG,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8252500,E0720,TENS UNIT-DUAL CHANNEL,291,1 ,$506.30 ,$329.10 ,$228.75 ,$571.87 ,$405.04 ,$228.75 ,$401.19 ,$455.92 ,$455.92 ,$434.62 ,$430.36 ,$374.66 ,$571.87 ,$228.75 , N/A ,$422.25 ,$228.75 ,$418.20 ,$405.04 ,$455.67 ,$506.30 ,$430.36 ,$244.99 ,$430.36 ,$430.36 ,$455.67 ,$455.67 ,$397.45 ,$418.20 ,$244.99 ,$329.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8252501,A4595,2x2 PADS-SELF ADHESIVE ELECTRODES,291,1 ,$41.32 ,$26.86 ,$26.86 ,$37.21 ,$33.06 , N/A ,$32.74 ,$37.21 ,$37.21 , N/A ,$35.12 ,$30.58 , N/A , N/A , N/A ,$34.46 , N/A ,$34.13 ,$33.06 ,$37.19 , N/A ,$35.12 , N/A ,$35.12 ,$35.12 ,$37.19 ,$37.19 ,$32.44 ,$34.13 , N/A ,$26.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8252502,E0731,REUSABLE PADS ADHESIVE ELECTRODES,291,1 ,$198.04 ,$128.73 ,$128.73 ,$409.52 ,$158.43 ,$163.81 ,$156.93 ,$178.34 ,$178.34 ,$311.24 ,$168.33 ,$146.55 ,$409.52 ,$163.81 , N/A ,$165.17 ,$163.81 ,$163.58 ,$158.43 ,$178.24 ,$198.04 ,$168.33 ,$175.44 ,$168.33 ,$168.33 ,$178.24 ,$178.24 ,$155.46 ,$163.58 ,$175.44 ,$128.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),8252503,A4557,TENS LEAD WIRE,291,1 ,$25.24 ,$16.41 ,$16.41 ,$22.73 ,$20.19 , N/A ,$20.00 ,$22.73 ,$22.73 , N/A ,$21.45 ,$18.68 , N/A , N/A , N/A ,$21.05 , N/A ,$20.85 ,$20.19 ,$22.72 , N/A ,$21.45 , N/A ,$21.45 ,$21.45 ,$22.72 ,$22.72 ,$19.81 ,$20.85 , N/A ,$16.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8252504,A4630,REPLACEMENT BATTERY FOR OWNED TENS,291,1 ,$8.84 ,$5.75 ,$5.75 ,$7.96 ,$7.07 , N/A ,$7.00 ,$7.96 ,$7.96 , N/A ,$7.51 ,$6.54 , N/A , N/A , N/A ,$7.37 , N/A ,$7.30 ,$7.07 ,$7.96 , N/A ,$7.51 , N/A ,$7.51 ,$7.51 ,$7.96 ,$7.96 ,$6.94 ,$7.30 , N/A ,$5.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8252505,E0731,WRAP-MD,291,1 ,$365.80 ,$237.77 ,$197.36 ,$493.40 ,$292.64 ,$197.36 ,$289.86 ,$329.40 ,$329.40 ,$374.98 ,$310.93 ,$270.69 ,$493.40 ,$197.36 , N/A ,$305.08 ,$197.36 ,$302.15 ,$292.64 ,$329.22 ,$365.80 ,$310.93 ,$211.37 ,$310.93 ,$310.93 ,$329.22 ,$329.22 ,$287.15 ,$302.15 ,$211.37 ,$237.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8252506,E0731,WRAP-LG,291,1 ,$365.80 ,$237.77 ,$197.36 ,$493.40 ,$292.64 ,$197.36 ,$289.86 ,$329.40 ,$329.40 ,$374.98 ,$310.93 ,$270.69 ,$493.40 ,$197.36 , N/A ,$305.08 ,$197.36 ,$302.15 ,$292.64 ,$329.22 ,$365.80 ,$310.93 ,$211.37 ,$310.93 ,$310.93 ,$329.22 ,$329.22 ,$287.15 ,$302.15 ,$211.37 ,$237.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8252507,E0731,WRAP-XLG,291,1 ,$365.80 ,$237.77 ,$197.36 ,$493.40 ,$292.64 ,$197.36 ,$289.86 ,$329.40 ,$329.40 ,$374.98 ,$310.93 ,$270.69 ,$493.40 ,$197.36 , N/A ,$305.08 ,$197.36 ,$302.15 ,$292.64 ,$329.22 ,$365.80 ,$310.93 ,$211.37 ,$310.93 ,$310.93 ,$329.22 ,$329.22 ,$287.15 ,$302.15 ,$211.37 ,$237.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8262600,A4637,"TIPS-1PR.5/8""BLACK",291,1 ,$4.01 ,$2.61 ,$2.61 ,$3.61 ,$3.21 , N/A ,$3.18 ,$3.61 ,$3.61 , N/A ,$3.41 ,$2.97 , N/A , N/A , N/A ,$3.34 , N/A ,$3.31 ,$3.21 ,$3.61 , N/A ,$3.41 , N/A ,$3.41 ,$3.41 ,$3.61 ,$3.61 ,$3.15 ,$3.31 , N/A ,$2.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8262601,A4637,"TIPS-1PR.3/4""BLACK",291,1 ,$4.01 ,$2.61 ,$2.61 ,$3.61 ,$3.21 , N/A ,$3.18 ,$3.61 ,$3.61 , N/A ,$3.41 ,$2.97 , N/A , N/A , N/A ,$3.34 , N/A ,$3.31 ,$3.21 ,$3.61 , N/A ,$3.41 , N/A ,$3.41 ,$3.41 ,$3.61 ,$3.61 ,$3.15 ,$3.31 , N/A ,$2.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8262602,A4637,"TIPS-1PR.7/8""BLACK",291,1 ,$4.01 ,$2.61 ,$2.61 ,$3.61 ,$3.21 , N/A ,$3.18 ,$3.61 ,$3.61 , N/A ,$3.41 ,$2.97 , N/A , N/A , N/A ,$3.34 , N/A ,$3.31 ,$3.21 ,$3.61 , N/A ,$3.41 , N/A ,$3.41 ,$3.41 ,$3.61 ,$3.61 ,$3.15 ,$3.31 , N/A ,$2.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8262603,A4637,"TIPS-1PR. 1""BLACK",291,1 ,$4.01 ,$2.61 ,$2.61 ,$3.61 ,$3.21 , N/A ,$3.18 ,$3.61 ,$3.61 , N/A ,$3.41 ,$2.97 , N/A , N/A , N/A ,$3.34 , N/A ,$3.31 ,$3.21 ,$3.61 , N/A ,$3.41 , N/A ,$3.41 ,$3.41 ,$3.61 ,$3.61 ,$3.15 ,$3.31 , N/A ,$2.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8262604,N/A,"WALKER SKIS-1-1 1/8""",291,1 ,$43.12 ,$28.03 ,$28.03 ,$38.83 ,$34.50 , N/A ,$34.17 ,$38.83 ,$38.83 , N/A ,$36.65 ,$31.91 , N/A , N/A , N/A ,$35.96 , N/A ,$35.62 ,$34.50 ,$38.81 , N/A ,$36.65 , N/A ,$36.65 ,$36.65 ,$38.81 ,$38.81 ,$33.85 ,$35.62 , N/A ,$28.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),8262605,N/A,"WALKER SKIS-7/8""",291,1 ,$43.12 ,$28.03 ,$28.03 ,$38.83 ,$34.50 , N/A ,$34.17 ,$38.83 ,$38.83 , N/A ,$36.65 ,$31.91 , N/A , N/A , N/A ,$35.96 , N/A ,$35.62 ,$34.50 ,$38.81 , N/A ,$36.65 , N/A ,$36.65 ,$36.65 ,$38.81 ,$38.81 ,$33.85 ,$35.62 , N/A ,$28.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272700,E0135,"WALKER,FOLDING ADULT",291,1 ,$123.35 ,$80.18 ,$69.60 ,$174.00 ,$98.68 ,$69.60 ,$97.74 ,$111.08 ,$111.08 ,$132.24 ,$104.85 ,$91.28 ,$174.00 ,$69.60 , N/A ,$102.87 ,$69.60 ,$101.89 ,$98.68 ,$111.02 ,$123.35 ,$104.85 ,$74.54 ,$104.85 ,$104.85 ,$111.02 ,$111.02 ,$96.83 ,$101.89 ,$74.54 ,$80.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272701,E0135,"WALKER,FOLDING JUNIOR",291,1 ,$123.35 ,$80.18 ,$69.60 ,$174.00 ,$98.68 ,$69.60 ,$97.74 ,$111.08 ,$111.08 ,$132.24 ,$104.85 ,$91.28 ,$174.00 ,$69.60 , N/A ,$102.87 ,$69.60 ,$101.89 ,$98.68 ,$111.02 ,$123.35 ,$104.85 ,$74.54 ,$104.85 ,$104.85 ,$111.02 ,$111.02 ,$96.83 ,$101.89 ,$74.54 ,$80.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272702,E0155,"LUMEX 5"" FIXED WHEEL",291,1 ,$45.51 ,$29.58 ,$27.93 ,$69.84 ,$36.41 ,$27.93 ,$36.06 ,$40.98 ,$40.98 ,$53.07 ,$38.68 ,$33.68 ,$69.84 ,$27.93 , N/A ,$37.96 ,$27.93 ,$37.59 ,$36.41 ,$40.96 ,$45.51 ,$38.68 ,$29.92 ,$38.68 ,$38.68 ,$40.96 ,$40.96 ,$35.73 ,$37.59 ,$29.92 ,$29.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272703,E0143,"WALKER,FOLDING ADULT,W/WHEELS",291,1 ,$182.71 ,$118.76 ,$89.53 ,$223.82 ,$146.17 ,$89.53 ,$144.78 ,$164.53 ,$164.53 ,$170.10 ,$155.30 ,$135.21 ,$223.82 ,$89.53 , N/A ,$152.38 ,$89.53 ,$150.92 ,$146.17 ,$164.44 ,$182.71 ,$155.30 ,$95.88 ,$155.30 ,$155.30 ,$164.44 ,$164.44 ,$143.43 ,$150.92 ,$95.88 ,$118.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272704,E0155,"WALKER,WHEELS 5"",SWIVEL",291,1 ,$64.52 ,$41.94 ,$31.74 ,$79.34 ,$51.62 ,$31.74 ,$51.13 ,$58.10 ,$58.10 ,$60.30 ,$54.84 ,$47.74 ,$79.34 ,$31.74 , N/A ,$53.81 ,$31.74 ,$53.29 ,$51.62 ,$58.07 ,$64.52 ,$54.84 ,$33.99 ,$54.84 ,$54.84 ,$58.07 ,$58.07 ,$50.65 ,$53.29 ,$33.99 ,$41.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272705,E0159,"WALKER,BRAKES W/3"" WHEELS",291,1 ,$49.89 ,$32.43 ,$22.94 ,$57.35 ,$39.91 ,$22.94 ,$39.53 ,$44.93 ,$44.93 ,$43.58 ,$42.41 ,$36.92 ,$57.35 ,$22.94 , N/A ,$41.61 ,$22.94 ,$41.21 ,$39.91 ,$44.90 ,$49.89 ,$42.41 ,$24.57 ,$42.41 ,$42.41 ,$44.90 ,$44.90 ,$39.16 ,$41.21 ,$24.57 ,$32.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272706,E0159,"WALKER,BRAKE GLIDES FOR 1""",291,1 ,$46.19 ,$30.02 ,$22.20 ,$55.50 ,$36.95 ,$22.20 ,$36.60 ,$41.59 ,$41.59 ,$42.18 ,$39.26 ,$34.18 ,$55.50 ,$22.20 , N/A ,$38.52 ,$22.20 ,$38.15 ,$36.95 ,$41.57 ,$46.19 ,$39.26 ,$23.77 ,$39.26 ,$39.26 ,$41.57 ,$41.57 ,$36.26 ,$38.15 ,$23.77 ,$30.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272707,N/A,"WALKER,BASKET",291,1 ,$68.40 ,$44.46 ,$44.46 ,$61.59 ,$54.72 , N/A ,$54.20 ,$61.59 ,$61.59 , N/A ,$58.14 ,$50.62 , N/A , N/A , N/A ,$57.05 , N/A ,$56.50 ,$54.72 ,$61.56 , N/A ,$58.14 , N/A ,$58.14 ,$58.14 ,$61.56 ,$61.56 ,$53.69 ,$56.50 , N/A ,$44.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8272708,N/A,"WALKER,POUCHES",291,1 ,$44.62 ,$29.00 ,$29.00 ,$40.18 ,$35.70 , N/A ,$35.36 ,$40.18 ,$40.18 , N/A ,$37.93 ,$33.02 , N/A , N/A , N/A ,$37.21 , N/A ,$36.86 ,$35.70 ,$40.16 , N/A ,$37.93 , N/A ,$37.93 ,$37.93 ,$40.16 ,$40.16 ,$35.03 ,$36.86 , N/A ,$29.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282800,K0001,"WHLCHAIR 16""-18""PERM ARMS W/DFR",291,1 ,$510.94 ,$332.11 ,$102.19 ,$460.10 ,$408.75 ,$102.19 ,$404.87 ,$460.10 ,$460.10 ,$194.16 ,$434.30 ,$378.10 ,$255.47 ,$102.19 , N/A ,$426.12 ,$102.19 ,$422.04 ,$408.75 ,$459.85 ,$255.47 ,$434.30 ,$109.44 ,$434.30 ,$434.30 ,$459.85 ,$459.85 ,$401.09 ,$422.04 ,$109.44 ,$332.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282801,K0001,"WHLCHAIR 16""-18""PERM ARMS W/ELR",291,1 ,$624.95 ,$406.22 ,$124.99 ,$562.77 ,$499.96 ,$124.99 ,$495.21 ,$562.77 ,$562.77 ,$237.48 ,$531.21 ,$462.46 ,$312.48 ,$124.99 , N/A ,$521.21 ,$124.99 ,$516.21 ,$499.96 ,$562.46 ,$312.48 ,$531.21 ,$133.86 ,$531.21 ,$531.21 ,$562.46 ,$562.46 ,$490.59 ,$516.21 ,$133.86 ,$406.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282802,K0048,ELEVATED LEG RESTS,291,1 ,$147.68 ,$95.99 ,$95.99 ,$132.99 ,$118.14 , N/A ,$117.02 ,$132.99 ,$132.99 , N/A ,$125.53 ,$109.28 , N/A , N/A , N/A ,$123.17 , N/A ,$121.98 ,$118.14 ,$132.91 , N/A ,$125.53 , N/A ,$125.53 ,$125.53 ,$132.91 ,$132.91 ,$115.93 ,$121.98 , N/A ,$95.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282803,K0045,SWING AWAY LEG RESTS,291,1 ,$80.17 ,$52.11 ,$52.11 ,$150.69 ,$64.14 ,$60.27 ,$63.53 ,$72.19 ,$72.19 ,$114.52 ,$68.14 ,$59.33 ,$150.69 ,$60.27 , N/A ,$66.86 ,$60.27 ,$66.22 ,$64.14 ,$72.15 ,$80.17 ,$68.14 ,$64.55 ,$68.14 ,$68.14 ,$72.15 ,$72.15 ,$62.93 ,$66.22 ,$64.55 ,$52.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282804,K0015,REMOVABLE ARMS,291,1 ,$257.29 ,$167.24 ,$51.46 ,$231.69 ,$205.83 ,$51.46 ,$203.88 ,$231.69 ,$231.69 ,$97.77 ,$218.70 ,$190.39 ,$128.65 ,$51.46 , N/A ,$214.58 ,$51.46 ,$212.52 ,$205.83 ,$231.56 ,$128.65 ,$218.70 ,$55.11 ,$218.70 ,$218.70 ,$231.56 ,$231.56 ,$201.97 ,$212.52 ,$55.11 ,$167.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282805,K0001,"WHLCHAIR 16""-18""RDL W/DFR",291,1 ,$624.95 ,$406.22 ,$124.99 ,$562.77 ,$499.96 ,$124.99 ,$495.21 ,$562.77 ,$562.77 ,$237.48 ,$531.21 ,$462.46 ,$312.48 ,$124.99 , N/A ,$521.21 ,$124.99 ,$516.21 ,$499.96 ,$562.46 ,$312.48 ,$531.21 ,$133.86 ,$531.21 ,$531.21 ,$562.46 ,$562.46 ,$490.59 ,$516.21 ,$133.86 ,$406.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282806,K0001,"WHLCHAIR 16""-18""RDL W/DFR",291,1 ,$644.73 ,$419.07 ,$128.95 ,$580.58 ,$515.78 ,$128.95 ,$510.88 ,$580.58 ,$580.58 ,$245.00 ,$548.02 ,$477.10 ,$322.37 ,$128.95 , N/A ,$537.70 ,$128.95 ,$532.55 ,$515.78 ,$580.26 ,$322.37 ,$548.02 ,$138.10 ,$548.02 ,$548.02 ,$580.26 ,$580.26 ,$506.11 ,$532.55 ,$138.10 ,$419.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282807,K0006,"WHLCHAIR 20""-22""RDL W/DFR",291,1 ,$871.61 ,$566.55 ,$174.32 ,$784.88 ,$697.29 ,$174.32 ,$690.66 ,$784.88 ,$784.88 ,$331.21 ,$740.87 ,$644.99 ,$435.81 ,$174.32 , N/A ,$726.92 ,$174.32 ,$719.95 ,$697.29 ,$784.45 ,$435.81 ,$740.87 ,$186.70 ,$740.87 ,$740.87 ,$784.45 ,$784.45 ,$684.21 ,$719.95 ,$186.70 ,$566.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282808,K0003,"WHLCHAIR 16""-18""LIGHTWT W/DFR",291,1 ,$687.70 ,$447.01 ,$137.54 ,$619.27 ,$550.16 ,$137.54 ,$544.93 ,$619.27 ,$619.27 ,$261.33 ,$584.55 ,$508.90 ,$343.85 ,$137.54 , N/A ,$573.54 ,$137.54 ,$568.04 ,$550.16 ,$618.93 ,$343.85 ,$584.55 ,$147.31 ,$584.55 ,$584.55 ,$618.93 ,$618.93 ,$539.84 ,$568.04 ,$147.31 ,$447.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282809,K0003,"WHLCHAIR 16""-18""LIGHTWT W/ELR",291,1 ,$687.70 ,$447.01 ,$137.54 ,$619.27 ,$550.16 ,$137.54 ,$544.93 ,$619.27 ,$619.27 ,$261.33 ,$584.55 ,$508.90 ,$343.85 ,$137.54 , N/A ,$573.54 ,$137.54 ,$568.04 ,$550.16 ,$618.93 ,$343.85 ,$584.55 ,$147.31 ,$584.55 ,$584.55 ,$618.93 ,$618.93 ,$539.84 ,$568.04 ,$147.31 ,$447.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282810,K0003,"WHLCHAIR 18""LIGHTWT W/DFR",291,1 ,$687.70 ,$447.01 ,$137.54 ,$619.27 ,$550.16 ,$137.54 ,$544.93 ,$619.27 ,$619.27 ,$261.33 ,$584.55 ,$508.90 ,$343.85 ,$137.54 , N/A ,$573.54 ,$137.54 ,$568.04 ,$550.16 ,$618.93 ,$343.85 ,$584.55 ,$147.31 ,$584.55 ,$584.55 ,$618.93 ,$618.93 ,$539.84 ,$568.04 ,$147.31 ,$447.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282811,K0003,"WHLCHAIR 18""LIGHTWT W/ELR",291,1 ,$687.70 ,$447.01 ,$137.54 ,$619.27 ,$550.16 ,$137.54 ,$544.93 ,$619.27 ,$619.27 ,$261.33 ,$584.55 ,$508.90 ,$343.85 ,$137.54 , N/A ,$573.54 ,$137.54 ,$568.04 ,$550.16 ,$618.93 ,$343.85 ,$584.55 ,$147.31 ,$584.55 ,$584.55 ,$618.93 ,$618.93 ,$539.84 ,$568.04 ,$147.31 ,$447.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282812,E1038,"WHLCHAIR 17""TRANSPORT W/DFR",291,1 ,$442.50 ,$287.63 ,$88.50 ,$398.47 ,$354.00 ,$88.50 ,$350.64 ,$398.47 ,$398.47 ,$168.15 ,$376.13 ,$327.45 ,$221.25 ,$88.50 , N/A ,$369.05 ,$88.50 ,$365.51 ,$354.00 ,$398.25 ,$221.25 ,$376.13 ,$94.78 ,$376.13 ,$376.13 ,$398.25 ,$398.25 ,$347.36 ,$365.51 ,$94.78 ,$287.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282813,E1038,"WHLCHAIR 19""TRANSPORT W/DFR",291,1 ,$453.00 ,$294.45 ,$90.60 ,$407.93 ,$362.40 ,$90.60 ,$358.96 ,$407.93 ,$407.93 ,$172.14 ,$385.05 ,$335.22 ,$226.50 ,$90.60 , N/A ,$377.80 ,$90.60 ,$374.18 ,$362.40 ,$407.70 ,$226.50 ,$385.05 ,$97.03 ,$385.05 ,$385.05 ,$407.70 ,$407.70 ,$355.61 ,$374.18 ,$97.03 ,$294.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),8282814,K0001,"WHLCHAIR 19""NARROW RDL W/ELR",291,1 ,$473.36 ,$307.68 ,$94.67 ,$426.26 ,$378.69 ,$94.67 ,$375.09 ,$426.26 ,$426.26 ,$179.88 ,$402.36 ,$350.29 ,$236.68 ,$94.67 , N/A ,$394.78 ,$94.67 ,$391.00 ,$378.69 ,$426.02 ,$236.68 ,$402.36 ,$101.39 ,$402.36 ,$402.36 ,$426.02 ,$426.02 ,$371.59 ,$391.00 ,$101.39 ,$307.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292900,A4365,PDI ADHVE REMOVER PADS,291,1 ,$19.26 ,$12.52 ,$12.52 ,$17.34 ,$15.41 , N/A ,$15.26 ,$17.34 ,$17.34 , N/A ,$16.37 ,$14.25 , N/A , N/A , N/A ,$16.06 , N/A ,$15.91 ,$15.41 ,$17.33 , N/A ,$16.37 , N/A ,$16.37 ,$16.37 ,$17.33 ,$17.33 ,$15.12 ,$15.91 , N/A ,$12.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292901,A5119,SKIN PREP WIPES,291,1 ,$23.36 ,$15.18 ,$15.18 ,$21.04 ,$18.69 , N/A ,$18.51 ,$21.04 ,$21.04 , N/A ,$19.86 ,$17.29 , N/A , N/A , N/A ,$19.48 , N/A ,$19.30 ,$18.69 ,$21.02 , N/A ,$19.86 , N/A ,$19.86 ,$19.86 ,$21.02 ,$21.02 ,$18.34 ,$19.30 , N/A ,$15.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292902,N/A,READY BATH ANTIBAC. WIPES,291,1 ,$4.84 ,$3.15 ,$3.15 ,$4.36 ,$3.87 , N/A ,$3.84 ,$4.36 ,$4.36 , N/A ,$4.11 ,$3.58 , N/A , N/A , N/A ,$4.04 , N/A ,$4.00 ,$3.87 ,$4.36 , N/A ,$4.11 , N/A ,$4.11 ,$4.11 ,$4.36 ,$4.36 ,$3.80 ,$4.00 , N/A ,$3.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292903,N/A,READY BATH SHAMPOO AND CONDITIONER,291,1 ,$5.19 ,$3.37 ,$3.37 ,$4.67 ,$4.15 , N/A ,$4.11 ,$4.67 ,$4.67 , N/A ,$4.41 ,$3.84 , N/A , N/A , N/A ,$4.33 , N/A ,$4.29 ,$4.15 ,$4.67 , N/A ,$4.41 , N/A ,$4.41 ,$4.41 ,$4.67 ,$4.67 ,$4.07 ,$4.29 , N/A ,$3.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292904,A6443,"ROLL GAUZE,3""x75"" UNSTRETCH",291,1 ,$20.74 ,$13.48 ,$13.48 ,$18.68 ,$16.59 , N/A ,$16.43 ,$18.68 ,$18.68 , N/A ,$17.63 ,$15.35 , N/A , N/A , N/A ,$17.30 , N/A ,$17.13 ,$16.59 ,$18.67 , N/A ,$17.63 , N/A ,$17.63 ,$17.63 ,$18.67 ,$18.67 ,$16.28 ,$17.13 , N/A ,$13.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292905,A6442,"ROLL GAUZE,BULKEEII 4.5""x4""",291,1 ,$1.52 ,$0.99 ,$0.99 ,$1.37 ,$1.22 , N/A ,$1.20 ,$1.37 ,$1.37 , N/A ,$1.29 ,$1.12 , N/A , N/A , N/A ,$1.27 , N/A ,$1.26 ,$1.22 ,$1.37 , N/A ,$1.29 , N/A ,$1.29 ,$1.29 ,$1.37 ,$1.37 ,$1.19 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292906,A6402,STERILE GAUZE PADS-4x4,291,1 ,$2.97 ,$1.93 ,$1.93 ,$2.67 ,$2.38 , N/A ,$2.35 ,$2.67 ,$2.67 , N/A ,$2.52 ,$2.20 , N/A , N/A , N/A ,$2.48 , N/A ,$2.45 ,$2.38 ,$2.67 , N/A ,$2.52 , N/A ,$2.52 ,$2.52 ,$2.67 ,$2.67 ,$2.33 ,$2.45 , N/A ,$1.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292907,A6216,4x4 GAUZE SPONGE,291,1 ,$8.67 ,$5.64 ,$5.64 ,$7.81 ,$6.94 , N/A ,$6.87 ,$7.81 ,$7.81 , N/A ,$7.37 ,$6.42 , N/A , N/A , N/A ,$7.23 , N/A ,$7.16 ,$6.94 ,$7.80 , N/A ,$7.37 , N/A ,$7.37 ,$7.37 ,$7.80 ,$7.80 ,$6.81 ,$7.16 , N/A ,$5.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292908,N/A,"SORBSAN-12"" ROPE",291,1 ,$12.50 ,$8.13 ,$8.13 ,$11.26 ,$10.00 , N/A ,$9.91 ,$11.26 ,$11.26 , N/A ,$10.63 ,$9.25 , N/A , N/A , N/A ,$10.43 , N/A ,$10.33 ,$10.00 ,$11.25 , N/A ,$10.63 , N/A ,$10.63 ,$10.63 ,$11.25 ,$11.25 ,$9.81 ,$10.33 , N/A ,$8.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292909,N/A,ALLEVYN DRESSING-4x4,291,1 ,$93.36 ,$60.68 ,$60.68 ,$84.07 ,$74.69 , N/A ,$73.98 ,$84.07 ,$84.07 , N/A ,$79.36 ,$69.09 , N/A , N/A , N/A ,$77.86 , N/A ,$77.12 ,$74.69 ,$84.02 , N/A ,$79.36 , N/A ,$79.36 ,$79.36 ,$84.02 ,$84.02 ,$73.29 ,$77.12 , N/A ,$60.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292910,A6223,XEROFORM DRESSING-5x9,291,1 ,$2.71 ,$1.76 ,$1.76 ,$2.44 ,$2.17 , N/A ,$2.15 ,$2.44 ,$2.44 , N/A ,$2.30 ,$2.01 , N/A , N/A , N/A ,$2.26 , N/A ,$2.24 ,$2.17 ,$2.44 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.44 ,$2.44 ,$2.13 ,$2.24 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292911,A6203,TELFA PADS-3x8,291,1 ,$9.85 ,$6.40 ,$6.40 ,$8.87 ,$7.88 , N/A ,$7.81 ,$8.87 ,$8.87 , N/A ,$8.37 ,$7.29 , N/A , N/A , N/A ,$8.21 , N/A ,$8.14 ,$7.88 ,$8.87 , N/A ,$8.37 , N/A ,$8.37 ,$8.37 ,$8.87 ,$8.87 ,$7.73 ,$8.14 , N/A ,$6.40 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292912,A6200,ABD PADS-10x8,291,1 ,$18.29 ,$11.89 ,$11.89 ,$16.47 ,$14.63 , N/A ,$14.49 ,$16.47 ,$16.47 , N/A ,$15.55 ,$13.53 , N/A , N/A , N/A ,$15.25 , N/A ,$15.11 ,$14.63 ,$16.46 , N/A ,$15.55 , N/A ,$15.55 ,$15.55 ,$16.46 ,$16.46 ,$14.36 ,$15.11 , N/A ,$11.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292913,N/A,"WATERPROOF TAPE-1""",291,1 ,$3.14 ,$2.04 ,$2.04 ,$2.83 ,$2.51 , N/A ,$2.49 ,$2.83 ,$2.83 , N/A ,$2.67 ,$2.32 , N/A , N/A , N/A ,$2.62 , N/A ,$2.59 ,$2.51 ,$2.83 , N/A ,$2.67 , N/A ,$2.67 ,$2.67 ,$2.83 ,$2.83 ,$2.46 ,$2.59 , N/A ,$2.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292914,A4450,"WATERPROOF TAPE-2""",291,1 ,$6.25 ,$4.06 ,$4.06 ,$5.63 ,$5.00 , N/A ,$4.95 ,$5.63 ,$5.63 , N/A ,$5.31 ,$4.63 , N/A , N/A , N/A ,$5.21 , N/A ,$5.16 ,$5.00 ,$5.63 , N/A ,$5.31 , N/A ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 , N/A ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292915,N/A,"MEDIPORE TAPE-2""",291,1 ,$8.28 ,$5.38 ,$5.38 ,$7.46 ,$6.62 , N/A ,$6.56 ,$7.46 ,$7.46 , N/A ,$7.04 ,$6.13 , N/A , N/A , N/A ,$6.91 , N/A ,$6.84 ,$6.62 ,$7.45 , N/A ,$7.04 , N/A ,$7.04 ,$7.04 ,$7.45 ,$7.45 ,$6.50 ,$6.84 , N/A ,$5.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292916,N/A,COTTON TIP APPLICATORS,291,1 ,$2.95 ,$1.92 ,$1.92 ,$2.66 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 , N/A ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292917,A4217,SOD.CHL IRRIGATION-500,291,1 ,$6.05 ,$3.93 ,$3.93 ,$5.45 ,$4.84 , N/A ,$4.79 ,$5.45 ,$5.45 , N/A ,$5.14 ,$4.48 , N/A , N/A , N/A ,$5.05 , N/A ,$5.00 ,$4.84 ,$5.45 , N/A ,$5.14 , N/A ,$5.14 ,$5.14 ,$5.45 ,$5.45 ,$4.75 ,$5.00 , N/A ,$3.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292918,A4319,STERILE WATER,291,1 ,$10.74 ,$6.98 ,$6.98 ,$9.67 ,$8.59 , N/A ,$8.51 ,$9.67 ,$9.67 , N/A ,$9.13 ,$7.95 , N/A , N/A , N/A ,$8.96 , N/A ,$8.87 ,$8.59 ,$9.67 , N/A ,$9.13 , N/A ,$9.13 ,$9.13 ,$9.67 ,$9.67 ,$8.43 ,$8.87 , N/A ,$6.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8292919,A4322,STERILE WATER,291,1 ,$10.74 ,$6.98 ,$6.98 ,$9.67 ,$8.59 , N/A ,$8.51 ,$9.67 ,$9.67 , N/A ,$9.13 ,$7.95 , N/A , N/A , N/A ,$8.96 , N/A ,$8.87 ,$8.59 ,$9.67 , N/A ,$9.13 , N/A ,$9.13 ,$9.13 ,$9.67 ,$9.67 ,$8.43 ,$8.87 , N/A ,$6.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),83,N/A,NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300000,N/A,PRODUCT X,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300001,N/A,APEX GEL (TOE SEPARATIONS),291,1 ,$7.08 ,$4.60 ,$4.60 ,$6.38 ,$5.66 , N/A ,$5.61 ,$6.38 ,$6.38 , N/A ,$6.02 ,$5.24 , N/A , N/A , N/A ,$5.90 , N/A ,$5.85 ,$5.66 ,$6.37 , N/A ,$6.02 , N/A ,$6.02 ,$6.02 ,$6.37 ,$6.37 ,$5.56 ,$5.85 , N/A ,$4.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300002,N/A,ANTI-SHOX (TOE SEPARTIONS),291,1 ,$7.08 ,$4.60 ,$4.60 ,$6.38 ,$5.66 , N/A ,$5.61 ,$6.38 ,$6.38 , N/A ,$6.02 ,$5.24 , N/A , N/A , N/A ,$5.90 , N/A ,$5.85 ,$5.66 ,$6.37 , N/A ,$6.02 , N/A ,$6.02 ,$6.02 ,$6.37 ,$6.37 ,$5.56 ,$5.85 , N/A ,$4.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300003,N/A,ATHLETIC SUPPORTER (SPRT AID),291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300004,N/A,BACK LUMBAR SUPPORT,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300005,N/A,ARTHRITIS BACK SUPPORT,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300006,N/A,BACK SUPPORT-SMALL,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300007,N/A,BACK SUPPORT-MEDIUM,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300008,N/A,BACK SUPPORT-LARGE,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300009,N/A,BACK SUPPORT-XLARGE,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300010,N/A,BATHTUB RAIL,291,1 ,$51.70 ,$33.61 ,$33.61 ,$46.56 ,$41.36 , N/A ,$40.97 ,$46.56 ,$46.56 , N/A ,$43.95 ,$38.26 , N/A , N/A , N/A ,$43.12 , N/A ,$42.70 ,$41.36 ,$46.53 , N/A ,$43.95 , N/A ,$43.95 ,$43.95 ,$46.53 ,$46.53 ,$40.58 ,$42.70 , N/A ,$33.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300011,N/A,BATHTUB SAFETY RAIL,291,1 ,$51.70 ,$33.61 ,$33.61 ,$46.56 ,$41.36 , N/A ,$40.97 ,$46.56 ,$46.56 , N/A ,$43.95 ,$38.26 , N/A , N/A , N/A ,$43.12 , N/A ,$42.70 ,$41.36 ,$46.53 , N/A ,$43.95 , N/A ,$43.95 ,$43.95 ,$46.53 ,$46.53 ,$40.58 ,$42.70 , N/A ,$33.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300012,N/A,SHOWER CHAIR,291,1 ,$374.06 ,$243.14 ,$243.14 ,$336.84 ,$299.25 , N/A ,$296.41 ,$336.84 ,$336.84 , N/A ,$317.95 ,$276.80 , N/A , N/A , N/A ,$311.97 , N/A ,$308.97 ,$299.25 ,$336.65 , N/A ,$317.95 , N/A ,$317.95 ,$317.95 ,$336.65 ,$336.65 ,$293.64 ,$308.97 , N/A ,$243.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300013,N/A,BATH BENCH W/BACK,291,1 ,$228.92 ,$148.80 ,$148.80 ,$206.14 ,$183.14 , N/A ,$181.40 ,$206.14 ,$206.14 , N/A ,$194.58 ,$169.40 , N/A , N/A , N/A ,$190.92 , N/A ,$189.09 ,$183.14 ,$206.03 , N/A ,$194.58 , N/A ,$194.58 ,$194.58 ,$206.03 ,$206.03 ,$179.70 ,$189.09 , N/A ,$148.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300014,N/A,TERRY CLOTH BIB #1,291,1 ,$8.97 ,$5.83 ,$5.83 ,$8.08 ,$7.18 , N/A ,$7.11 ,$8.08 ,$8.08 , N/A ,$7.62 ,$6.64 , N/A , N/A , N/A ,$7.48 , N/A ,$7.41 ,$7.18 ,$8.07 , N/A ,$7.62 , N/A ,$7.62 ,$7.62 ,$8.07 ,$8.07 ,$7.04 ,$7.41 , N/A ,$5.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300015,N/A,TERRY CLOTH BIB #2,291,1 ,$8.97 ,$5.83 ,$5.83 ,$8.08 ,$7.18 , N/A ,$7.11 ,$8.08 ,$8.08 , N/A ,$7.62 ,$6.64 , N/A , N/A , N/A ,$7.48 , N/A ,$7.41 ,$7.18 ,$8.07 , N/A ,$7.62 , N/A ,$7.62 ,$7.62 ,$8.07 ,$8.07 ,$7.04 ,$7.41 , N/A ,$5.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300016,N/A,DIABETIC SHOE (TAUPE),291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300017,N/A,"QUAD CARE TIPS 1/2""",291,1 ,$8.97 ,$5.83 ,$5.83 ,$8.08 ,$7.18 , N/A ,$7.11 ,$8.08 ,$8.08 , N/A ,$7.62 ,$6.64 , N/A , N/A , N/A ,$7.48 , N/A ,$7.41 ,$7.18 ,$8.07 , N/A ,$7.62 , N/A ,$7.62 ,$7.62 ,$8.07 ,$8.07 ,$7.04 ,$7.41 , N/A ,$5.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300018,N/A,CANE STRAP,291,1 ,$5.89 ,$3.83 ,$3.83 ,$5.30 ,$4.71 , N/A ,$4.67 ,$5.30 ,$5.30 , N/A ,$5.01 ,$4.36 , N/A , N/A , N/A ,$4.91 , N/A ,$4.87 ,$4.71 ,$5.30 , N/A ,$5.01 , N/A ,$5.01 ,$5.01 ,$5.30 ,$5.30 ,$4.62 ,$4.87 , N/A ,$3.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300019,N/A,CANNULA (1600)NASAL,291,1 ,$3.07 ,$2.00 ,$2.00 ,$2.76 ,$2.46 , N/A ,$2.43 ,$2.76 ,$2.76 , N/A ,$2.61 ,$2.27 , N/A , N/A , N/A ,$2.56 , N/A ,$2.54 ,$2.46 ,$2.76 , N/A ,$2.61 , N/A ,$2.61 ,$2.61 ,$2.76 ,$2.76 ,$2.41 ,$2.54 , N/A ,$2.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300020,N/A,NASAL CANNULA,291,1 ,$4.84 ,$3.15 ,$3.15 ,$4.36 ,$3.87 , N/A ,$3.84 ,$4.36 ,$4.36 , N/A ,$4.11 ,$3.58 , N/A , N/A , N/A ,$4.04 , N/A ,$4.00 ,$3.87 ,$4.36 , N/A ,$4.11 , N/A ,$4.11 ,$4.11 ,$4.36 ,$4.36 ,$3.80 ,$4.00 , N/A ,$3.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300021,N/A,CAST COVER,291,1 ,$43.24 ,$28.11 ,$28.11 ,$38.94 ,$34.59 , N/A ,$34.26 ,$38.94 ,$38.94 , N/A ,$36.75 ,$32.00 , N/A , N/A , N/A ,$36.06 , N/A ,$35.72 ,$34.59 ,$38.92 , N/A ,$36.75 , N/A ,$36.75 ,$36.75 ,$38.92 ,$38.92 ,$33.94 ,$35.72 , N/A ,$28.11 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300022,N/A,CATHETER TUBING,291,1 ,$7.38 ,$4.80 ,$4.80 ,$6.65 ,$5.90 , N/A ,$5.85 ,$6.65 ,$6.65 , N/A ,$6.27 ,$5.46 , N/A , N/A , N/A ,$6.15 , N/A ,$6.10 ,$5.90 ,$6.64 , N/A ,$6.27 , N/A ,$6.27 ,$6.27 ,$6.64 ,$6.64 ,$5.79 ,$6.10 , N/A ,$4.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300023,N/A,SELF CATH 14FR LONG,291,1 ,$15.72 ,$10.22 ,$10.22 ,$14.16 ,$12.58 , N/A ,$12.46 ,$14.16 ,$14.16 , N/A ,$13.36 ,$11.63 , N/A , N/A , N/A ,$13.11 , N/A ,$12.98 ,$12.58 ,$14.15 , N/A ,$13.36 , N/A ,$13.36 ,$13.36 ,$14.15 ,$14.15 ,$12.34 ,$12.98 , N/A ,$10.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300024,N/A,CERVICAL PILLOW,291,1 ,$95.21 ,$61.89 ,$61.89 ,$85.74 ,$76.17 , N/A ,$75.44 ,$85.74 ,$85.74 , N/A ,$80.93 ,$70.46 , N/A , N/A , N/A ,$79.41 , N/A ,$78.64 ,$76.17 ,$85.69 , N/A ,$80.93 , N/A ,$80.93 ,$80.93 ,$85.69 ,$85.69 ,$74.74 ,$78.64 , N/A ,$61.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300025,N/A,CERVICAL COLLAR SM,291,1 ,$26.62 ,$17.30 ,$17.30 ,$23.97 ,$21.30 , N/A ,$21.09 ,$23.97 ,$23.97 , N/A ,$22.63 ,$19.70 , N/A , N/A , N/A ,$22.20 , N/A ,$21.99 ,$21.30 ,$23.96 , N/A ,$22.63 , N/A ,$22.63 ,$22.63 ,$23.96 ,$23.96 ,$20.90 ,$21.99 , N/A ,$17.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300026,N/A,CERVICAL COLLAR MED,291,1 ,$26.62 ,$17.30 ,$17.30 ,$23.97 ,$21.30 , N/A ,$21.09 ,$23.97 ,$23.97 , N/A ,$22.63 ,$19.70 , N/A , N/A , N/A ,$22.20 , N/A ,$21.99 ,$21.30 ,$23.96 , N/A ,$22.63 , N/A ,$22.63 ,$22.63 ,$23.96 ,$23.96 ,$20.90 ,$21.99 , N/A ,$17.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300027,N/A,HOLLISTER FLEXTEND,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300028,N/A,COLOSTOMY SKIN BARRIER,291,1 ,$112.56 ,$73.16 ,$73.16 ,$101.36 ,$90.05 , N/A ,$89.19 ,$101.36 ,$101.36 , N/A ,$95.68 ,$83.29 , N/A , N/A , N/A ,$93.88 , N/A ,$92.97 ,$90.05 ,$101.30 , N/A ,$95.68 , N/A ,$95.68 ,$95.68 ,$101.30 ,$101.30 ,$88.36 ,$92.97 , N/A ,$73.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300029,N/A,COMMODE BARRIATIC W/DROP ARM,291,1 ,$534.54 ,$347.45 ,$347.45 ,$481.35 ,$427.63 , N/A ,$423.57 ,$481.35 ,$481.35 , N/A ,$454.36 ,$395.56 , N/A , N/A , N/A ,$445.81 , N/A ,$441.53 ,$427.63 ,$481.09 , N/A ,$454.36 , N/A ,$454.36 ,$454.36 ,$481.09 ,$481.09 ,$419.61 ,$441.53 , N/A ,$347.45 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300030,N/A,COMMODE PADDED W/DROP ARM,291,1 ,$267.42 ,$173.82 ,$173.82 ,$240.81 ,$213.94 , N/A ,$211.90 ,$240.81 ,$240.81 , N/A ,$227.31 ,$197.89 , N/A , N/A , N/A ,$223.03 , N/A ,$220.89 ,$213.94 ,$240.68 , N/A ,$227.31 , N/A ,$227.31 ,$227.31 ,$240.68 ,$240.68 ,$209.92 ,$220.89 , N/A ,$173.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300031,N/A,COMMODE SEAT AND LID,291,1 ,$31.86 ,$20.71 ,$20.71 ,$28.69 ,$25.49 , N/A ,$25.25 ,$28.69 ,$28.69 , N/A ,$27.08 ,$23.58 , N/A , N/A , N/A ,$26.57 , N/A ,$26.32 ,$25.49 ,$28.67 , N/A ,$27.08 , N/A ,$27.08 ,$27.08 ,$28.67 ,$28.67 ,$25.01 ,$26.32 , N/A ,$20.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300032,N/A,COMPACT ACCUCHEK TEST STRIPS,291,1 ,$113.94 ,$74.06 ,$74.06 ,$102.60 ,$91.15 , N/A ,$90.29 ,$102.60 ,$102.60 , N/A ,$96.85 ,$84.32 , N/A , N/A , N/A ,$95.03 , N/A ,$94.11 ,$91.15 ,$102.55 , N/A ,$96.85 , N/A ,$96.85 ,$96.85 ,$102.55 ,$102.55 ,$89.44 ,$94.11 , N/A ,$74.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300034,N/A,CPAP AIR VENT,291,1 ,$6.49 ,$4.22 ,$4.22 ,$5.84 ,$5.19 , N/A ,$5.14 ,$5.84 ,$5.84 , N/A ,$5.52 ,$4.80 , N/A , N/A , N/A ,$5.41 , N/A ,$5.36 ,$5.19 ,$5.84 , N/A ,$5.52 , N/A ,$5.52 ,$5.52 ,$5.84 ,$5.84 ,$5.09 ,$5.36 , N/A ,$4.