ST. ANTHONY'S MEMORIAL HOSPITAL - Price Transparency,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Site,Svc_Cd,HCPC/Cpt_Cd,CDM_Svc_Descr,Rev_Cd, Quantity/Units , Hopsital_Cdm_Chg , Self_Pay_Chg , Minimum_Negotiated_Chg , Maximum_Negotiated_Chg ," 6 DEGREES HEALTH, INC ", AETNA , AETNA HSHS , AETNA MEDICARE , AMISH COMMUNITY DISCOUNT , BC EXCHANGE , BC MEDICARE , BCBS OF ILLINOIS PPO , BLUE CROSS BLUE SHEILD OF ILLINOIS DUAL , BLUE CROSS BLUE SHIELD  IL HMO , BLUE CROSS BLUE SHIELD IPA IL , BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV , BLUE CROSS SIHCA , CELTIC INSURANCE COMPANY , CHOICE CARE , CIGNA , CLAIM DOC , CLEAR SPRING HEALTH MEDICARE ADV , CONSOCIATE GROUP ," ESSENCE, L.L.P. ", FIRST HEALTH NETWORK , HEALTH ALLIANCE KINGERY , HEALTH ALLIANCE MEDICAL PLAN EXCHANGE ," HEALTH ALLIANCE MEDICAL PLANS, INC. ", HEALTH ALLIANCE MEDICARE , HEALTH ALLIANCE PPO , HEALTH PARTNERS MEDICARE , HEALTHLINK , HEALTHLINK CASINO QUEEN , HEALTHLINK PPO , HFN , HOPETRUST , HUMANA , HUMANA MEDICARE , ILLINOIS BREAST AND CERVICAL CANCER PROGRAM , LIVE360 HSHS HEALTHY PLAN , LIVE360 MEDICARE COST PLAN , LIVE360 NON HSHS HEALTHY PLAN , MERIDIAN HMO MCD , MOLINA MEDICAID , MOLINA MEDICARE , MULTIPLAN , NAPHCARE , PHYSICIANS HEALTH ASSOCIATION OF IL BCBS HMO , PLAIN CHURCH MEDICAL GROUP , PROVIDER NETWORK OF AMERICA , SAE MEMORIAL HOSPICE , UHC CATERPILLAR , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , WELLFIRST 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$39,336.51 ","$3,420.26 ","$150,552.52 ","$60,517.70 ","$45,085.69 ","$39,639.09 ","$59,307.35 ","$16,944.96 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$140,164.38 ","$54,465.93 ","$45,388.28 ","$60,517.70 ","$59,900.42 ","$51,440.05 ","$59,307.35 ","$45,388.28 ","$45,388.28 ","$51,440.05 ","$51,440.05 ","$59,307.35 ","$51,440.05 ","$59,307.35 ","$44,783.10 ","$44,783.10 ","$44,783.10 ","$54,465.93 ","$60,517.70 ","$54,465.93 ","$59,307.35 ", N/A ,"$39,639.09 ","$59,307.35 ","$25,175.36 ","$3,583.13 ","$3,420.26 ","$59,307.35 ","$54,465.93 ","$150,552.52 ","$60,517.70 ","$16,944.96 ","$54,465.93 ","$59,307.35 ","$54,465.93 ","$54,465.93 ","$59,307.35 ","$39,336.51 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$9,948.71 ","$2,504.64 ","$38,075.64 ","$15,305.70 ","$11,402.75 ","$10,025.23 ","$15,305.70 ","$4,285.60 ","$8,292.30 ","$15,305.70 ","$8,292.30 ","$15,305.70 ","$8,292.30 ","$8,292.30 ","$15,305.70 ","$8,292.30 ","$36,171.86 ","$13,775.13 ","$11,479.28 ","$15,305.70 ","$15,458.76 ","$13,009.85 ","$15,305.70 ","$11,479.28 ","$11,479.28 ","$13,009.85 ","$13,009.85 ","$15,305.70 ","$13,009.85 ","$15,305.70 ","$11,326.22 ","$11,326.22 ","$11,326.22 ","$13,775.13 ","$15,305.70 ","$13,775.13 ","$15,305.70 ", N/A ,"$10,025.23 ","$15,305.70 ","$6,367.17 ","$2,623.91 ","$2,504.64 ","$15,305.70 ","$13,775.13 ","$38,075.64 ","$8,292.30 ","$4,285.60 ","$13,775.13 ","$15,305.70 ","$13,775.13 ","$13,775.13 ","$15,305.70 ","$9,948.71 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$7,445.85 ","$2,504.64 ","$28,497.50 ","$11,455.16 ","$8,534.09 ","$7,503.13 ","$11,455.16 ","$3,207.44 ","$8,292.30 ","$11,455.16 ","$8,292.30 ","$11,455.16 ","$8,292.30 ","$8,292.30 ","$11,455.16 ","$8,292.30 ","$27,072.63 ","$10,309.64 ","$8,591.37 ","$11,455.16 ","$11,569.71 ","$9,736.89 ","$11,455.16 ","$8,591.37 ","$8,591.37 ","$9,736.89 ","$9,736.89 ","$11,455.16 ","$9,736.89 ","$11,455.16 ","$8,476.82 ","$8,476.82 ","$8,476.82 ","$10,309.64 ","$11,455.16 ","$10,309.64 ","$11,455.16 ", N/A ,"$7,503.13 ","$11,455.16 ","$4,765.35 ","$2,623.91 ","$2,504.64 ","$11,455.16 ","$10,309.64 ","$28,497.50 ","$8,292.30 ","$3,207.44 ","$10,309.64 ","$11,455.16 ","$10,309.64 ","$10,309.64 ","$11,455.16 ","$7,445.85 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$15,401.47 ","$2,504.64 ","$58,946.02 ","$23,694.57 ","$17,652.45 ","$15,519.94 ","$23,220.68 ","$6,634.48 ","$12,438.45 ","$23,220.68 ","$12,438.45 ","$23,220.68 ","$12,438.45 ","$12,438.45 ","$23,220.68 ","$12,438.45 ","$54,878.75 ","$21,325.11 ","$17,770.93 ","$23,694.57 ","$23,452.89 ","$20,140.38 ","$23,220.68 ","$17,770.93 ","$17,770.93 ","$20,140.38 ","$20,140.38 ","$23,220.68 ","$20,140.38 ","$23,220.68 ","$17,533.98 ","$17,533.98 ","$17,533.98 ","$21,325.11 ","$23,694.57 ","$21,325.11 ","$23,220.68 ", N/A ,"$15,519.94 ","$23,220.68 ","$9,856.94 ","$2,623.91 ","$2,504.64 ","$23,220.68 ","$21,325.11 ","$58,946.02 ","$12,438.45 ","$6,634.48 ","$21,325.11 ","$23,220.68 ","$21,325.11 ","$21,325.11 ","$23,220.68 ","$15,401.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$4,438.60 ","$1,912.01 ","$16,987.84 ","$6,828.61 ","$5,087.31 ","$4,472.74 ","$6,828.61 ","$1,912.01 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$16,138.45 ","$6,145.75 ","$5,121.46 ","$6,828.61 ","$6,896.90 ","$5,804.32 ","$6,828.61 ","$5,121.46 ","$5,121.46 ","$5,804.32 ","$5,804.32 ","$6,828.61 ","$5,804.32 ","$6,828.61 ","$6,722.00 ","$6,722.00 ","$6,722.00 ","$6,145.75 ","$6,828.61 ","$6,145.75 ","$6,828.61 ", N/A ,"$4,472.74 ","$6,828.61 ","$2,840.70 ","$2,623.91 ","$2,504.64 ","$6,828.61 ","$6,145.75 ","$16,987.84 ","$6,828.61 ","$1,912.01 ","$6,145.75 ","$6,828.61 ","$6,145.75 ","$6,145.75 ","$6,828.61 ","$4,438.60 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),12000001,N/A,HC DAILY SERVICE GENERAL,120,1 ,$951.00 ,$618.15 ,$266.28 ,$951.00 , Inpatient Medicare +150% ,$708.50 ,$622.91 , Inpatient Medicare +150% ,$266.28 ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ","$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare +90% ,$855.90 ,$713.25 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$808.35 , Inpatient Medicare ,$713.25 ,$713.25 ,$808.35 ,$808.35 , Inpatient Medicare ,$808.35 , Inpatient Medicare ,$703.74 ,$703.74 ,$703.74 ,$855.90 , Inpatient Medicare +150% ,$855.90 , Inpatient Medicare , N/A ,$622.91 , Inpatient Medicare ,$395.62 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$855.90 , Inpatient Medicare +100% ,"$4,146.15 ",$266.28 ,$855.90 , Inpatient Medicare ,$855.90 ,$855.90 , Inpatient Medicare ,$618.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),12000006,N/A,HC DAILY SERVICE W/TELEMETRY,120,1 ,"$1,340.00 ",$871.00 ,$375.20 ,"$1,340.00 ", Inpatient Medicare +150% ,$998.30 ,$877.70 , Inpatient Medicare +150% ,$375.20 ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ","$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare +90% ,"$1,206.00 ","$1,005.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,139.00 ", Inpatient Medicare ,"$1,005.00 ","$1,005.00 ","$1,139.00 ","$1,139.00 ", Inpatient Medicare ,"$1,139.00 ", Inpatient Medicare ,$991.60 ,$991.60 ,$991.60 ,"$1,206.00 ", Inpatient Medicare +150% ,"$1,206.00 ", Inpatient Medicare , N/A ,$877.70 , Inpatient Medicare ,$557.44 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,206.00 ", Inpatient Medicare +100% ,"$4,146.15 ",$375.20 ,"$1,206.00 ", Inpatient Medicare ,"$1,206.00 ","$1,206.00 ", Inpatient Medicare ,$871.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),12200001,N/A,HC DAILY SERVICE OBSTETRICS,122,1 ,$951.00 ,$618.15 ,$266.28 ,$951.00 , Inpatient Medicare +150% ,$708.50 ,$622.91 , Inpatient Medicare +150% ,$266.28 ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ","$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare +90% ,$855.90 ,$713.25 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$808.35 , Inpatient Medicare ,$713.25 ,$713.25 ,$808.35 ,$808.35 , Inpatient Medicare ,$808.35 , Inpatient Medicare ,$703.74 ,$703.74 ,$703.74 ,$855.90 , Inpatient Medicare +150% ,$855.90 , Inpatient Medicare , N/A ,$622.91 , Inpatient Medicare ,$395.62 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$855.90 , Inpatient Medicare +100% ,"$4,146.15 ",$266.28 ,$855.90 , Inpatient Medicare ,$855.90 ,$855.90 , Inpatient Medicare ,$618.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),12500001,N/A,HC DAILY HOSPICE ACUTE CARE,125,1 ,$923.00 ,$599.95 ,$258.44 ,$923.00 , Inpatient Medicare +150% ,$687.64 ,$604.57 , Inpatient Medicare +150% ,$258.44 ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ","$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare +90% ,$830.70 ,$692.25 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$784.55 , Inpatient Medicare ,$692.25 ,$692.25 ,$784.55 ,$784.55 , Inpatient Medicare ,$784.55 , Inpatient Medicare ,$683.02 ,$683.02 ,$683.02 ,$830.70 , Inpatient Medicare +150% ,$830.70 , Inpatient Medicare , N/A ,$604.57 , Inpatient Medicare ,$383.97 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$830.70 , Inpatient Medicare +100% ,"$4,146.15 ",$258.44 ,$830.70 , Inpatient Medicare ,$830.70 ,$830.70 , Inpatient Medicare ,$599.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),17100001,N/A,HC DAILY INFANT SERVICE LEV 1,171,1 ,$814.00 ,$529.10 ,$227.92 ,$814.00 , Inpatient Medicare +150% ,$606.43 ,$533.17 , Inpatient Medicare +150% ,$227.92 ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ","$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare +90% ,$732.60 ,$610.50 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$691.90 , Inpatient Medicare ,$610.50 ,$610.50 ,$691.90 ,$691.90 , Inpatient Medicare ,$691.90 , Inpatient Medicare ,$602.36 ,$602.36 ,$602.36 ,$732.60 , Inpatient Medicare +150% ,$732.60 , Inpatient Medicare , N/A ,$533.17 , Inpatient Medicare ,$338.62 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$732.60 , Inpatient Medicare +100% ,"$4,146.15 ",$227.92 ,$732.60 , Inpatient Medicare ,$732.60 ,$732.60 , Inpatient Medicare ,$529.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),17200002,N/A,HC DAILY INFANT SERVICE LEV 2,172,1 ,"$1,351.00 ",$878.15 ,$378.28 ,"$1,351.00 ", Inpatient Medicare +150% ,"$1,006.50 ",$884.91 , Inpatient Medicare +150% ,$378.28 ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ","$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare +90% ,"$1,215.90 ","$1,013.25 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,148.35 ", Inpatient Medicare ,"$1,013.25 ","$1,013.25 ","$1,148.35 ","$1,148.35 ", Inpatient Medicare ,"$1,148.35 ", Inpatient Medicare ,$999.74 ,$999.74 ,$999.74 ,"$1,215.90 ", Inpatient Medicare +150% ,"$1,215.90 ", Inpatient Medicare , N/A ,$884.91 , Inpatient Medicare ,$562.02 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,215.90 ", Inpatient Medicare +100% ,"$4,146.15 ",$378.28 ,"$1,215.90 ", Inpatient Medicare ,"$1,215.90 ","$1,215.90 ", Inpatient Medicare ,$878.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),20000001,N/A,HC DAILY SERVICE ICU,200,1 ,"$1,962.00 ","$1,275.30 ",$549.36 ,"$1,962.00 ", Inpatient Medicare +150% ,"$1,461.69 ","$1,285.11 ", Inpatient Medicare +150% ,$549.36 ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare ,"$4,146.15 ","$4,146.15 ", Inpatient Medicare ,"$4,146.15 ", Inpatient Medicare +90% ,"$1,765.80 ","$1,471.50 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,667.70 ", Inpatient Medicare ,"$1,471.50 ","$1,471.50 ","$1,667.70 ","$1,667.70 ", Inpatient Medicare ,"$1,667.70 ", Inpatient Medicare ,"$1,451.88 ","$1,451.88 ","$1,451.88 ","$1,765.80 ", Inpatient Medicare +150% ,"$1,765.80 ", Inpatient Medicare , N/A ,"$1,285.11 ", Inpatient Medicare ,$816.19 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,765.80 ", Inpatient Medicare +100% ,"$4,146.15 ",$549.36 ,"$1,765.80 ", Inpatient Medicare ,"$1,765.80 ","$1,765.80 ", Inpatient Medicare ,"$1,275.30 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$547.00 ,$355.55 ,$153.16 ,$547.00 ,$518.53 ,$407.52 ,$358.29 ,$216.00 ,$153.16 ,$276.24 ,$216.00 ,$337.50 ,$216.00 ,$337.50 ,$337.50 ,$216.00 ,$337.50 ,$410.40 ,$492.30 ,$410.25 ,$518.53 ,$216.00 ,$481.36 ,$216.00 ,$410.25 ,$410.25 ,$464.95 ,$464.95 ,$216.00 ,$464.95 ,$216.00 ,$426.66 ,$426.66 ,$426.66 ,$492.30 ,$518.53 ,$492.30 ,$216.00 ,$547.00 ,$358.29 ,$216.00 ,$227.55 ,$227.81 ,$217.46 ,$226.09 ,$492.30 ,$468.11 ,$337.50 ,$153.16 ,$492.30 ,$216.00 ,$492.30 ,$492.30 ,$216.00 ,$355.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$196.00 ,$127.40 ,$42.25 ,$196.00 ,$101.43 ,$146.02 ,$128.38 ,$42.25 ,$54.88 ,$98.98 ,$42.25 ,$120.93 ,$42.25 ,$120.93 ,$120.93 ,$42.25 ,$120.93 ,$80.28 ,$176.40 ,$147.00 ,$101.43 ,$42.25 ,$172.48 ,$42.25 ,$147.00 ,$147.00 ,$166.60 ,$166.60 ,$42.25 ,$166.60 ,$42.25 ,$152.88 ,$152.88 ,$152.88 ,$176.40 ,$101.43 ,$176.40 ,$42.25 ,$196.00 ,$128.38 ,$42.25 ,$81.54 ,$196.00 ,$196.00 ,$44.23 ,$176.40 ,$91.57 ,$120.93 ,$54.88 ,$176.40 ,$42.25 ,$176.40 ,$176.40 ,$42.25 ,$127.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$619.00 ,$402.35 ,$173.32 ,$619.00 ,$518.53 ,$461.16 ,$405.45 ,$216.00 ,$173.32 ,$312.60 ,$216.00 ,$381.92 ,$216.00 ,$381.92 ,$381.92 ,$216.00 ,$381.92 ,$410.40 ,$557.10 ,$464.25 ,$518.53 ,$216.00 ,$544.72 ,$216.00 ,$464.25 ,$464.25 ,$526.15 ,$526.15 ,$216.00 ,$526.15 ,$216.00 ,$482.82 ,$482.82 ,$482.82 ,$557.10 ,$518.53 ,$557.10 ,$216.00 ,$619.00 ,$405.45 ,$216.00 ,$257.50 ,$227.81 ,$217.46 ,$226.09 ,$557.10 ,$468.11 ,$381.92 ,$173.32 ,$557.10 ,$216.00 ,$557.10 ,$557.10 ,$216.00 ,$402.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$129.00 ,$83.85 ,$36.12 ,$129.00 ,$101.43 ,$96.11 ,$84.50 ,$42.25 ,$36.12 ,$65.15 ,$42.25 ,$79.59 ,$42.25 ,$79.59 ,$79.59 ,$42.25 ,$79.59 ,$80.28 ,$116.10 ,$96.75 ,$101.43 ,$42.25 ,$113.52 ,$42.25 ,$96.75 ,$96.75 ,$109.65 ,$109.65 ,$42.25 ,$109.65 ,$42.25 ,$100.62 ,$100.62 ,$100.62 ,$116.10 ,$101.43 ,$116.10 ,$42.25 ,$129.00 ,$84.50 ,$42.25 ,$53.66 ,$129.00 ,$129.00 ,$44.23 ,$116.10 ,$91.57 ,$79.59 ,$36.12 ,$116.10 ,$42.25 ,$116.10 ,$116.10 ,$42.25 ,$83.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$91.00 ,$59.15 ,$25.48 ,$141.87 ,$91.00 ,$67.80 ,$59.61 ,$65.46 ,$25.48 ,$45.96 ,$65.46 ,$56.15 ,$65.46 ,$56.15 ,$56.15 ,$65.46 ,$56.15 ,$124.37 ,$81.90 ,$68.25 ,$91.00 ,$65.46 ,$80.08 ,$65.46 ,$68.25 ,$68.25 ,$77.35 ,$77.35 ,$65.46 ,$77.35 ,$65.46 ,$70.98 ,$70.98 ,$70.98 ,$81.90 ,$91.00 ,$81.90 ,$65.46 ,$91.00 ,$59.61 ,$65.46 ,$37.86 ,$91.00 ,$91.00 ,$68.52 ,$81.90 ,$141.87 ,$56.15 ,$25.48 ,$81.90 ,$65.46 ,$81.90 ,$81.90 ,$65.46 ,$59.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000005,96368,HC INFUS CONCURRENT,260,1 ,$137.00 ,$89.05 ,$38.36 ,$137.00 , N/A ,$102.07 ,$89.74 , N/A ,$38.36 ,$69.19 , N/A ,$84.53 , N/A ,$84.53 ,$84.53 , N/A ,$84.53 , N/A ,$123.30 ,$102.75 , N/A , N/A ,$120.56 , N/A ,$102.75 ,$102.75 ,$116.45 ,$116.45 , N/A ,$116.45 , N/A ,$106.86 ,$106.86 ,$106.86 ,$123.30 , N/A ,$123.30 , N/A ,$137.00 ,$89.74 , N/A ,$56.99 ,$137.00 ,$137.00 , N/A ,$123.30 , N/A ,$84.53 ,$38.36 ,$123.30 , N/A ,$123.30 ,$123.30 , N/A ,$89.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000006,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$547.00 ,$355.55 ,$153.16 ,$547.00 ,$518.53 ,$407.52 ,$358.29 ,$216.00 ,$153.16 ,$276.24 ,$216.00 ,$337.50 ,$216.00 ,$337.50 ,$337.50 ,$216.00 ,$337.50 ,$410.40 ,$492.30 ,$410.25 ,$518.53 ,$216.00 ,$481.36 ,$216.00 ,$410.25 ,$410.25 ,$464.95 ,$464.95 ,$216.00 ,$464.95 ,$216.00 ,$426.66 ,$426.66 ,$426.66 ,$492.30 ,$518.53 ,$492.30 ,$216.00 ,$547.00 ,$358.29 ,$216.00 ,$227.55 ,$227.81 ,$217.46 ,$226.09 ,$492.30 ,$468.11 ,$337.50 ,$153.16 ,$492.30 ,$216.00 ,$492.30 ,$492.30 ,$216.00 ,$355.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000014,M0239,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB",260,1 ,$929.00 ,$603.85 ,$260.12 ,$929.00 , N/A ,$692.11 ,$608.50 , N/A ,$260.12 ,$469.15 , N/A ,$573.19 , N/A ,$573.19 ,$573.19 , N/A ,$573.19 , N/A ,$836.10 ,$309.60 , N/A , N/A ,$817.52 , N/A ,$696.75 ,$696.75 ,$789.65 ,$789.65 , N/A ,$789.65 , N/A ,$724.62 ,$724.62 ,$724.62 ,$836.10 , N/A ,$836.10 , N/A ,$929.00 ,$608.50 , N/A ,$386.46 , N/A , N/A , N/A ,$836.10 , N/A ,$573.19 ,$260.12 ,$836.10 , N/A ,$836.10 ,$836.10 , N/A ,$603.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000015,M0243,"HC INTRAVENOUS INFUSION, CASIRIVIMAB AND IMDEVIMAB ADMINISTRATION",260,1 ,$930.00 ,$604.50 ,$217.46 ,"$1,009.35 ",$930.00 ,$692.85 ,$609.15 ,$465.75 ,$260.40 ,$469.65 ,$465.75 ,$573.81 ,$465.75 ,$573.81 ,$573.81 ,$465.75 ,$573.81 ,$884.93 ,$837.00 ,$450.00 ,$930.00 ,$465.75 ,$818.40 ,$465.75 ,$697.50 ,$697.50 ,$790.50 ,$790.50 ,$465.75 ,$790.50 ,$465.75 ,$725.40 ,$725.40 ,$725.40 ,$837.00 ,$930.00 ,$837.00 ,$465.75 ,$930.00 ,$609.15 ,$465.75 ,$386.88 ,$227.81 ,$217.46 ,$487.50 ,$837.00 ,"$1,009.35 ",$573.81 ,$260.40 ,$837.00 ,$465.75 ,$837.00 ,$837.00 ,$465.75 ,$604.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000016,M0245,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB ADMINISTRATION",260,1 ,$932.25 ,$605.96 ,$217.46 ,"$1,009.35 ",$932.25 ,$694.53 ,$610.62 ,$465.75 ,$261.03 ,$470.79 ,$465.75 ,$575.20 ,$465.75 ,$575.20 ,$575.20 ,$465.75 ,$575.20 ,$884.93 ,$839.03 ,$450.00 ,$932.25 ,$465.75 ,$820.38 ,$465.75 ,$699.19 ,$699.19 ,$792.41 ,$792.41 ,$465.75 ,$792.41 ,$465.75 ,$727.16 ,$727.16 ,$727.16 ,$839.03 ,$932.25 ,$839.03 ,$465.75 ,$932.25 ,$610.62 ,$465.75 ,$387.82 ,$227.81 ,$217.46 ,$487.50 ,$839.03 ,"$1,009.35 ",$575.20 ,$261.03 ,$839.03 ,$465.75 ,$839.03 ,$839.03 ,$465.75 ,$605.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),26000017,M0247,"HC INTRAVENOUS INFUSION, SOTROVIMAB ADMINISTRATION",260,1 ,"$1,350.00 ",$877.50 ,$217.46 ,"$1,350.00 ","$1,118.07 ","$1,005.75 ",$884.25 ,$465.75 ,$378.00 ,$681.75 ,$465.75 ,$832.95 ,$465.75 ,$832.95 ,$832.95 ,$465.75 ,$832.95 ,$884.93 ,"$1,215.00 ","$1,012.50 ","$1,118.07 ",$465.75 ,"$1,188.00 ",$465.75 ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ",$465.75 ,"$1,147.50 ",$465.75 ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ","$1,118.07 ","$1,215.00 ",$465.75 ,"$1,350.00 ",$884.25 ,$465.75 ,$561.60 ,$227.81 ,$217.46 ,$487.50 ,"$1,215.00 ","$1,009.35 ",$832.95 ,$378.00 ,"$1,215.00 ",$465.75 ,"$1,215.00 ","$1,215.00 ",$465.75 ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000013,N/A,HC PUMP BREAST,270,1 ,$411.21 ,$267.29 ,$115.14 ,$411.21 , N/A ,$306.35 ,$269.34 , N/A ,$115.14 ,$207.66 , N/A ,$253.72 , N/A ,$253.72 ,$253.72 , N/A ,$253.72 , N/A ,$370.09 ,$308.41 , N/A , N/A ,$361.86 , N/A ,$308.41 ,$308.41 ,$349.53 ,$349.53 , N/A ,$349.53 , N/A ,$320.74 ,$320.74 ,$320.74 ,$370.09 , N/A ,$370.09 , N/A ,$411.21 ,$269.34 , N/A ,$171.06 , N/A , N/A , N/A ,$370.09 , N/A ,$253.72 ,$115.14 ,$370.09 , N/A ,$370.09 ,$370.09 , N/A ,$267.29 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000014,N/A,HC SET CYSTO IRRIGATION TUBING,270,1 ,$23.82 ,$15.48 ,$6.67 ,$23.82 , N/A ,$17.75 ,$15.60 , N/A ,$6.67 ,$12.03 , N/A ,$14.70 , N/A ,$14.70 ,$14.70 , N/A ,$14.70 , N/A ,$21.44 ,$17.87 , N/A , N/A ,$20.96 , N/A ,$17.87 ,$17.87 ,$20.25 ,$20.25 , N/A ,$20.25 , N/A ,$18.58 ,$18.58 ,$18.58 ,$21.44 , N/A ,$21.44 , N/A ,$23.82 ,$15.60 , N/A ,$9.91 , N/A , N/A , N/A ,$21.44 , N/A ,$14.70 ,$6.67 ,$21.44 , N/A ,$21.44 ,$21.44 , N/A ,$15.48 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000015,N/A,HC SET IV EXTENSION,270,1 ,$8.95 ,$5.82 ,$2.51 ,$8.95 , N/A ,$6.67 ,$5.86 , N/A ,$2.51 ,$4.52 , N/A ,$5.52 , N/A ,$5.52 ,$5.52 , N/A ,$5.52 , N/A ,$8.06 ,$6.71 , N/A , N/A ,$7.88 , N/A ,$6.71 ,$6.71 ,$7.61 ,$7.61 , N/A ,$7.61 , N/A ,$6.98 ,$6.98 ,$6.98 ,$8.06 , N/A ,$8.06 , N/A ,$8.95 ,$5.86 , N/A ,$3.72 , N/A , N/A , N/A ,$8.06 , N/A ,$5.52 ,$2.51 ,$8.06 , N/A ,$8.06 ,$8.06 , N/A ,$5.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000017,N/A,HC SYSTEM DRAINAGE,270,1 ,$73.62 ,$47.85 ,$20.61 ,$73.62 , N/A ,$54.85 ,$48.22 , N/A ,$20.61 ,$37.18 , N/A ,$45.42 , N/A ,$45.42 ,$45.42 , N/A ,$45.42 , N/A ,$66.26 ,$55.22 , N/A , N/A ,$64.79 , N/A ,$55.22 ,$55.22 ,$62.58 ,$62.58 , N/A ,$62.58 , N/A ,$57.42 ,$57.42 ,$57.42 ,$66.26 , N/A ,$66.26 , N/A ,$73.62 ,$48.22 , N/A ,$30.63 , N/A , N/A , N/A ,$66.26 , N/A ,$45.42 ,$20.61 ,$66.26 , N/A ,$66.26 ,$66.26 , N/A ,$47.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000021,N/A,HC TRAY ARTHROGRAM,270,1 ,$102.21 ,$66.44 ,$28.62 ,$102.21 , N/A ,$76.15 ,$66.95 , N/A ,$28.62 ,$51.62 , N/A ,$63.06 , N/A ,$63.06 ,$63.06 , N/A ,$63.06 , N/A ,$91.99 ,$76.66 , N/A , N/A ,$89.94 , N/A ,$76.66 ,$76.66 ,$86.88 ,$86.88 , N/A ,$86.88 , N/A ,$79.72 ,$79.72 ,$79.72 ,$91.99 , N/A ,$91.99 , N/A ,$102.21 ,$66.95 , N/A ,$42.52 , N/A , N/A , N/A ,$91.99 , N/A ,$63.06 ,$28.62 ,$91.99 , N/A ,$91.99 ,$91.99 , N/A ,$66.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000022,N/A,HC TRAY BIOPSY,270,1 ,$35.85 ,$23.30 ,$10.04 ,$35.85 , N/A ,$26.71 ,$23.48 , N/A ,$10.04 ,$18.10 , N/A ,$22.12 , N/A ,$22.12 ,$22.12 , N/A ,$22.12 , N/A ,$32.27 ,$26.89 , N/A , N/A ,$31.55 , N/A ,$26.89 ,$26.89 ,$30.47 ,$30.47 , N/A ,$30.47 , N/A ,$27.96 ,$27.96 ,$27.96 ,$32.27 , N/A ,$32.27 , N/A ,$35.85 ,$23.48 , N/A ,$14.91 , N/A , N/A , N/A ,$32.27 , N/A ,$22.12 ,$10.04 ,$32.27 , N/A ,$32.27 ,$32.27 , N/A ,$23.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000024,N/A,HC TRAY SPINAL ANESTHESIA,272,1 ,$204.76 ,$133.09 ,$57.33 ,$204.76 , N/A ,$152.55 ,$134.12 , N/A ,$57.33 ,$103.40 , N/A ,$126.34 , N/A ,$126.34 ,$126.34 , N/A ,$126.34 , N/A ,$184.28 ,$153.57 , N/A , N/A ,$180.19 , N/A ,$153.57 ,$153.57 ,$174.05 ,$174.05 , N/A ,$174.05 , N/A ,$159.71 ,$159.71 ,$159.71 ,$184.28 , N/A ,$184.28 , N/A ,$204.76 ,$134.12 , N/A ,$85.18 , N/A , N/A , N/A ,$184.28 , N/A ,$126.34 ,$57.33 ,$184.28 , N/A ,$184.28 ,$184.28 , N/A ,$133.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000047,N/A,HC PAD CARDIAC MONITOR,270,1 ,$54.88 ,$35.67 ,$15.37 ,$54.88 , N/A ,$40.89 ,$35.95 , N/A ,$15.37 ,$27.71 , N/A ,$33.86 , N/A ,$33.86 ,$33.86 , N/A ,$33.86 , N/A ,$49.39 ,$41.16 , N/A , N/A ,$48.29 , N/A ,$41.16 ,$41.16 ,$46.65 ,$46.65 , N/A ,$46.65 , N/A ,$42.81 ,$42.81 ,$42.81 ,$49.39 , N/A ,$49.39 , N/A ,$54.88 ,$35.95 , N/A ,$22.83 , N/A , N/A , N/A ,$49.39 , N/A ,$33.86 ,$15.37 ,$49.39 , N/A ,$49.39 ,$49.39 , N/A ,$35.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000073,N/A,HC DETECTOR CARBON DIOXIDE,270,1 ,$94.94 ,$61.71 ,$26.58 ,$94.94 , N/A ,$70.73 ,$62.19 , N/A ,$26.58 ,$47.94 , N/A ,$58.58 , N/A ,$58.58 ,$58.58 , N/A ,$58.58 , N/A ,$85.45 ,$71.21 , N/A , N/A ,$83.55 , N/A ,$71.21 ,$71.21 ,$80.70 ,$80.70 , N/A ,$80.70 , N/A ,$74.05 ,$74.05 ,$74.05 ,$85.45 , N/A ,$85.45 , N/A ,$94.94 ,$62.19 , N/A ,$39.50 , N/A , N/A , N/A ,$85.45 , N/A ,$58.58 ,$26.58 ,$85.45 , N/A ,$85.45 ,$85.45 , N/A ,$61.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000077,N/A,HC TUBING CONNECTING,270,1 ,$32.66 ,$21.23 ,$9.14 ,$32.66 , N/A ,$24.33 ,$21.39 , N/A ,$9.14 ,$16.49 , N/A ,$20.15 , N/A ,$20.15 ,$20.15 , N/A ,$20.15 , N/A ,$29.39 ,$24.50 , N/A , N/A ,$28.74 , N/A ,$24.50 ,$24.50 ,$27.76 ,$27.76 , N/A ,$27.76 , N/A ,$25.47 ,$25.47 ,$25.47 ,$29.39 , N/A ,$29.39 , N/A ,$32.66 ,$21.39 , N/A ,$13.59 , N/A , N/A , N/A ,$29.39 , N/A ,$20.15 ,$9.14 ,$29.39 , N/A ,$29.39 ,$29.39 , N/A ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000093,N/A,HC MATTRESS WARMING,270,1 ,$193.21 ,$125.59 ,$54.10 ,$193.21 , N/A ,$143.94 ,$126.55 , N/A ,$54.10 ,$97.57 , N/A ,$119.21 , N/A ,$119.21 ,$119.21 , N/A ,$119.21 , N/A ,$173.89 ,$144.91 , N/A , N/A ,$170.02 , N/A ,$144.91 ,$144.91 ,$164.23 ,$164.23 , N/A ,$164.23 , N/A ,$150.70 ,$150.70 ,$150.70 ,$173.89 , N/A ,$173.89 , N/A ,$193.21 ,$126.55 , N/A ,$80.38 , N/A , N/A , N/A ,$173.89 , N/A ,$119.21 ,$54.10 ,$173.89 , N/A ,$173.89 ,$173.89 , N/A ,$125.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000104,N/A,HC POLAR CARE CUBE,270,1 ,$180.63 ,$117.41 ,$50.58 ,$180.63 , N/A ,$134.57 ,$118.31 , N/A ,$50.58 ,$91.22 , N/A ,$111.45 , N/A ,$111.45 ,$111.45 , N/A ,$111.45 , N/A ,$162.57 ,$135.47 , N/A , N/A ,$158.95 , N/A ,$135.47 ,$135.47 ,$153.54 ,$153.54 , N/A ,$153.54 , N/A ,$140.89 ,$140.89 ,$140.89 ,$162.57 , N/A ,$162.57 , N/A ,$180.63 ,$118.31 , N/A ,$75.14 , N/A , N/A , N/A ,$162.57 , N/A ,$111.45 ,$50.58 ,$162.57 , N/A ,$162.57 ,$162.57 , N/A ,$117.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000105,N/A,HC COLD PACK HALF SIZE,270,1 ,$18.82 ,$12.23 ,$5.27 ,$18.82 , N/A ,$14.02 ,$12.33 , N/A ,$5.27 ,$9.50 , N/A ,$11.61 , N/A ,$11.61 ,$11.61 , N/A ,$11.61 , N/A ,$16.94 ,$14.12 , N/A , N/A ,$16.56 , N/A ,$14.12 ,$14.12 ,$16.00 ,$16.00 , N/A ,$16.00 , N/A ,$14.68 ,$14.68 ,$14.68 ,$16.94 , N/A ,$16.94 , N/A ,$18.82 ,$12.33 , N/A ,$7.83 , N/A , N/A , N/A ,$16.94 , N/A ,$11.61 ,$5.27 ,$16.94 , N/A ,$16.94 ,$16.94 , N/A ,$12.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000110,N/A,HC BASIC MATERNITY KIT,270,1 ,$41.79 ,$27.16 ,$11.70 ,$41.79 , N/A ,$31.13 ,$27.37 , N/A ,$11.70 ,$21.10 , N/A ,$25.78 , N/A ,$25.78 ,$25.78 , N/A ,$25.78 , N/A ,$37.61 ,$31.34 , N/A , N/A ,$36.78 , N/A ,$31.34 ,$31.34 ,$35.52 ,$35.52 , N/A ,$35.52 , N/A ,$32.60 ,$32.60 ,$32.60 ,$37.61 , N/A ,$37.61 , N/A ,$41.79 ,$27.37 , N/A ,$17.38 , N/A , N/A , N/A ,$37.61 , N/A ,$25.78 ,$11.70 ,$37.61 , N/A ,$37.61 ,$37.61 , N/A ,$27.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000116,N/A,HC MATERNITY SURGERY KIT,270,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000117,N/A,HC NEWBORN SURGERY KIT,270,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000118,N/A,HC EPIDURAL TRAY PAINBLOCK,270,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000119,N/A,HC BIOPSY SURGERY TRAY,270,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000124,N/A,HC DISPOSABLE LENS CUFF,270,1 ,$16.50 ,$10.73 ,$4.62 ,$16.50 , N/A ,$12.29 ,$10.81 , N/A ,$4.62 ,$8.33 , N/A ,$10.18 , N/A ,$10.18 ,$10.18 , N/A ,$10.18 , N/A ,$14.85 ,$12.38 , N/A , N/A ,$14.52 , N/A ,$12.38 ,$12.38 ,$14.03 ,$14.03 , N/A ,$14.03 , N/A ,$12.87 ,$12.87 ,$12.87 ,$14.85 , N/A ,$14.85 , N/A ,$16.50 ,$10.81 , N/A ,$6.86 , N/A , N/A , N/A ,$14.85 , N/A ,$10.18 ,$4.62 ,$14.85 , N/A ,$14.85 ,$14.85 , N/A ,$10.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27000131,N/A,HC PRECUT SAFETY SPLINT FIBERGLASS,270,1 ,$29.16 ,$18.95 ,$8.16 ,$29.16 , N/A ,$21.72 ,$19.10 , N/A ,$8.16 ,$14.73 , N/A ,$17.99 , N/A ,$17.99 ,$17.99 , N/A ,$17.99 , N/A ,$26.24 ,$21.87 , N/A , N/A ,$25.66 , N/A ,$21.87 ,$21.87 ,$24.79 ,$24.79 , N/A ,$24.79 , N/A ,$22.74 ,$22.74 ,$22.74 ,$26.24 , N/A ,$26.24 , N/A ,$29.16 ,$19.10 , N/A ,$12.13 , N/A , N/A , N/A ,$26.24 , N/A ,$17.99 ,$8.16 ,$26.24 , N/A ,$26.24 ,$26.24 , N/A ,$18.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100005,N/A,HC AIR SHIELDS WARMER,271,1 ,$38.47 ,$25.01 ,$10.77 ,$38.47 , N/A ,$28.66 ,$25.20 , N/A ,$10.77 ,$19.43 , N/A ,$23.74 , N/A ,$23.74 ,$23.74 , N/A ,$23.74 , N/A ,$34.62 ,$28.85 , N/A , N/A ,$33.85 , N/A ,$28.85 ,$28.85 ,$32.70 ,$32.70 , N/A ,$32.70 , N/A ,$30.01 ,$30.01 ,$30.01 ,$34.62 , N/A ,$34.62 , N/A ,$38.47 ,$25.20 , N/A ,$16.00 , N/A , N/A , N/A ,$34.62 , N/A ,$23.74 ,$10.77 ,$34.62 , N/A ,$34.62 ,$34.62 , N/A ,$25.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100080,N/A,HC LARYNGEAL MASK AIRWAY,272,1 ,$145.09 ,$94.31 ,$40.63 ,$145.09 , N/A ,$108.09 ,$95.03 , N/A ,$40.63 ,$73.27 , N/A ,$89.52 , N/A ,$89.52 ,$89.52 , N/A ,$89.52 , N/A ,$130.58 ,$108.82 , N/A , N/A ,$127.68 , N/A ,$108.82 ,$108.82 ,$123.33 ,$123.33 , N/A ,$123.33 , N/A ,$113.17 ,$113.17 ,$113.17 ,$130.58 , N/A ,$130.58 , N/A ,$145.09 ,$95.03 , N/A ,$60.36 , N/A , N/A , N/A ,$130.58 , N/A ,$89.52 ,$40.63 ,$130.58 , N/A ,$130.58 ,$130.58 , N/A ,$94.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100107,N/A,HC OXYGEN HOURLY,271,1 ,$17.04 ,$11.08 ,$4.77 ,$17.04 , N/A ,$12.69 ,$11.16 , N/A ,$4.77 ,$8.61 , N/A ,$10.51 , N/A ,$10.51 ,$10.51 , N/A ,$10.51 , N/A ,$15.34 ,$12.78 , N/A , N/A ,$15.00 , N/A ,$12.78 ,$12.78 ,$14.48 ,$14.48 , N/A ,$14.48 , N/A ,$13.29 ,$13.29 ,$13.29 ,$15.34 , N/A ,$15.34 , N/A ,$17.04 ,$11.16 , N/A ,$7.09 , N/A , N/A , N/A ,$15.34 , N/A ,$10.51 ,$4.77 ,$15.34 , N/A ,$15.34 ,$15.34 , N/A ,$11.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100114,N/A,HC PEAK FLOWMETER,271,1 ,$61.77 ,$40.15 ,$17.30 ,$61.77 , N/A ,$46.02 ,$40.46 , N/A ,$17.30 ,$31.19 , N/A ,$38.11 , N/A ,$38.11 ,$38.11 , N/A ,$38.11 , N/A ,$55.59 ,$46.33 , N/A , N/A ,$54.36 , N/A ,$46.33 ,$46.33 ,$52.50 ,$52.50 , N/A ,$52.50 , N/A ,$48.18 ,$48.18 ,$48.18 ,$55.59 , N/A ,$55.59 , N/A ,$61.77 ,$40.46 , N/A ,$25.70 , N/A , N/A , N/A ,$55.59 , N/A ,$38.11 ,$17.30 ,$55.59 , N/A ,$55.59 ,$55.59 , N/A ,$40.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100155,N/A,HC THERABAND PER FOOT,271,1 ,$8.68 ,$5.64 ,$2.43 ,$8.68 , N/A ,$6.47 ,$5.69 , N/A ,$2.43 ,$4.38 , N/A ,$5.36 , N/A ,$5.36 ,$5.36 , N/A ,$5.36 , N/A ,$7.81 ,$6.51 , N/A , N/A ,$7.64 , N/A ,$6.51 ,$6.51 ,$7.38 ,$7.38 , N/A ,$7.38 , N/A ,$6.77 ,$6.77 ,$6.77 ,$7.81 , N/A ,$7.81 , N/A ,$8.68 ,$5.69 , N/A ,$3.61 , N/A , N/A , N/A ,$7.81 , N/A ,$5.36 ,$2.43 ,$7.81 , N/A ,$7.81 ,$7.81 , N/A ,$5.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100188,N/A,HC SLING ARM,271,1 ,$37.33 ,$24.26 ,$10.45 ,$37.33 , N/A ,$27.81 ,$24.45 , N/A ,$10.45 ,$18.85 , N/A ,$23.03 , N/A ,$23.03 ,$23.03 , N/A ,$23.03 , N/A ,$33.60 ,$28.00 , N/A , N/A ,$32.85 , N/A ,$28.00 ,$28.00 ,$31.73 ,$31.73 , N/A ,$31.73 , N/A ,$29.12 ,$29.12 ,$29.12 ,$33.60 , N/A ,$33.60 , N/A ,$37.33 ,$24.45 , N/A ,$15.53 , N/A , N/A , N/A ,$33.60 , N/A ,$23.03 ,$10.45 ,$33.60 , N/A ,$33.60 ,$33.60 , N/A ,$24.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100189,E0190,HC PILLOW ABDUCTION HIP,271,1 ,$182.92 ,$118.90 ,$51.22 ,$182.92 , N/A ,$136.28 ,$119.81 , N/A ,$51.22 ,$92.37 , N/A ,$112.86 , N/A ,$112.86 ,$112.86 , N/A ,$112.86 , N/A ,$164.63 ,$137.19 , N/A , N/A ,$160.97 , N/A ,$137.19 ,$137.19 ,$155.48 ,$155.48 , N/A ,$155.48 , N/A ,$142.68 ,$142.68 ,$142.68 ,$164.63 , N/A ,$164.63 , N/A ,$182.92 ,$119.81 , N/A ,$76.09 , N/A , N/A , N/A ,$164.63 , N/A ,$112.86 ,$51.22 ,$164.63 , N/A ,$164.63 ,$164.63 , N/A ,$118.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100196,N/A,HC SENSOR BIS,271,1 ,$163.28 ,$106.13 ,$45.72 ,$163.28 , N/A ,$121.64 ,$106.95 , N/A ,$45.72 ,$82.46 , N/A ,$100.74 , N/A ,$100.74 ,$100.74 , N/A ,$100.74 , N/A ,$146.95 ,$122.46 , N/A , N/A ,$143.69 , N/A ,$122.46 ,$122.46 ,$138.79 ,$138.79 , N/A ,$138.79 , N/A ,$127.36 ,$127.36 ,$127.36 ,$146.95 , N/A ,$146.95 , N/A ,$163.28 ,$106.95 , N/A ,$67.92 , N/A , N/A , N/A ,$146.95 , N/A ,$100.74 ,$45.72 ,$146.95 , N/A ,$146.95 ,$146.95 , N/A ,$106.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100201,N/A,HC CANNULA NASAL OXYGEN,271,1 ,$22.00 ,$14.30 ,$6.16 ,$22.00 , N/A ,$16.39 ,$14.41 , N/A ,$6.16 ,$11.11 , N/A ,$13.57 , N/A ,$13.57 ,$13.57 , N/A ,$13.57 , N/A ,$19.80 ,$16.50 , N/A , N/A ,$19.36 , N/A ,$16.50 ,$16.50 ,$18.70 ,$18.70 , N/A ,$18.70 , N/A ,$17.16 ,$17.16 ,$17.16 ,$19.80 , N/A ,$19.80 , N/A ,$22.00 ,$14.41 , N/A ,$9.15 , N/A , N/A , N/A ,$19.80 , N/A ,$13.57 ,$6.16 ,$19.80 , N/A ,$19.80 ,$19.80 , N/A ,$14.