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300035,N/A,ACTIVA CPAP MASK,291,1 ,$279.80 ,$181.87 ,$181.87 ,$251.96 ,$223.84 , N/A ,$221.71 ,$251.96 ,$251.96 , N/A ,$237.83 ,$207.05 , N/A , N/A , N/A ,$233.35 , N/A ,$231.11 ,$223.84 ,$251.82 , N/A ,$237.83 , N/A ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 , N/A ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300036,N/A,BREEZE SLEEP GEAR (CPAP NASAL),291,1 ,$279.80 ,$181.87 ,$181.87 ,$251.96 ,$223.84 , N/A ,$221.71 ,$251.96 ,$251.96 , N/A ,$237.83 ,$207.05 , N/A , N/A , N/A ,$233.35 , N/A ,$231.11 ,$223.84 ,$251.82 , N/A ,$237.83 , N/A ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 , N/A ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300037,N/A,SOFT HEAD GEAR,291,1 ,$139.54 ,$90.70 ,$90.70 ,$125.66 ,$111.63 , N/A ,$110.57 ,$125.66 ,$125.66 , N/A ,$118.61 ,$103.26 , N/A , N/A , N/A ,$116.38 , N/A ,$115.26 ,$111.63 ,$125.59 , N/A ,$118.61 , N/A ,$118.61 ,$118.61 ,$125.59 ,$125.59 ,$109.54 ,$115.26 , N/A ,$90.70 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300038,N/A,COMFORT SELECT NASAL MASK,291,1 ,$279.80 ,$181.87 ,$181.87 ,$251.96 ,$223.84 , N/A ,$221.71 ,$251.96 ,$251.96 , N/A ,$237.83 ,$207.05 , N/A , N/A , N/A ,$233.35 , N/A ,$231.11 ,$223.84 ,$251.82 , N/A ,$237.83 , N/A ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 , N/A ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300039,N/A,CPAP CORD,291,1 ,$28.32 ,$18.41 ,$18.41 ,$25.50 ,$22.66 , N/A ,$22.44 ,$25.50 ,$25.50 , N/A ,$24.07 ,$20.96 , N/A , N/A , N/A ,$23.62 , N/A ,$23.39 ,$22.66 ,$25.49 , N/A ,$24.07 , N/A ,$24.07 ,$24.07 ,$25.49 ,$25.49 ,$22.23 ,$23.39 , N/A ,$18.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300040,N/A,ACTIVA MASK (CPAP),291,1 ,$279.80 ,$181.87 ,$181.87 ,$251.96 ,$223.84 , N/A ,$221.71 ,$251.96 ,$251.96 , N/A ,$237.83 ,$207.05 , N/A , N/A , N/A ,$233.35 , N/A ,$231.11 ,$223.84 ,$251.82 , N/A ,$237.83 , N/A ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 , N/A ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300041,N/A,CPAP FILTER,291,1 ,$8.85 ,$5.75 ,$5.75 ,$7.97 ,$7.08 , N/A ,$7.01 ,$7.97 ,$7.97 , N/A ,$7.52 ,$6.55 , N/A , N/A , N/A ,$7.38 , N/A ,$7.31 ,$7.08 ,$7.97 , N/A ,$7.52 , N/A ,$7.52 ,$7.52 ,$7.97 ,$7.97 ,$6.95 ,$7.31 , N/A ,$5.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300042,N/A,S7 RESMED FILTER,291,1 ,$8.85 ,$5.75 ,$5.75 ,$7.97 ,$7.08 , N/A ,$7.01 ,$7.97 ,$7.97 , N/A ,$7.52 ,$6.55 , N/A , N/A , N/A ,$7.38 , N/A ,$7.31 ,$7.08 ,$7.97 , N/A ,$7.52 , N/A ,$7.52 ,$7.52 ,$7.97 ,$7.97 ,$6.95 ,$7.31 , N/A ,$5.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300043,N/A,CPAP FILTER-POLLEN (FILTER),291,1 ,$8.85 ,$5.75 ,$5.75 ,$7.97 ,$7.08 , N/A ,$7.01 ,$7.97 ,$7.97 , N/A ,$7.52 ,$6.55 , N/A , N/A , N/A ,$7.38 , N/A ,$7.31 ,$7.08 ,$7.97 , N/A ,$7.52 , N/A ,$7.52 ,$7.52 ,$7.97 ,$7.97 ,$6.95 ,$7.31 , N/A ,$5.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300044,N/A,ULTRA MIRAGE FULL FACE MASK-SM,291,1 ,$279.80 ,$181.87 ,$181.87 ,$251.96 ,$223.84 , N/A ,$221.71 ,$251.96 ,$251.96 , N/A ,$237.83 ,$207.05 , N/A , N/A , N/A ,$233.35 , N/A ,$231.11 ,$223.84 ,$251.82 , N/A ,$237.83 , N/A ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 , N/A ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300045,N/A,HEAD GEAR-FACE MASK,291,1 ,$56.51 ,$36.73 ,$36.73 ,$50.89 ,$45.21 , N/A ,$44.78 ,$50.89 ,$50.89 , N/A ,$48.03 ,$41.82 , N/A , N/A , N/A ,$47.13 , N/A ,$46.68 ,$45.21 ,$50.86 , N/A ,$48.03 , N/A ,$48.03 ,$48.03 ,$50.86 ,$50.86 ,$44.36 ,$46.68 , N/A ,$36.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300046,N/A,SPARE CUSHION-FULL FACE,291,1 ,$82.33 ,$53.51 ,$53.51 ,$74.14 ,$65.86 , N/A ,$65.24 ,$74.14 ,$74.14 , N/A ,$69.98 ,$60.92 , N/A , N/A , N/A ,$68.66 , N/A ,$68.00 ,$65.86 ,$74.10 , N/A ,$69.98 , N/A ,$69.98 ,$69.98 ,$74.10 ,$74.10 ,$64.63 ,$68.00 , N/A ,$53.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300047,N/A,MIRAGE SWIFT PILLOW,291,1 ,$279.80 ,$181.87 ,$181.87 ,$251.96 ,$223.84 , N/A ,$221.71 ,$251.96 ,$251.96 , N/A ,$237.83 ,$207.05 , N/A , N/A , N/A ,$233.35 , N/A ,$231.11 ,$223.84 ,$251.82 , N/A ,$237.83 , N/A ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 , N/A ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300048,N/A,CPAP REMSTAR,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300049,N/A,S8 CPAP ESCAPE,291,1 ,"$1,327.50 ",$862.88 ,$862.88 ,"$1,195.41 ","$1,062.00 ", N/A ,"$1,051.91 ","$1,195.41 ","$1,195.41 ", N/A ,"$1,128.38 ",$982.35 , N/A , N/A , N/A ,"$1,107.14 ", N/A ,"$1,096.52 ","$1,062.00 ","$1,194.75 ", N/A ,"$1,128.38 ", N/A ,"$1,128.38 ","$1,128.38 ","$1,194.75 ","$1,194.75 ","$1,042.09 ","$1,096.52 ", N/A ,$862.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300050,N/A,ULTRA MIRAGE SHALLOW,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300051,N/A,CUSHION SADDLE THRUST,291,1 ,$553.42 ,$359.72 ,$359.72 ,$498.35 ,$442.74 , N/A ,$438.53 ,$498.35 ,$498.35 , N/A ,$470.41 ,$409.53 , N/A , N/A , N/A ,$461.55 , N/A ,$457.12 ,$442.74 ,$498.08 , N/A ,$470.41 , N/A ,$470.41 ,$470.41 ,$498.08 ,$498.08 ,$434.43 ,$457.12 , N/A ,$359.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300052,N/A,FOAM CUSHION,291,1 ,$40.12 ,$26.08 ,$26.08 ,$36.13 ,$32.10 , N/A ,$31.79 ,$36.13 ,$36.13 , N/A ,$34.10 ,$29.69 , N/A , N/A , N/A ,$33.46 , N/A ,$33.14 ,$32.10 ,$36.11 , N/A ,$34.10 , N/A ,$34.10 ,$34.10 ,$36.11 ,$36.11 ,$31.49 ,$33.14 , N/A ,$26.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300053,N/A,JAY BASIC CUSHION,291,1 ,$80.24 ,$52.16 ,$52.16 ,$72.26 ,$64.19 , N/A ,$63.58 ,$72.26 ,$72.26 , N/A ,$68.20 ,$59.38 , N/A , N/A , N/A ,$66.92 , N/A ,$66.28 ,$64.19 ,$72.22 , N/A ,$68.20 , N/A ,$68.20 ,$68.20 ,$72.22 ,$72.22 ,$62.99 ,$66.28 , N/A ,$52.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300054,N/A,MIRACLE CUSHION,291,1 ,$83.54 ,$54.30 ,$54.30 ,$75.23 ,$66.83 , N/A ,$66.20 ,$75.23 ,$75.23 , N/A ,$71.01 ,$61.82 , N/A , N/A , N/A ,$69.67 , N/A ,$69.00 ,$66.83 ,$75.19 , N/A ,$71.01 , N/A ,$71.01 ,$71.01 ,$75.19 ,$75.19 ,$65.58 ,$69.00 , N/A ,$54.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300055,N/A,DEPENDS,291,1 ,$6.61 ,$4.30 ,$4.30 ,$5.95 ,$5.29 , N/A ,$5.24 ,$5.95 ,$5.95 , N/A ,$5.62 ,$4.89 , N/A , N/A , N/A ,$5.51 , N/A ,$5.46 ,$5.29 ,$5.95 , N/A ,$5.62 , N/A ,$5.62 ,$5.62 ,$5.95 ,$5.95 ,$5.19 ,$5.46 , N/A ,$4.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300056,N/A,DAWN VELCRO (DIAB.SHOE),291,1 ,$230.10 ,$149.57 ,$149.57 ,$207.21 ,$184.08 , N/A ,$182.33 ,$207.21 ,$207.21 , N/A ,$195.59 ,$170.27 , N/A , N/A , N/A ,$191.90 , N/A ,$190.06 ,$184.08 ,$207.09 , N/A ,$195.59 , N/A ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 , N/A ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300057,N/A,DR. ZEN JEENIE (DIAB.SHOE),291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300058,N/A,DIABETIC INSERTS,291,1 ,$47.39 ,$30.80 ,$30.80 ,$42.67 ,$37.91 , N/A ,$37.55 ,$42.67 ,$42.67 , N/A ,$40.28 ,$35.07 , N/A , N/A , N/A ,$39.52 , N/A ,$39.14 ,$37.91 ,$42.65 , N/A ,$40.28 , N/A ,$40.28 ,$40.28 ,$42.65 ,$42.65 ,$37.20 ,$39.14 , N/A ,$30.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300059,N/A,DIABETIC SHOES (VELCRO),291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300060,N/A,DR.ZEN RAVEN VELCRO,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300061,N/A,DR.ZEN LEATHER LACE,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300062,N/A,RIVER WALK DIAB. SHOES,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300063,N/A,DIABETIC SANDLE,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300064,N/A,DIABETIC TENNIS SHOE,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300065,N/A,DIABETIC LANCETS,291,1 ,$37.82 ,$24.58 ,$24.58 ,$34.06 ,$30.26 , N/A ,$29.97 ,$34.06 ,$34.06 , N/A ,$32.15 ,$27.99 , N/A , N/A , N/A ,$31.54 , N/A ,$31.24 ,$30.26 ,$34.04 , N/A ,$32.15 , N/A ,$32.15 ,$32.15 ,$34.04 ,$34.04 ,$29.69 ,$31.24 , N/A ,$24.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300066,N/A,DR. ZEN TITANS,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300067,N/A,DR.ZEN ZENNON,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300068,N/A,DIABETIC INSERTS(40668),291,1 ,$47.39 ,$30.80 ,$30.80 ,$42.67 ,$37.91 , N/A ,$37.55 ,$42.67 ,$42.67 , N/A ,$40.28 ,$35.07 , N/A , N/A , N/A ,$39.52 , N/A ,$39.14 ,$37.91 ,$42.65 , N/A ,$40.28 , N/A ,$40.28 ,$40.28 ,$42.65 ,$42.65 ,$37.20 ,$39.14 , N/A ,$30.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300069,N/A,DIAB. MARY JANE,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300070,N/A,TOE TAPS (FOR DIAB.SHOES),291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300071,N/A,INFLATABLE DONUT CUSHION,291,1 ,$35.39 ,$23.00 ,$23.00 ,$31.87 ,$28.31 , N/A ,$28.04 ,$31.87 ,$31.87 , N/A ,$30.08 ,$26.19 , N/A , N/A , N/A ,$29.52 , N/A ,$29.23 ,$28.31 ,$31.85 , N/A ,$30.08 , N/A ,$30.08 ,$30.08 ,$31.85 ,$31.85 ,$27.78 ,$29.23 , N/A ,$23.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300072,N/A,NEW IMAGE DRAIN POUCH,291,1 ,$79.30 ,$51.55 ,$51.55 ,$71.41 ,$63.44 , N/A ,$62.84 ,$71.41 ,$71.41 , N/A ,$67.41 ,$58.68 , N/A , N/A , N/A ,$66.14 , N/A ,$65.50 ,$63.44 ,$71.37 , N/A ,$67.41 , N/A ,$67.41 ,$67.41 ,$71.37 ,$71.37 ,$62.25 ,$65.50 , N/A ,$51.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300073,N/A,DR.ZEN JENNY DRESS SHOES,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300074,N/A,DR.ZEN KOSMO DIAB.SHOE,291,1 ,$460.20 ,$299.13 ,$299.13 ,$414.41 ,$368.16 , N/A ,$364.66 ,$414.41 ,$414.41 , N/A ,$391.17 ,$340.55 , N/A , N/A , N/A ,$383.81 , N/A ,$380.13 ,$368.16 ,$414.18 , N/A ,$391.17 , N/A ,$391.17 ,$391.17 ,$414.18 ,$414.18 ,$361.26 ,$380.13 , N/A ,$299.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300075,N/A,ELBOW SLIP-ON,291,1 ,$57.63 ,$37.46 ,$37.46 ,$51.90 ,$46.10 , N/A ,$45.67 ,$51.90 ,$51.90 , N/A ,$48.99 ,$42.65 , N/A , N/A , N/A ,$48.06 , N/A ,$47.60 ,$46.10 ,$51.87 , N/A ,$48.99 , N/A ,$48.99 ,$48.99 ,$51.87 ,$51.87 ,$45.24 ,$47.60 , N/A ,$37.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300076,N/A,ELBOW WRAP ARTHRITIS,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300077,N/A,ENERGIZER BATTERY,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300078,N/A,PEDAL EXERCISER,291,1 ,$54.28 ,$35.28 ,$35.28 ,$48.88 ,$43.42 , N/A ,$43.01 ,$48.88 ,$48.88 , N/A ,$46.14 ,$40.17 , N/A , N/A , N/A ,$45.27 , N/A ,$44.84 ,$43.42 ,$48.85 , N/A ,$46.14 , N/A ,$46.14 ,$46.14 ,$48.85 ,$48.85 ,$42.61 ,$44.84 , N/A ,$35.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300079,N/A,FEEDING PUMP BAG,291,1 ,$16.28 ,$10.58 ,$10.58 ,$14.66 ,$13.02 , N/A ,$12.90 ,$14.66 ,$14.66 , N/A ,$13.84 ,$12.05 , N/A , N/A , N/A ,$13.58 , N/A ,$13.45 ,$13.02 ,$14.65 , N/A ,$13.84 , N/A ,$13.84 ,$13.84 ,$14.65 ,$14.65 ,$12.78 ,$13.45 , N/A ,$10.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300080,N/A,ANTI-SHOX TOE SEPARATOR,291,1 ,$7.08 ,$4.60 ,$4.60 ,$6.38 ,$5.66 , N/A ,$5.61 ,$6.38 ,$6.38 , N/A ,$6.02 ,$5.24 , N/A , N/A , N/A ,$5.90 , N/A ,$5.85 ,$5.66 ,$6.37 , N/A ,$6.02 , N/A ,$6.02 ,$6.02 ,$6.37 ,$6.37 ,$5.56 ,$5.85 , N/A ,$4.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300081,N/A,GAIT BELT,291,1 ,$34.57 ,$22.47 ,$22.47 ,$31.13 ,$27.66 , N/A ,$27.39 ,$31.13 ,$31.13 , N/A ,$29.38 ,$25.58 , N/A , N/A , N/A ,$28.83 , N/A ,$28.55 ,$27.66 ,$31.11 , N/A ,$29.38 , N/A ,$29.38 ,$29.38 ,$31.11 ,$31.11 ,$27.14 ,$28.55 , N/A ,$22.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300082,N/A,GAIT BELT-STRIPES,291,1 ,$34.57 ,$22.47 ,$22.47 ,$31.13 ,$27.66 , N/A ,$27.39 ,$31.13 ,$31.13 , N/A ,$29.38 ,$25.58 , N/A , N/A , N/A ,$28.83 , N/A ,$28.55 ,$27.66 ,$31.11 , N/A ,$29.38 , N/A ,$29.38 ,$29.38 ,$31.11 ,$31.11 ,$27.14 ,$28.55 , N/A ,$22.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300083,N/A,GLIDE CAPS-WALKER,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300084,N/A,"GRAB BAR 32""",291,1 ,$73.51 ,$47.78 ,$47.78 ,$66.20 ,$58.81 , N/A ,$58.25 ,$66.20 ,$66.20 , N/A ,$62.48 ,$54.40 , N/A , N/A , N/A ,$61.31 , N/A ,$60.72 ,$58.81 ,$66.16 , N/A ,$62.48 , N/A ,$62.48 ,$62.48 ,$66.16 ,$66.16 ,$57.71 ,$60.72 , N/A ,$47.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300085,N/A,HEEL CUSHION-VISCOSPOT,291,1 ,$70.91 ,$46.09 ,$46.09 ,$63.85 ,$56.73 , N/A ,$56.19 ,$63.85 ,$63.85 , N/A ,$60.27 ,$52.47 , N/A , N/A , N/A ,$59.14 , N/A ,$58.57 ,$56.73 ,$63.82 , N/A ,$60.27 , N/A ,$60.27 ,$60.27 ,$63.82 ,$63.82 ,$55.66 ,$58.57 , N/A ,$46.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300086,N/A,HEEL PROTECT. BARNEY BOOT,291,1 ,$26.26 ,$17.07 ,$17.07 ,$23.65 ,$21.01 , N/A ,$20.81 ,$23.65 ,$23.65 , N/A ,$22.32 ,$19.43 , N/A , N/A , N/A ,$21.90 , N/A ,$21.69 ,$21.01 ,$23.63 , N/A ,$22.32 , N/A ,$22.32 ,$22.32 ,$23.63 ,$23.63 ,$20.61 ,$21.69 , N/A ,$17.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300087,N/A,BED PAD-REUSABLE,291,1 ,$26.26 ,$17.07 ,$17.07 ,$23.65 ,$21.01 , N/A ,$20.81 ,$23.65 ,$23.65 , N/A ,$22.32 ,$19.43 , N/A , N/A , N/A ,$21.90 , N/A ,$21.69 ,$21.01 ,$23.63 , N/A ,$22.32 , N/A ,$22.32 ,$22.32 ,$23.63 ,$23.63 ,$20.61 ,$21.69 , N/A ,$17.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300088,N/A,HOSP.BED.SEMI-ELECTRIC,291,1 ,"$2,535.82 ","$1,648.28 ","$1,648.28 ","$2,283.51 ","$2,028.66 ", N/A ,"$2,009.38 ","$2,283.51 ","$2,283.51 ", N/A ,"$2,155.45 ","$1,876.51 ", N/A , N/A , N/A ,"$2,114.87 ", N/A ,"$2,094.59 ","$2,028.66 ","$2,282.24 ", N/A ,"$2,155.45 ", N/A ,"$2,155.45 ","$2,155.45 ","$2,282.24 ","$2,282.24 ","$1,990.62 ","$2,094.59 ", N/A ,"$1,648.28 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8300089,N/A,HOSP.BED.MEDLINE,291,1 ,"$2,535.82 ","$1,648.28 ","$1,648.28 ","$2,283.51 ","$2,028.66 ", N/A ,"$2,009.38 ","$2,283.51 ","$2,283.51 ", N/A ,"$2,155.45 ","$1,876.51 ", N/A , N/A , N/A ,"$2,114.87 ", N/A ,"$2,094.59 ","$2,028.66 ","$2,282.24 ", N/A ,"$2,155.45 ", N/A ,"$2,155.45 ","$2,155.45 ","$2,282.24 ","$2,282.24 ","$1,990.62 ","$2,094.59 ", N/A ,"$1,648.28 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8300090,N/A,FLAT SHEET,291,1 ,$9.44 ,$6.14 ,$6.14 ,$8.50 ,$7.55 , N/A ,$7.48 ,$8.50 ,$8.50 , N/A ,$8.02 ,$6.99 , N/A , N/A , N/A ,$7.87 , N/A ,$7.80 ,$7.55 ,$8.50 , N/A ,$8.02 , N/A ,$8.02 ,$8.02 ,$8.50 ,$8.50 ,$7.41 ,$7.80 , N/A ,$6.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300091,N/A,WEDGE PILLOW/COVER,291,1 ,$46.49 ,$30.22 ,$30.22 ,$41.86 ,$37.19 , N/A ,$36.84 ,$41.86 ,$41.86 , N/A ,$39.52 ,$34.40 , N/A , N/A , N/A ,$38.77 , N/A ,$38.40 ,$37.19 ,$41.84 , N/A ,$39.52 , N/A ,$39.52 ,$39.52 ,$41.84 ,$41.84 ,$36.49 ,$38.40 , N/A ,$30.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300092,N/A,JAZZY ELECTRIC WHEELCHAIR,291,1 ,"$5,380.80 ","$3,497.52 ","$3,497.52 ","$4,845.41 ","$4,304.64 ", N/A ,"$4,263.75 ","$4,845.41 ","$4,845.41 ", N/A ,"$4,573.68 ","$3,981.79 ", N/A , N/A , N/A ,"$4,487.59 ", N/A ,"$4,444.54 ","$4,304.64 ","$4,842.72 ", N/A ,"$4,573.68 ", N/A ,"$4,573.68 ","$4,573.68 ","$4,842.72 ","$4,842.72 ","$4,223.93 ","$4,444.54 ", N/A ,"$3,497.52 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8300093,N/A,KNEE HIGH-MD JOBST,291,1 ,$105.14 ,$68.34 ,$68.34 ,$94.68 ,$84.11 , N/A ,$83.31 ,$94.68 ,$94.68 , N/A ,$89.37 ,$77.80 , N/A , N/A , N/A ,$87.69 , N/A ,$86.85 ,$84.11 ,$94.63 , N/A ,$89.37 , N/A ,$89.37 ,$89.37 ,$94.63 ,$94.63 ,$82.53 ,$86.85 , N/A ,$68.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300094,N/A,KNEE HIGH-LG JOBST,291,1 ,$105.14 ,$68.34 ,$68.34 ,$94.68 ,$84.11 , N/A ,$83.31 ,$94.68 ,$94.68 , N/A ,$89.37 ,$77.80 , N/A , N/A , N/A ,$87.69 , N/A ,$86.85 ,$84.11 ,$94.63 , N/A ,$89.37 , N/A ,$89.37 ,$89.37 ,$94.63 ,$94.63 ,$82.53 ,$86.85 , N/A ,$68.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300095,N/A,MENS SOCK KHAKI-JOBST,291,1 ,$75.52 ,$49.09 ,$49.09 ,$68.01 ,$60.42 , N/A ,$59.84 ,$68.01 ,$68.01 , N/A ,$64.19 ,$55.88 , N/A , N/A , N/A ,$62.98 , N/A ,$62.38 ,$60.42 ,$67.97 , N/A ,$64.19 , N/A ,$64.19 ,$64.19 ,$67.97 ,$67.97 ,$59.28 ,$62.38 , N/A ,$49.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300096,N/A,KNEE HIGH-MD JOBST,291,1 ,$75.52 ,$49.09 ,$49.09 ,$68.01 ,$60.42 , N/A ,$59.84 ,$68.01 ,$68.01 , N/A ,$64.19 ,$55.88 , N/A , N/A , N/A ,$62.98 , N/A ,$62.38 ,$60.42 ,$67.97 , N/A ,$64.19 , N/A ,$64.19 ,$64.19 ,$67.97 ,$67.97 ,$59.28 ,$62.38 , N/A ,$49.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300097,N/A,SUPP LEGWARE-BLK,291,1 ,$64.90 ,$42.19 ,$42.19 ,$58.44 ,$51.92 , N/A ,$51.43 ,$58.44 ,$58.44 , N/A ,$55.17 ,$48.03 , N/A , N/A , N/A ,$54.13 , N/A ,$53.61 ,$51.92 ,$58.41 , N/A ,$55.17 , N/A ,$55.17 ,$55.17 ,$58.41 ,$58.41 ,$50.95 ,$53.61 , N/A ,$42.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300098,N/A,JOBST KNEE 227-2343,291,1 ,$105.02 ,$68.26 ,$68.26 ,$94.57 ,$84.02 , N/A ,$83.22 ,$94.57 ,$94.57 , N/A ,$89.27 ,$77.71 , N/A , N/A , N/A ,$87.59 , N/A ,$86.75 ,$84.02 ,$94.52 , N/A ,$89.27 , N/A ,$89.27 ,$89.27 ,$94.52 ,$94.52 ,$82.44 ,$86.75 , N/A ,$68.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300099,N/A,JOBST KNEE 275-2152,291,1 ,$105.02 ,$68.26 ,$68.26 ,$94.57 ,$84.02 , N/A ,$83.22 ,$94.57 ,$94.57 , N/A ,$89.27 ,$77.71 , N/A , N/A , N/A ,$87.59 , N/A ,$86.75 ,$84.02 ,$94.52 , N/A ,$89.27 , N/A ,$89.27 ,$89.27 ,$94.52 ,$94.52 ,$82.44 ,$86.75 , N/A ,$68.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300100,N/A,KNEE LG SILKY BEIGE,291,1 ,$64.90 ,$42.19 ,$42.19 ,$58.44 ,$51.92 , N/A ,$51.43 ,$58.44 ,$58.44 , N/A ,$55.17 ,$48.03 , N/A , N/A , N/A ,$54.13 , N/A ,$53.61 ,$51.92 ,$58.41 , N/A ,$55.17 , N/A ,$55.17 ,$55.17 ,$58.41 ,$58.41 ,$50.95 ,$53.61 , N/A ,$42.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300101,N/A,KNEE HIGH MD.146-0158,291,1 ,$64.90 ,$42.19 ,$42.19 ,$58.44 ,$51.92 , N/A ,$51.43 ,$58.44 ,$58.44 , N/A ,$55.17 ,$48.03 , N/A , N/A , N/A ,$54.13 , N/A ,$53.61 ,$51.92 ,$58.41 , N/A ,$55.17 , N/A ,$55.17 ,$55.17 ,$58.41 ,$58.41 ,$50.95 ,$53.61 , N/A ,$42.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300102,N/A,THIGH HIGH.185-6186,291,1 ,$106.19 ,$69.02 ,$69.02 ,$95.62 ,$84.95 , N/A ,$84.15 ,$95.62 ,$95.62 , N/A ,$90.26 ,$78.58 , N/A , N/A , N/A ,$88.56 , N/A ,$87.71 ,$84.95 ,$95.57 , N/A ,$90.26 , N/A ,$90.26 ,$90.26 ,$95.57 ,$95.57 ,$83.36 ,$87.71 , N/A ,$69.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300103,N/A,SUPP SOCK.LG.160-2200,291,1 ,$105.02 ,$68.26 ,$68.26 ,$94.57 ,$84.02 , N/A ,$83.22 ,$94.57 ,$94.57 , N/A ,$89.27 ,$77.71 , N/A , N/A , N/A ,$87.59 , N/A ,$86.75 ,$84.02 ,$94.52 , N/A ,$89.27 , N/A ,$89.27 ,$89.27 ,$94.52 ,$94.52 ,$82.44 ,$86.75 , N/A ,$68.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300104,N/A,THIGH HIGH.XLG.185-6442,291,1 ,$106.19 ,$69.02 ,$69.02 ,$95.62 ,$84.95 , N/A ,$84.15 ,$95.62 ,$95.62 , N/A ,$90.26 ,$78.58 , N/A , N/A , N/A ,$88.56 , N/A ,$87.71 ,$84.95 ,$95.57 , N/A ,$90.26 , N/A ,$90.26 ,$90.26 ,$95.57 ,$95.57 ,$83.36 ,$87.71 , N/A ,$69.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300105,N/A,THIGH HIGH.185-5089,291,1 ,$106.19 ,$69.02 ,$69.02 ,$95.62 ,$84.95 , N/A ,$84.15 ,$95.62 ,$95.62 , N/A ,$90.26 ,$78.58 , N/A , N/A , N/A ,$88.56 , N/A ,$87.71 ,$84.95 ,$95.57 , N/A ,$90.26 , N/A ,$90.26 ,$90.26 ,$95.57 ,$95.57 ,$83.36 ,$87.71 , N/A ,$69.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300106,N/A,"KLING GAUZE 3""",291,1 ,$16.93 ,$11.00 ,$11.00 ,$15.25 ,$13.54 , N/A ,$13.42 ,$15.25 ,$15.25 , N/A ,$14.39 ,$12.53 , N/A , N/A , N/A ,$14.12 , N/A ,$13.98 ,$13.54 ,$15.24 , N/A ,$14.39 , N/A ,$14.39 ,$14.39 ,$15.24 ,$15.24 ,$13.29 ,$13.98 , N/A ,$11.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300107,N/A,KNEE SLIP-ON SA3611,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300108,N/A,KNEE ARTH.NEO.174-7658,291,1 ,$41.96 ,$27.27 ,$27.27 ,$37.79 ,$33.57 , N/A ,$33.25 ,$37.79 ,$37.79 , N/A ,$35.67 ,$31.05 , N/A , N/A , N/A ,$34.99 , N/A ,$34.66 ,$33.57 ,$37.76 , N/A ,$35.67 , N/A ,$35.67 ,$35.67 ,$37.76 ,$37.76 ,$32.94 ,$34.66 , N/A ,$27.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300109,N/A,KNEE ARTH.NEO.174-7815,291,1 ,$36.67 ,$23.84 ,$23.84 ,$33.02 ,$29.34 , N/A ,$29.06 ,$33.02 ,$33.02 , N/A ,$31.17 ,$27.14 , N/A , N/A , N/A ,$30.58 , N/A ,$30.29 ,$29.34 ,$33.00 , N/A ,$31.17 , N/A ,$31.17 ,$31.17 ,$33.00 ,$33.00 ,$28.79 ,$30.29 , N/A ,$23.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300110,N/A,KNEE HINGE BRACE-MD,291,1 ,$158.60 ,$103.09 ,$103.09 ,$142.82 ,$126.88 , N/A ,$125.67 ,$142.82 ,$142.82 , N/A ,$134.81 ,$117.36 , N/A , N/A , N/A ,$132.27 , N/A ,$131.00 ,$126.88 ,$142.74 , N/A ,$134.81 , N/A ,$134.81 ,$134.81 ,$142.74 ,$142.74 ,$124.50 ,$131.00 , N/A ,$103.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300111,N/A,KNEE HINGE-MD/LG,291,1 ,$158.60 ,$103.09 ,$103.09 ,$142.82 ,$126.88 , N/A ,$125.67 ,$142.82 ,$142.82 , N/A ,$134.81 ,$117.36 , N/A , N/A , N/A ,$132.27 , N/A ,$131.00 ,$126.88 ,$142.74 , N/A ,$134.81 , N/A ,$134.81 ,$134.81 ,$142.74 ,$142.74 ,$124.50 ,$131.00 , N/A ,$103.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300112,N/A,KNEE JUMPERSTRAP/PATELLA,291,1 ,$97.94 ,$63.66 ,$63.66 ,$88.20 ,$78.35 , N/A ,$77.61 ,$88.20 ,$88.20 , N/A ,$83.25 ,$72.48 , N/A , N/A , N/A ,$81.68 , N/A ,$80.90 ,$78.35 ,$88.15 , N/A ,$83.25 , N/A ,$83.25 ,$83.25 ,$88.15 ,$88.15 ,$76.88 ,$80.90 , N/A ,$63.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300113,N/A,KNEE BRACE.NEOP.183-8739,291,1 ,$93.85 ,$61.00 ,$61.00 ,$84.51 ,$75.08 , N/A ,$74.37 ,$84.51 ,$84.51 , N/A ,$79.77 ,$69.45 , N/A , N/A , N/A ,$78.27 , N/A ,$77.52 ,$75.08 ,$84.47 , N/A ,$79.77 , N/A ,$79.77 ,$79.77 ,$84.47 ,$84.47 ,$73.67 ,$77.52 , N/A ,$61.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300114,N/A,KNEE SUPP.OPEN PTELLA,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300115,N/A,KNEE WEDGE 7x4x5,291,1 ,$61.36 ,$39.88 ,$39.88 ,$55.25 ,$49.09 , N/A ,$48.62 ,$55.25 ,$55.25 , N/A ,$52.16 ,$45.41 , N/A , N/A , N/A ,$51.17 , N/A ,$50.68 ,$49.09 ,$55.22 , N/A ,$52.16 , N/A ,$52.16 ,$52.16 ,$55.22 ,$55.22 ,$48.17 ,$50.68 , N/A ,$39.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300116,N/A,KNEE HINGE.DELUXE RWRAP,291,1 ,$158.60 ,$103.09 ,$103.09 ,$142.82 ,$126.88 , N/A ,$125.67 ,$142.82 ,$142.82 , N/A ,$134.81 ,$117.36 , N/A , N/A , N/A ,$132.27 , N/A ,$131.00 ,$126.88 ,$142.74 , N/A ,$134.81 , N/A ,$134.81 ,$134.81 ,$142.74 ,$142.74 ,$124.50 ,$131.00 , N/A ,$103.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300117,N/A,KNEEWRAP 4WAY.SUPP.UNIV.,291,1 ,$149.14 ,$96.94 ,$96.94 ,$134.30 ,$119.31 , N/A ,$118.18 ,$134.30 ,$134.30 , N/A ,$126.77 ,$110.36 , N/A , N/A , N/A ,$124.38 , N/A ,$123.19 ,$119.31 ,$134.23 , N/A ,$126.77 , N/A ,$126.77 ,$126.77 ,$134.23 ,$134.23 ,$117.07 ,$123.19 , N/A ,$96.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300118,N/A,PATIENT LIFT W/SLING,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300119,N/A,LUMBAR SUPP.MED,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300120,N/A,LUMBAR SUPP.GIR/LACE.SM,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300121,N/A,LUMBAR SUPP.MED,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300122,N/A,LUMBAR SUPP.LG,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300123,N/A,LUMBAR LOCK SUPP.LG,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300124,N/A,SACRO.LUMB.SUPP.UNIV,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300125,N/A,SACRO.LUMB.SUPP.XLG,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300126,N/A,SACRO.LUMB.SUPP.MD.LONG,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300127,N/A,MATTRESS,291,1 ,$359.90 ,$233.94 ,$233.94 ,$324.09 ,$287.92 , N/A ,$285.18 ,$324.09 ,$324.09 , N/A ,$305.92 ,$266.33 , N/A , N/A , N/A ,$300.16 , N/A ,$297.28 ,$287.92 ,$323.91 , N/A ,$305.92 , N/A ,$305.92 ,$305.92 ,$323.91 ,$323.91 ,$282.52 ,$297.28 , N/A ,$233.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300128,N/A,MATTRESS COVER,291,1 ,$31.86 ,$20.71 ,$20.71 ,$28.69 ,$25.49 , N/A ,$25.25 ,$28.69 ,$28.69 , N/A ,$27.08 ,$23.58 , N/A , N/A , N/A ,$26.57 , N/A ,$26.32 ,$25.49 ,$28.67 , N/A ,$27.08 , N/A ,$27.08 ,$27.08 ,$28.67 ,$28.67 ,$25.01 ,$26.32 , N/A ,$20.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300129,N/A,MATTRESS DELUXE,291,1 ,$358.72 ,$233.17 ,$233.17 ,$323.03 ,$286.98 , N/A ,$284.25 ,$323.03 ,$323.03 , N/A ,$304.91 ,$265.45 , N/A , N/A , N/A ,$299.17 , N/A ,$296.30 ,$286.98 ,$322.85 , N/A ,$304.91 , N/A ,$304.91 ,$304.91 ,$322.85 ,$322.85 ,$281.60 ,$296.30 , N/A ,$233.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300130,N/A,NEBULIZER-MICROELITE,291,1 ,$305.86 ,$198.81 ,$198.81 ,$275.43 ,$244.69 , N/A ,$242.36 ,$275.43 ,$275.43 , N/A ,$259.98 ,$226.34 , N/A , N/A , N/A ,$255.09 , N/A ,$252.64 ,$244.69 ,$275.27 , N/A ,$259.98 , N/A ,$259.98 ,$259.98 ,$275.27 ,$275.27 ,$240.10 ,$252.64 , N/A ,$198.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300131,N/A,MIDI 3 SCOOTER W/BATTERIES,291,1 ,"$2,625.50 ","$1,706.58 ","$1,706.58 ","$2,364.26 ","$2,100.40 ", N/A ,"$2,080.45 ","$2,364.26 ","$2,364.26 ", N/A ,"$2,231.68 ","$1,942.87 ", N/A , N/A , N/A ,"$2,189.67 ", N/A ,"$2,168.66 ","$2,100.40 ","$2,362.95 ", N/A ,"$2,231.68 ", N/A ,"$2,231.68 ","$2,231.68 ","$2,362.95 ","$2,362.95 ","$2,061.02 ","$2,168.66 ", N/A ,"$1,706.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8300132,N/A,MIDI 4 SCOOTER W/BATTERIES,291,1 ,"$2,625.50 ","$1,706.58 ","$1,706.58 ","$2,364.26 ","$2,100.40 ", N/A ,"$2,080.45 ","$2,364.26 ","$2,364.26 ", N/A ,"$2,231.68 ","$1,942.87 ", N/A , N/A , N/A ,"$2,189.67 ", N/A ,"$2,168.66 ","$2,100.40 ","$2,362.95 ", N/A ,"$2,231.68 ", N/A ,"$2,231.68 ","$2,231.68 ","$2,362.95 ","$2,362.95 ","$2,061.02 ","$2,168.66 ", N/A ,"$1,706.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8300133,N/A,MIDI SCOOTER BATTERIES,291,1 ,$315.26 ,$204.92 ,$204.92 ,$283.89 ,$252.21 , N/A ,$249.81 ,$283.89 ,$283.89 , N/A ,$267.97 ,$233.29 , N/A , N/A , N/A ,$262.93 , N/A ,$260.40 ,$252.21 ,$283.73 , N/A ,$267.97 , N/A ,$267.97 ,$267.97 ,$283.73 ,$283.73 ,$247.48 ,$260.40 , N/A ,$204.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300134,N/A,SOCK AIDE-ALIMED,291,1 ,$20.10 ,$13.07 ,$13.07 ,$18.10 ,$16.08 , N/A ,$15.93 ,$18.10 ,$18.10 , N/A ,$17.09 ,$14.87 , N/A , N/A , N/A ,$16.76 , N/A ,$16.60 ,$16.08 ,$18.09 , N/A ,$17.09 , N/A ,$17.09 ,$17.09 ,$18.09 ,$18.09 ,$15.78 ,$16.60 , N/A ,$13.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300135,N/A,M-9 DROPS.DIOD (OSTOMY),291,1 ,$35.33 ,$22.96 ,$22.96 ,$31.81 ,$28.26 , N/A ,$28.00 ,$31.81 ,$31.81 , N/A ,$30.03 ,$26.14 , N/A , N/A , N/A ,$29.47 , N/A ,$29.18 ,$28.26 ,$31.80 , N/A ,$30.03 , N/A ,$30.03 ,$30.03 ,$31.80 ,$31.80 ,$27.73 ,$29.18 , N/A ,$22.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300136,N/A,NEB.AD.MASK AERO.8161610,291,1 ,$42.28 ,$27.48 ,$27.48 ,$38.07 ,$33.82 , N/A ,$33.50 ,$38.07 ,$38.07 , N/A ,$35.94 ,$31.29 , N/A , N/A , N/A ,$35.26 , N/A ,$34.92 ,$33.82 ,$38.05 , N/A ,$35.94 , N/A ,$35.94 ,$35.94 ,$38.05 ,$38.05 ,$33.19 ,$34.92 , N/A ,$27.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300137,N/A,NEB.FILTER PARIBREK FILTER,291,1 ,$5.55 ,$3.61 ,$3.61 ,$5.00 ,$4.44 , N/A ,$4.40 ,$5.00 ,$5.00 , N/A ,$4.72 ,$4.11 , N/A , N/A , N/A ,$4.63 , N/A ,$4.58 ,$4.44 ,$5.00 , N/A ,$4.72 , N/A ,$4.72 ,$4.72 ,$5.00 ,$5.00 ,$4.36 ,$4.58 , N/A ,$3.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300138,N/A,PORT. NEB. BATTERY,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300139,N/A,MICRO AIR BATTERY,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300140,N/A,DEVILBIS NEB.PORTABLE,291,1 ,$305.62 ,$198.65 ,$198.65 ,$275.21 ,$244.50 , N/A ,$242.17 ,$275.21 ,$275.21 , N/A ,$259.78 ,$226.16 , N/A , N/A , N/A ,$254.89 , N/A ,$252.44 ,$244.50 ,$275.06 , N/A ,$259.78 , N/A ,$259.78 ,$259.78 ,$275.06 ,$275.06 ,$239.91 ,$252.44 , N/A ,$198.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300141,N/A,SUNRISE NEB. 2655 SERIES,291,1 ,$116.53 ,$75.74 ,$75.74 ,$104.94 ,$93.22 , N/A ,$92.34 ,$104.94 ,$104.94 , N/A ,$99.05 ,$86.23 , N/A , N/A , N/A ,$97.19 , N/A ,$96.25 ,$93.22 ,$104.88 , N/A ,$99.05 , N/A ,$99.05 ,$99.05 ,$104.88 ,$104.88 ,$91.48 ,$96.25 , N/A ,$75.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300142,N/A,TRANS.NEB. AND ACC.HAND-HELD,291,1 ,$282.02 ,$183.31 ,$183.31 ,$253.96 ,$225.62 , N/A ,$223.47 ,$253.96 ,$253.96 , N/A ,$239.72 ,$208.69 , N/A , N/A , N/A ,$235.20 , N/A ,$232.95 ,$225.62 ,$253.82 , N/A ,$239.72 , N/A ,$239.72 ,$239.72 ,$253.82 ,$253.82 ,$221.39 ,$232.95 , N/A ,$183.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300143,N/A,THUMB (SP.AID)SUPP.SA9001,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300145,N/A,KNEE.NEOP.SLIPON 183-8630,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300147,N/A,NEOP.TENNIS.ELBOW 181-9630,291,1 ,$21.23 ,$13.80 ,$13.80 ,$19.12 ,$16.98 , N/A ,$16.82 ,$19.12 ,$19.12 , N/A ,$18.05 ,$15.71 , N/A , N/A , N/A ,$17.71 , N/A ,$17.54 ,$16.98 ,$19.11 , N/A ,$18.05 , N/A ,$18.05 ,$18.05 ,$19.11 ,$19.11 ,$16.67 ,$17.54 , N/A ,$13.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300148,N/A,NEOP.WRISTWRAP.219-7283,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300151,N/A,KNEEWRAP-NEOP.SM,291,1 ,$21.23 ,$13.80 ,$13.80 ,$19.12 ,$16.98 , N/A ,$16.82 ,$19.12 ,$19.12 , N/A ,$18.05 ,$15.71 , N/A , N/A , N/A ,$17.71 , N/A ,$17.54 ,$16.98 ,$19.11 , N/A ,$18.05 , N/A ,$18.05 ,$18.05 ,$19.11 ,$19.11 ,$16.67 ,$17.54 , N/A ,$13.