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100204,N/A,HC CIRCUIT BREATHING,271,1 ,$58.83 ,$38.24 ,$16.47 ,$58.83 , N/A ,$43.83 ,$38.53 , N/A ,$16.47 ,$29.71 , N/A ,$36.30 , N/A ,$36.30 ,$36.30 , N/A ,$36.30 , N/A ,$52.95 ,$44.12 , N/A , N/A ,$51.77 , N/A ,$44.12 ,$44.12 ,$50.01 ,$50.01 , N/A ,$50.01 , N/A ,$45.89 ,$45.89 ,$45.89 ,$52.95 , N/A ,$52.95 , N/A ,$58.83 ,$38.53 , N/A ,$24.47 , N/A , N/A , N/A ,$52.95 , N/A ,$36.30 ,$16.47 ,$52.95 , N/A ,$52.95 ,$52.95 , N/A ,$38.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100206,N/A,HC CUSHION CHAIR,271,1 ,$28.00 ,$18.20 ,$7.84 ,$28.00 , N/A ,$20.86 ,$18.34 , N/A ,$7.84 ,$14.14 , N/A ,$17.28 , N/A ,$17.28 ,$17.28 , N/A ,$17.28 , N/A ,$25.20 ,$21.00 , N/A , N/A ,$24.64 , N/A ,$21.00 ,$21.00 ,$23.80 ,$23.80 , N/A ,$23.80 , N/A ,$21.84 ,$21.84 ,$21.84 ,$25.20 , N/A ,$25.20 , N/A ,$28.00 ,$18.34 , N/A ,$11.65 , N/A , N/A , N/A ,$25.20 , N/A ,$17.28 ,$7.84 ,$25.20 , N/A ,$25.20 ,$25.20 , N/A ,$18.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100209,N/A,HC ENEMA BAG,271,1 ,$9.52 ,$6.19 ,$2.67 ,$9.52 , N/A ,$7.09 ,$6.24 , N/A ,$2.67 ,$4.81 , N/A ,$5.87 , N/A ,$5.87 ,$5.87 , N/A ,$5.87 , N/A ,$8.57 ,$7.14 , N/A , N/A ,$8.38 , N/A ,$7.14 ,$7.14 ,$8.09 ,$8.09 , N/A ,$8.09 , N/A ,$7.43 ,$7.43 ,$7.43 ,$8.57 , N/A ,$8.57 , N/A ,$9.52 ,$6.24 , N/A ,$3.96 , N/A , N/A , N/A ,$8.57 , N/A ,$5.87 ,$2.67 ,$8.57 , N/A ,$8.57 ,$8.57 , N/A ,$6.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100210,N/A,HC KIT CANISTER SUCTION,271,1 ,$10.70 ,$6.96 ,$3.00 ,$10.70 , N/A ,$7.97 ,$7.01 , N/A ,$3.00 ,$5.40 , N/A ,$6.60 , N/A ,$6.60 ,$6.60 , N/A ,$6.60 , N/A ,$9.63 ,$8.03 , N/A , N/A ,$9.42 , N/A ,$8.03 ,$8.03 ,$9.10 ,$9.10 , N/A ,$9.10 , N/A ,$8.35 ,$8.35 ,$8.35 ,$9.63 , N/A ,$9.63 , N/A ,$10.70 ,$7.01 , N/A ,$4.45 , N/A , N/A , N/A ,$9.63 , N/A ,$6.60 ,$3.00 ,$9.63 , N/A ,$9.63 ,$9.63 , N/A ,$6.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100211,N/A,HC PAD DEFIBRILLATOR,271,1 ,$222.76 ,$144.79 ,$62.37 ,$222.76 , N/A ,$165.96 ,$145.91 , N/A ,$62.37 ,$112.49 , N/A ,$137.44 , N/A ,$137.44 ,$137.44 , N/A ,$137.44 , N/A ,$200.48 ,$167.07 , N/A , N/A ,$196.03 , N/A ,$167.07 ,$167.07 ,$189.35 ,$189.35 , N/A ,$189.35 , N/A ,$173.75 ,$173.75 ,$173.75 ,$200.48 , N/A ,$200.48 , N/A ,$222.76 ,$145.91 , N/A ,$92.67 , N/A , N/A , N/A ,$200.48 , N/A ,$137.44 ,$62.37 ,$200.48 , N/A ,$200.48 ,$200.48 , N/A ,$144.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100216,N/A,HC SET FLUID WARMER,271,1 ,$103.00 ,$66.95 ,$28.84 ,$103.00 , N/A ,$76.74 ,$67.47 , N/A ,$28.84 ,$52.02 , N/A ,$63.55 , N/A ,$63.55 ,$63.55 , N/A ,$63.55 , N/A ,$92.70 ,$77.25 , N/A , N/A ,$90.64 , N/A ,$77.25 ,$77.25 ,$87.55 ,$87.55 , N/A ,$87.55 , N/A ,$80.34 ,$80.34 ,$80.34 ,$92.70 , N/A ,$92.70 , N/A ,$103.00 ,$67.47 , N/A ,$42.85 , N/A , N/A , N/A ,$92.70 , N/A ,$63.55 ,$28.84 ,$92.70 , N/A ,$92.70 ,$92.70 , N/A ,$66.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100218,N/A,HC SET IV BLOOD ADMINISTRATION,271,1 ,$27.00 ,$17.55 ,$7.56 ,$27.00 , N/A ,$20.12 ,$17.69 , N/A ,$7.56 ,$13.64 , N/A ,$16.66 , N/A ,$16.66 ,$16.66 , N/A ,$16.66 , N/A ,$24.30 ,$20.25 , N/A , N/A ,$23.76 , N/A ,$20.25 ,$20.25 ,$22.95 ,$22.95 , N/A ,$22.95 , N/A ,$21.06 ,$21.06 ,$21.06 ,$24.30 , N/A ,$24.30 , N/A ,$27.00 ,$17.69 , N/A ,$11.23 , N/A , N/A , N/A ,$24.30 , N/A ,$16.66 ,$7.56 ,$24.30 , N/A ,$24.30 ,$24.30 , N/A ,$17.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100235,N/A,HC MASK OXYGEN,271,1 ,$33.01 ,$21.46 ,$9.24 ,$33.01 , N/A ,$24.59 ,$21.62 , N/A ,$9.24 ,$16.67 , N/A ,$20.37 , N/A ,$20.37 ,$20.37 , N/A ,$20.37 , N/A ,$29.71 ,$24.76 , N/A , N/A ,$29.05 , N/A ,$24.76 ,$24.76 ,$28.06 ,$28.06 , N/A ,$28.06 , N/A ,$25.75 ,$25.75 ,$25.75 ,$29.71 , N/A ,$29.71 , N/A ,$33.01 ,$21.62 , N/A ,$13.73 , N/A , N/A , N/A ,$29.71 , N/A ,$20.37 ,$9.24 ,$29.71 , N/A ,$29.71 ,$29.71 , N/A ,$21.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100252,N/A,HC SITZ BATH,271,1 ,$35.95 ,$23.37 ,$10.07 ,$35.95 , N/A ,$26.78 ,$23.55 , N/A ,$10.07 ,$18.15 , N/A ,$22.18 , N/A ,$22.18 ,$22.18 , N/A ,$22.18 , N/A ,$32.36 ,$26.96 , N/A , N/A ,$31.64 , N/A ,$26.96 ,$26.96 ,$30.56 ,$30.56 , N/A ,$30.56 , N/A ,$28.04 ,$28.04 ,$28.04 ,$32.36 , N/A ,$32.36 , N/A ,$35.95 ,$23.55 , N/A ,$14.96 , N/A , N/A , N/A ,$32.36 , N/A ,$22.18 ,$10.07 ,$32.36 , N/A ,$32.36 ,$32.36 , N/A ,$23.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100256,N/A,HC ELECTRODE FETAL SCALP,271,1 ,$18.63 ,$12.11 ,$5.22 ,$18.63 , N/A ,$13.88 ,$12.20 , N/A ,$5.22 ,$9.41 , N/A ,$11.49 , N/A ,$11.49 ,$11.49 , N/A ,$11.49 , N/A ,$16.77 ,$13.97 , N/A , N/A ,$16.39 , N/A ,$13.97 ,$13.97 ,$15.84 ,$15.84 , N/A ,$15.84 , N/A ,$14.53 ,$14.53 ,$14.53 ,$16.77 , N/A ,$16.77 , N/A ,$18.63 ,$12.20 , N/A ,$7.75 , N/A , N/A , N/A ,$16.77 , N/A ,$11.49 ,$5.22 ,$16.77 , N/A ,$16.77 ,$16.77 , N/A ,$12.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100258,N/A,HC KIT RT OXYGEN SUPPLY,271,1 ,$98.28 ,$63.88 ,$27.52 ,$98.28 , N/A ,$73.22 ,$64.37 , N/A ,$27.52 ,$49.63 , N/A ,$60.64 , N/A ,$60.64 ,$60.64 , N/A ,$60.64 , N/A ,$88.45 ,$73.71 , N/A , N/A ,$86.49 , N/A ,$73.71 ,$73.71 ,$83.54 ,$83.54 , N/A ,$83.54 , N/A ,$76.66 ,$76.66 ,$76.66 ,$88.45 , N/A ,$88.45 , N/A ,$98.28 ,$64.37 , N/A ,$40.88 , N/A , N/A , N/A ,$88.45 , N/A ,$60.64 ,$27.52 ,$88.45 , N/A ,$88.45 ,$88.45 , N/A ,$63.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100259,N/A,HC LINER SUCTION CANISTER,271,1 ,$15.80 ,$10.27 ,$4.42 ,$15.80 , N/A ,$11.77 ,$10.35 , N/A ,$4.42 ,$7.98 , N/A ,$9.75 , N/A ,$9.75 ,$9.75 , N/A ,$9.75 , N/A ,$14.22 ,$11.85 , N/A , N/A ,$13.90 , N/A ,$11.85 ,$11.85 ,$13.43 ,$13.43 , N/A ,$13.43 , N/A ,$12.32 ,$12.32 ,$12.32 ,$14.22 , N/A ,$14.22 , N/A ,$15.80 ,$10.35 , N/A ,$6.57 , N/A , N/A , N/A ,$14.22 , N/A ,$9.75 ,$4.42 ,$14.22 , N/A ,$14.22 ,$14.22 , N/A ,$10.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100267,N/A,HC SLEEVE SCD FOOT,271,1 ,$36.00 ,$23.40 ,$10.08 ,$36.00 , N/A ,$26.82 ,$23.58 , N/A ,$10.08 ,$18.18 , N/A ,$22.21 , N/A ,$22.21 ,$22.21 , N/A ,$22.21 , N/A ,$32.40 ,$27.00 , N/A , N/A ,$31.68 , N/A ,$27.00 ,$27.00 ,$30.60 ,$30.60 , N/A ,$30.60 , N/A ,$28.08 ,$28.08 ,$28.08 ,$32.40 , N/A ,$32.40 , N/A ,$36.00 ,$23.58 , N/A ,$14.98 , N/A , N/A , N/A ,$32.40 , N/A ,$22.21 ,$10.08 ,$32.40 , N/A ,$32.40 ,$32.40 , N/A ,$23.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100269,N/A,HC SUSPENSORY/SUPPORT SCROTAL,271,1 ,$70.74 ,$45.98 ,$19.81 ,$70.74 , N/A ,$52.70 ,$46.33 , N/A ,$19.81 ,$35.72 , N/A ,$43.65 , N/A ,$43.65 ,$43.65 , N/A ,$43.65 , N/A ,$63.67 ,$53.06 , N/A , N/A ,$62.25 , N/A ,$53.06 ,$53.06 ,$60.13 ,$60.13 , N/A ,$60.13 , N/A ,$55.18 ,$55.18 ,$55.18 ,$63.67 , N/A ,$63.67 , N/A ,$70.74 ,$46.33 , N/A ,$29.43 , N/A , N/A , N/A ,$63.67 , N/A ,$43.65 ,$19.81 ,$63.67 , N/A ,$63.67 ,$63.67 , N/A ,$45.98 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100277,N/A,HC BAG WASTE,271,1 ,$59.96 ,$38.97 ,$16.79 ,$59.96 , N/A ,$44.67 ,$39.27 , N/A ,$16.79 ,$30.28 , N/A ,$37.00 , N/A ,$37.00 ,$37.00 , N/A ,$37.00 , N/A ,$53.96 ,$44.97 , N/A , N/A ,$52.76 , N/A ,$44.97 ,$44.97 ,$50.97 ,$50.97 , N/A ,$50.97 , N/A ,$46.77 ,$46.77 ,$46.77 ,$53.96 , N/A ,$53.96 , N/A ,$59.96 ,$39.27 , N/A ,$24.94 , N/A , N/A , N/A ,$53.96 , N/A ,$37.00 ,$16.79 ,$53.96 , N/A ,$53.96 ,$53.96 , N/A ,$38.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100282,N/A,HC PACK HOT/ COLD SMALL,271,1 ,$11.03 ,$7.17 ,$3.09 ,$11.03 , N/A ,$8.22 ,$7.22 , N/A ,$3.09 ,$5.57 , N/A ,$6.81 , N/A ,$6.81 ,$6.81 , N/A ,$6.81 , N/A ,$9.93 ,$8.27 , N/A , N/A ,$9.71 , N/A ,$8.27 ,$8.27 ,$9.38 ,$9.38 , N/A ,$9.38 , N/A ,$8.60 ,$8.60 ,$8.60 ,$9.93 , N/A ,$9.93 , N/A ,$11.03 ,$7.22 , N/A ,$4.59 , N/A , N/A , N/A ,$9.93 , N/A ,$6.81 ,$3.09 ,$9.93 , N/A ,$9.93 ,$9.93 , N/A ,$7.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100325,N/A,HC SPACER MDI,271,1 ,$38.20 ,$24.83 ,$10.70 ,$38.20 , N/A ,$28.46 ,$25.02 , N/A ,$10.70 ,$19.29 , N/A ,$23.57 , N/A ,$23.57 ,$23.57 , N/A ,$23.57 , N/A ,$34.38 ,$28.65 , N/A , N/A ,$33.62 , N/A ,$28.65 ,$28.65 ,$32.47 ,$32.47 , N/A ,$32.47 , N/A ,$29.80 ,$29.80 ,$29.80 ,$34.38 , N/A ,$34.38 , N/A ,$38.20 ,$25.02 , N/A ,$15.89 , N/A , N/A , N/A ,$34.38 , N/A ,$23.57 ,$10.70 ,$34.38 , N/A ,$34.38 ,$34.38 , N/A ,$24.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100482,N/A,HC SHEET PATIENT TRANSFER,271,1 ,$10.95 ,$7.12 ,$3.07 ,$10.95 , N/A ,$8.16 ,$7.17 , N/A ,$3.07 ,$5.53 , N/A ,$6.76 , N/A ,$6.76 ,$6.76 , N/A ,$6.76 , N/A ,$9.86 ,$8.21 , N/A , N/A ,$9.64 , N/A ,$8.21 ,$8.21 ,$9.31 ,$9.31 , N/A ,$9.31 , N/A ,$8.54 ,$8.54 ,$8.54 ,$9.86 , N/A ,$9.86 , N/A ,$10.95 ,$7.17 , N/A ,$4.56 , N/A , N/A , N/A ,$9.86 , N/A ,$6.76 ,$3.07 ,$9.86 , N/A ,$9.86 ,$9.86 , N/A ,$7.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100483,N/A,HC BOTTLE HUMIDITY,271,1 ,$16.48 ,$10.71 ,$4.61 ,$16.48 , N/A ,$12.28 ,$10.79 , N/A ,$4.61 ,$8.32 , N/A ,$10.17 , N/A ,$10.17 ,$10.17 , N/A ,$10.17 , N/A ,$14.83 ,$12.36 , N/A , N/A ,$14.50 , N/A ,$12.36 ,$12.36 ,$14.01 ,$14.01 , N/A ,$14.01 , N/A ,$12.85 ,$12.85 ,$12.85 ,$14.83 , N/A ,$14.83 , N/A ,$16.48 ,$10.79 , N/A ,$6.86 , N/A , N/A , N/A ,$14.83 , N/A ,$10.17 ,$4.61 ,$14.83 , N/A ,$14.83 ,$14.83 , N/A ,$10.71 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100487,N/A,HC MASK VENTILATION,271,1 ,$9.62 ,$6.25 ,$2.69 ,$9.62 , N/A ,$7.17 ,$6.30 , N/A ,$2.69 ,$4.86 , N/A ,$5.94 , N/A ,$5.94 ,$5.94 , N/A ,$5.94 , N/A ,$8.66 ,$7.22 , N/A , N/A ,$8.47 , N/A ,$7.22 ,$7.22 ,$8.18 ,$8.18 , N/A ,$8.18 , N/A ,$7.50 ,$7.50 ,$7.50 ,$8.66 , N/A ,$8.66 , N/A ,$9.62 ,$6.30 , N/A ,$4.00 , N/A , N/A , N/A ,$8.66 , N/A ,$5.94 ,$2.69 ,$8.66 , N/A ,$8.66 ,$8.66 , N/A ,$6.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100489,N/A,HC MASK RESPIRATOR,271,1 ,$169.85 ,$110.40 ,$47.56 ,$169.85 , N/A ,$126.54 ,$111.25 , N/A ,$47.56 ,$85.77 , N/A ,$104.80 , N/A ,$104.80 ,$104.80 , N/A ,$104.80 , N/A ,$152.87 ,$127.39 , N/A , N/A ,$149.47 , N/A ,$127.39 ,$127.39 ,$144.37 ,$144.37 , N/A ,$144.37 , N/A ,$132.48 ,$132.48 ,$132.48 ,$152.87 , N/A ,$152.87 , N/A ,$169.85 ,$111.25 , N/A ,$70.66 , N/A , N/A , N/A ,$152.87 , N/A ,$104.80 ,$47.56 ,$152.87 , N/A ,$152.87 ,$152.87 , N/A ,$110.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100490,N/A,HC PAD KNEE ELASTIC,271,1 ,$531.81 ,$345.68 ,$148.91 ,$531.81 , N/A ,$396.20 ,$348.34 , N/A ,$148.91 ,$268.56 , N/A ,$328.13 , N/A ,$328.13 ,$328.13 , N/A ,$328.13 , N/A ,$478.63 ,$398.86 , N/A , N/A ,$467.99 , N/A ,$398.86 ,$398.86 ,$452.04 ,$452.04 , N/A ,$452.04 , N/A ,$414.81 ,$414.81 ,$414.81 ,$478.63 , N/A ,$478.63 , N/A ,$531.81 ,$348.34 , N/A ,$221.23 , N/A , N/A , N/A ,$478.63 , N/A ,$328.13 ,$148.91 ,$478.63 , N/A ,$478.63 ,$478.63 , N/A ,$345.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100492,N/A,HC PULLEY OVERDOOR,271,1 ,$20.12 ,$13.08 ,$5.63 ,$20.12 , N/A ,$14.99 ,$13.18 , N/A ,$5.63 ,$10.16 , N/A ,$12.41 , N/A ,$12.41 ,$12.41 , N/A ,$12.41 , N/A ,$18.11 ,$15.09 , N/A , N/A ,$17.71 , N/A ,$15.09 ,$15.09 ,$17.10 ,$17.10 , N/A ,$17.10 , N/A ,$15.69 ,$15.69 ,$15.69 ,$18.11 , N/A ,$18.11 , N/A ,$20.12 ,$13.18 , N/A ,$8.37 , N/A , N/A , N/A ,$18.11 , N/A ,$12.41 ,$5.63 ,$18.11 , N/A ,$18.11 ,$18.11 , N/A ,$13.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100493,N/A,HC PAD SENSOR,271,1 ,$75.45 ,$49.04 ,$21.13 ,$75.45 , N/A ,$56.21 ,$49.42 , N/A ,$21.13 ,$38.10 , N/A ,$46.55 , N/A ,$46.55 ,$46.55 , N/A ,$46.55 , N/A ,$67.91 ,$56.59 , N/A , N/A ,$66.40 , N/A ,$56.59 ,$56.59 ,$64.13 ,$64.13 , N/A ,$64.13 , N/A ,$58.85 ,$58.85 ,$58.85 ,$67.91 , N/A ,$67.91 , N/A ,$75.45 ,$49.42 , N/A ,$31.39 , N/A , N/A , N/A ,$67.91 , N/A ,$46.55 ,$21.13 ,$67.91 , N/A ,$67.91 ,$67.91 , N/A ,$49.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100519,N/A,HC SYSTEM MONITR NOVII PTCH,271,1 ,$116.85 ,$75.95 ,$32.72 ,$116.85 , N/A ,$87.05 ,$76.54 , N/A ,$32.72 ,$59.01 , N/A ,$72.10 , N/A ,$72.10 ,$72.10 , N/A ,$72.10 , N/A ,$105.17 ,$87.64 , N/A , N/A ,$102.83 , N/A ,$87.64 ,$87.64 ,$99.32 ,$99.32 , N/A ,$99.32 , N/A ,$91.14 ,$91.14 ,$91.14 ,$105.17 , N/A ,$105.17 , N/A ,$116.85 ,$76.54 , N/A ,$48.61 , N/A , N/A , N/A ,$105.17 , N/A ,$72.10 ,$32.72 ,$105.17 , N/A ,$105.17 ,$105.17 , N/A ,$75.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100520,N/A,HC DISPOSABLE EXPIRATORY VALVE,271,1 ,$45.63 ,$29.66 ,$12.78 ,$45.63 , N/A ,$33.99 ,$29.89 , N/A ,$12.78 ,$23.04 , N/A ,$28.15 , N/A ,$28.15 ,$28.15 , N/A ,$28.15 , N/A ,$41.07 ,$34.22 , N/A , N/A ,$40.15 , N/A ,$34.22 ,$34.22 ,$38.79 ,$38.79 , N/A ,$38.79 , N/A ,$35.59 ,$35.59 ,$35.59 ,$41.07 , N/A ,$41.07 , N/A ,$45.63 ,$29.89 , N/A ,$18.98 , N/A , N/A , N/A ,$41.07 , N/A ,$28.15 ,$12.78 ,$41.07 , N/A ,$41.07 ,$41.07 , N/A ,$29.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100521,N/A,HC FLOW SENSOR,271,1 ,$62.16 ,$40.40 ,$17.40 ,$62.16 , N/A ,$46.31 ,$40.71 , N/A ,$17.40 ,$31.39 , N/A ,$38.35 , N/A ,$38.35 ,$38.35 , N/A ,$38.35 , N/A ,$55.94 ,$46.62 , N/A , N/A ,$54.70 , N/A ,$46.62 ,$46.62 ,$52.84 ,$52.84 , N/A ,$52.84 , N/A ,$48.48 ,$48.48 ,$48.48 ,$55.94 , N/A ,$55.94 , N/A ,$62.16 ,$40.71 , N/A ,$25.86 , N/A , N/A , N/A ,$55.94 , N/A ,$38.35 ,$17.40 ,$55.94 , N/A ,$55.94 ,$55.94 , N/A ,$40.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27100522,N/A,HC ENDOGATOR PVC TUBE CO2 CONNECTOR,272,1 ,$56.40 ,$36.66 ,$15.79 ,$56.40 , N/A ,$42.02 ,$36.94 , N/A ,$15.79 ,$28.48 , N/A ,$34.80 , N/A ,$34.80 ,$34.80 , N/A ,$34.80 , N/A ,$50.76 ,$42.30 , N/A , N/A ,$49.63 , N/A ,$42.30 ,$42.30 ,$47.94 ,$47.94 , N/A ,$47.94 , N/A ,$43.99 ,$43.99 ,$43.99 ,$50.76 , N/A ,$50.76 , N/A ,$56.40 ,$36.94 , N/A ,$23.46 , N/A , N/A , N/A ,$50.76 , N/A ,$34.80 ,$15.79 ,$50.76 , N/A ,$50.76 ,$50.76 , N/A ,$36.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200002,A7041,HC PLEURAL DRAINAGE SYSTEM,272,1 ,$36.00 ,$23.40 ,$10.08 ,$36.00 , N/A ,$26.82 ,$23.58 , N/A ,$10.08 ,$18.18 , N/A ,$22.21 , N/A ,$22.21 ,$22.21 , N/A ,$22.21 , N/A ,$32.40 ,$27.00 , N/A , N/A ,$31.68 , N/A ,$27.00 ,$27.00 ,$30.60 ,$30.60 , N/A ,$30.60 , N/A ,$28.08 ,$28.08 ,$28.08 ,$32.40 , N/A ,$32.40 , N/A ,$36.00 ,$23.58 , N/A ,$14.98 , N/A , N/A , N/A ,$32.40 , N/A ,$22.21 ,$10.08 ,$32.40 , N/A ,$32.40 ,$32.40 , N/A ,$23.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200029,C1726,HC DILATOR BALLOON,272,1 ,$16.29 ,$10.59 ,$4.56 ,$16.29 , N/A ,$12.14 ,$10.67 , N/A ,$4.56 ,$8.23 , N/A ,$10.05 , N/A ,$10.05 ,$10.05 , N/A ,$10.05 , N/A ,$14.66 ,$12.22 , N/A , N/A ,$14.34 , N/A ,$12.22 ,$12.22 ,$13.85 ,$13.85 , N/A ,$13.85 , N/A ,$12.71 ,$12.71 ,$12.71 ,$14.66 , N/A ,$14.66 , N/A ,$16.29 ,$10.67 , N/A ,$6.78 , N/A , N/A , N/A ,$14.66 , N/A ,$10.05 ,$4.56 ,$14.66 , N/A ,$14.66 ,$14.66 , N/A ,$10.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200054,C1751,HC KIT CATHETER,272,1 ,$329.46 ,$214.15 ,$92.25 ,$329.46 , N/A ,$245.45 ,$215.80 , N/A ,$92.25 ,$166.38 , N/A ,$203.28 , N/A ,$203.28 ,$203.28 , N/A ,$203.28 , N/A ,$296.51 ,$247.10 , N/A , N/A ,$289.92 , N/A ,$247.10 ,$247.10 ,$280.04 ,$280.04 , N/A ,$280.04 , N/A ,$256.98 ,$256.98 ,$256.98 ,$296.51 , N/A ,$296.51 , N/A ,$329.46 ,$215.80 , N/A ,$137.06 , N/A , N/A , N/A ,$296.51 , N/A ,$203.28 ,$92.25 ,$296.51 , N/A ,$296.51 ,$296.51 , N/A ,$214.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200075,C1758,HC CATHETER URETERAL,272,1 ,$139.01 ,$90.36 ,$38.92 ,$139.01 , N/A ,$103.56 ,$91.05 , N/A ,$38.92 ,$70.20 , N/A ,$85.77 , N/A ,$85.77 ,$85.77 , N/A ,$85.77 , N/A ,$125.11 ,$104.26 , N/A , N/A ,$122.33 , N/A ,$104.26 ,$104.26 ,$118.16 ,$118.16 , N/A ,$118.16 , N/A ,$108.43 ,$108.43 ,$108.43 ,$125.11 , N/A ,$125.11 , N/A ,$139.01 ,$91.05 , N/A ,$57.83 , N/A , N/A , N/A ,$125.11 , N/A ,$85.77 ,$38.92 ,$125.11 , N/A ,$125.11 ,$125.11 , N/A ,$90.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200078,C1765,HC INTERCEED ADHESION BARRIER,278,1 ,"$2,162.26 ","$1,405.47 ",$605.43 ,"$2,162.26 ", N/A ,"$1,610.88 ","$1,416.28 ", N/A ,$605.43 ,"$1,091.94 ", N/A ,"$1,334.11 ", N/A ,"$1,334.11 ","$1,334.11 ", N/A ,"$1,334.11 ", N/A ,"$1,946.03 ","$1,621.70 ", N/A , N/A ,"$1,902.79 ", N/A ,"$1,621.70 ","$1,621.70 ","$1,837.92 ","$1,837.92 ", N/A ,"$1,837.92 ", N/A ,"$1,686.56 ","$1,686.56 ","$1,686.56 ","$1,946.03 ", N/A ,"$1,946.03 ", N/A ,"$2,162.26 ","$1,416.28 ", N/A ,$899.50 , N/A , N/A , N/A ,"$1,946.03 ", N/A ,"$1,334.11 ",$605.43 ,"$1,946.03 ", N/A ,"$1,946.03 ","$1,946.03 ", N/A ,"$1,405.47 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200100,C1769,HC GUIDEWIRE - STIFF,272,1 ,$111.75 ,$72.64 ,$31.29 ,$111.75 , N/A ,$83.25 ,$73.20 , N/A ,$31.29 ,$56.43 , N/A ,$68.95 , N/A ,$68.95 ,$68.95 , N/A ,$68.95 , N/A ,$100.58 ,$83.81 , N/A , N/A ,$98.34 , N/A ,$83.81 ,$83.81 ,$94.99 ,$94.99 , N/A ,$94.99 , N/A ,$87.17 ,$87.17 ,$87.17 ,$100.58 , N/A ,$100.58 , N/A ,$111.75 ,$73.20 , N/A ,$46.49 , N/A , N/A , N/A ,$100.58 , N/A ,$68.95 ,$31.29 ,$100.58 , N/A ,$100.58 ,$100.58 , N/A ,$72.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200189,N/A,HC 12 FR ESOPHAGEAL STEHOSCOPE,272,1 ,$28.00 ,$18.20 ,$7.84 ,$28.00 , N/A ,$20.86 ,$18.34 , N/A ,$7.84 ,$14.14 , N/A ,$17.28 , N/A ,$17.28 ,$17.28 , N/A ,$17.28 , N/A ,$25.20 ,$21.00 , N/A , N/A ,$24.64 , N/A ,$21.00 ,$21.00 ,$23.80 ,$23.80 , N/A ,$23.80 , N/A ,$21.84 ,$21.84 ,$21.84 ,$25.20 , N/A ,$25.20 , N/A ,$28.00 ,$18.34 , N/A ,$11.65 , N/A , N/A , N/A ,$25.20 , N/A ,$17.28 ,$7.84 ,$25.20 , N/A ,$25.20 ,$25.20 , N/A ,$18.20 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200196,N/A,HC 5FR CATH,272,1 ,$37.35 ,$24.28 ,$10.46 ,$37.35 , N/A ,$27.83 ,$24.46 , N/A ,$10.46 ,$18.86 , N/A ,$23.05 , N/A ,$23.05 ,$23.05 , N/A ,$23.05 , N/A ,$33.62 ,$28.01 , N/A , N/A ,$32.87 , N/A ,$28.01 ,$28.01 ,$31.75 ,$31.75 , N/A ,$31.75 , N/A ,$29.13 ,$29.13 ,$29.13 ,$33.62 , N/A ,$33.62 , N/A ,$37.35 ,$24.46 , N/A ,$15.54 , N/A , N/A , N/A ,$33.62 , N/A ,$23.05 ,$10.46 ,$33.62 , N/A ,$33.62 ,$33.62 , N/A ,$24.28 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200200,N/A,HC ABDOMINAL BINDERS,272,1 ,$105.50 ,$68.58 ,$29.54 ,$105.50 , N/A ,$78.60 ,$69.10 , N/A ,$29.54 ,$53.28 , N/A ,$65.09 , N/A ,$65.09 ,$65.09 , N/A ,$65.09 , N/A ,$94.95 ,$79.13 , N/A , N/A ,$92.84 , N/A ,$79.13 ,$79.13 ,$89.68 ,$89.68 , N/A ,$89.68 , N/A ,$82.29 ,$82.29 ,$82.29 ,$94.95 , N/A ,$94.95 , N/A ,$105.50 ,$69.10 , N/A ,$43.89 , N/A , N/A , N/A ,$94.95 , N/A ,$65.09 ,$29.54 ,$94.95 , N/A ,$94.95 ,$94.95 , N/A ,$68.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200226,N/A,HC ADHESIVE DERMABOND,272,1 ,$59.30 ,$38.55 ,$16.60 ,$59.30 , N/A ,$44.18 ,$38.84 , N/A ,$16.60 ,$29.95 , N/A ,$36.59 , N/A ,$36.59 ,$36.59 , N/A ,$36.59 , N/A ,$53.37 ,$44.48 , N/A , N/A ,$52.18 , N/A ,$44.48 ,$44.48 ,$50.41 ,$50.41 , N/A ,$50.41 , N/A ,$46.25 ,$46.25 ,$46.25 ,$53.37 , N/A ,$53.37 , N/A ,$59.30 ,$38.84 , N/A ,$24.67 , N/A , N/A , N/A ,$53.37 , N/A ,$36.59 ,$16.60 ,$53.37 , N/A ,$53.37 ,$53.37 , N/A ,$38.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200231,N/A,HC AEROCHAMBER,272,1 ,$47.62 ,$30.95 ,$13.33 ,$47.62 , N/A ,$35.48 ,$31.19 , N/A ,$13.33 ,$24.05 , N/A ,$29.38 , N/A ,$29.38 ,$29.38 , N/A ,$29.38 , N/A ,$42.86 ,$35.72 , N/A , N/A ,$41.91 , N/A ,$35.72 ,$35.72 ,$40.48 ,$40.48 , N/A ,$40.48 , N/A ,$37.14 ,$37.14 ,$37.14 ,$42.86 , N/A ,$42.86 , N/A ,$47.62 ,$31.19 , N/A ,$19.81 , N/A , N/A , N/A ,$42.86 , N/A ,$29.38 ,$13.33 ,$42.86 , N/A ,$42.86 ,$42.86 , N/A ,$30.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200261,N/A,HC ARMBOARD IV,272,1 ,$30.39 ,$19.75 ,$8.51 ,$30.39 , N/A ,$22.64 ,$19.91 , N/A ,$8.51 ,$15.35 , N/A ,$18.75 , N/A ,$18.75 ,$18.75 , N/A ,$18.75 , N/A ,$27.35 ,$22.79 , N/A , N/A ,$26.74 , N/A ,$22.79 ,$22.79 ,$25.83 ,$25.83 , N/A ,$25.83 , N/A ,$23.70 ,$23.70 ,$23.70 ,$27.35 , N/A ,$27.35 , N/A ,$30.39 ,$19.91 , N/A ,$12.64 , N/A , N/A , N/A ,$27.35 , N/A ,$18.75 ,$8.51 ,$27.35 , N/A ,$27.35 ,$27.35 , N/A ,$19.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200283,N/A,HC ATRIUM CHEST DRAINAGE,272,1 ,$475.09 ,$308.81 ,$133.03 ,$475.09 , N/A ,$353.94 ,$311.18 , N/A ,$133.03 ,$239.92 , N/A ,$293.13 , N/A ,$293.13 ,$293.13 , N/A ,$293.13 , N/A ,$427.58 ,$356.32 , N/A , N/A ,$418.08 , N/A ,$356.32 ,$356.32 ,$403.83 ,$403.83 , N/A ,$403.83 , N/A ,$370.57 ,$370.57 ,$370.57 ,$427.58 , N/A ,$427.58 , N/A ,$475.09 ,$311.18 , N/A ,$197.64 , N/A , N/A , N/A ,$427.58 , N/A ,$293.13 ,$133.03 ,$427.58 , N/A ,$427.58 ,$427.58 , N/A ,$308.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200297,N/A,HC BAG RESUSCITATION DISP,272,1 ,$16.00 ,$10.40 ,$4.48 ,$16.00 , N/A ,$11.92 ,$10.48 , N/A ,$4.48 ,$8.08 , N/A ,$9.87 , N/A ,$9.87 ,$9.87 , N/A ,$9.87 , N/A ,$14.40 ,$12.00 , N/A , N/A ,$14.08 , N/A ,$12.00 ,$12.00 ,$13.60 ,$13.60 , N/A ,$13.60 , N/A ,$12.48 ,$12.48 ,$12.48 ,$14.40 , N/A ,$14.40 , N/A ,$16.00 ,$10.48 , N/A ,$6.66 , N/A , N/A , N/A ,$14.40 , N/A ,$9.87 ,$4.48 ,$14.40 , N/A ,$14.40 ,$14.40 , N/A ,$10.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200338,N/A,HC BIOPSY DEVICE NEEDLE CORE,272,1 ,$147.00 ,$95.55 ,$41.16 ,$147.00 , N/A ,$109.52 ,$96.29 , N/A ,$41.16 ,$74.24 , N/A ,$90.70 , N/A ,$90.70 ,$90.70 , N/A ,$90.70 , N/A ,$132.30 ,$110.25 , N/A , N/A ,$129.36 , N/A ,$110.25 ,$110.25 ,$124.95 ,$124.95 , N/A ,$124.95 , N/A ,$114.66 ,$114.66 ,$114.66 ,$132.30 , N/A ,$132.30 , N/A ,$147.00 ,$96.29 , N/A ,$61.15 , N/A , N/A , N/A ,$132.30 , N/A ,$90.70 ,$41.16 ,$132.30 , N/A ,$132.30 ,$132.30 , N/A ,$95.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200351,N/A,HC BIOPSY GUIDE,272,1 ,$13.79 ,$8.96 ,$3.86 ,$13.79 , N/A ,$10.27 ,$9.03 , N/A ,$3.86 ,$6.96 , N/A ,$8.51 , N/A ,$8.51 ,$8.51 , N/A ,$8.51 , N/A ,$12.41 ,$10.34 , N/A , N/A ,$12.14 , N/A ,$10.34 ,$10.34 ,$11.72 ,$11.72 , N/A ,$11.72 , N/A ,$10.76 ,$10.76 ,$10.76 ,$12.41 , N/A ,$12.41 , N/A ,$13.79 ,$9.03 , N/A ,$5.74 , N/A , N/A , N/A ,$12.41 , N/A ,$8.51 ,$3.86 ,$12.41 , N/A ,$12.41 ,$12.41 , N/A ,$8.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200357,N/A,HC BIS MONITOR STRIP,272,1 ,$163.28 ,$106.13 ,$45.72 ,$163.28 , N/A ,$121.64 ,$106.95 , N/A ,$45.72 ,$82.46 , N/A ,$100.74 , N/A ,$100.74 ,$100.74 , N/A ,$100.74 , N/A ,$146.95 ,$122.46 , N/A , N/A ,$143.69 , N/A ,$122.46 ,$122.46 ,$138.79 ,$138.79 , N/A ,$138.79 , N/A ,$127.36 ,$127.36 ,$127.36 ,$146.95 , N/A ,$146.95 , N/A ,$163.28 ,$106.95 , N/A ,$67.92 , N/A , N/A , N/A ,$146.95 , N/A ,$100.74 ,$45.72 ,$146.95 , N/A ,$146.95 ,$146.95 , N/A ,$106.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200480,N/A,HC BLADE PATELLA REAMER,272,1 ,$509.82 ,$331.38 ,$142.75 ,$509.82 , N/A ,$379.82 ,$333.93 , N/A ,$142.75 ,$257.46 , N/A ,$314.56 , N/A ,$314.56 ,$314.56 , N/A ,$314.56 , N/A ,$458.84 ,$382.37 , N/A , N/A ,$448.64 , N/A ,$382.37 ,$382.37 ,$433.35 ,$433.35 , N/A ,$433.35 , N/A ,$397.66 ,$397.66 ,$397.66 ,$458.84 , N/A ,$458.84 , N/A ,$509.82 ,$333.93 , N/A ,$212.09 , N/A , N/A , N/A ,$458.84 , N/A ,$314.56 ,$142.75 ,$458.84 , N/A ,$458.84 ,$458.84 , N/A ,$331.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200543,N/A,HC BLOOD FILTER,272,1 ,$67.65 ,$43.97 ,$18.94 ,$67.65 , N/A ,$50.40 ,$44.31 , N/A ,$18.94 ,$34.16 , N/A ,$41.74 , N/A ,$41.74 ,$41.74 , N/A ,$41.74 , N/A ,$60.89 ,$50.74 , N/A , N/A ,$59.53 , N/A ,$50.74 ,$50.74 ,$57.50 ,$57.50 , N/A ,$57.50 , N/A ,$52.77 ,$52.77 ,$52.77 ,$60.89 , N/A ,$60.89 , N/A ,$67.65 ,$44.31 , N/A ,$28.14 , N/A , N/A , N/A ,$60.89 , N/A ,$41.74 ,$18.94 ,$60.89 , N/A ,$60.89 ,$60.89 , N/A ,$43.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200551,N/A,HC BONE CEMENT KIT,272,1 ,$162.42 ,$105.57 ,$45.48 ,$162.42 , N/A ,$121.00 ,$106.39 , N/A ,$45.48 ,$82.02 , N/A ,$100.21 , N/A ,$100.21 ,$100.21 , N/A ,$100.21 , N/A ,$146.18 ,$121.82 , N/A , N/A ,$142.93 , N/A ,$121.82 ,$121.82 ,$138.06 ,$138.06 , N/A ,$138.06 , N/A ,$126.69 ,$126.69 ,$126.69 ,$146.18 , N/A ,$146.18 , N/A ,$162.42 ,$106.39 , N/A ,$67.57 , N/A , N/A , N/A ,$146.18 , N/A ,$100.21 ,$45.48 ,$146.18 , N/A ,$146.18 ,$146.18 , N/A ,$105.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200571,N/A,HC BREAST PUMP KIT,272,1 ,$162.35 ,$105.53 ,$45.46 ,$162.35 , N/A ,$120.95 ,$106.34 , N/A ,$45.46 ,$81.99 , N/A ,$100.17 , N/A ,$100.17 ,$100.17 , N/A ,$100.17 , N/A ,$146.12 ,$121.76 , N/A , N/A ,$142.87 , N/A ,$121.76 ,$121.76 ,$138.00 ,$138.00 , N/A ,$138.00 , N/A ,$126.63 ,$126.63 ,$126.63 ,$146.12 , N/A ,$146.12 , N/A ,$162.35 ,$106.34 , N/A ,$67.54 , N/A , N/A , N/A ,$146.12 , N/A ,$100.17 ,$45.46 ,$146.12 , N/A ,$146.12 ,$146.12 , N/A ,$105.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200747,N/A,HC CATH ARGYLE THORACIC,272,1 ,$57.02 ,$37.06 ,$15.97 ,$57.02 , N/A ,$42.48 ,$37.35 , N/A ,$15.97 ,$28.80 , N/A ,$35.18 , N/A ,$35.18 ,$35.18 , N/A ,$35.18 , N/A ,$51.32 ,$42.77 , N/A , N/A ,$50.18 , N/A ,$42.77 ,$42.77 ,$48.47 ,$48.47 , N/A ,$48.47 , N/A ,$44.48 ,$44.48 ,$44.48 ,$51.32 , N/A ,$51.32 , N/A ,$57.02 ,$37.35 , N/A ,$23.72 , N/A , N/A , N/A ,$51.32 , N/A ,$35.18 ,$15.97 ,$51.32 , N/A ,$51.32 ,$51.32 , N/A ,$37.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200819,N/A,HC CATH RED RUBBER,272,1 ,$157.46 ,$102.35 ,$44.09 ,$157.46 , N/A ,$117.31 ,$103.14 , N/A ,$44.09 ,$79.52 , N/A ,$97.15 , N/A ,$97.15 ,$97.15 , N/A ,$97.15 , N/A ,$141.71 ,$118.10 , N/A , N/A ,$138.56 , N/A ,$118.10 ,$118.10 ,$133.84 ,$133.84 , N/A ,$133.84 , N/A ,$122.82 ,$122.82 ,$122.82 ,$141.71 , N/A ,$141.71 , N/A ,$157.46 ,$103.14 , N/A ,$65.50 , N/A , N/A , N/A ,$141.71 , N/A ,$97.15 ,$44.09 ,$141.71 , N/A ,$141.71 ,$141.71 , N/A ,$102.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200832,N/A,HC CATH TRAY WITH FOLEY,272,1 ,$100.87 ,$65.57 ,$28.24 ,$100.87 , N/A ,$75.15 ,$66.07 , N/A ,$28.24 ,$50.94 , N/A ,$62.24 , N/A ,$62.24 ,$62.24 , N/A ,$62.24 , N/A ,$90.78 ,$75.65 , N/A , N/A ,$88.77 , N/A ,$75.65 ,$75.65 ,$85.74 ,$85.74 , N/A ,$85.74 , N/A ,$78.68 ,$78.68 ,$78.68 ,$90.78 , N/A ,$90.78 , N/A ,$100.87 ,$66.07 , N/A ,$41.96 , N/A , N/A , N/A ,$90.78 , N/A ,$62.24 ,$28.24 ,$90.78 , N/A ,$90.78 ,$90.78 , N/A ,$65.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200848,N/A,HC CATHETER - ARTERIAL SET,272,1 ,$79.91 ,$51.94 ,$22.37 ,$79.91 , N/A ,$59.53 ,$52.34 , N/A ,$22.37 ,$40.35 , N/A ,$49.30 , N/A ,$49.30 ,$49.30 , N/A ,$49.30 , N/A ,$71.92 ,$59.93 , N/A , N/A ,$70.32 , N/A ,$59.93 ,$59.93 ,$67.92 ,$67.92 , N/A ,$67.92 , N/A ,$62.33 ,$62.33 ,$62.33 ,$71.92 , N/A ,$71.92 , N/A ,$79.91 ,$52.34 , N/A ,$33.24 , N/A , N/A , N/A ,$71.92 , N/A ,$49.30 ,$22.37 ,$71.92 , N/A ,$71.92 ,$71.92 , N/A ,$51.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200849,N/A,HC CATHETER - FOLEY,272,1 ,$29.00 ,$18.85 ,$8.12 ,$29.00 , N/A ,$21.61 ,$19.00 , N/A ,$8.12 ,$14.65 , N/A ,$17.89 , N/A ,$17.89 ,$17.89 , N/A ,$17.89 , N/A ,$26.10 ,$21.75 , N/A , N/A ,$25.52 , N/A ,$21.75 ,$21.75 ,$24.65 ,$24.65 , N/A ,$24.65 , N/A ,$22.62 ,$22.62 ,$22.62 ,$26.10 , N/A ,$26.10 , N/A ,$29.00 ,$19.00 , N/A ,$12.06 , N/A , N/A , N/A ,$26.10 , N/A ,$17.89 ,$8.12 ,$26.10 , N/A ,$26.10 ,$26.10 , N/A ,$18.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200906,N/A,HC CHIBA NEEDLE,272,1 ,$12.57 ,$8.17 ,$3.52 ,$12.57 , N/A ,$9.36 ,$8.23 , N/A ,$3.52 ,$6.35 , N/A ,$7.76 , N/A ,$7.76 ,$7.76 , N/A ,$7.76 , N/A ,$11.31 ,$9.43 , N/A , N/A ,$11.06 , N/A ,$9.43 ,$9.43 ,$10.68 ,$10.68 , N/A ,$10.68 , N/A ,$9.80 ,$9.80 ,$9.80 ,$11.31 , N/A ,$11.31 , N/A ,$12.57 ,$8.23 , N/A ,$5.23 , N/A , N/A , N/A ,$11.31 , N/A ,$7.76 ,$3.52 ,$11.31 , N/A ,$11.31 ,$11.31 , N/A ,$8.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200907,N/A,HC CHLORAPREP,272,1 ,$16.41 ,$10.67 ,$4.59 ,$16.41 , N/A ,$12.23 ,$10.75 , N/A ,$4.59 ,$8.29 , N/A ,$10.13 , N/A ,$10.13 ,$10.13 , N/A ,$10.13 , N/A ,$14.77 ,$12.31 , N/A , N/A ,$14.44 , N/A ,$12.31 ,$12.31 ,$13.95 ,$13.95 , N/A ,$13.95 , N/A ,$12.80 ,$12.80 ,$12.80 ,$14.77 , N/A ,$14.77 , N/A ,$16.41 ,$10.75 , N/A ,$6.83 , N/A , N/A , N/A ,$14.77 , N/A ,$10.13 ,$4.59 ,$14.77 , N/A ,$14.77 ,$14.77 , N/A ,$10.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27200942,N/A,HC COAXIAL GUIDING NEEDLE,272,1 ,$191.67 ,$124.59 ,$53.67 ,$191.67 , N/A ,$142.79 ,$125.54 , N/A ,$53.67 ,$96.79 , N/A ,$118.26 , N/A ,$118.26 ,$118.26 , N/A ,$118.26 , N/A ,$172.50 ,$143.75 , N/A , N/A ,$168.67 , N/A ,$143.75 ,$143.75 ,$162.92 ,$162.92 , N/A ,$162.92 , N/A ,$149.50 ,$149.50 ,$149.50 ,$172.50 , N/A ,$172.50 , N/A ,$191.67 ,$125.54 , N/A ,$79.73 , N/A , N/A , N/A ,$172.50 , N/A ,$118.26 ,$53.67 ,$172.50 , N/A ,$172.50 ,$172.50 , N/A ,$124.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201009,N/A,HC CRICOTHYROTOMY CATH SET,272,1 ,"$1,576.91 ","$1,024.99 ",$441.53 ,"$1,576.91 ", N/A ,"$1,174.80 ","$1,032.88 ", N/A ,$441.53 ,$796.34 , N/A ,$972.95 , N/A ,$972.95 ,$972.95 , N/A ,$972.95 , N/A ,"$1,419.22 ","$1,182.68 ", N/A , N/A ,"$1,387.68 ", N/A ,"$1,182.68 ","$1,182.68 ","$1,340.37 ","$1,340.37 ", N/A ,"$1,340.37 ", N/A ,"$1,229.99 ","$1,229.99 ","$1,229.99 ","$1,419.22 ", N/A ,"$1,419.22 ", N/A ,"$1,576.91 ","$1,032.88 ", N/A ,$655.99 , N/A , N/A , N/A ,"$1,419.22 ", N/A ,$972.95 ,$441.53 ,"$1,419.22 ", N/A ,"$1,419.22 ","$1,419.22 ", N/A ,"$1,024.99 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201012,N/A,HC BONOPTY BX SET,272,1 ,$95.09 ,$61.81 ,$26.63 ,$95.09 , N/A ,$70.84 ,$62.28 , N/A ,$26.63 ,$48.02 , N/A ,$58.67 , N/A ,$58.67 ,$58.67 , N/A ,$58.67 , N/A ,$85.58 ,$71.32 , N/A , N/A ,$83.68 , N/A ,$71.32 ,$71.32 ,$80.83 ,$80.83 , N/A ,$80.83 , N/A ,$74.17 ,$74.17 ,$74.17 ,$85.58 , N/A ,$85.58 , N/A ,$95.09 ,$62.28 , N/A ,$39.56 , N/A , N/A , N/A ,$85.58 , N/A ,$58.67 ,$26.63 ,$85.58 , N/A ,$85.58 ,$85.58 , N/A ,$61.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201013,N/A,HC BONOPTY ED DRILL,272,1 ,$33.08 ,$21.50 ,$9.26 ,$33.08 , N/A ,$24.64 ,$21.67 , N/A ,$9.26 ,$16.71 , N/A ,$20.41 , N/A ,$20.41 ,$20.41 , N/A ,$20.41 , N/A ,$29.77 ,$24.81 , N/A , N/A ,$29.11 , N/A ,$24.81 ,$24.81 ,$28.12 ,$28.12 , N/A ,$28.12 , N/A ,$25.80 ,$25.80 ,$25.80 ,$29.77 , N/A ,$29.77 , N/A ,$33.08 ,$21.67 , N/A ,$13.76 , N/A , N/A , N/A ,$29.77 , N/A ,$20.41 ,$9.26 ,$29.77 , N/A ,$29.77 ,$29.77 , N/A ,$21.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201014,N/A,HC BONOPTY PENETRATION SET,272,1 ,$413.44 ,$268.74 ,$115.76 ,$413.44 , N/A ,$308.01 ,$270.80 , N/A ,$115.76 ,$208.79 , N/A ,$255.09 , N/A ,$255.09 ,$255.09 , N/A ,$255.09 , N/A ,$372.10 ,$310.08 , N/A , N/A ,$363.83 , N/A ,$310.08 ,$310.08 ,$351.42 ,$351.42 , N/A ,$351.42 , N/A ,$322.48 ,$322.48 ,$322.48 ,$372.10 , N/A ,$372.10 , N/A ,$413.44 ,$270.80 , N/A ,$171.99 , N/A , N/A , N/A ,$372.10 , N/A ,$255.09 ,$115.76 ,$372.10 , N/A ,$372.10 ,$372.10 , N/A ,$268.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201042,N/A,HC DERMABOND,272,1 ,$32.66 ,$21.23 ,$9.14 ,$32.66 , N/A ,$24.33 ,$21.39 , N/A ,$9.14 ,$16.49 , N/A ,$20.15 , N/A ,$20.15 ,$20.15 , N/A ,$20.15 , N/A ,$29.39 ,$24.50 , N/A , N/A ,$28.74 , N/A ,$24.50 ,$24.50 ,$27.76 ,$27.76 , N/A ,$27.76 , N/A ,$25.47 ,$25.47 ,$25.47 ,$29.39 , N/A ,$29.39 , N/A ,$32.66 ,$21.39 , N/A ,$13.59 , N/A , N/A , N/A ,$29.39 , N/A ,$20.15 ,$9.14 ,$29.39 , N/A ,$29.39 ,$29.39 , N/A ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201071,N/A,HC DILATOR BARD,272,1 ,$21.88 ,$14.22 ,$6.13 ,$21.88 , N/A ,$16.30 ,$14.33 , N/A ,$6.13 ,$11.05 , N/A ,$13.50 , N/A ,$13.50 ,$13.50 , N/A ,$13.50 , N/A ,$19.69 ,$16.41 , N/A , N/A ,$19.25 , N/A ,$16.41 ,$16.41 ,$18.60 ,$18.60 , N/A ,$18.60 , N/A ,$17.07 ,$17.07 ,$17.07 ,$19.69 , N/A ,$19.69 , N/A ,$21.88 ,$14.33 , N/A ,$9.10 , N/A , N/A , N/A ,$19.69 , N/A ,$13.50 ,$6.13 ,$19.69 , N/A ,$19.69 ,$19.69 , N/A ,$14.22 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201077,N/A,HC DIS INCENTIVE SPIROMETER,272,1 ,$61.47 ,$39.96 ,$17.21 ,$61.47 , N/A ,$45.80 ,$40.26 , N/A ,$17.21 ,$31.04 , N/A ,$37.93 , N/A ,$37.93 ,$37.93 , N/A ,$37.93 , N/A ,$55.32 ,$46.10 , N/A , N/A ,$54.09 , N/A ,$46.10 ,$46.10 ,$52.25 ,$52.25 , N/A ,$52.25 , N/A ,$47.95 ,$47.95 ,$47.95 ,$55.32 , N/A ,$55.32 , N/A ,$61.47 ,$40.26 , N/A ,$25.57 , N/A , N/A , N/A ,$55.32 , N/A ,$37.93 ,$17.21 ,$55.32 , N/A ,$55.32 ,$55.32 , N/A ,$39.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201083,N/A,HC DISP. OXIMETER SENSOR,272,1 ,$129.41 ,$84.12 ,$36.23 ,$129.41 , N/A ,$96.41 ,$84.76 , N/A ,$36.23 ,$65.35 , N/A ,$79.85 , N/A ,$79.85 ,$79.85 , N/A ,$79.85 , N/A ,$116.47 ,$97.06 , N/A , N/A ,$113.88 , N/A ,$97.06 ,$97.06 ,$110.00 ,$110.00 , N/A ,$110.00 , N/A ,$100.94 ,$100.94 ,$100.94 ,$116.47 , N/A ,$116.47 , N/A ,$129.41 ,$84.76 , N/A ,$53.83 , N/A , N/A , N/A ,$116.47 , N/A ,$79.85 ,$36.23 ,$116.47 , N/A ,$116.47 ,$116.47 , N/A ,$84.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201138,N/A,HC WOUND VAC DRAPE,272,1 ,$15.59 ,$10.13 ,$4.37 ,$15.59 , N/A ,$11.61 ,$10.21 , N/A ,$4.37 ,$7.87 , N/A ,$9.62 , N/A ,$9.62 ,$9.62 , N/A ,$9.62 , N/A ,$14.03 ,$11.69 , N/A , N/A ,$13.72 , N/A ,$11.69 ,$11.69 ,$13.25 ,$13.25 , N/A ,$13.25 , N/A ,$12.16 ,$12.16 ,$12.16 ,$14.03 , N/A ,$14.03 , N/A ,$15.59 ,$10.21 , N/A ,$6.49 , N/A , N/A , N/A ,$14.03 , N/A ,$9.62 ,$4.37 ,$14.03 , N/A ,$14.03 ,$14.03 , N/A ,$10.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201165,N/A,HC MORGAN LENS,272,1 ,$247.54 ,$160.90 ,$69.31 ,$247.54 , N/A ,$184.42 ,$162.14 , N/A ,$69.31 ,$125.01 , N/A ,$152.73 , N/A ,$152.73 ,$152.73 , N/A ,$152.73 , N/A ,$222.79 ,$185.66 , N/A , N/A ,$217.84 , N/A ,$185.66 ,$185.66 ,$210.41 ,$210.41 , N/A ,$210.41 , N/A ,$193.08 ,$193.08 ,$193.08 ,$222.79 , N/A ,$222.79 , N/A ,$247.54 ,$162.14 , N/A ,$102.98 , N/A , N/A , N/A ,$222.79 , N/A ,$152.73 ,$69.31 ,$222.79 , N/A ,$222.79 ,$222.79 , N/A ,$160.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201252,N/A,HC EPIDURAL TRAY,272,1 ,$156.20 ,$101.53 ,$43.74 ,$156.20 , N/A ,$116.37 ,$102.31 , N/A ,$43.74 ,$78.88 , N/A ,$96.38 , N/A ,$96.38 ,$96.38 , N/A ,$96.38 , N/A ,$140.58 ,$117.15 , N/A , N/A ,$137.46 , N/A ,$117.15 ,$117.15 ,$132.77 ,$132.77 , N/A ,$132.77 , N/A ,$121.84 ,$121.84 ,$121.84 ,$140.58 , N/A ,$140.58 , N/A ,$156.20 ,$102.31 , N/A ,$64.98 , N/A , N/A , N/A ,$140.58 , N/A ,$96.38 ,$43.74 ,$140.58 , N/A ,$140.58 ,$140.58 , N/A ,$101.53 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201279,N/A,HC FECAL MANAGEMENT KIT,272,1 ,$246.00 ,$159.90 ,$68.88 ,$246.00 , N/A ,$183.27 ,$161.13 , N/A ,$68.88 ,$124.23 , N/A ,$151.78 , N/A ,$151.78 ,$151.78 , N/A ,$151.78 , N/A ,$221.40 ,$184.50 , N/A , N/A ,$216.48 , N/A ,$184.50 ,$184.50 ,$209.10 ,$209.10 , N/A ,$209.10 , N/A ,$191.88 ,$191.88 ,$191.88 ,$221.40 , N/A ,$221.40 , N/A ,$246.00 ,$161.13 , N/A ,$102.34 , N/A , N/A , N/A ,$221.40 , N/A ,$151.78 ,$68.88 ,$221.40 , N/A ,$221.40 ,$221.40 , N/A ,$159.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201332,N/A,HC GASTRIC LAVAGE KIT,272,1 ,"$1,882.87 ","$1,223.87 ",$527.20 ,"$1,882.87 ", N/A ,"$1,402.74 ","$1,233.28 ", N/A ,$527.20 ,$950.85 , N/A ,"$1,161.73 ", N/A ,"$1,161.73 ","$1,161.73 ", N/A ,"$1,161.73 ", N/A ,"$1,694.58 ","$1,412.15 ", N/A , N/A ,"$1,656.93 ", N/A ,"$1,412.15 ","$1,412.15 ","$1,600.44 ","$1,600.44 ", N/A ,"$1,600.44 ", N/A ,"$1,468.64 ","$1,468.64 ","$1,468.64 ","$1,694.58 ", N/A ,"$1,694.58 ", N/A ,"$1,882.87 ","$1,233.28 ", N/A ,$783.27 , N/A , N/A , N/A ,"$1,694.58 ", N/A ,"$1,161.73 ",$527.20 ,"$1,694.58 ", N/A ,"$1,694.58 ","$1,694.58 ", N/A ,"$1,223.87 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201339,N/A,HC GELFILM,272,1 ,$16.80 ,$10.92 ,$4.70 ,$16.80 , N/A ,$12.52 ,$11.00 , N/A ,$4.70 ,$8.48 , N/A ,$10.37 , N/A ,$10.37 ,$10.37 , N/A ,$10.37 , N/A ,$15.12 ,$12.60 , N/A , N/A ,$14.78 , N/A ,$12.60 ,$12.60 ,$14.28 ,$14.28 , N/A ,$14.28 , N/A ,$13.10 ,$13.10 ,$13.10 ,$15.12 , N/A ,$15.12 , N/A ,$16.80 ,$11.00 , N/A ,$6.99 , N/A , N/A , N/A ,$15.12 , N/A ,$10.37 ,$4.70 ,$15.12 , N/A ,$15.12 ,$15.12 , N/A ,$10.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201391,N/A,HC HEEL PROTECTOR EA,272,1 ,$57.96 ,$37.67 ,$16.23 ,$57.96 , N/A ,$43.18 ,$37.96 , N/A ,$16.23 ,$29.27 , N/A ,$35.76 , N/A ,$35.76 ,$35.76 , N/A ,$35.76 , N/A ,$52.16 ,$43.47 , N/A , N/A ,$51.00 , N/A ,$43.47 ,$43.47 ,$49.27 ,$49.27 , N/A ,$49.27 , N/A ,$45.21 ,$45.21 ,$45.21 ,$52.16 , N/A ,$52.16 , N/A ,$57.96 ,$37.96 , N/A ,$24.11 , N/A , N/A , N/A ,$52.16 , N/A ,$35.76 ,$16.23 ,$52.16 , N/A ,$52.16 ,$52.16 , N/A ,$37.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201404,N/A,HC HEMOVAC MINI EVACAT ONLY,272,1 ,$22.53 ,$14.64 ,$6.31 ,$22.53 , N/A ,$16.78 ,$14.76 , N/A ,$6.31 ,$11.38 , N/A ,$13.90 , N/A ,$13.90 ,$13.90 , N/A ,$13.90 , N/A ,$20.28 ,$16.90 , N/A , N/A ,$19.83 , N/A ,$16.90 ,$16.90 ,$19.15 ,$19.15 , N/A ,$19.15 , N/A ,$17.57 ,$17.57 ,$17.57 ,$20.28 , N/A ,$20.28 , N/A ,$22.53 ,$14.76 , N/A ,$9.37 , N/A , N/A , N/A ,$20.28 , N/A ,$13.90 ,$6.31 ,$20.28 , N/A ,$20.28 ,$20.28 , N/A ,$14.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201419,N/A,HC HUBER NEEDLE,272,1 ,$10.00 ,$6.50 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$5.05 , N/A ,$6.17 , N/A ,$6.17 ,$6.17 , N/A ,$6.17 , N/A ,$9.00 ,$7.50 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$7.80 ,$7.80 ,$7.80 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$6.55 , N/A ,$4.16 , N/A , N/A , N/A ,$9.00 , N/A ,$6.17 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201450,N/A,HC INTRODUCER KIT,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201521,N/A,HC KIT INTRODUCER,272,1 ,$25.83 ,$16.79 ,$7.23 ,$25.83 , N/A ,$19.24 ,$16.92 , N/A ,$7.23 ,$13.04 , N/A ,$15.94 , N/A ,$15.94 ,$15.94 , N/A ,$15.94 , N/A ,$23.25 ,$19.37 , N/A , N/A ,$22.73 , N/A ,$19.37 ,$19.37 ,$21.96 ,$21.96 , N/A ,$21.96 , N/A ,$20.15 ,$20.15 ,$20.15 ,$23.25 , N/A ,$23.25 , N/A ,$25.83 ,$16.92 , N/A ,$10.75 , N/A , N/A , N/A ,$23.25 , N/A ,$15.94 ,$7.23 ,$23.25 , N/A ,$23.25 ,$23.25 , N/A ,$16.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201637,N/A,HC MAMMOTOME PROBE,272,1 ,$534.56 ,$347.46 ,$149.68 ,$534.56 , N/A ,$398.25 ,$350.14 , N/A ,$149.68 ,$269.95 , N/A ,$329.82 , N/A ,$329.82 ,$329.82 , N/A ,$329.82 , N/A ,$481.10 ,$400.92 , N/A , N/A ,$470.41 , N/A ,$400.92 ,$400.92 ,$454.38 ,$454.38 , N/A ,$454.38 , N/A ,$416.96 ,$416.96 ,$416.96 ,$481.10 , N/A ,$481.10 , N/A ,$534.56 ,$350.14 , N/A ,$222.38 , N/A , N/A , N/A ,$481.10 , N/A ,$329.82 ,$149.68 ,$481.10 , N/A ,$481.10 ,$481.10 , N/A ,$347.46 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201647,N/A,HC METER URINE,272,1 ,$61.03 ,$39.67 ,$17.09 ,$61.03 , N/A ,$45.47 ,$39.97 , N/A ,$17.09 ,$30.82 , N/A ,$37.66 , N/A ,$37.66 ,$37.66 , N/A ,$37.66 , N/A ,$54.93 ,$45.77 , N/A , N/A ,$53.71 , N/A ,$45.77 ,$45.77 ,$51.88 ,$51.88 , N/A ,$51.88 , N/A ,$47.60 ,$47.60 ,$47.60 ,$54.93 , N/A ,$54.93 , N/A ,$61.03 ,$39.97 , N/A ,$25.39 , N/A , N/A , N/A ,$54.93 , N/A ,$37.66 ,$17.09 ,$54.93 , N/A ,$54.93 ,$54.93 , N/A ,$39.67 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201737,N/A,HC NIPPLE ENHANCER,272,1 ,$12.31 ,$8.00 ,$3.45 ,$12.31 , N/A ,$9.17 ,$8.06 , N/A ,$3.45 ,$6.22 , N/A ,$7.60 , N/A ,$7.60 ,$7.60 , N/A ,$7.60 , N/A ,$11.08 ,$9.23 , N/A , N/A ,$10.83 , N/A ,$9.23 ,$9.23 ,$10.46 ,$10.46 , N/A ,$10.46 , N/A ,$9.60 ,$9.60 ,$9.60 ,$11.08 , N/A ,$11.08 , N/A ,$12.31 ,$8.06 , N/A ,$5.12 , N/A , N/A , N/A ,$11.08 , N/A ,$7.60 ,$3.45 ,$11.08 , N/A ,$11.08 ,$11.08 , N/A ,$8.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201867,N/A,HC PLEURX DRAINAGE KIT,272,1 ,$78.75 ,$51.19 ,$22.05 ,$78.75 , N/A ,$58.67 ,$51.58 , N/A ,$22.05 ,$39.77 , N/A ,$48.59 , N/A ,$48.59 ,$48.59 , N/A ,$48.59 , N/A ,$70.88 ,$59.06 , N/A , N/A ,$69.30 , N/A ,$59.06 ,$59.06 ,$66.94 ,$66.94 , N/A ,$66.94 , N/A ,$61.43 ,$61.43 ,$61.43 ,$70.88 , N/A ,$70.88 , N/A ,$78.75 ,$51.58 , N/A ,$32.76 , N/A , N/A , N/A ,$70.88 , N/A ,$48.59 ,$22.05 ,$70.88 , N/A ,$70.88 ,$70.88 , N/A ,$51.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201868,N/A,HC PLEURX DRAINAGE LINE SET,272,1 ,$32.66 ,$21.23 ,$9.14 ,$32.66 , N/A ,$24.33 ,$21.39 , N/A ,$9.14 ,$16.49 , N/A ,$20.15 , N/A ,$20.15 ,$20.15 , N/A ,$20.15 , N/A ,$29.39 ,$24.50 , N/A , N/A ,$28.74 , N/A ,$24.50 ,$24.50 ,$27.76 ,$27.76 , N/A ,$27.76 , N/A ,$25.47 ,$25.47 ,$25.47 ,$29.39 , N/A ,$29.39 , N/A ,$32.66 ,$21.39 , N/A ,$13.59 , N/A , N/A , N/A ,$29.39 , N/A ,$20.15 ,$9.14 ,$29.39 , N/A ,$29.39 ,$29.39 , N/A ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201869,N/A,HC PLEURX REPLACEMENT CAP,272,1 ,$11.03 ,$7.17 ,$3.09 ,$11.03 , N/A ,$8.22 ,$7.22 , N/A ,$3.09 ,$5.57 , N/A ,$6.81 , N/A ,$6.81 ,$6.81 , N/A ,$6.81 , N/A ,$9.93 ,$8.27 , N/A , N/A ,$9.71 , N/A ,$8.27 ,$8.27 ,$9.38 ,$9.38 , N/A ,$9.38 , N/A ,$8.60 ,$8.60 ,$8.60 ,$9.93 , N/A ,$9.93 , N/A ,$11.03 ,$7.22 , N/A ,$4.59 , N/A , N/A , N/A ,$9.93 , N/A ,$6.81 ,$3.09 ,$9.93 , N/A ,$9.93 ,$9.93 , N/A ,$7.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201890,N/A,HC PREP CHLORAPREP 26ML,272,1 ,$53.06 ,$34.49 ,$14.86 ,$53.06 , N/A ,$39.53 ,$34.75 , N/A ,$14.86 ,$26.80 , N/A ,$32.74 , N/A ,$32.74 ,$32.74 , N/A ,$32.74 , N/A ,$47.75 ,$39.80 , N/A , N/A ,$46.69 , N/A ,$39.80 ,$39.80 ,$45.10 ,$45.10 , N/A ,$45.10 , N/A ,$41.39 ,$41.39 ,$41.39 ,$47.75 , N/A ,$47.75 , N/A ,$53.06 ,$34.75 , N/A ,$22.07 , N/A , N/A , N/A ,$47.75 , N/A ,$32.74 ,$14.86 ,$47.75 , N/A ,$47.75 ,$47.75 , N/A ,$34.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201896,N/A,HC PREVENA INCISION SYSTEM,272,1 ,"$1,560.00 ","$1,014.00 ",$436.80 ,"$1,560.00 ", N/A ,"$1,162.20 ","$1,021.80 ", N/A ,$436.80 ,$787.80 , N/A ,$962.52 , N/A ,$962.52 ,$962.52 , N/A ,$962.52 , N/A ,"$1,404.00 ","$1,170.00 ", N/A , N/A ,"$1,372.80 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,326.00 ","$1,326.00 ", N/A ,"$1,326.00 ", N/A ,"$1,216.80 ","$1,216.80 ","$1,216.80 ","$1,404.00 ", N/A ,"$1,404.00 ", N/A ,"$1,560.00 ","$1,021.80 ", N/A ,$648.96 , N/A , N/A , N/A ,"$1,404.00 ", N/A ,$962.52 ,$436.80 ,"$1,404.00 ", N/A ,"$1,404.00 ","$1,404.00 ", N/A ,"$1,014.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27201938,N/A,HC PULSE OXIMETER PROBE DISP,272,1 ,$24.87 ,$16.17 ,$6.96 ,$24.87 , N/A ,$18.53 ,$16.29 , N/A ,$6.96 ,$12.56 , N/A ,$15.34 , N/A ,$15.34 ,$15.34 , N/A ,$15.34 , N/A ,$22.38 ,$18.65 , N/A , N/A ,$21.89 , N/A ,$18.65 ,$18.65 ,$21.14 ,$21.14 , N/A ,$21.14 , N/A ,$19.40 ,$19.40 ,$19.40 ,$22.38 , N/A ,$22.38 , N/A ,$24.87 ,$16.29 , N/A ,$10.35 , N/A , N/A , N/A ,$22.38 , N/A ,$15.34 ,$6.96 ,$22.38 , N/A ,$22.38 ,$22.38 , N/A ,$16.17 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202002,N/A,HC SCD SLEEVE KNEE,272,1 ,$42.00 ,$27.30 ,$11.76 ,$42.00 , N/A ,$31.29 ,$27.51 , N/A ,$11.76 ,$21.21 , N/A ,$25.91 , N/A ,$25.91 ,$25.91 , N/A ,$25.91 , N/A ,$37.80 ,$31.50 , N/A , N/A ,$36.96 , N/A ,$31.50 ,$31.50 ,$35.70 ,$35.70 , N/A ,$35.70 , N/A ,$32.76 ,$32.76 ,$32.76 ,$37.80 , N/A ,$37.80 , N/A ,$42.00 ,$27.51 , N/A ,$17.47 , N/A , N/A , N/A ,$37.80 , N/A ,$25.91 ,$11.76 ,$37.80 , N/A ,$37.80 ,$37.80 , N/A ,$27.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202013,N/A,HC SEALANT FLOSEAL MATRIX,272,1 ,$384.33 ,$249.81 ,$107.61 ,$384.33 , N/A ,$286.33 ,$251.74 , N/A ,$107.61 ,$194.09 , N/A ,$237.13 , N/A ,$237.13 ,$237.13 , N/A ,$237.13 , N/A ,$345.90 ,$288.25 , N/A , N/A ,$338.21 , N/A ,$288.25 ,$288.25 ,$326.68 ,$326.68 , N/A ,$326.68 , N/A ,$299.78 ,$299.78 ,$299.78 ,$345.90 , N/A ,$345.90 , N/A ,$384.33 ,$251.74 , N/A ,$159.88 , N/A , N/A , N/A ,$345.90 , N/A ,$237.13 ,$107.61 ,$345.90 , N/A ,$345.90 ,$345.90 , N/A ,$249.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202018,N/A,HC SENSOR ADULT ADHESIVE,272,1 ,$457.97 ,$297.68 ,$128.23 ,$457.97 , N/A ,$341.19 ,$299.97 , N/A ,$128.23 ,$231.27 , N/A ,$282.57 , N/A ,$282.57 ,$282.57 , N/A ,$282.57 , N/A ,$412.17 ,$343.48 , N/A , N/A ,$403.01 , N/A ,$343.48 ,$343.48 ,$389.27 ,$389.27 , N/A ,$389.27 , N/A ,$357.22 ,$357.22 ,$357.22 ,$412.17 , N/A ,$412.17 , N/A ,$457.97 ,$299.97 , N/A ,$190.52 , N/A , N/A , N/A ,$412.17 , N/A ,$282.57 ,$128.23 ,$412.17 , N/A ,$412.17 ,$412.17 , N/A ,$297.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202120,N/A,HC STAPLER SKIN,272,1 ,$18.00 ,$11.70 ,$5.04 ,$18.00 , N/A ,$13.41 ,$11.79 , N/A ,$5.04 ,$9.09 , N/A ,$11.11 , N/A ,$11.11 ,$11.11 , N/A ,$11.11 , N/A ,$16.20 ,$13.50 , N/A , N/A ,$15.84 , N/A ,$13.50 ,$13.50 ,$15.30 ,$15.30 , N/A ,$15.30 , N/A ,$14.04 ,$14.04 ,$14.04 ,$16.20 , N/A ,$16.20 , N/A ,$18.00 ,$11.79 , N/A ,$7.49 , N/A , N/A , N/A ,$16.20 , N/A ,$11.11 ,$5.04 ,$16.20 , N/A ,$16.20 ,$16.20 , N/A ,$11.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202600,N/A,HC SUTURE,272,1 ,$27.37 ,$17.79 ,$7.66 ,$27.37 , N/A ,$20.39 ,$17.93 , N/A ,$7.66 ,$13.82 , N/A ,$16.89 , N/A ,$16.89 ,$16.89 , N/A ,$16.89 , N/A ,$24.63 ,$20.53 , N/A , N/A ,$24.09 , N/A ,$20.53 ,$20.53 ,$23.26 ,$23.26 , N/A ,$23.26 , N/A ,$21.35 ,$21.35 ,$21.35 ,$24.63 , N/A ,$24.63 , N/A ,$27.37 ,$17.93 , N/A ,$11.39 , N/A , N/A , N/A ,$24.63 , N/A ,$16.89 ,$7.66 ,$24.63 , N/A ,$24.63 ,$24.63 , N/A ,$17.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202665,N/A,HC THORACENTESIS TRAY,272,1 ,$249.75 ,$162.34 ,$69.93 ,$249.75 , N/A ,$186.06 ,$163.59 , N/A ,$69.93 ,$126.12 , N/A ,$154.10 , N/A ,$154.10 ,$154.10 , N/A ,$154.10 , N/A ,$224.78 ,$187.31 , N/A , N/A ,$219.78 , N/A ,$187.31 ,$187.31 ,$212.29 ,$212.29 , N/A ,$212.29 , N/A ,$194.81 ,$194.81 ,$194.81 ,$224.78 , N/A ,$224.78 , N/A ,$249.75 ,$163.59 , N/A ,$103.90 , N/A , N/A , N/A ,$224.78 , N/A ,$154.10 ,$69.93 ,$224.78 , N/A ,$224.78 ,$224.78 , N/A ,$162.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202729,N/A,HC TRANSDUCER COVER,272,1 ,$16.21 ,$10.54 ,$4.54 ,$16.21 , N/A ,$12.08 ,$10.62 , N/A ,$4.54 ,$8.19 , N/A ,$10.00 , N/A ,$10.00 ,$10.00 , N/A ,$10.00 , N/A ,$14.59 ,$12.16 , N/A , N/A ,$14.26 , N/A ,$12.16 ,$12.16 ,$13.78 ,$13.78 , N/A ,$13.78 , N/A ,$12.64 ,$12.64 ,$12.64 ,$14.59 , N/A ,$14.59 , N/A ,$16.21 ,$10.62 , N/A ,$6.74 , N/A , N/A , N/A ,$14.59 , N/A ,$10.00 ,$4.54 ,$14.59 , N/A ,$14.59 ,$14.59 , N/A ,$10.54 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202743,N/A,HC TRAY CATH,272,1 ,$96.43 ,$62.68 ,$27.00 ,$96.43 , N/A ,$71.84 ,$63.16 , N/A ,$27.00 ,$48.70 , N/A ,$59.50 , N/A ,$59.50 ,$59.50 , N/A ,$59.50 , N/A ,$86.79 ,$72.32 , N/A , N/A ,$84.86 , N/A ,$72.32 ,$72.32 ,$81.97 ,$81.97 , N/A ,$81.97 , N/A ,$75.22 ,$75.22 ,$75.22 ,$86.79 , N/A ,$86.79 , N/A ,$96.43 ,$63.16 , N/A ,$40.11 , N/A , N/A , N/A ,$86.79 , N/A ,$59.50 ,$27.00 ,$86.79 , N/A ,$86.79 ,$86.79 , N/A ,$62.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202786,N/A,HC TRAY PERI-CERV BLOCK,272,1 ,$66.14 ,$42.99 ,$18.52 ,$66.14 , N/A ,$49.27 ,$43.32 , N/A ,$18.52 ,$33.40 , N/A ,$40.81 , N/A ,$40.81 ,$40.81 , N/A ,$40.81 , N/A ,$59.53 ,$49.61 , N/A , N/A ,$58.20 , N/A ,$49.61 ,$49.61 ,$56.22 ,$56.22 , N/A ,$56.22 , N/A ,$51.59 ,$51.59 ,$51.59 ,$59.53 , N/A ,$59.53 , N/A ,$66.14 ,$43.32 , N/A ,$27.51 , N/A , N/A , N/A ,$59.53 , N/A ,$40.81 ,$18.52 ,$59.53 , N/A ,$59.53 ,$59.53 , N/A ,$42.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202807,N/A,HC TRAY SPINAL,272,1 ,$141.67 ,$92.09 ,$39.67 ,$141.67 , N/A ,$105.54 ,$92.79 , N/A ,$39.67 ,$71.54 , N/A ,$87.41 , N/A ,$87.41 ,$87.41 , N/A ,$87.41 , N/A ,$127.50 ,$106.25 , N/A , N/A ,$124.67 , N/A ,$106.25 ,$106.25 ,$120.42 ,$120.42 , N/A ,$120.42 , N/A ,$110.50 ,$110.50 ,$110.50 ,$127.50 , N/A ,$127.50 , N/A ,$141.67 ,$92.79 , N/A ,$58.93 , N/A , N/A , N/A ,$127.50 , N/A ,$87.41 ,$39.67 ,$127.50 , N/A ,$127.50 ,$127.50 , N/A ,$92.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202901,N/A,HC TUBES TRACH,278,1 ,$72.81 ,$47.33 ,$20.39 ,$72.81 , N/A ,$54.24 ,$47.69 , N/A ,$20.39 ,$36.77 , N/A ,$44.92 , N/A ,$44.92 ,$44.92 , N/A ,$44.92 , N/A ,$65.53 ,$54.61 , N/A , N/A ,$64.07 , N/A ,$54.61 ,$54.61 ,$61.89 ,$61.89 , N/A ,$61.89 , N/A ,$56.79 ,$56.79 ,$56.79 ,$65.53 , N/A ,$65.53 , N/A ,$72.81 ,$47.69 , N/A ,$30.29 , N/A , N/A , N/A ,$65.53 , N/A ,$44.92 ,$20.39 ,$65.53 , N/A ,$65.53 ,$65.53 , N/A ,$47.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27202915,N/A,HC TUBING CYSTO,272,1 ,$604.69 ,$393.05 ,$169.31 ,$604.69 , N/A ,$450.49 ,$396.07 , N/A ,$169.31 ,$305.37 , N/A ,$373.09 , N/A ,$373.09 ,$373.09 , N/A ,$373.09 , N/A ,$544.22 ,$453.52 , N/A , N/A ,$532.13 , N/A ,$453.52 ,$453.52 ,$513.99 ,$513.99 , N/A ,$513.99 , N/A ,$471.66 ,$471.66 ,$471.66 ,$544.22 , N/A ,$544.22 , N/A ,$604.69 ,$396.07 , N/A ,$251.55 , N/A , N/A , N/A ,$544.22 , N/A ,$373.09 ,$169.31 ,$544.22 , N/A ,$544.22 ,$544.22 , N/A ,$393.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203051,N/A,HC NASAL PACKING,272,1 ,$37.65 ,$24.47 ,$10.54 ,$37.65 , N/A ,$28.05 ,$24.66 , N/A ,$10.54 ,$19.01 , N/A ,$23.23 , N/A ,$23.23 ,$23.23 , N/A ,$23.23 , N/A ,$33.89 ,$28.24 , N/A , N/A ,$33.13 , N/A ,$28.24 ,$28.24 ,$32.00 ,$32.00 , N/A ,$32.00 , N/A ,$29.37 ,$29.37 ,$29.37 ,$33.89 , N/A ,$33.89 , N/A ,$37.65 ,$24.66 , N/A ,$15.66 , N/A , N/A , N/A ,$33.89 , N/A ,$23.23 ,$10.54 ,$33.89 , N/A ,$33.89 ,$33.89 , N/A ,$24.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203239,N/A,HC PUTTY,272,1 ,$13.52 ,$8.79 ,$3.79 ,$13.52 , N/A ,$10.07 ,$8.86 , N/A ,$3.79 ,$6.83 , N/A ,$8.34 , N/A ,$8.34 ,$8.34 , N/A ,$8.34 , N/A ,$12.17 ,$10.14 , N/A , N/A ,$11.90 , N/A ,$10.14 ,$10.14 ,$11.49 ,$11.49 , N/A ,$11.49 , N/A ,$10.55 ,$10.55 ,$10.55 ,$12.17 , N/A ,$12.17 , N/A ,$13.52 ,$8.86 , N/A ,$5.62 , N/A , N/A , N/A ,$12.17 , N/A ,$8.34 ,$3.79 ,$12.17 , N/A ,$12.17 ,$12.17 , N/A ,$8.79 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203246,N/A,HC ERGONOMIC HAND EXERCISER,272,1 ,$34.09 ,$22.16 ,$9.55 ,$34.09 , N/A ,$25.40 ,$22.33 , N/A ,$9.55 ,$17.22 , N/A ,$21.03 , N/A ,$21.03 ,$21.03 , N/A ,$21.03 , N/A ,$30.68 ,$25.57 , N/A , N/A ,$30.00 , N/A ,$25.57 ,$25.57 ,$28.98 ,$28.98 , N/A ,$28.98 , N/A ,$26.59 ,$26.59 ,$26.59 ,$30.68 , N/A ,$30.68 , N/A ,$34.09 ,$22.33 , N/A ,$14.18 , N/A , N/A , N/A ,$30.68 , N/A ,$21.03 ,$9.55 ,$30.68 , N/A ,$30.68 ,$30.68 , N/A ,$22.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203255,N/A,HC CPM PADS,272,1 ,$158.11 ,$102.77 ,$44.27 ,$158.11 , N/A ,$117.79 ,$103.56 , N/A ,$44.27 ,$79.85 , N/A ,$97.55 , N/A ,$97.55 ,$97.55 , N/A ,$97.55 , N/A ,$142.30 ,$118.58 , N/A , N/A ,$139.14 , N/A ,$118.58 ,$118.58 ,$134.39 ,$134.39 , N/A ,$134.39 , N/A ,$123.33 ,$123.33 ,$123.33 ,$142.30 , N/A ,$142.30 , N/A ,$158.11 ,$103.56 , N/A ,$65.77 , N/A , N/A , N/A ,$142.30 , N/A ,$97.55 ,$44.27 ,$142.30 , N/A ,$142.30 ,$142.30 , N/A ,$102.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203271,N/A,HC WOUND VAC VERALINK CASSETTE,272,1 ,$140.25 ,$91.16 ,$39.27 ,$140.25 , N/A ,$104.49 ,$91.86 , N/A ,$39.27 ,$70.83 , N/A ,$86.53 , N/A ,$86.53 ,$86.53 , N/A ,$86.53 , N/A ,$126.23 ,$105.19 , N/A , N/A ,$123.42 , N/A ,$105.19 ,$105.19 ,$119.21 ,$119.21 , N/A ,$119.21 , N/A ,$109.40 ,$109.40 ,$109.40 ,$126.23 , N/A ,$126.23 , N/A ,$140.25 ,$91.86 , N/A ,$58.34 , N/A , N/A , N/A ,$126.23 , N/A ,$86.53 ,$39.27 ,$126.23 , N/A ,$126.23 ,$126.23 , N/A ,$91.16 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203503,N/A,HC CANNULA NASAL HEATED HI FLOW,272,1 ,$63.00 ,$40.95 ,$17.64 ,$63.00 , N/A ,$46.94 ,$41.27 , N/A ,$17.64 ,$31.82 , N/A ,$38.87 , N/A ,$38.87 ,$38.87 , N/A ,$38.87 , N/A ,$56.70 ,$47.25 , N/A , N/A ,$55.44 , N/A ,$47.25 ,$47.25 ,$53.55 ,$53.55 , N/A ,$53.55 , N/A ,$49.14 ,$49.14 ,$49.14 ,$56.70 , N/A ,$56.70 , N/A ,$63.00 ,$41.27 , N/A ,$26.21 , N/A , N/A , N/A ,$56.70 , N/A ,$38.87 ,$17.64 ,$56.70 , N/A ,$56.70 ,$56.70 , N/A ,$40.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203509,N/A,HC CATHETER FOLEY 3W,272,1 ,$46.81 ,$30.43 ,$13.11 ,$46.81 , N/A ,$34.87 ,$30.66 , N/A ,$13.11 ,$23.64 , N/A ,$28.88 , N/A ,$28.88 ,$28.88 , N/A ,$28.88 , N/A ,$42.13 ,$35.11 , N/A , N/A ,$41.19 , N/A ,$35.11 ,$35.11 ,$39.79 ,$39.79 , N/A ,$39.79 , N/A ,$36.51 ,$36.51 ,$36.51 ,$42.13 , N/A ,$42.13 , N/A ,$46.81 ,$30.66 , N/A ,$19.47 , N/A , N/A , N/A ,$42.13 , N/A ,$28.88 ,$13.11 ,$42.13 , N/A ,$42.13 ,$42.13 , N/A ,$30.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203512,A6196,HC DRESSING ALGINATE <16,623,1 ,$16.23 ,$10.55 ,$4.54 ,$16.23 , N/A ,$12.09 ,$10.63 , N/A ,$4.54 ,$8.20 , N/A ,$10.01 , N/A ,$10.01 ,$10.01 , N/A ,$10.01 , N/A ,$14.61 ,$12.17 , N/A , N/A ,$14.28 , N/A ,$12.17 ,$12.17 ,$13.80 ,$13.80 , N/A ,$13.80 , N/A ,$12.66 ,$12.66 ,$12.66 ,$14.61 , N/A ,$14.61 , N/A ,$16.23 ,$10.63 , N/A ,$6.75 , N/A , N/A , N/A ,$14.61 , N/A ,$10.01 ,$4.54 ,$14.61 , N/A ,$14.61 ,$14.61 , N/A ,$10.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203524,A6258,HC DRESSING TRANSPARENT  >16  AND  <48 SQ CM TIER 1,623,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203525,A6258,HC DRESSING TRANSPARENT  >16  AND  <48 SQ CM TIER 2,623,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203531,C1751,HC CATHETER CV TRIPLE-LUMEN,272,1 ,"$1,352.31 ",$879.00 ,$378.65 ,"$1,352.31 ", N/A ,"$1,007.47 ",$885.76 , N/A ,$378.65 ,$682.92 , N/A ,$834.38 , N/A ,$834.38 ,$834.38 , N/A ,$834.38 , N/A ,"$1,217.08 ","$1,014.23 ", N/A , N/A ,"$1,190.03 ", N/A ,"$1,014.23 ","$1,014.23 ","$1,149.46 ","$1,149.46 ", N/A ,"$1,149.46 ", N/A ,"$1,054.80 ","$1,054.80 ","$1,054.80 ","$1,217.08 ", N/A ,"$1,217.08 ", N/A ,"$1,352.31 ",$885.76 , N/A ,$562.56 , N/A , N/A , N/A ,"$1,217.08 ", N/A ,$834.38 ,$378.65 ,"$1,217.08 ", N/A ,"$1,217.08 ","$1,217.08 ", N/A ,$879.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203533,C1751,HC CATHETER CV SINGLE-LUMEN,272,1 ,$345.03 ,$224.27 ,$96.61 ,$345.03 , N/A ,$257.05 ,$225.99 , N/A ,$96.61 ,$174.24 , N/A ,$212.88 , N/A ,$212.88 ,$212.88 , N/A ,$212.88 , N/A ,$310.53 ,$258.77 , N/A , N/A ,$303.63 , N/A ,$258.77 ,$258.77 ,$293.28 ,$293.28 , N/A ,$293.28 , N/A ,$269.12 ,$269.12 ,$269.12 ,$310.53 , N/A ,$310.53 , N/A ,$345.03 ,$225.99 , N/A ,$143.53 , N/A , N/A , N/A ,$310.53 , N/A ,$212.88 ,$96.61 ,$310.53 , N/A ,$310.53 ,$310.53 , N/A ,$224.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203535,N/A,HC TRAY LUMBAR PUNCTURE,272,1 ,$160.63 ,$104.41 ,$44.98 ,$160.63 , N/A ,$119.67 ,$105.21 , N/A ,$44.98 ,$81.12 , N/A ,$99.11 , N/A ,$99.11 ,$99.11 , N/A ,$99.11 , N/A ,$144.57 ,$120.47 , N/A , N/A ,$141.35 , N/A ,$120.47 ,$120.47 ,$136.54 ,$136.54 , N/A ,$136.54 , N/A ,$125.29 ,$125.29 ,$125.29 ,$144.57 , N/A ,$144.57 , N/A ,$160.63 ,$105.21 , N/A ,$66.82 , N/A , N/A , N/A ,$144.57 , N/A ,$99.11 ,$44.98 ,$144.57 , N/A ,$144.57 ,$144.57 , N/A ,$104.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203544,N/A,HC CATHETER FEMORAL ARTERY,272,1 ,$119.13 ,$77.43 ,$33.36 ,$119.13 , N/A ,$88.75 ,$78.03 , N/A ,$33.36 ,$60.16 , N/A ,$73.50 , N/A ,$73.50 ,$73.50 , N/A ,$73.50 , N/A ,$107.22 ,$89.35 , N/A , N/A ,$104.83 , N/A ,$89.35 ,$89.35 ,$101.26 ,$101.26 , N/A ,$101.26 , N/A ,$92.92 ,$92.92 ,$92.92 ,$107.22 , N/A ,$107.22 , N/A ,$119.13 ,$78.03 , N/A ,$49.56 , N/A , N/A , N/A ,$107.22 , N/A ,$73.50 ,$33.36 ,$107.22 , N/A ,$107.22 ,$107.22 , N/A ,$77.43 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203554,N/A,HC KIT ICP PRESSURE MONITOR,272,1 ,$68.76 ,$44.69 ,$19.25 ,$68.76 , N/A ,$51.23 ,$45.04 , N/A ,$19.25 ,$34.72 , N/A ,$42.42 , N/A ,$42.42 ,$42.42 , N/A ,$42.42 , N/A ,$61.88 ,$51.57 , N/A , N/A ,$60.51 , N/A ,$51.57 ,$51.57 ,$58.45 ,$58.45 , N/A ,$58.45 , N/A ,$53.63 ,$53.63 ,$53.63 ,$61.88 , N/A ,$61.88 , N/A ,$68.76 ,$45.04 , N/A ,$28.60 , N/A , N/A , N/A ,$61.88 , N/A ,$42.42 ,$19.25 ,$61.88 , N/A ,$61.88 ,$61.88 , N/A ,$44.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203557,N/A,HC CATHETER INTRAUTERINE,272,1 ,$158.69 ,$103.15 ,$44.43 ,$158.69 , N/A ,$118.22 ,$103.94 , N/A ,$44.43 ,$80.14 , N/A ,$97.91 , N/A ,$97.91 ,$97.91 , N/A ,$97.91 , N/A ,$142.82 ,$119.02 , N/A , N/A ,$139.65 , N/A ,$119.02 ,$119.02 ,$134.89 ,$134.89 , N/A ,$134.89 , N/A ,$123.78 ,$123.78 ,$123.78 ,$142.82 , N/A ,$142.82 , N/A ,$158.69 ,$103.94 , N/A ,$66.02 , N/A , N/A , N/A ,$142.82 , N/A ,$97.91 ,$44.43 ,$142.82 , N/A ,$142.82 ,$142.82 , N/A ,$103.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203562,N/A,HC CATHETER SUCTION,272,1 ,$6.23 ,$4.05 ,$1.74 ,$6.23 , N/A ,$4.64 ,$4.08 , N/A ,$1.74 ,$3.15 , N/A ,$3.84 , N/A ,$3.84 ,$3.84 , N/A ,$3.84 , N/A ,$5.61 ,$4.67 , N/A , N/A ,$5.48 , N/A ,$4.67 ,$4.67 ,$5.30 ,$5.30 , N/A ,$5.30 , N/A ,$4.86 ,$4.86 ,$4.86 ,$5.61 , N/A ,$5.61 , N/A ,$6.23 ,$4.08 , N/A ,$2.59 , N/A , N/A , N/A ,$5.61 , N/A ,$3.84 ,$1.74 ,$5.61 , N/A ,$5.61 ,$5.61 , N/A ,$4.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203563,N/A,HC CATHETER TROCAR,272,1 ,$143.61 ,$93.35 ,$40.21 ,$143.61 , N/A ,$106.99 ,$94.06 , N/A ,$40.21 ,$72.52 , N/A ,$88.61 , N/A ,$88.61 ,$88.61 , N/A ,$88.61 , N/A ,$129.25 ,$107.71 , N/A , N/A ,$126.38 , N/A ,$107.71 ,$107.71 ,$122.07 ,$122.07 , N/A ,$122.07 , N/A ,$112.02 ,$112.02 ,$112.02 ,$129.25 , N/A ,$129.25 , N/A ,$143.61 ,$94.06 , N/A ,$59.74 , N/A , N/A , N/A ,$129.25 , N/A ,$88.61 ,$40.21 ,$129.25 , N/A ,$129.25 ,$129.25 , N/A ,$93.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203564,N/A,HC CATHETER UMBILICAL ARTERY,272,1 ,$88.21 ,$57.34 ,$24.70 ,$88.21 , N/A ,$65.72 ,$57.78 , N/A ,$24.70 ,$44.55 , N/A ,$54.43 , N/A ,$54.43 ,$54.43 , N/A ,$54.43 , N/A ,$79.39 ,$66.16 , N/A , N/A ,$77.62 , N/A ,$66.16 ,$66.16 ,$74.98 ,$74.98 , N/A ,$74.98 , N/A ,$68.80 ,$68.80 ,$68.80 ,$79.39 , N/A ,$79.39 , N/A ,$88.21 ,$57.78 , N/A ,$36.70 , N/A , N/A , N/A ,$79.39 , N/A ,$54.43 ,$24.70 ,$79.39 , N/A ,$79.39 ,$79.39 , N/A ,$57.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203573,A6237,HC DRESSING COMBIDERM <16 SQ CM,623,1 ,$94.75 ,$61.59 ,$26.53 ,$94.75 , N/A ,$70.59 ,$62.06 , N/A ,$26.53 ,$47.85 , N/A ,$58.46 , N/A ,$58.46 ,$58.46 , N/A ,$58.46 , N/A ,$85.28 ,$71.06 , N/A , N/A ,$83.38 , N/A ,$71.06 ,$71.06 ,$80.54 ,$80.54 , N/A ,$80.54 , N/A ,$73.91 ,$73.91 ,$73.91 ,$85.28 , N/A ,$85.28 , N/A ,$94.75 ,$62.06 , N/A ,$39.42 , N/A , N/A , N/A ,$85.28 , N/A ,$58.46 ,$26.53 ,$85.28 , N/A ,$85.28 ,$85.28 , N/A ,$61.59 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203576,N/A,HC DRESSING V.A.C.,272,1 ,$477.13 ,$310.13 ,$133.60 ,$477.13 , N/A ,$355.46 ,$312.52 , N/A ,$133.60 ,$240.95 , N/A ,$294.39 , N/A ,$294.39 ,$294.39 , N/A ,$294.39 , N/A ,$429.42 ,$357.85 , N/A , N/A ,$419.87 , N/A ,$357.85 ,$357.85 ,$405.56 ,$405.56 , N/A ,$405.56 , N/A ,$372.16 ,$372.16 ,$372.16 ,$429.42 , N/A ,$429.42 , N/A ,$477.13 ,$312.52 , N/A ,$198.49 , N/A , N/A , N/A ,$429.42 , N/A ,$294.39 ,$133.60 ,$429.42 , N/A ,$429.42 ,$429.42 , N/A ,$310.13 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203597,N/A,HC TUBING ANY,272,1 ,$179.50 ,$116.68 ,$50.26 ,$179.50 , N/A ,$133.73 ,$117.57 , N/A ,$50.26 ,$90.65 , N/A ,$110.75 , N/A ,$110.75 ,$110.75 , N/A ,$110.75 , N/A ,$161.55 ,$134.63 , N/A , N/A ,$157.96 , N/A ,$134.63 ,$134.63 ,$152.58 ,$152.58 , N/A ,$152.58 , N/A ,$140.01 ,$140.01 ,$140.01 ,$161.55 , N/A ,$161.55 , N/A ,$179.50 ,$117.57 , N/A ,$74.67 , N/A , N/A , N/A ,$161.55 , N/A ,$110.75 ,$50.26 ,$161.55 , N/A ,$161.55 ,$161.55 , N/A ,$116.68 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203601,N/A,HC BLOCK BITE TEETH GUARD,272,1 ,$97.00 ,$63.05 ,$27.16 ,$97.00 , N/A ,$72.27 ,$63.54 , N/A ,$27.16 ,$48.99 , N/A ,$59.85 , N/A ,$59.85 ,$59.85 , N/A ,$59.85 , N/A ,$87.30 ,$72.75 , N/A , N/A ,$85.36 , N/A ,$72.75 ,$72.75 ,$82.45 ,$82.45 , N/A ,$82.45 , N/A ,$75.66 ,$75.66 ,$75.66 ,$87.30 , N/A ,$87.30 , N/A ,$97.00 ,$63.54 , N/A ,$40.35 , N/A , N/A , N/A ,$87.30 , N/A ,$59.85 ,$27.16 ,$87.30 , N/A ,$87.30 ,$87.30 , N/A ,$63.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203636,N/A,HC TRAY MYELOGRAM,272,1 ,$96.85 ,$62.95 ,$27.12 ,$96.85 , N/A ,$72.15 ,$63.44 , N/A ,$27.12 ,$48.91 , N/A ,$59.76 , N/A ,$59.76 ,$59.76 , N/A ,$59.76 , N/A ,$87.17 ,$72.64 , N/A , N/A ,$85.23 , N/A ,$72.64 ,$72.64 ,$82.32 ,$82.32 , N/A ,$82.32 , N/A ,$75.54 ,$75.54 ,$75.54 ,$87.17 , N/A ,$87.17 , N/A ,$96.85 ,$63.44 , N/A ,$40.29 , N/A , N/A , N/A ,$87.17 , N/A ,$59.76 ,$27.12 ,$87.17 , N/A ,$87.17 ,$87.17 , N/A ,$62.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203641,N/A,HC NEEDLE BIOPSY,272,1 ,$162.42 ,$105.57 ,$45.48 ,$162.42 , N/A ,$121.00 ,$106.39 , N/A ,$45.48 ,$82.02 , N/A ,$100.21 , N/A ,$100.21 ,$100.21 , N/A ,$100.21 , N/A ,$146.18 ,$121.82 , N/A , N/A ,$142.93 , N/A ,$121.82 ,$121.82 ,$138.06 ,$138.06 , N/A ,$138.06 , N/A ,$126.69 ,$126.69 ,$126.69 ,$146.18 , N/A ,$146.18 , N/A ,$162.42 ,$106.39 , N/A ,$67.57 , N/A , N/A , N/A ,$146.18 , N/A ,$100.21 ,$45.48 ,$146.18 , N/A ,$146.18 ,$146.18 , N/A ,$105.57 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203654,N/A,HC CATHETER SWAN GANZ,272,1 ,$309.06 ,$200.89 ,$86.54 ,$309.06 , N/A ,$230.25 ,$202.43 , N/A ,$86.54 ,$156.08 , N/A ,$190.69 , N/A ,$190.69 ,$190.69 , N/A ,$190.69 , N/A ,$278.15 ,$231.80 , N/A , N/A ,$271.97 , N/A ,$231.80 ,$231.80 ,$262.70 ,$262.70 , N/A ,$262.70 , N/A ,$241.07 ,$241.07 ,$241.07 ,$278.15 , N/A ,$278.15 , N/A ,$309.06 ,$202.43 , N/A ,$128.57 , N/A , N/A , N/A ,$278.15 , N/A ,$190.69 ,$86.54 ,$278.15 , N/A ,$278.15 ,$278.15 , N/A ,$200.