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300152,N/A,KNEEWRAP-NEOP.MED,291,1 ,$21.23 ,$13.80 ,$13.80 ,$19.12 ,$16.98 , N/A ,$16.82 ,$19.12 ,$19.12 , N/A ,$18.05 ,$15.71 , N/A , N/A , N/A ,$17.71 , N/A ,$17.54 ,$16.98 ,$19.11 , N/A ,$18.05 , N/A ,$18.05 ,$18.05 ,$19.11 ,$19.11 ,$16.67 ,$17.54 , N/A ,$13.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300153,N/A,KNEEWRAP-NEOP.LG,291,1 ,$21.23 ,$13.80 ,$13.80 ,$19.12 ,$16.98 , N/A ,$16.82 ,$19.12 ,$19.12 , N/A ,$18.05 ,$15.71 , N/A , N/A , N/A ,$17.71 , N/A ,$17.54 ,$16.98 ,$19.11 , N/A ,$18.05 , N/A ,$18.05 ,$18.05 ,$19.11 ,$19.11 ,$16.67 ,$17.54 , N/A ,$13.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300154,N/A,KNEEWRAP-NEOP.XLG,291,1 ,$21.23 ,$13.80 ,$13.80 ,$19.12 ,$16.98 , N/A ,$16.82 ,$19.12 ,$19.12 , N/A ,$18.05 ,$15.71 , N/A , N/A , N/A ,$17.71 , N/A ,$17.54 ,$16.98 ,$19.11 , N/A ,$18.05 , N/A ,$18.05 ,$18.05 ,$19.11 ,$19.11 ,$16.67 ,$17.54 , N/A ,$13.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300170,N/A,PORTABLE O2 FILTER,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300180,N/A,PACKING STRIPS NON255146,291,1 ,$29.88 ,$19.42 ,$19.42 ,$26.91 ,$23.90 , N/A ,$23.68 ,$26.91 ,$26.91 , N/A ,$25.40 ,$22.11 , N/A , N/A , N/A ,$24.92 , N/A ,$24.68 ,$23.90 ,$26.89 , N/A ,$25.40 , N/A ,$25.40 ,$25.40 ,$26.89 ,$26.89 ,$23.46 ,$24.68 , N/A ,$19.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300183,N/A,WRIST BRACE W/STAY.SA4039,291,1 ,$60.77 ,$39.50 ,$39.50 ,$54.72 ,$48.62 , N/A ,$48.15 ,$54.72 ,$54.72 , N/A ,$51.65 ,$44.97 , N/A , N/A , N/A ,$50.68 , N/A ,$50.20 ,$48.62 ,$54.69 , N/A ,$51.65 , N/A ,$51.65 ,$51.65 ,$54.69 ,$54.69 ,$47.70 ,$50.20 , N/A ,$39.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300184,N/A,"SCOOTER RAMP PVI3"" MULTIFOLD",291,1 ,$217.12 ,$141.13 ,$141.13 ,$195.52 ,$173.70 , N/A ,$172.05 ,$195.52 ,$195.52 , N/A ,$184.55 ,$160.67 , N/A , N/A , N/A ,$181.08 , N/A ,$179.34 ,$173.70 ,$195.41 , N/A ,$184.55 , N/A ,$184.55 ,$184.55 ,$195.41 ,$195.41 ,$170.44 ,$179.34 , N/A ,$141.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300185,N/A,"SCOOTER RAMP PVI6"" MULTIFOLD",291,1 ,$514.48 ,$334.41 ,$334.41 ,$463.29 ,$411.58 , N/A ,$407.67 ,$463.29 ,$463.29 , N/A ,$437.31 ,$380.72 , N/A , N/A , N/A ,$429.08 , N/A ,$424.96 ,$411.58 ,$463.03 , N/A ,$437.31 , N/A ,$437.31 ,$437.31 ,$463.03 ,$463.03 ,$403.87 ,$424.96 , N/A ,$334.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300186,N/A,RIB BELT FEM.SA3813,291,1 ,$41.54 ,$27.00 ,$27.00 ,$37.41 ,$33.23 , N/A ,$32.92 ,$37.41 ,$37.41 , N/A ,$35.31 ,$30.74 , N/A , N/A , N/A ,$34.64 , N/A ,$34.31 ,$33.23 ,$37.39 , N/A ,$35.31 , N/A ,$35.31 ,$35.31 ,$37.39 ,$37.39 ,$32.61 ,$34.31 , N/A ,$27.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300187,N/A,RIB BELT MALE.LG,291,1 ,$41.54 ,$27.00 ,$27.00 ,$37.41 ,$33.23 , N/A ,$32.92 ,$37.41 ,$37.41 , N/A ,$35.31 ,$30.74 , N/A , N/A , N/A ,$34.64 , N/A ,$34.31 ,$33.23 ,$37.39 , N/A ,$35.31 , N/A ,$35.31 ,$35.31 ,$37.39 ,$37.39 ,$32.61 ,$34.31 , N/A ,$27.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300189,N/A,ROLLATOR (PROBASIC)W/SEAT,291,1 ,$181.72 ,$118.12 ,$118.12 ,$163.64 ,$145.38 , N/A ,$143.99 ,$163.64 ,$163.64 , N/A ,$154.46 ,$134.47 , N/A , N/A , N/A ,$151.55 , N/A ,$150.10 ,$145.38 ,$163.55 , N/A ,$154.46 , N/A ,$154.46 ,$154.46 ,$163.55 ,$163.55 ,$142.65 ,$150.10 , N/A ,$118.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300190,N/A,ROLLATOR (MEDLINE)PADDED SEAT,291,1 ,$181.72 ,$118.12 ,$118.12 ,$163.64 ,$145.38 , N/A ,$143.99 ,$163.64 ,$163.64 , N/A ,$154.46 ,$134.47 , N/A , N/A , N/A ,$151.55 , N/A ,$150.10 ,$145.38 ,$163.55 , N/A ,$154.46 , N/A ,$154.46 ,$154.46 ,$163.55 ,$163.55 ,$142.65 ,$150.10 , N/A ,$118.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300191,N/A,SAFETY BRACE LG,291,1 ,$43.65 ,$28.37 ,$28.37 ,$39.31 ,$34.92 , N/A ,$34.59 ,$39.31 ,$39.31 , N/A ,$37.10 ,$32.30 , N/A , N/A , N/A ,$36.40 , N/A ,$36.05 ,$34.92 ,$39.29 , N/A ,$37.10 , N/A ,$37.10 ,$37.10 ,$39.29 ,$39.29 ,$34.27 ,$36.05 , N/A ,$28.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300194,N/A,SEATLIFT CABLE (PENNOX),291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300195,N/A,RECLINER (LIFT)355 LEATHER,291,1 ,"$1,654.36 ","$1,075.33 ","$1,075.33 ","$1,489.75 ","$1,323.49 ", N/A ,"$1,310.91 ","$1,489.75 ","$1,489.75 ", N/A ,"$1,406.21 ","$1,224.23 ", N/A , N/A , N/A ,"$1,379.74 ", N/A ,"$1,366.50 ","$1,323.49 ","$1,488.92 ", N/A ,"$1,406.21 ", N/A ,"$1,406.21 ","$1,406.21 ","$1,488.92 ","$1,488.92 ","$1,298.67 ","$1,366.50 ", N/A ,"$1,075.33 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8300196,N/A,LIFT CHAIR/PENNOX PREMIUM,291,1 ,$755.20 ,$490.88 ,$490.88 ,$680.06 ,$604.16 , N/A ,$598.42 ,$680.06 ,$680.06 , N/A ,$641.92 ,$558.85 , N/A , N/A , N/A ,$629.84 , N/A ,$623.80 ,$604.16 ,$679.68 , N/A ,$641.92 , N/A ,$641.92 ,$641.92 ,$679.68 ,$679.68 ,$592.83 ,$623.80 , N/A ,$490.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300197,N/A,LIFT CHAIR-CONTEMPO SLEEPER,291,1 ,"$1,885.64 ","$1,225.67 ","$1,225.67 ","$1,698.02 ","$1,508.51 ", N/A ,"$1,494.18 ","$1,698.02 ","$1,698.02 ", N/A ,"$1,602.79 ","$1,395.37 ", N/A , N/A , N/A ,"$1,572.62 ", N/A ,"$1,557.54 ","$1,508.51 ","$1,697.08 ", N/A ,"$1,602.79 ", N/A ,"$1,602.79 ","$1,602.79 ","$1,697.08 ","$1,697.08 ","$1,480.23 ","$1,557.54 ", N/A ,"$1,225.67 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8300198,N/A,LIFT CHAIR-ADMIRAL 455,291,1 ,$873.20 ,$567.58 ,$567.58 ,$786.32 ,$698.56 , N/A ,$691.92 ,$786.32 ,$786.32 , N/A ,$742.22 ,$646.17 , N/A , N/A , N/A ,$728.25 , N/A ,$721.26 ,$698.56 ,$785.88 , N/A ,$742.22 , N/A ,$742.22 ,$742.22 ,$785.88 ,$785.88 ,$685.46 ,$721.26 , N/A ,$567.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300199,N/A,SEATLIFT MOTOR AND CONTROL(PENNOX),291,1 ,$464.02 ,$301.61 ,$301.61 ,$417.85 ,$371.22 , N/A ,$367.69 ,$417.85 ,$417.85 , N/A ,$394.42 ,$343.37 , N/A , N/A , N/A ,$386.99 , N/A ,$383.28 ,$371.22 ,$417.62 , N/A ,$394.42 , N/A ,$394.42 ,$394.42 ,$417.62 ,$417.62 ,$364.26 ,$383.28 , N/A ,$301.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300200,N/A,LIFT CHAIR 225 WIDE,291,1 ,$873.20 ,$567.58 ,$567.58 ,$786.32 ,$698.56 , N/A ,$691.92 ,$786.32 ,$786.32 , N/A ,$742.22 ,$646.17 , N/A , N/A , N/A ,$728.25 , N/A ,$721.26 ,$698.56 ,$785.88 , N/A ,$742.22 , N/A ,$742.22 ,$742.22 ,$785.88 ,$785.88 ,$685.46 ,$721.26 , N/A ,$567.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300201,N/A,WALKERBOOT-SHORTIE,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8300203,N/A,TENNIS ELBOW-SLEEVE W/STRAP,291,1 ,$57.91 ,$37.64 ,$37.64 ,$52.15 ,$46.33 , N/A ,$45.89 ,$52.15 ,$52.15 , N/A ,$49.22 ,$42.85 , N/A , N/A , N/A ,$48.30 , N/A ,$47.83 ,$46.33 ,$52.12 , N/A ,$49.22 , N/A ,$49.22 ,$49.22 ,$52.12 ,$52.12 ,$45.46 ,$47.83 , N/A ,$37.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300204,N/A,SLING W/SWATHE.XLG,291,1 ,$71.83 ,$46.69 ,$46.69 ,$64.68 ,$57.46 , N/A ,$56.92 ,$64.68 ,$64.68 , N/A ,$61.06 ,$53.15 , N/A , N/A , N/A ,$59.91 , N/A ,$59.33 ,$57.46 ,$64.65 , N/A ,$61.06 , N/A ,$61.06 ,$61.06 ,$64.65 ,$64.65 ,$56.39 ,$59.33 , N/A ,$46.69 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300205,N/A,SOCK AID,291,1 ,$28.14 ,$18.29 ,$18.29 ,$25.34 ,$22.51 , N/A ,$22.30 ,$25.34 ,$25.34 , N/A ,$23.92 ,$20.82 , N/A , N/A , N/A ,$23.47 , N/A ,$23.24 ,$22.51 ,$25.33 , N/A ,$23.92 , N/A ,$23.92 ,$23.92 ,$25.33 ,$25.33 ,$22.09 ,$23.24 , N/A ,$18.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300206,N/A,AIRCAST LONG,291,1 ,$113.73 ,$73.92 ,$73.92 ,$102.41 ,$90.98 , N/A ,$90.12 ,$102.41 ,$102.41 , N/A ,$96.67 ,$84.16 , N/A , N/A , N/A ,$94.85 , N/A ,$93.94 ,$90.98 ,$102.36 , N/A ,$96.67 , N/A ,$96.67 ,$96.67 ,$102.36 ,$102.36 ,$89.28 ,$93.94 , N/A ,$73.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300207,N/A,MATERNITY SUPPORT SA700,291,1 ,$61.35 ,$39.88 ,$39.88 ,$55.25 ,$49.08 , N/A ,$48.61 ,$55.25 ,$55.25 , N/A ,$52.15 ,$45.40 , N/A , N/A , N/A ,$51.17 , N/A ,$50.68 ,$49.08 ,$55.22 , N/A ,$52.15 , N/A ,$52.15 ,$52.15 ,$55.22 ,$55.22 ,$48.16 ,$50.68 , N/A ,$39.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300216,N/A,TENNIS ELBOW ARTH.LG,291,1 ,$22.42 ,$14.57 ,$14.57 ,$20.19 ,$17.94 , N/A ,$17.77 ,$20.19 ,$20.19 , N/A ,$19.06 ,$16.59 , N/A , N/A , N/A ,$18.70 , N/A ,$18.52 ,$17.94 ,$20.18 , N/A ,$19.06 , N/A ,$19.06 ,$19.06 ,$20.18 ,$20.18 ,$17.60 ,$18.52 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300217,N/A,TENNIS ELBOW STRAP,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300218,N/A,TENNIS ELBOW TSTRAP,291,1 ,$75.28 ,$48.93 ,$48.93 ,$67.79 ,$60.22 , N/A ,$59.65 ,$67.79 ,$67.79 , N/A ,$63.99 ,$55.71 , N/A , N/A , N/A ,$62.78 , N/A ,$62.18 ,$60.22 ,$67.75 , N/A ,$63.99 , N/A ,$63.99 ,$63.99 ,$67.75 ,$67.75 ,$59.09 ,$62.18 , N/A ,$48.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300222,N/A,ANTISHOX TOE SEPARATOR,291,1 ,$7.08 ,$4.60 ,$4.60 ,$6.38 ,$5.66 , N/A ,$5.61 ,$6.38 ,$6.38 , N/A ,$6.02 ,$5.24 , N/A , N/A , N/A ,$5.90 , N/A ,$5.85 ,$5.66 ,$6.37 , N/A ,$6.02 , N/A ,$6.02 ,$6.02 ,$6.37 ,$6.37 ,$5.56 ,$5.85 , N/A ,$4.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300223,N/A,HAMMER TOE CREST LEFT/LG,291,1 ,$30.09 ,$19.56 ,$19.56 ,$27.10 ,$24.07 , N/A ,$23.84 ,$27.10 ,$27.10 , N/A ,$25.58 ,$22.27 , N/A , N/A , N/A ,$25.10 , N/A ,$24.85 ,$24.07 ,$27.08 , N/A ,$25.58 , N/A ,$25.58 ,$25.58 ,$27.08 ,$27.08 ,$23.62 ,$24.85 , N/A ,$19.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300224,N/A,TRANSFER BENCH (CAREX)CX-B217,291,1 ,$143.33 ,$93.16 ,$93.16 ,$129.07 ,$114.66 , N/A ,$113.57 ,$129.07 ,$129.07 , N/A ,$121.83 ,$106.06 , N/A , N/A , N/A ,$119.54 , N/A ,$118.39 ,$114.66 ,$129.00 , N/A ,$121.83 , N/A ,$121.83 ,$121.83 ,$129.00 ,$129.00 ,$112.51 ,$118.39 , N/A ,$93.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8300225,N/A,WHEELCHR-NOVA TRANSPORT,291,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),84,N/A,NF-AMLODIPINE BESYLATE ORAL TABLET 10MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),85,N/A,NF-METOPROLOL SUCC XL ORAL TAB ER 200MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),86,N/A,NF-NEXIUM CAPSULE 40MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),8600000,L3908,WRIST WRAP,291,1 ,$18.87 ,$12.27 ,$12.27 ,$143.40 ,$15.10 ,$57.36 ,$14.95 ,$16.99 ,$16.99 ,$108.98 ,$16.04 ,$13.96 ,$143.40 ,$57.36 , N/A ,$15.74 ,$57.36 ,$15.59 ,$15.10 ,$16.98 ,$18.87 ,$16.04 ,$18.87 ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 ,$18.87 ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600001,L3908,NEOPRENE WRIST WRAP,291,1 ,$18.87 ,$12.27 ,$12.27 ,$143.40 ,$15.10 ,$57.36 ,$14.95 ,$16.99 ,$16.99 ,$108.98 ,$16.04 ,$13.96 ,$143.40 ,$57.36 , N/A ,$15.74 ,$57.36 ,$15.59 ,$15.10 ,$16.98 ,$18.87 ,$16.04 ,$18.87 ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 ,$18.87 ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600002,L3999,WRIST BRACE LFT MED.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$68.94 ,$61.25 , N/A ,$60.67 ,$68.94 ,$68.94 , N/A ,$65.08 ,$56.65 , N/A , N/A , N/A ,$63.85 , N/A ,$63.24 ,$61.25 ,$68.90 , N/A ,$65.08 , N/A ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 , N/A ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600003,L3999,WRIST BRACE RT MED.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$68.94 ,$61.25 , N/A ,$60.67 ,$68.94 ,$68.94 , N/A ,$65.08 ,$56.65 , N/A , N/A , N/A ,$63.85 , N/A ,$63.24 ,$61.25 ,$68.90 , N/A ,$65.08 , N/A ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 , N/A ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600004,L3999,WRIST BRACE RT MED.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$68.94 ,$61.25 , N/A ,$60.67 ,$68.94 ,$68.94 , N/A ,$65.08 ,$56.65 , N/A , N/A , N/A ,$63.85 , N/A ,$63.24 ,$61.25 ,$68.90 , N/A ,$65.08 , N/A ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 , N/A ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600005,L3999,THUMB SUPPORT,291,1 ,$41.72 ,$27.12 ,$27.12 ,$37.57 ,$33.38 , N/A ,$33.06 ,$37.57 ,$37.57 , N/A ,$35.46 ,$30.87 , N/A , N/A , N/A ,$34.79 , N/A ,$34.46 ,$33.38 ,$37.55 , N/A ,$35.46 , N/A ,$35.46 ,$35.46 ,$37.55 ,$37.55 ,$32.75 ,$34.46 , N/A ,$27.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600006,N/A,KNEE SLIP-ON SM.,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600007,N/A,KNEE SLIP-ON MED.,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600008,N/A,KNEE SLIP-ON LG.,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600009,N/A,KNEE SLIP-ON XLG.,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600010,N/A,ABDOMINAL BINDER-SM.,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600011,N/A,ABDOMINAL BINDER-LG.,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600012,N/A,BACKSUPPORT-MD/LG SAFETBELT,291,1 ,$55.32 ,$35.96 ,$35.96 ,$49.82 ,$44.26 , N/A ,$43.84 ,$49.82 ,$49.82 , N/A ,$47.02 ,$40.94 , N/A , N/A , N/A ,$46.14 , N/A ,$45.69 ,$44.26 ,$49.79 , N/A ,$47.02 , N/A ,$47.02 ,$47.02 ,$49.79 ,$49.79 ,$43.43 ,$45.69 , N/A ,$35.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600013,N/A,BACKSUPPORT-XLG SAFETBELT,291,1 ,$55.32 ,$35.96 ,$35.96 ,$49.82 ,$44.26 , N/A ,$43.84 ,$49.82 ,$49.82 , N/A ,$47.02 ,$40.94 , N/A , N/A , N/A ,$46.14 , N/A ,$45.69 ,$44.26 ,$49.79 , N/A ,$47.02 , N/A ,$47.02 ,$47.02 ,$49.79 ,$49.79 ,$43.43 ,$45.69 , N/A ,$35.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600014,L3999,WRIST SLIP-ON SM.,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600015,L3999,WRIST SLIP-ON MED.,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600016,L3999,WRIST SLIP-ON LG.,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600017,L3999,WRIST SLIP-ON XLG.,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600018,L3999,WRIST BRACE LFT LG.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$68.94 ,$61.25 , N/A ,$60.67 ,$68.94 ,$68.94 , N/A ,$65.08 ,$56.65 , N/A , N/A , N/A ,$63.85 , N/A ,$63.24 ,$61.25 ,$68.90 , N/A ,$65.08 , N/A ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 , N/A ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600019,L3999,WRIST BRACE LFT XLG.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$68.94 ,$61.25 , N/A ,$60.67 ,$68.94 ,$68.94 , N/A ,$65.08 ,$56.65 , N/A , N/A , N/A ,$63.85 , N/A ,$63.24 ,$61.25 ,$68.90 , N/A ,$65.08 , N/A ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 , N/A ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600020,L3999,WRIST BRACE RT LG.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$68.94 ,$61.25 , N/A ,$60.67 ,$68.94 ,$68.94 , N/A ,$65.08 ,$56.65 , N/A , N/A , N/A ,$63.85 , N/A ,$63.24 ,$61.25 ,$68.90 , N/A ,$65.08 , N/A ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 , N/A ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600021,L3999,THUMB SUPPORT LG/XLG,291,1 ,$41.72 ,$27.12 ,$27.12 ,$37.57 ,$33.38 , N/A ,$33.06 ,$37.57 ,$37.57 , N/A ,$35.46 ,$30.87 , N/A , N/A , N/A ,$34.79 , N/A ,$34.46 ,$33.38 ,$37.55 , N/A ,$35.46 , N/A ,$35.46 ,$35.46 ,$37.55 ,$37.55 ,$32.75 ,$34.46 , N/A ,$27.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600022,L1825,KNEE WRAP NEOPR-SM.,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600023,L1825,KNEE WRAP NEOPR-MED.,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600024,L1825,KNEE WRAP NEOPR-LG.,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600025,L1825,KNEE WRAP NEOPR-XLG.,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600026,L1800,PATEL.KNEE W/STAY-MED.,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600027,L1800,PATEL.KNEE W/STAY-LG.,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600028,L1800,PATEL.KNEE W/STAY-XLG.,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600029,L5000,ADJ. BACKSUPPORT.XS-SM.,291,1 ,$130.15 ,$84.60 ,$84.60 ,"$1,217.92 ",$104.12 ,$487.17 ,$103.13 ,$117.20 ,$117.20 ,$925.62 ,$110.63 ,$96.31 ,"$1,217.92 ",$487.17 , N/A ,$108.55 ,$487.17 ,$107.50 ,$104.12 ,$117.14 ,$130.15 ,$110.63 ,$130.15 ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 ,$130.15 ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600030,N/A,ADJ. BACKSUPPORT.MED-LG.,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600031,L5000,ADJ. BACKSUPPORT.XLG.,291,1 ,$130.15 ,$84.60 ,$84.60 ,"$1,217.92 ",$104.12 ,$487.17 ,$103.13 ,$117.20 ,$117.20 ,$925.62 ,$110.63 ,$96.31 ,"$1,217.92 ",$487.17 , N/A ,$108.55 ,$487.17 ,$107.50 ,$104.12 ,$117.14 ,$130.15 ,$110.63 ,$130.15 ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 ,$130.15 ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600032,L3908,DELUXE WRIST-SM.LFT.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600033,L3908,DELUXE WRIST-SM.RT.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600034,L3908,DELUXE WRIST-LG.RT.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600035,L3908,DELUXE WRIST-LG.LFT.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600036,L3908,DELUXE WRIST-XLG.LFT.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600037,L3908,DELUXE WRIST-XLG.RT.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600038,N/A,ARMBAND GEL-UNIV.,291,1 ,$28.25 ,$18.36 ,$18.36 ,$25.44 ,$22.60 , N/A ,$22.39 ,$25.44 ,$25.44 , N/A ,$24.01 ,$20.91 , N/A , N/A , N/A ,$23.56 , N/A ,$23.33 ,$22.60 ,$25.43 , N/A ,$24.01 , N/A ,$24.01 ,$24.01 ,$25.43 ,$25.43 ,$22.18 ,$23.33 , N/A ,$18.36 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600039,L1902,ANKLE DBL STRAP-MED.,291,1 ,$24.77 ,$16.10 ,$16.10 ,$162.25 ,$19.82 ,$64.90 ,$19.63 ,$22.31 ,$22.31 ,$123.31 ,$21.05 ,$18.33 ,$162.25 ,$64.90 , N/A ,$20.66 ,$64.90 ,$20.46 ,$19.82 ,$22.29 ,$24.77 ,$21.05 ,$24.77 ,$21.05 ,$21.05 ,$22.29 ,$22.29 ,$19.44 ,$20.46 ,$24.77 ,$16.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600040,L1902,ANKLE DBL STRAP-LG.,291,1 ,$24.77 ,$16.10 ,$16.10 ,$162.25 ,$19.82 ,$64.90 ,$19.63 ,$22.31 ,$22.31 ,$123.31 ,$21.05 ,$18.33 ,$162.25 ,$64.90 , N/A ,$20.66 ,$64.90 ,$20.46 ,$19.82 ,$22.29 ,$24.77 ,$21.05 ,$24.77 ,$21.05 ,$21.05 ,$22.29 ,$22.29 ,$19.44 ,$20.46 ,$24.77 ,$16.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600041,L1902,ANKLE DBL STRAP-XLG.,291,1 ,$24.77 ,$16.10 ,$16.10 ,$162.25 ,$19.82 ,$64.90 ,$19.63 ,$22.31 ,$22.31 ,$123.31 ,$21.05 ,$18.33 ,$162.25 ,$64.90 , N/A ,$20.66 ,$64.90 ,$20.46 ,$19.82 ,$22.29 ,$24.77 ,$21.05 ,$24.77 ,$21.05 ,$21.05 ,$22.29 ,$22.29 ,$19.44 ,$20.46 ,$24.77 ,$16.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600042,L1825,NEOP.KNEE SLIP-ON.SM.,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600043,L1825,NEOP.KNEE SLIP-ON.LG.,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600044,L1825,NEOP.KNEE SLIP-ON.XLG.,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600045,L1902,ANKLE SLIP-ON.SM.,291,1 ,$12.97 ,$8.43 ,$8.43 ,$156.35 ,$10.38 ,$62.54 ,$10.28 ,$11.68 ,$11.68 ,$118.82 ,$11.02 ,$9.60 ,$156.35 ,$62.54 , N/A ,$10.82 ,$62.54 ,$10.71 ,$10.38 ,$11.67 ,$12.97 ,$11.02 ,$12.97 ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 ,$12.97 ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600046,L1902,ANKLE SLIP-ON.MED.,291,1 ,$12.97 ,$8.43 ,$8.43 ,$156.35 ,$10.38 ,$62.54 ,$10.28 ,$11.68 ,$11.68 ,$118.82 ,$11.02 ,$9.60 ,$156.35 ,$62.54 , N/A ,$10.82 ,$62.54 ,$10.71 ,$10.38 ,$11.67 ,$12.97 ,$11.02 ,$12.97 ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 ,$12.97 ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600047,L1902,ANKLE SLIP-ON.LG.,291,1 ,$12.97 ,$8.43 ,$8.43 ,$156.35 ,$10.38 ,$62.54 ,$10.28 ,$11.68 ,$11.68 ,$118.82 ,$11.02 ,$9.60 ,$156.35 ,$62.54 , N/A ,$10.82 ,$62.54 ,$10.71 ,$10.38 ,$11.67 ,$12.97 ,$11.02 ,$12.97 ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 ,$12.97 ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600048,L1902,ANKLE SLIP-ON.XLG.,291,1 ,$12.97 ,$8.43 ,$8.43 ,$156.35 ,$10.38 ,$62.54 ,$10.28 ,$11.68 ,$11.68 ,$118.82 ,$11.02 ,$9.60 ,$156.35 ,$62.54 , N/A ,$10.82 ,$62.54 ,$10.71 ,$10.38 ,$11.67 ,$12.97 ,$11.02 ,$12.97 ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 ,$12.97 ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600049,L1901,NEOP. ANKLE-SM.,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600050,L1901,NEOP. ANKLE-MED.,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600051,L1901,NEOP. ANKLE-LG.,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600052,L1901,NEOP. ANKLE-XLG.,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600053,L1825,KNEE SUPPORT-SM.,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600054,L0515,COMFY CRADLE-SM/MD.,291,1 ,$61.35 ,$39.88 ,$39.88 ,$55.25 ,$49.08 , N/A ,$48.61 ,$55.25 ,$55.25 , N/A ,$52.15 ,$45.40 , N/A , N/A , N/A ,$51.17 , N/A ,$50.68 ,$49.08 ,$55.22 , N/A ,$52.15 , N/A ,$52.15 ,$52.15 ,$55.22 ,$55.22 ,$48.16 ,$50.68 , N/A ,$39.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600055,N/A,TENNIS ELBOW,291,1 ,$21.23 ,$13.80 ,$13.80 ,$19.12 ,$16.98 , N/A ,$16.82 ,$19.12 ,$19.12 , N/A ,$18.05 ,$15.71 , N/A , N/A , N/A ,$17.71 , N/A ,$17.54 ,$16.98 ,$19.11 , N/A ,$18.05 , N/A ,$18.05 ,$18.05 ,$19.11 ,$19.11 ,$16.67 ,$17.54 , N/A ,$13.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600056,N/A,ELBOW SLIP-ON.LG.,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600057,N/A,NEOP.ELBOW SLEEVE-XLG.,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600058,N/A,NEOP.TENNIS SLEEVE-SM.,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600059,N/A,NEOP.TENNIS SLEEVE-MED.,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600060,N/A,NEOP.TENNIS SLEEVE-LG.,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600061,N/A,ELBOW SLIP-ON.SM.,291,1 ,$11.79 ,$7.66 ,$7.66 ,$10.62 ,$9.43 , N/A ,$9.34 ,$10.62 ,$10.62 , N/A ,$10.02 ,$8.72 , N/A , N/A , N/A ,$9.83 , N/A ,$9.74 ,$9.43 ,$10.61 , N/A ,$10.02 , N/A ,$10.02 ,$10.02 ,$10.61 ,$10.61 ,$9.26 ,$9.74 , N/A ,$7.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600062,N/A,ELBOW SLIP-ON.MED.,291,1 ,$11.79 ,$7.66 ,$7.66 ,$10.62 ,$9.43 , N/A ,$9.34 ,$10.62 ,$10.62 , N/A ,$10.02 ,$8.72 , N/A , N/A , N/A ,$9.83 , N/A ,$9.74 ,$9.43 ,$10.61 , N/A ,$10.02 , N/A ,$10.02 ,$10.02 ,$10.61 ,$10.61 ,$9.26 ,$9.74 , N/A ,$7.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600063,A4565,ARMSLING UNIV.,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600064,L0210,FEMALE RIBELT-UNIV.,291,1 ,$41.52 ,$26.99 ,$26.99 ,$37.39 ,$33.22 , N/A ,$32.90 ,$37.39 ,$37.39 , N/A ,$35.29 ,$30.72 , N/A , N/A , N/A ,$34.63 , N/A ,$34.30 ,$33.22 ,$37.37 , N/A ,$35.29 , N/A ,$35.29 ,$35.29 ,$37.37 ,$37.37 ,$32.59 ,$34.30 , N/A ,$26.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600065,L0210,RIBELT-UNIV.FEM.,291,1 ,$52.09 ,$33.86 ,$33.86 ,$46.91 ,$41.67 , N/A ,$41.28 ,$46.91 ,$46.91 , N/A ,$44.28 ,$38.55 , N/A , N/A , N/A ,$43.44 , N/A ,$43.03 ,$41.67 ,$46.88 , N/A ,$44.28 , N/A ,$44.28 ,$44.28 ,$46.88 ,$46.88 ,$40.89 ,$43.03 , N/A ,$33.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600066,L0210,RIBELT-UNIV.MALE.,291,1 ,$52.09 ,$33.86 ,$33.86 ,$46.91 ,$41.67 , N/A ,$41.28 ,$46.91 ,$46.91 , N/A ,$44.28 ,$38.55 , N/A , N/A , N/A ,$43.44 , N/A ,$43.03 ,$41.67 ,$46.88 , N/A ,$44.28 , N/A ,$44.28 ,$44.28 ,$46.88 ,$46.88 ,$40.89 ,$43.03 , N/A ,$33.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600067,L0210,RIBELT-MALE.UNIV.,291,1 ,$41.30 ,$26.85 ,$26.85 ,$37.19 ,$33.04 , N/A ,$32.73 ,$37.19 ,$37.19 , N/A ,$35.11 ,$30.56 , N/A , N/A , N/A ,$34.44 , N/A ,$34.11 ,$33.04 ,$37.17 , N/A ,$35.11 , N/A ,$35.11 ,$35.11 ,$37.17 ,$37.17 ,$32.42 ,$34.11 , N/A ,$26.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600068,L0500,ABDOMINAL BINDR. 72-96,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600069,K0635,"BINDER UNIV. 12""",291,1 ,$41.54 ,$27.00 ,$27.00 ,$37.41 ,$33.23 , N/A ,$32.92 ,$37.41 ,$37.41 , N/A ,$35.31 ,$30.74 , N/A , N/A , N/A ,$34.64 , N/A ,$34.31 ,$33.23 ,$37.39 , N/A ,$35.31 , N/A ,$35.31 ,$35.31 ,$37.39 ,$37.39 ,$32.61 ,$34.31 , N/A ,$27.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600070,A4565,SNOOPY SLING-XSM.,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600071,A4565,SNOOPY SLING-SM.,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600072,A4565,SNOOPY SLING-MED.,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600073,N/A,EXERCISER-PEDAL,291,1 ,$54.28 ,$35.28 ,$35.28 ,$48.88 ,$43.42 , N/A ,$43.01 ,$48.88 ,$48.88 , N/A ,$46.14 ,$40.17 , N/A , N/A , N/A ,$45.27 , N/A ,$44.84 ,$43.42 ,$48.85 , N/A ,$46.14 , N/A ,$46.14 ,$46.14 ,$48.85 ,$48.85 ,$42.61 ,$44.84 , N/A ,$35.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600074,N/A,ATHLETIC SUPPORT-SM.,291,1 ,$10.61 ,$6.90 ,$6.90 ,$9.55 ,$8.49 , N/A ,$8.41 ,$9.55 ,$9.55 , N/A ,$9.02 ,$7.85 , N/A , N/A , N/A ,$8.85 , N/A ,$8.76 ,$8.49 ,$9.55 , N/A ,$9.02 , N/A ,$9.02 ,$9.02 ,$9.55 ,$9.55 ,$8.33 ,$8.76 , N/A ,$6.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600075,N/A,ATHLETIC SUPPORT-MED.,291,1 ,$10.61 ,$6.90 ,$6.90 ,$9.55 ,$8.49 , N/A ,$8.41 ,$9.55 ,$9.55 , N/A ,$9.02 ,$7.85 , N/A , N/A , N/A ,$8.85 , N/A ,$8.76 ,$8.49 ,$9.55 , N/A ,$9.02 , N/A ,$9.02 ,$9.02 ,$9.55 ,$9.55 ,$8.33 ,$8.76 , N/A ,$6.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600076,N/A,ATHLETIC SUPPORT-LG.,291,1 ,$10.61 ,$6.90 ,$6.90 ,$9.55 ,$8.49 , N/A ,$8.41 ,$9.55 ,$9.55 , N/A ,$9.02 ,$7.85 , N/A , N/A , N/A ,$8.85 , N/A ,$8.76 ,$8.49 ,$9.55 , N/A ,$9.02 , N/A ,$9.02 ,$9.02 ,$9.55 ,$9.55 ,$8.33 ,$8.76 , N/A ,$6.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600077,N/A,ATHLETIC SUPPORT-XLG.,291,1 ,$10.61 ,$6.90 ,$6.90 ,$9.55 ,$8.49 , N/A ,$8.41 ,$9.55 ,$9.55 , N/A ,$9.02 ,$7.85 , N/A , N/A , N/A ,$8.85 , N/A ,$8.76 ,$8.49 ,$9.55 , N/A ,$9.02 , N/A ,$9.02 ,$9.02 ,$9.55 ,$9.55 ,$8.33 ,$8.76 , N/A ,$6.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600078,L8300,HERNIA BELT-SM.,291,1 ,$173.46 ,$112.75 ,$102.17 ,$255.43 ,$138.77 ,$102.17 ,$137.45 ,$156.20 ,$156.20 ,$194.13 ,$147.44 ,$128.36 ,$255.43 ,$102.17 , N/A ,$144.67 ,$102.17 ,$143.28 ,$138.77 ,$156.11 ,$173.46 ,$147.44 ,$109.43 ,$147.44 ,$147.44 ,$156.11 ,$156.11 ,$136.17 ,$143.28 ,$109.43 ,$112.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600079,L8300,HERNIA BELT-MED.,291,1 ,$173.46 ,$112.75 ,$102.17 ,$255.43 ,$138.77 ,$102.17 ,$137.45 ,$156.20 ,$156.20 ,$194.13 ,$147.44 ,$128.36 ,$255.43 ,$102.17 , N/A ,$144.67 ,$102.17 ,$143.28 ,$138.77 ,$156.11 ,$173.46 ,$147.44 ,$109.43 ,$147.44 ,$147.44 ,$156.11 ,$156.11 ,$136.17 ,$143.28 ,$109.43 ,$112.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600080,L8300,HERNIA BELT-LG.,291,1 ,$173.46 ,$112.75 ,$102.17 ,$255.43 ,$138.77 ,$102.17 ,$137.45 ,$156.20 ,$156.20 ,$194.13 ,$147.44 ,$128.36 ,$255.43 ,$102.17 , N/A ,$144.67 ,$102.17 ,$143.28 ,$138.77 ,$156.11 ,$173.46 ,$147.44 ,$109.43 ,$147.44 ,$147.44 ,$156.11 ,$156.11 ,$136.17 ,$143.28 ,$109.43 ,$112.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600081,L4350,"ANKLE AIRCAST-SHORT 9""",291,1 ,$113.73 ,$73.92 ,$73.92 ,$251.13 ,$90.98 ,$100.45 ,$90.12 ,$102.41 ,$102.41 ,$190.86 ,$96.67 ,$84.16 ,$251.13 ,$100.45 , N/A ,$94.85 ,$100.45 ,$93.94 ,$90.98 ,$102.36 ,$113.73 ,$96.67 ,$107.58 ,$96.67 ,$96.67 ,$102.36 ,$102.36 ,$89.28 ,$93.94 ,$107.58 ,$73.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600082,L3999,THUMB SPICA,291,1 ,$41.72 ,$27.12 ,$27.12 ,$37.57 ,$33.38 , N/A ,$33.06 ,$37.57 ,$37.57 , N/A ,$35.46 ,$30.87 , N/A , N/A , N/A ,$34.79 , N/A ,$34.46 ,$33.38 ,$37.55 , N/A ,$35.46 , N/A ,$35.46 ,$35.46 ,$37.55 ,$37.55 ,$32.75 ,$34.46 , N/A ,$27.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600083,L1906,ANKLE SWEEDO-304XXLG,291,1 ,$107.38 ,$69.80 ,$69.80 ,$279.45 ,$85.90 ,$111.78 ,$85.09 ,$96.70 ,$96.70 ,$212.38 ,$91.27 ,$79.46 ,$279.45 ,$111.78 , N/A ,$89.55 ,$111.78 ,$88.70 ,$85.90 ,$96.64 ,$107.38 ,$91.27 ,$107.38 ,$91.27 ,$91.27 ,$96.64 ,$96.64 ,$84.29 ,$88.70 ,$107.38 ,$69.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600084,L1906,ANKLE SWEEDO-EXLG,291,1 ,$107.38 ,$69.80 ,$69.80 ,$279.45 ,$85.90 ,$111.78 ,$85.09 ,$96.70 ,$96.70 ,$212.38 ,$91.27 ,$79.46 ,$279.45 ,$111.78 , N/A ,$89.55 ,$111.78 ,$88.70 ,$85.90 ,$96.64 ,$107.38 ,$91.27 ,$107.38 ,$91.27 ,$91.27 ,$96.64 ,$96.64 ,$84.29 ,$88.70 ,$107.38 ,$69.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600085,L1906,ANKLE SWEEDO-XSM,291,1 ,$107.38 ,$69.80 ,$69.80 ,$279.45 ,$85.90 ,$111.78 ,$85.09 ,$96.70 ,$96.70 ,$212.38 ,$91.27 ,$79.46 ,$279.45 ,$111.78 , N/A ,$89.55 ,$111.78 ,$88.70 ,$85.90 ,$96.64 ,$107.38 ,$91.27 ,$107.38 ,$91.27 ,$91.27 ,$96.64 ,$96.64 ,$84.29 ,$88.70 ,$107.38 ,$69.