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203657,C1769,HC GUIDEWIRE,272,1 ,$243.29 ,$158.14 ,$68.12 ,$243.29 , N/A ,$181.25 ,$159.36 , N/A ,$68.12 ,$122.86 , N/A ,$150.11 , N/A ,$150.11 ,$150.11 , N/A ,$150.11 , N/A ,$218.96 ,$182.47 , N/A , N/A ,$214.10 , N/A ,$182.47 ,$182.47 ,$206.80 ,$206.80 , N/A ,$206.80 , N/A ,$189.77 ,$189.77 ,$189.77 ,$218.96 , N/A ,$218.96 , N/A ,$243.29 ,$159.36 , N/A ,$101.21 , N/A , N/A , N/A ,$218.96 , N/A ,$150.11 ,$68.12 ,$218.96 , N/A ,$218.96 ,$218.96 , N/A ,$158.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203658,C1769,HC GUIDEWIRE GLIDEWIRE,272,1 ,$672.14 ,$436.89 ,$188.20 ,$672.14 , N/A ,$500.74 ,$440.25 , N/A ,$188.20 ,$339.43 , N/A ,$414.71 , N/A ,$414.71 ,$414.71 , N/A ,$414.71 , N/A ,$604.93 ,$504.11 , N/A , N/A ,$591.48 , N/A ,$504.11 ,$504.11 ,$571.32 ,$571.32 , N/A ,$571.32 , N/A ,$524.27 ,$524.27 ,$524.27 ,$604.93 , N/A ,$604.93 , N/A ,$672.14 ,$440.25 , N/A ,$279.61 , N/A , N/A , N/A ,$604.93 , N/A ,$414.71 ,$188.20 ,$604.93 , N/A ,$604.93 ,$604.93 , N/A ,$436.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203689,N/A,HC COVER PROBE,272,1 ,$22.04 ,$14.33 ,$6.17 ,$22.04 , N/A ,$16.42 ,$14.44 , N/A ,$6.17 ,$11.13 , N/A ,$13.60 , N/A ,$13.60 ,$13.60 , N/A ,$13.60 , N/A ,$19.84 ,$16.53 , N/A , N/A ,$19.40 , N/A ,$16.53 ,$16.53 ,$18.73 ,$18.73 , N/A ,$18.73 , N/A ,$17.19 ,$17.19 ,$17.19 ,$19.84 , N/A ,$19.84 , N/A ,$22.04 ,$14.44 , N/A ,$9.17 , N/A , N/A , N/A ,$19.84 , N/A ,$13.60 ,$6.17 ,$19.84 , N/A ,$19.84 ,$19.84 , N/A ,$14.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203691,N/A,HC TUBE GASTROSTOMY,272,1 ,$33.08 ,$21.50 ,$9.26 ,$33.08 , N/A ,$24.64 ,$21.67 , N/A ,$9.26 ,$16.71 , N/A ,$20.41 , N/A ,$20.41 ,$20.41 , N/A ,$20.41 , N/A ,$29.77 ,$24.81 , N/A , N/A ,$29.11 , N/A ,$24.81 ,$24.81 ,$28.12 ,$28.12 , N/A ,$28.12 , N/A ,$25.80 ,$25.80 ,$25.80 ,$29.77 , N/A ,$29.77 , N/A ,$33.08 ,$21.67 , N/A ,$13.76 , N/A , N/A , N/A ,$29.77 , N/A ,$20.41 ,$9.26 ,$29.77 , N/A ,$29.77 ,$29.77 , N/A ,$21.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203703,C1751,HC CATHETER PICC,272,1 ,$556.00 ,$361.40 ,$155.68 ,$556.00 , N/A ,$414.22 ,$364.18 , N/A ,$155.68 ,$280.78 , N/A ,$343.05 , N/A ,$343.05 ,$343.05 , N/A ,$343.05 , N/A ,$500.40 ,$417.00 , N/A , N/A ,$489.28 , N/A ,$417.00 ,$417.00 ,$472.60 ,$472.60 , N/A ,$472.60 , N/A ,$433.68 ,$433.68 ,$433.68 ,$500.40 , N/A ,$500.40 , N/A ,$556.00 ,$364.18 , N/A ,$231.30 , N/A , N/A , N/A ,$500.40 , N/A ,$343.05 ,$155.68 ,$500.40 , N/A ,$500.40 ,$500.40 , N/A ,$361.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203719,C1729,HC CATHETER CENTESIS ONE STEP,272,1 ,$51.71 ,$33.61 ,$14.48 ,$51.71 , N/A ,$38.52 ,$33.87 , N/A ,$14.48 ,$26.11 , N/A ,$31.91 , N/A ,$31.91 ,$31.91 , N/A ,$31.91 , N/A ,$46.54 ,$38.78 , N/A , N/A ,$45.50 , N/A ,$38.78 ,$38.78 ,$43.95 ,$43.95 , N/A ,$43.95 , N/A ,$40.33 ,$40.33 ,$40.33 ,$46.54 , N/A ,$46.54 , N/A ,$51.71 ,$33.87 , N/A ,$21.51 , N/A , N/A , N/A ,$46.54 , N/A ,$31.91 ,$14.48 ,$46.54 , N/A ,$46.54 ,$46.54 , N/A ,$33.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203720,N/A,HC MARKER BREAST CORE MARK,272,1 ,$167.28 ,$108.73 ,$46.84 ,$167.28 , N/A ,$124.62 ,$109.57 , N/A ,$46.84 ,$84.48 , N/A ,$103.21 , N/A ,$103.21 ,$103.21 , N/A ,$103.21 , N/A ,$150.55 ,$125.46 , N/A , N/A ,$147.21 , N/A ,$125.46 ,$125.46 ,$142.19 ,$142.19 , N/A ,$142.19 , N/A ,$130.48 ,$130.48 ,$130.48 ,$150.55 , N/A ,$150.55 , N/A ,$167.28 ,$109.57 , N/A ,$69.59 , N/A , N/A , N/A ,$150.55 , N/A ,$103.21 ,$46.84 ,$150.55 , N/A ,$150.55 ,$150.55 , N/A ,$108.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203766,N/A,HC CATHETER SELECT,272,1 ,$267.79 ,$174.06 ,$74.98 ,$267.79 , N/A ,$199.50 ,$175.40 , N/A ,$74.98 ,$135.23 , N/A ,$165.23 , N/A ,$165.23 ,$165.23 , N/A ,$165.23 , N/A ,$241.01 ,$200.84 , N/A , N/A ,$235.66 , N/A ,$200.84 ,$200.84 ,$227.62 ,$227.62 , N/A ,$227.62 , N/A ,$208.88 ,$208.88 ,$208.88 ,$241.01 , N/A ,$241.01 , N/A ,$267.79 ,$175.40 , N/A ,$111.40 , N/A , N/A , N/A ,$241.01 , N/A ,$165.23 ,$74.98 ,$241.01 , N/A ,$241.01 ,$241.01 , N/A ,$174.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203827,C1894,HC INTRODUCER/SHEATH/CATH,272,1 ,$45.00 ,$29.25 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$22.73 , N/A ,$27.77 , N/A ,$27.77 ,$27.77 , N/A ,$27.77 , N/A ,$40.50 ,$33.75 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$35.10 ,$35.10 ,$35.10 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$29.48 , N/A ,$18.72 , N/A , N/A , N/A ,$40.50 , N/A ,$27.77 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203846,N/A,HC SYSTEM VACUUM ASSIST MUSHROOM CAP,272,1 ,$90.93 ,$59.10 ,$25.46 ,$90.93 , N/A ,$67.74 ,$59.56 , N/A ,$25.46 ,$45.92 , N/A ,$56.10 , N/A ,$56.10 ,$56.10 , N/A ,$56.10 , N/A ,$81.84 ,$68.20 , N/A , N/A ,$80.02 , N/A ,$68.20 ,$68.20 ,$77.29 ,$77.29 , N/A ,$77.29 , N/A ,$70.93 ,$70.93 ,$70.93 ,$81.84 , N/A ,$81.84 , N/A ,$90.93 ,$59.56 , N/A ,$37.83 , N/A , N/A , N/A ,$81.84 , N/A ,$56.10 ,$25.46 ,$81.84 , N/A ,$81.84 ,$81.84 , N/A ,$59.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203847,N/A,HC NEEDLE INTRAOSSEOUS,272,1 ,$369.08 ,$239.90 ,$103.34 ,$369.08 , N/A ,$274.96 ,$241.75 , N/A ,$103.34 ,$186.39 , N/A ,$227.72 , N/A ,$227.72 ,$227.72 , N/A ,$227.72 , N/A ,$332.17 ,$276.81 , N/A , N/A ,$324.79 , N/A ,$276.81 ,$276.81 ,$313.72 ,$313.72 , N/A ,$313.72 , N/A ,$287.88 ,$287.88 ,$287.88 ,$332.17 , N/A ,$332.17 , N/A ,$369.08 ,$241.75 , N/A ,$153.54 , N/A , N/A , N/A ,$332.17 , N/A ,$227.72 ,$103.34 ,$332.17 , N/A ,$332.17 ,$332.17 , N/A ,$239.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203848,N/A,HC PACK GYNE,272,1 ,$117.34 ,$76.27 ,$32.86 ,$117.34 , N/A ,$87.42 ,$76.86 , N/A ,$32.86 ,$59.26 , N/A ,$72.40 , N/A ,$72.40 ,$72.40 , N/A ,$72.40 , N/A ,$105.61 ,$88.01 , N/A , N/A ,$103.26 , N/A ,$88.01 ,$88.01 ,$99.74 ,$99.74 , N/A ,$99.74 , N/A ,$91.53 ,$91.53 ,$91.53 ,$105.61 , N/A ,$105.61 , N/A ,$117.34 ,$76.86 , N/A ,$48.81 , N/A , N/A , N/A ,$105.61 , N/A ,$72.40 ,$32.86 ,$105.61 , N/A ,$105.61 ,$105.61 , N/A ,$76.27 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203858,N/A,HC DRESSING WOUND SILVER ANTIMICROBIAL,272,1 ,$136.59 ,$88.78 ,$38.25 ,$136.59 , N/A ,$101.76 ,$89.47 , N/A ,$38.25 ,$68.98 , N/A ,$84.28 , N/A ,$84.28 ,$84.28 , N/A ,$84.28 , N/A ,$122.93 ,$102.44 , N/A , N/A ,$120.20 , N/A ,$102.44 ,$102.44 ,$116.10 ,$116.10 , N/A ,$116.10 , N/A ,$106.54 ,$106.54 ,$106.54 ,$122.93 , N/A ,$122.93 , N/A ,$136.59 ,$89.47 , N/A ,$56.82 , N/A , N/A , N/A ,$122.93 , N/A ,$84.28 ,$38.25 ,$122.93 , N/A ,$122.93 ,$122.93 , N/A ,$88.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203860,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM SILVER,272,1 ,$293.25 ,$190.61 ,$82.11 ,$293.25 , N/A ,$218.47 ,$192.08 , N/A ,$82.11 ,$148.09 , N/A ,$180.94 , N/A ,$180.94 ,$180.94 , N/A ,$180.94 , N/A ,$263.93 ,$219.94 , N/A , N/A ,$258.06 , N/A ,$219.94 ,$219.94 ,$249.26 ,$249.26 , N/A ,$249.26 , N/A ,$228.74 ,$228.74 ,$228.74 ,$263.93 , N/A ,$263.93 , N/A ,$293.25 ,$192.08 , N/A ,$121.99 , N/A , N/A , N/A ,$263.93 , N/A ,$180.94 ,$82.11 ,$263.93 , N/A ,$263.93 ,$263.93 , N/A ,$190.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203871,N/A,HC NASAL RHINO ROCKET,272,1 ,$53.32 ,$34.66 ,$14.93 ,$53.32 , N/A ,$39.72 ,$34.92 , N/A ,$14.93 ,$26.93 , N/A ,$32.90 , N/A ,$32.90 ,$32.90 , N/A ,$32.90 , N/A ,$47.99 ,$39.99 , N/A , N/A ,$46.92 , N/A ,$39.99 ,$39.99 ,$45.32 ,$45.32 , N/A ,$45.32 , N/A ,$41.59 ,$41.59 ,$41.59 ,$47.99 , N/A ,$47.99 , N/A ,$53.32 ,$34.92 , N/A ,$22.18 , N/A , N/A , N/A ,$47.99 , N/A ,$32.90 ,$14.93 ,$47.99 , N/A ,$47.99 ,$47.99 , N/A ,$34.66 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203873,N/A,HC BAG RESUSCITATION PEDI,272,1 ,$119.19 ,$77.47 ,$33.37 ,$119.19 , N/A ,$88.80 ,$78.07 , N/A ,$33.37 ,$60.19 , N/A ,$73.54 , N/A ,$73.54 ,$73.54 , N/A ,$73.54 , N/A ,$107.27 ,$89.39 , N/A , N/A ,$104.89 , N/A ,$89.39 ,$89.39 ,$101.31 ,$101.31 , N/A ,$101.31 , N/A ,$92.97 ,$92.97 ,$92.97 ,$107.27 , N/A ,$107.27 , N/A ,$119.19 ,$78.07 , N/A ,$49.58 , N/A , N/A , N/A ,$107.27 , N/A ,$73.54 ,$33.37 ,$107.27 , N/A ,$107.27 ,$107.27 , N/A ,$77.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203874,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM  LARGE,272,1 ,$660.00 ,$429.00 ,$184.80 ,$660.00 , N/A ,$491.70 ,$432.30 , N/A ,$184.80 ,$333.30 , N/A ,$407.22 , N/A ,$407.22 ,$407.22 , N/A ,$407.22 , N/A ,$594.00 ,$495.00 , N/A , N/A ,$580.80 , N/A ,$495.00 ,$495.00 ,$561.00 ,$561.00 , N/A ,$561.00 , N/A ,$514.80 ,$514.80 ,$514.80 ,$594.00 , N/A ,$594.00 , N/A ,$660.00 ,$432.30 , N/A ,$274.56 , N/A , N/A , N/A ,$594.00 , N/A ,$407.22 ,$184.80 ,$594.00 , N/A ,$594.00 ,$594.00 , N/A ,$429.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203875,N/A,HC SYSTEM DRESSING WOUND VAC THERAPY,272,1 ,"$1,521.00 ",$988.65 ,$425.88 ,"$1,521.00 ", N/A ,"$1,133.15 ",$996.26 , N/A ,$425.88 ,$768.11 , N/A ,$938.46 , N/A ,$938.46 ,$938.46 , N/A ,$938.46 , N/A ,"$1,368.90 ","$1,140.75 ", N/A , N/A ,"$1,338.48 ", N/A ,"$1,140.75 ","$1,140.75 ","$1,292.85 ","$1,292.85 ", N/A ,"$1,292.85 ", N/A ,"$1,186.38 ","$1,186.38 ","$1,186.38 ","$1,368.90 ", N/A ,"$1,368.90 ", N/A ,"$1,521.00 ",$996.26 , N/A ,$632.74 , N/A , N/A , N/A ,"$1,368.90 ", N/A ,$938.46 ,$425.88 ,"$1,368.90 ", N/A ,"$1,368.90 ","$1,368.90 ", N/A ,$988.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203885,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203886,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203887,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203888,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203889,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203890,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203891,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T16,272,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203892,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T17,272,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203893,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T18,272,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203894,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T19,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203895,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T20,272,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203896,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203897,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,272.50 ", N/A ,"$2,776.50 ", N/A ,"$2,776.50 ","$2,776.50 ", N/A ,"$2,776.50 ", N/A ,"$4,050.00 ","$3,375.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,510.00 ","$3,510.00 ","$3,510.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,947.50 ", N/A ,"$1,872.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,776.50 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203898,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$2,575.50 ", N/A ,"$3,146.70 ", N/A ,"$3,146.70 ","$3,146.70 ", N/A ,"$3,146.70 ", N/A ,"$4,590.00 ","$3,825.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$3,978.00 ","$3,978.00 ","$3,978.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$3,340.50 ", N/A ,"$2,121.60 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$3,146.70 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203899,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$2,878.50 ", N/A ,"$3,516.90 ", N/A ,"$3,516.90 ","$3,516.90 ", N/A ,"$3,516.90 ", N/A ,"$5,130.00 ","$4,275.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,446.00 ","$4,446.00 ","$4,446.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,733.50 ", N/A ,"$2,371.20 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,516.90 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203900,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,181.50 ", N/A ,"$3,887.10 ", N/A ,"$3,887.10 ","$3,887.10 ", N/A ,"$3,887.10 ", N/A ,"$5,670.00 ","$4,725.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$4,914.00 ","$4,914.00 ","$4,914.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$4,126.50 ", N/A ,"$2,620.80 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,887.10 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203901,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$3,484.50 ", N/A ,"$4,257.30 ", N/A ,"$4,257.30 ","$4,257.30 ", N/A ,"$4,257.30 ", N/A ,"$6,210.00 ","$5,175.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,382.00 ","$5,382.00 ","$5,382.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$4,519.50 ", N/A ,"$2,870.40 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$4,257.30 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203902,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T27,272,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203903,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,090.50 ", N/A ,"$4,997.70 ", N/A ,"$4,997.70 ","$4,997.70 ", N/A ,"$4,997.70 ", N/A ,"$7,290.00 ","$6,075.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,318.00 ","$6,318.00 ","$6,318.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$5,305.50 ", N/A ,"$3,369.60 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,997.70 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203904,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$4,393.50 ", N/A ,"$5,367.90 ", N/A ,"$5,367.90 ","$5,367.90 ", N/A ,"$5,367.90 ", N/A ,"$7,830.00 ","$6,525.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$6,786.00 ","$6,786.00 ","$6,786.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$5,698.50 ", N/A ,"$3,619.20 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$5,367.90 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203905,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$4,696.50 ", N/A ,"$5,738.10 ", N/A ,"$5,738.10 ","$5,738.10 ", N/A ,"$5,738.10 ", N/A ,"$8,370.00 ","$6,975.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,254.00 ","$7,254.00 ","$7,254.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$6,091.50 ", N/A ,"$3,868.80 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,738.10 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203906,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$4,999.50 ", N/A ,"$6,108.30 ", N/A ,"$6,108.30 ","$6,108.30 ", N/A ,"$6,108.30 ", N/A ,"$8,910.00 ","$7,425.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$7,722.00 ","$7,722.00 ","$7,722.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$6,484.50 ", N/A ,"$4,118.40 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$6,108.30 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203922,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203923,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203924,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203925,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203926,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T16,272,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203927,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T17,272,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203928,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T18,272,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203929,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T19,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203930,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T20,272,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203931,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203932,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,272.50 ", N/A ,"$2,776.50 ", N/A ,"$2,776.50 ","$2,776.50 ", N/A ,"$2,776.50 ", N/A ,"$4,050.00 ","$3,375.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,510.00 ","$3,510.00 ","$3,510.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,947.50 ", N/A ,"$1,872.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,776.50 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203933,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$2,575.50 ", N/A ,"$3,146.70 ", N/A ,"$3,146.70 ","$3,146.70 ", N/A ,"$3,146.70 ", N/A ,"$4,590.00 ","$3,825.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$3,978.00 ","$3,978.00 ","$3,978.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$3,340.50 ", N/A ,"$2,121.60 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$3,146.70 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203934,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$2,878.50 ", N/A ,"$3,516.90 ", N/A ,"$3,516.90 ","$3,516.90 ", N/A ,"$3,516.90 ", N/A ,"$5,130.00 ","$4,275.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,446.00 ","$4,446.00 ","$4,446.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,733.50 ", N/A ,"$2,371.20 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,516.90 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203935,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,181.50 ", N/A ,"$3,887.10 ", N/A ,"$3,887.10 ","$3,887.10 ", N/A ,"$3,887.10 ", N/A ,"$5,670.00 ","$4,725.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$4,914.00 ","$4,914.00 ","$4,914.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$4,126.50 ", N/A ,"$2,620.80 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,887.10 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203936,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$3,484.50 ", N/A ,"$4,257.30 ", N/A ,"$4,257.30 ","$4,257.30 ", N/A ,"$4,257.30 ", N/A ,"$6,210.00 ","$5,175.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,382.00 ","$5,382.00 ","$5,382.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$4,519.50 ", N/A ,"$2,870.40 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$4,257.30 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203937,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T27,272,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203938,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,090.50 ", N/A ,"$4,997.70 ", N/A ,"$4,997.70 ","$4,997.70 ", N/A ,"$4,997.70 ", N/A ,"$7,290.00 ","$6,075.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,318.00 ","$6,318.00 ","$6,318.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$5,305.50 ", N/A ,"$3,369.60 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,997.70 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203939,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$4,393.50 ", N/A ,"$5,367.90 ", N/A ,"$5,367.90 ","$5,367.90 ", N/A ,"$5,367.90 ", N/A ,"$7,830.00 ","$6,525.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$6,786.00 ","$6,786.00 ","$6,786.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$5,698.50 ", N/A ,"$3,619.20 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$5,367.90 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203940,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$4,696.50 ", N/A ,"$5,738.10 ", N/A ,"$5,738.10 ","$5,738.10 ", N/A ,"$5,738.10 ", N/A ,"$8,370.00 ","$6,975.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,254.00 ","$7,254.00 ","$7,254.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$6,091.50 ", N/A ,"$3,868.80 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,738.10 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203941,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$4,999.50 ", N/A ,"$6,108.30 ", N/A ,"$6,108.30 ","$6,108.30 ", N/A ,"$6,108.30 ", N/A ,"$8,910.00 ","$7,425.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$7,722.00 ","$7,722.00 ","$7,722.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$6,484.50 ", N/A ,"$4,118.40 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$6,108.30 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203942,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T32,272,1 ,"$10,500.00 ","$6,825.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$5,302.50 ", N/A ,"$6,478.50 ", N/A ,"$6,478.50 ","$6,478.50 ", N/A ,"$6,478.50 ", N/A ,"$9,450.00 ","$7,875.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,190.00 ","$8,190.00 ","$8,190.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$6,877.50 ", N/A ,"$4,368.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$6,478.50 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203943,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T1,272,1 ,$10.00 ,$6.50 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$5.05 , N/A ,$6.17 , N/A ,$6.17 ,$6.17 , N/A ,$6.17 , N/A ,$9.00 ,$7.50 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$7.80 ,$7.80 ,$7.80 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$6.55 , N/A ,$4.16 , N/A , N/A , N/A ,$9.00 , N/A ,$6.17 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203944,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T2,272,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203945,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T3,272,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203946,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203947,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203948,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203949,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203950,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203951,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203952,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203953,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203954,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203955,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203956,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203957,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203961,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T19,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27203962,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T20,272,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204058,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T12,272,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204066,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T20,272,1 ,"$3,150.00 ","$2,047.50 ",$882.00 ,"$3,150.00 ", N/A ,"$2,346.75 ","$2,063.25 ", N/A ,$882.00 ,"$1,590.75 ", N/A ,"$1,943.55 ", N/A ,"$1,943.55 ","$1,943.55 ", N/A ,"$1,943.55 ", N/A ,"$2,835.00 ","$2,362.50 ", N/A , N/A ,"$2,772.00 ", N/A ,"$2,362.50 ","$2,362.50 ","$2,677.50 ","$2,677.50 ", N/A ,"$2,677.50 ", N/A ,"$2,457.00 ","$2,457.00 ","$2,457.00 ","$2,835.00 ", N/A ,"$2,835.00 ", N/A ,"$3,150.00 ","$2,063.25 ", N/A ,"$1,310.40 ", N/A , N/A , N/A ,"$2,835.00 ", N/A ,"$1,943.55 ",$882.00 ,"$2,835.00 ", N/A ,"$2,835.00 ","$2,835.00 ", N/A ,"$2,047.50 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204073,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T1,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204078,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T6,272,1 ,$705.00 ,$458.25 ,$197.40 ,$705.00 , N/A ,$525.23 ,$461.78 , N/A ,$197.40 ,$356.03 , N/A ,$434.99 , N/A ,$434.99 ,$434.99 , N/A ,$434.99 , N/A ,$634.50 ,$528.75 , N/A , N/A ,$620.40 , N/A ,$528.75 ,$528.75 ,$599.25 ,$599.25 , N/A ,$599.25 , N/A ,$549.90 ,$549.90 ,$549.90 ,$634.50 , N/A ,$634.50 , N/A ,$705.00 ,$461.78 , N/A ,$293.28 , N/A , N/A , N/A ,$634.50 , N/A ,$434.99 ,$197.40 ,$634.50 , N/A ,$634.50 ,$634.50 , N/A ,$458.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204090,C1753,HC CATHETER US IMAGING/IVUS T5,272,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204091,C1753,HC CATHETER US IMAGING/IVUS T6,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204092,C1753,HC CATHETER US IMAGING/IVUS T7,272,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204093,C1753,HC CATHETER US IMAGING/IVUS T8,272,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204094,C1753,HC CATHETER US IMAGING/IVUS T9,272,1 ,"$4,500.00 ","$2,925.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,272.50 ", N/A ,"$2,776.50 ", N/A ,"$2,776.50 ","$2,776.50 ", N/A ,"$2,776.50 ", N/A ,"$4,050.00 ","$3,375.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,510.00 ","$3,510.00 ","$3,510.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,947.50 ", N/A ,"$1,872.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,776.50 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204095,C1753,HC CATHETER US IMAGING/IVUS T10,272,1 ,"$5,100.00 ","$3,315.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$2,575.50 ", N/A ,"$3,146.70 ", N/A ,"$3,146.70 ","$3,146.70 ", N/A ,"$3,146.70 ", N/A ,"$4,590.00 ","$3,825.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$3,978.00 ","$3,978.00 ","$3,978.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$3,340.50 ", N/A ,"$2,121.60 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$3,146.70 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204096,C1753,HC CATHETER US IMAGING/IVUS T11,272,1 ,"$5,700.00 ","$3,705.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$2,878.50 ", N/A ,"$3,516.90 ", N/A ,"$3,516.90 ","$3,516.90 ", N/A ,"$3,516.90 ", N/A ,"$5,130.00 ","$4,275.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,446.00 ","$4,446.00 ","$4,446.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,733.50 ", N/A ,"$2,371.20 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,516.90 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204097,C1753,HC CATHETER US IMAGING/IVUS T12,272,1 ,"$6,300.00 ","$4,095.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,181.50 ", N/A ,"$3,887.10 ", N/A ,"$3,887.10 ","$3,887.10 ", N/A ,"$3,887.10 ", N/A ,"$5,670.00 ","$4,725.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$4,914.00 ","$4,914.00 ","$4,914.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$4,126.50 ", N/A ,"$2,620.80 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,887.10 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204112,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204113,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204115,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204116,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T16,272,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204117,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T17,272,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204118,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T18,272,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204119,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T19,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204120,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T20,272,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204121,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204122,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,272.50 ", N/A ,"$2,776.50 ", N/A ,"$2,776.50 ","$2,776.50 ", N/A ,"$2,776.50 ", N/A ,"$4,050.00 ","$3,375.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,510.00 ","$3,510.00 ","$3,510.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,947.50 ", N/A ,"$1,872.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,776.50 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204123,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$2,575.50 ", N/A ,"$3,146.70 ", N/A ,"$3,146.70 ","$3,146.70 ", N/A ,"$3,146.70 ", N/A ,"$4,590.00 ","$3,825.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$3,978.00 ","$3,978.00 ","$3,978.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$3,340.50 ", N/A ,"$2,121.60 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$3,146.70 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204124,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$2,878.50 ", N/A ,"$3,516.90 ", N/A ,"$3,516.90 ","$3,516.90 ", N/A ,"$3,516.90 ", N/A ,"$5,130.00 ","$4,275.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,446.00 ","$4,446.00 ","$4,446.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,733.50 ", N/A ,"$2,371.20 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,516.90 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204125,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,181.50 ", N/A ,"$3,887.10 ", N/A ,"$3,887.10 ","$3,887.10 ", N/A ,"$3,887.10 ", N/A ,"$5,670.00 ","$4,725.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$4,914.00 ","$4,914.00 ","$4,914.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$4,126.50 ", N/A ,"$2,620.80 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,887.10 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204126,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$3,484.50 ", N/A ,"$4,257.30 ", N/A ,"$4,257.30 ","$4,257.30 ", N/A ,"$4,257.30 ", N/A ,"$6,210.00 ","$5,175.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,382.00 ","$5,382.00 ","$5,382.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$4,519.50 ", N/A ,"$2,870.40 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$4,257.30 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204127,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T27,272,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204131,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$4,999.50 ", N/A ,"$6,108.30 ", N/A ,"$6,108.30 ","$6,108.30 ", N/A ,"$6,108.30 ", N/A ,"$8,910.00 ","$7,425.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$7,722.00 ","$7,722.00 ","$7,722.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$6,484.50 ", N/A ,"$4,118.40 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$6,108.30 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204166,C1760,HC DEVICE VASCULAR CLOSURE T3,272,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204167,C1760,HC DEVICE VASCULAR CLOSURE T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204168,C1760,HC DEVICE VASCULAR CLOSURE T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204169,C1760,HC DEVICE VASCULAR CLOSURE T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204170,C1760,HC DEVICE VASCULAR CLOSURE T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204171,C1760,HC DEVICE VASCULAR CLOSURE T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204172,C1760,HC DEVICE VASCULAR CLOSURE T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204173,C1760,HC DEVICE VASCULAR CLOSURE T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204174,C1760,HC DEVICE VASCULAR CLOSURE T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204175,C1760,HC DEVICE VASCULAR CLOSURE T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204177,C1760,HC DEVICE VASCULAR CLOSURE T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204201,C1769,HC GUIDEWIRE GLIDEWIRE T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204218,C1769,HC GUIDEWIRE T1,272,1 ,$10.00 ,$6.50 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$5.05 , N/A ,$6.17 , N/A ,$6.17 ,$6.17 , N/A ,$6.17 , N/A ,$9.00 ,$7.50 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$7.80 ,$7.80 ,$7.80 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$6.55 , N/A ,$4.16 , N/A , N/A , N/A ,$9.00 , N/A ,$6.17 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204219,C1769,HC GUIDEWIRE T2,272,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204220,C1769,HC GUIDEWIRE T3,272,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204221,C1769,HC GUIDEWIRE T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204222,C1769,HC GUIDEWIRE T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204223,C1769,HC GUIDEWIRE T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204224,C1769,HC GUIDEWIRE T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204225,C1769,HC GUIDEWIRE T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204226,C1769,HC GUIDEWIRE T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204227,C1769,HC GUIDEWIRE T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204228,C1769,HC GUIDEWIRE T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204229,C1769,HC GUIDEWIRE T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204230,C1769,HC GUIDEWIRE T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204231,C1769,HC GUIDEWIRE T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204232,C1769,HC GUIDEWIRE T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204251,C1773,HC DEVICE RETRIEVAL INSERTABLE T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204252,C1773,HC DEVICE RETRIEVAL INSERTABLE T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204253,C1773,HC DEVICE RETRIEVAL INSERTABLE T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204254,C1773,HC DEVICE RETRIEVAL INSERTABLE T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204255,C1773,HC DEVICE RETRIEVAL INSERTABLE T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204256,C1773,HC DEVICE RETRIEVAL INSERTABLE T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204257,C1773,HC DEVICE RETRIEVAL INSERTABLE T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204258,C1773,HC DEVICE RETRIEVAL INSERTABLE T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204259,C1773,HC DEVICE RETRIEVAL INSERTABLE T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204260,C1773,HC DEVICE RETRIEVAL INSERTABLE T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204289,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204290,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204291,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204292,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204293,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T16,272,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204294,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T17,272,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204295,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T18,272,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204296,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T19,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204297,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T20,272,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204298,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204299,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,272.50 ", N/A ,"$2,776.50 ", N/A ,"$2,776.50 ","$2,776.50 ", N/A ,"$2,776.50 ", N/A ,"$4,050.00 ","$3,375.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,510.00 ","$3,510.00 ","$3,510.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,947.50 ", N/A ,"$1,872.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,776.50 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204326,C1887,HC CATHETER GUIDING T2,272,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204327,C1887,HC CATHETER GUIDING T3,272,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204328,C1887,HC CATHETER GUIDING T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204329,C1887,HC CATHETER GUIDING T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204330,C1887,HC CATHETER GUIDING T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204331,C1887,HC CATHETER GUIDING T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204332,C1887,HC CATHETER GUIDING T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204333,C1887,HC CATHETER GUIDING T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204334,C1887,HC CATHETER GUIDING T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204335,C1887,HC CATHETER GUIDING T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204336,C1887,HC CATHETER GUIDING T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204337,C1887,HC CATHETER GUIDING T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204338,C1887,HC CATHETER GUIDING T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204339,C1887,HC CATHETER GUIDING T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204340,C1887,HC CATHETER GUIDING T16,272,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204341,C1887,HC CATHETER GUIDING T17,272,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204342,C1887,HC CATHETER GUIDING T18,272,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204343,C1887,HC CATHETER GUIDING T19,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204370,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204371,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204372,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204373,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204374,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204406,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T1,272,1 ,$10.00 ,$6.50 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$5.05 , N/A ,$6.17 , N/A ,$6.17 ,$6.17 , N/A ,$6.17 , N/A ,$9.00 ,$7.50 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$7.80 ,$7.80 ,$7.80 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$6.55 , N/A ,$4.16 , N/A , N/A , N/A ,$9.00 , N/A ,$6.17 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204407,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T2,272,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204408,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T3,272,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204409,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204410,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204411,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204412,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204413,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204414,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204415,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204416,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204417,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204418,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204419,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204420,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204447,N/A,HC SUTURE T1,272,1 ,$10.00 ,$6.50 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$5.05 , N/A ,$6.17 , N/A ,$6.17 ,$6.17 , N/A ,$6.17 , N/A ,$9.00 ,$7.50 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$7.80 ,$7.80 ,$7.80 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$6.55 , N/A ,$4.16 , N/A , N/A , N/A ,$9.00 , N/A ,$6.17 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204448,N/A,HC SUTURE T2,272,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204449,N/A,HC SUTURE T3,272,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204450,N/A,HC SUTURE T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204451,N/A,HC SURGICAL STERILE SUPPLY T1,272,1 ,$10.00 ,$6.50 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$5.05 , N/A ,$6.17 , N/A ,$6.17 ,$6.17 , N/A ,$6.17 , N/A ,$9.00 ,$7.50 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$7.80 ,$7.80 ,$7.80 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$6.55 , N/A ,$4.16 , N/A , N/A , N/A ,$9.00 , N/A ,$6.17 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204452,N/A,HC SURGICAL STERILE SUPPLY T2,272,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204453,N/A,HC SURGICAL STERILE SUPPLY T3,272,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204454,N/A,HC SURGICAL STERILE SUPPLY T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204455,N/A,HC SURGICAL STERILE SUPPLY T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204456,N/A,HC SURGICAL STERILE SUPPLY T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204457,N/A,HC SURGICAL STERILE SUPPLY T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204458,N/A,HC SURGICAL STERILE SUPPLY T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204459,N/A,HC SURGICAL STERILE SUPPLY T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204460,N/A,HC SURGICAL STERILE SUPPLY T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204461,N/A,HC SURGICAL STERILE SUPPLY T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204462,N/A,HC SURGICAL STERILE SUPPLY T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204463,N/A,HC SURGICAL STERILE SUPPLY T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204464,N/A,HC SURGICAL STERILE SUPPLY T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204465,N/A,HC SURGICAL STERILE SUPPLY T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204466,N/A,HC SURGICAL STERILE SUPPLY T16,272,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204467,N/A,HC SURGICAL STERILE SUPPLY T17,272,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204468,N/A,HC SURGICAL STERILE SUPPLY T18,272,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204469,N/A,HC SURGICAL STERILE SUPPLY T19,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204470,N/A,HC SURGICAL STERILE SUPPLY T20,272,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204477,N/A,HC SURGICAL STERILE SUPPLY T27,272,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204551,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T7,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204560,C1729,HC CATHETER DRAINAGE T4,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204561,C1729,HC CATHETER DRAINAGE T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204562,C1729,HC CATHETER DRAINAGE T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204563,C1729,HC CATHETER DRAINAGE T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204564,C1729,HC CATHETER DRAINAGE T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204565,C1729,HC CATHETER DRAINAGE T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204566,C1729,HC CATHETER DRAINAGE T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204567,C1729,HC CATHETER DRAINAGE T11,272,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204568,C1729,HC CATHETER DRAINAGE T12,272,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204569,C1729,HC CATHETER DRAINAGE T13,272,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204570,C1729,HC CATHETER DRAINAGE T14,272,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204571,C1729,HC CATHETER DRAINAGE T15,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204572,C1729,HC CATHETER DRAINAGE T16,272,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204573,C1729,HC CATHETER DRAINAGE T17,272,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204575,N/A,HC LARYNGEAL MASK AIRWAY SUPREME,272,1 ,$192.47 ,$125.11 ,$53.89 ,$192.47 , N/A ,$143.39 ,$126.07 , N/A ,$53.89 ,$97.20 , N/A ,$118.75 , N/A ,$118.75 ,$118.75 , N/A ,$118.75 , N/A ,$173.22 ,$144.35 , N/A , N/A ,$169.37 , N/A ,$144.35 ,$144.35 ,$163.60 ,$163.60 , N/A ,$163.60 , N/A ,$150.13 ,$150.13 ,$150.13 ,$173.22 , N/A ,$173.22 , N/A ,$192.47 ,$126.07 , N/A ,$80.07 , N/A , N/A , N/A ,$173.22 , N/A ,$118.75 ,$53.89 ,$173.22 , N/A ,$173.22 ,$173.22 , N/A ,$125.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204578,N/A,HC CONNECTOR ANESTHESIA SWIVEL,272,1 ,$1.57 ,$1.02 ,$0.44 ,$1.57 , N/A ,$1.17 ,$1.03 , N/A ,$0.44 ,$0.79 , N/A ,$0.97 , N/A ,$0.97 ,$0.97 , N/A ,$0.97 , N/A ,$1.41 ,$1.18 , N/A , N/A ,$1.38 , N/A ,$1.18 ,$1.18 ,$1.33 ,$1.33 , N/A ,$1.33 , N/A ,$1.22 ,$1.22 ,$1.22 ,$1.41 , N/A ,$1.41 , N/A ,$1.57 ,$1.03 , N/A ,$0.65 , N/A , N/A , N/A ,$1.41 , N/A ,$0.97 ,$0.44 ,$1.41 , N/A ,$1.41 ,$1.41 , N/A ,$1.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204579,N/A,HC DIALYZER,272,1 ,$27.30 ,$17.75 ,$7.64 ,$27.30 , N/A ,$20.34 ,$17.88 , N/A ,$7.64 ,$13.79 , N/A ,$16.84 , N/A ,$16.84 ,$16.84 , N/A ,$16.84 , N/A ,$24.57 ,$20.48 , N/A , N/A ,$24.02 , N/A ,$20.48 ,$20.48 ,$23.21 ,$23.21 , N/A ,$23.21 , N/A ,$21.29 ,$21.29 ,$21.29 ,$24.57 , N/A ,$24.57 , N/A ,$27.30 ,$17.88 , N/A ,$11.36 , N/A , N/A , N/A ,$24.57 , N/A ,$16.84 ,$7.64 ,$24.57 , N/A ,$24.57 ,$24.57 , N/A ,$17.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204582,N/A,HC FILTER IV,272,1 ,$8.58 ,$5.58 ,$2.40 ,$8.58 , N/A ,$6.39 ,$5.62 , N/A ,$2.40 ,$4.33 , N/A ,$5.29 , N/A ,$5.29 ,$5.29 , N/A ,$5.29 , N/A ,$7.72 ,$6.44 , N/A , N/A ,$7.55 , N/A ,$6.44 ,$6.44 ,$7.29 ,$7.29 , N/A ,$7.29 , N/A ,$6.69 ,$6.69 ,$6.69 ,$7.72 , N/A ,$7.72 , N/A ,$8.58 ,$5.62 , N/A ,$3.57 , N/A , N/A , N/A ,$7.72 , N/A ,$5.29 ,$2.40 ,$7.72 , N/A ,$7.72 ,$7.72 , N/A ,$5.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204583,N/A,HC LARYNGOSCOPE GLIDESCOPE,272,1 ,$24.00 ,$15.60 ,$6.72 ,$24.00 , N/A ,$17.88 ,$15.72 , N/A ,$6.72 ,$12.12 , N/A ,$14.81 , N/A ,$14.81 ,$14.81 , N/A ,$14.81 , N/A ,$21.60 ,$18.00 , N/A , N/A ,$21.12 , N/A ,$18.00 ,$18.00 ,$20.40 ,$20.40 , N/A ,$20.40 , N/A ,$18.72 ,$18.72 ,$18.72 ,$21.60 , N/A ,$21.60 , N/A ,$24.00 ,$15.72 , N/A ,$9.98 , N/A , N/A , N/A ,$21.60 , N/A ,$14.81 ,$6.72 ,$21.60 , N/A ,$21.60 ,$21.60 , N/A ,$15.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204590,N/A,HC PACK C-SECTION,272,1 ,$153.37 ,$99.69 ,$42.94 ,$153.37 , N/A ,$114.26 ,$100.46 , N/A ,$42.94 ,$77.45 , N/A ,$94.63 , N/A ,$94.63 ,$94.63 , N/A ,$94.63 , N/A ,$138.03 ,$115.03 , N/A , N/A ,$134.97 , N/A ,$115.03 ,$115.03 ,$130.36 ,$130.36 , N/A ,$130.36 , N/A ,$119.63 ,$119.63 ,$119.63 ,$138.03 , N/A ,$138.03 , N/A ,$153.37 ,$100.46 , N/A ,$63.80 , N/A , N/A , N/A ,$138.03 , N/A ,$94.63 ,$42.94 ,$138.03 , N/A ,$138.03 ,$138.03 , N/A ,$99.69 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204607,N/A,HC TUBE NASOGASTRIC,272,1 ,$50.16 ,$32.60 ,$14.04 ,$50.16 , N/A ,$37.37 ,$32.85 , N/A ,$14.04 ,$25.33 , N/A ,$30.95 , N/A ,$30.95 ,$30.95 , N/A ,$30.95 , N/A ,$45.14 ,$37.62 , N/A , N/A ,$44.14 , N/A ,$37.62 ,$37.62 ,$42.64 ,$42.64 , N/A ,$42.64 , N/A ,$39.12 ,$39.12 ,$39.12 ,$45.14 , N/A ,$45.14 , N/A ,$50.16 ,$32.85 , N/A ,$20.87 , N/A , N/A , N/A ,$45.14 , N/A ,$30.95 ,$14.04 ,$45.14 , N/A ,$45.14 ,$45.14 , N/A ,$32.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204616,N/A,HC TUBING SUCTION,272,1 ,$35.89 ,$23.33 ,$10.05 ,$35.89 , N/A ,$26.74 ,$23.51 , N/A ,$10.05 ,$18.12 , N/A ,$22.14 , N/A ,$22.14 ,$22.14 , N/A ,$22.14 , N/A ,$32.30 ,$26.92 , N/A , N/A ,$31.58 , N/A ,$26.92 ,$26.92 ,$30.51 ,$30.51 , N/A ,$30.51 , N/A ,$27.99 ,$27.99 ,$27.99 ,$32.30 , N/A ,$32.30 , N/A ,$35.89 ,$23.51 , N/A ,$14.93 , N/A , N/A , N/A ,$32.30 , N/A ,$22.14 ,$10.05 ,$32.30 , N/A ,$32.30 ,$32.30 , N/A ,$23.33 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204622,N/A,HC MARKER BIOPSY SITE,272,1 ,$175.91 ,$114.34 ,$49.25 ,$175.91 , N/A ,$131.05 ,$115.22 , N/A ,$49.25 ,$88.83 , N/A ,$108.54 , N/A ,$108.54 ,$108.54 , N/A ,$108.54 , N/A ,$158.32 ,$131.93 , N/A , N/A ,$154.80 , N/A ,$131.93 ,$131.93 ,$149.52 ,$149.52 , N/A ,$149.52 , N/A ,$137.21 ,$137.21 ,$137.21 ,$158.32 , N/A ,$158.32 , N/A ,$175.91 ,$115.22 , N/A ,$73.18 , N/A , N/A , N/A ,$158.32 , N/A ,$108.54 ,$49.25 ,$158.32 , N/A ,$158.32 ,$158.32 , N/A ,$114.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204623,N/A,HC NEEDLE GUIDE,272,1 ,$32.66 ,$21.23 ,$9.14 ,$32.66 , N/A ,$24.33 ,$21.39 , N/A ,$9.14 ,$16.49 , N/A ,$20.15 , N/A ,$20.15 ,$20.15 , N/A ,$20.15 , N/A ,$29.39 ,$24.50 , N/A , N/A ,$28.74 , N/A ,$24.50 ,$24.50 ,$27.76 ,$27.76 , N/A ,$27.76 , N/A ,$25.47 ,$25.47 ,$25.47 ,$29.39 , N/A ,$29.39 , N/A ,$32.66 ,$21.39 , N/A ,$13.59 , N/A , N/A , N/A ,$29.39 , N/A ,$20.15 ,$9.14 ,$29.39 , N/A ,$29.39 ,$29.39 , N/A ,$21.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204625,N/A,HC TRAY BREAST BIOPSY,272,1 ,$41.69 ,$27.10 ,$11.67 ,$41.69 , N/A ,$31.06 ,$27.31 , N/A ,$11.67 ,$21.05 , N/A ,$25.72 , N/A ,$25.72 ,$25.72 , N/A ,$25.72 , N/A ,$37.52 ,$31.27 , N/A , N/A ,$36.69 , N/A ,$31.27 ,$31.27 ,$35.44 ,$35.44 , N/A ,$35.44 , N/A ,$32.52 ,$32.52 ,$32.52 ,$37.52 , N/A ,$37.52 , N/A ,$41.69 ,$27.31 , N/A ,$17.34 , N/A , N/A , N/A ,$37.52 , N/A ,$25.72 ,$11.67 ,$37.52 , N/A ,$37.52 ,$37.52 , N/A ,$27.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204654,N/A,HC BAG RESUSCITATE INFANT,272,1 ,$33.00 ,$21.45 ,$9.24 ,$33.00 , N/A ,$24.59 ,$21.62 , N/A ,$9.24 ,$16.67 , N/A ,$20.36 , N/A ,$20.36 ,$20.36 , N/A ,$20.36 , N/A ,$29.70 ,$24.75 , N/A , N/A ,$29.04 , N/A ,$24.75 ,$24.75 ,$28.05 ,$28.05 , N/A ,$28.05 , N/A ,$25.74 ,$25.74 ,$25.74 ,$29.70 , N/A ,$29.70 , N/A ,$33.00 ,$21.62 , N/A ,$13.73 , N/A , N/A , N/A ,$29.70 , N/A ,$20.36 ,$9.24 ,$29.70 , N/A ,$29.70 ,$29.70 , N/A ,$21.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204656,N/A,HC BAG RESUSCITOR,272,1 ,$90.70 ,$58.96 ,$25.40 ,$90.70 , N/A ,$67.57 ,$59.41 , N/A ,$25.40 ,$45.80 , N/A ,$55.96 , N/A ,$55.96 ,$55.96 , N/A ,$55.96 , N/A ,$81.63 ,$68.03 , N/A , N/A ,$79.82 , N/A ,$68.03 ,$68.03 ,$77.10 ,$77.10 , N/A ,$77.10 , N/A ,$70.75 ,$70.75 ,$70.75 ,$81.63 , N/A ,$81.63 , N/A ,$90.70 ,$59.41 , N/A ,$37.73 , N/A , N/A , N/A ,$81.63 , N/A ,$55.96 ,$25.40 ,$81.63 , N/A ,$81.63 ,$81.63 , N/A ,$58.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204657,N/A,HC CANISTER V.A.C.,272,1 ,$387.47 ,$251.86 ,$108.49 ,$387.47 , N/A ,$288.67 ,$253.79 , N/A ,$108.49 ,$195.67 , N/A ,$239.07 , N/A ,$239.07 ,$239.07 , N/A ,$239.07 , N/A ,$348.72 ,$290.60 , N/A , N/A ,$340.97 , N/A ,$290.60 ,$290.60 ,$329.35 ,$329.35 , N/A ,$329.35 , N/A ,$302.23 ,$302.23 ,$302.23 ,$348.72 , N/A ,$348.72 , N/A ,$387.47 ,$253.79 , N/A ,$161.19 , N/A , N/A , N/A ,$348.72 , N/A ,$239.07 ,$108.49 ,$348.72 , N/A ,$348.72 ,$348.72 , N/A ,$251.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204660,N/A,HC CANNULA NASAL OXYGEN,272,1 ,$23.40 ,$15.21 ,$6.55 ,$23.40 , N/A ,$17.43 ,$15.33 , N/A ,$6.55 ,$11.82 , N/A ,$14.44 , N/A ,$14.44 ,$14.44 , N/A ,$14.44 , N/A ,$21.06 ,$17.55 , N/A , N/A ,$20.59 , N/A ,$17.55 ,$17.55 ,$19.89 ,$19.89 , N/A ,$19.89 , N/A ,$18.25 ,$18.25 ,$18.25 ,$21.06 , N/A ,$21.06 , N/A ,$23.40 ,$15.33 , N/A ,$9.73 , N/A , N/A , N/A ,$21.06 , N/A ,$14.44 ,$6.55 ,$21.06 , N/A ,$21.06 ,$21.06 , N/A ,$15.21 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204675,N/A,HC ELECTRODE ADULT,272,1 ,$7.28 ,$4.73 ,$2.04 ,$7.28 , N/A ,$5.42 ,$4.77 , N/A ,$2.04 ,$3.68 , N/A ,$4.49 , N/A ,$4.49 ,$4.49 , N/A ,$4.49 , N/A ,$6.55 ,$5.46 , N/A , N/A ,$6.41 , N/A ,$5.46 ,$5.46 ,$6.19 ,$6.19 , N/A ,$6.19 , N/A ,$5.68 ,$5.68 ,$5.68 ,$6.55 , N/A ,$6.55 , N/A ,$7.28 ,$4.77 , N/A ,$3.03 , N/A , N/A , N/A ,$6.55 , N/A ,$4.49 ,$2.04 ,$6.55 , N/A ,$6.55 ,$6.55 , N/A ,$4.73 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204707,N/A,HC PAD DEFRIBILLATOR GEL,272,1 ,$21.36 ,$13.88 ,$5.98 ,$21.36 , N/A ,$15.91 ,$13.99 , N/A ,$5.98 ,$10.79 , N/A ,$13.18 , N/A ,$13.18 ,$13.18 , N/A ,$13.18 , N/A ,$19.22 ,$16.02 , N/A , N/A ,$18.80 , N/A ,$16.02 ,$16.02 ,$18.16 ,$18.16 , N/A ,$18.16 , N/A ,$16.66 ,$16.66 ,$16.66 ,$19.22 , N/A ,$19.22 , N/A ,$21.36 ,$13.99 , N/A ,$8.89 , N/A , N/A , N/A ,$19.22 , N/A ,$13.18 ,$5.98 ,$19.22 , N/A ,$19.22 ,$19.22 , N/A ,$13.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204737,C1729,HC CATHETER DRAINAGE T18,272,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204738,C1729,HC CATHETER DRAINAGE T19,272,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204739,C1729,HC CATHETER DRAINAGE T20,272,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204740,C1729,HC CATHETER DRAINAGE T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204756,N/A,HC CLIP BREAST BIOPSY,272,1 ,$132.18 ,$85.92 ,$37.01 ,$132.18 , N/A ,$98.47 ,$86.58 , N/A ,$37.01 ,$66.75 , N/A ,$81.56 , N/A ,$81.56 ,$81.56 , N/A ,$81.56 , N/A ,$118.96 ,$99.14 , N/A , N/A ,$116.32 , N/A ,$99.14 ,$99.14 ,$112.35 ,$112.35 , N/A ,$112.35 , N/A ,$103.10 ,$103.10 ,$103.10 ,$118.96 , N/A ,$118.96 , N/A ,$132.18 ,$86.58 , N/A ,$54.99 , N/A , N/A , N/A ,$118.96 , N/A ,$81.56 ,$37.01 ,$118.96 , N/A ,$118.96 ,$118.96 , N/A ,$85.92 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204760,N/A,HC BLANKET BAIR HUGGER,272,1 ,$39.00 ,$25.35 ,$10.92 ,$39.00 , N/A ,$29.06 ,$25.55 , N/A ,$10.92 ,$19.70 , N/A ,$24.06 , N/A ,$24.06 ,$24.06 , N/A ,$24.06 , N/A ,$35.10 ,$29.25 , N/A , N/A ,$34.32 , N/A ,$29.25 ,$29.25 ,$33.15 ,$33.15 , N/A ,$33.15 , N/A ,$30.42 ,$30.42 ,$30.42 ,$35.10 , N/A ,$35.10 , N/A ,$39.00 ,$25.55 , N/A ,$16.22 , N/A , N/A , N/A ,$35.10 , N/A ,$24.06 ,$10.92 ,$35.10 , N/A ,$35.10 ,$35.10 , N/A ,$25.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204771,N/A,HC BLADE LARYNGOSCOPE,272,1 ,$56.70 ,$36.86 ,$15.88 ,$56.70 , N/A ,$42.24 ,$37.14 , N/A ,$15.88 ,$28.63 , N/A ,$34.98 , N/A ,$34.98 ,$34.98 , N/A ,$34.98 , N/A ,$51.03 ,$42.53 , N/A , N/A ,$49.90 , N/A ,$42.53 ,$42.53 ,$48.20 ,$48.20 , N/A ,$48.20 , N/A ,$44.23 ,$44.23 ,$44.23 ,$51.03 , N/A ,$51.03 , N/A ,$56.70 ,$37.14 , N/A ,$23.59 , N/A , N/A , N/A ,$51.03 , N/A ,$34.98 ,$15.88 ,$51.03 , N/A ,$51.03 ,$51.03 , N/A ,$36.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204772,N/A,HC BLADE LARYNGEAL,272,1 ,$24.34 ,$15.82 ,$6.82 ,$24.34 , N/A ,$18.13 ,$15.94 , N/A ,$6.82 ,$12.29 , N/A ,$15.02 , N/A ,$15.02 ,$15.02 , N/A ,$15.02 , N/A ,$21.91 ,$18.26 , N/A , N/A ,$21.42 , N/A ,$18.26 ,$18.26 ,$20.69 ,$20.69 , N/A ,$20.69 , N/A ,$18.99 ,$18.99 ,$18.99 ,$21.91 , N/A ,$21.91 , N/A ,$24.34 ,$15.94 , N/A ,$10.13 , N/A , N/A , N/A ,$21.91 , N/A ,$15.02 ,$6.82 ,$21.91 , N/A ,$21.91 ,$21.91 , N/A ,$15.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204773,N/A,HC CAUTERY PEN HIGH TEMP,272,1 ,$74.42 ,$48.37 ,$20.84 ,$74.42 , N/A ,$55.44 ,$48.75 , N/A ,$20.84 ,$37.58 , N/A ,$45.92 , N/A ,$45.92 ,$45.92 , N/A ,$45.92 , N/A ,$66.98 ,$55.82 , N/A , N/A ,$65.49 , N/A ,$55.82 ,$55.82 ,$63.26 ,$63.26 , N/A ,$63.26 , N/A ,$58.05 ,$58.05 ,$58.05 ,$66.98 , N/A ,$66.98 , N/A ,$74.42 ,$48.75 , N/A ,$30.96 , N/A , N/A , N/A ,$66.98 , N/A ,$45.92 ,$20.84 ,$66.98 , N/A ,$66.98 ,$66.98 , N/A ,$48.37 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204774,N/A,HC SENSOR OXIMETRY CEREBRAL,272,1 ,$27.00 ,$17.55 ,$7.56 ,$27.00 , N/A ,$20.12 ,$17.69 , N/A ,$7.56 ,$13.64 , N/A ,$16.66 , N/A ,$16.66 ,$16.66 , N/A ,$16.66 , N/A ,$24.30 ,$20.25 , N/A , N/A ,$23.76 , N/A ,$20.25 ,$20.25 ,$22.95 ,$22.95 , N/A ,$22.95 , N/A ,$21.06 ,$21.06 ,$21.06 ,$24.30 , N/A ,$24.30 , N/A ,$27.00 ,$17.69 , N/A ,$11.23 , N/A , N/A , N/A ,$24.30 , N/A ,$16.66 ,$7.56 ,$24.30 , N/A ,$24.30 ,$24.30 , N/A ,$17.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204818,N/A,HC COMPRESSION COBAN 2 LAYER,272,1 ,$104.31 ,$67.80 ,$29.21 ,$104.31 , N/A ,$77.71 ,$68.32 , N/A ,$29.21 ,$52.68 , N/A ,$64.36 , N/A ,$64.36 ,$64.36 , N/A ,$64.36 , N/A ,$93.88 ,$78.23 , N/A , N/A ,$91.79 , N/A ,$78.23 ,$78.23 ,$88.66 ,$88.66 , N/A ,$88.66 , N/A ,$81.36 ,$81.36 ,$81.36 ,$93.88 , N/A ,$93.88 , N/A ,$104.31 ,$68.32 , N/A ,$43.39 , N/A , N/A , N/A ,$93.88 , N/A ,$64.36 ,$29.21 ,$93.88 , N/A ,$93.88 ,$93.88 , N/A ,$67.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204819,N/A,HC COMPRESSION WRAP SETOPRESS,272,1 ,$301.56 ,$196.01 ,$84.44 ,$301.56 , N/A ,$224.66 ,$197.52 , N/A ,$84.44 ,$152.29 , N/A ,$186.06 , N/A ,$186.06 ,$186.06 , N/A ,$186.06 , N/A ,$271.40 ,$226.17 , N/A , N/A ,$265.37 , N/A ,$226.17 ,$226.17 ,$256.33 ,$256.33 , N/A ,$256.33 , N/A ,$235.22 ,$235.22 ,$235.22 ,$271.40 , N/A ,$271.40 , N/A ,$301.56 ,$197.52 , N/A ,$125.45 , N/A , N/A , N/A ,$271.40 , N/A ,$186.06 ,$84.44 ,$271.40 , N/A ,$271.40 ,$271.40 , N/A ,$196.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204833,N/A,HC CANNULA NASAL ETCO2 LONG TERM,272,1 ,$45.00 ,$29.25 ,$12.60 ,$45.00 , N/A ,$33.53 ,$29.48 , N/A ,$12.60 ,$22.73 , N/A ,$27.77 , N/A ,$27.77 ,$27.77 , N/A ,$27.77 , N/A ,$40.50 ,$33.75 , N/A , N/A ,$39.60 , N/A ,$33.75 ,$33.75 ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$35.10 ,$35.10 ,$35.10 ,$40.50 , N/A ,$40.50 , N/A ,$45.00 ,$29.48 , N/A ,$18.72 , N/A , N/A , N/A ,$40.50 , N/A ,$27.77 ,$12.60 ,$40.50 , N/A ,$40.50 ,$40.50 , N/A ,$29.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204858,N/A,HC HEEL PROTECTOR WAFFLE CUSTOM,270,1 ,$235.99 ,$153.39 ,$66.08 ,$235.99 , N/A ,$175.81 ,$154.57 , N/A ,$66.08 ,$119.18 , N/A ,$145.61 , N/A ,$145.61 ,$145.61 , N/A ,$145.61 , N/A ,$212.39 ,$176.99 , N/A , N/A ,$207.67 , N/A ,$176.99 ,$176.99 ,$200.59 ,$200.59 , N/A ,$200.59 , N/A ,$184.07 ,$184.07 ,$184.07 ,$212.39 , N/A ,$212.39 , N/A ,$235.99 ,$154.57 , N/A ,$98.17 , N/A , N/A , N/A ,$212.39 , N/A ,$145.61 ,$66.08 ,$212.39 , N/A ,$212.39 ,$212.39 , N/A ,$153.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204859,N/A,HC HEMOSTAT SURGICAL,272,1 ,$883.00 ,$573.95 ,$247.24 ,$883.00 , N/A ,$657.84 ,$578.37 , N/A ,$247.24 ,$445.92 , N/A ,$544.81 , N/A ,$544.81 ,$544.81 , N/A ,$544.81 , N/A ,$794.70 ,$662.25 , N/A , N/A ,$777.04 , N/A ,$662.25 ,$662.25 ,$750.55 ,$750.55 , N/A ,$750.55 , N/A ,$688.74 ,$688.74 ,$688.74 ,$794.70 , N/A ,$794.70 , N/A ,$883.00 ,$578.37 , N/A ,$367.33 , N/A , N/A , N/A ,$794.70 , N/A ,$544.81 ,$247.24 ,$794.70 , N/A ,$794.70 ,$794.70 , N/A ,$573.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204860,N/A,HC HEMOSTAT MATRIX,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204865,N/A,HC INTRODUCER/SHEATH,272,1 ,$4.53 ,$2.94 ,$1.27 ,$4.53 , N/A ,$3.37 ,$2.97 , N/A ,$1.27 ,$2.29 , N/A ,$2.80 , N/A ,$2.80 ,$2.80 , N/A ,$2.80 , N/A ,$4.08 ,$3.40 , N/A , N/A ,$3.99 , N/A ,$3.40 ,$3.40 ,$3.85 ,$3.85 , N/A ,$3.85 , N/A ,$3.53 ,$3.53 ,$3.53 ,$4.08 , N/A ,$4.08 , N/A ,$4.53 ,$2.97 , N/A ,$1.88 , N/A , N/A , N/A ,$4.08 , N/A ,$2.80 ,$1.27 ,$4.08 , N/A ,$4.08 ,$4.08 , N/A ,$2.94 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204866,N/A,HC AIRWAY INTUBATING W/OXYGEN DELIVERY,272,1 ,$145.09 ,$94.31 ,$40.63 ,$145.09 , N/A ,$108.09 ,$95.03 , N/A ,$40.63 ,$73.27 , N/A ,$89.52 , N/A ,$89.52 ,$89.52 , N/A ,$89.52 , N/A ,$130.58 ,$108.82 , N/A , N/A ,$127.68 , N/A ,$108.82 ,$108.82 ,$123.33 ,$123.33 , N/A ,$123.33 , N/A ,$113.17 ,$113.17 ,$113.17 ,$130.58 , N/A ,$130.58 , N/A ,$145.09 ,$95.03 , N/A ,$60.36 , N/A , N/A , N/A ,$130.58 , N/A ,$89.52 ,$40.63 ,$130.58 , N/A ,$130.58 ,$130.58 , N/A ,$94.31 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204869,N/A,HC IV ANGIOCATH,272,1 ,$9.44 ,$6.14 ,$2.64 ,$9.44 , N/A ,$7.03 ,$6.18 , N/A ,$2.64 ,$4.77 , N/A ,$5.82 , N/A ,$5.82 ,$5.82 , N/A ,$5.82 , N/A ,$8.50 ,$7.08 , N/A , N/A ,$8.31 , N/A ,$7.08 ,$7.08 ,$8.02 ,$8.02 , N/A ,$8.02 , N/A ,$7.36 ,$7.36 ,$7.36 ,$8.50 , N/A ,$8.50 , N/A ,$9.44 ,$6.18 , N/A ,$3.93 , N/A , N/A , N/A ,$8.50 , N/A ,$5.82 ,$2.64 ,$8.50 , N/A ,$8.50 ,$8.50 , N/A ,$6.14 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204887,N/A,HC KIT CATHETER FEMALE,272,1 ,$20.78 ,$13.51 ,$5.82 ,$20.78 , N/A ,$15.48 ,$13.61 , N/A ,$5.82 ,$10.49 , N/A ,$12.82 , N/A ,$12.82 ,$12.82 , N/A ,$12.82 , N/A ,$18.70 ,$15.59 , N/A , N/A ,$18.29 , N/A ,$15.59 ,$15.59 ,$17.66 ,$17.66 , N/A ,$17.66 , N/A ,$16.21 ,$16.21 ,$16.21 ,$18.70 , N/A ,$18.70 , N/A ,$20.78 ,$13.61 , N/A ,$8.64 , N/A , N/A , N/A ,$18.70 , N/A ,$12.82 ,$5.82 ,$18.70 , N/A ,$18.70 ,$18.70 , N/A ,$13.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204936,N/A,HC NEEDLE NERVE BLOCK ECHOGENIC,272,1 ,$119.74 ,$77.83 ,$33.53 ,$119.74 , N/A ,$89.21 ,$78.43 , N/A ,$33.53 ,$60.47 , N/A ,$73.88 , N/A ,$73.88 ,$73.88 , N/A ,$73.88 , N/A ,$107.77 ,$89.81 , N/A , N/A ,$105.37 , N/A ,$89.81 ,$89.81 ,$101.78 ,$101.78 , N/A ,$101.78 , N/A ,$93.40 ,$93.40 ,$93.40 ,$107.77 , N/A ,$107.77 , N/A ,$119.74 ,$78.43 , N/A ,$49.81 , N/A , N/A , N/A ,$107.77 , N/A ,$73.88 ,$33.53 ,$107.77 , N/A ,$107.77 ,$107.77 , N/A ,$77.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204941,N/A,HC NEEDLE EPIDURAL,272,1 ,$22.53 ,$14.64 ,$6.31 ,$22.53 , N/A ,$16.78 ,$14.76 , N/A ,$6.31 ,$11.38 , N/A ,$13.90 , N/A ,$13.90 ,$13.90 , N/A ,$13.90 , N/A ,$20.28 ,$16.90 , N/A , N/A ,$19.83 , N/A ,$16.90 ,$16.90 ,$19.15 ,$19.15 , N/A ,$19.15 , N/A ,$17.57 ,$17.57 ,$17.57 ,$20.28 , N/A ,$20.28 , N/A ,$22.53 ,$14.76 , N/A ,$9.37 , N/A , N/A , N/A ,$20.28 , N/A ,$13.90 ,$6.31 ,$20.28 , N/A ,$20.28 ,$20.28 , N/A ,$14.64 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204948,N/A,HC NEEDLE MONOPTY,272,1 ,$41.36 ,$26.88 ,$11.58 ,$41.36 , N/A ,$30.81 ,$27.09 , N/A ,$11.58 ,$20.89 , N/A ,$25.52 , N/A ,$25.52 ,$25.52 , N/A ,$25.52 , N/A ,$37.22 ,$31.02 , N/A , N/A ,$36.40 , N/A ,$31.02 ,$31.02 ,$35.16 ,$35.16 , N/A ,$35.16 , N/A ,$32.26 ,$32.26 ,$32.26 ,$37.22 , N/A ,$37.22 , N/A ,$41.36 ,$27.09 , N/A ,$17.21 , N/A , N/A , N/A ,$37.22 , N/A ,$25.52 ,$11.58 ,$37.22 , N/A ,$37.22 ,$37.22 , N/A ,$26.88 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204949,N/A,HC HOLDER ENDOTRACH NEOBAR,272,1 ,$81.14 ,$52.74 ,$22.72 ,$81.14 , N/A ,$60.45 ,$53.15 , N/A ,$22.72 ,$40.98 , N/A ,$50.06 , N/A ,$50.06 ,$50.06 , N/A ,$50.06 , N/A ,$73.03 ,$60.86 , N/A , N/A ,$71.40 , N/A ,$60.86 ,$60.86 ,$68.97 ,$68.97 , N/A ,$68.97 , N/A ,$63.29 ,$63.29 ,$63.29 ,$73.03 , N/A ,$73.03 , N/A ,$81.14 ,$53.15 , N/A ,$33.75 , N/A , N/A , N/A ,$73.03 , N/A ,$50.06 ,$22.72 ,$73.03 , N/A ,$73.03 ,$73.03 , N/A ,$52.74 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204965,N/A,HC OSTOMY CONE IRRIGATOR KIT,272,1 ,$15.48 ,$10.06 ,$4.33 ,$15.48 , N/A ,$11.53 ,$10.14 , N/A ,$4.33 ,$7.82 , N/A ,$9.55 , N/A ,$9.55 ,$9.55 , N/A ,$9.55 , N/A ,$13.93 ,$11.61 , N/A , N/A ,$13.62 , N/A ,$11.61 ,$11.61 ,$13.16 ,$13.16 , N/A ,$13.16 , N/A ,$12.07 ,$12.07 ,$12.07 ,$13.93 , N/A ,$13.93 , N/A ,$15.48 ,$10.14 , N/A ,$6.44 , N/A , N/A , N/A ,$13.93 , N/A ,$9.55 ,$4.33 ,$13.93 , N/A ,$13.93 ,$13.93 , N/A ,$10.