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600086,L1906,ANKLE SWEEDO-SM,291,1 ,$107.38 ,$69.80 ,$69.80 ,$279.45 ,$85.90 ,$111.78 ,$85.09 ,$96.70 ,$96.70 ,$212.38 ,$91.27 ,$79.46 ,$279.45 ,$111.78 , N/A ,$89.55 ,$111.78 ,$88.70 ,$85.90 ,$96.64 ,$107.38 ,$91.27 ,$107.38 ,$91.27 ,$91.27 ,$96.64 ,$96.64 ,$84.29 ,$88.70 ,$107.38 ,$69.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600087,L1906,ANKLE SWEEDO-MED,291,1 ,$107.38 ,$69.80 ,$69.80 ,$279.45 ,$85.90 ,$111.78 ,$85.09 ,$96.70 ,$96.70 ,$212.38 ,$91.27 ,$79.46 ,$279.45 ,$111.78 , N/A ,$89.55 ,$111.78 ,$88.70 ,$85.90 ,$96.64 ,$107.38 ,$91.27 ,$107.38 ,$91.27 ,$91.27 ,$96.64 ,$96.64 ,$84.29 ,$88.70 ,$107.38 ,$69.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600088,L1815,KNEE STRAP,291,1 ,$97.94 ,$63.66 ,$63.66 ,$88.20 ,$78.35 , N/A ,$77.61 ,$88.20 ,$88.20 , N/A ,$83.25 ,$72.48 , N/A , N/A , N/A ,$81.68 , N/A ,$80.90 ,$78.35 ,$88.15 , N/A ,$83.25 , N/A ,$83.25 ,$83.25 ,$88.15 ,$88.15 ,$76.88 ,$80.90 , N/A ,$63.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600089,L1902,HEEL CUSHION GEL-RLG,291,1 ,$70.91 ,$46.09 ,$46.09 ,$185.32 ,$56.73 ,$74.13 ,$56.19 ,$63.85 ,$63.85 ,$140.84 ,$60.27 ,$52.47 ,$185.32 ,$74.13 , N/A ,$59.14 ,$74.13 ,$58.57 ,$56.73 ,$63.82 ,$70.91 ,$60.27 ,$70.91 ,$60.27 ,$60.27 ,$63.82 ,$63.82 ,$55.66 ,$58.57 ,$70.91 ,$46.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600090,N/A,HEEL ELBOW/PROTECTOR,291,1 ,$26.26 ,$17.07 ,$17.07 ,$23.65 ,$21.01 , N/A ,$20.81 ,$23.65 ,$23.65 , N/A ,$22.32 ,$19.43 , N/A , N/A , N/A ,$21.90 , N/A ,$21.69 ,$21.01 ,$23.63 , N/A ,$22.32 , N/A ,$22.32 ,$22.32 ,$23.63 ,$23.63 ,$20.61 ,$21.69 , N/A ,$17.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600091,N/A,HEEL LIFT-LG,291,1 ,$35.58 ,$23.13 ,$23.13 ,$32.04 ,$28.46 , N/A ,$28.19 ,$32.04 ,$32.04 , N/A ,$30.24 ,$26.33 , N/A , N/A , N/A ,$29.67 , N/A ,$29.39 ,$28.46 ,$32.02 , N/A ,$30.24 , N/A ,$30.24 ,$30.24 ,$32.02 ,$32.02 ,$27.93 ,$29.39 , N/A ,$23.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600092,L3001,DFS-HEEL CUSHION.WOM.9-10,291,1 ,$88.50 ,$57.53 ,$57.53 ,$309.81 ,$70.80 ,$123.92 ,$70.13 ,$79.69 ,$79.69 ,$235.46 ,$75.23 ,$65.49 ,$309.81 ,$123.92 , N/A ,$73.81 ,$123.92 ,$73.10 ,$70.80 ,$79.65 ,$88.50 ,$75.23 ,$88.50 ,$75.23 ,$75.23 ,$79.65 ,$79.65 ,$69.47 ,$73.10 ,$88.50 ,$57.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600093,N/A,"ELASTIC BANDAGE 2""",291,1 ,$12.97 ,$8.43 ,$8.43 ,$11.68 ,$10.38 , N/A ,$10.28 ,$11.68 ,$11.68 , N/A ,$11.02 ,$9.60 , N/A , N/A , N/A ,$10.82 , N/A ,$10.71 ,$10.38 ,$11.67 , N/A ,$11.02 , N/A ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 , N/A ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600094,N/A,"ELASTIC BANDAGE 3""",291,1 ,$12.97 ,$8.43 ,$8.43 ,$11.68 ,$10.38 , N/A ,$10.28 ,$11.68 ,$11.68 , N/A ,$11.02 ,$9.60 , N/A , N/A , N/A ,$10.82 , N/A ,$10.71 ,$10.38 ,$11.67 , N/A ,$11.02 , N/A ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 , N/A ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600095,N/A,"ELASTIC BANDAGE 4""",291,1 ,$12.97 ,$8.43 ,$8.43 ,$11.68 ,$10.38 , N/A ,$10.28 ,$11.68 ,$11.68 , N/A ,$11.02 ,$9.60 , N/A , N/A , N/A ,$10.82 , N/A ,$10.71 ,$10.38 ,$11.67 , N/A ,$11.02 , N/A ,$11.02 ,$11.02 ,$11.67 ,$11.67 ,$10.18 ,$10.71 , N/A ,$8.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600096,L4386,SIDEKICK WALKBOOT-LG,291,1 ,$186.55 ,$121.26 ,$121.26 ,$411.60 ,$149.24 ,$164.64 ,$147.82 ,$167.99 ,$167.99 ,$312.81 ,$158.57 ,$138.05 ,$411.60 ,$164.64 , N/A ,$155.58 ,$164.64 ,$154.09 ,$149.24 ,$167.90 ,$186.55 ,$158.57 ,$176.33 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$176.33 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600097,L4386,SIDEKICK WALKBOOT-SM,291,1 ,$186.55 ,$121.26 ,$121.26 ,$411.60 ,$149.24 ,$164.64 ,$147.82 ,$167.99 ,$167.99 ,$312.81 ,$158.57 ,$138.05 ,$411.60 ,$164.64 , N/A ,$155.58 ,$164.64 ,$154.09 ,$149.24 ,$167.90 ,$186.55 ,$158.57 ,$176.33 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$176.33 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600098,L4386,SHORTWALKER BOOT-MED.,291,1 ,$186.55 ,$121.26 ,$121.26 ,$411.60 ,$149.24 ,$164.64 ,$147.82 ,$167.99 ,$167.99 ,$312.81 ,$158.57 ,$138.05 ,$411.60 ,$164.64 , N/A ,$155.58 ,$164.64 ,$154.09 ,$149.24 ,$167.90 ,$186.55 ,$158.57 ,$176.33 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$176.33 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600099,L4386,WALKER BOOT-XSM,291,1 ,$186.55 ,$121.26 ,$121.26 ,$411.60 ,$149.24 ,$164.64 ,$147.82 ,$167.99 ,$167.99 ,$312.81 ,$158.57 ,$138.05 ,$411.60 ,$164.64 , N/A ,$155.58 ,$164.64 ,$154.09 ,$149.24 ,$167.90 ,$186.55 ,$158.57 ,$176.33 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$176.33 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600100,L1815,KNEE WRAP 4-WAY.LFT-LG,291,1 ,$79.99 ,$51.99 ,$51.99 ,$72.03 ,$63.99 , N/A ,$63.38 ,$72.03 ,$72.03 , N/A ,$67.99 ,$59.19 , N/A , N/A , N/A ,$66.71 , N/A ,$66.07 ,$63.99 ,$71.99 , N/A ,$67.99 , N/A ,$67.99 ,$67.99 ,$71.99 ,$71.99 ,$62.79 ,$66.07 , N/A ,$51.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600101,L3923,"THUMB SPICA-UNIV.9""",291,1 ,$41.72 ,$27.12 ,$27.12 ,$197.36 ,$33.38 ,$78.94 ,$33.06 ,$37.57 ,$37.57 ,$149.99 ,$35.46 ,$30.87 ,$197.36 ,$78.94 , N/A ,$34.79 ,$78.94 ,$34.46 ,$33.38 ,$37.55 ,$41.72 ,$35.46 ,$41.72 ,$35.46 ,$35.46 ,$37.55 ,$37.55 ,$32.75 ,$34.46 ,$41.72 ,$27.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600102,L3908,THUMB SPICA-UNIV.LEFT,291,1 ,$63.40 ,$41.21 ,$41.21 ,$165.66 ,$50.72 ,$66.26 ,$50.24 ,$57.09 ,$57.09 ,$125.90 ,$53.89 ,$46.92 ,$165.66 ,$66.26 , N/A ,$52.88 ,$66.26 ,$52.37 ,$50.72 ,$57.06 ,$63.40 ,$53.89 ,$63.40 ,$53.89 ,$53.89 ,$57.06 ,$57.06 ,$49.77 ,$52.37 ,$63.40 ,$41.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600103,L1825,ELASTIC KNEE-SM.,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600104,L1825,ELASTIC KNEE-MED.,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600105,L1825,ELASTIC KNEE-XLG.,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600106,E0191,ELASTIC ELBOW-SM.,291,1 ,$22.21 ,$14.44 ,$13.75 ,$34.37 ,$17.77 ,$13.75 ,$17.60 ,$20.00 ,$20.00 ,$26.12 ,$18.88 ,$16.44 ,$34.37 ,$13.75 , N/A ,$18.52 ,$13.75 ,$18.35 ,$17.77 ,$19.99 ,$22.21 ,$18.88 ,$14.72 ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 ,$14.72 ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600107,E0191,ELASTIC ELBOW-MED.,291,1 ,$22.21 ,$14.44 ,$13.75 ,$34.37 ,$17.77 ,$13.75 ,$17.60 ,$20.00 ,$20.00 ,$26.12 ,$18.88 ,$16.44 ,$34.37 ,$13.75 , N/A ,$18.52 ,$13.75 ,$18.35 ,$17.77 ,$19.99 ,$22.21 ,$18.88 ,$14.72 ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 ,$14.72 ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600108,E0191,ELASTIC ELBOW-LG.,291,1 ,$22.21 ,$14.44 ,$13.75 ,$34.37 ,$17.77 ,$13.75 ,$17.60 ,$20.00 ,$20.00 ,$26.12 ,$18.88 ,$16.44 ,$34.37 ,$13.75 , N/A ,$18.52 ,$13.75 ,$18.35 ,$17.77 ,$19.99 ,$22.21 ,$18.88 ,$14.72 ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 ,$14.72 ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600109,E0191,ELASTIC ELBOW-XLG.,291,1 ,$22.21 ,$14.44 ,$13.75 ,$34.37 ,$17.77 ,$13.75 ,$17.60 ,$20.00 ,$20.00 ,$26.12 ,$18.88 ,$16.44 ,$34.37 ,$13.75 , N/A ,$18.52 ,$13.75 ,$18.35 ,$17.77 ,$19.99 ,$22.21 ,$18.88 ,$14.72 ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 ,$14.72 ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600110,L3701,ELBOW SUPPORT.LG-XL,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600111,N/A,WRIST BRACE.SM.RT.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$68.94 ,$61.25 , N/A ,$60.67 ,$68.94 ,$68.94 , N/A ,$65.08 ,$56.65 , N/A , N/A , N/A ,$63.85 , N/A ,$63.24 ,$61.25 ,$68.90 , N/A ,$65.08 , N/A ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 , N/A ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600112,L3908,WRIST BRACE-UNIV.LFT.,291,1 ,$41.72 ,$27.12 ,$27.12 ,$154.82 ,$33.38 ,$61.93 ,$33.06 ,$37.57 ,$37.57 ,$117.66 ,$35.46 ,$30.87 ,$154.82 ,$61.93 , N/A ,$34.79 ,$61.93 ,$34.46 ,$33.38 ,$37.55 ,$41.72 ,$35.46 ,$41.72 ,$35.46 ,$35.46 ,$37.55 ,$37.55 ,$32.75 ,$34.46 ,$41.72 ,$27.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600113,L1902,ELASTIC ANKLE-SM.,291,1 ,$8.12 ,$5.28 ,$5.28 ,$153.92 ,$6.50 ,$61.57 ,$6.43 ,$7.31 ,$7.31 ,$116.98 ,$6.90 ,$6.01 ,$153.92 ,$61.57 , N/A ,$6.77 ,$61.57 ,$6.71 ,$6.50 ,$7.31 ,$8.12 ,$6.90 ,$8.12 ,$6.90 ,$6.90 ,$7.31 ,$7.31 ,$6.37 ,$6.71 ,$8.12 ,$5.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600114,L1902,ELASTIC ANKLE-MED.,291,1 ,$8.12 ,$5.28 ,$5.28 ,$153.92 ,$6.50 ,$61.57 ,$6.43 ,$7.31 ,$7.31 ,$116.98 ,$6.90 ,$6.01 ,$153.92 ,$61.57 , N/A ,$6.77 ,$61.57 ,$6.71 ,$6.50 ,$7.31 ,$8.12 ,$6.90 ,$8.12 ,$6.90 ,$6.90 ,$7.31 ,$7.31 ,$6.37 ,$6.71 ,$8.12 ,$5.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600115,L1902,ELASTIC ANKLE SUPP.-LG,291,1 ,$22.21 ,$14.44 ,$14.44 ,$160.97 ,$17.77 ,$64.39 ,$17.60 ,$20.00 ,$20.00 ,$122.33 ,$18.88 ,$16.44 ,$160.97 ,$64.39 , N/A ,$18.52 ,$64.39 ,$18.35 ,$17.77 ,$19.99 ,$22.21 ,$18.88 ,$22.21 ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 ,$22.21 ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600116,L1902,ELASTIC ANKLE-XL.,291,1 ,$8.12 ,$5.28 ,$5.28 ,$153.92 ,$6.50 ,$61.57 ,$6.43 ,$7.31 ,$7.31 ,$116.98 ,$6.90 ,$6.01 ,$153.92 ,$61.57 , N/A ,$6.77 ,$61.57 ,$6.71 ,$6.50 ,$7.31 ,$8.12 ,$6.90 ,$8.12 ,$6.90 ,$6.90 ,$7.31 ,$7.31 ,$6.37 ,$6.71 ,$8.12 ,$5.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600117,N/A,"HIP KIT W/26""REACHER",291,1 ,$43.65 ,$28.37 ,$28.37 ,$39.31 ,$34.92 , N/A ,$34.59 ,$39.31 ,$39.31 , N/A ,$37.10 ,$32.30 , N/A , N/A , N/A ,$36.40 , N/A ,$36.05 ,$34.92 ,$39.29 , N/A ,$37.10 , N/A ,$37.10 ,$37.10 ,$39.29 ,$39.29 ,$34.27 ,$36.05 , N/A ,$28.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600118,N/A,CUSHION-WHLCHR 16x16,291,1 ,$81.41 ,$52.92 ,$52.92 ,$73.31 ,$65.13 , N/A ,$64.51 ,$73.31 ,$73.31 , N/A ,$69.20 ,$60.24 , N/A , N/A , N/A ,$67.90 , N/A ,$67.24 ,$65.13 ,$73.27 , N/A ,$69.20 , N/A ,$69.20 ,$69.20 ,$73.27 ,$73.27 ,$63.91 ,$67.24 , N/A ,$52.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600119,N/A,PERINEAL CUSHION,291,1 ,$20.00 ,$13.00 ,$13.00 ,$18.01 ,$16.00 , N/A ,$15.85 ,$18.01 ,$18.01 , N/A ,$17.00 ,$14.80 , N/A , N/A , N/A ,$16.68 , N/A ,$16.52 ,$16.00 ,$18.00 , N/A ,$17.00 , N/A ,$17.00 ,$17.00 ,$18.00 ,$18.00 ,$15.70 ,$16.52 , N/A ,$13.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600120,L1800,KNEE STABILIZING-XS,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600121,L1800,KNEE STABILIZING-SM,291,1 ,$71.47 ,$46.46 ,$46.46 ,$64.36 ,$57.18 , N/A ,$56.63 ,$64.36 ,$64.36 , N/A ,$60.75 ,$52.89 , N/A , N/A , N/A ,$59.61 , N/A ,$59.03 ,$57.18 ,$64.32 , N/A ,$60.75 , N/A ,$60.75 ,$60.75 ,$64.32 ,$64.32 ,$56.10 ,$59.03 , N/A ,$46.46 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600122,N/A,"PVI RAMP 3"" SINGLEFOLD",291,1 ,$217.12 ,$141.13 ,$141.13 ,$195.52 ,$173.70 , N/A ,$172.05 ,$195.52 ,$195.52 , N/A ,$184.55 ,$160.67 , N/A , N/A , N/A ,$181.08 , N/A ,$179.34 ,$173.70 ,$195.41 , N/A ,$184.55 , N/A ,$184.55 ,$184.55 ,$195.41 ,$195.41 ,$170.44 ,$179.34 , N/A ,$141.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600123,N/A,"PVI RAMP 6"" TRIFOLD",291,1 ,$514.48 ,$334.41 ,$334.41 ,$463.29 ,$411.58 , N/A ,$407.67 ,$463.29 ,$463.29 , N/A ,$437.31 ,$380.72 , N/A , N/A , N/A ,$429.08 , N/A ,$424.96 ,$411.58 ,$463.03 , N/A ,$437.31 , N/A ,$437.31 ,$437.31 ,$463.03 ,$463.03 ,$403.87 ,$424.96 , N/A ,$334.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600124,E0243,TOILET RAILS,291,1 ,$60.75 ,$39.49 ,$39.49 ,$54.71 ,$48.60 , N/A ,$48.14 ,$54.71 ,$54.71 , N/A ,$51.64 ,$44.96 , N/A , N/A , N/A ,$50.67 , N/A ,$50.18 ,$48.60 ,$54.68 , N/A ,$51.64 , N/A ,$51.64 ,$51.64 ,$54.68 ,$54.68 ,$47.69 ,$50.18 , N/A ,$39.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600125,N/A,UNIFORM TOP-MED.,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600126,N/A,UNIFORM TOP-ROY.LG,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600127,E0110,CRUTCHES-FOREARM,291,1 ,$105.80 ,$68.77 ,$68.77 ,$216.92 ,$84.64 ,$86.77 ,$83.84 ,$95.27 ,$95.27 ,$164.86 ,$89.93 ,$78.29 ,$216.92 ,$86.77 , N/A ,$88.24 ,$86.77 ,$87.39 ,$84.64 ,$95.22 ,$105.80 ,$89.93 ,$92.93 ,$89.93 ,$89.93 ,$95.22 ,$95.22 ,$83.05 ,$87.39 ,$92.93 ,$68.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600128,E0105,QUAD CANE(CHROME)SM.BASE,291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600129,E0100,CANE-ADJUSTABLE,291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600130,N/A,CANE-BLK. OFFSET,291,1 ,$33.81 ,$21.98 ,$21.98 ,$30.45 ,$27.05 , N/A ,$26.79 ,$30.45 ,$30.45 , N/A ,$28.74 ,$25.02 , N/A , N/A , N/A ,$28.20 , N/A ,$27.93 ,$27.05 ,$30.43 , N/A ,$28.74 , N/A ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 , N/A ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600131,E0114,"CRUTCHES-CHILD.4'-4'6""",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600132,E0114,"CRUTCHES-CHILD.4'6""-5'2""",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600133,E0114,"CRUTCHES-CHILD.5'2""-5'10""",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600134,E0114,"CRUTCHES-CHILD.5'10""-6'6""",291,1 ,$70.79 ,$46.01 ,$46.01 ,$145.28 ,$56.63 ,$58.11 ,$56.09 ,$63.75 ,$63.75 ,$110.41 ,$60.17 ,$52.38 ,$145.28 ,$58.11 , N/A ,$59.04 ,$58.11 ,$58.47 ,$56.63 ,$63.71 ,$70.79 ,$60.17 ,$62.24 ,$60.17 ,$60.17 ,$63.71 ,$63.71 ,$55.57 ,$58.47 ,$62.24 ,$46.01 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600135,A5500,DR.ZENN-MARY JANE,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600136,N/A,REACHER,291,1 ,$48.11 ,$31.27 ,$31.27 ,$43.32 ,$38.49 , N/A ,$38.12 ,$43.32 ,$43.32 , N/A ,$40.89 ,$35.60 , N/A , N/A , N/A ,$40.12 , N/A ,$39.74 ,$38.49 ,$43.30 , N/A ,$40.89 , N/A ,$40.89 ,$40.89 ,$43.30 ,$43.30 ,$37.77 ,$39.74 , N/A ,$31.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600137,E1038,TRANSPORT WHLCHR,291,1 ,$442.50 ,$287.63 ,$88.50 ,$398.47 ,$354.00 ,$88.50 ,$350.64 ,$398.47 ,$398.47 ,$168.15 ,$376.13 ,$327.45 ,$221.25 ,$88.50 , N/A ,$369.05 ,$88.50 ,$365.51 ,$354.00 ,$398.25 ,$221.25 ,$376.13 ,$94.78 ,$376.13 ,$376.13 ,$398.25 ,$398.25 ,$347.36 ,$365.51 ,$94.78 ,$287.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600138,E0245,BATH BENCH,291,1 ,$58.74 ,$38.18 ,$38.18 ,$52.90 ,$46.99 , N/A ,$46.55 ,$52.90 ,$52.90 , N/A ,$49.93 ,$43.47 , N/A , N/A , N/A ,$48.99 , N/A ,$48.52 ,$46.99 ,$52.87 , N/A ,$49.93 , N/A ,$49.93 ,$49.93 ,$52.87 ,$52.87 ,$46.11 ,$48.52 , N/A ,$38.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600139,L1901,ANKLE-ARTHRITIS.LG,291,1 ,$29.50 ,$19.18 ,$19.18 ,$26.56 ,$23.60 , N/A ,$23.38 ,$26.56 ,$26.56 , N/A ,$25.08 ,$21.83 , N/A , N/A , N/A ,$24.60 , N/A ,$24.37 ,$23.60 ,$26.55 , N/A ,$25.08 , N/A ,$25.08 ,$25.08 ,$26.55 ,$26.55 ,$23.16 ,$24.37 , N/A ,$19.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600140,L1901,ANKLE-ARTHRITIS.MED,291,1 ,$29.50 ,$19.18 ,$19.18 ,$26.56 ,$23.60 , N/A ,$23.38 ,$26.56 ,$26.56 , N/A ,$25.08 ,$21.83 , N/A , N/A , N/A ,$24.60 , N/A ,$24.37 ,$23.60 ,$26.55 , N/A ,$25.08 , N/A ,$25.08 ,$25.08 ,$26.55 ,$26.55 ,$23.16 ,$24.37 , N/A ,$19.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600141,L1901,ANKLE-ARTHRITIS.SM,291,1 ,$29.50 ,$19.18 ,$19.18 ,$26.56 ,$23.60 , N/A ,$23.38 ,$26.56 ,$26.56 , N/A ,$25.08 ,$21.83 , N/A , N/A , N/A ,$24.60 , N/A ,$24.37 ,$23.60 ,$26.55 , N/A ,$25.08 , N/A ,$25.08 ,$25.08 ,$26.55 ,$26.55 ,$23.16 ,$24.37 , N/A ,$19.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600142,L1901,ANKLE-ARTHRITIS.XLG,291,1 ,$29.50 ,$19.18 ,$19.18 ,$26.56 ,$23.60 , N/A ,$23.38 ,$26.56 ,$26.56 , N/A ,$25.08 ,$21.83 , N/A , N/A , N/A ,$24.60 , N/A ,$24.37 ,$23.60 ,$26.55 , N/A ,$25.08 , N/A ,$25.08 ,$25.08 ,$26.55 ,$26.55 ,$23.16 ,$24.37 , N/A ,$19.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600143,L1820,KNEE-HINGED.MED,291,1 ,$132.16 ,$85.90 ,$85.90 ,$351.40 ,$105.73 ,$140.56 ,$104.72 ,$119.01 ,$119.01 ,$267.06 ,$112.34 ,$97.80 ,$351.40 ,$140.56 , N/A ,$110.22 ,$140.56 ,$109.16 ,$105.73 ,$118.94 ,$132.16 ,$112.34 ,$132.16 ,$112.34 ,$112.34 ,$118.94 ,$118.94 ,$103.75 ,$109.16 ,$132.16 ,$85.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600144,L1820,KNEE-HINGED.LG,291,1 ,$132.16 ,$85.90 ,$85.90 ,$351.40 ,$105.73 ,$140.56 ,$104.72 ,$119.01 ,$119.01 ,$267.06 ,$112.34 ,$97.80 ,$351.40 ,$140.56 , N/A ,$110.22 ,$140.56 ,$109.16 ,$105.73 ,$118.94 ,$132.16 ,$112.34 ,$132.16 ,$112.34 ,$112.34 ,$118.94 ,$118.94 ,$103.75 ,$109.16 ,$132.16 ,$85.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600145,N/A,BEDPAN,291,1 ,$4.41 ,$2.87 ,$2.87 ,$3.97 ,$3.53 , N/A ,$3.49 ,$3.97 ,$3.97 , N/A ,$3.75 ,$3.26 , N/A , N/A , N/A ,$3.68 , N/A ,$3.64 ,$3.53 ,$3.97 , N/A ,$3.75 , N/A ,$3.75 ,$3.75 ,$3.97 ,$3.97 ,$3.46 ,$3.64 , N/A ,$2.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600146,N/A,FRACTURE BEDPAN,291,1 ,$3.85 ,$2.50 ,$2.50 ,$3.47 ,$3.08 , N/A ,$3.05 ,$3.47 ,$3.47 , N/A ,$3.27 ,$2.85 , N/A , N/A , N/A ,$3.21 , N/A ,$3.18 ,$3.08 ,$3.47 , N/A ,$3.27 , N/A ,$3.27 ,$3.27 ,$3.47 ,$3.47 ,$3.02 ,$3.18 , N/A ,$2.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600147,N/A,"LUMEX GRAB BAR 18""",291,1 ,$46.52 ,$30.24 ,$30.24 ,$41.89 ,$37.22 , N/A ,$36.86 ,$41.89 ,$41.89 , N/A ,$39.54 ,$34.42 , N/A , N/A , N/A ,$38.80 , N/A ,$38.43 ,$37.22 ,$41.87 , N/A ,$39.54 , N/A ,$39.54 ,$39.54 ,$41.87 ,$41.87 ,$36.52 ,$38.43 , N/A ,$30.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600148,N/A,"LUMEX GRAB BAR 16""",291,1 ,$45.90 ,$29.84 ,$29.84 ,$41.33 ,$36.72 , N/A ,$36.37 ,$41.33 ,$41.33 , N/A ,$39.02 ,$33.97 , N/A , N/A , N/A ,$38.28 , N/A ,$37.91 ,$36.72 ,$41.31 , N/A ,$39.02 , N/A ,$39.02 ,$39.02 ,$41.31 ,$41.31 ,$36.03 ,$37.91 , N/A ,$29.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600149,L3650,CLAVICAL FIGURE 8,291,1 ,$81.13 ,$52.73 ,$52.73 ,$172.23 ,$64.90 ,$68.89 ,$64.29 ,$73.06 ,$73.06 ,$130.89 ,$68.96 ,$60.04 ,$172.23 ,$68.89 , N/A ,$67.66 ,$68.89 ,$67.01 ,$64.90 ,$73.02 ,$81.13 ,$68.96 ,$73.78 ,$68.96 ,$68.96 ,$73.02 ,$73.02 ,$63.69 ,$67.01 ,$73.78 ,$52.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600150,E0731,THERMAL WRAP-TENS.SM,291,1 ,$365.80 ,$237.77 ,$197.36 ,$493.40 ,$292.64 ,$197.36 ,$289.86 ,$329.40 ,$329.40 ,$374.98 ,$310.93 ,$270.69 ,$493.40 ,$197.36 , N/A ,$305.08 ,$197.36 ,$302.15 ,$292.64 ,$329.22 ,$365.80 ,$310.93 ,$211.37 ,$310.93 ,$310.93 ,$329.22 ,$329.22 ,$287.15 ,$302.15 ,$211.37 ,$237.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600151,E0731,THERMAL WRAP-TENS.MED,291,1 ,$365.80 ,$237.77 ,$197.36 ,$493.40 ,$292.64 ,$197.36 ,$289.86 ,$329.40 ,$329.40 ,$374.98 ,$310.93 ,$270.69 ,$493.40 ,$197.36 , N/A ,$305.08 ,$197.36 ,$302.15 ,$292.64 ,$329.22 ,$365.80 ,$310.93 ,$211.37 ,$310.93 ,$310.93 ,$329.22 ,$329.22 ,$287.15 ,$302.15 ,$211.37 ,$237.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600152,E0731,THERMAL WRAP-TENS.LG,291,1 ,$365.80 ,$237.77 ,$197.36 ,$493.40 ,$292.64 ,$197.36 ,$289.86 ,$329.40 ,$329.40 ,$374.98 ,$310.93 ,$270.69 ,$493.40 ,$197.36 , N/A ,$305.08 ,$197.36 ,$302.15 ,$292.64 ,$329.22 ,$365.80 ,$310.93 ,$211.37 ,$310.93 ,$310.93 ,$329.22 ,$329.22 ,$287.15 ,$302.15 ,$211.37 ,$237.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600153,E0731,THERMAL WRAP-TENS.XLG,291,1 ,$365.80 ,$237.77 ,$197.36 ,$493.40 ,$292.64 ,$197.36 ,$289.86 ,$329.40 ,$329.40 ,$374.98 ,$310.93 ,$270.69 ,$493.40 ,$197.36 , N/A ,$305.08 ,$197.36 ,$302.15 ,$292.64 ,$329.22 ,$365.80 ,$310.93 ,$211.37 ,$310.93 ,$310.93 ,$329.22 ,$329.22 ,$287.15 ,$302.15 ,$211.37 ,$237.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600154,N/A,ANTISHOX TOE SEPAR.XL,291,1 ,$7.97 ,$5.18 ,$5.18 ,$7.18 ,$6.38 , N/A ,$6.32 ,$7.18 ,$7.18 , N/A ,$6.77 ,$5.90 , N/A , N/A , N/A ,$6.65 , N/A ,$6.58 ,$6.38 ,$7.17 , N/A ,$6.77 , N/A ,$6.77 ,$6.77 ,$7.17 ,$7.17 ,$6.26 ,$6.58 , N/A ,$5.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600155,N/A,ANTISHOX TOE SEPAR.LG,291,1 ,$9.15 ,$5.95 ,$5.95 ,$8.24 ,$7.32 , N/A ,$7.25 ,$8.24 ,$8.24 , N/A ,$7.78 ,$6.77 , N/A , N/A , N/A ,$7.63 , N/A ,$7.56 ,$7.32 ,$8.24 , N/A ,$7.78 , N/A ,$7.78 ,$7.78 ,$8.24 ,$8.24 ,$7.18 ,$7.56 , N/A ,$5.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600156,N/A,ANTISHOX TOE SEPAR.MED,291,1 ,$4.43 ,$2.88 ,$2.88 ,$3.99 ,$3.54 , N/A ,$3.51 ,$3.99 ,$3.99 , N/A ,$3.77 ,$3.28 , N/A , N/A , N/A ,$3.69 , N/A ,$3.66 ,$3.54 ,$3.99 , N/A ,$3.77 , N/A ,$3.77 ,$3.77 ,$3.99 ,$3.99 ,$3.48 ,$3.66 , N/A ,$2.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600157,N/A,ANTISHOX TOE SEPAR.SM,291,1 ,$4.43 ,$2.88 ,$2.88 ,$3.99 ,$3.54 , N/A ,$3.51 ,$3.99 ,$3.99 , N/A ,$3.77 ,$3.28 , N/A , N/A , N/A ,$3.69 , N/A ,$3.66 ,$3.54 ,$3.99 , N/A ,$3.77 , N/A ,$3.77 ,$3.77 ,$3.99 ,$3.99 ,$3.48 ,$3.66 , N/A ,$2.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600158,N/A,ANTISHOX GEL TOECAPS.SM/MED,291,1 ,$8.26 ,$5.37 ,$5.37 ,$7.44 ,$6.61 , N/A ,$6.55 ,$7.44 ,$7.44 , N/A ,$7.02 ,$6.11 , N/A , N/A , N/A ,$6.89 , N/A ,$6.82 ,$6.61 ,$7.43 , N/A ,$7.02 , N/A ,$7.02 ,$7.02 ,$7.43 ,$7.43 ,$6.48 ,$6.82 , N/A ,$5.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600159,N/A,ANTISHOX GEL TOE.STRAIGHT-MED,291,1 ,$4.72 ,$3.07 ,$3.07 ,$4.25 ,$3.78 , N/A ,$3.74 ,$4.25 ,$4.25 , N/A ,$4.01 ,$3.49 , N/A , N/A , N/A ,$3.94 , N/A ,$3.90 ,$3.78 ,$4.25 , N/A ,$4.01 , N/A ,$4.01 ,$4.01 ,$4.25 ,$4.25 ,$3.71 ,$3.90 , N/A ,$3.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600160,N/A,ANTISHOX GEL TOE.STRAIGHT-LG,291,1 ,$4.72 ,$3.07 ,$3.07 ,$4.25 ,$3.78 , N/A ,$3.74 ,$4.25 ,$4.25 , N/A ,$4.01 ,$3.49 , N/A , N/A , N/A ,$3.94 , N/A ,$3.90 ,$3.78 ,$4.25 , N/A ,$4.01 , N/A ,$4.01 ,$4.01 ,$4.25 ,$4.25 ,$3.71 ,$3.90 , N/A ,$3.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600161,N/A,TOESPLINT.HAM.2.TOE-UNIV.,291,1 ,$30.09 ,$19.56 ,$19.56 ,$27.10 ,$24.07 , N/A ,$23.84 ,$27.10 ,$27.10 , N/A ,$25.58 ,$22.27 , N/A , N/A , N/A ,$25.10 , N/A ,$24.85 ,$24.07 ,$27.08 , N/A ,$25.58 , N/A ,$25.58 ,$25.58 ,$27.08 ,$27.08 ,$23.62 ,$24.85 , N/A ,$19.56 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600162,A4259,LANCETS-THIN,291,1 ,$18.17 ,$11.81 ,$11.81 ,$16.36 ,$14.54 , N/A ,$14.40 ,$16.36 ,$16.36 , N/A ,$15.44 ,$13.45 , N/A , N/A , N/A ,$15.15 , N/A ,$15.01 ,$14.54 ,$16.35 , N/A ,$15.44 , N/A ,$15.44 ,$15.44 ,$16.35 ,$16.35 ,$14.26 ,$15.01 , N/A ,$11.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600163,A4253,TESTSTRIPS-ASCENSIA ELITE,291,1 ,$70.80 ,$46.02 ,$46.02 ,$63.76 ,$56.64 , N/A ,$56.10 ,$63.76 ,$63.76 , N/A ,$60.18 ,$52.39 , N/A , N/A , N/A ,$59.05 , N/A ,$58.48 ,$56.64 ,$63.72 , N/A ,$60.18 , N/A ,$60.18 ,$60.18 ,$63.72 ,$63.72 ,$55.58 ,$58.48 , N/A ,$46.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600164,A4253,ASCENSIA AUTODISC-TESTSTRIPS,291,1 ,$70.80 ,$46.02 ,$46.02 ,$63.76 ,$56.64 , N/A ,$56.10 ,$63.76 ,$63.76 , N/A ,$60.18 ,$52.39 , N/A , N/A , N/A ,$59.05 , N/A ,$58.48 ,$56.64 ,$63.72 , N/A ,$60.18 , N/A ,$60.18 ,$60.18 ,$63.72 ,$63.72 ,$55.58 ,$58.48 , N/A ,$46.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600165,A4253,ASCENSIA CONTOUR METER,291,1 ,$70.80 ,$46.02 ,$46.02 ,$63.76 ,$56.64 , N/A ,$56.10 ,$63.76 ,$63.76 , N/A ,$60.18 ,$52.39 , N/A , N/A , N/A ,$59.05 , N/A ,$58.48 ,$56.64 ,$63.72 , N/A ,$60.18 , N/A ,$60.18 ,$60.18 ,$63.72 ,$63.72 ,$55.58 ,$58.48 , N/A ,$46.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600166,A4253,ASCENSIA BREEZE METER,291,1 ,$70.80 ,$46.02 ,$46.02 ,$63.76 ,$56.64 , N/A ,$56.10 ,$63.76 ,$63.76 , N/A ,$60.18 ,$52.39 , N/A , N/A , N/A ,$59.05 , N/A ,$58.48 ,$56.64 ,$63.72 , N/A ,$60.18 , N/A ,$60.18 ,$60.18 ,$63.72 ,$63.72 ,$55.58 ,$58.48 , N/A ,$46.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600167,A4253,ACCUCHECK COMPACT,291,1 ,$113.94 ,$74.06 ,$74.06 ,$102.60 ,$91.15 , N/A ,$90.29 ,$102.60 ,$102.60 , N/A ,$96.85 ,$84.32 , N/A , N/A , N/A ,$95.03 , N/A ,$94.11 ,$91.15 ,$102.55 , N/A ,$96.85 , N/A ,$96.85 ,$96.85 ,$102.55 ,$102.55 ,$89.44 ,$94.11 , N/A ,$74.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600168,N/A,BACKSUPPORT-LUMBAR 3X,291,1 ,$130.15 ,$84.60 ,$84.60 ,$117.20 ,$104.12 , N/A ,$103.13 ,$117.20 ,$117.20 , N/A ,$110.63 ,$96.31 , N/A , N/A , N/A ,$108.55 , N/A ,$107.50 ,$104.12 ,$117.14 , N/A ,$110.63 , N/A ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 , N/A ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600169,N/A,GLOVES(COTTON)MENS LG.,291,1 ,$3.20 ,$2.08 ,$2.08 ,$2.88 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 , N/A ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600170,N/A,GLOVES(COTTON)LADIES REG.,291,1 ,$3.20 ,$2.08 ,$2.08 ,$2.88 ,$2.56 , N/A ,$2.54 ,$2.88 ,$2.88 , N/A ,$2.72 ,$2.37 , N/A , N/A , N/A ,$2.67 , N/A ,$2.64 ,$2.56 ,$2.88 , N/A ,$2.72 , N/A ,$2.72 ,$2.72 ,$2.88 ,$2.88 ,$2.51 ,$2.64 , N/A ,$2.08 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600171,A4637,CANE TIPS A720-00,291,1 ,$2.97 ,$1.93 ,$1.93 ,$2.67 ,$2.38 , N/A ,$2.35 ,$2.67 ,$2.67 , N/A ,$2.52 ,$2.20 , N/A , N/A , N/A ,$2.48 , N/A ,$2.45 ,$2.38 ,$2.67 , N/A ,$2.52 , N/A ,$2.52 ,$2.52 ,$2.67 ,$2.67 ,$2.33 ,$2.45 , N/A ,$1.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600172,A4637,CANE TIPS A719-00,291,1 ,$2.97 ,$1.93 ,$1.93 ,$2.67 ,$2.38 , N/A ,$2.35 ,$2.67 ,$2.67 , N/A ,$2.52 ,$2.20 , N/A , N/A , N/A ,$2.48 , N/A ,$2.45 ,$2.38 ,$2.67 , N/A ,$2.52 , N/A ,$2.52 ,$2.52 ,$2.67 ,$2.67 ,$2.33 ,$2.45 , N/A ,$1.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600173,L1830,KNEE IMMOBIL.LONG,291,1 ,$94.80 ,$61.62 ,$61.62 ,$189.48 ,$75.84 ,$75.79 ,$75.12 ,$85.37 ,$85.37 ,$144.00 ,$80.58 ,$70.15 ,$189.48 ,$75.79 , N/A ,$79.06 ,$75.79 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$81.17 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$81.17 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600174,L1830,"GRAB BAR 16""",291,1 ,$32.08 ,$20.85 ,$20.85 ,$158.12 ,$25.66 ,$63.25 ,$25.42 ,$28.89 ,$28.89 ,$120.17 ,$27.27 ,$23.74 ,$158.12 ,$63.25 , N/A ,$26.75 ,$63.25 ,$26.50 ,$25.66 ,$28.87 ,$32.08 ,$27.27 ,$32.08 ,$27.27 ,$27.27 ,$28.87 ,$28.87 ,$25.18 ,$26.50 ,$32.08 ,$20.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600175,E0310,APP PUMP/PAD,291,1 ,$252.82 ,$164.33 ,$151.78 ,$379.45 ,$202.26 ,$151.78 ,$200.33 ,$227.66 ,$227.66 ,$288.38 ,$214.90 ,$187.09 ,$379.45 ,$151.78 , N/A ,$210.85 ,$151.78 ,$208.83 ,$202.26 ,$227.54 ,$252.82 ,$214.90 ,$162.56 ,$214.90 ,$214.90 ,$227.54 ,$227.54 ,$198.46 ,$208.83 ,$162.56 ,$164.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600176,E0940,TRAPEZE BASE,291,1 ,$280.25 ,$182.16 ,$56.05 ,$252.37 ,$224.20 ,$56.05 ,$222.07 ,$252.37 ,$252.37 ,$106.50 ,$238.21 ,$207.39 ,$140.13 ,$56.05 , N/A ,$233.73 ,$56.05 ,$231.49 ,$224.20 ,$252.23 ,$140.13 ,$238.21 ,$60.03 ,$238.21 ,$238.21 ,$252.23 ,$252.23 ,$220.00 ,$231.49 ,$60.03 ,$182.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600177,N/A,HANDHELD SHOWER KIT,291,1 ,$55.06 ,$35.79 ,$35.79 ,$49.58 ,$44.05 , N/A ,$43.63 ,$49.58 ,$49.58 , N/A ,$46.80 ,$40.74 , N/A , N/A , N/A ,$45.92 , N/A ,$45.48 ,$44.05 ,$49.55 , N/A ,$46.80 , N/A ,$46.80 ,$46.80 ,$49.55 ,$49.55 ,$43.22 ,$45.48 , N/A ,$35.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600178,N/A,BATHTUB RAIL,291,1 ,$69.61 ,$45.25 ,$45.25 ,$62.68 ,$55.69 , N/A ,$55.16 ,$62.68 ,$62.68 , N/A ,$59.17 ,$51.51 , N/A , N/A , N/A ,$58.05 , N/A ,$57.50 ,$55.69 ,$62.65 , N/A ,$59.17 , N/A ,$59.17 ,$59.17 ,$62.65 ,$62.65 ,$54.64 ,$57.50 , N/A ,$45.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600179,N/A,BATHGARD-CAST LEG,291,1 ,$57.65 ,$37.47 ,$37.47 ,$51.91 ,$46.12 , N/A ,$45.68 ,$51.91 ,$51.91 , N/A ,$49.00 ,$42.66 , N/A , N/A , N/A ,$48.08 , N/A ,$47.62 ,$46.12 ,$51.89 , N/A ,$49.00 , N/A ,$49.00 ,$49.00 ,$51.89 ,$51.89 ,$45.26 ,$47.62 , N/A ,$37.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600180,N/A,BATHGARD-ARM,291,1 ,$57.65 ,$37.47 ,$37.47 ,$51.91 ,$46.12 , N/A ,$45.68 ,$51.91 ,$51.91 , N/A ,$49.00 ,$42.66 , N/A , N/A , N/A ,$48.08 , N/A ,$47.62 ,$46.12 ,$51.89 , N/A ,$49.00 , N/A ,$49.00 ,$49.00 ,$51.89 ,$51.89 ,$45.26 ,$47.62 , N/A ,$37.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600181,L1825,KNEESLEEVE-ARTHRITIS-MED,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600182,L1825,KNEESLEEVE-ARTHRITIS-LG,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600183,L1825,KNEESLEEVE-ARTHRITIS-XLG,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600184,N/A,BACKSUPP.ARTHRITIS-XLG,291,1 ,$74.05 ,$48.13 ,$48.13 ,$66.68 ,$59.24 , N/A ,$58.68 ,$66.68 ,$66.68 , N/A ,$62.94 ,$54.80 , N/A , N/A , N/A ,$61.76 , N/A ,$61.17 ,$59.24 ,$66.65 , N/A ,$62.94 , N/A ,$62.94 ,$62.94 ,$66.65 ,$66.65 ,$58.13 ,$61.17 , N/A ,$48.