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204988,N/A,HC BAG INFUSION PRESSURE,272,1 ,$192.00 ,$124.80 ,$53.76 ,$192.00 , N/A ,$143.04 ,$125.76 , N/A ,$53.76 ,$96.96 , N/A ,$118.46 , N/A ,$118.46 ,$118.46 , N/A ,$118.46 , N/A ,$172.80 ,$144.00 , N/A , N/A ,$168.96 , N/A ,$144.00 ,$144.00 ,$163.20 ,$163.20 , N/A ,$163.20 , N/A ,$149.76 ,$149.76 ,$149.76 ,$172.80 , N/A ,$172.80 , N/A ,$192.00 ,$125.76 , N/A ,$79.87 , N/A , N/A , N/A ,$172.80 , N/A ,$118.46 ,$53.76 ,$172.80 , N/A ,$172.80 ,$172.80 , N/A ,$124.80 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204996,N/A,HC PROBE TEMP SENSOR,272,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27204999,N/A,HC SENSOR PULSE OX,272,1 ,$129.41 ,$84.12 ,$36.23 ,$129.41 , N/A ,$96.41 ,$84.76 , N/A ,$36.23 ,$65.35 , N/A ,$79.85 , N/A ,$79.85 ,$79.85 , N/A ,$79.85 , N/A ,$116.47 ,$97.06 , N/A , N/A ,$113.88 , N/A ,$97.06 ,$97.06 ,$110.00 ,$110.00 , N/A ,$110.00 , N/A ,$100.94 ,$100.94 ,$100.94 ,$116.47 , N/A ,$116.47 , N/A ,$129.41 ,$84.76 , N/A ,$53.83 , N/A , N/A , N/A ,$116.47 , N/A ,$79.85 ,$36.23 ,$116.47 , N/A ,$116.47 ,$116.47 , N/A ,$84.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205010,N/A,HC VALVE ANTI-REFLUX SALEM,272,1 ,$57.41 ,$37.32 ,$16.07 ,$57.41 , N/A ,$42.77 ,$37.60 , N/A ,$16.07 ,$28.99 , N/A ,$35.42 , N/A ,$35.42 ,$35.42 , N/A ,$35.42 , N/A ,$51.67 ,$43.06 , N/A , N/A ,$50.52 , N/A ,$43.06 ,$43.06 ,$48.80 ,$48.80 , N/A ,$48.80 , N/A ,$44.78 ,$44.78 ,$44.78 ,$51.67 , N/A ,$51.67 , N/A ,$57.41 ,$37.60 , N/A ,$23.88 , N/A , N/A , N/A ,$51.67 , N/A ,$35.42 ,$16.07 ,$51.67 , N/A ,$51.67 ,$51.67 , N/A ,$37.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205019,N/A,HC PROTECTOR SHEEPSKIN,272,1 ,$58.00 ,$37.70 ,$16.24 ,$58.00 , N/A ,$43.21 ,$37.99 , N/A ,$16.24 ,$29.29 , N/A ,$35.79 , N/A ,$35.79 ,$35.79 , N/A ,$35.79 , N/A ,$52.20 ,$43.50 , N/A , N/A ,$51.04 , N/A ,$43.50 ,$43.50 ,$49.30 ,$49.30 , N/A ,$49.30 , N/A ,$45.24 ,$45.24 ,$45.24 ,$52.20 , N/A ,$52.20 , N/A ,$58.00 ,$37.99 , N/A ,$24.13 , N/A , N/A , N/A ,$52.20 , N/A ,$35.79 ,$16.24 ,$52.20 , N/A ,$52.20 ,$52.20 , N/A ,$37.70 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205026,N/A,HC SPLINT CAST CONFORMABLE MEDIUM,272,1 ,$31.00 ,$20.15 ,$8.68 ,$31.00 , N/A ,$23.10 ,$20.31 , N/A ,$8.68 ,$15.66 , N/A ,$19.13 , N/A ,$19.13 ,$19.13 , N/A ,$19.13 , N/A ,$27.90 ,$23.25 , N/A , N/A ,$27.28 , N/A ,$23.25 ,$23.25 ,$26.35 ,$26.35 , N/A ,$26.35 , N/A ,$24.18 ,$24.18 ,$24.18 ,$27.90 , N/A ,$27.90 , N/A ,$31.00 ,$20.31 , N/A ,$12.90 , N/A , N/A , N/A ,$27.90 , N/A ,$19.13 ,$8.68 ,$27.90 , N/A ,$27.90 ,$27.90 , N/A ,$20.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205034,N/A,HC SET INFUSION SUBCUTANEOUS,272,1 ,$62.81 ,$40.83 ,$17.59 ,$62.81 , N/A ,$46.79 ,$41.14 , N/A ,$17.59 ,$31.72 , N/A ,$38.75 , N/A ,$38.75 ,$38.75 , N/A ,$38.75 , N/A ,$56.53 ,$47.11 , N/A , N/A ,$55.27 , N/A ,$47.11 ,$47.11 ,$53.39 ,$53.39 , N/A ,$53.39 , N/A ,$48.99 ,$48.99 ,$48.99 ,$56.53 , N/A ,$56.53 , N/A ,$62.81 ,$41.14 , N/A ,$26.13 , N/A , N/A , N/A ,$56.53 , N/A ,$38.75 ,$17.59 ,$56.53 , N/A ,$56.53 ,$56.53 , N/A ,$40.83 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205046,N/A,HC SYRINGE ATOMIZER MUCOSAL,272,1 ,$26.91 ,$17.49 ,$7.53 ,$26.91 , N/A ,$20.05 ,$17.63 , N/A ,$7.53 ,$13.59 , N/A ,$16.60 , N/A ,$16.60 ,$16.60 , N/A ,$16.60 , N/A ,$24.22 ,$20.18 , N/A , N/A ,$23.68 , N/A ,$20.18 ,$20.18 ,$22.87 ,$22.87 , N/A ,$22.87 , N/A ,$20.99 ,$20.99 ,$20.99 ,$24.22 , N/A ,$24.22 , N/A ,$26.91 ,$17.63 , N/A ,$11.19 , N/A , N/A , N/A ,$24.22 , N/A ,$16.60 ,$7.53 ,$24.22 , N/A ,$24.22 ,$24.22 , N/A ,$17.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205059,N/A,HC TRAY HYSTEROSALPINGOGRAM,272,1 ,$97.86 ,$63.61 ,$27.40 ,$97.86 , N/A ,$72.91 ,$64.10 , N/A ,$27.40 ,$49.42 , N/A ,$60.38 , N/A ,$60.38 ,$60.38 , N/A ,$60.38 , N/A ,$88.07 ,$73.40 , N/A , N/A ,$86.12 , N/A ,$73.40 ,$73.40 ,$83.18 ,$83.18 , N/A ,$83.18 , N/A ,$76.33 ,$76.33 ,$76.33 ,$88.07 , N/A ,$88.07 , N/A ,$97.86 ,$64.10 , N/A ,$40.71 , N/A , N/A , N/A ,$88.07 , N/A ,$60.38 ,$27.40 ,$88.07 , N/A ,$88.07 ,$88.07 , N/A ,$63.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205060,N/A,HC TRAY PICC LINE,272,1 ,$109.75 ,$71.34 ,$30.73 ,$109.75 , N/A ,$81.76 ,$71.89 , N/A ,$30.73 ,$55.42 , N/A ,$67.72 , N/A ,$67.72 ,$67.72 , N/A ,$67.72 , N/A ,$98.78 ,$82.31 , N/A , N/A ,$96.58 , N/A ,$82.31 ,$82.31 ,$93.29 ,$93.29 , N/A ,$93.29 , N/A ,$85.61 ,$85.61 ,$85.61 ,$98.78 , N/A ,$98.78 , N/A ,$109.75 ,$71.89 , N/A ,$45.66 , N/A , N/A , N/A ,$98.78 , N/A ,$67.72 ,$30.73 ,$98.78 , N/A ,$98.78 ,$98.78 , N/A ,$71.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205074,N/A,HC TUBE TRACH,272,1 ,$372.48 ,$242.11 ,$104.29 ,$372.48 , N/A ,$277.50 ,$243.97 , N/A ,$104.29 ,$188.10 , N/A ,$229.82 , N/A ,$229.82 ,$229.82 , N/A ,$229.82 , N/A ,$335.23 ,$279.36 , N/A , N/A ,$327.78 , N/A ,$279.36 ,$279.36 ,$316.61 ,$316.61 , N/A ,$316.61 , N/A ,$290.53 ,$290.53 ,$290.53 ,$335.23 , N/A ,$335.23 , N/A ,$372.48 ,$243.97 , N/A ,$154.95 , N/A , N/A , N/A ,$335.23 , N/A ,$229.82 ,$104.29 ,$335.23 , N/A ,$335.23 ,$335.23 , N/A ,$242.11 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205078,N/A,HC TUBE RECTAL,272,1 ,$141.94 ,$92.26 ,$39.74 ,$141.94 , N/A ,$105.75 ,$92.97 , N/A ,$39.74 ,$71.68 , N/A ,$87.58 , N/A ,$87.58 ,$87.58 , N/A ,$87.58 , N/A ,$127.75 ,$106.46 , N/A , N/A ,$124.91 , N/A ,$106.46 ,$106.46 ,$120.65 ,$120.65 , N/A ,$120.65 , N/A ,$110.71 ,$110.71 ,$110.71 ,$127.75 , N/A ,$127.75 , N/A ,$141.94 ,$92.97 , N/A ,$59.05 , N/A , N/A , N/A ,$127.75 , N/A ,$87.58 ,$39.74 ,$127.75 , N/A ,$127.75 ,$127.75 , N/A ,$92.26 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205083,N/A,HC TUBING BLOOD WARMING,272,1 ,$179.63 ,$116.76 ,$50.30 ,$179.63 , N/A ,$133.82 ,$117.66 , N/A ,$50.30 ,$90.71 , N/A ,$110.83 , N/A ,$110.83 ,$110.83 , N/A ,$110.83 , N/A ,$161.67 ,$134.72 , N/A , N/A ,$158.07 , N/A ,$134.72 ,$134.72 ,$152.69 ,$152.69 , N/A ,$152.69 , N/A ,$140.11 ,$140.11 ,$140.11 ,$161.67 , N/A ,$161.67 , N/A ,$179.63 ,$117.66 , N/A ,$74.73 , N/A , N/A , N/A ,$161.67 , N/A ,$110.83 ,$50.30 ,$161.67 , N/A ,$161.67 ,$161.67 , N/A ,$116.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205086,N/A,HC CANISTER WOUND VAC,272,1 ,$69.15 ,$44.95 ,$19.36 ,$69.15 , N/A ,$51.52 ,$45.29 , N/A ,$19.36 ,$34.92 , N/A ,$42.67 , N/A ,$42.67 ,$42.67 , N/A ,$42.67 , N/A ,$62.24 ,$51.86 , N/A , N/A ,$60.85 , N/A ,$51.86 ,$51.86 ,$58.78 ,$58.78 , N/A ,$58.78 , N/A ,$53.94 ,$53.94 ,$53.94 ,$62.24 , N/A ,$62.24 , N/A ,$69.15 ,$45.29 , N/A ,$28.77 , N/A , N/A , N/A ,$62.24 , N/A ,$42.67 ,$19.36 ,$62.24 , N/A ,$62.24 ,$62.24 , N/A ,$44.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205091,N/A,HC KIT DRESSING WOUND VAC PREVENA PEEL N PLACE,272,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205111,N/A,HC DRESSING HYDROFERA BLUE,272,1 ,$18.09 ,$11.76 ,$5.07 ,$18.09 , N/A ,$13.48 ,$11.85 , N/A ,$5.07 ,$9.14 , N/A ,$11.16 , N/A ,$11.16 ,$11.16 , N/A ,$11.16 , N/A ,$16.28 ,$13.57 , N/A , N/A ,$15.92 , N/A ,$13.57 ,$13.57 ,$15.38 ,$15.38 , N/A ,$15.38 , N/A ,$14.11 ,$14.11 ,$14.11 ,$16.28 , N/A ,$16.28 , N/A ,$18.09 ,$11.85 , N/A ,$7.53 , N/A , N/A , N/A ,$16.28 , N/A ,$11.16 ,$5.07 ,$16.28 , N/A ,$16.28 ,$16.28 , N/A ,$11.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205181,N/A,HC STRYKER AIR 2 MATTRESS OVERLAY,272,1 ,$111.00 ,$72.15 ,$31.08 ,$111.00 , N/A ,$82.70 ,$72.71 , N/A ,$31.08 ,$56.06 , N/A ,$68.49 , N/A ,$68.49 ,$68.49 , N/A ,$68.49 , N/A ,$99.90 ,$83.25 , N/A , N/A ,$97.68 , N/A ,$83.25 ,$83.25 ,$94.35 ,$94.35 , N/A ,$94.35 , N/A ,$86.58 ,$86.58 ,$86.58 ,$99.90 , N/A ,$99.90 , N/A ,$111.00 ,$72.71 , N/A ,$46.18 , N/A , N/A , N/A ,$99.90 , N/A ,$68.49 ,$31.08 ,$99.90 , N/A ,$99.90 ,$99.90 , N/A ,$72.15 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205201,N/A,HC SUTURE T5,272,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205202,N/A,HC SUTURE T6,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205203,N/A,HC SUTURE T7,272,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205204,N/A,HC SUTURE T8,272,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205205,N/A,HC SUTURE T9,272,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205206,N/A,HC SUTURE T10,272,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205250,N/A,HC DEVICE FASTENER CATHETER,272,1 ,$47.87 ,$31.12 ,$13.40 ,$47.87 , N/A ,$35.66 ,$31.35 , N/A ,$13.40 ,$24.17 , N/A ,$29.54 , N/A ,$29.54 ,$29.54 , N/A ,$29.54 , N/A ,$43.08 ,$35.90 , N/A , N/A ,$42.13 , N/A ,$35.90 ,$35.90 ,$40.69 ,$40.69 , N/A ,$40.69 , N/A ,$37.34 ,$37.34 ,$37.34 ,$43.08 , N/A ,$43.08 , N/A ,$47.87 ,$31.35 , N/A ,$19.91 , N/A , N/A , N/A ,$43.08 , N/A ,$29.54 ,$13.40 ,$43.08 , N/A ,$43.08 ,$43.08 , N/A ,$31.12 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205255,C1729,HC CATHETER MULTIPURPOSE,272,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205267,N/A,HC SYSTEM CIRCUIT BREATHING W/NEB KIT,272,1 ,$63.60 ,$41.34 ,$17.81 ,$63.60 , N/A ,$47.38 ,$41.66 , N/A ,$17.81 ,$32.12 , N/A ,$39.24 , N/A ,$39.24 ,$39.24 , N/A ,$39.24 , N/A ,$57.24 ,$47.70 , N/A , N/A ,$55.97 , N/A ,$47.70 ,$47.70 ,$54.06 ,$54.06 , N/A ,$54.06 , N/A ,$49.61 ,$49.61 ,$49.61 ,$57.24 , N/A ,$57.24 , N/A ,$63.60 ,$41.66 , N/A ,$26.46 , N/A , N/A , N/A ,$57.24 , N/A ,$39.24 ,$17.81 ,$57.24 , N/A ,$57.24 ,$57.24 , N/A ,$41.34 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205278,N/A,HC ADAPTER URETERAL DRAINAGE,272,1 ,$286.14 ,$185.99 ,$80.12 ,$286.14 , N/A ,$213.17 ,$187.42 , N/A ,$80.12 ,$144.50 , N/A ,$176.55 , N/A ,$176.55 ,$176.55 , N/A ,$176.55 , N/A ,$257.53 ,$214.61 , N/A , N/A ,$251.80 , N/A ,$214.61 ,$214.61 ,$243.22 ,$243.22 , N/A ,$243.22 , N/A ,$223.19 ,$223.19 ,$223.19 ,$257.53 , N/A ,$257.53 , N/A ,$286.14 ,$187.42 , N/A ,$119.03 , N/A , N/A , N/A ,$257.53 , N/A ,$176.55 ,$80.12 ,$257.53 , N/A ,$257.53 ,$257.53 , N/A ,$185.99 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205280,N/A,HC ADAPTER VENTILATOR,272,1 ,$18.83 ,$12.24 ,$5.27 ,$18.83 , N/A ,$14.03 ,$12.33 , N/A ,$5.27 ,$9.51 , N/A ,$11.62 , N/A ,$11.62 ,$11.62 , N/A ,$11.62 , N/A ,$16.95 ,$14.12 , N/A , N/A ,$16.57 , N/A ,$14.12 ,$14.12 ,$16.01 ,$16.01 , N/A ,$16.01 , N/A ,$14.69 ,$14.69 ,$14.69 ,$16.95 , N/A ,$16.95 , N/A ,$18.83 ,$12.33 , N/A ,$7.83 , N/A , N/A , N/A ,$16.95 , N/A ,$11.62 ,$5.27 ,$16.95 , N/A ,$16.95 ,$16.95 , N/A ,$12.24 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205281,N/A,HC ADAPTER Y,272,1 ,$68.44 ,$44.49 ,$19.16 ,$68.44 , N/A ,$50.99 ,$44.83 , N/A ,$19.16 ,$34.56 , N/A ,$42.23 , N/A ,$42.23 ,$42.23 , N/A ,$42.23 , N/A ,$61.60 ,$51.33 , N/A , N/A ,$60.23 , N/A ,$51.33 ,$51.33 ,$58.17 ,$58.17 , N/A ,$58.17 , N/A ,$53.38 ,$53.38 ,$53.38 ,$61.60 , N/A ,$61.60 , N/A ,$68.44 ,$44.83 , N/A ,$28.47 , N/A , N/A , N/A ,$61.60 , N/A ,$42.23 ,$19.16 ,$61.60 , N/A ,$61.60 ,$61.60 , N/A ,$44.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205284,N/A,HC APPLICATOR SEPP,272,1 ,$12.34 ,$8.02 ,$3.46 ,$12.34 , N/A ,$9.19 ,$8.08 , N/A ,$3.46 ,$6.23 , N/A ,$7.61 , N/A ,$7.61 ,$7.61 , N/A ,$7.61 , N/A ,$11.11 ,$9.26 , N/A , N/A ,$10.86 , N/A ,$9.26 ,$9.26 ,$10.49 ,$10.49 , N/A ,$10.49 , N/A ,$9.63 ,$9.63 ,$9.63 ,$11.11 , N/A ,$11.11 , N/A ,$12.34 ,$8.08 , N/A ,$5.13 , N/A , N/A , N/A ,$11.11 , N/A ,$7.61 ,$3.46 ,$11.11 , N/A ,$11.11 ,$11.11 , N/A ,$8.02 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205285,N/A,HC DRESSING ARTIFLEX,272,1 ,$5.51 ,$3.58 ,$1.54 ,$5.51 , N/A ,$4.11 ,$3.61 , N/A ,$1.54 ,$2.78 , N/A ,$3.40 , N/A ,$3.40 ,$3.40 , N/A ,$3.40 , N/A ,$4.96 ,$4.13 , N/A , N/A ,$4.85 , N/A ,$4.13 ,$4.13 ,$4.68 ,$4.68 , N/A ,$4.68 , N/A ,$4.30 ,$4.30 ,$4.30 ,$4.96 , N/A ,$4.96 , N/A ,$5.51 ,$3.61 , N/A ,$2.29 , N/A , N/A , N/A ,$4.96 , N/A ,$3.40 ,$1.54 ,$4.96 , N/A ,$4.96 ,$4.96 , N/A ,$3.58 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205286,N/A,HC BAG INFUSION PRESSURE SMALL,272,1 ,$107.00 ,$69.55 ,$29.96 ,$107.00 , N/A ,$79.72 ,$70.09 , N/A ,$29.96 ,$54.04 , N/A ,$66.02 , N/A ,$66.02 ,$66.02 , N/A ,$66.02 , N/A ,$96.30 ,$80.25 , N/A , N/A ,$94.16 , N/A ,$80.25 ,$80.25 ,$90.95 ,$90.95 , N/A ,$90.95 , N/A ,$83.46 ,$83.46 ,$83.46 ,$96.30 , N/A ,$96.30 , N/A ,$107.00 ,$70.09 , N/A ,$44.51 , N/A , N/A , N/A ,$96.30 , N/A ,$66.02 ,$29.96 ,$96.30 , N/A ,$96.30 ,$96.30 , N/A ,$69.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205296,C1729,HC CATHETER URETHRAL SPIRAL TIP,272,1 ,$538.75 ,$350.19 ,$150.85 ,$538.75 , N/A ,$401.37 ,$352.88 , N/A ,$150.85 ,$272.07 , N/A ,$332.41 , N/A ,$332.41 ,$332.41 , N/A ,$332.41 , N/A ,$484.88 ,$404.06 , N/A , N/A ,$474.10 , N/A ,$404.06 ,$404.06 ,$457.94 ,$457.94 , N/A ,$457.94 , N/A ,$420.23 ,$420.23 ,$420.23 ,$484.88 , N/A ,$484.88 , N/A ,$538.75 ,$352.88 , N/A ,$224.12 , N/A , N/A , N/A ,$484.88 , N/A ,$332.41 ,$150.85 ,$484.88 , N/A ,$484.88 ,$484.88 , N/A ,$350.19 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205297,C1758,HC CATHETER URETERAL FLEXI-TIP,272,1 ,$150.78 ,$98.01 ,$42.22 ,$150.78 , N/A ,$112.33 ,$98.76 , N/A ,$42.22 ,$76.14 , N/A ,$93.03 , N/A ,$93.03 ,$93.03 , N/A ,$93.03 , N/A ,$135.70 ,$113.09 , N/A , N/A ,$132.69 , N/A ,$113.09 ,$113.09 ,$128.16 ,$128.16 , N/A ,$128.16 , N/A ,$117.61 ,$117.61 ,$117.61 ,$135.70 , N/A ,$135.70 , N/A ,$150.78 ,$98.76 , N/A ,$62.72 , N/A , N/A , N/A ,$135.70 , N/A ,$93.03 ,$42.22 ,$135.70 , N/A ,$135.70 ,$135.70 , N/A ,$98.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205298,N/A,HC CATHETER FOLEY COUDE,272,1 ,$112.86 ,$73.36 ,$31.60 ,$112.86 , N/A ,$84.08 ,$73.92 , N/A ,$31.60 ,$56.99 , N/A ,$69.63 , N/A ,$69.63 ,$69.63 , N/A ,$69.63 , N/A ,$101.57 ,$84.65 , N/A , N/A ,$99.32 , N/A ,$84.65 ,$84.65 ,$95.93 ,$95.93 , N/A ,$95.93 , N/A ,$88.03 ,$88.03 ,$88.03 ,$101.57 , N/A ,$101.57 , N/A ,$112.86 ,$73.92 , N/A ,$46.95 , N/A , N/A , N/A ,$101.57 , N/A ,$69.63 ,$31.60 ,$101.57 , N/A ,$101.57 ,$101.57 , N/A ,$73.36 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205299,C1726,HC CATHETER DILATION FOLLOWER,272,1 ,$291.69 ,$189.60 ,$81.67 ,$291.69 , N/A ,$217.31 ,$191.06 , N/A ,$81.67 ,$147.30 , N/A ,$179.97 , N/A ,$179.97 ,$179.97 , N/A ,$179.97 , N/A ,$262.52 ,$218.77 , N/A , N/A ,$256.69 , N/A ,$218.77 ,$218.77 ,$247.94 ,$247.94 , N/A ,$247.94 , N/A ,$227.52 ,$227.52 ,$227.52 ,$262.52 , N/A ,$262.52 , N/A ,$291.69 ,$191.06 , N/A ,$121.34 , N/A , N/A , N/A ,$262.52 , N/A ,$179.97 ,$81.67 ,$262.52 , N/A ,$262.52 ,$262.52 , N/A ,$189.60 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205300,N/A,HC CAUTERY PEN LOW TEMP,272,1 ,$63.70 ,$41.41 ,$17.84 ,$63.70 , N/A ,$47.46 ,$41.72 , N/A ,$17.84 ,$32.17 , N/A ,$39.30 , N/A ,$39.30 ,$39.30 , N/A ,$39.30 , N/A ,$57.33 ,$47.78 , N/A , N/A ,$56.06 , N/A ,$47.78 ,$47.78 ,$54.15 ,$54.15 , N/A ,$54.15 , N/A ,$49.69 ,$49.69 ,$49.69 ,$57.33 , N/A ,$57.33 , N/A ,$63.70 ,$41.72 , N/A ,$26.50 , N/A , N/A , N/A ,$57.33 , N/A ,$39.30 ,$17.84 ,$57.33 , N/A ,$57.33 ,$57.33 , N/A ,$41.41 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205308,N/A,HC TUBING LUER LOCK,272,1 ,$62.00 ,$40.30 ,$17.36 ,$62.00 , N/A ,$46.19 ,$40.61 , N/A ,$17.36 ,$31.31 , N/A ,$38.25 , N/A ,$38.25 ,$38.25 , N/A ,$38.25 , N/A ,$55.80 ,$46.50 , N/A , N/A ,$54.56 , N/A ,$46.50 ,$46.50 ,$52.70 ,$52.70 , N/A ,$52.70 , N/A ,$48.36 ,$48.36 ,$48.36 ,$55.80 , N/A ,$55.80 , N/A ,$62.00 ,$40.61 , N/A ,$25.79 , N/A , N/A , N/A ,$55.80 , N/A ,$38.25 ,$17.36 ,$55.80 , N/A ,$55.80 ,$55.80 , N/A ,$40.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205309,N/A,HC NEEDLE BLUNT HAWKINS,272,1 ,$95.09 ,$61.81 ,$26.63 ,$95.09 , N/A ,$70.84 ,$62.28 , N/A ,$26.63 ,$48.02 , N/A ,$58.67 , N/A ,$58.67 ,$58.67 , N/A ,$58.67 , N/A ,$85.58 ,$71.32 , N/A , N/A ,$83.68 , N/A ,$71.32 ,$71.32 ,$80.83 ,$80.83 , N/A ,$80.83 , N/A ,$74.17 ,$74.17 ,$74.17 ,$85.58 , N/A ,$85.58 , N/A ,$95.09 ,$62.28 , N/A ,$39.56 , N/A , N/A , N/A ,$85.58 , N/A ,$58.67 ,$26.63 ,$85.58 , N/A ,$85.58 ,$85.58 , N/A ,$61.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205311,N/A,HC KIT HOLTER MONITOR,272,1 ,$39.72 ,$25.82 ,$11.12 ,$39.72 , N/A ,$29.59 ,$26.02 , N/A ,$11.12 ,$20.06 , N/A ,$24.51 , N/A ,$24.51 ,$24.51 , N/A ,$24.51 , N/A ,$35.75 ,$29.79 , N/A , N/A ,$34.95 , N/A ,$29.79 ,$29.79 ,$33.76 ,$33.76 , N/A ,$33.76 , N/A ,$30.98 ,$30.98 ,$30.98 ,$35.75 , N/A ,$35.75 , N/A ,$39.72 ,$26.02 , N/A ,$16.52 , N/A , N/A , N/A ,$35.75 , N/A ,$24.51 ,$11.12 ,$35.75 , N/A ,$35.75 ,$35.75 , N/A ,$25.82 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205314,N/A,HC KIT RT APNEA MONITORING,272,1 ,$25.38 ,$16.50 ,$7.11 ,$25.38 , N/A ,$18.91 ,$16.62 , N/A ,$7.11 ,$12.82 , N/A ,$15.66 , N/A ,$15.66 ,$15.66 , N/A ,$15.66 , N/A ,$22.84 ,$19.04 , N/A , N/A ,$22.33 , N/A ,$19.04 ,$19.04 ,$21.57 ,$21.57 , N/A ,$21.57 , N/A ,$19.80 ,$19.80 ,$19.80 ,$22.84 , N/A ,$22.84 , N/A ,$25.38 ,$16.62 , N/A ,$10.56 , N/A , N/A , N/A ,$22.84 , N/A ,$15.66 ,$7.11 ,$22.84 , N/A ,$22.84 ,$22.84 , N/A ,$16.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205315,N/A,HC KIT RT NONINVASIVE VENT,272,1 ,$108.16 ,$70.30 ,$30.28 ,$108.16 , N/A ,$80.58 ,$70.84 , N/A ,$30.28 ,$54.62 , N/A ,$66.73 , N/A ,$66.73 ,$66.73 , N/A ,$66.73 , N/A ,$97.34 ,$81.12 , N/A , N/A ,$95.18 , N/A ,$81.12 ,$81.12 ,$91.94 ,$91.94 , N/A ,$91.94 , N/A ,$84.36 ,$84.36 ,$84.36 ,$97.34 , N/A ,$97.34 , N/A ,$108.16 ,$70.84 , N/A ,$44.99 , N/A , N/A , N/A ,$97.34 , N/A ,$66.73 ,$30.28 ,$97.34 , N/A ,$97.34 ,$97.34 , N/A ,$70.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205316,N/A,HC KIT RT VENTILATOR,272,1 ,$101.47 ,$65.96 ,$28.41 ,$101.47 , N/A ,$75.60 ,$66.46 , N/A ,$28.41 ,$51.24 , N/A ,$62.61 , N/A ,$62.61 ,$62.61 , N/A ,$62.61 , N/A ,$91.32 ,$76.10 , N/A , N/A ,$89.29 , N/A ,$76.10 ,$76.10 ,$86.25 ,$86.25 , N/A ,$86.25 , N/A ,$79.15 ,$79.15 ,$79.15 ,$91.32 , N/A ,$91.32 , N/A ,$101.47 ,$66.46 , N/A ,$42.21 , N/A , N/A , N/A ,$91.32 , N/A ,$62.61 ,$28.41 ,$91.32 , N/A ,$91.32 ,$91.32 , N/A ,$65.96 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205319,C1819,HC NEEDLE KOPANS LOCAL,272,1 ,$81.49 ,$52.97 ,$22.82 ,$81.49 , N/A ,$60.71 ,$53.38 , N/A ,$22.82 ,$41.15 , N/A ,$50.28 , N/A ,$50.28 ,$50.28 , N/A ,$50.28 , N/A ,$73.34 ,$61.12 , N/A , N/A ,$71.71 , N/A ,$61.12 ,$61.12 ,$69.27 ,$69.27 , N/A ,$69.27 , N/A ,$63.56 ,$63.56 ,$63.56 ,$73.34 , N/A ,$73.34 , N/A ,$81.49 ,$53.38 , N/A ,$33.90 , N/A , N/A , N/A ,$73.34 , N/A ,$50.28 ,$22.82 ,$73.34 , N/A ,$73.34 ,$73.34 , N/A ,$52.97 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205323,N/A,HC NEEDLE TEMNO,272,1 ,$189.83 ,$123.39 ,$53.15 ,$189.83 , N/A ,$141.42 ,$124.34 , N/A ,$53.15 ,$95.86 , N/A ,$117.13 , N/A ,$117.13 ,$117.13 , N/A ,$117.13 , N/A ,$170.85 ,$142.37 , N/A , N/A ,$167.05 , N/A ,$142.37 ,$142.37 ,$161.36 ,$161.36 , N/A ,$161.36 , N/A ,$148.07 ,$148.07 ,$148.07 ,$170.85 , N/A ,$170.85 , N/A ,$189.83 ,$124.34 , N/A ,$78.97 , N/A , N/A , N/A ,$170.85 , N/A ,$117.13 ,$53.15 ,$170.85 , N/A ,$170.85 ,$170.85 , N/A ,$123.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205326,N/A,HC SENSOR INFANT ADHESIVE,272,1 ,$165.40 ,$107.51 ,$46.31 ,$165.40 , N/A ,$123.22 ,$108.34 , N/A ,$46.31 ,$83.53 , N/A ,$102.05 , N/A ,$102.05 ,$102.05 , N/A ,$102.05 , N/A ,$148.86 ,$124.05 , N/A , N/A ,$145.55 , N/A ,$124.05 ,$124.05 ,$140.59 ,$140.59 , N/A ,$140.59 , N/A ,$129.01 ,$129.01 ,$129.01 ,$148.86 , N/A ,$148.86 , N/A ,$165.40 ,$108.34 , N/A ,$68.81 , N/A , N/A , N/A ,$148.86 , N/A ,$102.05 ,$46.31 ,$148.86 , N/A ,$148.86 ,$148.86 , N/A ,$107.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205328,N/A,HC SUTURE ETHILON,272,1 ,$73.63 ,$47.86 ,$20.62 ,$73.63 , N/A ,$54.85 ,$48.23 , N/A ,$20.62 ,$37.18 , N/A ,$45.43 , N/A ,$45.43 ,$45.43 , N/A ,$45.43 , N/A ,$66.27 ,$55.22 , N/A , N/A ,$64.79 , N/A ,$55.22 ,$55.22 ,$62.59 ,$62.59 , N/A ,$62.59 , N/A ,$57.43 ,$57.43 ,$57.43 ,$66.27 , N/A ,$66.27 , N/A ,$73.63 ,$48.23 , N/A ,$30.63 , N/A , N/A , N/A ,$66.27 , N/A ,$45.43 ,$20.62 ,$66.27 , N/A ,$66.27 ,$66.27 , N/A ,$47.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205331,N/A,HC SYRINGE BRACCO CONTRAST,272,1 ,$47.83 ,$31.09 ,$13.39 ,$47.83 , N/A ,$35.63 ,$31.33 , N/A ,$13.39 ,$24.15 , N/A ,$29.51 , N/A ,$29.51 ,$29.51 , N/A ,$29.51 , N/A ,$43.05 ,$35.87 , N/A , N/A ,$42.09 , N/A ,$35.87 ,$35.87 ,$40.66 ,$40.66 , N/A ,$40.66 , N/A ,$37.31 ,$37.31 ,$37.31 ,$43.05 , N/A ,$43.05 , N/A ,$47.83 ,$31.33 , N/A ,$19.90 , N/A , N/A , N/A ,$43.05 , N/A ,$29.51 ,$13.39 ,$43.05 , N/A ,$43.05 ,$43.05 , N/A ,$31.09 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205337,N/A,HC TUBE TRACH NASAL,272,1 ,$39.00 ,$25.35 ,$10.92 ,$39.00 , N/A ,$29.06 ,$25.55 , N/A ,$10.92 ,$19.70 , N/A ,$24.06 , N/A ,$24.06 ,$24.06 , N/A ,$24.06 , N/A ,$35.10 ,$29.25 , N/A , N/A ,$34.32 , N/A ,$29.25 ,$29.25 ,$33.15 ,$33.15 , N/A ,$33.15 , N/A ,$30.42 ,$30.42 ,$30.42 ,$35.10 , N/A ,$35.10 , N/A ,$39.00 ,$25.55 , N/A ,$16.22 , N/A , N/A , N/A ,$35.10 , N/A ,$24.06 ,$10.92 ,$35.10 , N/A ,$35.10 ,$35.10 , N/A ,$25.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205342,N/A,HC DRESSING TEGADERM,272,1 ,$16.23 ,$10.55 ,$4.54 ,$16.23 , N/A ,$12.09 ,$10.63 , N/A ,$4.54 ,$8.20 , N/A ,$10.01 , N/A ,$10.01 ,$10.01 , N/A ,$10.01 , N/A ,$14.61 ,$12.17 , N/A , N/A ,$14.28 , N/A ,$12.17 ,$12.17 ,$13.80 ,$13.80 , N/A ,$13.80 , N/A ,$12.66 ,$12.66 ,$12.66 ,$14.61 , N/A ,$14.61 , N/A ,$16.23 ,$10.63 , N/A ,$6.75 , N/A , N/A , N/A ,$14.61 , N/A ,$10.01 ,$4.54 ,$14.61 , N/A ,$14.61 ,$14.61 , N/A ,$10.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205343,N/A,HC DRESSING COMPRILAN,272,1 ,$15.00 ,$9.75 ,$4.20 ,$15.00 , N/A ,$11.18 ,$9.83 , N/A ,$4.20 ,$7.58 , N/A ,$9.26 , N/A ,$9.26 ,$9.26 , N/A ,$9.26 , N/A ,$13.50 ,$11.25 , N/A , N/A ,$13.20 , N/A ,$11.25 ,$11.25 ,$12.75 ,$12.75 , N/A ,$12.75 , N/A ,$11.70 ,$11.70 ,$11.70 ,$13.50 , N/A ,$13.50 , N/A ,$15.00 ,$9.83 , N/A ,$6.24 , N/A , N/A , N/A ,$13.50 , N/A ,$9.26 ,$4.20 ,$13.50 , N/A ,$13.50 ,$13.50 , N/A ,$9.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205344,N/A,HC DRESSING MEPILEX,272,1 ,$77.68 ,$50.49 ,$21.75 ,$77.68 , N/A ,$57.87 ,$50.88 , N/A ,$21.75 ,$39.23 , N/A ,$47.93 , N/A ,$47.93 ,$47.93 , N/A ,$47.93 , N/A ,$69.91 ,$58.26 , N/A , N/A ,$68.36 , N/A ,$58.26 ,$58.26 ,$66.03 ,$66.03 , N/A ,$66.03 , N/A ,$60.59 ,$60.59 ,$60.59 ,$69.91 , N/A ,$69.91 , N/A ,$77.68 ,$50.88 , N/A ,$32.31 , N/A , N/A , N/A ,$69.91 , N/A ,$47.93 ,$21.75 ,$69.91 , N/A ,$69.91 ,$69.91 , N/A ,$50.49 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205345,N/A,HC DRESSING GAUZE STRETCH,272,1 ,$6.27 ,$4.08 ,$1.76 ,$6.27 , N/A ,$4.67 ,$4.11 , N/A ,$1.76 ,$3.17 , N/A ,$3.87 , N/A ,$3.87 ,$3.87 , N/A ,$3.87 , N/A ,$5.64 ,$4.70 , N/A , N/A ,$5.52 , N/A ,$4.70 ,$4.70 ,$5.33 ,$5.33 , N/A ,$5.33 , N/A ,$4.89 ,$4.89 ,$4.89 ,$5.64 , N/A ,$5.64 , N/A ,$6.27 ,$4.11 , N/A ,$2.61 , N/A , N/A , N/A ,$5.64 , N/A ,$3.87 ,$1.76 ,$5.64 , N/A ,$5.64 ,$5.64 , N/A ,$4.08 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205366,N/A,HC SENSOR NASAL PULSE OX ALAR,272,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205374,C1751,HC KIT IV RADIAL ARTERY W/GUIDEWIRE,272,1 ,$34.00 ,$22.10 ,$9.52 ,$34.00 , N/A ,$25.33 ,$22.27 , N/A ,$9.52 ,$17.17 , N/A ,$20.98 , N/A ,$20.98 ,$20.98 , N/A ,$20.98 , N/A ,$30.60 ,$25.50 , N/A , N/A ,$29.92 , N/A ,$25.50 ,$25.50 ,$28.90 ,$28.90 , N/A ,$28.90 , N/A ,$26.52 ,$26.52 ,$26.52 ,$30.60 , N/A ,$30.60 , N/A ,$34.00 ,$22.27 , N/A ,$14.14 , N/A , N/A , N/A ,$30.60 , N/A ,$20.98 ,$9.52 ,$30.60 , N/A ,$30.60 ,$30.60 , N/A ,$22.10 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205378,N/A,HC MARKER BIOPSY BREAST STEREOTATIC,272,1 ,$546.00 ,$354.90 ,$152.88 ,$546.00 , N/A ,$406.77 ,$357.63 , N/A ,$152.88 ,$275.73 , N/A ,$336.88 , N/A ,$336.88 ,$336.88 , N/A ,$336.88 , N/A ,$491.40 ,$409.50 , N/A , N/A ,$480.48 , N/A ,$409.50 ,$409.50 ,$464.10 ,$464.10 , N/A ,$464.10 , N/A ,$425.88 ,$425.88 ,$425.88 ,$491.40 , N/A ,$491.40 , N/A ,$546.00 ,$357.63 , N/A ,$227.14 , N/A , N/A , N/A ,$491.40 , N/A ,$336.88 ,$152.88 ,$491.40 , N/A ,$491.40 ,$491.40 , N/A ,$354.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205379,N/A,HC SYSTEM BIOPSY BREAST STEREOTATIC,272,1 ,$481.00 ,$312.65 ,$134.68 ,$481.00 , N/A ,$358.35 ,$315.06 , N/A ,$134.68 ,$242.91 , N/A ,$296.78 , N/A ,$296.78 ,$296.78 , N/A ,$296.78 , N/A ,$432.90 ,$360.75 , N/A , N/A ,$423.28 , N/A ,$360.75 ,$360.75 ,$408.85 ,$408.85 , N/A ,$408.85 , N/A ,$375.18 ,$375.18 ,$375.18 ,$432.90 , N/A ,$432.90 , N/A ,$481.00 ,$315.06 , N/A ,$200.10 , N/A , N/A , N/A ,$432.90 , N/A ,$296.78 ,$134.68 ,$432.90 , N/A ,$432.90 ,$432.90 , N/A ,$312.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205380,N/A,HC FILTER BIOPSY BREAST STEREOTATIC,272,1 ,$26.00 ,$16.90 ,$7.28 ,$26.00 , N/A ,$19.37 ,$17.03 , N/A ,$7.28 ,$13.13 , N/A ,$16.04 , N/A ,$16.04 ,$16.04 , N/A ,$16.04 , N/A ,$23.40 ,$19.50 , N/A , N/A ,$22.88 , N/A ,$19.50 ,$19.50 ,$22.10 ,$22.10 , N/A ,$22.10 , N/A ,$20.28 ,$20.28 ,$20.28 ,$23.40 , N/A ,$23.40 , N/A ,$26.00 ,$17.03 , N/A ,$10.82 , N/A , N/A , N/A ,$23.40 , N/A ,$16.04 ,$7.28 ,$23.40 , N/A ,$23.40 ,$23.40 , N/A ,$16.90 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205386,N/A,HC HANDLE LARYNGEAL BLADE,272,1 ,$70.00 ,$45.50 ,$19.60 ,$70.00 , N/A ,$52.15 ,$45.85 , N/A ,$19.60 ,$35.35 , N/A ,$43.19 , N/A ,$43.19 ,$43.19 , N/A ,$43.19 , N/A ,$63.00 ,$52.50 , N/A , N/A ,$61.60 , N/A ,$52.50 ,$52.50 ,$59.50 ,$59.50 , N/A ,$59.50 , N/A ,$54.60 ,$54.60 ,$54.60 ,$63.00 , N/A ,$63.00 , N/A ,$70.00 ,$45.85 , N/A ,$29.12 , N/A , N/A , N/A ,$63.00 , N/A ,$43.19 ,$19.60 ,$63.00 , N/A ,$63.00 ,$63.00 , N/A ,$45.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205387,N/A,HC IRRIGATION SOL W/WATER/SODIUM CHLORIDE,272,1 ,$27.09 ,$17.61 ,$7.59 ,$27.09 , N/A ,$20.18 ,$17.74 , N/A ,$7.59 ,$13.68 , N/A ,$16.71 , N/A ,$16.71 ,$16.71 , N/A ,$16.71 , N/A ,$24.38 ,$20.32 , N/A , N/A ,$23.84 , N/A ,$20.32 ,$20.32 ,$23.03 ,$23.03 , N/A ,$23.03 , N/A ,$21.13 ,$21.13 ,$21.13 ,$24.38 , N/A ,$24.38 , N/A ,$27.09 ,$17.74 , N/A ,$11.27 , N/A , N/A , N/A ,$24.38 , N/A ,$16.71 ,$7.59 ,$24.38 , N/A ,$24.38 ,$24.38 , N/A ,$17.61 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205389,N/A,HC FORCEPS LIGHTED,272,1 ,$19.00 ,$12.35 ,$5.32 ,$19.00 , N/A ,$14.16 ,$12.45 , N/A ,$5.32 ,$9.60 , N/A ,$11.72 , N/A ,$11.72 ,$11.72 , N/A ,$11.72 , N/A ,$17.10 ,$14.25 , N/A , N/A ,$16.72 , N/A ,$14.25 ,$14.25 ,$16.15 ,$16.15 , N/A ,$16.15 , N/A ,$14.82 ,$14.82 ,$14.82 ,$17.10 , N/A ,$17.10 , N/A ,$19.00 ,$12.45 , N/A ,$7.90 , N/A , N/A , N/A ,$17.10 , N/A ,$11.72 ,$5.32 ,$17.10 , N/A ,$17.10 ,$17.10 , N/A ,$12.35 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205392,N/A,HC FORCEP JAW RADIAL W/NEEDLE,272,1 ,$55.00 ,$35.75 ,$15.40 ,$55.00 , N/A ,$40.98 ,$36.03 , N/A ,$15.40 ,$27.78 , N/A ,$33.94 , N/A ,$33.94 ,$33.94 , N/A ,$33.94 , N/A ,$49.50 ,$41.25 , N/A , N/A ,$48.40 , N/A ,$41.25 ,$41.25 ,$46.75 ,$46.75 , N/A ,$46.75 , N/A ,$42.90 ,$42.90 ,$42.90 ,$49.50 , N/A ,$49.50 , N/A ,$55.00 ,$36.03 , N/A ,$22.88 , N/A , N/A , N/A ,$49.50 , N/A ,$33.94 ,$15.40 ,$49.50 , N/A ,$49.50 ,$49.50 , N/A ,$35.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205393,N/A,HC PENCIL ELECTROSURGICAL W/SMOKE EVACUATOR,272,1 ,$75.18 ,$48.87 ,$21.05 ,$75.18 , N/A ,$56.01 ,$49.24 , N/A ,$21.05 ,$37.97 , N/A ,$46.39 , N/A ,$46.39 ,$46.39 , N/A ,$46.39 , N/A ,$67.66 ,$56.39 , N/A , N/A ,$66.16 , N/A ,$56.39 ,$56.39 ,$63.90 ,$63.90 , N/A ,$63.90 , N/A ,$58.64 ,$58.64 ,$58.64 ,$67.66 , N/A ,$67.66 , N/A ,$75.18 ,$49.24 , N/A ,$31.27 , N/A , N/A , N/A ,$67.66 , N/A ,$46.39 ,$21.05 ,$67.66 , N/A ,$67.66 ,$67.66 , N/A ,$48.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205398,N/A,HC SURGICEL HEMOSTAT 2X3,272,1 ,$90.54 ,$58.85 ,$25.35 ,$90.54 , N/A ,$67.45 ,$59.30 , N/A ,$25.35 ,$45.72 , N/A ,$55.86 , N/A ,$55.86 ,$55.86 , N/A ,$55.86 , N/A ,$81.49 ,$67.91 , N/A , N/A ,$79.68 , N/A ,$67.91 ,$67.91 ,$76.96 ,$76.96 , N/A ,$76.96 , N/A ,$70.62 ,$70.62 ,$70.62 ,$81.49 , N/A ,$81.49 , N/A ,$90.54 ,$59.30 , N/A ,$37.66 , N/A , N/A , N/A ,$81.49 , N/A ,$55.86 ,$25.35 ,$81.49 , N/A ,$81.49 ,$81.49 , N/A ,$58.85 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205407,N/A,HC PRONG NASAL INFANT CPAP,272,1 ,$23.00 ,$14.95 ,$6.44 ,$23.00 , N/A ,$17.14 ,$15.07 , N/A ,$6.44 ,$11.62 , N/A ,$14.19 , N/A ,$14.19 ,$14.19 , N/A ,$14.19 , N/A ,$20.70 ,$17.25 , N/A , N/A ,$20.24 , N/A ,$17.25 ,$17.25 ,$19.55 ,$19.55 , N/A ,$19.55 , N/A ,$17.94 ,$17.94 ,$17.94 ,$20.70 , N/A ,$20.70 , N/A ,$23.00 ,$15.07 , N/A ,$9.57 , N/A , N/A , N/A ,$20.70 , N/A ,$14.19 ,$6.44 ,$20.70 , N/A ,$20.70 ,$20.70 , N/A ,$14.95 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205408,N/A,HC BONNET INFANT CPAP,272,1 ,$33.00 ,$21.45 ,$9.24 ,$33.00 , N/A ,$24.59 ,$21.62 , N/A ,$9.24 ,$16.67 , N/A ,$20.36 , N/A ,$20.36 ,$20.36 , N/A ,$20.36 , N/A ,$29.70 ,$24.75 , N/A , N/A ,$29.04 , N/A ,$24.75 ,$24.75 ,$28.05 ,$28.05 , N/A ,$28.05 , N/A ,$25.74 ,$25.74 ,$25.74 ,$29.70 , N/A ,$29.70 , N/A ,$33.00 ,$21.62 , N/A ,$13.73 , N/A , N/A , N/A ,$29.70 , N/A ,$20.36 ,$9.24 ,$29.70 , N/A ,$29.70 ,$29.70 , N/A ,$21.45 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205417,N/A,HC HEADGEAR INFANT CPAP,272,1 ,$58.81 ,$38.23 ,$16.47 ,$58.81 , N/A ,$43.81 ,$38.52 , N/A ,$16.47 ,$29.70 , N/A ,$36.29 , N/A ,$36.29 ,$36.29 , N/A ,$36.29 , N/A ,$52.93 ,$44.11 , N/A , N/A ,$51.75 , N/A ,$44.11 ,$44.11 ,$49.99 ,$49.99 , N/A ,$49.99 , N/A ,$45.87 ,$45.87 ,$45.87 ,$52.93 , N/A ,$52.93 , N/A ,$58.81 ,$38.52 , N/A ,$24.47 , N/A , N/A , N/A ,$52.93 , N/A ,$36.29 ,$16.47 ,$52.93 , N/A ,$52.93 ,$52.93 , N/A ,$38.23 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205423,N/A,HC CANISTER WOUND VAC 150ML,272,1 ,$60.84 ,$39.55 ,$17.04 ,$60.84 , N/A ,$45.33 ,$39.85 , N/A ,$17.04 ,$30.72 , N/A ,$37.54 , N/A ,$37.54 ,$37.54 , N/A ,$37.54 , N/A ,$54.76 ,$45.63 , N/A , N/A ,$53.54 , N/A ,$45.63 ,$45.63 ,$51.71 ,$51.71 , N/A ,$51.71 , N/A ,$47.46 ,$47.46 ,$47.46 ,$54.76 , N/A ,$54.76 , N/A ,$60.84 ,$39.85 , N/A ,$25.31 , N/A , N/A , N/A ,$54.76 , N/A ,$37.54 ,$17.04 ,$54.76 , N/A ,$54.76 ,$54.76 , N/A ,$39.55 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205424,N/A,HC LIGHTED FORGEIN BODY REMOVAL FORCEPS,272,1 ,$30.55 ,$19.86 ,$8.55 ,$30.55 , N/A ,$22.76 ,$20.01 , N/A ,$8.55 ,$15.43 , N/A ,$18.85 , N/A ,$18.85 ,$18.85 , N/A ,$18.85 , N/A ,$27.50 ,$22.91 , N/A , N/A ,$26.88 , N/A ,$22.91 ,$22.91 ,$25.97 ,$25.97 , N/A ,$25.97 , N/A ,$23.83 ,$23.83 ,$23.83 ,$27.50 , N/A ,$27.50 , N/A ,$30.55 ,$20.01 , N/A ,$12.71 , N/A , N/A , N/A ,$27.50 , N/A ,$18.85 ,$8.55 ,$27.50 , N/A ,$27.50 ,$27.50 , N/A ,$19.86 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205430,N/A,HC NEO PUFF TUBING,272,1 ,$33.93 ,$22.05 ,$9.50 ,$33.93 , N/A ,$25.28 ,$22.22 , N/A ,$9.50 ,$17.13 , N/A ,$20.93 , N/A ,$20.93 ,$20.93 , N/A ,$20.93 , N/A ,$30.54 ,$25.45 , N/A , N/A ,$29.86 , N/A ,$25.45 ,$25.45 ,$28.84 ,$28.84 , N/A ,$28.84 , N/A ,$26.47 ,$26.47 ,$26.47 ,$30.54 , N/A ,$30.54 , N/A ,$33.93 ,$22.22 , N/A ,$14.11 , N/A , N/A , N/A ,$30.54 , N/A ,$20.93 ,$9.50 ,$30.54 , N/A ,$30.54 ,$30.54 , N/A ,$22.