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600185,N/A,BACKSUPP.ARTHRITIS-MED,291,1 ,$74.05 ,$48.13 ,$48.13 ,$66.68 ,$59.24 , N/A ,$58.68 ,$66.68 ,$66.68 , N/A ,$62.94 ,$54.80 , N/A , N/A , N/A ,$61.76 , N/A ,$61.17 ,$59.24 ,$66.65 , N/A ,$62.94 , N/A ,$62.94 ,$62.94 ,$66.65 ,$66.65 ,$58.13 ,$61.17 , N/A ,$48.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600186,N/A,BACKSUPP.ARTHRITIS-SM,291,1 ,$74.05 ,$48.13 ,$48.13 ,$66.68 ,$59.24 , N/A ,$58.68 ,$66.68 ,$66.68 , N/A ,$62.94 ,$54.80 , N/A , N/A , N/A ,$61.76 , N/A ,$61.17 ,$59.24 ,$66.65 , N/A ,$62.94 , N/A ,$62.94 ,$62.94 ,$66.65 ,$66.65 ,$58.13 ,$61.17 , N/A ,$48.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600187,L1820,KNEE HINGED FLEX,291,1 ,$158.60 ,$103.09 ,$103.09 ,$364.62 ,$126.88 ,$145.85 ,$125.67 ,$142.82 ,$142.82 ,$277.11 ,$134.81 ,$117.36 ,$364.62 ,$145.85 , N/A ,$132.27 ,$145.85 ,$131.00 ,$126.88 ,$142.74 ,$158.60 ,$134.81 ,$156.20 ,$134.81 ,$134.81 ,$142.74 ,$142.74 ,$124.50 ,$131.00 ,$156.20 ,$103.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600188,N/A,LUMBAR PILLOW,291,1 ,$33.49 ,$21.77 ,$21.77 ,$30.16 ,$26.79 , N/A ,$26.54 ,$30.16 ,$30.16 , N/A ,$28.47 ,$24.78 , N/A , N/A , N/A ,$27.93 , N/A ,$27.66 ,$26.79 ,$30.14 , N/A ,$28.47 , N/A ,$28.47 ,$28.47 ,$30.14 ,$30.14 ,$26.29 ,$27.66 , N/A ,$21.77 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600189,N/A,BARIATRIC SHOWER CHAIR,291,1 ,$186.44 ,$121.19 ,$121.19 ,$167.89 ,$149.15 , N/A ,$147.74 ,$167.89 ,$167.89 , N/A ,$158.47 ,$137.97 , N/A , N/A , N/A ,$155.49 , N/A ,$154.00 ,$149.15 ,$167.80 , N/A ,$158.47 , N/A ,$158.47 ,$158.47 ,$167.80 ,$167.80 ,$146.36 ,$154.00 , N/A ,$121.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600190,N/A,TRANSFER BENCH PADDED,291,1 ,$119.46 ,$77.65 ,$77.65 ,$107.57 ,$95.57 , N/A ,$94.66 ,$107.57 ,$107.57 , N/A ,$101.54 ,$88.40 , N/A , N/A , N/A ,$99.63 , N/A ,$98.67 ,$95.57 ,$107.51 , N/A ,$101.54 , N/A ,$101.54 ,$101.54 ,$107.51 ,$107.51 ,$93.78 ,$98.67 , N/A ,$77.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600191,E0245,BATH BENCH W/BACK,291,1 ,$58.74 ,$38.18 ,$38.18 ,$52.90 ,$46.99 , N/A ,$46.55 ,$52.90 ,$52.90 , N/A ,$49.93 ,$43.47 , N/A , N/A , N/A ,$48.99 , N/A ,$48.52 ,$46.99 ,$52.87 , N/A ,$49.93 , N/A ,$49.93 ,$49.93 ,$52.87 ,$52.87 ,$46.11 ,$48.52 , N/A ,$38.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600192,N/A,TRANSFER BENCH NON-PADDED,291,1 ,$98.65 ,$64.12 ,$64.12 ,$88.83 ,$78.92 , N/A ,$78.17 ,$88.83 ,$88.83 , N/A ,$83.85 ,$73.00 , N/A , N/A , N/A ,$82.27 , N/A ,$81.48 ,$78.92 ,$88.79 , N/A ,$83.85 , N/A ,$83.85 ,$83.85 ,$88.79 ,$88.79 ,$77.44 ,$81.48 , N/A ,$64.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600193,N/A,TRANSFER SHOWER BENCH,291,1 ,$98.98 ,$64.34 ,$64.34 ,$89.13 ,$79.18 , N/A ,$78.43 ,$89.13 ,$89.13 , N/A ,$84.13 ,$73.25 , N/A , N/A , N/A ,$82.55 , N/A ,$81.76 ,$79.18 ,$89.08 , N/A ,$84.13 , N/A ,$84.13 ,$84.13 ,$89.08 ,$89.08 ,$77.70 ,$81.76 , N/A ,$64.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600194,E0168,BARIATRIC COMMODE-DROP ARM,291,1 ,$488.17 ,$317.31 ,$203.67 ,$509.19 ,$390.54 ,$203.67 ,$386.83 ,$439.60 ,$439.60 ,$386.98 ,$414.94 ,$361.25 ,$509.19 ,$203.67 , N/A ,$407.13 ,$203.67 ,$403.23 ,$390.54 ,$439.35 ,$488.17 ,$414.94 ,$218.13 ,$414.94 ,$414.94 ,$439.35 ,$439.35 ,$383.21 ,$403.23 ,$218.13 ,$317.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600195,A5500,DR.ZEN 298-02(W)BLACK,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600196,A5500,DR.ZEN DRZ-601-02(X-W)BEIGE,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600197,A5500,DR.ZEN DRZ-899-03(X-W)BLACK,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600198,A5500,DR.ZEN DRZ-213-03(X-W)BLACK,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600199,N/A,"HEEL LIFTS 3/8""",291,1 ,$35.58 ,$23.13 ,$23.13 ,$32.04 ,$28.46 , N/A ,$28.19 ,$32.04 ,$32.04 , N/A ,$30.24 ,$26.33 , N/A , N/A , N/A ,$29.67 , N/A ,$29.39 ,$28.46 ,$32.02 , N/A ,$30.24 , N/A ,$30.24 ,$30.24 ,$32.02 ,$32.02 ,$27.93 ,$29.39 , N/A ,$23.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600200,A4637,CANE TIPS A718-00,291,1 ,$2.97 ,$1.93 ,$1.93 ,$2.67 ,$2.38 , N/A ,$2.35 ,$2.67 ,$2.67 , N/A ,$2.52 ,$2.20 , N/A , N/A , N/A ,$2.48 , N/A ,$2.45 ,$2.38 ,$2.67 , N/A ,$2.52 , N/A ,$2.52 ,$2.52 ,$2.67 ,$2.67 ,$2.33 ,$2.45 , N/A ,$1.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600201,A4637,CANE TIPS A717-00,291,1 ,$2.97 ,$1.93 ,$1.93 ,$2.67 ,$2.38 , N/A ,$2.35 ,$2.67 ,$2.67 , N/A ,$2.52 ,$2.20 , N/A , N/A , N/A ,$2.48 , N/A ,$2.45 ,$2.38 ,$2.67 , N/A ,$2.52 , N/A ,$2.52 ,$2.52 ,$2.67 ,$2.67 ,$2.33 ,$2.45 , N/A ,$1.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600202,A4637,WRIST STRAP NYLON,291,1 ,$5.89 ,$3.83 ,$3.83 ,$5.30 ,$4.71 , N/A ,$4.67 ,$5.30 ,$5.30 , N/A ,$5.01 ,$4.36 , N/A , N/A , N/A ,$4.91 , N/A ,$4.87 ,$4.71 ,$5.30 , N/A ,$5.01 , N/A ,$5.01 ,$5.01 ,$5.30 ,$5.30 ,$4.62 ,$4.87 , N/A ,$3.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600203,N/A,QUAD CANE TIPS-GREY,291,1 ,$7.49 ,$4.87 ,$4.87 ,$6.74 ,$5.99 , N/A ,$5.94 ,$6.74 ,$6.74 , N/A ,$6.37 ,$5.54 , N/A , N/A , N/A ,$6.25 , N/A ,$6.19 ,$5.99 ,$6.74 , N/A ,$6.37 , N/A ,$6.37 ,$6.37 ,$6.74 ,$6.74 ,$5.88 ,$6.19 , N/A ,$4.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600204,A5500,APEX DIAB.SHOE,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600205,K0628,APEX DIAB.INSERTS,291,1 ,$50.93 ,$33.10 ,$33.10 ,$45.86 ,$40.74 , N/A ,$40.36 ,$45.86 ,$45.86 , N/A ,$43.29 ,$37.69 , N/A , N/A , N/A ,$42.48 , N/A ,$42.07 ,$40.74 ,$45.84 , N/A ,$43.29 , N/A ,$43.29 ,$43.29 ,$45.84 ,$45.84 ,$39.98 ,$42.07 , N/A ,$33.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600206,E0240,BATH SEAT-BACK,291,1 ,$87.91 ,$57.14 ,$57.14 ,$79.16 ,$70.33 , N/A ,$69.66 ,$79.16 ,$79.16 , N/A ,$74.72 ,$65.05 , N/A , N/A , N/A ,$73.32 , N/A ,$72.61 ,$70.33 ,$79.12 , N/A ,$74.72 , N/A ,$74.72 ,$74.72 ,$79.12 ,$79.12 ,$69.01 ,$72.61 , N/A ,$57.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600207,E0627,SEAT LIFT-LEATHER LEVANTE,291,1 ,"$1,488.92 ",$967.80 ,$538.30 ,"$1,345.76 ","$1,191.14 ",$538.30 ,"$1,179.82 ","$1,340.77 ","$1,340.77 ","$1,022.78 ","$1,265.58 ","$1,101.80 ","$1,345.76 ",$538.30 , N/A ,"$1,241.76 ",$538.30 ,"$1,229.85 ","$1,191.14 ","$1,340.03 ","$1,345.76 ","$1,265.58 ",$576.52 ,"$1,265.58 ","$1,265.58 ","$1,340.03 ","$1,340.03 ","$1,168.80 ","$1,229.85 ",$576.52 ,$967.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600208,N/A,SEAT MOTOR/CONTROL,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600209,N/A,SEAT LIFT CABLE,291,1 ,$64.90 ,$42.19 ,$42.19 ,$58.44 ,$51.92 , N/A ,$51.43 ,$58.44 ,$58.44 , N/A ,$55.17 ,$48.03 , N/A , N/A , N/A ,$54.13 , N/A ,$53.61 ,$51.92 ,$58.41 , N/A ,$55.17 , N/A ,$55.17 ,$55.17 ,$58.41 ,$58.41 ,$50.95 ,$53.61 , N/A ,$42.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600210,N/A,"THUMB SPLINT 9""",291,1 ,$35.99 ,$23.39 ,$23.39 ,$32.41 ,$28.79 , N/A ,$28.52 ,$32.41 ,$32.41 , N/A ,$30.59 ,$26.63 , N/A , N/A , N/A ,$30.02 , N/A ,$29.73 ,$28.79 ,$32.39 , N/A ,$30.59 , N/A ,$30.59 ,$30.59 ,$32.39 ,$32.39 ,$28.25 ,$29.73 , N/A ,$23.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600211,N/A,WALKER 2BUTTON X-WIDE,291,1 ,$185.78 ,$120.76 ,$120.76 ,$167.29 ,$148.62 , N/A ,$147.21 ,$167.29 ,$167.29 , N/A ,$157.91 ,$137.48 , N/A , N/A , N/A ,$154.94 , N/A ,$153.45 ,$148.62 ,$167.20 , N/A ,$157.91 , N/A ,$157.91 ,$157.91 ,$167.20 ,$167.20 ,$145.84 ,$153.45 , N/A ,$120.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600212,L0625,LUMBAR SUPP.-MED.,291,1 ,$130.15 ,$84.60 ,$57.69 ,$144.24 ,$104.12 ,$57.69 ,$103.13 ,$117.20 ,$117.20 ,$109.62 ,$110.63 ,$96.31 ,$144.24 ,$57.69 , N/A ,$108.55 ,$57.69 ,$107.50 ,$104.12 ,$117.14 ,$130.15 ,$110.63 ,$61.79 ,$110.63 ,$110.63 ,$117.14 ,$117.14 ,$102.17 ,$107.50 ,$61.79 ,$84.60 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600213,L3650,SHOULDER IMMOBILIZER,291,1 ,$57.65 ,$37.47 ,$37.47 ,$160.49 ,$46.12 ,$64.19 ,$45.68 ,$51.91 ,$51.91 ,$121.97 ,$49.00 ,$42.66 ,$160.49 ,$64.19 , N/A ,$48.08 ,$64.19 ,$47.62 ,$46.12 ,$51.89 ,$57.65 ,$49.00 ,$57.65 ,$49.00 ,$49.00 ,$51.89 ,$51.89 ,$45.26 ,$47.62 ,$57.65 ,$37.47 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600214,A4565,SLING SWATHE 10x14,291,1 ,$57.81 ,$37.58 ,$37.58 ,$52.06 ,$46.25 , N/A ,$45.81 ,$52.06 ,$52.06 , N/A ,$49.14 ,$42.78 , N/A , N/A , N/A ,$48.21 , N/A ,$47.75 ,$46.25 ,$52.03 , N/A ,$49.14 , N/A ,$49.14 ,$49.14 ,$52.03 ,$52.03 ,$45.38 ,$47.75 , N/A ,$37.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600215,N/A,SOCK AID-PLASTIC,291,1 ,$20.10 ,$13.07 ,$13.07 ,$18.10 ,$16.08 , N/A ,$15.93 ,$18.10 ,$18.10 , N/A ,$17.09 ,$14.87 , N/A , N/A , N/A ,$16.76 , N/A ,$16.60 ,$16.08 ,$18.09 , N/A ,$17.09 , N/A ,$17.09 ,$17.09 ,$18.09 ,$18.09 ,$15.78 ,$16.60 , N/A ,$13.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600216,N/A,CAN OPENER,291,1 ,$2.88 ,$1.87 ,$1.87 ,$2.59 ,$2.30 , N/A ,$2.28 ,$2.59 ,$2.59 , N/A ,$2.45 ,$2.13 , N/A , N/A , N/A ,$2.40 , N/A ,$2.38 ,$2.30 ,$2.59 , N/A ,$2.45 , N/A ,$2.45 ,$2.45 ,$2.59 ,$2.59 ,$2.26 ,$2.38 , N/A ,$1.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600217,A5500,TITAN DR.ZEN SHOES.XWIDE,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600218,A5500,JENNY SHOES-MED.,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600219,A5500,SPORT I TENNIS SHOE,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600220,A5500,DR.ZENNON MED. VELCRO,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600221,A5500,DR.ZEN SPORT II TENNIS,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600222,A5500,SPORT II TENNIS SHOE,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600223,N/A,"REACHER 26""",291,1 ,$38.94 ,$25.31 ,$25.31 ,$35.07 ,$31.15 , N/A ,$30.86 ,$35.07 ,$35.07 , N/A ,$33.10 ,$28.82 , N/A , N/A , N/A ,$32.48 , N/A ,$32.16 ,$31.15 ,$35.05 , N/A ,$33.10 , N/A ,$33.10 ,$33.10 ,$35.05 ,$35.05 ,$30.57 ,$32.16 , N/A ,$25.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600224,N/A,"GRAB BAR 24""",291,1 ,$42.47 ,$27.61 ,$27.61 ,$38.24 ,$33.98 , N/A ,$33.65 ,$38.24 ,$38.24 , N/A ,$36.10 ,$31.43 , N/A , N/A , N/A ,$35.42 , N/A ,$35.08 ,$33.98 ,$38.22 , N/A ,$36.10 , N/A ,$36.10 ,$36.10 ,$38.22 ,$38.22 ,$33.34 ,$35.08 , N/A ,$27.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600225,N/A,KNEE WRAP ARTHRITIS-SM,291,1 ,$36.67 ,$23.84 ,$23.84 ,$33.02 ,$29.34 , N/A ,$29.06 ,$33.02 ,$33.02 , N/A ,$31.17 ,$27.14 , N/A , N/A , N/A ,$30.58 , N/A ,$30.29 ,$29.34 ,$33.00 , N/A ,$31.17 , N/A ,$31.17 ,$31.17 ,$33.00 ,$33.00 ,$28.79 ,$30.29 , N/A ,$23.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600226,N/A,KNEE WRAP ARTHRITIS-MED,291,1 ,$36.67 ,$23.84 ,$23.84 ,$33.02 ,$29.34 , N/A ,$29.06 ,$33.02 ,$33.02 , N/A ,$31.17 ,$27.14 , N/A , N/A , N/A ,$30.58 , N/A ,$30.29 ,$29.34 ,$33.00 , N/A ,$31.17 , N/A ,$31.17 ,$31.17 ,$33.00 ,$33.00 ,$28.79 ,$30.29 , N/A ,$23.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600227,N/A,KNEE WRAP ARTHRITIS-LG,291,1 ,$36.67 ,$23.84 ,$23.84 ,$33.02 ,$29.34 , N/A ,$29.06 ,$33.02 ,$33.02 , N/A ,$31.17 ,$27.14 , N/A , N/A , N/A ,$30.58 , N/A ,$30.29 ,$29.34 ,$33.00 , N/A ,$31.17 , N/A ,$31.17 ,$31.17 ,$33.00 ,$33.00 ,$28.79 ,$30.29 , N/A ,$23.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600228,N/A,KNEE WRAP ARTHRITIS-XLG,291,1 ,$36.67 ,$23.84 ,$23.84 ,$33.02 ,$29.34 , N/A ,$29.06 ,$33.02 ,$33.02 , N/A ,$31.17 ,$27.14 , N/A , N/A , N/A ,$30.58 , N/A ,$30.29 ,$29.34 ,$33.00 , N/A ,$31.17 , N/A ,$31.17 ,$31.17 ,$33.00 ,$33.00 ,$28.79 ,$30.29 , N/A ,$23.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600229,E0191,HEEL PROTECTOR-UNIV,291,1 ,$20.04 ,$13.03 ,$13.03 ,$33.28 ,$16.03 ,$13.31 ,$15.88 ,$18.05 ,$18.05 ,$25.29 ,$17.03 ,$14.83 ,$33.28 ,$13.31 , N/A ,$16.71 ,$13.31 ,$16.55 ,$16.03 ,$18.04 ,$20.04 ,$17.03 ,$14.26 ,$17.03 ,$17.03 ,$18.04 ,$18.04 ,$15.73 ,$16.55 ,$14.26 ,$13.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600230,N/A,ELBOW ARTHRITIS-LG,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600231,N/A,ELBOW ARTHRITIS-MED,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600232,N/A,ELBOW WRAP-XLG,291,1 ,$22.51 ,$14.63 ,$14.63 ,$20.27 ,$18.01 , N/A ,$17.84 ,$20.27 ,$20.27 , N/A ,$19.13 ,$16.66 , N/A , N/A , N/A ,$18.77 , N/A ,$18.59 ,$18.01 ,$20.26 , N/A ,$19.13 , N/A ,$19.13 ,$19.13 ,$20.26 ,$20.26 ,$17.67 ,$18.59 , N/A ,$14.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600233,N/A,ELBOW WRAP-LG,291,1 ,$22.51 ,$14.63 ,$14.63 ,$20.27 ,$18.01 , N/A ,$17.84 ,$20.27 ,$20.27 , N/A ,$19.13 ,$16.66 , N/A , N/A , N/A ,$18.77 , N/A ,$18.59 ,$18.01 ,$20.26 , N/A ,$19.13 , N/A ,$19.13 ,$19.13 ,$20.26 ,$20.26 ,$17.67 ,$18.59 , N/A ,$14.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600234,N/A,ELBOW WRAP-MED,291,1 ,$22.51 ,$14.63 ,$14.63 ,$20.27 ,$18.01 , N/A ,$17.84 ,$20.27 ,$20.27 , N/A ,$19.13 ,$16.66 , N/A , N/A , N/A ,$18.77 , N/A ,$18.59 ,$18.01 ,$20.26 , N/A ,$19.13 , N/A ,$19.13 ,$19.13 ,$20.26 ,$20.26 ,$17.67 ,$18.59 , N/A ,$14.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600235,N/A,ELBOW WRAP-SM,291,1 ,$22.51 ,$14.63 ,$14.63 ,$20.27 ,$18.01 , N/A ,$17.84 ,$20.27 ,$20.27 , N/A ,$19.13 ,$16.66 , N/A , N/A , N/A ,$18.77 , N/A ,$18.59 ,$18.01 ,$20.26 , N/A ,$19.13 , N/A ,$19.13 ,$19.13 ,$20.26 ,$20.26 ,$17.67 ,$18.59 , N/A ,$14.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600236,E0135,WALKER 2BUTTON,291,1 ,$123.35 ,$80.18 ,$69.60 ,$174.00 ,$98.68 ,$69.60 ,$97.74 ,$111.08 ,$111.08 ,$132.24 ,$104.85 ,$91.28 ,$174.00 ,$69.60 , N/A ,$102.87 ,$69.60 ,$101.89 ,$98.68 ,$111.02 ,$123.35 ,$104.85 ,$74.54 ,$104.85 ,$104.85 ,$111.02 ,$111.02 ,$96.83 ,$101.89 ,$74.54 ,$80.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600237,E0574,PORT. HAND NEBULIZER,291,1 ,$388.22 ,$252.34 ,$77.64 ,$349.59 ,$310.58 ,$77.64 ,$307.63 ,$349.59 ,$349.59 ,$147.52 ,$329.99 ,$287.28 ,$194.11 ,$77.64 , N/A ,$323.78 ,$77.64 ,$320.67 ,$310.58 ,$349.40 ,$194.11 ,$329.99 ,$83.16 ,$329.99 ,$329.99 ,$349.40 ,$349.40 ,$304.75 ,$320.67 ,$83.16 ,$252.34 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600238,E0100,LIGHT WOOD CANE,291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600239,E0100,DARK WOOD CANE,291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600240,N/A,UNIFORM TOP-LG,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600241,N/A,UNIFORM TOP-ROY XLG,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600242,N/A,UNIFORM TOP-TWEN MED,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600243,N/A,UNIFORM LABCOAT-3XL,291,1 ,$34.52 ,$22.44 ,$22.44 ,$31.09 ,$27.62 , N/A ,$27.35 ,$31.09 ,$31.09 , N/A ,$29.34 ,$25.54 , N/A , N/A , N/A ,$28.79 , N/A ,$28.51 ,$27.62 ,$31.07 , N/A ,$29.34 , N/A ,$29.34 ,$29.34 ,$31.07 ,$31.07 ,$27.10 ,$28.51 , N/A ,$22.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600244,N/A,UNIFORM TOP 2POCKET-XLG,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600245,N/A,UNIFORM TOP 2POCKET-MED,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600246,N/A,UNIFORM TOP SURVIVOR-MED,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600247,N/A,UNIFORM TOP XLG,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600248,N/A,UNIFORM TOPBUTTON XLG,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600249,N/A,UNIFORM TOPBUTTON XLG,291,1 ,$23.01 ,$14.96 ,$14.96 ,$20.72 ,$18.41 , N/A ,$18.23 ,$20.72 ,$20.72 , N/A ,$19.56 ,$17.03 , N/A , N/A , N/A ,$19.19 , N/A ,$19.01 ,$18.41 ,$20.71 , N/A ,$19.56 , N/A ,$19.56 ,$19.56 ,$20.71 ,$20.71 ,$18.06 ,$19.01 , N/A ,$14.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600250,N/A,UNIFORM TOPBUTTON LG,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600251,N/A,UNIFORM TOP 2XLG,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600252,N/A,UNIFORM TOPBUTTON-MED,291,1 ,$23.01 ,$14.96 ,$14.96 ,$20.72 ,$18.41 , N/A ,$18.23 ,$20.72 ,$20.72 , N/A ,$19.56 ,$17.03 , N/A , N/A , N/A ,$19.19 , N/A ,$19.01 ,$18.41 ,$20.71 , N/A ,$19.56 , N/A ,$19.56 ,$19.56 ,$20.71 ,$20.71 ,$18.06 ,$19.01 , N/A ,$14.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600253,N/A,UNIFORM TOPBUTTON-LG,291,1 ,$23.01 ,$14.96 ,$14.96 ,$20.72 ,$18.41 , N/A ,$18.23 ,$20.72 ,$20.72 , N/A ,$19.56 ,$17.03 , N/A , N/A , N/A ,$19.19 , N/A ,$19.01 ,$18.41 ,$20.71 , N/A ,$19.56 , N/A ,$19.56 ,$19.56 ,$20.71 ,$20.71 ,$18.06 ,$19.01 , N/A ,$14.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600254,N/A,UNIFORM TOPBUTTON-4XL,291,1 ,$32.45 ,$21.09 ,$21.09 ,$29.22 ,$25.96 , N/A ,$25.71 ,$29.22 ,$29.22 , N/A ,$27.58 ,$24.01 , N/A , N/A , N/A ,$27.06 , N/A ,$26.80 ,$25.96 ,$29.21 , N/A ,$27.58 , N/A ,$27.58 ,$27.58 ,$29.21 ,$29.21 ,$25.47 ,$26.80 , N/A ,$21.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600255,N/A,UNIFORM PANTS NAVY-MED,291,1 ,$35.34 ,$22.97 ,$22.97 ,$31.82 ,$28.27 , N/A ,$28.00 ,$31.82 ,$31.82 , N/A ,$30.04 ,$26.15 , N/A , N/A , N/A ,$29.47 , N/A ,$29.19 ,$28.27 ,$31.81 , N/A ,$30.04 , N/A ,$30.04 ,$30.04 ,$31.81 ,$31.81 ,$27.74 ,$29.19 , N/A ,$22.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600256,N/A,UNIFORM SKIRT WHITE-LG,291,1 ,$33.10 ,$21.52 ,$21.52 ,$29.81 ,$26.48 , N/A ,$26.23 ,$29.81 ,$29.81 , N/A ,$28.14 ,$24.49 , N/A , N/A , N/A ,$27.61 , N/A ,$27.34 ,$26.48 ,$29.79 , N/A ,$28.14 , N/A ,$28.14 ,$28.14 ,$29.79 ,$29.79 ,$25.98 ,$27.34 , N/A ,$21.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600257,N/A,UNIFORM TOP LG,291,1 ,$34.22 ,$22.24 ,$22.24 ,$30.82 ,$27.38 , N/A ,$27.12 ,$30.82 ,$30.82 , N/A ,$29.09 ,$25.32 , N/A , N/A , N/A ,$28.54 , N/A ,$28.27 ,$27.38 ,$30.80 , N/A ,$29.09 , N/A ,$29.09 ,$29.09 ,$30.80 ,$30.80 ,$26.86 ,$28.27 , N/A ,$22.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600258,N/A,UNIFORM PANTS NAVY-MED,291,1 ,$34.22 ,$22.24 ,$22.24 ,$30.82 ,$27.38 , N/A ,$27.12 ,$30.82 ,$30.82 , N/A ,$29.09 ,$25.32 , N/A , N/A , N/A ,$28.54 , N/A ,$28.27 ,$27.38 ,$30.80 , N/A ,$29.09 , N/A ,$29.09 ,$29.09 ,$30.80 ,$30.80 ,$26.86 ,$28.27 , N/A ,$22.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600259,N/A,UNIFORM PANTS CARDINALS-LG,291,1 ,$30.67 ,$19.94 ,$19.94 ,$27.62 ,$24.54 , N/A ,$24.30 ,$27.62 ,$27.62 , N/A ,$26.07 ,$22.70 , N/A , N/A , N/A ,$25.58 , N/A ,$25.33 ,$24.54 ,$27.60 , N/A ,$26.07 , N/A ,$26.07 ,$26.07 ,$27.60 ,$27.60 ,$24.08 ,$25.33 , N/A ,$19.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600260,N/A,UNIFORM TOP CUBS-XLG,291,1 ,$30.67 ,$19.94 ,$19.94 ,$27.62 ,$24.54 , N/A ,$24.30 ,$27.62 ,$27.62 , N/A ,$26.07 ,$22.70 , N/A , N/A , N/A ,$25.58 , N/A ,$25.33 ,$24.54 ,$27.60 , N/A ,$26.07 , N/A ,$26.07 ,$26.07 ,$27.60 ,$27.60 ,$24.08 ,$25.33 , N/A ,$19.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600261,N/A,UNIFORM PANTS CUBS-LG,291,1 ,$30.67 ,$19.94 ,$19.94 ,$27.62 ,$24.54 , N/A ,$24.30 ,$27.62 ,$27.62 , N/A ,$26.07 ,$22.70 , N/A , N/A , N/A ,$25.58 , N/A ,$25.33 ,$24.54 ,$27.60 , N/A ,$26.07 , N/A ,$26.07 ,$26.07 ,$27.60 ,$27.60 ,$24.08 ,$25.33 , N/A ,$19.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600262,E0105,QUAD LRG BASE,291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600263,E0100,CANE BLACK ADJUSTABLE,291,1 ,$33.81 ,$21.98 ,$21.98 ,$65.99 ,$27.05 ,$26.39 ,$26.79 ,$30.45 ,$30.45 ,$50.15 ,$28.74 ,$25.02 ,$65.99 ,$26.39 , N/A ,$28.20 ,$26.39 ,$27.93 ,$27.05 ,$30.43 ,$33.81 ,$28.74 ,$28.27 ,$28.74 ,$28.74 ,$30.43 ,$30.43 ,$26.54 ,$27.93 ,$28.27 ,$21.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600264,N/A,CANVAS WALKER BASKET,291,1 ,$44.62 ,$29.00 ,$29.00 ,$40.18 ,$35.70 , N/A ,$35.36 ,$40.18 ,$40.18 , N/A ,$37.93 ,$33.02 , N/A , N/A , N/A ,$37.21 , N/A ,$36.86 ,$35.70 ,$40.16 , N/A ,$37.93 , N/A ,$37.93 ,$37.93 ,$40.16 ,$40.16 ,$35.03 ,$36.86 , N/A ,$29.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600265,E0265,HOSP.BED.SEMI-PKG,291,1 ,"$2,589.84 ","$1,683.40 ",$517.97 ,"$2,332.15 ","$2,071.87 ",$517.97 ,"$2,052.19 ","$2,332.15 ","$2,332.15 ",$984.14 ,"$2,201.36 ","$1,916.48 ","$1,294.92 ",$517.97 , N/A ,"$2,159.93 ",$517.97 ,"$2,139.21 ","$2,071.87 ","$2,330.86 ","$1,294.92 ","$2,201.36 ",$554.74 ,"$2,201.36 ","$2,201.36 ","$2,330.86 ","$2,330.86 ","$2,033.02 ","$2,139.21 ",$554.74 ,"$1,683.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8600266,L3701,ELBOW THERMAL-MED,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600267,L3701,ELBOW THERMAL-LG,291,1 ,$22.21 ,$14.44 ,$14.44 ,$20.00 ,$17.77 , N/A ,$17.60 ,$20.00 ,$20.00 , N/A ,$18.88 ,$16.44 , N/A , N/A , N/A ,$18.52 , N/A ,$18.35 ,$17.77 ,$19.99 , N/A ,$18.88 , N/A ,$18.88 ,$18.88 ,$19.99 ,$19.99 ,$17.43 ,$18.35 , N/A ,$14.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600268,L1825,KNEESLEEVE ARTHRITIS-SM,291,1 ,$67.68 ,$43.99 ,$43.99 ,$60.95 ,$54.14 , N/A ,$53.63 ,$60.95 ,$60.95 , N/A ,$57.53 ,$50.08 , N/A , N/A , N/A ,$56.45 , N/A ,$55.90 ,$54.14 ,$60.91 , N/A ,$57.53 , N/A ,$57.53 ,$57.53 ,$60.91 ,$60.91 ,$53.13 ,$55.90 , N/A ,$43.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600269,N/A,WETPROOF TAPE,291,1 ,$6.25 ,$4.06 ,$4.06 ,$5.63 ,$5.00 , N/A ,$4.95 ,$5.63 ,$5.63 , N/A ,$5.31 ,$4.63 , N/A , N/A , N/A ,$5.21 , N/A ,$5.16 ,$5.00 ,$5.63 , N/A ,$5.31 , N/A ,$5.31 ,$5.31 ,$5.63 ,$5.63 ,$4.91 ,$5.16 , N/A ,$4.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600270,N/A,MEDIPORE TAPE,291,1 ,$9.43 ,$6.13 ,$6.13 ,$8.49 ,$7.54 , N/A ,$7.47 ,$8.49 ,$8.49 , N/A ,$8.02 ,$6.98 , N/A , N/A , N/A ,$7.86 , N/A ,$7.79 ,$7.54 ,$8.49 , N/A ,$8.02 , N/A ,$8.02 ,$8.02 ,$8.49 ,$8.49 ,$7.40 ,$7.79 , N/A ,$6.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600271,N/A,SORBAR WOUNDPKING 2GR.,291,1 ,$12.50 ,$8.13 ,$8.13 ,$11.26 ,$10.00 , N/A ,$9.91 ,$11.26 ,$11.26 , N/A ,$10.63 ,$9.25 , N/A , N/A , N/A ,$10.43 , N/A ,$10.33 ,$10.00 ,$11.25 , N/A ,$10.63 , N/A ,$10.63 ,$10.63 ,$11.25 ,$11.25 ,$9.81 ,$10.33 , N/A ,$8.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600272,A4377,CENTERPOINT LK.DRAIN POUCH,291,1 ,$63.28 ,$41.13 ,$41.13 ,$56.98 ,$50.62 , N/A ,$50.14 ,$56.98 ,$56.98 , N/A ,$53.79 ,$46.83 , N/A , N/A , N/A ,$52.78 , N/A ,$52.27 ,$50.62 ,$56.95 , N/A ,$53.79 , N/A ,$53.79 ,$53.79 ,$56.95 ,$56.95 ,$49.67 ,$52.27 , N/A ,$41.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600273,A4361,CENTERPOINT LK.FLEX.SKIN.BARR,291,1 ,$135.48 ,$88.06 ,$88.06 ,$122.00 ,$108.38 , N/A ,$107.35 ,$122.00 ,$122.00 , N/A ,$115.16 ,$100.26 , N/A , N/A , N/A ,$112.99 , N/A ,$111.91 ,$108.38 ,$121.93 , N/A ,$115.16 , N/A ,$115.16 ,$115.16 ,$121.93 ,$121.93 ,$106.35 ,$111.91 , N/A ,$88.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600274,A4377,DRAIN POUCH W/KARAYA,291,1 ,$6.10 ,$3.97 ,$3.97 ,$5.49 ,$4.88 , N/A ,$4.83 ,$5.49 ,$5.49 , N/A ,$5.19 ,$4.51 , N/A , N/A , N/A ,$5.09 , N/A ,$5.04 ,$4.88 ,$5.49 , N/A ,$5.19 , N/A ,$5.19 ,$5.19 ,$5.49 ,$5.49 ,$4.79 ,$5.04 , N/A ,$3.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600275,E0570,NEBULIZER-SPORT MIST II,291,1 ,$116.53 ,$75.74 ,$23.31 ,$104.94 ,$93.22 ,$23.31 ,$92.34 ,$104.94 ,$104.94 ,$44.28 ,$99.05 ,$86.23 ,$58.27 ,$23.31 , N/A ,$97.19 ,$23.31 ,$96.25 ,$93.22 ,$104.88 ,$58.27 ,$99.05 ,$24.96 ,$99.05 ,$99.05 ,$104.88 ,$104.88 ,$91.48 ,$96.25 ,$24.96 ,$75.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600276,A4595,TENS.UNIT SELF ADHESIVE ELECTRODES,291,1 ,$41.32 ,$26.86 ,$26.86 ,$37.21 ,$33.06 , N/A ,$32.74 ,$37.21 ,$37.21 , N/A ,$35.12 ,$30.58 , N/A , N/A , N/A ,$34.46 , N/A ,$34.13 ,$33.06 ,$37.19 , N/A ,$35.12 , N/A ,$35.12 ,$35.12 ,$37.19 ,$37.19 ,$32.44 ,$34.13 , N/A ,$26.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600277,E0720,TENS UNIT.AGF-3X,291,1 ,$506.30 ,$329.10 ,$228.75 ,$571.87 ,$405.04 ,$228.75 ,$401.19 ,$455.92 ,$455.92 ,$434.62 ,$430.36 ,$374.66 ,$571.87 ,$228.75 , N/A ,$422.25 ,$228.75 ,$418.20 ,$405.04 ,$455.67 ,$506.30 ,$430.36 ,$244.99 ,$430.36 ,$430.36 ,$455.67 ,$455.67 ,$397.45 ,$418.20 ,$244.99 ,$329.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600278,E0574,DEVILBISS TRAV.NEBULIZER,291,1 ,$388.81 ,$252.73 ,$77.76 ,$350.12 ,$311.05 ,$77.76 ,$308.09 ,$350.12 ,$350.12 ,$147.75 ,$330.49 ,$287.72 ,$194.41 ,$77.76 , N/A ,$324.27 ,$77.76 ,$321.16 ,$311.05 ,$349.93 ,$194.41 ,$330.49 ,$83.28 ,$330.49 ,$330.49 ,$349.93 ,$349.93 ,$305.22 ,$321.16 ,$83.28 ,$252.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600279,N/A,ABDOMINAL PADS WETPROOF,291,1 ,$13.85 ,$9.00 ,$9.00 ,$12.47 ,$11.08 , N/A ,$10.97 ,$12.47 ,$12.47 , N/A ,$11.77 ,$10.25 , N/A , N/A , N/A ,$11.55 , N/A ,$11.44 ,$11.08 ,$12.47 , N/A ,$11.77 , N/A ,$11.77 ,$11.77 ,$12.47 ,$12.47 ,$10.87 ,$11.44 , N/A ,$9.00 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600280,N/A,SOFORM CONFORM STRETCH BDG,291,1 ,$20.74 ,$13.48 ,$13.48 ,$18.68 ,$16.59 , N/A ,$16.43 ,$18.68 ,$18.68 , N/A ,$17.63 ,$15.35 , N/A , N/A , N/A ,$17.30 , N/A ,$17.13 ,$16.59 ,$18.67 , N/A ,$17.63 , N/A ,$17.63 ,$17.63 ,$18.67 ,$18.67 ,$16.28 ,$17.13 , N/A ,$13.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600281,A4406,STOMAHESIVE PASTE,291,1 ,$22.54 ,$14.65 ,$14.65 ,$20.30 ,$18.03 , N/A ,$17.86 ,$20.30 ,$20.30 , N/A ,$19.16 ,$16.68 , N/A , N/A , N/A ,$18.80 , N/A ,$18.62 ,$18.03 ,$20.29 , N/A ,$19.16 , N/A ,$19.16 ,$19.16 ,$20.29 ,$20.29 ,$17.69 ,$18.62 , N/A ,$14.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600282,A4424,CENTERPOINT LK DRAIN POUCH,291,1 ,$106.19 ,$69.02 ,$69.02 ,$95.62 ,$84.95 , N/A ,$84.15 ,$95.62 ,$95.62 , N/A ,$90.26 ,$78.58 , N/A , N/A , N/A ,$88.56 , N/A ,$87.71 ,$84.95 ,$95.57 , N/A ,$90.26 , N/A ,$90.26 ,$90.26 ,$95.57 ,$95.57 ,$83.36 ,$87.71 , N/A ,$69.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600283,A4389,ACTIVELIFE 1 PIECE DRAIN POUCH,291,1 ,$79.30 ,$51.55 ,$51.55 ,$71.41 ,$63.44 , N/A ,$62.84 ,$71.41 ,$71.41 , N/A ,$67.41 ,$58.68 , N/A , N/A , N/A ,$66.14 , N/A ,$65.50 ,$63.44 ,$71.37 , N/A ,$67.41 , N/A ,$67.41 ,$67.41 ,$71.37 ,$71.37 ,$62.25 ,$65.50 , N/A ,$51.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600284,L3260,CAST SHOE-BLK.SM/MED,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600285,L3260,CAST SHOE-BLUE.LG,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600286,L3260,POST OP SHOE MENS XL,291,1 ,$35.85 ,$23.30 ,$23.30 ,$32.28 ,$28.68 , N/A ,$28.41 ,$32.28 ,$32.28 , N/A ,$30.47 ,$26.53 , N/A , N/A , N/A ,$29.90 , N/A ,$29.61 ,$28.68 ,$32.27 , N/A ,$30.47 , N/A ,$30.47 ,$30.47 ,$32.27 ,$32.27 ,$28.14 ,$29.61 , N/A ,$23.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600287,A6223,XEROFORM PETRO.DRESSING,291,1 ,$2.71 ,$1.76 ,$1.76 ,$2.44 ,$2.17 , N/A ,$2.15 ,$2.44 ,$2.44 , N/A ,$2.30 ,$2.01 , N/A , N/A , N/A ,$2.26 , N/A ,$2.24 ,$2.17 ,$2.44 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.44 ,$2.44 ,$2.13 ,$2.24 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600288,K0001,EXCEL 2000 WHLCHR,291,1 ,$537.67 ,$349.49 ,$107.53 ,$484.17 ,$430.14 ,$107.53 ,$426.05 ,$484.17 ,$484.17 ,$204.31 ,$457.02 ,$397.88 ,$268.84 ,$107.53 , N/A ,$448.42 ,$107.53 ,$444.12 ,$430.14 ,$483.90 ,$268.84 ,$457.02 ,$115.17 ,$457.02 ,$457.02 ,$483.90 ,$483.90 ,$422.07 ,$444.12 ,$115.17 ,$349.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600289,N/A,5ML SYRINGE,291,1 ,$2.36 ,$1.53 ,$1.53 ,$2.13 ,$1.89 , N/A ,$1.87 ,$2.13 ,$2.13 , N/A ,$2.01 ,$1.75 , N/A , N/A , N/A ,$1.97 , N/A ,$1.95 ,$1.89 ,$2.12 , N/A ,$2.01 , N/A ,$2.01 ,$2.01 ,$2.12 ,$2.12 ,$1.85 ,$1.95 , N/A ,$1.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600290,K0001,EXCEL 3000 WHLCHR,291,1 ,$549.44 ,$357.14 ,$109.89 ,$494.77 ,$439.55 ,$109.89 ,$435.38 ,$494.77 ,$494.77 ,$208.79 ,$467.02 ,$406.59 ,$274.72 ,$109.89 , N/A ,$458.23 ,$109.89 ,$453.84 ,$439.55 ,$494.50 ,$274.72 ,$467.02 ,$117.69 ,$467.02 ,$467.02 ,$494.50 ,$494.50 ,$431.31 ,$453.84 ,$117.69 ,$357.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600291,K0006,EXCEL K1 WHLCHR,291,1 ,$871.61 ,$566.55 ,$174.32 ,$784.88 ,$697.29 ,$174.32 ,$690.66 ,$784.88 ,$784.88 ,$331.21 ,$740.87 ,$644.99 ,$435.81 ,$174.32 , N/A ,$726.92 ,$174.32 ,$719.95 ,$697.29 ,$784.45 ,$435.81 ,$740.87 ,$186.70 ,$740.87 ,$740.87 ,$784.45 ,$784.45 ,$684.21 ,$719.95 ,$186.70 ,$566.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600292,A6200,ABDOMINAL PADS EXTRA ABSOR.,291,1 ,$7.53 ,$4.89 ,$4.89 ,$6.78 ,$6.02 , N/A ,$5.97 ,$6.78 ,$6.78 , N/A ,$6.40 ,$5.57 , N/A , N/A , N/A ,$6.28 , N/A ,$6.22 ,$6.02 ,$6.78 , N/A ,$6.40 , N/A ,$6.40 ,$6.40 ,$6.78 ,$6.78 ,$5.91 ,$6.22 , N/A ,$4.