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205431,N/A,HC NEO PUFF MASK ERG,272,1 ,$32.91 ,$21.39 ,$9.21 ,$32.91 , N/A ,$24.52 ,$21.56 , N/A ,$9.21 ,$16.62 , N/A ,$20.31 , N/A ,$20.31 ,$20.31 , N/A ,$20.31 , N/A ,$29.62 ,$24.68 , N/A , N/A ,$28.96 , N/A ,$24.68 ,$24.68 ,$27.97 ,$27.97 , N/A ,$27.97 , N/A ,$25.67 ,$25.67 ,$25.67 ,$29.62 , N/A ,$29.62 , N/A ,$32.91 ,$21.56 , N/A ,$13.69 , N/A , N/A , N/A ,$29.62 , N/A ,$20.31 ,$9.21 ,$29.62 , N/A ,$29.62 ,$29.62 , N/A ,$21.39 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205432,N/A,HC NEO PUFF MASK DISPOSABLE,272,1 ,$17.00 ,$11.05 ,$4.76 ,$17.00 , N/A ,$12.67 ,$11.14 , N/A ,$4.76 ,$8.59 , N/A ,$10.49 , N/A ,$10.49 ,$10.49 , N/A ,$10.49 , N/A ,$15.30 ,$12.75 , N/A , N/A ,$14.96 , N/A ,$12.75 ,$12.75 ,$14.45 ,$14.45 , N/A ,$14.45 , N/A ,$13.26 ,$13.26 ,$13.26 ,$15.30 , N/A ,$15.30 , N/A ,$17.00 ,$11.14 , N/A ,$7.07 , N/A , N/A , N/A ,$15.30 , N/A ,$10.49 ,$4.76 ,$15.30 , N/A ,$15.30 ,$15.30 , N/A ,$11.05 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205433,N/A,HC CPAP BUBBLE SYSTEM,272,1 ,$226.92 ,$147.50 ,$63.54 ,$226.92 , N/A ,$169.06 ,$148.63 , N/A ,$63.54 ,$114.59 , N/A ,$140.01 , N/A ,$140.01 ,$140.01 , N/A ,$140.01 , N/A ,$204.23 ,$170.19 , N/A , N/A ,$199.69 , N/A ,$170.19 ,$170.19 ,$192.88 ,$192.88 , N/A ,$192.88 , N/A ,$177.00 ,$177.00 ,$177.00 ,$204.23 , N/A ,$204.23 , N/A ,$226.92 ,$148.63 , N/A ,$94.40 , N/A , N/A , N/A ,$204.23 , N/A ,$140.01 ,$63.54 ,$204.23 , N/A ,$204.23 ,$204.23 , N/A ,$147.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205436,N/A,HC THERAPY PUTTY,272,1 ,$106.62 ,$69.30 ,$29.85 ,$106.62 , N/A ,$79.43 ,$69.84 , N/A ,$29.85 ,$53.84 , N/A ,$65.78 , N/A ,$65.78 ,$65.78 , N/A ,$65.78 , N/A ,$95.96 ,$79.97 , N/A , N/A ,$93.83 , N/A ,$79.97 ,$79.97 ,$90.63 ,$90.63 , N/A ,$90.63 , N/A ,$83.16 ,$83.16 ,$83.16 ,$95.96 , N/A ,$95.96 , N/A ,$106.62 ,$69.84 , N/A ,$44.35 , N/A , N/A , N/A ,$95.96 , N/A ,$65.78 ,$29.85 ,$95.96 , N/A ,$95.96 ,$95.96 , N/A ,$69.30 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205437,N/A,HC PUMP MODULE ADMIN SET NEEDLESS VALVES,272,1 ,$16.00 ,$10.40 ,$4.48 ,$16.00 , N/A ,$11.92 ,$10.48 , N/A ,$4.48 ,$8.08 , N/A ,$9.87 , N/A ,$9.87 ,$9.87 , N/A ,$9.87 , N/A ,$14.40 ,$12.00 , N/A , N/A ,$14.08 , N/A ,$12.00 ,$12.00 ,$13.60 ,$13.60 , N/A ,$13.60 , N/A ,$12.48 ,$12.48 ,$12.48 ,$14.40 , N/A ,$14.40 , N/A ,$16.00 ,$10.48 , N/A ,$6.66 , N/A , N/A , N/A ,$14.40 , N/A ,$9.87 ,$4.48 ,$14.40 , N/A ,$14.40 ,$14.40 , N/A ,$10.40 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205438,N/A,"HC 2"" TAPE ADHESIVE KINESIO",272,1 ,$24.27 ,$15.78 ,$6.80 ,$24.27 , N/A ,$18.08 ,$15.90 , N/A ,$6.80 ,$12.26 , N/A ,$14.97 , N/A ,$14.97 ,$14.97 , N/A ,$14.97 , N/A ,$21.84 ,$18.20 , N/A , N/A ,$21.36 , N/A ,$18.20 ,$18.20 ,$20.63 ,$20.63 , N/A ,$20.63 , N/A ,$18.93 ,$18.93 ,$18.93 ,$21.84 , N/A ,$21.84 , N/A ,$24.27 ,$15.90 , N/A ,$10.10 , N/A , N/A , N/A ,$21.84 , N/A ,$14.97 ,$6.80 ,$21.84 , N/A ,$21.84 ,$21.84 , N/A ,$15.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205439,N/A,HC ROSIDAL SOFT FOAM PADDING BANDAGE,272,1 ,$16.59 ,$10.78 ,$4.65 ,$16.59 , N/A ,$12.36 ,$10.87 , N/A ,$4.65 ,$8.38 , N/A ,$10.24 , N/A ,$10.24 ,$10.24 , N/A ,$10.24 , N/A ,$14.93 ,$12.44 , N/A , N/A ,$14.60 , N/A ,$12.44 ,$12.44 ,$14.10 ,$14.10 , N/A ,$14.10 , N/A ,$12.94 ,$12.94 ,$12.94 ,$14.93 , N/A ,$14.93 , N/A ,$16.59 ,$10.87 , N/A ,$6.90 , N/A , N/A , N/A ,$14.93 , N/A ,$10.24 ,$4.65 ,$14.93 , N/A ,$14.93 ,$14.93 , N/A ,$10.78 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205443,N/A,HC SENSOR PEDIATRIC ADHESIVE,272,1 ,$21.18 ,$13.77 ,$5.93 ,$21.18 , N/A ,$15.78 ,$13.87 , N/A ,$5.93 ,$10.70 , N/A ,$13.07 , N/A ,$13.07 ,$13.07 , N/A ,$13.07 , N/A ,$19.06 ,$15.89 , N/A , N/A ,$18.64 , N/A ,$15.89 ,$15.89 ,$18.00 ,$18.00 , N/A ,$18.00 , N/A ,$16.52 ,$16.52 ,$16.52 ,$19.06 , N/A ,$19.06 , N/A ,$21.18 ,$13.87 , N/A ,$8.81 , N/A , N/A , N/A ,$19.06 , N/A ,$13.07 ,$5.93 ,$19.06 , N/A ,$19.06 ,$19.06 , N/A ,$13.77 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205445,N/A,HC CLOT BUSTER INSTRUMENT CLEANER,272,1 ,$16.76 ,$10.89 ,$4.69 ,$16.76 , N/A ,$12.49 ,$10.98 , N/A ,$4.69 ,$8.46 , N/A ,$10.34 , N/A ,$10.34 ,$10.34 , N/A ,$10.34 , N/A ,$15.08 ,$12.57 , N/A , N/A ,$14.75 , N/A ,$12.57 ,$12.57 ,$14.25 ,$14.25 , N/A ,$14.25 , N/A ,$13.07 ,$13.07 ,$13.07 ,$15.08 , N/A ,$15.08 , N/A ,$16.76 ,$10.98 , N/A ,$6.97 , N/A , N/A , N/A ,$15.08 , N/A ,$10.34 ,$4.69 ,$15.08 , N/A ,$15.08 ,$15.08 , N/A ,$10.89 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205464,N/A,HC PACEMAKER PACK,272,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205491,N/A,HC ESOPHAGEAL TUBE,272,1 ,"$1,214.85 ",$789.65 ,$340.16 ,"$1,214.85 ", N/A ,$905.06 ,$795.73 , N/A ,$340.16 ,$613.50 , N/A ,$749.56 , N/A ,$749.56 ,$749.56 , N/A ,$749.56 , N/A ,"$1,093.37 ",$911.14 , N/A , N/A ,"$1,069.07 ", N/A ,$911.14 ,$911.14 ,"$1,032.62 ","$1,032.62 ", N/A ,"$1,032.62 ", N/A ,$947.58 ,$947.58 ,$947.58 ,"$1,093.37 ", N/A ,"$1,093.37 ", N/A ,"$1,214.85 ",$795.73 , N/A ,$505.38 , N/A , N/A , N/A ,"$1,093.37 ", N/A ,$749.56 ,$340.16 ,"$1,093.37 ", N/A ,"$1,093.37 ","$1,093.37 ", N/A ,$789.65 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27205498,N/A,HC MICROBIOLOGY QUICK TEST KIT,272,1 ,$806.25 ,$524.06 ,$225.75 ,$806.25 , N/A ,$600.66 ,$528.09 , N/A ,$225.75 ,$407.16 , N/A ,$497.46 , N/A ,$497.46 ,$497.46 , N/A ,$497.46 , N/A ,$725.63 ,$604.69 , N/A , N/A ,$709.50 , N/A ,$604.69 ,$604.69 ,$685.31 ,$685.31 , N/A ,$685.31 , N/A ,$628.88 ,$628.88 ,$628.88 ,$725.63 , N/A ,$725.63 , N/A ,$806.25 ,$528.09 , N/A ,$335.40 , N/A , N/A , N/A ,$725.63 , N/A ,$497.46 ,$225.75 ,$725.63 , N/A ,$725.63 ,$725.63 , N/A ,$524.06 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27272900,S2900,HC SURGERY ROBOTIC TECHNICAL SYSTEM,272,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27282055,N/A,HC SPLINT TRACTION,272,1 ,$60.00 ,$39.00 ,$16.80 ,$60.00 , N/A ,$44.70 ,$39.30 , N/A ,$16.80 ,$30.30 , N/A ,$37.02 , N/A ,$37.02 ,$37.02 , N/A ,$37.02 , N/A ,$54.00 ,$45.00 , N/A , N/A ,$52.80 , N/A ,$45.00 ,$45.00 ,$51.00 ,$51.00 , N/A ,$51.00 , N/A ,$46.80 ,$46.80 ,$46.80 ,$54.00 , N/A ,$54.00 , N/A ,$60.00 ,$39.30 , N/A ,$24.96 , N/A , N/A , N/A ,$54.00 , N/A ,$37.02 ,$16.80 ,$54.00 , N/A ,$54.00 ,$54.00 , N/A ,$39.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400001,A4378,HC POUCH UROSTOMY,274,1 ,$31.87 ,$20.72 ,$8.92 ,$31.87 , N/A ,$23.74 ,$20.87 , N/A ,$8.92 ,$16.09 , N/A ,$19.66 , N/A ,$19.66 ,$19.66 , N/A ,$19.66 , N/A ,$28.68 ,$23.90 , N/A , N/A ,$28.05 , N/A ,$23.90 ,$23.90 ,$27.09 ,$27.09 , N/A ,$27.09 , N/A ,$24.86 ,$24.86 ,$24.86 ,$28.68 , N/A ,$28.68 , N/A ,$31.87 ,$20.87 , N/A ,$13.26 , N/A , N/A , N/A ,$28.68 , N/A ,$19.66 ,$8.92 ,$28.68 , N/A ,$28.68 ,$28.68 , N/A ,$20.72 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400104,L1830,HC KNEE IMMOBILIZER,274,1 ,$209.03 ,$135.87 ,$58.53 ,$230.91 ,$209.03 ,$155.73 ,$136.91 ,$106.55 ,$58.53 ,$105.56 ,$106.55 ,$128.97 ,$106.55 ,$128.97 ,$128.97 ,$106.55 ,$128.97 ,$202.45 ,$188.13 ,$156.77 ,$209.03 ,$106.55 ,$183.95 ,$106.55 ,$156.77 ,$156.77 ,$177.68 ,$177.68 ,$106.55 ,$177.68 ,$106.55 ,$163.04 ,$163.04 ,$163.04 ,$188.13 ,$209.03 ,$188.13 ,$106.55 ,$209.03 ,$136.91 ,$106.55 ,$86.96 , N/A , N/A ,$111.52 ,$188.13 ,$230.91 ,$128.97 ,$58.53 ,$188.13 ,$106.55 ,$188.13 ,$188.13 ,$106.55 ,$135.87 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400210,L8000,HC PROSTH BREAST BRA W/O FORM COTTON,274,1 ,$46.74 ,$30.38 ,$13.09 ,$104.81 ,$46.74 ,$34.82 ,$30.61 ,$46.74 ,$13.09 ,$23.60 ,$46.74 ,$28.84 ,$46.74 ,$28.84 ,$28.84 ,$46.74 ,$28.84 ,$91.88 ,$42.07 ,$35.06 ,$46.74 ,$46.74 ,$41.13 ,$46.74 ,$35.06 ,$35.06 ,$39.73 ,$39.73 ,$46.74 ,$39.73 ,$46.74 ,$36.46 ,$36.46 ,$36.46 ,$42.07 ,$46.74 ,$42.07 ,$46.74 ,$46.74 ,$30.61 ,$46.74 ,$19.44 , N/A , N/A ,$46.74 ,$42.07 ,$104.81 ,$28.84 ,$13.09 ,$42.07 ,$46.74 ,$42.07 ,$42.07 ,$46.74 ,$30.38 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400211,L8000,HC PROSTH BREAST BRA W/O FORM OTHER,274,1 ,$59.18 ,$38.47 ,$16.57 ,$110.58 ,$59.18 ,$44.09 ,$38.76 ,$51.03 ,$16.57 ,$29.89 ,$51.03 ,$36.51 ,$51.03 ,$36.51 ,$36.51 ,$51.03 ,$36.51 ,$96.96 ,$53.26 ,$44.39 ,$59.18 ,$51.03 ,$52.08 ,$51.03 ,$44.39 ,$44.39 ,$50.30 ,$50.30 ,$51.03 ,$50.30 ,$51.03 ,$46.16 ,$46.16 ,$46.16 ,$53.26 ,$59.18 ,$53.26 ,$51.03 ,$59.18 ,$38.76 ,$51.03 ,$24.62 , N/A , N/A ,$53.41 ,$53.26 ,$110.58 ,$36.51 ,$16.57 ,$53.26 ,$51.03 ,$53.26 ,$53.26 ,$51.03 ,$38.47 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400212,L8015,HC PROSTH BREAST EXTERNAL W/FORM POST MASTECTOMY,274,1 ,$160.96 ,$104.62 ,$45.07 ,$192.36 ,$160.96 ,$119.92 ,$105.43 ,$88.76 ,$45.07 ,$81.28 ,$88.76 ,$99.31 ,$88.76 ,$99.31 ,$99.31 ,$88.76 ,$99.31 ,$168.64 ,$144.86 ,$120.72 ,$160.96 ,$88.76 ,$141.64 ,$88.76 ,$120.72 ,$120.72 ,$136.82 ,$136.82 ,$88.76 ,$136.82 ,$88.76 ,$125.55 ,$125.55 ,$125.55 ,$144.86 ,$160.96 ,$144.86 ,$88.76 ,$160.96 ,$105.43 ,$88.76 ,$66.96 , N/A , N/A ,$92.91 ,$144.86 ,$192.36 ,$99.31 ,$45.07 ,$144.86 ,$88.76 ,$144.86 ,$144.86 ,$88.76 ,$104.62 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400213,L8020,HC PROSTH BREAST MASTECTOMY FORM,274,1 ,$398.95 ,$259.32 ,$111.71 ,$628.97 ,$398.95 ,$297.22 ,$261.31 ,$290.23 ,$111.71 ,$201.47 ,$290.23 ,$246.15 ,$290.23 ,$246.15 ,$246.15 ,$290.23 ,$246.15 ,$551.44 ,$359.06 ,$299.21 ,$398.95 ,$290.23 ,$351.08 ,$290.23 ,$299.21 ,$299.21 ,$339.11 ,$339.11 ,$290.23 ,$339.11 ,$290.23 ,$311.18 ,$311.18 ,$311.18 ,$359.06 ,$398.95 ,$359.06 ,$290.23 ,$398.95 ,$261.31 ,$290.23 ,$165.96 , N/A , N/A ,$303.78 ,$359.06 ,$628.97 ,$246.15 ,$111.71 ,$359.06 ,$290.23 ,$359.06 ,$359.06 ,$290.23 ,$259.32 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400214,L8030,HC PROSTH BREAST W/O INTEGRAL ADHESIVE,274,1 ,$525.78 ,$341.76 ,$147.22 ,$930.12 ,$525.78 ,$391.71 ,$344.39 ,$429.19 ,$147.22 ,$265.52 ,$429.19 ,$324.41 ,$429.19 ,$324.41 ,$324.41 ,$429.19 ,$324.41 ,$815.46 ,$473.20 ,$394.34 ,$525.78 ,$429.19 ,$462.69 ,$429.19 ,$394.34 ,$394.34 ,$446.91 ,$446.91 ,$429.19 ,$446.91 ,$429.19 ,$410.11 ,$410.11 ,$410.11 ,$473.20 ,$525.78 ,$473.20 ,$429.19 ,$525.78 ,$344.39 ,$429.19 ,$218.72 , N/A , N/A ,$449.23 ,$473.20 ,$930.12 ,$324.41 ,$147.22 ,$473.20 ,$429.19 ,$473.20 ,$473.20 ,$429.19 ,$341.76 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400215,L8030,HC PROSTH BREAST W/O INTEGRAL PARTIAL,274,1 ,$290.47 ,$188.81 ,$81.33 ,$820.89 ,$290.47 ,$216.40 ,$190.26 ,$290.47 ,$81.33 ,$146.69 ,$290.47 ,$179.22 ,$290.47 ,$179.22 ,$179.22 ,$290.47 ,$179.22 ,$719.70 ,$261.42 ,$217.85 ,$290.47 ,$290.47 ,$255.61 ,$290.47 ,$217.85 ,$217.85 ,$246.90 ,$246.90 ,$290.47 ,$246.90 ,$290.47 ,$226.57 ,$226.57 ,$226.57 ,$261.42 ,$290.47 ,$261.42 ,$290.47 ,$290.47 ,$190.26 ,$290.47 ,$120.84 , N/A , N/A ,$290.47 ,$261.42 ,$820.89 ,$179.22 ,$81.33 ,$261.42 ,$290.47 ,$261.42 ,$261.42 ,$290.47 ,$188.81 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27400216,L8031,HC PROSTH BREAST W/ADHESIVE,274,1 ,$533.91 ,$347.04 ,$149.49 ,$933.89 ,$533.91 ,$397.76 ,$349.71 ,$430.93 ,$149.49 ,$269.62 ,$430.93 ,$329.42 ,$430.93 ,$329.42 ,$329.42 ,$430.93 ,$329.42 ,$818.77 ,$480.52 ,$400.43 ,$533.91 ,$430.93 ,$469.84 ,$430.93 ,$400.43 ,$400.43 ,$453.82 ,$453.82 ,$430.93 ,$453.82 ,$430.93 ,$416.45 ,$416.45 ,$416.45 ,$480.52 ,$533.91 ,$480.52 ,$430.93 ,$533.91 ,$349.71 ,$430.93 ,$222.11 , N/A , N/A ,$451.05 ,$480.52 ,$933.89 ,$329.42 ,$149.49 ,$480.52 ,$430.93 ,$480.52 ,$480.52 ,$430.93 ,$347.04 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500049,C1721,HC ICD DEFIB DUAL CHAMBER T7,275,1 ,"$34,500.00 ","$22,425.00 ","$9,660.00 ","$34,500.00 ", N/A ,"$25,702.50 ","$22,597.50 ", N/A ,"$9,660.00 ","$17,422.50 ", N/A ,"$21,286.50 ", N/A ,"$21,286.50 ","$21,286.50 ", N/A ,"$21,286.50 ", N/A ,"$31,050.00 ","$25,875.00 ", N/A , N/A ,"$30,360.00 ", N/A ,"$25,875.00 ","$25,875.00 ","$29,325.00 ","$29,325.00 ", N/A ,"$29,325.00 ", N/A ,"$26,910.00 ","$26,910.00 ","$26,910.00 ","$31,050.00 ", N/A ,"$31,050.00 ", N/A ,"$34,500.00 ","$22,597.50 ", N/A ,"$14,352.00 ", N/A , N/A , N/A ,"$31,050.00 ", N/A ,"$21,286.50 ","$9,660.00 ","$31,050.00 ", N/A ,"$31,050.00 ","$31,050.00 ", N/A ,"$22,425.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500069,C1722,HC ICD DEFIB SINGLE CHAMBER T5,275,1 ,"$31,500.00 ","$20,475.00 ","$8,820.00 ","$31,500.00 ", N/A ,"$23,467.50 ","$20,632.50 ", N/A ,"$8,820.00 ","$15,907.50 ", N/A ,"$19,435.50 ", N/A ,"$19,435.50 ","$19,435.50 ", N/A ,"$19,435.50 ", N/A ,"$28,350.00 ","$23,625.00 ", N/A , N/A ,"$27,720.00 ", N/A ,"$23,625.00 ","$23,625.00 ","$26,775.00 ","$26,775.00 ", N/A ,"$26,775.00 ", N/A ,"$24,570.00 ","$24,570.00 ","$24,570.00 ","$28,350.00 ", N/A ,"$28,350.00 ", N/A ,"$31,500.00 ","$20,632.50 ", N/A ,"$13,104.00 ", N/A , N/A , N/A ,"$28,350.00 ", N/A ,"$19,435.50 ","$8,820.00 ","$28,350.00 ", N/A ,"$28,350.00 ","$28,350.00 ", N/A ,"$20,475.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500078,C1722,HC ICD DEFIB SINGLE CHAMBER T14,275,1 ,"$31,500.00 ","$20,475.00 ","$8,820.00 ","$31,500.00 ", N/A ,"$23,467.50 ","$20,632.50 ", N/A ,"$8,820.00 ","$15,907.50 ", N/A ,"$19,435.50 ", N/A ,"$19,435.50 ","$19,435.50 ", N/A ,"$19,435.50 ", N/A ,"$28,350.00 ","$23,625.00 ", N/A , N/A ,"$27,720.00 ", N/A ,"$23,625.00 ","$23,625.00 ","$26,775.00 ","$26,775.00 ", N/A ,"$26,775.00 ", N/A ,"$24,570.00 ","$24,570.00 ","$24,570.00 ","$28,350.00 ", N/A ,"$28,350.00 ", N/A ,"$31,500.00 ","$20,632.50 ", N/A ,"$13,104.00 ", N/A , N/A , N/A ,"$28,350.00 ", N/A ,"$19,435.50 ","$8,820.00 ","$28,350.00 ", N/A ,"$28,350.00 ","$28,350.00 ", N/A ,"$20,475.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500091,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T5,275,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500092,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T6,275,1 ,"$8,100.00 ","$5,265.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,090.50 ", N/A ,"$4,997.70 ", N/A ,"$4,997.70 ","$4,997.70 ", N/A ,"$4,997.70 ", N/A ,"$7,290.00 ","$6,075.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,318.00 ","$6,318.00 ","$6,318.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$5,305.50 ", N/A ,"$3,369.60 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,997.70 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500093,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T7,275,1 ,"$8,700.00 ","$5,655.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$4,393.50 ", N/A ,"$5,367.90 ", N/A ,"$5,367.90 ","$5,367.90 ", N/A ,"$5,367.90 ", N/A ,"$7,830.00 ","$6,525.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$6,786.00 ","$6,786.00 ","$6,786.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$5,698.50 ", N/A ,"$3,619.20 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$5,367.90 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500094,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T8,275,1 ,"$9,300.00 ","$6,045.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$4,696.50 ", N/A ,"$5,738.10 ", N/A ,"$5,738.10 ","$5,738.10 ", N/A ,"$5,738.10 ", N/A ,"$8,370.00 ","$6,975.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,254.00 ","$7,254.00 ","$7,254.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$6,091.50 ", N/A ,"$3,868.80 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,738.10 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500095,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T9,275,1 ,"$9,900.00 ","$6,435.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$4,999.50 ", N/A ,"$6,108.30 ", N/A ,"$6,108.30 ","$6,108.30 ", N/A ,"$6,108.30 ", N/A ,"$8,910.00 ","$7,425.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$7,722.00 ","$7,722.00 ","$7,722.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$6,484.50 ", N/A ,"$4,118.40 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$6,108.30 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500096,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T10,275,1 ,"$10,500.00 ","$6,825.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$5,302.50 ", N/A ,"$6,478.50 ", N/A ,"$6,478.50 ","$6,478.50 ", N/A ,"$6,478.50 ", N/A ,"$9,450.00 ","$7,875.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,190.00 ","$8,190.00 ","$8,190.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$6,877.50 ", N/A ,"$4,368.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$6,478.50 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500097,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T11,275,1 ,"$11,100.00 ","$7,215.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,269.50 ","$7,270.50 ", N/A ,"$3,108.00 ","$5,605.50 ", N/A ,"$6,848.70 ", N/A ,"$6,848.70 ","$6,848.70 ", N/A ,"$6,848.70 ", N/A ,"$9,990.00 ","$8,325.00 ", N/A , N/A ,"$9,768.00 ", N/A ,"$8,325.00 ","$8,325.00 ","$9,435.00 ","$9,435.00 ", N/A ,"$9,435.00 ", N/A ,"$8,658.00 ","$8,658.00 ","$8,658.00 ","$9,990.00 ", N/A ,"$9,990.00 ", N/A ,"$11,100.00 ","$7,270.50 ", N/A ,"$4,617.60 ", N/A , N/A , N/A ,"$9,990.00 ", N/A ,"$6,848.70 ","$3,108.00 ","$9,990.00 ", N/A ,"$9,990.00 ","$9,990.00 ", N/A ,"$7,215.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500098,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T12,275,1 ,"$11,700.00 ","$7,605.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$5,908.50 ", N/A ,"$7,218.90 ", N/A ,"$7,218.90 ","$7,218.90 ", N/A ,"$7,218.90 ", N/A ,"$10,530.00 ","$8,775.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,126.00 ","$9,126.00 ","$9,126.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$7,663.50 ", N/A ,"$4,867.20 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$7,218.90 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500099,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T13,275,1 ,"$12,300.00 ","$7,995.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$6,211.50 ", N/A ,"$7,589.10 ", N/A ,"$7,589.10 ","$7,589.10 ", N/A ,"$7,589.10 ", N/A ,"$11,070.00 ","$9,225.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,594.00 ","$9,594.00 ","$9,594.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$8,056.50 ", N/A ,"$5,116.80 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$7,589.10 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500100,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T14,275,1 ,"$12,900.00 ","$8,385.00 ","$3,612.00 ","$12,900.00 ", N/A ,"$9,610.50 ","$8,449.50 ", N/A ,"$3,612.00 ","$6,514.50 ", N/A ,"$7,959.30 ", N/A ,"$7,959.30 ","$7,959.30 ", N/A ,"$7,959.30 ", N/A ,"$11,610.00 ","$9,675.00 ", N/A , N/A ,"$11,352.00 ", N/A ,"$9,675.00 ","$9,675.00 ","$10,965.00 ","$10,965.00 ", N/A ,"$10,965.00 ", N/A ,"$10,062.00 ","$10,062.00 ","$10,062.00 ","$11,610.00 ", N/A ,"$11,610.00 ", N/A ,"$12,900.00 ","$8,449.50 ", N/A ,"$5,366.40 ", N/A , N/A , N/A ,"$11,610.00 ", N/A ,"$7,959.30 ","$3,612.00 ","$11,610.00 ", N/A ,"$11,610.00 ","$11,610.00 ", N/A ,"$8,385.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500101,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T15,275,1 ,"$13,500.00 ","$8,775.00 ","$3,780.00 ","$13,500.00 ", N/A ,"$10,057.50 ","$8,842.50 ", N/A ,"$3,780.00 ","$6,817.50 ", N/A ,"$8,329.50 ", N/A ,"$8,329.50 ","$8,329.50 ", N/A ,"$8,329.50 ", N/A ,"$12,150.00 ","$10,125.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$10,125.00 ","$10,125.00 ","$11,475.00 ","$11,475.00 ", N/A ,"$11,475.00 ", N/A ,"$10,530.00 ","$10,530.00 ","$10,530.00 ","$12,150.00 ", N/A ,"$12,150.00 ", N/A ,"$13,500.00 ","$8,842.50 ", N/A ,"$5,616.00 ", N/A , N/A , N/A ,"$12,150.00 ", N/A ,"$8,329.50 ","$3,780.00 ","$12,150.00 ", N/A ,"$12,150.00 ","$12,150.00 ", N/A ,"$8,775.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500102,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T16,275,1 ,"$14,100.00 ","$9,165.00 ","$3,948.00 ","$14,100.00 ", N/A ,"$10,504.50 ","$9,235.50 ", N/A ,"$3,948.00 ","$7,120.50 ", N/A ,"$8,699.70 ", N/A ,"$8,699.70 ","$8,699.70 ", N/A ,"$8,699.70 ", N/A ,"$12,690.00 ","$10,575.00 ", N/A , N/A ,"$12,408.00 ", N/A ,"$10,575.00 ","$10,575.00 ","$11,985.00 ","$11,985.00 ", N/A ,"$11,985.00 ", N/A ,"$10,998.00 ","$10,998.00 ","$10,998.00 ","$12,690.00 ", N/A ,"$12,690.00 ", N/A ,"$14,100.00 ","$9,235.50 ", N/A ,"$5,865.60 ", N/A , N/A , N/A ,"$12,690.00 ", N/A ,"$8,699.70 ","$3,948.00 ","$12,690.00 ", N/A ,"$12,690.00 ","$12,690.00 ", N/A ,"$9,165.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500103,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T17,275,1 ,"$14,700.00 ","$9,555.00 ","$4,116.00 ","$14,700.00 ", N/A ,"$10,951.50 ","$9,628.50 ", N/A ,"$4,116.00 ","$7,423.50 ", N/A ,"$9,069.90 ", N/A ,"$9,069.90 ","$9,069.90 ", N/A ,"$9,069.90 ", N/A ,"$13,230.00 ","$11,025.00 ", N/A , N/A ,"$12,936.00 ", N/A ,"$11,025.00 ","$11,025.00 ","$12,495.00 ","$12,495.00 ", N/A ,"$12,495.00 ", N/A ,"$11,466.00 ","$11,466.00 ","$11,466.00 ","$13,230.00 ", N/A ,"$13,230.00 ", N/A ,"$14,700.00 ","$9,628.50 ", N/A ,"$6,115.20 ", N/A , N/A , N/A ,"$13,230.00 ", N/A ,"$9,069.90 ","$4,116.00 ","$13,230.00 ", N/A ,"$13,230.00 ","$13,230.00 ", N/A ,"$9,555.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500104,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T18,275,1 ,"$15,300.00 ","$9,945.00 ","$4,284.00 ","$15,300.00 ", N/A ,"$11,398.50 ","$10,021.50 ", N/A ,"$4,284.00 ","$7,726.50 ", N/A ,"$9,440.10 ", N/A ,"$9,440.10 ","$9,440.10 ", N/A ,"$9,440.10 ", N/A ,"$13,770.00 ","$11,475.00 ", N/A , N/A ,"$13,464.00 ", N/A ,"$11,475.00 ","$11,475.00 ","$13,005.00 ","$13,005.00 ", N/A ,"$13,005.00 ", N/A ,"$11,934.00 ","$11,934.00 ","$11,934.00 ","$13,770.00 ", N/A ,"$13,770.00 ", N/A ,"$15,300.00 ","$10,021.50 ", N/A ,"$6,364.80 ", N/A , N/A , N/A ,"$13,770.00 ", N/A ,"$9,440.10 ","$4,284.00 ","$13,770.00 ", N/A ,"$13,770.00 ","$13,770.00 ", N/A ,"$9,945.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500105,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T19,275,1 ,"$15,900.00 ","$10,335.00 ","$4,452.00 ","$15,900.00 ", N/A ,"$11,845.50 ","$10,414.50 ", N/A ,"$4,452.00 ","$8,029.50 ", N/A ,"$9,810.30 ", N/A ,"$9,810.30 ","$9,810.30 ", N/A ,"$9,810.30 ", N/A ,"$14,310.00 ","$11,925.00 ", N/A , N/A ,"$13,992.00 ", N/A ,"$11,925.00 ","$11,925.00 ","$13,515.00 ","$13,515.00 ", N/A ,"$13,515.00 ", N/A ,"$12,402.00 ","$12,402.00 ","$12,402.00 ","$14,310.00 ", N/A ,"$14,310.00 ", N/A ,"$15,900.00 ","$10,414.50 ", N/A ,"$6,614.40 ", N/A , N/A , N/A ,"$14,310.00 ", N/A ,"$9,810.30 ","$4,452.00 ","$14,310.00 ", N/A ,"$14,310.00 ","$14,310.00 ", N/A ,"$10,335.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500106,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T20,275,1 ,"$16,500.00 ","$10,725.00 ","$4,620.00 ","$16,500.00 ", N/A ,"$12,292.50 ","$10,807.50 ", N/A ,"$4,620.00 ","$8,332.50 ", N/A ,"$10,180.50 ", N/A ,"$10,180.50 ","$10,180.50 ", N/A ,"$10,180.50 ", N/A ,"$14,850.00 ","$12,375.00 ", N/A , N/A ,"$14,520.00 ", N/A ,"$12,375.00 ","$12,375.00 ","$14,025.00 ","$14,025.00 ", N/A ,"$14,025.00 ", N/A ,"$12,870.00 ","$12,870.00 ","$12,870.00 ","$14,850.00 ", N/A ,"$14,850.00 ", N/A ,"$16,500.00 ","$10,807.50 ", N/A ,"$6,864.00 ", N/A , N/A , N/A ,"$14,850.00 ", N/A ,"$10,180.50 ","$4,620.00 ","$14,850.00 ", N/A ,"$14,850.00 ","$14,850.00 ", N/A ,"$10,725.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500107,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T21,275,1 ,"$17,100.00 ","$11,115.00 ","$4,788.00 ","$17,100.00 ", N/A ,"$12,739.50 ","$11,200.50 ", N/A ,"$4,788.00 ","$8,635.50 ", N/A ,"$10,550.70 ", N/A ,"$10,550.70 ","$10,550.70 ", N/A ,"$10,550.70 ", N/A ,"$15,390.00 ","$12,825.00 ", N/A , N/A ,"$15,048.00 ", N/A ,"$12,825.00 ","$12,825.00 ","$14,535.00 ","$14,535.00 ", N/A ,"$14,535.00 ", N/A ,"$13,338.00 ","$13,338.00 ","$13,338.00 ","$15,390.00 ", N/A ,"$15,390.00 ", N/A ,"$17,100.00 ","$11,200.50 ", N/A ,"$7,113.60 ", N/A , N/A , N/A ,"$15,390.00 ", N/A ,"$10,550.70 ","$4,788.00 ","$15,390.00 ", N/A ,"$15,390.00 ","$15,390.00 ", N/A ,"$11,115.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500120,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T10,275,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500121,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T11,275,1 ,"$8,100.00 ","$5,265.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,090.50 ", N/A ,"$4,997.70 ", N/A ,"$4,997.70 ","$4,997.70 ", N/A ,"$4,997.70 ", N/A ,"$7,290.00 ","$6,075.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,318.00 ","$6,318.00 ","$6,318.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$5,305.50 ", N/A ,"$3,369.60 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,997.70 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500122,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T12,275,1 ,"$8,700.00 ","$5,655.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$4,393.50 ", N/A ,"$5,367.90 ", N/A ,"$5,367.90 ","$5,367.90 ", N/A ,"$5,367.90 ", N/A ,"$7,830.00 ","$6,525.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$6,786.00 ","$6,786.00 ","$6,786.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$5,698.50 ", N/A ,"$3,619.20 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$5,367.90 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500123,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T13,275,1 ,"$9,300.00 ","$6,045.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$4,696.50 ", N/A ,"$5,738.10 ", N/A ,"$5,738.10 ","$5,738.10 ", N/A ,"$5,738.10 ", N/A ,"$8,370.00 ","$6,975.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,254.00 ","$7,254.00 ","$7,254.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$6,091.50 ", N/A ,"$3,868.80 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,738.10 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500124,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T14,275,1 ,"$9,900.00 ","$6,435.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$4,999.50 ", N/A ,"$6,108.30 ", N/A ,"$6,108.30 ","$6,108.30 ", N/A ,"$6,108.30 ", N/A ,"$8,910.00 ","$7,425.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$7,722.00 ","$7,722.00 ","$7,722.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$6,484.50 ", N/A ,"$4,118.40 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$6,108.30 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500125,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T15,275,1 ,"$10,500.00 ","$6,825.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$5,302.50 ", N/A ,"$6,478.50 ", N/A ,"$6,478.50 ","$6,478.50 ", N/A ,"$6,478.50 ", N/A ,"$9,450.00 ","$7,875.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,190.00 ","$8,190.00 ","$8,190.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$6,877.50 ", N/A ,"$4,368.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$6,478.50 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500189,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T19,275,1 ,"$16,500.00 ","$10,725.00 ","$4,620.00 ","$16,500.00 ", N/A ,"$12,292.50 ","$10,807.50 ", N/A ,"$4,620.00 ","$8,332.50 ", N/A ,"$10,180.50 ", N/A ,"$10,180.50 ","$10,180.50 ", N/A ,"$10,180.50 ", N/A ,"$14,850.00 ","$12,375.00 ", N/A , N/A ,"$14,520.00 ", N/A ,"$12,375.00 ","$12,375.00 ","$14,025.00 ","$14,025.00 ", N/A ,"$14,025.00 ", N/A ,"$12,870.00 ","$12,870.00 ","$12,870.00 ","$14,850.00 ", N/A ,"$14,850.00 ", N/A ,"$16,500.00 ","$10,807.50 ", N/A ,"$6,864.00 ", N/A , N/A , N/A ,"$14,850.00 ", N/A ,"$10,180.50 ","$4,620.00 ","$14,850.00 ", N/A ,"$14,850.00 ","$14,850.00 ", N/A ,"$10,725.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27500210,C1785,HC AZURE XT DR - MRI SURESCAN PACEMAKER,275,1 ,"$12,900.00 ","$8,385.00 ","$3,612.00 ","$12,900.00 ", N/A ,"$9,610.50 ","$8,449.50 ", N/A ,"$3,612.00 ","$6,514.50 ", N/A ,"$7,959.30 ", N/A ,"$7,959.30 ","$7,959.30 ", N/A ,"$7,959.30 ", N/A ,"$11,610.00 ","$9,675.00 ", N/A , N/A ,"$11,352.00 ", N/A ,"$9,675.00 ","$9,675.00 ","$10,965.00 ","$10,965.00 ", N/A ,"$10,965.00 ", N/A ,"$10,062.00 ","$10,062.00 ","$10,062.00 ","$11,610.00 ", N/A ,"$11,610.00 ", N/A ,"$12,900.00 ","$8,449.50 ", N/A ,"$5,366.40 ", N/A , N/A , N/A ,"$11,610.00 ", N/A ,"$7,959.30 ","$3,612.00 ","$11,610.00 ", N/A ,"$11,610.00 ","$11,610.00 ", N/A ,"$8,385.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27800553,A4648,HC TISSUE MARKER IMPLANTABLE,278,1 ,$92.99 ,$60.44 ,$26.04 ,$92.99 , N/A ,$69.28 ,$60.91 , N/A ,$26.04 ,$46.96 , N/A ,$57.37 , N/A ,$57.37 ,$57.37 , N/A ,$57.37 , N/A ,$83.69 ,$69.74 , N/A , N/A ,$81.83 , N/A ,$69.74 ,$69.74 ,$79.04 ,$79.04 , N/A ,$79.04 , N/A ,$72.53 ,$72.53 ,$72.53 ,$83.69 , N/A ,$83.69 , N/A ,$92.99 ,$60.91 , N/A ,$38.68 , N/A , N/A , N/A ,$83.69 , N/A ,$57.37 ,$26.04 ,$83.69 , N/A ,$83.69 ,$83.69 , N/A ,$60.44 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801484,C1894,HC INTRODUCER MICROPUNCTURE SET,278,1 ,$99.24 ,$64.51 ,$27.79 ,$99.24 , N/A ,$73.93 ,$65.00 , N/A ,$27.79 ,$50.12 , N/A ,$61.23 , N/A ,$61.23 ,$61.23 , N/A ,$61.23 , N/A ,$89.32 ,$74.43 , N/A , N/A ,$87.33 , N/A ,$74.43 ,$74.43 ,$84.35 ,$84.35 , N/A ,$84.35 , N/A ,$77.41 ,$77.41 ,$77.41 ,$89.32 , N/A ,$89.32 , N/A ,$99.24 ,$65.00 , N/A ,$41.28 , N/A , N/A , N/A ,$89.32 , N/A ,$61.23 ,$27.79 ,$89.32 , N/A ,$89.32 ,$89.32 , N/A ,$64.51 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801599,C1764,HC RECORDER CARDIAC EVENT IMPLANT T17,278,1 ,"$10,912.00 ","$7,092.80 ","$3,055.36 ","$10,912.00 ", N/A ,"$8,129.44 ","$7,147.36 ", N/A ,"$3,055.36 ","$5,510.56 ", N/A ,"$6,732.70 ", N/A ,"$6,732.70 ","$6,732.70 ", N/A ,"$6,732.70 ", N/A ,"$9,820.80 ","$8,184.00 ", N/A , N/A ,"$9,602.56 ", N/A ,"$8,184.00 ","$8,184.00 ","$9,275.20 ","$9,275.20 ", N/A ,"$9,275.20 ", N/A ,"$8,511.36 ","$8,511.36 ","$8,511.36 ","$9,820.80 ", N/A ,"$9,820.80 ", N/A ,"$10,912.00 ","$7,147.36 ", N/A ,"$4,539.39 ", N/A , N/A , N/A ,"$9,820.80 ", N/A ,"$6,732.70 ","$3,055.36 ","$9,820.80 ", N/A ,"$9,820.80 ","$9,820.80 ", N/A ,"$7,092.80 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801671,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T7,278,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801672,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T8,278,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801673,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T9,278,1 ,"$4,500.00 ","$2,925.