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600293,A6200,ABDOMINAL PADS EXTRA ABSOR.,291,1 ,$7.53 ,$4.89 ,$4.89 ,$6.78 ,$6.02 , N/A ,$5.97 ,$6.78 ,$6.78 , N/A ,$6.40 ,$5.57 , N/A , N/A , N/A ,$6.28 , N/A ,$6.22 ,$6.02 ,$6.78 , N/A ,$6.40 , N/A ,$6.40 ,$6.40 ,$6.78 ,$6.78 ,$5.91 ,$6.22 , N/A ,$4.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600294,N/A,CURITY COTTONTIPPED APPLICATOR,291,1 ,$2.95 ,$1.92 ,$1.92 ,$2.66 ,$2.36 , N/A ,$2.34 ,$2.66 ,$2.66 , N/A ,$2.51 ,$2.18 , N/A , N/A , N/A ,$2.46 , N/A ,$2.44 ,$2.36 ,$2.66 , N/A ,$2.51 , N/A ,$2.51 ,$2.51 ,$2.66 ,$2.66 ,$2.32 ,$2.44 , N/A ,$1.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600295,A6216,NONSTERILE GAUZE SPGE 4x4,291,1 ,$8.67 ,$5.64 ,$5.64 ,$7.81 ,$6.94 , N/A ,$6.87 ,$7.81 ,$7.81 , N/A ,$7.37 ,$6.42 , N/A , N/A , N/A ,$7.23 , N/A ,$7.16 ,$6.94 ,$7.80 , N/A ,$7.37 , N/A ,$7.37 ,$7.37 ,$7.80 ,$7.80 ,$6.81 ,$7.16 , N/A ,$5.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600296,N/A,ODOR ELIMINATOR DROPS 1oz.,291,1 ,$5.89 ,$3.83 ,$3.83 ,$5.30 ,$4.71 , N/A ,$4.67 ,$5.30 ,$5.30 , N/A ,$5.01 ,$4.36 , N/A , N/A , N/A ,$4.91 , N/A ,$4.87 ,$4.71 ,$5.30 , N/A ,$5.01 , N/A ,$5.01 ,$5.01 ,$5.30 ,$5.30 ,$4.62 ,$4.87 , N/A ,$3.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600297,A4371,STOMAHESIVE POWDER,291,1 ,$14.60 ,$9.49 ,$9.49 ,$13.15 ,$11.68 , N/A ,$11.57 ,$13.15 ,$13.15 , N/A ,$12.41 ,$10.80 , N/A , N/A , N/A ,$12.18 , N/A ,$12.06 ,$11.68 ,$13.14 , N/A ,$12.41 , N/A ,$12.41 ,$12.41 ,$13.14 ,$13.14 ,$11.46 ,$12.06 , N/A ,$9.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600298,A4557,TENS UNIT LEAD WIRES,291,1 ,$25.24 ,$16.41 ,$16.41 ,$22.73 ,$20.19 , N/A ,$20.00 ,$22.73 ,$22.73 , N/A ,$21.45 ,$18.68 , N/A , N/A , N/A ,$21.05 , N/A ,$20.85 ,$20.19 ,$22.72 , N/A ,$21.45 , N/A ,$21.45 ,$21.45 ,$22.72 ,$22.72 ,$19.81 ,$20.85 , N/A ,$16.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600299,N/A,GAUZE BANDAGE ROLL,291,1 ,$1.52 ,$0.99 ,$0.99 ,$1.37 ,$1.22 , N/A ,$1.20 ,$1.37 ,$1.37 , N/A ,$1.29 ,$1.12 , N/A , N/A , N/A ,$1.27 , N/A ,$1.26 ,$1.22 ,$1.37 , N/A ,$1.29 , N/A ,$1.29 ,$1.29 ,$1.37 ,$1.37 ,$1.19 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600300,A4217,0.9% SOD.CHLORIDE IRRIGATION,291,1 ,$6.05 ,$3.93 ,$3.93 ,$5.45 ,$4.84 , N/A ,$4.79 ,$5.45 ,$5.45 , N/A ,$5.14 ,$4.48 , N/A , N/A , N/A ,$5.05 , N/A ,$5.00 ,$4.84 ,$5.45 , N/A ,$5.14 , N/A ,$5.14 ,$5.14 ,$5.45 ,$5.45 ,$4.75 ,$5.00 , N/A ,$3.93 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600301,L3908,DLX CARPEL TUNNEL LT.MED,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600302,L3908,CARPEL TUNNEL-WRIST.LT-XL,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600303,L3908,DLX CARPEL TUNNEL-WRIST.RT.SM,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600304,L3908,CARPEL TUNNEL-WRIST.LT-SM,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600305,L1830,"KNEE IMMOB.16""-SM",291,1 ,$94.80 ,$61.62 ,$61.62 ,$189.48 ,$75.84 ,$75.79 ,$75.12 ,$85.37 ,$85.37 ,$144.00 ,$80.58 ,$70.15 ,$189.48 ,$75.79 , N/A ,$79.06 ,$75.79 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$81.17 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$81.17 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600306,L1830,"KNEE IMMOB.16""-MED",291,1 ,$94.80 ,$61.62 ,$61.62 ,$189.48 ,$75.84 ,$75.79 ,$75.12 ,$85.37 ,$85.37 ,$144.00 ,$80.58 ,$70.15 ,$189.48 ,$75.79 , N/A ,$79.06 ,$75.79 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$81.17 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$81.17 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600307,L0120,CERVICAL COLLAR-UNIV.,291,1 ,$31.34 ,$20.37 ,$20.37 ,$68.77 ,$25.07 ,$27.51 ,$24.83 ,$28.22 ,$28.22 ,$52.27 ,$26.64 ,$23.19 ,$68.77 ,$27.51 , N/A ,$26.14 ,$27.51 ,$25.89 ,$25.07 ,$28.21 ,$31.34 ,$26.64 ,$29.46 ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 ,$29.46 ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600308,L0120,CERVICAL COLLAR-MED.,291,1 ,$31.34 ,$20.37 ,$20.37 ,$68.77 ,$25.07 ,$27.51 ,$24.83 ,$28.22 ,$28.22 ,$52.27 ,$26.64 ,$23.19 ,$68.77 ,$27.51 , N/A ,$26.14 ,$27.51 ,$25.89 ,$25.07 ,$28.21 ,$31.34 ,$26.64 ,$29.46 ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 ,$29.46 ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600309,N/A,MIRAGE REPLACE PILLOW,291,1 ,$53.81 ,$34.98 ,$34.98 ,$48.46 ,$43.05 , N/A ,$42.64 ,$48.46 ,$48.46 , N/A ,$45.74 ,$39.82 , N/A , N/A , N/A ,$44.88 , N/A ,$44.45 ,$43.05 ,$48.43 , N/A ,$45.74 , N/A ,$45.74 ,$45.74 ,$48.43 ,$48.43 ,$42.24 ,$44.45 , N/A ,$34.98 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600310,N/A,POLLEN FILTER-CPAP,291,1 ,$33.98 ,$22.09 ,$22.09 ,$30.60 ,$27.18 , N/A ,$26.93 ,$30.60 ,$30.60 , N/A ,$28.88 ,$25.15 , N/A , N/A , N/A ,$28.34 , N/A ,$28.07 ,$27.18 ,$30.58 , N/A ,$28.88 , N/A ,$28.88 ,$28.88 ,$30.58 ,$30.58 ,$26.67 ,$28.07 , N/A ,$22.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600311,N/A,OXYGEN BLACK BAGS,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600312,N/A,OXYGEN WATER TRAP,291,1 ,$4.01 ,$2.61 ,$2.61 ,$3.61 ,$3.21 , N/A ,$3.18 ,$3.61 ,$3.61 , N/A ,$3.41 ,$2.97 , N/A , N/A , N/A ,$3.34 , N/A ,$3.31 ,$3.21 ,$3.61 , N/A ,$3.41 , N/A ,$3.41 ,$3.41 ,$3.61 ,$3.61 ,$3.15 ,$3.31 , N/A ,$2.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600313,N/A,OXYGEN SWIVEL CONNECTOR,291,1 ,$4.43 ,$2.88 ,$2.88 ,$3.99 ,$3.54 , N/A ,$3.51 ,$3.99 ,$3.99 , N/A ,$3.77 ,$3.28 , N/A , N/A , N/A ,$3.69 , N/A ,$3.66 ,$3.54 ,$3.99 , N/A ,$3.77 , N/A ,$3.77 ,$3.77 ,$3.99 ,$3.99 ,$3.48 ,$3.66 , N/A ,$2.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600314,N/A,ROLL GAUZE 5x4 BULK,291,1 ,$1.52 ,$0.99 ,$0.99 ,$1.37 ,$1.22 , N/A ,$1.20 ,$1.37 ,$1.37 , N/A ,$1.29 ,$1.12 , N/A , N/A , N/A ,$1.27 , N/A ,$1.26 ,$1.22 ,$1.37 , N/A ,$1.29 , N/A ,$1.29 ,$1.29 ,$1.37 ,$1.37 ,$1.19 ,$1.26 , N/A ,$0.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600315,N/A,LUMEX WALKER GLIDE CAP,291,1 ,$6.48 ,$4.21 ,$4.21 ,$5.84 ,$5.18 , N/A ,$5.13 ,$5.84 ,$5.84 , N/A ,$5.51 ,$4.80 , N/A , N/A , N/A ,$5.40 , N/A ,$5.35 ,$5.18 ,$5.83 , N/A ,$5.51 , N/A ,$5.51 ,$5.51 ,$5.83 ,$5.83 ,$5.09 ,$5.35 , N/A ,$4.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600316,E1230,MIDI 3 SCOOTER,291,1 ,"$2,625.50 ","$1,706.58 ","$1,706.58 ","$5,920.09 ","$2,100.40 ","$2,368.04 ","$2,080.45 ","$2,364.26 ","$2,364.26 ","$4,499.27 ","$2,231.68 ","$1,942.87 ","$5,920.09 ","$2,368.04 ", N/A ,"$2,189.67 ","$2,368.04 ","$2,168.66 ","$2,100.40 ","$2,362.95 ","$2,625.50 ","$2,231.68 ","$2,536.17 ","$2,231.68 ","$2,231.68 ","$2,362.95 ","$2,362.95 ","$2,061.02 ","$2,168.66 ","$2,536.17 ","$1,706.58 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8600317,A4611,SCOOTER BATTERY-32AMP,291,1 ,$315.26 ,$204.92 ,$204.92 ,$283.89 ,$252.21 , N/A ,$249.81 ,$283.89 ,$283.89 , N/A ,$267.97 ,$233.29 , N/A , N/A , N/A ,$262.93 , N/A ,$260.40 ,$252.21 ,$283.73 , N/A ,$267.97 , N/A ,$267.97 ,$267.97 ,$283.73 ,$283.73 ,$247.48 ,$260.40 , N/A ,$204.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600318,E0189,LAMBSKIN,291,1 ,$36.43 ,$23.68 ,$23.68 ,$91.08 ,$29.14 ,$36.43 ,$28.87 ,$32.81 ,$32.81 ,$69.22 ,$30.97 ,$26.96 ,$91.08 ,$36.43 , N/A ,$30.38 ,$36.43 ,$30.09 ,$29.14 ,$32.79 ,$36.43 ,$30.97 ,$36.43 ,$30.97 ,$30.97 ,$32.79 ,$32.79 ,$28.60 ,$30.09 ,$36.43 ,$23.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600319,N/A,BODY POSITIONING WEDGE,291,1 ,$81.89 ,$53.23 ,$53.23 ,$73.74 ,$65.51 , N/A ,$64.89 ,$73.74 ,$73.74 , N/A ,$69.61 ,$60.60 , N/A , N/A , N/A ,$68.30 , N/A ,$67.64 ,$65.51 ,$73.70 , N/A ,$69.61 , N/A ,$69.61 ,$69.61 ,$73.70 ,$73.70 ,$64.28 ,$67.64 , N/A ,$53.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600320,E0160,SITZ BATH,291,1 ,$44.91 ,$29.19 ,$29.19 ,$87.02 ,$35.93 ,$34.81 ,$35.59 ,$40.44 ,$40.44 ,$66.13 ,$38.17 ,$33.23 ,$87.02 ,$34.81 , N/A ,$37.45 ,$34.81 ,$37.10 ,$35.93 ,$40.42 ,$44.91 ,$38.17 ,$37.28 ,$38.17 ,$38.17 ,$40.42 ,$40.42 ,$35.25 ,$37.10 ,$37.28 ,$29.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600321,A7034,ACTIVA-STANDARD,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600322,A7034,MIRAGE ACTIVA-LG,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600323,A7034,MIRAGE ACTIVA-SHALLOW,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600324,A7034,MIRAGE FULLFACE SM.STAND.,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600325,A7034,ULTRA MIRAGE NASAL.STD.,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600326,A7034,ULTRA MIRAGE NASAL.LG,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600327,E1390,OXYGEN CONCENTRATOR,291,1 ,$18.87 ,$12.27 ,$3.77 ,$16.99 ,$15.10 ,$3.77 ,$14.95 ,$16.99 ,$16.99 ,$7.17 ,$16.04 ,$13.96 ,$9.44 ,$3.77 , N/A ,$15.74 ,$3.77 ,$15.59 ,$15.10 ,$16.98 ,$9.44 ,$16.04 ,$4.04 ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 ,$4.04 ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600328,A4637,WALKER GLIDE TIPS,291,1 ,$6.48 ,$4.21 ,$4.21 ,$5.84 ,$5.18 , N/A ,$5.13 ,$5.84 ,$5.84 , N/A ,$5.51 ,$4.80 , N/A , N/A , N/A ,$5.40 , N/A ,$5.35 ,$5.18 ,$5.83 , N/A ,$5.51 , N/A ,$5.51 ,$5.51 ,$5.83 ,$5.83 ,$5.09 ,$5.35 , N/A ,$4.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600329,N/A,"WALKER SKI 1/8""OD PR",291,1 ,$43.12 ,$28.03 ,$28.03 ,$38.83 ,$34.50 , N/A ,$34.17 ,$38.83 ,$38.83 , N/A ,$36.65 ,$31.91 , N/A , N/A , N/A ,$35.96 , N/A ,$35.62 ,$34.50 ,$38.81 , N/A ,$36.65 , N/A ,$36.65 ,$36.65 ,$38.81 ,$38.81 ,$33.85 ,$35.62 , N/A ,$28.03 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600330,E0144,PROBASIC-ROLLATOR,291,1 ,$181.72 ,$118.12 ,$36.34 ,$163.64 ,$145.38 ,$36.34 ,$143.99 ,$163.64 ,$163.64 ,$69.05 ,$154.46 ,$134.47 ,$90.86 ,$36.34 , N/A ,$151.55 ,$36.34 ,$150.10 ,$145.38 ,$163.55 ,$90.86 ,$154.46 ,$38.92 ,$154.46 ,$154.46 ,$163.55 ,$163.55 ,$142.65 ,$150.10 ,$38.92 ,$118.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600331,E0144,"ROLLATOR (WALKER,WHEEL,SEAT)",291,1 ,$181.72 ,$118.12 ,$36.34 ,$163.64 ,$145.38 ,$36.34 ,$143.99 ,$163.64 ,$163.64 ,$69.05 ,$154.46 ,$134.47 ,$90.86 ,$36.34 , N/A ,$151.55 ,$36.34 ,$150.10 ,$145.38 ,$163.55 ,$90.86 ,$154.46 ,$38.92 ,$154.46 ,$154.46 ,$163.55 ,$163.55 ,$142.65 ,$150.10 ,$38.92 ,$118.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600332,E0159,WHEEL GLIDE BRAKES,291,1 ,$49.89 ,$32.43 ,$22.94 ,$57.35 ,$39.91 ,$22.94 ,$39.53 ,$44.93 ,$44.93 ,$43.58 ,$42.41 ,$36.92 ,$57.35 ,$22.94 , N/A ,$41.61 ,$22.94 ,$41.21 ,$39.91 ,$44.90 ,$49.89 ,$42.41 ,$24.57 ,$42.41 ,$42.41 ,$44.90 ,$44.90 ,$39.16 ,$41.21 ,$24.57 ,$32.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600333,E0155,"FIXED WALKER WHLS 5""",291,1 ,$45.51 ,$29.58 ,$27.93 ,$69.84 ,$36.41 ,$27.93 ,$36.06 ,$40.98 ,$40.98 ,$53.07 ,$38.68 ,$33.68 ,$69.84 ,$27.93 , N/A ,$37.96 ,$27.93 ,$37.59 ,$36.41 ,$40.96 ,$45.51 ,$38.68 ,$29.92 ,$38.68 ,$38.68 ,$40.96 ,$40.96 ,$35.73 ,$37.59 ,$29.92 ,$29.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600334,E0155,"SWIVEL WHEELS 5""",291,1 ,$64.52 ,$41.94 ,$31.74 ,$79.34 ,$51.62 ,$31.74 ,$51.13 ,$58.10 ,$58.10 ,$60.30 ,$54.84 ,$47.74 ,$79.34 ,$31.74 , N/A ,$53.81 ,$31.74 ,$53.29 ,$51.62 ,$58.07 ,$64.52 ,$54.84 ,$33.99 ,$54.84 ,$54.84 ,$58.07 ,$58.07 ,$50.65 ,$53.29 ,$33.99 ,$41.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600335,E0159,"GLIDE BRAKES 1""",291,1 ,$46.19 ,$30.02 ,$22.20 ,$55.50 ,$36.95 ,$22.20 ,$36.60 ,$41.59 ,$41.59 ,$42.18 ,$39.26 ,$34.18 ,$55.50 ,$22.20 , N/A ,$38.52 ,$22.20 ,$38.15 ,$36.95 ,$41.57 ,$46.19 ,$39.26 ,$23.77 ,$39.26 ,$39.26 ,$41.57 ,$41.57 ,$36.26 ,$38.15 ,$23.77 ,$30.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600336,N/A,WALKER EXT. LEG TALL,291,1 ,$64.99 ,$42.24 ,$42.24 ,$58.52 ,$51.99 , N/A ,$51.50 ,$58.52 ,$58.52 , N/A ,$55.24 ,$48.09 , N/A , N/A , N/A ,$54.20 , N/A ,$53.68 ,$51.99 ,$58.49 , N/A ,$55.24 , N/A ,$55.24 ,$55.24 ,$58.49 ,$58.49 ,$51.02 ,$53.68 , N/A ,$42.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600337,N/A,UNIFORM PANTS WHT-2XLG,291,1 ,$34.22 ,$22.24 ,$22.24 ,$30.82 ,$27.38 , N/A ,$27.12 ,$30.82 ,$30.82 , N/A ,$29.09 ,$25.32 , N/A , N/A , N/A ,$28.54 , N/A ,$28.27 ,$27.38 ,$30.80 , N/A ,$29.09 , N/A ,$29.09 ,$29.09 ,$30.80 ,$30.80 ,$26.86 ,$28.27 , N/A ,$22.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600338,N/A,UNIFORM PANTS WHT-MED,291,1 ,$34.22 ,$22.24 ,$22.24 ,$30.82 ,$27.38 , N/A ,$27.12 ,$30.82 ,$30.82 , N/A ,$29.09 ,$25.32 , N/A , N/A , N/A ,$28.54 , N/A ,$28.27 ,$27.38 ,$30.80 , N/A ,$29.09 , N/A ,$29.09 ,$29.09 ,$30.80 ,$30.80 ,$26.86 ,$28.27 , N/A ,$22.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600339,N/A,UNIFORM PANTS WHT 5XLG,291,1 ,$29.10 ,$18.92 ,$18.92 ,$26.20 ,$23.28 , N/A ,$23.06 ,$26.20 ,$26.20 , N/A ,$24.74 ,$21.53 , N/A , N/A , N/A ,$24.27 , N/A ,$24.04 ,$23.28 ,$26.19 , N/A ,$24.74 , N/A ,$24.74 ,$24.74 ,$26.19 ,$26.19 ,$22.84 ,$24.04 , N/A ,$18.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600340,N/A,UNIFORM PANTS PURP-XL,291,1 ,$23.01 ,$14.96 ,$14.96 ,$20.72 ,$18.41 , N/A ,$18.23 ,$20.72 ,$20.72 , N/A ,$19.56 ,$17.03 , N/A , N/A , N/A ,$19.19 , N/A ,$19.01 ,$18.41 ,$20.71 , N/A ,$19.56 , N/A ,$19.56 ,$19.56 ,$20.71 ,$20.71 ,$18.06 ,$19.01 , N/A ,$14.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600341,N/A,UNIFORM 2POCK.TOP MED.,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600342,N/A,UNIFORM 2POCK.TOP LG.,291,1 ,$30.62 ,$19.90 ,$19.90 ,$27.57 ,$24.50 , N/A ,$24.26 ,$27.57 ,$27.57 , N/A ,$26.03 ,$22.66 , N/A , N/A , N/A ,$25.54 , N/A ,$25.29 ,$24.50 ,$27.56 , N/A ,$26.03 , N/A ,$26.03 ,$26.03 ,$27.56 ,$27.56 ,$24.04 ,$25.29 , N/A ,$19.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600343,N/A,UNIFM TOP BUTT.LAB.CT.-LG,291,1 ,$34.81 ,$22.63 ,$22.63 ,$31.35 ,$27.85 , N/A ,$27.58 ,$31.35 ,$31.35 , N/A ,$29.59 ,$25.76 , N/A , N/A , N/A ,$29.03 , N/A ,$28.75 ,$27.85 ,$31.33 , N/A ,$29.59 , N/A ,$29.59 ,$29.59 ,$31.33 ,$31.33 ,$27.33 ,$28.75 , N/A ,$22.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600344,N/A,UNIFORM TOP-LG,291,1 ,$34.81 ,$22.63 ,$22.63 ,$31.35 ,$27.85 , N/A ,$27.58 ,$31.35 ,$31.35 , N/A ,$29.59 ,$25.76 , N/A , N/A , N/A ,$29.03 , N/A ,$28.75 ,$27.85 ,$31.33 , N/A ,$29.59 , N/A ,$29.59 ,$29.59 ,$31.33 ,$31.33 ,$27.33 ,$28.75 , N/A ,$22.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600345,A4393,"UROST.POUCH 1PC.7/8""",291,1 ,$141.60 ,$92.04 ,$92.04 ,$127.51 ,$113.28 , N/A ,$112.20 ,$127.51 ,$127.51 , N/A ,$120.36 ,$104.78 , N/A , N/A , N/A ,$118.09 , N/A ,$116.96 ,$113.28 ,$127.44 , N/A ,$120.36 , N/A ,$120.36 ,$120.36 ,$127.44 ,$127.44 ,$111.16 ,$116.96 , N/A ,$92.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600346,N/A,CUSHION GEL 16X16,291,1 ,$93.46 ,$60.75 ,$60.75 ,$84.16 ,$74.77 , N/A ,$74.06 ,$84.16 ,$84.16 , N/A ,$79.44 ,$69.16 , N/A , N/A , N/A ,$77.95 , N/A ,$77.20 ,$74.77 ,$84.11 , N/A ,$79.44 , N/A ,$79.44 ,$79.44 ,$84.11 ,$84.11 ,$73.37 ,$77.20 , N/A ,$60.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600347,N/A,THUMB ARTHRITIS LG/XLG,291,1 ,$22.42 ,$14.57 ,$14.57 ,$20.19 ,$17.94 , N/A ,$17.77 ,$20.19 ,$20.19 , N/A ,$19.06 ,$16.59 , N/A , N/A , N/A ,$18.70 , N/A ,$18.52 ,$17.94 ,$20.18 , N/A ,$19.06 , N/A ,$19.06 ,$19.06 ,$20.18 ,$20.18 ,$17.60 ,$18.52 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600348,E0244,LOCK.RAISED TOILET SEAT,291,1 ,$68.26 ,$44.37 ,$44.37 ,$61.47 ,$54.61 , N/A ,$54.09 ,$61.47 ,$61.47 , N/A ,$58.02 ,$50.51 , N/A , N/A , N/A ,$56.93 , N/A ,$56.38 ,$54.61 ,$61.43 , N/A ,$58.02 , N/A ,$58.02 ,$58.02 ,$61.43 ,$61.43 ,$53.58 ,$56.38 , N/A ,$44.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600349,N/A,RAISED TOILET SEAT W/ARMS,291,1 ,$64.90 ,$42.19 ,$42.19 ,$58.44 ,$51.92 , N/A ,$51.43 ,$58.44 ,$58.44 , N/A ,$55.17 ,$48.03 , N/A , N/A , N/A ,$54.13 , N/A ,$53.61 ,$51.92 ,$58.41 , N/A ,$55.17 , N/A ,$55.17 ,$55.17 ,$58.41 ,$58.41 ,$50.95 ,$53.61 , N/A ,$42.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600350,E0244,RAISED TOILET SEAT,291,1 ,$29.97 ,$19.48 ,$19.48 ,$26.99 ,$23.98 , N/A ,$23.75 ,$26.99 ,$26.99 , N/A ,$25.47 ,$22.18 , N/A , N/A , N/A ,$25.00 , N/A ,$24.76 ,$23.98 ,$26.97 , N/A ,$25.47 , N/A ,$25.47 ,$25.47 ,$26.97 ,$26.97 ,$23.53 ,$24.76 , N/A ,$19.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600351,E0165,DROPARM COMMODE,291,1 ,$267.42 ,$173.82 ,$53.48 ,$240.81 ,$213.94 ,$53.48 ,$211.90 ,$240.81 ,$240.81 ,$101.62 ,$227.31 ,$197.89 ,$133.71 ,$53.48 , N/A ,$223.03 ,$53.48 ,$220.89 ,$213.94 ,$240.68 ,$133.71 ,$227.31 ,$57.28 ,$227.31 ,$227.31 ,$240.68 ,$240.68 ,$209.92 ,$220.89 ,$57.28 ,$173.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600352,E0168,COMMODE X-WIDE,291,1 ,$220.66 ,$143.43 ,$143.43 ,$375.43 ,$176.53 ,$150.17 ,$174.85 ,$198.70 ,$198.70 ,$285.33 ,$187.56 ,$163.29 ,$375.43 ,$150.17 , N/A ,$184.03 ,$150.17 ,$182.27 ,$176.53 ,$198.59 ,$220.66 ,$187.56 ,$160.83 ,$187.56 ,$187.56 ,$198.59 ,$198.59 ,$173.22 ,$182.27 ,$160.83 ,$143.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600353,E0160,SITZ BATH,291,1 ,$44.91 ,$29.19 ,$29.19 ,$87.02 ,$35.93 ,$34.81 ,$35.59 ,$40.44 ,$40.44 ,$66.13 ,$38.17 ,$33.23 ,$87.02 ,$34.81 , N/A ,$37.45 ,$34.81 ,$37.10 ,$35.93 ,$40.42 ,$44.91 ,$38.17 ,$37.28 ,$38.17 ,$38.17 ,$40.42 ,$40.42 ,$35.25 ,$37.10 ,$37.28 ,$29.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600354,N/A,SOCK AID/FLEX.CORD,291,1 ,$28.14 ,$18.29 ,$18.29 ,$25.34 ,$22.51 , N/A ,$22.30 ,$25.34 ,$25.34 , N/A ,$23.92 ,$20.82 , N/A , N/A , N/A ,$23.47 , N/A ,$23.24 ,$22.51 ,$25.33 , N/A ,$23.92 , N/A ,$23.92 ,$23.92 ,$25.33 ,$25.33 ,$22.09 ,$23.24 , N/A ,$18.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600355,E0601,S7 LIGHTWEIGHT CPAP,291,1 ,"$1,327.50 ",$862.88 ,$265.50 ,"$1,195.41 ","$1,062.00 ",$265.50 ,"$1,051.91 ","$1,195.41 ","$1,195.41 ",$504.45 ,"$1,128.38 ",$982.35 ,$663.75 ,$265.50 , N/A ,"$1,107.14 ",$265.50 ,"$1,096.52 ","$1,062.00 ","$1,194.75 ",$663.75 ,"$1,128.38 ",$284.35 ,"$1,128.38 ","$1,128.38 ","$1,194.75 ","$1,194.75 ","$1,042.09 ","$1,096.52 ",$284.35 ,$862.88 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600356,E0562,HUMIDAIRE 2i-CPAP HEATED,291,1 ,$439.55 ,$285.71 ,$230.16 ,$575.40 ,$351.64 ,$230.16 ,$348.30 ,$395.81 ,$395.81 ,$437.30 ,$373.62 ,$325.27 ,$575.40 ,$230.16 , N/A ,$366.58 ,$230.16 ,$363.07 ,$351.64 ,$395.60 ,$439.55 ,$373.62 ,$246.50 ,$373.62 ,$373.62 ,$395.60 ,$395.60 ,$345.05 ,$363.07 ,$246.50 ,$285.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600357,E0561,HUMIDAIRE 2iC-COOLMIST,291,1 ,$203.55 ,$132.31 ,$108.29 ,$270.74 ,$162.84 ,$108.29 ,$161.29 ,$183.30 ,$183.30 ,$205.76 ,$173.02 ,$150.63 ,$270.74 ,$108.29 , N/A ,$169.76 ,$108.29 ,$168.13 ,$162.84 ,$183.20 ,$203.55 ,$173.02 ,$115.98 ,$173.02 ,$173.02 ,$183.20 ,$183.20 ,$159.79 ,$168.13 ,$115.98 ,$132.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600358,N/A,POLLEN FLTR-ULTRA CPAP,291,1 ,$33.98 ,$22.09 ,$22.09 ,$30.60 ,$27.18 , N/A ,$26.93 ,$30.60 ,$30.60 , N/A ,$28.88 ,$25.15 , N/A , N/A , N/A ,$28.34 , N/A ,$28.07 ,$27.18 ,$30.58 , N/A ,$28.88 , N/A ,$28.88 ,$28.88 ,$30.58 ,$30.58 ,$26.67 ,$28.07 , N/A ,$22.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600359,A7037,"CPAP 6'6"" TUBING",291,1 ,$31.15 ,$20.25 ,$20.25 ,$54.00 ,$24.92 ,$21.60 ,$24.68 ,$28.05 ,$28.05 ,$41.04 ,$26.48 ,$23.05 ,$54.00 ,$21.60 , N/A ,$25.98 ,$21.60 ,$25.73 ,$24.92 ,$28.04 ,$31.15 ,$26.48 ,$23.13 ,$26.48 ,$26.48 ,$28.04 ,$28.04 ,$24.45 ,$25.73 ,$23.13 ,$20.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600360,N/A,MIRAGE AIR VENT,291,1 ,$16.84 ,$10.95 ,$10.95 ,$15.16 ,$13.47 , N/A ,$13.34 ,$15.16 ,$15.16 , N/A ,$14.31 ,$12.46 , N/A , N/A , N/A ,$14.04 , N/A ,$13.91 ,$13.47 ,$15.16 , N/A ,$14.31 , N/A ,$14.31 ,$14.31 ,$15.16 ,$15.16 ,$13.22 ,$13.91 , N/A ,$10.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600361,N/A,FOAMWEDGE W/COTTON COVER,291,1 ,$38.75 ,$25.19 ,$25.19 ,$34.89 ,$31.00 , N/A ,$30.71 ,$34.89 ,$34.89 , N/A ,$32.94 ,$28.68 , N/A , N/A , N/A ,$32.32 , N/A ,$32.01 ,$31.00 ,$34.88 , N/A ,$32.94 , N/A ,$32.94 ,$32.94 ,$34.88 ,$34.88 ,$30.42 ,$32.01 , N/A ,$25.19 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600362,E0940,TRAPEZE-FLOOR BASE,291,1 ,$280.25 ,$182.16 ,$56.05 ,$252.37 ,$224.20 ,$56.05 ,$222.07 ,$252.37 ,$252.37 ,$106.50 ,$238.21 ,$207.39 ,$140.13 ,$56.05 , N/A ,$233.73 ,$56.05 ,$231.49 ,$224.20 ,$252.23 ,$140.13 ,$238.21 ,$60.03 ,$238.21 ,$238.21 ,$252.23 ,$252.23 ,$220.00 ,$231.49 ,$60.03 ,$182.16 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600363,E0199,HOSP.BED PAD 32X36,291,1 ,$26.26 ,$17.07 ,$17.07 ,$65.65 ,$21.01 ,$26.26 ,$20.81 ,$23.65 ,$23.65 ,$49.89 ,$22.32 ,$19.43 ,$65.65 ,$26.26 , N/A ,$21.90 ,$26.26 ,$21.69 ,$21.01 ,$23.63 ,$26.26 ,$22.32 ,$26.26 ,$22.32 ,$22.32 ,$23.63 ,$23.63 ,$20.61 ,$21.69 ,$26.26 ,$17.07 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600364,E0265,HOSP.BED PACKAGE,291,1 ,"$2,589.84 ","$1,683.40 ",$517.97 ,"$2,332.15 ","$2,071.87 ",$517.97 ,"$2,052.19 ","$2,332.15 ","$2,332.15 ",$984.14 ,"$2,201.36 ","$1,916.48 ","$1,294.92 ",$517.97 , N/A ,"$2,159.93 ",$517.97 ,"$2,139.21 ","$2,071.87 ","$2,330.86 ","$1,294.92 ","$2,201.36 ",$554.74 ,"$2,201.36 ","$2,201.36 ","$2,330.86 ","$2,330.86 ","$2,033.02 ","$2,139.21 ",$554.74 ,"$1,683.40 " HSHS GOOD SHEPHERD HOSPITAL (ACU),8600365,E0310,HOSP.HALF RAILS,291,1 ,$141.46 ,$91.95 ,$91.95 ,$323.77 ,$113.17 ,$129.51 ,$112.09 ,$127.38 ,$127.38 ,$246.07 ,$120.24 ,$104.68 ,$323.77 ,$129.51 , N/A ,$117.98 ,$129.51 ,$116.85 ,$113.17 ,$127.31 ,$141.46 ,$120.24 ,$138.70 ,$120.24 ,$120.24 ,$127.31 ,$127.31 ,$111.05 ,$116.85 ,$138.70 ,$91.95 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600366,N/A,OVER THE BED TABLE,291,1 ,$192.40 ,$125.06 ,$125.06 ,$173.26 ,$153.92 , N/A ,$152.46 ,$173.26 ,$173.26 , N/A ,$163.54 ,$142.38 , N/A , N/A , N/A ,$160.46 , N/A ,$158.92 ,$153.92 ,$173.16 , N/A ,$163.54 , N/A ,$163.54 ,$163.54 ,$173.16 ,$173.16 ,$151.03 ,$158.92 , N/A ,$125.06 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600367,N/A,BED GRABBAR-FREEDOM GRIP,291,1 ,$77.57 ,$50.42 ,$50.42 ,$69.85 ,$62.06 , N/A ,$61.47 ,$69.85 ,$69.85 , N/A ,$65.93 ,$57.40 , N/A , N/A , N/A ,$64.69 , N/A ,$64.07 ,$62.06 ,$69.81 , N/A ,$65.93 , N/A ,$65.93 ,$65.93 ,$69.81 ,$69.81 ,$60.89 ,$64.07 , N/A ,$50.42 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600368,N/A,"GAIT BELT W/BCKL 48""",291,1 ,$29.91 ,$19.44 ,$19.44 ,$26.93 ,$23.93 , N/A ,$23.70 ,$26.93 ,$26.93 , N/A ,$25.42 ,$22.13 , N/A , N/A , N/A ,$24.94 , N/A ,$24.71 ,$23.93 ,$26.92 , N/A ,$25.42 , N/A ,$25.42 ,$25.42 ,$26.92 ,$26.92 ,$23.48 ,$24.71 , N/A ,$19.44 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600369,N/A,"TRANSFER BELT 72""",291,1 ,$44.96 ,$29.22 ,$29.22 ,$40.49 ,$35.97 , N/A ,$35.63 ,$40.49 ,$40.49 , N/A ,$38.22 ,$33.27 , N/A , N/A , N/A ,$37.50 , N/A ,$37.14 ,$35.97 ,$40.46 , N/A ,$38.22 , N/A ,$38.22 ,$38.22 ,$40.46 ,$40.46 ,$35.29 ,$37.14 , N/A ,$29.22 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600370,A4357,URINARY LEG BAG,291,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600371,A4357,LEG BAG LG3202,291,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600372,A4357,LEG BAG 19oz,291,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600373,A4357,LEG BAG 9oz SM,291,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600374,A4357,URINARY DRAINAGE BAG,291,1 ,$12.00 ,$7.80 ,$7.80 ,$10.81 ,$9.60 , N/A ,$9.51 ,$10.81 ,$10.81 , N/A ,$10.20 ,$8.88 , N/A , N/A , N/A ,$10.01 , N/A ,$9.91 ,$9.60 ,$10.80 , N/A ,$10.20 , N/A ,$10.20 ,$10.20 ,$10.80 ,$10.80 ,$9.42 ,$9.91 , N/A ,$7.80 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600375,A4628,YANKAUER W/BULBTIP CATHETER,291,1 ,$2.66 ,$1.73 ,$1.73 ,$2.40 ,$2.13 , N/A ,$2.11 ,$2.40 ,$2.40 , N/A ,$2.26 ,$1.97 , N/A , N/A , N/A ,$2.22 , N/A ,$2.20 ,$2.13 ,$2.39 , N/A ,$2.26 , N/A ,$2.26 ,$2.26 ,$2.39 ,$2.39 ,$2.09 ,$2.20 , N/A ,$1.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600376,A4310,FOLEY CATH.TRAY W/O CATH10cc,291,1 ,$6.11 ,$3.97 ,$3.97 ,$5.50 ,$4.89 , N/A ,$4.84 ,$5.50 ,$5.50 , N/A ,$5.19 ,$4.52 , N/A , N/A , N/A ,$5.10 , N/A ,$5.05 ,$4.89 ,$5.50 , N/A ,$5.19 , N/A ,$5.19 ,$5.19 ,$5.50 ,$5.50 ,$4.80 ,$5.05 , N/A ,$3.97 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600377,K0001,PROBASIC WHEELCHAIR,291,1 ,$282.86 ,$183.86 ,$56.57 ,$254.72 ,$226.29 ,$56.57 ,$224.14 ,$254.72 ,$254.72 ,$107.49 ,$240.43 ,$209.32 ,$141.43 ,$56.57 , N/A ,$235.91 ,$56.57 ,$233.64 ,$226.29 ,$254.57 ,$141.43 ,$240.43 ,$60.59 ,$240.43 ,$240.43 ,$254.57 ,$254.57 ,$222.05 ,$233.64 ,$60.59 ,$183.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600378,N/A,ANKLE STIRRUP-LFT,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600379,N/A,ANKLE STIRRUP-RT,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600380,L3908,CARPEL TUN.-WRIST RT.SM,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600381,L3908,DLX.CARPEL TUN.WRIST RT.MED,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600382,L3908,CARPEL TUN.-WRIST RT.MED,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600383,L3908,CARPEL TUN.-WRIST LT.MED,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600384,L3908,CARPEL TUN.-WRIST RT.LG,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600385,L3908,DLX.CARPEL TUN.WRIST LT.SM,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600386,K0003,WHLCHR GUARDIAN 4000,291,1 ,$790.60 ,$513.89 ,$158.12 ,$711.94 ,$632.48 ,$158.12 ,$626.47 ,$711.94 ,$711.94 ,$300.43 ,$672.01 ,$585.04 ,$395.30 ,$158.12 , N/A ,$659.36 ,$158.12 ,$653.04 ,$632.48 ,$711.54 ,$395.30 ,$672.01 ,$169.35 ,$672.01 ,$672.01 ,$711.54 ,$711.54 ,$620.62 ,$653.04 ,$169.35 ,$513.89 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600387,N/A,FRONT STABILIZER-RT (TIPPERS),291,1 ,$211.16 ,$137.25 ,$137.25 ,$190.15 ,$168.93 , N/A ,$167.32 ,$190.15 ,$190.15 , N/A ,$179.49 ,$156.26 , N/A , N/A , N/A ,$176.11 , N/A ,$174.42 ,$168.93 ,$190.04 , N/A ,$179.49 , N/A ,$179.49 ,$179.49 ,$190.04 ,$190.04 ,$165.76 ,$174.42 , N/A ,$137.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600388,N/A,HYDROGEN PEROXIDE,291,1 ,$1.33 ,$0.86 ,$0.86 ,$1.20 ,$1.06 , N/A ,$1.05 ,$1.20 ,$1.20 , N/A ,$1.13 ,$0.98 , N/A , N/A , N/A ,$1.11 , N/A ,$1.10 ,$1.06 ,$1.20 , N/A ,$1.13 , N/A ,$1.13 ,$1.13 ,$1.20 ,$1.20 ,$1.04 ,$1.10 , N/A ,$0.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600389,A4253,COMFORT CURVE STRIPS,291,1 ,$70.80 ,$46.02 ,$46.02 ,$63.76 ,$56.64 , N/A ,$56.10 ,$63.76 ,$63.76 , N/A ,$60.18 ,$52.39 , N/A , N/A , N/A ,$59.05 , N/A ,$58.48 ,$56.64 ,$63.72 , N/A ,$60.18 , N/A ,$60.18 ,$60.18 ,$63.72 ,$63.72 ,$55.58 ,$58.48 , N/A ,$46.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600390,E2100,VOICE MATE MONITOR,291,1 ,$765.82 ,$497.78 ,$497.78 ,"$1,880.31 ",$612.66 ,$752.12 ,$606.84 ,$689.62 ,$689.62 ,"$1,429.04 ",$650.95 ,$566.71 ,"$1,880.31 ",$752.12 , N/A ,$638.69 ,$752.12 ,$632.57 ,$612.66 ,$689.24 ,$765.82 ,$650.95 ,$765.82 ,$650.95 ,$650.95 ,$689.24 ,$689.24 ,$601.17 ,$632.57 ,$765.82 ,$497.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600391,E0971,FRONT STABIL.WHLCHR-LF,291,1 ,$211.16 ,$137.25 ,$137.25 ,$190.15 ,$168.93 , N/A ,$167.32 ,$190.15 ,$190.15 , N/A ,$179.49 ,$156.26 , N/A , N/A , N/A ,$176.11 , N/A ,$174.42 ,$168.93 ,$190.04 , N/A ,$179.49 , N/A ,$179.49 ,$179.49 ,$190.04 ,$190.04 ,$165.76 ,$174.42 , N/A ,$137.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600392,E0974,REAR ANTI-TIPPERS,291,1 ,$211.16 ,$137.25 ,$137.25 ,$190.15 ,$168.93 , N/A ,$167.32 ,$190.15 ,$190.15 , N/A ,$179.49 ,$156.26 , N/A , N/A , N/A ,$176.11 , N/A ,$174.42 ,$168.93 ,$190.04 , N/A ,$179.49 , N/A ,$179.49 ,$179.49 ,$190.04 ,$190.04 ,$165.76 ,$174.42 , N/A ,$137.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600393,E0961,WHLCHR BRAKE EXT.5/8X8,291,1 ,$99.46 ,$64.65 ,$64.65 ,$89.56 ,$79.57 , N/A ,$78.81 ,$89.56 ,$89.56 , N/A ,$84.54 ,$73.60 , N/A , N/A , N/A ,$82.95 , N/A ,$82.15 ,$79.57 ,$89.51 , N/A ,$84.54 , N/A ,$84.54 ,$84.54 ,$89.51 ,$89.51 ,$78.08 ,$82.15 , N/A ,$64.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600394,N/A,HOSP.GOWN-GARNET LG.,291,1 ,$12.37 ,$8.04 ,$8.04 ,$11.14 ,$9.90 , N/A ,$9.80 ,$11.14 ,$11.14 , N/A ,$10.51 ,$9.15 , N/A , N/A , N/A ,$10.32 , N/A ,$10.22 ,$9.90 ,$11.13 , N/A ,$10.51 , N/A ,$10.51 ,$10.51 ,$11.13 ,$11.13 ,$9.71 ,$10.22 , N/A ,$8.04 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600395,N/A,HOSP.SHEET FLAT,291,1 ,$19.49 ,$12.67 ,$12.67 ,$17.55 ,$15.59 , N/A ,$15.44 ,$17.55 ,$17.55 , N/A ,$16.57 ,$14.42 , N/A , N/A , N/A ,$16.25 , N/A ,$16.10 ,$15.59 ,$17.54 , N/A ,$16.57 , N/A ,$16.57 ,$16.57 ,$17.54 ,$17.54 ,$15.30 ,$16.10 , N/A ,$12.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600396,N/A,HOSP.SHEET FITTED,291,1 ,$19.49 ,$12.67 ,$12.67 ,$17.55 ,$15.59 , N/A ,$15.44 ,$17.55 ,$17.55 , N/A ,$16.57 ,$14.42 , N/A , N/A , N/A ,$16.25 , N/A ,$16.10 ,$15.59 ,$17.54 , N/A ,$16.57 , N/A ,$16.57 ,$16.57 ,$17.54 ,$17.54 ,$15.30 ,$16.10 , N/A ,$12.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600397,B4035,UK1500 FEED.BAG-1500ml,291,1 ,$16.28 ,$10.58 ,$3.26 ,$14.66 ,$13.02 ,$3.26 ,$12.90 ,$14.66 ,$14.66 ,$6.19 ,$13.84 ,$12.05 ,$8.14 ,$3.26 , N/A ,$13.58 ,$3.26 ,$13.45 ,$13.02 ,$14.65 ,$8.14 ,$13.84 ,$3.49 ,$13.84 ,$13.84 ,$14.65 ,$14.65 ,$12.78 ,$13.45 ,$3.49 ,$10.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600398,A4655,PISTON SYRINGE 60cc,291,1 ,$1.68 ,$1.09 ,$1.09 ,$1.51 ,$1.34 , N/A ,$1.33 ,$1.51 ,$1.51 , N/A ,$1.43 ,$1.24 , N/A , N/A , N/A ,$1.40 , N/A ,$1.39 ,$1.34 ,$1.51 , N/A ,$1.43 , N/A ,$1.43 ,$1.43 ,$1.51 ,$1.51 ,$1.32 ,$1.39 , N/A ,$1.09 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600399,N/A,FROSTLITE MATT. COVER,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600400,N/A,HEADREST-RECYC.BACKRST W/C,291,1 ,$97.14 ,$63.14 ,$63.14 ,$87.47 ,$77.71 , N/A ,$76.97 ,$87.47 ,$87.47 , N/A ,$82.57 ,$71.88 , N/A , N/A , N/A ,$81.01 , N/A ,$80.24 ,$77.71 ,$87.43 , N/A ,$82.57 , N/A ,$82.57 ,$82.57 ,$87.43 ,$87.43 ,$76.25 ,$80.24 , N/A ,$63.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600401,N/A,"RING FOAM 5"" SM",291,1 ,$30.67 ,$19.94 ,$19.94 ,$27.62 ,$24.54 , N/A ,$24.30 ,$27.62 ,$27.62 , N/A ,$26.07 ,$22.70 , N/A , N/A , N/A ,$25.58 , N/A ,$25.33 ,$24.54 ,$27.60 , N/A ,$26.07 , N/A ,$26.07 ,$26.07 ,$27.60 ,$27.60 ,$24.08 ,$25.33 , N/A ,$19.94 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600402,L8239,JOBST MED.LEGWR ULTRASHEER.MD,291,1 ,$76.69 ,$49.85 ,$49.85 ,$69.06 ,$61.35 , N/A ,$60.77 ,$69.06 ,$69.06 , N/A ,$65.19 ,$56.75 , N/A , N/A , N/A ,$63.96 , N/A ,$63.35 ,$61.35 ,$69.02 , N/A ,$65.19 , N/A ,$65.19 ,$65.19 ,$69.02 ,$69.02 ,$60.20 ,$63.35 , N/A ,$49.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600403,N/A,VENO.MED.COMPR.STOKNG.BEIGE-L,291,1 ,$101.48 ,$65.96 ,$65.96 ,$91.38 ,$81.18 , N/A ,$80.41 ,$91.38 ,$91.38 , N/A ,$86.26 ,$75.10 , N/A , N/A , N/A ,$84.63 , N/A ,$83.82 ,$81.18 ,$91.33 , N/A ,$86.26 , N/A ,$86.26 ,$86.26 ,$91.33 ,$91.33 ,$79.66 ,$83.82 , N/A ,$65.96 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600404,L8239,JOBST MED.LEGWR ULTRASHEER.XL,291,1 ,$106.19 ,$69.02 ,$69.02 ,$95.62 ,$84.95 , N/A ,$84.15 ,$95.62 ,$95.62 , N/A ,$90.26 ,$78.58 , N/A , N/A , N/A ,$88.56 , N/A ,$87.71 ,$84.95 ,$95.57 , N/A ,$90.26 , N/A ,$90.26 ,$90.26 ,$95.57 ,$95.57 ,$83.36 ,$87.71 , N/A ,$69.02 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600405,L8239,JOBST MED.LEGWR ULTRASHEER.LG,291,1 ,$76.69 ,$49.85 ,$49.85 ,$69.06 ,$61.35 , N/A ,$60.77 ,$69.06 ,$69.06 , N/A ,$65.19 ,$56.75 , N/A , N/A , N/A ,$63.96 , N/A ,$63.35 ,$61.35 ,$69.02 , N/A ,$65.19 , N/A ,$65.19 ,$65.19 ,$69.02 ,$69.02 ,$60.20 ,$63.35 , N/A ,$49.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600406,N/A,DISP.UNDERPAD 30X30,291,1 ,$8.96 ,$5.82 ,$5.82 ,$8.07 ,$7.17 , N/A ,$7.10 ,$8.07 ,$8.07 , N/A ,$7.62 ,$6.63 , N/A , N/A , N/A ,$7.47 , N/A ,$7.40 ,$7.17 ,$8.06 , N/A ,$7.62 , N/A ,$7.62 ,$7.62 ,$8.06 ,$8.06 ,$7.03 ,$7.40 , N/A ,$5.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600407,N/A,Y+ADAPTER (FDG TUBE),291,1 ,$11.16 ,$7.25 ,$7.25 ,$10.05 ,$8.93 , N/A ,$8.84 ,$10.05 ,$10.05 , N/A ,$9.49 ,$8.26 , N/A , N/A , N/A ,$9.31 , N/A ,$9.22 ,$8.93 ,$10.04 , N/A ,$9.49 , N/A ,$9.49 ,$9.49 ,$10.04 ,$10.04 ,$8.76 ,$9.22 , N/A ,$7.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600408,N/A,MALE URINALS,291,1 ,$10.34 ,$6.72 ,$6.72 ,$9.31 ,$8.27 , N/A ,$8.19 ,$9.31 ,$9.31 , N/A ,$8.79 ,$7.65 , N/A , N/A , N/A ,$8.62 , N/A ,$8.54 ,$8.27 ,$9.31 , N/A ,$8.79 , N/A ,$8.79 ,$8.79 ,$9.31 ,$9.31 ,$8.12 ,$8.54 , N/A ,$6.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600409,N/A,"JOBST 30-40,MENS.KNEE.XL",291,1 ,$53.09 ,$34.51 ,$34.51 ,$47.81 ,$42.47 , N/A ,$42.07 ,$47.81 ,$47.81 , N/A ,$45.13 ,$39.29 , N/A , N/A , N/A ,$44.28 , N/A ,$43.85 ,$42.47 ,$47.78 , N/A ,$45.13 , N/A ,$45.13 ,$45.13 ,$47.78 ,$47.78 ,$41.68 ,$43.85 , N/A ,$34.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600410,A4629,TRACH CARE KIT,291,1 ,$6.82 ,$4.43 ,$4.43 ,$6.14 ,$5.46 , N/A ,$5.40 ,$6.14 ,$6.14 , N/A ,$5.80 ,$5.05 , N/A , N/A , N/A ,$5.69 , N/A ,$5.63 ,$5.46 ,$6.14 , N/A ,$5.80 , N/A ,$5.80 ,$5.80 ,$6.14 ,$6.14 ,$5.35 ,$5.63 , N/A ,$4.43 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600411,A4351,16FR 30CC CATH,291,1 ,$8.04 ,$5.23 ,$5.23 ,$7.24 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 , N/A ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600412,A4351,16FR 5CC CATH,291,1 ,$8.04 ,$5.23 ,$5.23 ,$7.24 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 , N/A ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600413,A4351,8FR URETHRAL CATH,291,1 ,$3.89 ,$2.53 ,$2.53 ,$3.50 ,$3.11 , N/A ,$3.08 ,$3.50 ,$3.50 , N/A ,$3.31 ,$2.88 , N/A , N/A , N/A ,$3.24 , N/A ,$3.21 ,$3.11 ,$3.50 , N/A ,$3.31 , N/A ,$3.31 ,$3.31 ,$3.50 ,$3.50 ,$3.05 ,$3.21 , N/A ,$2.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600414,A4352,16FR 5CC 2WAY COUDE CATH,291,1 ,$13.83 ,$8.99 ,$8.99 ,$12.45 ,$11.06 , N/A ,$10.96 ,$12.45 ,$12.45 , N/A ,$11.76 ,$10.23 , N/A , N/A , N/A ,$11.53 , N/A ,$11.42 ,$11.06 ,$12.45 , N/A ,$11.76 , N/A ,$11.76 ,$11.76 ,$12.45 ,$12.45 ,$10.86 ,$11.42 , N/A ,$8.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600415,N/A,18FR 30CC FOLEY CATH,291,1 ,$15.01 ,$9.76 ,$9.76 ,$13.52 ,$12.01 , N/A ,$11.89 ,$13.52 ,$13.52 , N/A ,$12.76 ,$11.11 , N/A , N/A , N/A ,$12.52 , N/A ,$12.40 ,$12.01 ,$13.51 , N/A ,$12.76 , N/A ,$12.76 ,$12.76 ,$13.51 ,$13.51 ,$11.78 ,$12.40 , N/A ,$9.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600416,A4351,14FR CATH URETHRAL,291,1 ,$8.04 ,$5.23 ,$5.23 ,$7.24 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 , N/A ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600417,A4351,14FR CATH URETHRAL,291,1 ,$11.71 ,$7.61 ,$7.61 ,$10.54 ,$9.37 , N/A ,$9.28 ,$10.54 ,$10.54 , N/A ,$9.95 ,$8.67 , N/A , N/A , N/A ,$9.77 , N/A ,$9.67 ,$9.37 ,$10.54 , N/A ,$9.95 , N/A ,$9.95 ,$9.95 ,$10.54 ,$10.54 ,$9.19 ,$9.67 , N/A ,$7.61 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600418,A4351,18FR 5CC,291,1 ,$8.04 ,$5.23 ,$5.23 ,$7.24 ,$6.43 , N/A ,$6.37 ,$7.24 ,$7.24 , N/A ,$6.83 ,$5.95 , N/A , N/A , N/A ,$6.71 , N/A ,$6.64 ,$6.43 ,$7.24 , N/A ,$6.83 , N/A ,$6.83 ,$6.83 ,$7.24 ,$7.24 ,$6.31 ,$6.64 , N/A ,$5.23 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600419,A4351,14FR 5CC,291,1 ,$4.32 ,$2.81 ,$2.81 ,$3.89 ,$3.46 , N/A ,$3.42 ,$3.89 ,$3.89 , N/A ,$3.67 ,$3.20 , N/A , N/A , N/A ,$3.60 , N/A ,$3.57 ,$3.46 ,$3.89 , N/A ,$3.67 , N/A ,$3.67 ,$3.67 ,$3.89 ,$3.89 ,$3.39 ,$3.57 , N/A ,$2.81 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600420,A4344,CATHETER STRAP,291,1 ,$11.65 ,$7.57 ,$7.57 ,$10.49 ,$9.32 , N/A ,$9.23 ,$10.49 ,$10.49 , N/A ,$9.90 ,$8.62 , N/A , N/A , N/A ,$9.72 , N/A ,$9.62 ,$9.32 ,$10.49 , N/A ,$9.90 , N/A ,$9.90 ,$9.90 ,$10.49 ,$10.49 ,$9.15 ,$9.62 , N/A ,$7.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600421,A4351,SELF-CATH 12FR LONG,291,1 ,$3.30 ,$2.15 ,$2.15 ,$2.97 ,$2.64 , N/A ,$2.61 ,$2.97 ,$2.97 , N/A ,$2.81 ,$2.44 , N/A , N/A , N/A ,$2.75 , N/A ,$2.73 ,$2.64 ,$2.97 , N/A ,$2.81 , N/A ,$2.81 ,$2.81 ,$2.97 ,$2.97 ,$2.59 ,$2.73 , N/A ,$2.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600422,A4351,"14FR 16"" LONG CATH",291,1 ,$3.30 ,$2.15 ,$2.15 ,$2.97 ,$2.64 , N/A ,$2.61 ,$2.97 ,$2.97 , N/A ,$2.81 ,$2.44 , N/A , N/A , N/A ,$2.75 , N/A ,$2.73 ,$2.64 ,$2.97 , N/A ,$2.81 , N/A ,$2.81 ,$2.81 ,$2.97 ,$2.97 ,$2.59 ,$2.73 , N/A ,$2.15 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600423,A4326,EXTERNAL CATH INTERMEDIATE,291,1 ,$18.14 ,$11.79 ,$11.79 ,$16.34 ,$14.51 , N/A ,$14.37 ,$16.34 ,$16.34 , N/A ,$15.42 ,$13.42 , N/A , N/A , N/A ,$15.13 , N/A ,$14.98 ,$14.51 ,$16.33 , N/A ,$15.42 , N/A ,$15.42 ,$15.42 ,$16.33 ,$16.33 ,$14.24 ,$14.98 , N/A ,$11.79 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600424,A4355,"EXTEN.TUBING/CATH 18""",291,1 ,$5.18 ,$3.37 ,$3.37 ,$4.66 ,$4.14 , N/A ,$4.10 ,$4.66 ,$4.66 , N/A ,$4.40 ,$3.83 , N/A , N/A , N/A ,$4.32 , N/A ,$4.28 ,$4.14 ,$4.66 , N/A ,$4.40 , N/A ,$4.40 ,$4.40 ,$4.66 ,$4.66 ,$4.07 ,$4.28 , N/A ,$3.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600425,B4035,PUMP-FEEDING PUMP,291,1 ,"$1,170.27 ",$760.68 ,$234.05 ,"$1,053.83 ",$936.22 ,$234.05 ,$927.32 ,"$1,053.83 ","$1,053.83 ",$444.70 ,$994.73 ,$866.00 ,$585.14 ,$234.05 , N/A ,$976.01 ,$234.05 ,$966.64 ,$936.22 ,"$1,053.24 ",$585.14 ,$994.73 ,$250.67 ,$994.73 ,$994.73 ,"$1,053.24 ","$1,053.24 ",$918.66 ,$966.64 ,$250.67 ,$760.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600426,N/A,EZ WRAP O2,291,1 ,$2.36 ,$1.53 ,$1.53 ,$2.13 ,$1.89 , N/A ,$1.87 ,$2.13 ,$2.13 , N/A ,$2.01 ,$1.75 , N/A , N/A , N/A ,$1.97 , N/A ,$1.95 ,$1.89 ,$2.12 , N/A ,$2.01 , N/A ,$2.01 ,$2.01 ,$2.12 ,$2.12 ,$1.85 ,$1.95 , N/A ,$1.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600427,N/A,NIPPLE NUT O2,291,1 ,$0.75 ,$0.49 ,$0.49 ,$0.68 ,$0.60 , N/A ,$0.59 ,$0.68 ,$0.68 , N/A ,$0.64 ,$0.56 , N/A , N/A , N/A ,$0.63 , N/A ,$0.62 ,$0.60 ,$0.68 , N/A ,$0.64 , N/A ,$0.64 ,$0.64 ,$0.68 ,$0.68 ,$0.59 ,$0.62 , N/A ,$0.49 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600428,N/A,O2 TBG SWIV.CONNECT.W/CLIP,291,1 ,$6.37 ,$4.14 ,$4.14 ,$5.74 ,$5.10 , N/A ,$5.05 ,$5.74 ,$5.74 , N/A ,$5.41 ,$4.71 , N/A , N/A , N/A ,$5.31 , N/A ,$5.26 ,$5.10 ,$5.73 , N/A ,$5.41 , N/A ,$5.41 ,$5.41 ,$5.73 ,$5.73 ,$5.00 ,$5.26 , N/A ,$4.14 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600429,N/A,CYLINDER WRENCH W/CHAIN,291,1 ,$3.84 ,$2.50 ,$2.50 ,$3.46 ,$3.07 , N/A ,$3.04 ,$3.46 ,$3.46 , N/A ,$3.26 ,$2.84 , N/A , N/A , N/A ,$3.20 , N/A ,$3.17 ,$3.07 ,$3.46 , N/A ,$3.26 , N/A ,$3.26 ,$3.26 ,$3.46 ,$3.46 ,$3.01 ,$3.17 , N/A ,$2.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600430,N/A,CYLINDER WRENCH,291,1 ,$2.71 ,$1.76 ,$1.76 ,$2.44 ,$2.17 , N/A ,$2.15 ,$2.44 ,$2.44 , N/A ,$2.30 ,$2.01 , N/A , N/A , N/A ,$2.26 , N/A ,$2.24 ,$2.17 ,$2.44 , N/A ,$2.30 , N/A ,$2.30 ,$2.30 ,$2.44 ,$2.44 ,$2.13 ,$2.24 , N/A ,$1.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600431,N/A,DEMAND NASAL CAN.ADULT,291,1 ,$5.76 ,$3.74 ,$3.74 ,$5.19 ,$4.61 , N/A ,$4.56 ,$5.19 ,$5.19 , N/A ,$4.90 ,$4.26 , N/A , N/A , N/A ,$4.80 , N/A ,$4.76 ,$4.61 ,$5.18 , N/A ,$4.90 , N/A ,$4.90 ,$4.90 ,$5.18 ,$5.18 ,$4.52 ,$4.76 , N/A ,$3.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600432,N/A,NASAL CAN.ADULT HIFLOW,291,1 ,$6.64 ,$4.32 ,$4.32 ,$5.98 ,$5.31 , N/A ,$5.26 ,$5.98 ,$5.98 , N/A ,$5.64 ,$4.91 , N/A , N/A , N/A ,$5.54 , N/A ,$5.48 ,$5.31 ,$5.98 , N/A ,$5.64 , N/A ,$5.64 ,$5.64 ,$5.98 ,$5.98 ,$5.21 ,$5.48 , N/A ,$4.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600433,N/A,OXYGEN MASK ADULT,291,1 ,$2.81 ,$1.83 ,$1.83 ,$2.53 ,$2.25 , N/A ,$2.23 ,$2.53 ,$2.53 , N/A ,$2.39 ,$2.08 , N/A , N/A , N/A ,$2.34 , N/A ,$2.32 ,$2.25 ,$2.53 , N/A ,$2.39 , N/A ,$2.39 ,$2.39 ,$2.53 ,$2.53 ,$2.21 ,$2.32 , N/A ,$1.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600434,N/A,NASAL CAN.ADULT SALTRSTYLE,291,1 ,$2.57 ,$1.67 ,$1.67 ,$2.31 ,$2.06 , N/A ,$2.04 ,$2.31 ,$2.31 , N/A ,$2.18 ,$1.90 , N/A , N/A , N/A ,$2.14 , N/A ,$2.12 ,$2.06 ,$2.31 , N/A ,$2.18 , N/A ,$2.18 ,$2.18 ,$2.31 ,$2.31 ,$2.02 ,$2.12 , N/A ,$1.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600435,N/A,OXYGEN TUBING 2002,291,1 ,$0.60 ,$0.39 ,$0.39 ,$0.54 ,$0.48 , N/A ,$0.48 ,$0.54 ,$0.54 , N/A ,$0.51 ,$0.44 , N/A , N/A , N/A ,$0.50 , N/A ,$0.50 ,$0.48 ,$0.54 , N/A ,$0.51 , N/A ,$0.51 ,$0.51 ,$0.54 ,$0.54 ,$0.47 ,$0.50 , N/A ,$0.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600436,N/A,DEMAND NASAL CAN. 4804,291,1 ,$5.76 ,$3.74 ,$3.74 ,$5.19 ,$4.61 , N/A ,$4.56 ,$5.19 ,$5.19 , N/A ,$4.90 ,$4.26 , N/A , N/A , N/A ,$4.80 , N/A ,$4.76 ,$4.61 ,$5.18 , N/A ,$4.90 , N/A ,$4.90 ,$4.90 ,$5.18 ,$5.18 ,$4.52 ,$4.76 , N/A ,$3.74 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600437,N/A,NASAL CAN.ADULT TL CAN.,291,1 ,$3.54 ,$2.30 ,$2.30 ,$3.19 ,$2.83 , N/A ,$2.81 ,$3.19 ,$3.19 , N/A ,$3.01 ,$2.62 , N/A , N/A , N/A ,$2.95 , N/A ,$2.92 ,$2.83 ,$3.19 , N/A ,$3.01 , N/A ,$3.01 ,$3.01 ,$3.19 ,$3.19 ,$2.78 ,$2.92 , N/A ,$2.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600438,N/A,DEMAND NASAL CAN.PED.4824,291,1 ,$8.71 ,$5.66 ,$5.66 ,$7.84 ,$6.97 , N/A ,$6.90 ,$7.84 ,$7.84 , N/A ,$7.40 ,$6.45 , N/A , N/A , N/A ,$7.26 , N/A ,$7.19 ,$6.97 ,$7.84 , N/A ,$7.40 , N/A ,$7.40 ,$7.40 ,$7.84 ,$7.84 ,$6.84 ,$7.19 , N/A ,$5.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600439,N/A,OXYGEN TUB.W/2CONNECT.50',291,1 ,$7.14 ,$4.64 ,$4.64 ,$6.43 ,$5.71 , N/A ,$5.66 ,$6.43 ,$6.43 , N/A ,$6.07 ,$5.28 , N/A , N/A , N/A ,$5.95 , N/A ,$5.90 ,$5.71 ,$6.43 , N/A ,$6.07 , N/A ,$6.07 ,$6.07 ,$6.43 ,$6.43 ,$5.60 ,$5.90 , N/A ,$4.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600440,N/A,NASAL CAN.ADULT SALTRSYLE 4707F,291,1 ,$7.67 ,$4.99 ,$4.99 ,$6.91 ,$6.14 , N/A ,$6.08 ,$6.91 ,$6.91 , N/A ,$6.52 ,$5.68 , N/A , N/A , N/A ,$6.40 , N/A ,$6.34 ,$6.14 ,$6.90 , N/A ,$6.52 , N/A ,$6.52 ,$6.52 ,$6.90 ,$6.90 ,$6.02 ,$6.34 , N/A ,$4.99 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600441,N/A,BUBBLE HUMIDIFIER 7600,291,1 ,$4.34 ,$2.82 ,$2.82 ,$3.91 ,$3.47 , N/A ,$3.44 ,$3.91 ,$3.91 , N/A ,$3.69 ,$3.21 , N/A , N/A , N/A ,$3.62 , N/A ,$3.58 ,$3.47 ,$3.91 , N/A ,$3.69 , N/A ,$3.69 ,$3.69 ,$3.91 ,$3.91 ,$3.41 ,$3.58 , N/A ,$2.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600442,N/A,OXYGEN TUB.W/2CONN.2025G,291,1 ,$4.13 ,$2.68 ,$2.68 ,$3.72 ,$3.30 , N/A ,$3.27 ,$3.72 ,$3.72 , N/A ,$3.51 ,$3.06 , N/A , N/A , N/A ,$3.44 , N/A ,$3.41 ,$3.30 ,$3.72 , N/A ,$3.51 , N/A ,$3.51 ,$3.51 ,$3.72 ,$3.72 ,$3.24 ,$3.41 , N/A ,$2.68 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600443,A7005,IGUARD AEROSOL MASK-PED,291,1 ,$37.76 ,$24.54 ,$22.44 ,$56.10 ,$30.21 ,$22.44 ,$29.92 ,$34.00 ,$34.00 ,$42.64 ,$32.10 ,$27.94 ,$56.10 ,$22.44 , N/A ,$31.49 ,$22.44 ,$31.19 ,$30.21 ,$33.98 ,$37.76 ,$32.10 ,$24.03 ,$32.10 ,$32.10 ,$33.98 ,$33.98 ,$29.64 ,$31.19 ,$24.03 ,$24.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600444,A7005,NEBULIZER PED. 8906,291,1 ,$36.58 ,$23.78 ,$22.20 ,$55.51 ,$29.26 ,$22.20 ,$28.99 ,$32.94 ,$32.94 ,$42.19 ,$31.09 ,$27.07 ,$55.51 ,$22.20 , N/A ,$30.51 ,$22.20 ,$30.22 ,$29.26 ,$32.92 ,$36.58 ,$31.09 ,$23.78 ,$31.09 ,$31.09 ,$32.92 ,$32.92 ,$28.72 ,$30.22 ,$23.78 ,$23.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600445,A7005,OXYGEN MASK SEETHRU PED.,291,1 ,$37.76 ,$24.54 ,$22.44 ,$56.10 ,$30.21 ,$22.44 ,$29.92 ,$34.00 ,$34.00 ,$42.64 ,$32.10 ,$27.94 ,$56.10 ,$22.44 , N/A ,$31.49 ,$22.44 ,$31.19 ,$30.21 ,$33.98 ,$37.76 ,$32.10 ,$24.03 ,$32.10 ,$32.10 ,$33.98 ,$33.98 ,$29.64 ,$31.19 ,$24.03 ,$24.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600446,N/A,DEMAND NASAL CAN.PED.4827,291,1 ,$9.00 ,$5.85 ,$5.85 ,$8.10 ,$7.20 , N/A ,$7.13 ,$8.10 ,$8.10 , N/A ,$7.65 ,$6.66 , N/A , N/A , N/A ,$7.51 , N/A ,$7.43 ,$7.20 ,$8.10 , N/A ,$7.65 , N/A ,$7.65 ,$7.65 ,$8.10 ,$8.10 ,$7.07 ,$7.43 , N/A ,$5.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600447,N/A,NASAL CAN.ADULT W/O TUBE SALTERSTYLE,291,1 ,$1.16 ,$0.75 ,$0.75 ,$1.04 ,$0.93 , N/A ,$0.92 ,$1.04 ,$1.04 , N/A ,$0.99 ,$0.86 , N/A , N/A , N/A ,$0.97 , N/A ,$0.96 ,$0.93 ,$1.04 , N/A ,$0.99 , N/A ,$0.99 ,$0.99 ,$1.04 ,$1.04 ,$0.91 ,$0.96 , N/A ,$0.75 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600448,A7006,FULL KIT NEBULIZER SET,291,1 ,$18.34 ,$11.92 ,$10.64 ,$26.59 ,$14.67 ,$10.64 ,$14.53 ,$16.52 ,$16.52 ,$20.21 ,$15.59 ,$13.57 ,$26.59 ,$10.64 , N/A ,$15.30 ,$10.64 ,$15.15 ,$14.67 ,$16.51 ,$18.34 ,$15.59 ,$11.39 ,$15.59 ,$15.59 ,$16.51 ,$16.51 ,$14.40 ,$15.15 ,$11.39 ,$11.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600449,A7005,AEROSOL MASK PED.1120,291,1 ,$42.28 ,$27.48 ,$23.34 ,$58.36 ,$33.82 ,$23.34 ,$33.50 ,$38.07 ,$38.07 ,$44.35 ,$35.94 ,$31.29 ,$58.36 ,$23.34 , N/A ,$35.26 ,$23.34 ,$34.92 ,$33.82 ,$38.05 ,$42.28 ,$35.94 ,$25.00 ,$35.94 ,$35.94 ,$38.05 ,$38.05 ,$33.19 ,$34.92 ,$25.00 ,$27.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600450,L8239,ANTI-EMBOL.THIGH MED/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600451,L8239,ANTI-EMBOL.THIGH LG/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600452,L8239,ANTI-EMBOL.THIGH MD/REG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600453,L8239,ANTI-EMBOL.THIGH SM/LONG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600454,L8239,ANTI-EMBOL.THIGH LG/SHORT,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600455,L8239,ANTI-EMBOL.THIGH SM/REG,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600456,L8239,ANTI-EMBOL.THIGH SM/SHORT,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600457,L8239,ANTI-EMBOL.TGH SM/REG YTOE,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600458,L8239,ANTI-EMBOL.TGH MD/SHT YTOE,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600459,L8239,ANTI.EMBOS.KNEEHI-SM/REG,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600460,L8239,ANTI.EMBOS.KNEEHI-SM/REG.YTOE,291,1 ,$22.93 ,$14.90 ,$14.90 ,$20.65 ,$18.34 , N/A ,$18.17 ,$20.65 ,$20.65 , N/A ,$19.49 ,$16.97 , N/A , N/A , N/A ,$19.12 , N/A ,$18.94 ,$18.34 ,$20.64 , N/A ,$19.49 , N/A ,$19.49 ,$19.49 ,$20.64 ,$20.64 ,$18.00 ,$18.94 , N/A ,$14.90 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600461,L8239,JOBST ANTI.EMB.THIGH LONG,291,1 ,$35.26 ,$22.92 ,$22.92 ,$31.75 ,$28.21 , N/A ,$27.94 ,$31.75 ,$31.75 , N/A ,$29.97 ,$26.09 , N/A , N/A , N/A ,$29.41 , N/A ,$29.12 ,$28.21 ,$31.73 , N/A ,$29.97 , N/A ,$29.97 ,$29.97 ,$31.73 ,$31.73 ,$27.68 ,$29.12 , N/A ,$22.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600462,N/A,PLAIN PACKING STRIP,291,1 ,$17.94 ,$11.66 ,$11.66 ,$16.16 ,$14.35 , N/A ,$14.22 ,$16.16 ,$16.16 , N/A ,$15.25 ,$13.28 , N/A , N/A , N/A ,$14.96 , N/A ,$14.82 ,$14.35 ,$16.15 , N/A ,$15.25 , N/A ,$15.25 ,$15.25 ,$16.15 ,$16.15 ,$14.08 ,$14.82 , N/A ,$11.66 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600463,L8239,JOBST 15-20 MEN.KNEE.LG,291,1 ,$63.57 ,$41.32 ,$41.32 ,$57.24 ,$50.86 , N/A ,$50.37 ,$57.24 ,$57.24 , N/A ,$54.03 ,$47.04 , N/A , N/A , N/A ,$53.02 , N/A ,$52.51 ,$50.86 ,$57.21 , N/A ,$54.03 , N/A ,$54.03 ,$54.03 ,$57.21 ,$57.21 ,$49.90 ,$52.51 , N/A ,$41.32 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600464,L8239,JOBST ULT.KNEEHI.BEI.LG,291,1 ,$76.69 ,$49.85 ,$49.85 ,$69.06 ,$61.35 , N/A ,$60.77 ,$69.06 ,$69.06 , N/A ,$65.19 ,$56.75 , N/A , N/A , N/A ,$63.96 , N/A ,$63.35 ,$61.35 ,$69.02 , N/A ,$65.19 , N/A ,$65.19 ,$65.19 ,$69.02 ,$69.02 ,$60.20 ,$63.35 , N/A ,$49.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600465,L8239,JOBST ULT.KNEEHI MD-BEIGE,291,1 ,$76.69 ,$49.85 ,$49.85 ,$69.06 ,$61.35 , N/A ,$60.77 ,$69.06 ,$69.06 , N/A ,$65.19 ,$56.75 , N/A , N/A , N/A ,$63.96 , N/A ,$63.35 ,$61.35 ,$69.02 , N/A ,$65.19 , N/A ,$65.19 ,$65.19 ,$69.02 ,$69.02 ,$60.20 ,$63.35 , N/A ,$49.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600466,L8239,JOBST 15-20 MEN.KNEE.LG.KHAKI,291,1 ,$76.69 ,$49.85 ,$49.85 ,$69.06 ,$61.35 , N/A ,$60.77 ,$69.06 ,$69.06 , N/A ,$65.19 ,$56.75 , N/A , N/A , N/A ,$63.96 , N/A ,$63.35 ,$61.35 ,$69.02 , N/A ,$65.19 , N/A ,$65.19 ,$65.19 ,$69.02 ,$69.02 ,$60.20 ,$63.35 , N/A ,$49.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600467,N/A,OXYGEN REGULATOR 0-15LPM,291,1 ,$137.18 ,$89.17 ,$89.17 ,$123.53 ,$109.74 , N/A ,$108.70 ,$123.53 ,$123.53 , N/A ,$116.60 ,$101.51 , N/A , N/A , N/A ,$114.41 , N/A ,$113.31 ,$109.74 ,$123.46 , N/A ,$116.60 , N/A ,$116.60 ,$116.60 ,$123.46 ,$123.46 ,$107.69 ,$113.31 , N/A ,$89.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600468,N/A,REGULATOR 0-8LPM,291,1 ,$137.18 ,$89.17 ,$89.17 ,$123.53 ,$109.74 , N/A ,$108.70 ,$123.53 ,$123.53 , N/A ,$116.60 ,$101.51 , N/A , N/A , N/A ,$114.41 , N/A ,$113.31 ,$109.74 ,$123.46 , N/A ,$116.60 , N/A ,$116.60 ,$116.60 ,$123.46 ,$123.46 ,$107.69 ,$113.31 , N/A ,$89.17 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600469,N/A,ADULT PERCENT O2.LOCKMASK,291,1 ,$4.37 ,$2.84 ,$2.84 ,$3.94 ,$3.50 , N/A ,$3.46 ,$3.94 ,$3.94 , N/A ,$3.71 ,$3.23 , N/A , N/A , N/A ,$3.64 , N/A ,$3.61 ,$3.50 ,$3.93 , N/A ,$3.71 , N/A ,$3.71 ,$3.71 ,$3.93 ,$3.93 ,$3.43 ,$3.61 , N/A ,$2.84 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600470,N/A,CONSERVING DEVICE-DEMAND,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600471,A7005,ADULT AEROSOL MASK 9920,291,1 ,$42.28 ,$27.48 ,$23.34 ,$58.36 ,$33.82 ,$23.34 ,$33.50 ,$38.07 ,$38.07 ,$44.35 ,$35.94 ,$31.29 ,$58.36 ,$23.34 , N/A ,$35.26 ,$23.34 ,$34.92 ,$33.82 ,$38.05 ,$42.28 ,$35.94 ,$25.00 ,$35.94 ,$35.94 ,$38.05 ,$38.05 ,$33.19 ,$34.92 ,$25.00 ,$27.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600472,A7005,NEBUTECH HDN NEBULIZER,291,1 ,$22.13 ,$14.38 ,$14.38 ,$48.29 ,$17.70 ,$19.31 ,$17.54 ,$19.93 ,$19.93 ,$36.70 ,$18.81 ,$16.38 ,$48.29 ,$19.31 , N/A ,$18.46 ,$19.31 ,$18.28 ,$17.70 ,$19.92 ,$22.13 ,$18.81 ,$20.69 ,$18.81 ,$18.81 ,$19.92 ,$19.92 ,$17.37 ,$18.28 ,$20.69 ,$14.38 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600473,N/A,OXYGEN MASK ADULT 8130,291,1 ,$2.81 ,$1.83 ,$1.83 ,$2.53 ,$2.25 , N/A ,$2.23 ,$2.53 ,$2.53 , N/A ,$2.39 ,$2.08 , N/A , N/A , N/A ,$2.34 , N/A ,$2.32 ,$2.25 ,$2.53 , N/A ,$2.39 , N/A ,$2.39 ,$2.39 ,$2.53 ,$2.53 ,$2.21 ,$2.32 , N/A ,$1.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600474,A7013,REPLACE.FILTERS-SALTER COMPRESSORS,291,1 ,$18.87 ,$12.27 ,$4.32 ,$16.99 ,$15.10 ,$4.32 ,$14.95 ,$16.99 ,$16.99 ,$8.20 ,$16.04 ,$13.96 ,$10.80 ,$4.32 , N/A ,$15.74 ,$4.32 ,$15.59 ,$15.10 ,$16.98 ,$10.80 ,$16.04 ,$4.62 ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 ,$4.62 ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600475,N/A,NEBULIZER FILTER,291,1 ,$2.81 ,$1.83 ,$1.83 ,$2.53 ,$2.25 , N/A ,$2.23 ,$2.53 ,$2.53 , N/A ,$2.39 ,$2.08 , N/A , N/A , N/A ,$2.34 , N/A ,$2.32 ,$2.25 ,$2.53 , N/A ,$2.39 , N/A ,$2.39 ,$2.39 ,$2.53 ,$2.53 ,$2.21 ,$2.32 , N/A ,$1.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600476,N/A,RECTANGLE FILTERS-AIRSEP,291,1 ,$18.87 ,$12.27 ,$12.27 ,$16.99 ,$15.10 , N/A ,$14.95 ,$16.99 ,$16.99 , N/A ,$16.04 ,$13.96 , N/A , N/A , N/A ,$15.74 , N/A ,$15.59 ,$15.10 ,$16.98 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 ,$16.98 ,$16.98 ,$14.81 ,$15.59 , N/A ,$12.27 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600477,N/A,FRACTURE BEDPAN,291,1 ,$3.85 ,$2.50 ,$2.50 ,$3.47 ,$3.08 , N/A ,$3.05 ,$3.47 ,$3.47 , N/A ,$3.27 ,$2.85 , N/A , N/A , N/A ,$3.21 , N/A ,$3.18 ,$3.08 ,$3.47 , N/A ,$3.27 , N/A ,$3.27 ,$3.27 ,$3.47 ,$3.47 ,$3.02 ,$3.18 , N/A ,$2.50 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600478,N/A,OXYGEN TUB.W/2CONN. 25',291,1 ,$7.14 ,$4.64 ,$4.64 ,$6.43 ,$5.71 , N/A ,$5.66 ,$6.43 ,$6.43 , N/A ,$6.07 ,$5.28 , N/A , N/A , N/A ,$5.95 , N/A ,$5.90 ,$5.71 ,$6.43 , N/A ,$6.07 , N/A ,$6.07 ,$6.07 ,$6.43 ,$6.43 ,$5.60 ,$5.90 , N/A ,$4.64 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600479,N/A,"NASAL CAN.ADULT.SALT.W/7"" TUBE",291,1 ,$1.42 ,$0.92 ,$0.92 ,$1.28 ,$1.14 , N/A ,$1.13 ,$1.28 ,$1.28 , N/A ,$1.21 ,$1.05 , N/A , N/A , N/A ,$1.18 , N/A ,$1.17 ,$1.14 ,$1.28 , N/A ,$1.21 , N/A ,$1.21 ,$1.21 ,$1.28 ,$1.28 ,$1.11 ,$1.17 , N/A ,$0.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600480,N/A,NASAL CAN.ADULT.SALT.W/25'TUBE,291,1 ,$5.89 ,$3.83 ,$3.83 ,$5.30 ,$4.71 , N/A ,$4.67 ,$5.30 ,$5.30 , N/A ,$5.01 ,$4.36 , N/A , N/A , N/A ,$4.91 , N/A ,$4.87 ,$4.71 ,$5.30 , N/A ,$5.01 , N/A ,$5.01 ,$5.01 ,$5.30 ,$5.30 ,$4.62 ,$4.87 , N/A ,$3.83 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600481,K0138,"WHLCHR 19"" TRANSPORT",291,1 ,$471.88 ,$306.72 ,$306.72 ,$424.93 ,$377.50 , N/A ,$373.92 ,$424.93 ,$424.93 , N/A ,$401.10 ,$349.19 , N/A , N/A , N/A ,$393.55 , N/A ,$389.77 ,$377.50 ,$424.69 , N/A ,$401.10 , N/A ,$401.10 ,$401.10 ,$424.69 ,$424.69 ,$370.43 ,$389.77 , N/A ,$306.72 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600482,E0431,M-60 TANK,291,1 ,$383.50 ,$249.28 ,$76.70 ,$345.34 ,$306.80 ,$76.70 ,$303.89 ,$345.34 ,$345.34 ,$145.73 ,$325.98 ,$283.79 ,$191.75 ,$76.70 , N/A ,$319.84 ,$76.70 ,$316.77 ,$306.80 ,$345.15 ,$191.75 ,$325.98 ,$82.15 ,$325.98 ,$325.98 ,$345.15 ,$345.15 ,$301.05 ,$316.77 ,$82.15 ,$249.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600483,E0431,E TANK,291,1 ,$132.75 ,$86.29 ,$26.55 ,$119.54 ,$106.20 ,$26.55 ,$105.19 ,$119.54 ,$119.54 ,$50.45 ,$112.84 ,$98.24 ,$66.38 ,$26.55 , N/A ,$110.71 ,$26.55 ,$109.65 ,$106.20 ,$119.48 ,$66.38 ,$112.84 ,$28.44 ,$112.84 ,$112.84 ,$119.48 ,$119.48 ,$104.21 ,$109.65 ,$28.44 ,$86.29 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600484,E0431,D TANK,291,1 ,$123.90 ,$80.54 ,$24.78 ,$111.57 ,$99.12 ,$24.78 ,$98.18 ,$111.57 ,$111.57 ,$47.08 ,$105.32 ,$91.69 ,$61.95 ,$24.78 , N/A ,$103.33 ,$24.78 ,$102.34 ,$99.12 ,$111.51 ,$61.95 ,$105.32 ,$26.54 ,$105.32 ,$105.32 ,$111.51 ,$111.51 ,$97.26 ,$102.34 ,$26.54 ,$80.54 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600485,E0431,C TANK,291,1 ,$112.10 ,$72.87 ,$22.42 ,$100.95 ,$89.68 ,$22.42 ,$88.83 ,$100.95 ,$100.95 ,$42.60 ,$95.29 ,$82.95 ,$56.05 ,$22.42 , N/A ,$93.49 ,$22.42 ,$92.59 ,$89.68 ,$100.89 ,$56.05 ,$95.29 ,$24.01 ,$95.29 ,$95.29 ,$100.89 ,$100.89 ,$88.00 ,$92.59 ,$24.01 ,$72.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600486,E0431,B TANK,291,1 ,$97.35 ,$63.28 ,$19.47 ,$87.66 ,$77.88 ,$19.47 ,$77.14 ,$87.66 ,$87.66 ,$36.99 ,$82.75 ,$72.04 ,$48.68 ,$19.47 , N/A ,$81.19 ,$19.47 ,$80.41 ,$77.88 ,$87.62 ,$48.68 ,$82.75 ,$20.85 ,$82.75 ,$82.75 ,$87.62 ,$87.62 ,$76.42 ,$80.41 ,$20.85 ,$63.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600487,L0472,CASH ORTHOSIS,291,1 ,$400.79 ,$260.51 ,$260.51 ,"$1,013.22 ",$320.63 ,$405.29 ,$317.59 ,$360.91 ,$360.91 ,$770.04 ,$340.67 ,$296.58 ,"$1,013.22 ",$405.29 , N/A ,$334.26 ,$405.29 ,$331.05 ,$320.63 ,$360.71 ,$400.79 ,$340.67 ,$400.79 ,$340.67 ,$340.67 ,$360.71 ,$360.71 ,$314.62 ,$331.05 ,$400.79 ,$260.51 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600488,E0720,TENS UNIT-DUAL CHANNEL,291,1 ,$506.30 ,$329.10 ,$228.75 ,$571.87 ,$405.04 ,$228.75 ,$401.19 ,$455.92 ,$455.92 ,$434.62 ,$430.36 ,$374.66 ,$571.87 ,$228.75 , N/A ,$422.25 ,$228.75 ,$418.20 ,$405.04 ,$455.67 ,$506.30 ,$430.36 ,$244.99 ,$430.36 ,$430.36 ,$455.67 ,$455.67 ,$397.45 ,$418.20 ,$244.99 ,$329.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600489,E0135,JR.WALKER,291,1 ,$123.35 ,$80.18 ,$69.60 ,$174.00 ,$98.68 ,$69.60 ,$97.74 ,$111.08 ,$111.08 ,$132.24 ,$104.85 ,$91.28 ,$174.00 ,$69.60 , N/A ,$102.87 ,$69.60 ,$101.89 ,$98.68 ,$111.02 ,$123.35 ,$104.85 ,$74.54 ,$104.85 ,$104.85 ,$111.02 ,$111.02 ,$96.83 ,$101.89 ,$74.54 ,$80.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600490,E0135,"MEDLINE GRAB BAR 18""",291,1 ,$46.52 ,$30.24 ,$30.24 ,$116.30 ,$37.22 ,$46.52 ,$36.86 ,$41.89 ,$41.89 ,$88.39 ,$39.54 ,$34.42 ,$116.30 ,$46.52 , N/A ,$38.80 ,$46.52 ,$38.43 ,$37.22 ,$41.87 ,$46.52 ,$39.54 ,$46.52 ,$39.54 ,$39.54 ,$41.87 ,$41.87 ,$36.52 ,$38.43 ,$46.52 ,$30.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600491,E0135,PATIENT ALARM,291,1 ,$46.52 ,$30.24 ,$30.24 ,$116.30 ,$37.22 ,$46.52 ,$36.86 ,$41.89 ,$41.89 ,$88.39 ,$39.54 ,$34.42 ,$116.30 ,$46.52 , N/A ,$38.80 ,$46.52 ,$38.43 ,$37.22 ,$41.87 ,$46.52 ,$39.54 ,$46.52 ,$39.54 ,$39.54 ,$41.87 ,$41.87 ,$36.52 ,$38.43 ,$46.52 ,$30.24 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600492,E0163,COMMODE-STANDARD,291,1 ,$267.42 ,$173.82 ,$111.07 ,$277.67 ,$213.94 ,$111.07 ,$211.90 ,$240.81 ,$240.81 ,$211.03 ,$227.31 ,$197.89 ,$277.67 ,$111.07 , N/A ,$223.03 ,$111.07 ,$220.89 ,$213.94 ,$240.68 ,$267.42 ,$227.31 ,$118.95 ,$227.31 ,$227.31 ,$240.68 ,$240.68 ,$209.92 ,$220.89 ,$118.95 ,$173.82 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600493,N/A,LUMEX WALKER GLIDE CAP,291,1 ,$6.48 ,$4.21 ,$4.21 ,$5.84 ,$5.18 , N/A ,$5.13 ,$5.84 ,$5.84 , N/A ,$5.51 ,$4.80 , N/A , N/A , N/A ,$5.40 , N/A ,$5.35 ,$5.18 ,$5.83 , N/A ,$5.51 , N/A ,$5.51 ,$5.51 ,$5.83 ,$5.83 ,$5.09 ,$5.35 , N/A ,$4.