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,272.50 ", N/A ,"$2,776.50 ", N/A ,"$2,776.50 ","$2,776.50 ", N/A ,"$2,776.50 ", N/A ,"$4,050.00 ","$3,375.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,510.00 ","$3,510.00 ","$3,510.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,947.50 ", N/A ,"$1,872.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,776.50 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801674,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T10,278,1 ,"$5,100.00 ","$3,315.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$2,575.50 ", N/A ,"$3,146.70 ", N/A ,"$3,146.70 ","$3,146.70 ", N/A ,"$3,146.70 ", N/A ,"$4,590.00 ","$3,825.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$3,978.00 ","$3,978.00 ","$3,978.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$3,340.50 ", N/A ,"$2,121.60 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$3,146.70 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801675,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T11,278,1 ,"$5,700.00 ","$3,705.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$2,878.50 ", N/A ,"$3,516.90 ", N/A ,"$3,516.90 ","$3,516.90 ", N/A ,"$3,516.90 ", N/A ,"$5,130.00 ","$4,275.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,446.00 ","$4,446.00 ","$4,446.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,733.50 ", N/A ,"$2,371.20 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,516.90 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801676,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T12,278,1 ,"$6,300.00 ","$4,095.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$3,181.50 ", N/A ,"$3,887.10 ", N/A ,"$3,887.10 ","$3,887.10 ", N/A ,"$3,887.10 ", N/A ,"$5,670.00 ","$4,725.00 ", N/A , N/A ,"$5,544.00 ", N/A ,"$4,725.00 ","$4,725.00 ","$5,355.00 ","$5,355.00 ", N/A ,"$5,355.00 ", N/A ,"$4,914.00 ","$4,914.00 ","$4,914.00 ","$5,670.00 ", N/A ,"$5,670.00 ", N/A ,"$6,300.00 ","$4,126.50 ", N/A ,"$2,620.80 ", N/A , N/A , N/A ,"$5,670.00 ", N/A ,"$3,887.10 ","$1,764.00 ","$5,670.00 ", N/A ,"$5,670.00 ","$5,670.00 ", N/A ,"$4,095.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801677,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T13,278,1 ,"$6,900.00 ","$4,485.00 ","$1,932.00 ","$6,900.00 ", N/A ,"$5,140.50 ","$4,519.50 ", N/A ,"$1,932.00 ","$3,484.50 ", N/A ,"$4,257.30 ", N/A ,"$4,257.30 ","$4,257.30 ", N/A ,"$4,257.30 ", N/A ,"$6,210.00 ","$5,175.00 ", N/A , N/A ,"$6,072.00 ", N/A ,"$5,175.00 ","$5,175.00 ","$5,865.00 ","$5,865.00 ", N/A ,"$5,865.00 ", N/A ,"$5,382.00 ","$5,382.00 ","$5,382.00 ","$6,210.00 ", N/A ,"$6,210.00 ", N/A ,"$6,900.00 ","$4,519.50 ", N/A ,"$2,870.40 ", N/A , N/A , N/A ,"$6,210.00 ", N/A ,"$4,257.30 ","$1,932.00 ","$6,210.00 ", N/A ,"$6,210.00 ","$6,210.00 ", N/A ,"$4,485.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801678,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T14,278,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801679,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T15,278,1 ,"$8,100.00 ","$5,265.00 ","$2,268.00 ","$8,100.00 ", N/A ,"$6,034.50 ","$5,305.50 ", N/A ,"$2,268.00 ","$4,090.50 ", N/A ,"$4,997.70 ", N/A ,"$4,997.70 ","$4,997.70 ", N/A ,"$4,997.70 ", N/A ,"$7,290.00 ","$6,075.00 ", N/A , N/A ,"$7,128.00 ", N/A ,"$6,075.00 ","$6,075.00 ","$6,885.00 ","$6,885.00 ", N/A ,"$6,885.00 ", N/A ,"$6,318.00 ","$6,318.00 ","$6,318.00 ","$7,290.00 ", N/A ,"$7,290.00 ", N/A ,"$8,100.00 ","$5,305.50 ", N/A ,"$3,369.60 ", N/A , N/A , N/A ,"$7,290.00 ", N/A ,"$4,997.70 ","$2,268.00 ","$7,290.00 ", N/A ,"$7,290.00 ","$7,290.00 ", N/A ,"$5,265.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801680,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T16,278,1 ,"$8,700.00 ","$5,655.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$4,393.50 ", N/A ,"$5,367.90 ", N/A ,"$5,367.90 ","$5,367.90 ", N/A ,"$5,367.90 ", N/A ,"$7,830.00 ","$6,525.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$6,786.00 ","$6,786.00 ","$6,786.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$5,698.50 ", N/A ,"$3,619.20 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$5,367.90 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801681,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T17,278,1 ,"$9,300.00 ","$6,045.00 ","$2,604.00 ","$9,300.00 ", N/A ,"$6,928.50 ","$6,091.50 ", N/A ,"$2,604.00 ","$4,696.50 ", N/A ,"$5,738.10 ", N/A ,"$5,738.10 ","$5,738.10 ", N/A ,"$5,738.10 ", N/A ,"$8,370.00 ","$6,975.00 ", N/A , N/A ,"$8,184.00 ", N/A ,"$6,975.00 ","$6,975.00 ","$7,905.00 ","$7,905.00 ", N/A ,"$7,905.00 ", N/A ,"$7,254.00 ","$7,254.00 ","$7,254.00 ","$8,370.00 ", N/A ,"$8,370.00 ", N/A ,"$9,300.00 ","$6,091.50 ", N/A ,"$3,868.80 ", N/A , N/A , N/A ,"$8,370.00 ", N/A ,"$5,738.10 ","$2,604.00 ","$8,370.00 ", N/A ,"$8,370.00 ","$8,370.00 ", N/A ,"$6,045.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801682,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T18,278,1 ,"$9,900.00 ","$6,435.00 ","$2,772.00 ","$9,900.00 ", N/A ,"$7,375.50 ","$6,484.50 ", N/A ,"$2,772.00 ","$4,999.50 ", N/A ,"$6,108.30 ", N/A ,"$6,108.30 ","$6,108.30 ", N/A ,"$6,108.30 ", N/A ,"$8,910.00 ","$7,425.00 ", N/A , N/A ,"$8,712.00 ", N/A ,"$7,425.00 ","$7,425.00 ","$8,415.00 ","$8,415.00 ", N/A ,"$8,415.00 ", N/A ,"$7,722.00 ","$7,722.00 ","$7,722.00 ","$8,910.00 ", N/A ,"$8,910.00 ", N/A ,"$9,900.00 ","$6,484.50 ", N/A ,"$4,118.40 ", N/A , N/A , N/A ,"$8,910.00 ", N/A ,"$6,108.30 ","$2,772.00 ","$8,910.00 ", N/A ,"$8,910.00 ","$8,910.00 ", N/A ,"$6,435.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801683,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T19,278,1 ,"$10,500.00 ","$6,825.00 ","$2,940.00 ","$10,500.00 ", N/A ,"$7,822.50 ","$6,877.50 ", N/A ,"$2,940.00 ","$5,302.50 ", N/A ,"$6,478.50 ", N/A ,"$6,478.50 ","$6,478.50 ", N/A ,"$6,478.50 ", N/A ,"$9,450.00 ","$7,875.00 ", N/A , N/A ,"$9,240.00 ", N/A ,"$7,875.00 ","$7,875.00 ","$8,925.00 ","$8,925.00 ", N/A ,"$8,925.00 ", N/A ,"$8,190.00 ","$8,190.00 ","$8,190.00 ","$9,450.00 ", N/A ,"$9,450.00 ", N/A ,"$10,500.00 ","$6,877.50 ", N/A ,"$4,368.00 ", N/A , N/A , N/A ,"$9,450.00 ", N/A ,"$6,478.50 ","$2,940.00 ","$9,450.00 ", N/A ,"$9,450.00 ","$9,450.00 ", N/A ,"$6,825.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801684,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T20,278,1 ,"$11,100.00 ","$7,215.00 ","$3,108.00 ","$11,100.00 ", N/A ,"$8,269.50 ","$7,270.50 ", N/A ,"$3,108.00 ","$5,605.50 ", N/A ,"$6,848.70 ", N/A ,"$6,848.70 ","$6,848.70 ", N/A ,"$6,848.70 ", N/A ,"$9,990.00 ","$8,325.00 ", N/A , N/A ,"$9,768.00 ", N/A ,"$8,325.00 ","$8,325.00 ","$9,435.00 ","$9,435.00 ", N/A ,"$9,435.00 ", N/A ,"$8,658.00 ","$8,658.00 ","$8,658.00 ","$9,990.00 ", N/A ,"$9,990.00 ", N/A ,"$11,100.00 ","$7,270.50 ", N/A ,"$4,617.60 ", N/A , N/A , N/A ,"$9,990.00 ", N/A ,"$6,848.70 ","$3,108.00 ","$9,990.00 ", N/A ,"$9,990.00 ","$9,990.00 ", N/A ,"$7,215.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801685,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T21,278,1 ,"$11,700.00 ","$7,605.00 ","$3,276.00 ","$11,700.00 ", N/A ,"$8,716.50 ","$7,663.50 ", N/A ,"$3,276.00 ","$5,908.50 ", N/A ,"$7,218.90 ", N/A ,"$7,218.90 ","$7,218.90 ", N/A ,"$7,218.90 ", N/A ,"$10,530.00 ","$8,775.00 ", N/A , N/A ,"$10,296.00 ", N/A ,"$8,775.00 ","$8,775.00 ","$9,945.00 ","$9,945.00 ", N/A ,"$9,945.00 ", N/A ,"$9,126.00 ","$9,126.00 ","$9,126.00 ","$10,530.00 ", N/A ,"$10,530.00 ", N/A ,"$11,700.00 ","$7,663.50 ", N/A ,"$4,867.20 ", N/A , N/A , N/A ,"$10,530.00 ", N/A ,"$7,218.90 ","$3,276.00 ","$10,530.00 ", N/A ,"$10,530.00 ","$10,530.00 ", N/A ,"$7,605.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801686,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T22,278,1 ,"$12,300.00 ","$7,995.00 ","$3,444.00 ","$12,300.00 ", N/A ,"$9,163.50 ","$8,056.50 ", N/A ,"$3,444.00 ","$6,211.50 ", N/A ,"$7,589.10 ", N/A ,"$7,589.10 ","$7,589.10 ", N/A ,"$7,589.10 ", N/A ,"$11,070.00 ","$9,225.00 ", N/A , N/A ,"$10,824.00 ", N/A ,"$9,225.00 ","$9,225.00 ","$10,455.00 ","$10,455.00 ", N/A ,"$10,455.00 ", N/A ,"$9,594.00 ","$9,594.00 ","$9,594.00 ","$11,070.00 ", N/A ,"$11,070.00 ", N/A ,"$12,300.00 ","$8,056.50 ", N/A ,"$5,116.80 ", N/A , N/A , N/A ,"$11,070.00 ", N/A ,"$7,589.10 ","$3,444.00 ","$11,070.00 ", N/A ,"$11,070.00 ","$11,070.00 ", N/A ,"$7,995.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801687,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T23,278,1 ,"$12,900.00 ","$8,385.00 ","$3,612.00 ","$12,900.00 ", N/A ,"$9,610.50 ","$8,449.50 ", N/A ,"$3,612.00 ","$6,514.50 ", N/A ,"$7,959.30 ", N/A ,"$7,959.30 ","$7,959.30 ", N/A ,"$7,959.30 ", N/A ,"$11,610.00 ","$9,675.00 ", N/A , N/A ,"$11,352.00 ", N/A ,"$9,675.00 ","$9,675.00 ","$10,965.00 ","$10,965.00 ", N/A ,"$10,965.00 ", N/A ,"$10,062.00 ","$10,062.00 ","$10,062.00 ","$11,610.00 ", N/A ,"$11,610.00 ", N/A ,"$12,900.00 ","$8,449.50 ", N/A ,"$5,366.40 ", N/A , N/A , N/A ,"$11,610.00 ", N/A ,"$7,959.30 ","$3,612.00 ","$11,610.00 ", N/A ,"$11,610.00 ","$11,610.00 ", N/A ,"$8,385.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801688,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T24,278,1 ,"$13,500.00 ","$8,775.00 ","$3,780.00 ","$13,500.00 ", N/A ,"$10,057.50 ","$8,842.50 ", N/A ,"$3,780.00 ","$6,817.50 ", N/A ,"$8,329.50 ", N/A ,"$8,329.50 ","$8,329.50 ", N/A ,"$8,329.50 ", N/A ,"$12,150.00 ","$10,125.00 ", N/A , N/A ,"$11,880.00 ", N/A ,"$10,125.00 ","$10,125.00 ","$11,475.00 ","$11,475.00 ", N/A ,"$11,475.00 ", N/A ,"$10,530.00 ","$10,530.00 ","$10,530.00 ","$12,150.00 ", N/A ,"$12,150.00 ", N/A ,"$13,500.00 ","$8,842.50 ", N/A ,"$5,616.00 ", N/A , N/A , N/A ,"$12,150.00 ", N/A ,"$8,329.50 ","$3,780.00 ","$12,150.00 ", N/A ,"$12,150.00 ","$12,150.00 ", N/A ,"$8,775.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801689,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T25,278,1 ,"$14,100.00 ","$9,165.00 ","$3,948.00 ","$14,100.00 ", N/A ,"$10,504.50 ","$9,235.50 ", N/A ,"$3,948.00 ","$7,120.50 ", N/A ,"$8,699.70 ", N/A ,"$8,699.70 ","$8,699.70 ", N/A ,"$8,699.70 ", N/A ,"$12,690.00 ","$10,575.00 ", N/A , N/A ,"$12,408.00 ", N/A ,"$10,575.00 ","$10,575.00 ","$11,985.00 ","$11,985.00 ", N/A ,"$11,985.00 ", N/A ,"$10,998.00 ","$10,998.00 ","$10,998.00 ","$12,690.00 ", N/A ,"$12,690.00 ", N/A ,"$14,100.00 ","$9,235.50 ", N/A ,"$5,865.60 ", N/A , N/A , N/A ,"$12,690.00 ", N/A ,"$8,699.70 ","$3,948.00 ","$12,690.00 ", N/A ,"$12,690.00 ","$12,690.00 ", N/A ,"$9,165.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801690,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T26,278,1 ,"$14,700.00 ","$9,555.00 ","$4,116.00 ","$14,700.00 ", N/A ,"$10,951.50 ","$9,628.50 ", N/A ,"$4,116.00 ","$7,423.50 ", N/A ,"$9,069.90 ", N/A ,"$9,069.90 ","$9,069.90 ", N/A ,"$9,069.90 ", N/A ,"$13,230.00 ","$11,025.00 ", N/A , N/A ,"$12,936.00 ", N/A ,"$11,025.00 ","$11,025.00 ","$12,495.00 ","$12,495.00 ", N/A ,"$12,495.00 ", N/A ,"$11,466.00 ","$11,466.00 ","$11,466.00 ","$13,230.00 ", N/A ,"$13,230.00 ", N/A ,"$14,700.00 ","$9,628.50 ", N/A ,"$6,115.20 ", N/A , N/A , N/A ,"$13,230.00 ", N/A ,"$9,069.90 ","$4,116.00 ","$13,230.00 ", N/A ,"$13,230.00 ","$13,230.00 ", N/A ,"$9,555.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801709,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T6,278,1 ,"$5,100.00 ","$3,315.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$2,575.50 ", N/A ,"$3,146.70 ", N/A ,"$3,146.70 ","$3,146.70 ", N/A ,"$3,146.70 ", N/A ,"$4,590.00 ","$3,825.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$3,978.00 ","$3,978.00 ","$3,978.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$3,340.50 ", N/A ,"$2,121.60 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$3,146.70 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801713,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T10,278,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801714,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T11,278,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801715,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T12,278,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801716,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T13,278,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801717,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T14,278,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801718,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T15,278,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801719,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T16,278,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801720,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T17,278,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801721,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T18,278,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801722,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T19,278,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801723,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T20,278,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801724,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T21,278,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801725,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T22,278,1 ,"$4,500.00 ","$2,925.00 ","$1,260.00 ","$4,500.00 ", N/A ,"$3,352.50 ","$2,947.50 ", N/A ,"$1,260.00 ","$2,272.50 ", N/A ,"$2,776.50 ", N/A ,"$2,776.50 ","$2,776.50 ", N/A ,"$2,776.50 ", N/A ,"$4,050.00 ","$3,375.00 ", N/A , N/A ,"$3,960.00 ", N/A ,"$3,375.00 ","$3,375.00 ","$3,825.00 ","$3,825.00 ", N/A ,"$3,825.00 ", N/A ,"$3,510.00 ","$3,510.00 ","$3,510.00 ","$4,050.00 ", N/A ,"$4,050.00 ", N/A ,"$4,500.00 ","$2,947.50 ", N/A ,"$1,872.00 ", N/A , N/A , N/A ,"$4,050.00 ", N/A ,"$2,776.50 ","$1,260.00 ","$4,050.00 ", N/A ,"$4,050.00 ","$4,050.00 ", N/A ,"$2,925.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801730,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T27,278,1 ,"$7,500.00 ","$4,875.00 ","$2,100.00 ","$7,500.00 ", N/A ,"$5,587.50 ","$4,912.50 ", N/A ,"$2,100.00 ","$3,787.50 ", N/A ,"$4,627.50 ", N/A ,"$4,627.50 ","$4,627.50 ", N/A ,"$4,627.50 ", N/A ,"$6,750.00 ","$5,625.00 ", N/A , N/A ,"$6,600.00 ", N/A ,"$5,625.00 ","$5,625.00 ","$6,375.00 ","$6,375.00 ", N/A ,"$6,375.00 ", N/A ,"$5,850.00 ","$5,850.00 ","$5,850.00 ","$6,750.00 ", N/A ,"$6,750.00 ", N/A ,"$7,500.00 ","$4,912.50 ", N/A ,"$3,120.00 ", N/A , N/A , N/A ,"$6,750.00 ", N/A ,"$4,627.50 ","$2,100.00 ","$6,750.00 ", N/A ,"$6,750.00 ","$6,750.00 ", N/A ,"$4,875.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801732,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T29,278,1 ,"$8,700.00 ","$5,655.00 ","$2,436.00 ","$8,700.00 ", N/A ,"$6,481.50 ","$5,698.50 ", N/A ,"$2,436.00 ","$4,393.50 ", N/A ,"$5,367.90 ", N/A ,"$5,367.90 ","$5,367.90 ", N/A ,"$5,367.90 ", N/A ,"$7,830.00 ","$6,525.00 ", N/A , N/A ,"$7,656.00 ", N/A ,"$6,525.00 ","$6,525.00 ","$7,395.00 ","$7,395.00 ", N/A ,"$7,395.00 ", N/A ,"$6,786.00 ","$6,786.00 ","$6,786.00 ","$7,830.00 ", N/A ,"$7,830.00 ", N/A ,"$8,700.00 ","$5,698.50 ", N/A ,"$3,619.20 ", N/A , N/A , N/A ,"$7,830.00 ", N/A ,"$5,367.90 ","$2,436.00 ","$7,830.00 ", N/A ,"$7,830.00 ","$7,830.00 ", N/A ,"$5,655.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801769,C1880,HC FILTER VENA CAVA T7,278,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801770,C1880,HC FILTER VENA CAVA T8,278,1 ,"$3,900.00 ","$2,535.00 ","$1,092.00 ","$3,900.00 ", N/A ,"$2,905.50 ","$2,554.50 ", N/A ,"$1,092.00 ","$1,969.50 ", N/A ,"$2,406.30 ", N/A ,"$2,406.30 ","$2,406.30 ", N/A ,"$2,406.30 ", N/A ,"$3,510.00 ","$2,925.00 ", N/A , N/A ,"$3,432.00 ", N/A ,"$2,925.00 ","$2,925.00 ","$3,315.00 ","$3,315.00 ", N/A ,"$3,315.00 ", N/A ,"$3,042.00 ","$3,042.00 ","$3,042.00 ","$3,510.00 ", N/A ,"$3,510.00 ", N/A ,"$3,900.00 ","$2,554.50 ", N/A ,"$1,622.40 ", N/A , N/A , N/A ,"$3,510.00 ", N/A ,"$2,406.30 ","$1,092.00 ","$3,510.00 ", N/A ,"$3,510.00 ","$3,510.00 ", N/A ,"$2,535.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801816,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T4,278,1 ,"$7,000.00 ","$4,550.00 ","$1,960.00 ","$7,000.00 ", N/A ,"$5,215.00 ","$4,585.00 ", N/A ,"$1,960.00 ","$3,535.00 ", N/A ,"$4,319.00 ", N/A ,"$4,319.00 ","$4,319.00 ", N/A ,"$4,319.00 ", N/A ,"$6,300.00 ","$5,250.00 ", N/A , N/A ,"$6,160.00 ", N/A ,"$5,250.00 ","$5,250.00 ","$5,950.00 ","$5,950.00 ", N/A ,"$5,950.00 ", N/A ,"$5,460.00 ","$5,460.00 ","$5,460.00 ","$6,300.00 ", N/A ,"$6,300.00 ", N/A ,"$7,000.00 ","$4,585.00 ", N/A ,"$2,912.00 ", N/A , N/A , N/A ,"$6,300.00 ", N/A ,"$4,319.00 ","$1,960.00 ","$6,300.00 ", N/A ,"$6,300.00 ","$6,300.00 ", N/A ,"$4,550.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801972,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T6,278,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801973,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T7,278,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801974,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T8,278,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801975,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T9,278,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801976,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T10,278,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27801987,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T1,278,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802016,N/A,HC IMPLANT SURGICAL T1,278,1 ,$10.00 ,$6.50 ,$2.80 ,$10.00 , N/A ,$7.45 ,$6.55 , N/A ,$2.80 ,$5.05 , N/A ,$6.17 , N/A ,$6.17 ,$6.17 , N/A ,$6.17 , N/A ,$9.00 ,$7.50 , N/A , N/A ,$8.80 , N/A ,$7.50 ,$7.50 ,$8.50 ,$8.50 , N/A ,$8.50 , N/A ,$7.80 ,$7.80 ,$7.80 ,$9.00 , N/A ,$9.00 , N/A ,$10.00 ,$6.55 , N/A ,$4.16 , N/A , N/A , N/A ,$9.00 , N/A ,$6.17 ,$2.80 ,$9.00 , N/A ,$9.00 ,$9.00 , N/A ,$6.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802017,N/A,HC IMPLANT SURGICAL T2,278,1 ,$20.00 ,$13.00 ,$5.60 ,$20.00 , N/A ,$14.90 ,$13.10 , N/A ,$5.60 ,$10.10 , N/A ,$12.34 , N/A ,$12.34 ,$12.34 , N/A ,$12.34 , N/A ,$18.00 ,$15.00 , N/A , N/A ,$17.60 , N/A ,$15.00 ,$15.00 ,$17.00 ,$17.00 , N/A ,$17.00 , N/A ,$15.60 ,$15.60 ,$15.60 ,$18.00 , N/A ,$18.00 , N/A ,$20.00 ,$13.10 , N/A ,$8.32 , N/A , N/A , N/A ,$18.00 , N/A ,$12.34 ,$5.60 ,$18.00 , N/A ,$18.00 ,$18.00 , N/A ,$13.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802018,N/A,HC IMPLANT SURGICAL T3,278,1 ,$30.00 ,$19.50 ,$8.40 ,$30.00 , N/A ,$22.35 ,$19.65 , N/A ,$8.40 ,$15.15 , N/A ,$18.51 , N/A ,$18.51 ,$18.51 , N/A ,$18.51 , N/A ,$27.00 ,$22.50 , N/A , N/A ,$26.40 , N/A ,$22.50 ,$22.50 ,$25.50 ,$25.50 , N/A ,$25.50 , N/A ,$23.40 ,$23.40 ,$23.40 ,$27.00 , N/A ,$27.00 , N/A ,$30.00 ,$19.65 , N/A ,$12.48 , N/A , N/A , N/A ,$27.00 , N/A ,$18.51 ,$8.40 ,$27.00 , N/A ,$27.00 ,$27.00 , N/A ,$19.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802019,N/A,HC IMPLANT SURGICAL T4,278,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 , N/A ,$55.88 ,$49.13 , N/A ,$21.00 ,$37.88 , N/A ,$46.28 , N/A ,$46.28 ,$46.28 , N/A ,$46.28 , N/A ,$67.50 ,$56.25 , N/A , N/A ,$66.00 , N/A ,$56.25 ,$56.25 ,$63.75 ,$63.75 , N/A ,$63.75 , N/A ,$58.50 ,$58.50 ,$58.50 ,$67.50 , N/A ,$67.50 , N/A ,$75.00 ,$49.13 , N/A ,$31.20 , N/A , N/A , N/A ,$67.50 , N/A ,$46.28 ,$21.00 ,$67.50 , N/A ,$67.50 ,$67.50 , N/A ,$48.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802020,N/A,HC IMPLANT SURGICAL T5,278,1 ,$150.00 ,$97.50 ,$42.00 ,$150.00 , N/A ,$111.75 ,$98.25 , N/A ,$42.00 ,$75.75 , N/A ,$92.55 , N/A ,$92.55 ,$92.55 , N/A ,$92.55 , N/A ,$135.00 ,$112.50 , N/A , N/A ,$132.00 , N/A ,$112.50 ,$112.50 ,$127.50 ,$127.50 , N/A ,$127.50 , N/A ,$117.00 ,$117.00 ,$117.00 ,$135.00 , N/A ,$135.00 , N/A ,$150.00 ,$98.25 , N/A ,$62.40 , N/A , N/A , N/A ,$135.00 , N/A ,$92.55 ,$42.00 ,$135.00 , N/A ,$135.00 ,$135.00 , N/A ,$97.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802021,N/A,HC IMPLANT SURGICAL T6,278,1 ,$225.00 ,$146.25 ,$63.00 ,$225.00 , N/A ,$167.63 ,$147.38 , N/A ,$63.00 ,$113.63 , N/A ,$138.83 , N/A ,$138.83 ,$138.83 , N/A ,$138.83 , N/A ,$202.50 ,$168.75 , N/A , N/A ,$198.00 , N/A ,$168.75 ,$168.75 ,$191.25 ,$191.25 , N/A ,$191.25 , N/A ,$175.50 ,$175.50 ,$175.50 ,$202.50 , N/A ,$202.50 , N/A ,$225.00 ,$147.38 , N/A ,$93.60 , N/A , N/A , N/A ,$202.50 , N/A ,$138.83 ,$63.00 ,$202.50 , N/A ,$202.50 ,$202.50 , N/A ,$146.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802022,N/A,HC IMPLANT SURGICAL T7,278,1 ,$300.00 ,$195.00 ,$84.00 ,$300.00 , N/A ,$223.50 ,$196.50 , N/A ,$84.00 ,$151.50 , N/A ,$185.10 , N/A ,$185.10 ,$185.10 , N/A ,$185.10 , N/A ,$270.00 ,$225.00 , N/A , N/A ,$264.00 , N/A ,$225.00 ,$225.00 ,$255.00 ,$255.00 , N/A ,$255.00 , N/A ,$234.00 ,$234.00 ,$234.00 ,$270.00 , N/A ,$270.00 , N/A ,$300.00 ,$196.50 , N/A ,$124.80 , N/A , N/A , N/A ,$270.00 , N/A ,$185.10 ,$84.00 ,$270.00 , N/A ,$270.00 ,$270.00 , N/A ,$195.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802023,N/A,HC IMPLANT SURGICAL T8,278,1 ,$375.00 ,$243.75 ,$105.00 ,$375.00 , N/A ,$279.38 ,$245.63 , N/A ,$105.00 ,$189.38 , N/A ,$231.38 , N/A ,$231.38 ,$231.38 , N/A ,$231.38 , N/A ,$337.50 ,$281.25 , N/A , N/A ,$330.00 , N/A ,$281.25 ,$281.25 ,$318.75 ,$318.75 , N/A ,$318.75 , N/A ,$292.50 ,$292.50 ,$292.50 ,$337.50 , N/A ,$337.50 , N/A ,$375.00 ,$245.63 , N/A ,$156.00 , N/A , N/A , N/A ,$337.50 , N/A ,$231.38 ,$105.00 ,$337.50 , N/A ,$337.50 ,$337.50 , N/A ,$243.75 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802024,N/A,HC IMPLANT SURGICAL T9,278,1 ,$450.00 ,$292.50 ,$126.00 ,$450.00 , N/A ,$335.25 ,$294.75 , N/A ,$126.00 ,$227.25 , N/A ,$277.65 , N/A ,$277.65 ,$277.65 , N/A ,$277.65 , N/A ,$405.00 ,$337.50 , N/A , N/A ,$396.00 , N/A ,$337.50 ,$337.50 ,$382.50 ,$382.50 , N/A ,$382.50 , N/A ,$351.00 ,$351.00 ,$351.00 ,$405.00 , N/A ,$405.00 , N/A ,$450.00 ,$294.75 , N/A ,$187.20 , N/A , N/A , N/A ,$405.00 , N/A ,$277.65 ,$126.00 ,$405.00 , N/A ,$405.00 ,$405.00 , N/A ,$292.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802025,N/A,HC IMPLANT SURGICAL T10,278,1 ,$525.00 ,$341.25 ,$147.00 ,$525.00 , N/A ,$391.13 ,$343.88 , N/A ,$147.00 ,$265.13 , N/A ,$323.93 , N/A ,$323.93 ,$323.93 , N/A ,$323.93 , N/A ,$472.50 ,$393.75 , N/A , N/A ,$462.00 , N/A ,$393.75 ,$393.75 ,$446.25 ,$446.25 , N/A ,$446.25 , N/A ,$409.50 ,$409.50 ,$409.50 ,$472.50 , N/A ,$472.50 , N/A ,$525.00 ,$343.88 , N/A ,$218.40 , N/A , N/A , N/A ,$472.50 , N/A ,$323.93 ,$147.00 ,$472.50 , N/A ,$472.50 ,$472.50 , N/A ,$341.25 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802026,N/A,HC IMPLANT SURGICAL T11,278,1 ,$600.00 ,$390.00 ,$168.00 ,$600.00 , N/A ,$447.00 ,$393.00 , N/A ,$168.00 ,$303.00 , N/A ,$370.20 , N/A ,$370.20 ,$370.20 , N/A ,$370.20 , N/A ,$540.00 ,$450.00 , N/A , N/A ,$528.00 , N/A ,$450.00 ,$450.00 ,$510.00 ,$510.00 , N/A ,$510.00 , N/A ,$468.00 ,$468.00 ,$468.00 ,$540.00 , N/A ,$540.00 , N/A ,$600.00 ,$393.00 , N/A ,$249.60 , N/A , N/A , N/A ,$540.00 , N/A ,$370.20 ,$168.00 ,$540.00 , N/A ,$540.00 ,$540.00 , N/A ,$390.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802027,N/A,HC IMPLANT SURGICAL T12,278,1 ,$750.00 ,$487.50 ,$210.00 ,$750.00 , N/A ,$558.75 ,$491.25 , N/A ,$210.00 ,$378.75 , N/A ,$462.75 , N/A ,$462.75 ,$462.75 , N/A ,$462.75 , N/A ,$675.00 ,$562.50 , N/A , N/A ,$660.00 , N/A ,$562.50 ,$562.50 ,$637.50 ,$637.50 , N/A ,$637.50 , N/A ,$585.00 ,$585.00 ,$585.00 ,$675.00 , N/A ,$675.00 , N/A ,$750.00 ,$491.25 , N/A ,$312.00 , N/A , N/A , N/A ,$675.00 , N/A ,$462.75 ,$210.00 ,$675.00 , N/A ,$675.00 ,$675.00 , N/A ,$487.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802028,N/A,HC IMPLANT SURGICAL T13,278,1 ,$900.00 ,$585.00 ,$252.00 ,$900.00 , N/A ,$670.50 ,$589.50 , N/A ,$252.00 ,$454.50 , N/A ,$555.30 , N/A ,$555.30 ,$555.30 , N/A ,$555.30 , N/A ,$810.00 ,$675.00 , N/A , N/A ,$792.00 , N/A ,$675.00 ,$675.00 ,$765.00 ,$765.00 , N/A ,$765.00 , N/A ,$702.00 ,$702.00 ,$702.00 ,$810.00 , N/A ,$810.00 , N/A ,$900.00 ,$589.50 , N/A ,$374.40 , N/A , N/A , N/A ,$810.00 , N/A ,$555.30 ,$252.00 ,$810.00 , N/A ,$810.00 ,$810.00 , N/A ,$585.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802029,N/A,HC IMPLANT SURGICAL T14,278,1 ,"$1,050.00 ",$682.50 ,$294.00 ,"$1,050.00 ", N/A ,$782.25 ,$687.75 , N/A ,$294.00 ,$530.25 , N/A ,$647.85 , N/A ,$647.85 ,$647.85 , N/A ,$647.85 , N/A ,$945.00 ,$787.50 , N/A , N/A ,$924.00 , N/A ,$787.50 ,$787.50 ,$892.50 ,$892.50 , N/A ,$892.50 , N/A ,$819.00 ,$819.00 ,$819.00 ,$945.00 , N/A ,$945.00 , N/A ,"$1,050.00 ",$687.75 , N/A ,$436.80 , N/A , N/A , N/A ,$945.00 , N/A ,$647.85 ,$294.00 ,$945.00 , N/A ,$945.00 ,$945.00 , N/A ,$682.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802030,N/A,HC IMPLANT SURGICAL T15,278,1 ,"$1,200.00 ",$780.00 ,$336.00 ,"$1,200.00 ", N/A ,$894.00 ,$786.00 , N/A ,$336.00 ,$606.00 , N/A ,$740.40 , N/A ,$740.40 ,$740.40 , N/A ,$740.40 , N/A ,"$1,080.00 ",$900.00 , N/A , N/A ,"$1,056.00 ", N/A ,$900.00 ,$900.00 ,"$1,020.00 ","$1,020.00 ", N/A ,"$1,020.00 ", N/A ,$936.00 ,$936.00 ,$936.00 ,"$1,080.00 ", N/A ,"$1,080.00 ", N/A ,"$1,200.00 ",$786.00 , N/A ,$499.20 , N/A , N/A , N/A ,"$1,080.00 ", N/A ,$740.40 ,$336.00 ,"$1,080.00 ", N/A ,"$1,080.00 ","$1,080.00 ", N/A ,$780.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802031,N/A,HC IMPLANT SURGICAL T16,278,1 ,"$1,350.00 ",$877.50 ,$378.00 ,"$1,350.00 ", N/A ,"$1,005.75 ",$884.25 , N/A ,$378.00 ,$681.75 , N/A ,$832.95 , N/A ,$832.95 ,$832.95 , N/A ,$832.95 , N/A ,"$1,215.00 ","$1,012.50 ", N/A , N/A ,"$1,188.00 ", N/A ,"$1,012.50 ","$1,012.50 ","$1,147.50 ","$1,147.50 ", N/A ,"$1,147.50 ", N/A ,"$1,053.00 ","$1,053.00 ","$1,053.00 ","$1,215.00 ", N/A ,"$1,215.00 ", N/A ,"$1,350.00 ",$884.25 , N/A ,$561.60 , N/A , N/A , N/A ,"$1,215.00 ", N/A ,$832.95 ,$378.00 ,"$1,215.00 ", N/A ,"$1,215.00 ","$1,215.00 ", N/A ,$877.50 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802032,N/A,HC IMPLANT SURGICAL T17,278,1 ,"$1,500.00 ",$975.00 ,$420.00 ,"$1,500.00 ", N/A ,"$1,117.50 ",$982.50 , N/A ,$420.00 ,$757.50 , N/A ,$925.50 , N/A ,$925.50 ,$925.50 , N/A ,$925.50 , N/A ,"$1,350.00 ","$1,125.00 ", N/A , N/A ,"$1,320.00 ", N/A ,"$1,125.00 ","$1,125.00 ","$1,275.00 ","$1,275.00 ", N/A ,"$1,275.00 ", N/A ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,500.00 ",$982.50 , N/A ,$624.00 , N/A , N/A , N/A ,"$1,350.00 ", N/A ,$925.50 ,$420.00 ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ", N/A ,$975.00 
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802033,N/A,HC IMPLANT SURGICAL T18,278,1 ,"$2,100.00 ","$1,365.00 ",$588.00 ,"$2,100.00 ", N/A ,"$1,564.50 ","$1,375.50 ", N/A ,$588.00 ,"$1,060.50 ", N/A ,"$1,295.70 ", N/A ,"$1,295.70 ","$1,295.70 ", N/A ,"$1,295.70 ", N/A ,"$1,890.00 ","$1,575.00 ", N/A , N/A ,"$1,848.00 ", N/A ,"$1,575.00 ","$1,575.00 ","$1,785.00 ","$1,785.00 ", N/A ,"$1,785.00 ", N/A ,"$1,638.00 ","$1,638.00 ","$1,638.00 ","$1,890.00 ", N/A ,"$1,890.00 ", N/A ,"$2,100.00 ","$1,375.50 ", N/A ,$873.60 , N/A , N/A , N/A ,"$1,890.00 ", N/A ,"$1,295.70 ",$588.00 ,"$1,890.00 ", N/A ,"$1,890.00 ","$1,890.00 ", N/A ,"$1,365.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802034,N/A,HC IMPLANT SURGICAL T19,278,1 ,"$2,700.00 ","$1,755.00 ",$756.00 ,"$2,700.00 ", N/A ,"$2,011.50 ","$1,768.50 ", N/A ,$756.00 ,"$1,363.50 ", N/A ,"$1,665.90 ", N/A ,"$1,665.90 ","$1,665.90 ", N/A ,"$1,665.90 ", N/A ,"$2,430.00 ","$2,025.00 ", N/A , N/A ,"$2,376.00 ", N/A ,"$2,025.00 ","$2,025.00 ","$2,295.00 ","$2,295.00 ", N/A ,"$2,295.00 ", N/A ,"$2,106.00 ","$2,106.00 ","$2,106.00 ","$2,430.00 ", N/A ,"$2,430.00 ", N/A ,"$2,700.00 ","$1,768.50 ", N/A ,"$1,123.20 ", N/A , N/A , N/A ,"$2,430.00 ", N/A ,"$1,665.90 ",$756.00 ,"$2,430.00 ", N/A ,"$2,430.00 ","$2,430.00 ", N/A ,"$1,755.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802035,N/A,HC IMPLANT SURGICAL T20,278,1 ,"$3,300.00 ","$2,145.00 ",$924.00 ,"$3,300.00 ", N/A ,"$2,458.50 ","$2,161.50 ", N/A ,$924.00 ,"$1,666.50 ", N/A ,"$2,036.10 ", N/A ,"$2,036.10 ","$2,036.10 ", N/A ,"$2,036.10 ", N/A ,"$2,970.00 ","$2,475.00 ", N/A , N/A ,"$2,904.00 ", N/A ,"$2,475.00 ","$2,475.00 ","$2,805.00 ","$2,805.00 ", N/A ,"$2,805.00 ", N/A ,"$2,574.00 ","$2,574.00 ","$2,574.00 ","$2,970.00 ", N/A ,"$2,970.00 ", N/A ,"$3,300.00 ","$2,161.50 ", N/A ,"$1,372.80 ", N/A , N/A , N/A ,"$2,970.00 ", N/A ,"$2,036.10 ",$924.00 ,"$2,970.00 ", N/A ,"$2,970.00 ","$2,970.00 ", N/A ,"$2,145.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802104,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T1,278,1 ,"$5,100.00 ","$3,315.00 ","$1,428.00 ","$5,100.00 ", N/A ,"$3,799.50 ","$3,340.50 ", N/A ,"$1,428.00 ","$2,575.50 ", N/A ,"$3,146.70 ", N/A ,"$3,146.70 ","$3,146.70 ", N/A ,"$3,146.70 ", N/A ,"$4,590.00 ","$3,825.00 ", N/A , N/A ,"$4,488.00 ", N/A ,"$3,825.00 ","$3,825.00 ","$4,335.00 ","$4,335.00 ", N/A ,"$4,335.00 ", N/A ,"$3,978.00 ","$3,978.00 ","$3,978.00 ","$4,590.00 ", N/A ,"$4,590.00 ", N/A ,"$5,100.00 ","$3,340.50 ", N/A ,"$2,121.60 ", N/A , N/A , N/A ,"$4,590.00 ", N/A ,"$3,146.70 ","$1,428.00 ","$4,590.00 ", N/A ,"$4,590.00 ","$4,590.00 ", N/A ,"$3,315.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802105,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T2,278,1 ,"$5,700.00 ","$3,705.00 ","$1,596.00 ","$5,700.00 ", N/A ,"$4,246.50 ","$3,733.50 ", N/A ,"$1,596.00 ","$2,878.50 ", N/A ,"$3,516.90 ", N/A ,"$3,516.90 ","$3,516.90 ", N/A ,"$3,516.90 ", N/A ,"$5,130.00 ","$4,275.00 ", N/A , N/A ,"$5,016.00 ", N/A ,"$4,275.00 ","$4,275.00 ","$4,845.00 ","$4,845.00 ", N/A ,"$4,845.00 ", N/A ,"$4,446.00 ","$4,446.00 ","$4,446.00 ","$5,130.00 ", N/A ,"$5,130.00 ", N/A ,"$5,700.00 ","$3,733.50 ", N/A ,"$2,371.20 ", N/A , N/A , N/A ,"$5,130.00 ", N/A ,"$3,516.90 ","$1,596.00 ","$5,130.00 ", N/A ,"$5,130.00 ","$5,130.00 ", N/A ,"$3,705.00 "
ST. ANTHONY'S MEMORIAL HOSPITAL (ACU),27802106,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T3,278,1 ,"$6,300.00 ","$4,095.00 ","$1,764.00 ","$6,300.00 ", N/A ,"$4,693.50 ","$4,126.50 ", N/A ,"$1,764.00 ","$