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600494,N/A,LUMEX WALKER GLIDE CAP,291,1 ,$6.48 ,$4.21 ,$4.21 ,$5.84 ,$5.18 , N/A ,$5.13 ,$5.84 ,$5.84 , N/A ,$5.51 ,$4.80 , N/A , N/A , N/A ,$5.40 , N/A ,$5.35 ,$5.18 ,$5.83 , N/A ,$5.51 , N/A ,$5.51 ,$5.51 ,$5.83 ,$5.83 ,$5.09 ,$5.35 , N/A ,$4.21 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600495,E0135,ADULT WALKER,291,1 ,$123.35 ,$80.18 ,$69.60 ,$174.00 ,$98.68 ,$69.60 ,$97.74 ,$111.08 ,$111.08 ,$132.24 ,$104.85 ,$91.28 ,$174.00 ,$69.60 , N/A ,$102.87 ,$69.60 ,$101.89 ,$98.68 ,$111.02 ,$123.35 ,$104.85 ,$74.54 ,$104.85 ,$104.85 ,$111.02 ,$111.02 ,$96.83 ,$101.89 ,$74.54 ,$80.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600496,N/A,"CANNULA,ADULT W/7' TUBING",291,1 ,$3.54 ,$2.30 ,$2.30 ,$3.19 ,$2.83 , N/A ,$2.81 ,$3.19 ,$3.19 , N/A ,$3.01 ,$2.62 , N/A , N/A , N/A ,$2.95 , N/A ,$2.92 ,$2.83 ,$3.19 , N/A ,$3.01 , N/A ,$3.01 ,$3.01 ,$3.19 ,$3.19 ,$2.78 ,$2.92 , N/A ,$2.30 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600497,L4350,AIRCAST ANKLE FOAM-RT,291,1 ,$113.73 ,$73.92 ,$73.92 ,$251.13 ,$90.98 ,$100.45 ,$90.12 ,$102.41 ,$102.41 ,$190.86 ,$96.67 ,$84.16 ,$251.13 ,$100.45 , N/A ,$94.85 ,$100.45 ,$93.94 ,$90.98 ,$102.36 ,$113.73 ,$96.67 ,$107.58 ,$96.67 ,$96.67 ,$102.36 ,$102.36 ,$89.28 ,$93.94 ,$107.58 ,$73.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600498,L4350,AIRCAST ANKLE FOAM-LFT,291,1 ,$113.73 ,$73.92 ,$73.92 ,$251.13 ,$90.98 ,$100.45 ,$90.12 ,$102.41 ,$102.41 ,$190.86 ,$96.67 ,$84.16 ,$251.13 ,$100.45 , N/A ,$94.85 ,$100.45 ,$93.94 ,$90.98 ,$102.36 ,$113.73 ,$96.67 ,$107.58 ,$96.67 ,$96.67 ,$102.36 ,$102.36 ,$89.28 ,$93.94 ,$107.58 ,$73.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600499,A4565,ARM SLING-UNIVERSAL,291,1 ,$17.56 ,$11.41 ,$11.41 ,$15.81 ,$14.05 , N/A ,$13.91 ,$15.81 ,$15.81 , N/A ,$14.93 ,$12.99 , N/A , N/A , N/A ,$14.65 , N/A ,$14.50 ,$14.05 ,$15.80 , N/A ,$14.93 , N/A ,$14.93 ,$14.93 ,$15.80 ,$15.80 ,$13.78 ,$14.50 , N/A ,$11.41 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600500,E0155,"LUMEX 5"" FIXED WHEEL",291,1 ,$45.51 ,$29.58 ,$27.93 ,$69.84 ,$36.41 ,$27.93 ,$36.06 ,$40.98 ,$40.98 ,$53.07 ,$38.68 ,$33.68 ,$69.84 ,$27.93 , N/A ,$37.96 ,$27.93 ,$37.59 ,$36.41 ,$40.96 ,$45.51 ,$38.68 ,$29.92 ,$38.68 ,$38.68 ,$40.96 ,$40.96 ,$35.73 ,$37.59 ,$29.92 ,$29.58 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600501,L3908,WRIST BRACE LFT.SM,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600502,L3908,WRIST BRACE RT .SM,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600503,L3908,WRIST BRACE LFT.MD,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600504,L3908,WRIST BRACE RT .MD,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600505,L3908,WRIST BRACE LFT.XLG,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600506,L3908,WRIST BRACE RT .LG,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600507,L3908,DLX WRIST BRACE LFT.SM,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600508,L3908,DLX WRIST BRACE RT .SM,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600509,L3908,DLX WRIST BRACE LFT.MD,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600510,L3908,DLX WRIST BRACE RT .MD,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600511,L0120,CERVICAL COLLAR,291,1 ,$31.34 ,$20.37 ,$20.37 ,$68.77 ,$25.07 ,$27.51 ,$24.83 ,$28.22 ,$28.22 ,$52.27 ,$26.64 ,$23.19 ,$68.77 ,$27.51 , N/A ,$26.14 ,$27.51 ,$25.89 ,$25.07 ,$28.21 ,$31.34 ,$26.64 ,$29.46 ,$26.64 ,$26.64 ,$28.21 ,$28.21 ,$24.60 ,$25.89 ,$29.46 ,$20.37 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600512,L1906,"KNEE IMMOBILIZER 16""MD",291,1 ,$94.80 ,$61.62 ,$61.62 ,$273.16 ,$75.84 ,$109.26 ,$75.12 ,$85.37 ,$85.37 ,$207.60 ,$80.58 ,$70.15 ,$273.16 ,$109.26 , N/A ,$79.06 ,$109.26 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$94.80 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$94.80 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600513,L1906,"KNEE IMMOBILIZER 16""SM",291,1 ,$94.80 ,$61.62 ,$61.62 ,$273.16 ,$75.84 ,$109.26 ,$75.12 ,$85.37 ,$85.37 ,$207.60 ,$80.58 ,$70.15 ,$273.16 ,$109.26 , N/A ,$79.06 ,$109.26 ,$78.30 ,$75.84 ,$85.32 ,$94.80 ,$80.58 ,$94.80 ,$80.58 ,$80.58 ,$85.32 ,$85.32 ,$74.42 ,$78.30 ,$94.80 ,$61.62 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600514,A5063,OSTOMY POINT LOCK DRAINABLE POUCH 3803,291,1 ,$63.28 ,$41.13 ,$41.13 ,$56.98 ,$50.62 , N/A ,$50.14 ,$56.98 ,$56.98 , N/A ,$53.79 ,$46.83 , N/A , N/A , N/A ,$52.78 , N/A ,$52.27 ,$50.62 ,$56.95 , N/A ,$53.79 , N/A ,$53.79 ,$53.79 ,$56.95 ,$56.95 ,$49.67 ,$52.27 , N/A ,$41.13 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600515,A4365,SKIN PREP WIPES (ALLKARE),291,1 ,$19.26 ,$12.52 ,$12.52 ,$17.34 ,$15.41 , N/A ,$15.26 ,$17.34 ,$17.34 , N/A ,$16.37 ,$14.25 , N/A , N/A , N/A ,$16.06 , N/A ,$15.91 ,$15.41 ,$17.33 , N/A ,$16.37 , N/A ,$16.37 ,$16.37 ,$17.33 ,$17.33 ,$15.12 ,$15.91 , N/A ,$12.52 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600516,E0105,"CANES,QUAD SM BASE-BLACK",291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600517,E0105,"CANES,QUAD SM BASE-BLACK",291,1 ,$69.11 ,$44.92 ,$44.92 ,$148.90 ,$55.29 ,$59.56 ,$54.76 ,$62.23 ,$62.23 ,$113.16 ,$58.74 ,$51.14 ,$148.90 ,$59.56 , N/A ,$57.64 ,$59.56 ,$57.08 ,$55.29 ,$62.20 ,$69.11 ,$58.74 ,$63.79 ,$58.74 ,$58.74 ,$62.20 ,$62.20 ,$54.25 ,$57.08 ,$63.79 ,$44.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600518,N/A,UNIFM TOP BUTT.LAB.CT.-WH.XSM,291,1 ,$34.81 ,$22.63 ,$22.63 ,$31.35 ,$27.85 , N/A ,$27.58 ,$31.35 ,$31.35 , N/A ,$29.59 ,$25.76 , N/A , N/A , N/A ,$29.03 , N/A ,$28.75 ,$27.85 ,$31.33 , N/A ,$29.59 , N/A ,$29.59 ,$29.59 ,$31.33 ,$31.33 ,$27.33 ,$28.75 , N/A ,$22.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600519,N/A,UNIFM TOP BUTT.LAB.CT.-WH.SM,291,1 ,$34.81 ,$22.63 ,$22.63 ,$31.35 ,$27.85 , N/A ,$27.58 ,$31.35 ,$31.35 , N/A ,$29.59 ,$25.76 , N/A , N/A , N/A ,$29.03 , N/A ,$28.75 ,$27.85 ,$31.33 , N/A ,$29.59 , N/A ,$29.59 ,$29.59 ,$31.33 ,$31.33 ,$27.33 ,$28.75 , N/A ,$22.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600520,E0135,WALKER 1 BUTTON,291,1 ,$123.35 ,$80.18 ,$69.60 ,$174.00 ,$98.68 ,$69.60 ,$97.74 ,$111.08 ,$111.08 ,$132.24 ,$104.85 ,$91.28 ,$174.00 ,$69.60 , N/A ,$102.87 ,$69.60 ,$101.89 ,$98.68 ,$111.02 ,$123.35 ,$104.85 ,$74.54 ,$104.85 ,$104.85 ,$111.02 ,$111.02 ,$96.83 ,$101.89 ,$74.54 ,$80.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600521,A5500,DR.ZEN.RAVEN MD.BLK 6,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600522,A5500,DR.ZEN.GATOR WIDE 11,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600523,A5500,DR.ZEN.DIABETIC SHOE 12W,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600524,K0052,FOOTREST-TRACER 9000,291,1 ,$112.10 ,$72.87 ,$72.87 ,$214.65 ,$89.68 ,$85.86 ,$88.83 ,$100.95 ,$100.95 ,$163.13 ,$95.29 ,$82.95 ,$214.65 ,$85.86 , N/A ,$93.49 ,$85.86 ,$92.59 ,$89.68 ,$100.89 ,$112.10 ,$95.29 ,$91.96 ,$95.29 ,$95.29 ,$100.89 ,$100.89 ,$88.00 ,$92.59 ,$91.96 ,$72.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600525,A4406,2 oz STOMAHESIVE PASTE,291,1 ,$22.54 ,$14.65 ,$14.65 ,$20.30 ,$18.03 , N/A ,$17.86 ,$20.30 ,$20.30 , N/A ,$19.16 ,$16.68 , N/A , N/A , N/A ,$18.80 , N/A ,$18.62 ,$18.03 ,$20.29 , N/A ,$19.16 , N/A ,$19.16 ,$19.16 ,$20.29 ,$20.29 ,$17.69 ,$18.62 , N/A ,$14.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600526,A5120,SKIN PREP PROT. BARRIER WIPE,291,1 ,$16.51 ,$10.73 ,$10.73 ,$14.87 ,$13.21 , N/A ,$13.08 ,$14.87 ,$14.87 , N/A ,$14.03 ,$12.22 , N/A , N/A , N/A ,$13.77 , N/A ,$13.64 ,$13.21 ,$14.86 , N/A ,$14.03 , N/A ,$14.03 ,$14.03 ,$14.86 ,$14.86 ,$12.96 ,$13.64 , N/A ,$10.73 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600527,E0484,PEAK FLOW METER,291,1 ,$93.15 ,$60.55 ,$53.03 ,$132.58 ,$74.52 ,$53.03 ,$73.81 ,$83.88 ,$83.88 ,$100.76 ,$79.18 ,$68.93 ,$132.58 ,$53.03 , N/A ,$77.69 ,$53.03 ,$76.94 ,$74.52 ,$83.84 ,$93.15 ,$79.18 ,$56.80 ,$79.18 ,$79.18 ,$83.84 ,$83.84 ,$73.12 ,$76.94 ,$56.80 ,$60.55 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600528,L1906,AFO(WHT LG)MENS DROPFOOT,291,1 ,$112.10 ,$72.87 ,$72.87 ,$281.81 ,$89.68 ,$112.72 ,$88.83 ,$100.95 ,$100.95 ,$214.18 ,$95.29 ,$82.95 ,$281.81 ,$112.72 , N/A ,$93.49 ,$112.72 ,$92.59 ,$89.68 ,$100.89 ,$112.10 ,$95.29 ,$112.10 ,$95.29 ,$95.29 ,$100.89 ,$100.89 ,$88.00 ,$92.59 ,$112.10 ,$72.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600529,L1906,DONUT CUSHION,291,1 ,$31.80 ,$20.67 ,$20.67 ,$241.66 ,$25.44 ,$96.66 ,$25.20 ,$28.64 ,$28.64 ,$183.66 ,$27.03 ,$23.53 ,$241.66 ,$96.66 , N/A ,$26.52 ,$96.66 ,$26.27 ,$25.44 ,$28.62 ,$31.80 ,$27.03 ,$31.80 ,$27.03 ,$27.03 ,$28.62 ,$28.62 ,$24.96 ,$26.27 ,$31.80 ,$20.67 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600530,L1906,ELONGATED TOILET RISER,291,1 ,$41.30 ,$26.85 ,$26.85 ,$246.41 ,$33.04 ,$98.56 ,$32.73 ,$37.19 ,$37.19 ,$187.27 ,$35.11 ,$30.56 ,$246.41 ,$98.56 , N/A ,$34.44 ,$98.56 ,$34.11 ,$33.04 ,$37.17 ,$41.30 ,$35.11 ,$41.30 ,$35.11 ,$35.11 ,$37.17 ,$37.17 ,$32.42 ,$34.11 ,$41.30 ,$26.85 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600531,L1906,TUB RAILS (11x7),291,1 ,$69.61 ,$45.25 ,$45.25 ,$260.57 ,$55.69 ,$104.23 ,$55.16 ,$62.68 ,$62.68 ,$198.03 ,$59.17 ,$51.51 ,$260.57 ,$104.23 , N/A ,$58.05 ,$104.23 ,$57.50 ,$55.69 ,$62.65 ,$69.61 ,$59.17 ,$69.61 ,$59.17 ,$59.17 ,$62.65 ,$62.65 ,$54.64 ,$57.50 ,$69.61 ,$45.25 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600532,L1832,"HINGED KNEE WRAP 17""-19""",291,1 ,$279.66 ,$181.78 ,$181.78 ,"$1,522.71 ",$223.73 ,$609.08 ,$221.60 ,$251.83 ,$251.83 ,"$1,157.26 ",$237.71 ,$206.95 ,"$1,522.71 ",$609.08 , N/A ,$233.24 ,$609.08 ,$231.00 ,$223.73 ,$251.69 ,$279.66 ,$237.71 ,$279.66 ,$237.71 ,$237.71 ,$251.69 ,$251.69 ,$219.53 ,$231.00 ,$279.66 ,$181.78 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600533,L4386,EQUALZR LOW WALK BOOT MD,291,1 ,$186.55 ,$121.26 ,$121.26 ,$411.60 ,$149.24 ,$164.64 ,$147.82 ,$167.99 ,$167.99 ,$312.81 ,$158.57 ,$138.05 ,$411.60 ,$164.64 , N/A ,$155.58 ,$164.64 ,$154.09 ,$149.24 ,$167.90 ,$186.55 ,$158.57 ,$176.33 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$176.33 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600534,N/A,AIRCAST/ANKLE SUPPORT,291,1 ,$113.73 ,$73.92 ,$73.92 ,$102.41 ,$90.98 , N/A ,$90.12 ,$102.41 ,$102.41 , N/A ,$96.67 ,$84.16 , N/A , N/A , N/A ,$94.85 , N/A ,$93.94 ,$90.98 ,$102.36 , N/A ,$96.67 , N/A ,$96.67 ,$96.67 ,$102.36 ,$102.36 ,$89.28 ,$93.94 , N/A ,$73.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600535,N/A,"REACHER 26""",291,1 ,$32.91 ,$21.39 ,$21.39 ,$29.64 ,$26.33 , N/A ,$26.08 ,$29.64 ,$29.64 , N/A ,$27.97 ,$24.35 , N/A , N/A , N/A ,$27.45 , N/A ,$27.18 ,$26.33 ,$29.62 , N/A ,$27.97 , N/A ,$27.97 ,$27.97 ,$29.62 ,$29.62 ,$25.83 ,$27.18 , N/A ,$21.39 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600536,L0210,RIB BELT-FEMALE,291,1 ,$52.09 ,$33.86 ,$33.86 ,$46.91 ,$41.67 , N/A ,$41.28 ,$46.91 ,$46.91 , N/A ,$44.28 ,$38.55 , N/A , N/A , N/A ,$43.44 , N/A ,$43.03 ,$41.67 ,$46.88 , N/A ,$44.28 , N/A ,$44.28 ,$44.28 ,$46.88 ,$46.88 ,$40.89 ,$43.03 , N/A ,$33.86 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600537,E0562,H2 HEATED HUMIDIFIER,291,1 ,$439.55 ,$285.71 ,$230.16 ,$575.40 ,$351.64 ,$230.16 ,$348.30 ,$395.81 ,$395.81 ,$437.30 ,$373.62 ,$325.27 ,$575.40 ,$230.16 , N/A ,$366.58 ,$230.16 ,$363.07 ,$351.64 ,$395.60 ,$439.55 ,$373.62 ,$246.50 ,$373.62 ,$373.62 ,$395.60 ,$395.60 ,$345.05 ,$363.07 ,$246.50 ,$285.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600538,A7034,SWIFT NASAL PILLOW,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600539,A7034,ULTRA MIRAGE FULL-LG STAND,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600540,A7030,ULTRA MIRAGE FULL-SM STAND,291,1 ,$279.80 ,$181.87 ,$147.02 ,$367.56 ,$223.84 ,$147.02 ,$221.71 ,$251.96 ,$251.96 ,$279.35 ,$237.83 ,$207.05 ,$367.56 ,$147.02 , N/A ,$233.35 ,$147.02 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$157.46 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$157.46 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600541,A7034,ULTRA MIRAGE FULL-MD,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600542,A7034,MIRAGE VISTA-STD,291,1 ,$279.80 ,$181.87 ,$113.26 ,$283.14 ,$223.84 ,$113.26 ,$221.71 ,$251.96 ,$251.96 ,$215.19 ,$237.83 ,$207.05 ,$283.14 ,$113.26 , N/A ,$233.35 ,$113.26 ,$231.11 ,$223.84 ,$251.82 ,$279.80 ,$237.83 ,$121.30 ,$237.83 ,$237.83 ,$251.82 ,$251.82 ,$219.64 ,$231.11 ,$121.30 ,$181.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600543,A5120,SKIN PREP WIPES,291,1 ,$23.36 ,$15.18 ,$15.18 ,$21.04 ,$18.69 , N/A ,$18.51 ,$21.04 ,$21.04 , N/A ,$19.86 ,$17.29 , N/A , N/A , N/A ,$19.48 , N/A ,$19.30 ,$18.69 ,$21.02 , N/A ,$19.86 , N/A ,$19.86 ,$19.86 ,$21.02 ,$21.02 ,$18.34 ,$19.30 , N/A ,$15.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600544,A5120,S8 CPAP FILTER,291,1 ,$23.36 ,$15.18 ,$15.18 ,$21.04 ,$18.69 , N/A ,$18.51 ,$21.04 ,$21.04 , N/A ,$19.86 ,$17.29 , N/A , N/A , N/A ,$19.48 , N/A ,$19.30 ,$18.69 ,$21.02 , N/A ,$19.86 , N/A ,$19.86 ,$19.86 ,$21.02 ,$21.02 ,$18.34 ,$19.30 , N/A ,$15.18 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600545,A7038,S7 CPAP FILTER,291,1 ,$8.13 ,$5.28 ,$3.79 ,$9.49 ,$6.50 ,$3.79 ,$6.44 ,$7.32 ,$7.32 ,$7.21 ,$6.91 ,$6.02 ,$9.49 ,$3.79 , N/A ,$6.78 ,$3.79 ,$6.72 ,$6.50 ,$7.32 ,$8.13 ,$6.91 ,$4.06 ,$6.91 ,$6.91 ,$7.32 ,$7.32 ,$6.38 ,$6.72 ,$4.06 ,$5.28 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600546,A5063,HOLLISTER POUCHES 3804,291,1 ,$62.63 ,$40.71 ,$40.71 ,$56.40 ,$50.10 , N/A ,$49.63 ,$56.40 ,$56.40 , N/A ,$53.24 ,$46.35 , N/A , N/A , N/A ,$52.23 , N/A ,$51.73 ,$50.10 ,$56.37 , N/A ,$53.24 , N/A ,$53.24 ,$53.24 ,$56.37 ,$56.37 ,$49.16 ,$51.73 , N/A ,$40.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600547,A4414,HOLLISTER POUCHES 3807,291,1 ,$62.02 ,$40.31 ,$40.31 ,$55.85 ,$49.62 , N/A ,$49.14 ,$55.85 ,$55.85 , N/A ,$52.72 ,$45.89 , N/A , N/A , N/A ,$51.72 , N/A ,$51.23 ,$49.62 ,$55.82 , N/A ,$52.72 , N/A ,$52.72 ,$52.72 ,$55.82 ,$55.82 ,$48.69 ,$51.23 , N/A ,$40.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600548,E0144,ROLLATOR-BURGANDY,291,1 ,$181.72 ,$118.12 ,$36.34 ,$163.64 ,$145.38 ,$36.34 ,$143.99 ,$163.64 ,$163.64 ,$69.05 ,$154.46 ,$134.47 ,$90.86 ,$36.34 , N/A ,$151.55 ,$36.34 ,$150.10 ,$145.38 ,$163.55 ,$90.86 ,$154.46 ,$38.92 ,$154.46 ,$154.46 ,$163.55 ,$163.55 ,$142.65 ,$150.10 ,$38.92 ,$118.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600549,E0484,FLUTTER DEVICE,291,1 ,$88.50 ,$57.53 ,$52.10 ,$130.25 ,$70.80 ,$52.10 ,$70.13 ,$79.69 ,$79.69 ,$98.99 ,$75.23 ,$65.49 ,$130.25 ,$52.10 , N/A ,$73.81 ,$52.10 ,$73.10 ,$70.80 ,$79.65 ,$88.50 ,$75.23 ,$55.80 ,$75.23 ,$75.23 ,$79.65 ,$79.65 ,$69.47 ,$73.10 ,$55.80 ,$57.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600550,A5500,NEW YORKER 9.5 MENS MED.,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600551,A5500,SPORT II TEEN 6.5 MED.,291,1 ,$230.10 ,$149.57 ,$46.02 ,$207.21 ,$184.08 ,$46.02 ,$182.33 ,$207.21 ,$207.21 ,$87.44 ,$195.59 ,$170.27 ,$115.05 ,$46.02 , N/A ,$191.90 ,$46.02 ,$190.06 ,$184.08 ,$207.09 ,$115.05 ,$195.59 ,$49.29 ,$195.59 ,$195.59 ,$207.09 ,$207.09 ,$180.63 ,$190.06 ,$49.29 ,$149.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600552,A5500,SEAT LIFT CHAIR-CONCORD CAMEL,291,1 ,$896.80 ,$582.92 ,$179.36 ,$807.57 ,$717.44 ,$179.36 ,$710.62 ,$807.57 ,$807.57 ,$340.78 ,$762.28 ,$663.63 ,$448.40 ,$179.36 , N/A ,$747.93 ,$179.36 ,$740.76 ,$717.44 ,$807.12 ,$448.40 ,$762.28 ,$192.09 ,$762.28 ,$762.28 ,$807.12 ,$807.12 ,$703.99 ,$740.76 ,$192.09 ,$582.92 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600553,A5500,SEAT LIFT 325 WYNDHAM BORDEAUX,291,1 ,$939.28 ,$610.53 ,$187.86 ,$845.82 ,$751.42 ,$187.86 ,$744.29 ,$845.82 ,$845.82 ,$356.93 ,$798.39 ,$695.07 ,$469.64 ,$187.86 , N/A ,$783.36 ,$187.86 ,$775.85 ,$751.42 ,$845.35 ,$469.64 ,$798.39 ,$201.19 ,$798.39 ,$798.39 ,$845.35 ,$845.35 ,$737.33 ,$775.85 ,$201.19 ,$610.53 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600554,A5500,ACTION LIFT CHR START KIT,291,1 ,$233.64 ,$151.87 ,$46.73 ,$210.39 ,$186.91 ,$46.73 ,$185.14 ,$210.39 ,$210.39 ,$88.78 ,$198.59 ,$172.89 ,$116.82 ,$46.73 , N/A ,$194.86 ,$46.73 ,$192.99 ,$186.91 ,$210.28 ,$116.82 ,$198.59 ,$50.05 ,$198.59 ,$198.59 ,$210.28 ,$210.28 ,$183.41 ,$192.99 ,$50.05 ,$151.87 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600555,L1825,NEOP.OPEN PATEL.KNEE-MD,291,1 ,$22.41 ,$14.57 ,$14.57 ,$20.18 ,$17.93 , N/A ,$17.76 ,$20.18 ,$20.18 , N/A ,$19.05 ,$16.58 , N/A , N/A , N/A ,$18.69 , N/A ,$18.51 ,$17.93 ,$20.17 , N/A ,$19.05 , N/A ,$19.05 ,$19.05 ,$20.17 ,$20.17 ,$17.59 ,$18.51 , N/A ,$14.57 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600556,N/A,"ACE WRAP 3""",291,1 ,$6.63 ,$4.31 ,$4.31 ,$5.97 ,$5.30 , N/A ,$5.25 ,$5.97 ,$5.97 , N/A ,$5.64 ,$4.91 , N/A , N/A , N/A ,$5.53 , N/A ,$5.48 ,$5.30 ,$5.97 , N/A ,$5.64 , N/A ,$5.64 ,$5.64 ,$5.97 ,$5.97 ,$5.20 ,$5.48 , N/A ,$4.31 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600557,N/A,STETHOSCOPE DUAL HEAD,291,1 ,$23.59 ,$15.33 ,$15.33 ,$21.24 ,$18.87 , N/A ,$18.69 ,$21.24 ,$21.24 , N/A ,$20.05 ,$17.46 , N/A , N/A , N/A ,$19.67 , N/A ,$19.49 ,$18.87 ,$21.23 , N/A ,$20.05 , N/A ,$20.05 ,$20.05 ,$21.23 ,$21.23 ,$18.52 ,$19.49 , N/A ,$15.33 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600558,L3908,DLX CARPEL TUNNEL LT.LG.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600559,L3908,DLX CARPEL TUNNEL RT.LG.,291,1 ,$76.56 ,$49.76 ,$49.76 ,$172.24 ,$61.25 ,$68.90 ,$60.67 ,$68.94 ,$68.94 ,$130.90 ,$65.08 ,$56.65 ,$172.24 ,$68.90 , N/A ,$63.85 ,$68.90 ,$63.24 ,$61.25 ,$68.90 ,$76.56 ,$65.08 ,$73.79 ,$65.08 ,$65.08 ,$68.90 ,$68.90 ,$60.10 ,$63.24 ,$73.79 ,$49.76 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600560,A4253,ASCENCIA MICROFILL TESTSTRIP,291,1 ,$136.36 ,$88.63 ,$88.63 ,$122.79 ,$109.09 , N/A ,$108.05 ,$122.79 ,$122.79 , N/A ,$115.91 ,$100.91 , N/A , N/A , N/A ,$113.72 , N/A ,$112.63 ,$109.09 ,$122.72 , N/A ,$115.91 , N/A ,$115.91 ,$115.91 ,$122.72 ,$122.72 ,$107.04 ,$112.63 , N/A ,$88.63 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600561,E0144,ROLLATOR-GREEN,291,1 ,$181.72 ,$118.12 ,$36.34 ,$163.64 ,$145.38 ,$36.34 ,$143.99 ,$163.64 ,$163.64 ,$69.05 ,$154.46 ,$134.47 ,$90.86 ,$36.34 , N/A ,$151.55 ,$36.34 ,$150.10 ,$145.38 ,$163.55 ,$90.86 ,$154.46 ,$38.92 ,$154.46 ,$154.46 ,$163.55 ,$163.55 ,$142.65 ,$150.10 ,$38.92 ,$118.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600562,A4253,ELEVATED TOILET SEAT,291,1 ,$29.97 ,$19.48 ,$19.48 ,$26.99 ,$23.98 , N/A ,$23.75 ,$26.99 ,$26.99 , N/A ,$25.47 ,$22.18 , N/A , N/A , N/A ,$25.00 , N/A ,$24.76 ,$23.98 ,$26.97 , N/A ,$25.47 , N/A ,$25.47 ,$25.47 ,$26.97 ,$26.97 ,$23.53 ,$24.76 , N/A ,$19.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600563,A4253,MINI PLUS NEBULIZER,291,1 ,$157.08 ,$102.10 ,$102.10 ,$141.45 ,$125.66 , N/A ,$124.47 ,$141.45 ,$141.45 , N/A ,$133.52 ,$116.24 , N/A , N/A , N/A ,$131.00 , N/A ,$129.75 ,$125.66 ,$141.37 , N/A ,$133.52 , N/A ,$133.52 ,$133.52 ,$141.37 ,$141.37 ,$123.31 ,$129.75 , N/A ,$102.10 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600564,A4253,HAND CONTROL,291,1 ,$373.30 ,$242.65 ,$242.65 ,$336.16 ,$298.64 , N/A ,$295.80 ,$336.16 ,$336.16 , N/A ,$317.31 ,$276.24 , N/A , N/A , N/A ,$311.33 , N/A ,$308.35 ,$298.64 ,$335.97 , N/A ,$317.31 , N/A ,$317.31 ,$317.31 ,$335.97 ,$335.97 ,$293.04 ,$308.35 , N/A ,$242.65 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600565,K0006,"WHLCHAIR 20""-22""RDL W/DFR",291,1 ,$519.20 ,$337.48 ,$103.84 ,$467.54 ,$415.36 ,$103.84 ,$411.41 ,$467.54 ,$467.54 ,$197.30 ,$441.32 ,$384.21 ,$259.60 ,$103.84 , N/A ,$433.01 ,$103.84 ,$428.86 ,$415.36 ,$467.28 ,$259.60 ,$441.32 ,$111.21 ,$441.32 ,$441.32 ,$467.28 ,$467.28 ,$407.57 ,$428.86 ,$111.21 ,$337.48 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600566,K0006,TRANSFER BENCH (NONPAD),291,1 ,$98.65 ,$64.12 ,$19.73 ,$88.83 ,$78.92 ,$19.73 ,$78.17 ,$88.83 ,$88.83 ,$37.49 ,$83.85 ,$73.00 ,$49.33 ,$19.73 , N/A ,$82.27 ,$19.73 ,$81.48 ,$78.92 ,$88.79 ,$49.33 ,$83.85 ,$21.13 ,$83.85 ,$83.85 ,$88.79 ,$88.79 ,$77.44 ,$81.48 ,$21.13 ,$64.12 HSHS GOOD SHEPHERD HOSPITAL (ACU),8600567,K0006,LOW WALKER BOOT-LG,291,1 ,$186.55 ,$121.26 ,$37.31 ,$167.99 ,$149.24 ,$37.31 ,$147.82 ,$167.99 ,$167.99 ,$70.89 ,$158.57 ,$138.05 ,$93.28 ,$37.31 , N/A ,$155.58 ,$37.31 ,$154.09 ,$149.24 ,$167.90 ,$93.28 ,$158.57 ,$39.96 ,$158.57 ,$158.57 ,$167.90 ,$167.90 ,$146.44 ,$154.09 ,$39.96 ,$121.26 HSHS GOOD SHEPHERD HOSPITAL (ACU),87,N/A,NF-COMBIGAN OPHTH SOLN,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),88,N/A,NF-COENZYME Q-10 LIQ CAP 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),89,N/A,NF-FOLIC ACID TABLET 0.8MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),90,N/A,NF-VITAMIN D3 LIQUID FILLED CAPSULE 1000,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),91,N/A,NF-POTASSIUM GLUCONATE TABLET 500MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),919191,82306,..TESTING MISC,301,1 ,$150.32 ,$97.71 ,$29.60 ,$135.36 ,$120.26 ,$29.60 ,$119.11 ,$135.36 ,$135.36 ,$56.24 ,$127.77 ,$111.24 ,$74.00 ,$29.60 , N/A ,$125.37 ,$29.60 ,$124.16 ,$120.26 ,$135.29 ,$74.00 ,$127.77 ,$29.60 ,$127.77 ,$127.77 ,$135.29 ,$135.29 ,$118.00 ,$124.16 ,$29.60 ,$97.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),919192,82306,..TESTING CULTURE URINE,301,1 ,$150.32 ,$97.71 ,$29.60 ,$135.36 ,$120.26 ,$29.60 ,$119.11 ,$135.36 ,$135.36 ,$56.24 ,$127.77 ,$111.24 ,$74.00 ,$29.60 , N/A ,$125.37 ,$29.60 ,$124.16 ,$120.26 ,$135.29 ,$74.00 ,$127.77 ,$29.60 ,$127.77 ,$127.77 ,$135.29 ,$135.29 ,$118.00 ,$124.16 ,$29.60 ,$97.71 HSHS GOOD SHEPHERD HOSPITAL (ACU),92,N/A,NF-CALCIUM/MAGNESIUM CHELATED ZINC TABLE,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),93,N/A,NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),94,N/A,NF-FLUVOXAMINE MALEATE ORAL TABLET 50MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),95,N/A,NF-MULTAQ ORAL TABLET 400MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),96,N/A,NF-OMEPRAZOLE DELAYED-RELEASE TABLET 20M,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),97,N/A,NF-OMEPRAZOLE CAP DR 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),98,N/A,NF-ACIPHEX ORAL TABLET 20MG,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99,N/A,NF-PREDNISOLONE ACETATE OPHTHALMIC SUSP,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99001,N/A,BAD DEBT WRITE OFF,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99002,N/A,SMALL BALANCE ADJUSTMENT,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99003,N/A,BALANCE TRANSFER,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99004,N/A,BAD DEBT RECOVERY,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99005,N/A,RETURNED CHECK,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99006,N/A,PATIENT/INSURANCE REFUND,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99007,N/A,PRIOR BAD DEBT,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99008,N/A,EMPLOYEE DISCOUNTS,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99009,N/A,COURTESY DISCOUNTS,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99010,N/A,PAT MISC ADJUSTMENT OP,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99011,N/A,PR AR DEDUCTION,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99012,N/A,FINANCE CHARGE 15% APR,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99013,N/A,FINANCE CHARGE,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99014,N/A,CONTRACT DISCOUNT,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99015,N/A,NON-COVERED - PHARMACY,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99016,N/A,PAT MISC ADJUSTMENT IP,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99017,N/A,PAT MISC ADJUSTMENT NH,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99018,N/A,PAT MISC ADJUSTMENT SWG,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99019,N/A,UNINSURED DISCOUNT,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99020,N/A,CHARITY ADJUSTMENT FULL,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99021,N/A,CHARITY ADJUSTMENT PARTIAL,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99022,N/A,PRESUMPTIVE CHARITY,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99023,N/A,PINK RIBBON,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99025,N/A,NO SIGNED ABN,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99026,N/A,INSURANCE NOT VERIFIED,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99027,N/A,LATE CHARGES - LAB,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99028,N/A,LATE CHARGES - RESPIRATORY,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99029,N/A,LATE CHARGES - RADIOLOGY,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99030,N/A,TIMELY FILING,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99031,N/A,NON-COVERED DIAGNOSIS-LAB,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99032,N/A,NON-COVERED DIAGNOSIS-RADIOLOGY,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99033,N/A,NO PRE-CERTIFICATION OBTAINED,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99034,N/A,NO MEDICAL NECESSITY,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99035,N/A,SMALL BALANCE WRITE OFF,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99036,N/A,END OF FY DISCT OFFERING,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99037,N/A,COLLECTIONS RECOVERY,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99055,N/A,DECEASED - NO ESTATE,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99056,N/A,WORKER'S COMP,N/A,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99057,N/A,COMPLAINT WRITE OFF,990,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),99285,N/A,0000,120,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999001,N/A,MISC ITEM NURSE ADMIN,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999002,N/A,MISC ITEM NURSING,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999004,N/A,MISC ITEM QUAL IMP,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999005,N/A,MISC ITEM INF CON,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999007,N/A,MISC ITEM DIS CHG,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999011,N/A,MISC ITEM CARD REHAB,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999015,N/A,MISC ITEM OR,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999019,N/A,MISC ITEM SPECIALTY CLINIC,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999020,N/A,MISC ITEM ER,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999024,N/A,MISC LAB,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999026,N/A,MISC ITEM HOME HEALTH,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999028,N/A,MISC ITEM RURAL HEALTH CLINIC,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999029,N/A,MISC ITEM PAINTER CLINIC,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999030,N/A,MISC ITEM RADIOLOGY,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999034,N/A,MISC ITEM PHARMACY,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999036,N/A,MISC ITEM RESPIRATORY,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999039,N/A,MISC PHYSICAL THERAPY,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999044,N/A,MISC ITEM MED REC,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999047,N/A,MISC ITEM DIETARY,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999048,N/A,MISC ITEM ENVIRONMENTAL SERVICES,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999051,N/A,MISC MAINTENANCE,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999053,N/A,MISC ITEM HOUSEKEEPING,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999054,N/A,MISC ITEM LAUNDRY,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999056,N/A,MISC ITEM HUMAN RESOURCES,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999059,N/A,MISC ITEM PT ACCOUNTS/REGISTRATION,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999060,N/A,MISC ITEM MATERIALS MANAGEMENT,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999062,N/A,MISC ITEM PATIENT ACCESS,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999063,N/A,MISC ITEM ACCOUNTING,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999064,N/A,MISC ITEM IT,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999065,N/A,MISC ITEM CEO,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),999067,N/A,MISC ITEM SHELBY HM EQUIPMENT,270,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A HSHS GOOD SHEPHERD HOSPITAL (ACU),9999999,N/A,MISC NH PHARMACY,637,1 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A